24/7 Crisis Hotline & Mobile Response
A mental health or addiction crisis can’t wait for normal business hours. Our Crisis Services are available around the clock whenever the need arises.
Therapy & Counseling Services
At Citizen Advocates, therapy is personal. Our compassionate, person-centered approach helps children, adolescents, adults, couples and families navigate mental health and addiction recovery with confidence and support.
Citizen Advocates’ therapy services include outpatient therapy and counseling available at all six of our clinic locations. In addition, 24/7 behavioral health services are available at our Behavioral Health Campuses in Malone, Ogdensburg and Watertown.
Whether you need scheduled outpatient counseling or immediate behavioral health support, our team is here for you.
We believe healing starts with understanding your story, building on your strengths and creating a plan tailored specifically to your needs.
We offer professional counseling and behavioral health services for:
- Depression and mood disorders
- Anxiety and panic disorders
- Trauma and post-traumatic stress disorder (PTSD)
- Substance use and addiction recovery
- Co-occurring mental health and substance use disorders
- Relationship and family challenges
- Life transitions, grief and stress
Our licensed and certified professionals provide evidence-based treatment in a supportive, confidential setting.
Initial Assessment & Evaluation
Every individual entering our care begins with a comprehensive mental health evaluation.
During this session, our highly trained therapists:
- Review your mental health history
- Explore external stressors (family, employment, trauma, relationships)
- Identify symptoms affecting daily life
- Assess strengths and support systems
This evaluation typically takes about one hour. From there, we recommend the appropriate level of care, which may include:
- Outpatient individual therapy
- Group therapy
- Family or couples counseling
- Psychiatric services
- Community-based supports
- Referral to higher levels of care, if needed
If inpatient treatment is recommended, our team assists with coordination, transportation, insurance authorizations and intake planning. Our promise is to make the process as smooth as possible.
Types of Therapy We Offer
Citizen Advocates’ therapy services are flexible and personalized. Your treatment plan may include one or more of the following:
Individual Therapy
One-on-one counseling provides a safe, private space to explore thoughts, emotions, behaviors and life challenges.
Individual therapy can help with:
- Managing anxiety or depression
- Developing coping skills
- Improving emotional regulation
- Building resilience
- Achieving and maintaining sobriety
- Addressing trauma
Group Therapy
You are not alone.
Group therapy brings together individuals who share similar experiences. In a structured and professionally facilitated environment, participants support one another while working toward personal goals.
Group therapy may focus on:
- Managing mental health
- Substance use recovery
- Parenting skills
- Communication and interpersonal growth
- Stress tolerance
- Co-occurring disorders
- Problem-solving as a group
An initial one-on-one assessment is required before joining any therapy group.
Family & Couples Counseling
Family and loved ones play a vital role in healing and recovery.
Our family psychotherapy services help address:
- Marital or relationship concerns
- Adjusting to a newborn
- Separation or divorce
- Grief and loss
- Aging-related changes
- Major life transitions
We work with couples and families to improve communication, reduce conflict and build healthier dynamics.
Evidence-Based Approaches Used in Citizen Advocates Therapy
Our therapists use proven, research-backed treatment models, including:
Cognitive Behavioral Therapy (CBT)
Helps individuals identify and change unhelpful thoughts and behaviors to improve mood and functioning.
Dialectical Behavior Therapy-Informed (DBT-Informed)
Teaches skills to regulate emotions, manage distress and strengthen relationships.
Eye Movement Desensitization and Reprocessing (EMDR)
An interactive psychotherapy technique used to relieve psychological stress, particularly effective for trauma and PTSD.
Your therapist will determine which approaches best support your goals.
Co-Occurring Behavioral Health Services
Many individuals experience both mental health and substance use challenges at the same time. Our therapy services include specialized care for co-occurring disorders.
Our integrated approach addresses mood and anxiety disorders, behavioral challenges, addiction and recovery, and family impact.
Treatment plans are individualized and may include counseling, psychiatric services, community supports and referrals as needed.
When Should You Seek Therapy?
Everyone experiences ups and downs. But if you or a loved one notice:
- Persistent depression or anxiety
- Difficulty concentrating
- Withdrawal from family or friends
- Increased substance use
- Disruptions to work, school or daily life
It may be time to seek support.
Early intervention improves outcomes. Mental health is just as important as physical health, and help is available.
For immediate assistance, our Crisis Hotlines are available 24/7
Why Choose Citizen Advocates’ Therapy Services?
At Citizen Advocates, we offer:
- Person-centered, compassionate care
- Evidence-based treatment
- Services for all age groups
- Individualized treatment planning
- Family involvement and support
- Integrated mental health and addiction care
- Assistance navigating higher levels of care
Our goal is long-term recovery, emotional well-being and improved quality of life.
Where to Access Citizen Advocates’ Therapy Services
Citizen Advocates offers accessible, community-based care throughout the region. Outpatient therapy and counseling is available at all six Citizen Advocates clinic locations. Services are typically provided during regular weekday clinic hours unless otherwise arranged with your therapist.
Immediate behavioral health support is available around the clock at our 24/7 Behavioral Health Campuses. These campuses provide urgent behavioral health services and support for individuals experiencing a mental health crisis or urgent need.
If you are unsure which location or level of care is right for you, our team will guide you through the process.
Malone Behavioral Health Clinic
Malone
Phone:518-483-3261 Hours:Monday, Wednesday, Friday: 8 a.m.-5 p.m.; Tuesday, Thursday: 8 a.m.-7 p.m. (By appointment or walk-in) Location:31 Sixth Street, Malone, NY 12953
Malone Behavioral Health Campus
Malone
Phone:518-481-8160 Hours:24 hours/day, 7 days/week, 365 days/year Location:125 Finney Boulevard, Malone, NY 12953
Massena Behavioral Health Clinic
Massena
Phone:315-764-8076 Hours:Monday-Wednesday, Friday 8 a.m.-5 p.m.; Thursday 8 a.m.-7 p.m. (By appointment or walk-in) Location:16 Phillips Street, Massena NY, 13662
Ogdensburg Behavioral Health Campus
Ogdensburg
Phone:315-713-9090 Hours:24 hours/day, 7 days/week, 365 days/year Location:1003 Park Street, Ogdensburg, NY 13669
Saranac Lake Behavioral Health Clinic
Saranac Lake
Phone:518-891-5535 Hours:Tuesday, Wednesday, Friday: 8 a.m.-5 p.m.; Monday, Thursday: 8 a.m.-7 p.m. (By appointment or walk-in) Location:70 Edgewood Road, Saranac Lake, NY 12983
Watertown Behavioral Health Campus
Watertown
Phone:315-755-1251 Hours:24 hours/day, 7 days/week, 365 days/year Location:650 State Street, Watertown, NY 13601
Start Therapy with Citizen Advocates
Beginning therapy can feel overwhelming. We make it simple.
- Schedule an initial assessment
- Meet with a licensed therapist
- Develop a personalized treatment plan
- Begin therapy that fits your needs
If you are searching for therapy services, our team is here to help you take the next step toward healing and stability.
Contact us today to schedule your appointment.
Contact Our Care Team
Related services
Behavioral Health Campuses
Often, a mental health or addiction crisis doesn’t require hospitalization, however, it does need immediate attention. We offer 24/7 access to mental health and substance use disorder treatments, with no appointment needed.
Peer Support Services
Peer support services connect individuals with trained peer support specialists who use lived experience to provide practical, non-clinical support for mental health and addiction recovery.
Telehealth Services
Telehealth makes it easier to get the mental health and addiction services you need, no matter where you live.
Need help navigating our mental health services?
At Citizen Advocates, we work as a team to provide the best individual, person-centered services to the people we serve. Care coordination assists clients with identifying and accessing the services that will assist them in addressing the problems they are experiencing, or that will help them to achieve a higher quality life or level of functioning.
Go to Care Coordination »