Intensive Outpatient & Mental Health Services in Annapolis
Find sanctuary in the depths of your courage—at The Refuge.
Finding the right care for yourself or your family can feel overwhelming.
At The Refuge in Annapolis, we offer a safe and supportive environment where healing and growth are possible.
Our services go beyond traditional treatment—offering intensive outpatient programs (IOP), individual and family therapy, EMDR therapy, group support, medication management, and coaching.
Here, recovery is never one-size-fits-all.
We walk beside you with compassion, honesty, and evidence-based care, so you never have to face the journey alone.
How We Can Support You
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Adult IOP
Our Adult Intensive Outpatient Program provides structured, evidence-based treatment for individuals facing substance use disorders and co-occurring mental health challenges.
Studies show that IOP can be just as effective as inpatient treatment — while allowing you to stay connected to your work, school, and family.
What makes our Adult IOP unique:
Skills Labs: Hands-on practice with tools before applying them in daily life.
Psychoeducation: Clear understanding of the issues that brought you to treatment.
Family Involvement: Support for loved ones through groups, referrals, and resources.
Experiential Therapy: Art, movement, and expressive activities that build self-awareness.
Yoga & Polyvagal Approaches: Mind-body techniques for grounding and resilience.
Case Management: Guidance with housing, medical referrals, legal needs, and more.
Coaching: Core Energy Coaching™ to help connect inner purpose with real-life goals.
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Adolescent IOP
Teens face unique pressures—from school stress to identity challenges to substance misuse. Our Adolescent IOP offers after-school support so teens can continue their education while receiving intensive care.
This program integrates mental health treatment and substance misuse support through group therapy, skills training, and family involvement.
Common concerns we help with include:
✔ Anxiety related to school or peers
✔ Withdrawal from friends or activities
✔ Hopelessness, sadness, or apathy
✔ Academic struggles
✔ Substance misuse or self-harm
✔ Limited progress in weekly therapy
Example programming:
Trauma & Post-Traumatic Growth, Dialectical Behavior Therapy (DBT) Skills, Mindfulness & Stress Management, Interpersonal Relationships & Boundaries, Expressive & Art Therapy, Relapse Prevention
Meet the Lotus Psychotherapy Team
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David Richardson, CATC III, CPC, ELI-MP, ADT
Niche: Addiction, LGBTQ+, Codependency, Self-esteem, Energy Level Coaching
Meet David, an Annapolis native and Certified Professional Coach who helps people reconnect with passion, clarity, and purpose. After 19 years in recovery, his lived experience and belief in human resilience continue to shape his work. You’ll find him coaching with curiosity and joy, and, outside of coaching, you’ll find him making music, dancing, and enjoying quality time with his friends.
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Kimmy Lee, PMHNP
Psychiatric Mental Health Nurse Practitioner
Meet Kimmy, a psychiatric nurse practitioner who provides compassionate medication management for mood, psychotic, and co-occurring disorders. With experience at Sheppard Pratt and Johns Hopkins, she brings expertise and empathy to her care. Outside the office, Kimmy enjoys travel, hiking, snowboarding, and time with family.
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Leslie Rice, CSC-AD, CTP
Niche – Addiction, Trauma
Meet Leslie, an addictions counselor and trauma professional who blends mindfulness, philosophy, and therapy to help clients find clarity, strength, and healing. Leslie uses MBCT and somatic practices to support growth from the inside out, always honoring the wisdom clients carry within themselves. Also a longtime yoga teacher, she believes healing lives in both the body and the mind.
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Mandy Mona, ERYT200, ERYT-500, TIYT, FYT
Meet Mandy, a certified yoga therapist specializing in somatic care and alternative therapy. She helps clients reconnect with their bodies, reduce anxiety and trauma symptoms, and build resilience through movement, mindfulness, and breathwork. Believing yoga is for everyBODY, Mandy creates accessible, personalized care that supports real-life healing and balance.
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Melissa Thompson, LCSW-C
Niche: LGBTQIA, adolescents/young adults, EMDR
Meet Melissa, a psychotherapist who helps children, teens, and families feel safe, seen, and supported. With a background in teaching and clinical social work, she brings warmth, skill, and a special dedication to LGBTQIA youth. Melissa blends CBT, DBT, ACT, and mindfulness to guide clients toward self-acceptance, resilience, and growth. On off days, she enjoys coaching and spending time with her wife and their dogs.
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Michelle Case, LCPC, CAC-AD, NCC, CCTS-I
Niche: Addiction, Anxiety, Trauma, EMDR
Meet Michelle, Lotus’s Director of Treatment Services and a counselor with over 10 years of experience in addiction and mental health. Known for her patience and compassion, she helps clients find light in difficult times through a holistic, client-centered approach. Outside of work, she loves photography, reading, and family time in nature.
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Randi Pedersen, MSW, LMSW
Niche: Adolescents, Young Adults and Addiction
Meet Randi, a social worker who supports teens and adults navigating addiction, mental health, and legal system involvement. At Lotus and The Refuge, she blends CBT, harm reduction, and motivational interviewing with trauma-informed care. Randi’s a fierce advocate for vulnerable communities, and a dedicated mom always learning, growing, and showing up with heart.
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Shaheen Beheri, LMFT Intern
Meet Shaheen, a trilingual therapist who draws from their lived experience as an immigrant and their background in healthcare and education. Using CBT, narrative, and systemic approaches, Shaheen support clients in breaking through challenges and reconnecting with their inner strength, with honesty, empathy, and a belief in what’s possible.
What Clients are Saying
“I was taught to stop beating myself up-this was so valuable to me as someone new to the recovery & healing process. And, that it’s okay not to be okay; this will pass. Being a part of this community at The Refuge will always be a part of my life til I die. A sober me is the best I can do for myself, and I thank The Refuge daily for helping me at such a vulnerable time in my life.”
“It was very helpful to both have a venue to break up my previous routine and a venue to break up with my bad/old habits. I was able to learn more effective emotional regulation and process very specific situations to identify areas of improvement. In the group setting, there is no judgment-only warmth and encouragement from my peers and the group leader.”
Why Choose IOP at The Refuge?
Benefits of IOP include:
Continue work or school while receiving treatment
Practice skills in your home environment in real time
Build a peer support network alongside licensed therapists
Receive comprehensive, individualized treatment
Recovery is not linear—but with the right support, it is possible.