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What are adult I/DD therapy services?

Adults with intellectual and developmental disabilities (I/DD) experience anxiety, depression, and trauma at least as often as anyone else, and finding a therapist who understands both can be hard.

Ariel provides individual, family, and group therapy for adults with I/DD, alongside our child and family therapy services. We tailor these services to support people navigating mental health challenges, especially when they occur alongside I/DD. Depending on a person’s needs and goals, therapy may include traditional talk therapy or evidence-based approaches like Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Eye Movement Desensitization and Reprocessing (EMDR), and others.

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The Ariel Difference

Our therapy services are rooted in trauma-informed care, family systems thinking, and a deep understanding of the unique experiences adults with I/DD face. We take a compassionate, collaborative approach that looks at the whole person—their mental health, relationships, and overall wellbeing. Our team is experienced in supporting people with co-occurring conditions like post-traumatic stress disorder (PTSD), attention-deficit/hyperactivity disorder (ADHD), and more, using evidence-based techniques adapted to each person’s needs.

Because therapists work alongside Ariel’s case managers and residential teams, information can move quickly. When someone has a hard night, word can reach their therapist by morning, and sometimes that means an earlier session. We’ve seen a therapist step in on a weekend to help someone feel ready for a medical procedure. Beyond reducing symptoms, we want to help adults with I/DD build meaningful, thriving lives.

The Ariel Difference in Adult I/DD Therapy: Accepting, Healing, Resilient

Types of adult I/DD therapy services

We tailor a variety of therapy options to the different needs of Members (the adults we serve). Each Member may take part in one or any combination of these, based on their needs and goals:

  • Individual therapy | One-on-one sessions where a person works privately with a therapist to address mental health concerns, develop coping strategies, and work toward individual goals. This format provides a safe, confidential space for deep exploration and personalized support.

  • Family therapy | Sessions that bring family members together, whether parents, siblings, spouses, or other loved ones, to improve communication, resolve conflicts, and strengthen relationships. The focus is on addressing challenges that affect the entire family system while building understanding and connection among everyone involved. Residential providers may also join, especially when extra support at home would help.

  • Group therapy | Small group sessions where individuals with similar experiences meet regularly to share, learn, and grow together. Led by a trained therapist, these sessions offer peer support, shared learning, and the knowledge that no one is alone in their journey. Groups have often run weekly and have included topics like women’s support and healthy boundaries. Our boundaries work has used the Healthy Relationships and Sexuality curriculum.

A woman in a red sweater sharing something on a card with an older man on a couch
Two young women sitting at a table, one helping the other as she writes in a notebook

Specialized approaches

The team also includes therapists trained in these approaches:

  • I/DD-specific therapy, Evidence-Based | Approaches adapted for people with intellectual and developmental disabilities, shaped around each person’s cognitive, emotional, and behavioral needs to support mental health and quality of life.
  • Dialectical Behavior Therapy (DBT), Evidence-Based | Builds skills in four areas (mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness) to help people manage intense emotions, reduce self-harm, and improve relationships. It’s often used for depression, impulsive behavior, and suicidal thoughts. Watch a quick overview.
  • Cognitive Behavioral Therapy (CBT), Evidence-Based | Helps people notice unhelpful patterns in their thinking and behavior and practice new ones, building problem-solving skills, confidence, and practical ways to cope with what’s happening now.
  • Trauma-Focused CBT (TF-CBT), Evidence-Based | A version of CBT built for trauma. People work through trauma-related symptoms step by step, often with a caregiver involved, to ease the emotional and behavioral reactions that can follow a traumatic experience.
  • Eye Movement Desensitization and Reprocessing (EMDR), Evidence-Based | While a person recalls a distressing memory, the therapist guides bilateral stimulation (eye movements, tapping, or pulsing devices) to help the brain reprocess it so it carries less distress. EMDR was first developed to treat trauma.
  • High-intensity support therapy, Service Delivery Model | Brief, intensive treatment for people with complex mental health needs, with flexible options like in-home and community-based sessions when weekly therapy isn’t enough.

Additional support available with adult I/DD therapy services

Members in therapy may also access other supports. Availability varies by location, and your regional HQ can tell you what’s offered near you.

Where we provide adult I/DD therapy services

At this time, we provide therapy primarily at our regional headquarters (HQ) in Grand Junction, mostly in person. Contact your regional HQ to confirm availability, learn about other options, or ask any questions.

How to get started with adult I/DD therapy services

It’s as simple as contacting your regional HQ. If you already receive services through Ariel, your case manager can also send a referral straight to our therapy team; no outside approval is usually needed. Case management agencies (CMAs) can refer too, and we welcome self-referrals.

We accept Medicaid and offer private-pay options. If you’re unsure which payment options apply to you, ask your Ariel case manager or your regional HQ.

Frequently Asked Questions (FAQs)

If you don’t find what you’re looking for below, feel free to ask your question via our Contact Form.

Yes. Demand is high, so there’s often a waitlist, and Members already receiving Ariel services get scheduling priority. It’s still worth reaching out! We can tell you what availability looks like for your needs, and if we can’t fit you in on a timeline that works for you, we’ll share other providers and resources to support your mental health and wellbeing.

If you’re on the Western Slope, community providers we often refer to are:

Counseling and Education Center (CEC)
https://www.cecwecare.org/counseling/
(970) 243-9539

Hilltop Community Resources
https://htop.org/therapy
(970) 244-0562

Health Solutions West
https://www.healthsolutionswest.org/
(877) 603-7045

 

We primarily accept Medicaid, though we may be able to offer private-pay options. For Members who have both Medicaid and Medicare, the DD or Supported Living Services (SLS) waiver can cover therapy.

If you need to apply for Medicaid or learn more about eligibility, visit Colorado PEAK.

Yes. During our initial conversation, we’ll ask you about your preferences so we can best match you to a therapist.

We do our best to accommodate therapist preferences while also considering the best fit for your specific needs and goals.

During our initial conversation to set up services, our team will ask about your scheduling availability. Your first appointment may be the next available opening. From there, knowing the benefits of a consistent schedule (including its link to more positive outcomes), we’ll work to find a regular time that suits both you and your therapist. Then there’s not much need to “schedule” moving forward—you both just know that you’re down for 4 p.m. on Thursdays, for example.

Of course, there are occasions when things need to be rescheduled due to illness or other commitments. When that happens, you will create an alternate plan with your therapist.

Therapy works like any other appointment. Residential providers usually handle getting Members there, and we try to schedule around Day Program hours when possible. Medicaid transportation is also available, and your case manager can help work through any barriers.

The first session focuses on completing required Colorado state paperwork, discussing current challenges and goals, and getting to know one another so we can best support you.

SimplePractice is our online portal for paperwork, messaging, and other account management. Once services begin, you may receive information about how to log in and use this system. If you have additional questions, please ask your therapist.

We provide individual, family, and group therapy, along with specialized approaches such as Dialectical Behavior Therapy (DBT), Cognitive Behavioral Therapy (CBT), Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), and Eye Movement Desensitization and Reprocessing (EMDR). We tailor each approach to the person’s unique needs and challenges, with compassionate care throughout.

Therapy addresses underlying emotional and psychological needs, helping people process experiences and build coping skills. Behavioral Services focus on observable behaviors and teaching specific strategies to manage them. The two often work together: therapy addresses the why; behavioral support addresses the what and how.

Yes to all. We see many people who are experiencing anxiety and depression, and those who have experienced a variety of types and intensities of trauma. Our therapists are trained in and in tune with how to help Members navigate the mental health challenges they face, so they can improve their quality of life.

By and large, Members feel better overall. They develop stronger coping skills, experience more and deeper connections in their relationships, and carry more hope about what’s ahead. Many begin to engage more with their community and find daily living and self-care tasks easier and more enjoyable.

It depends. When someone is working through more acute challenges, like a recent job loss, a new health diagnosis, or relationship issues, therapy often lasts three to six months, and sometimes up to a year. For more complex needs, like a co-occurring mental health diagnosis, a significant history of trauma, or justice system involvement, one to two years or more isn’t unusual.

It’s really based on what you’re experiencing or have experienced, and on what you’re ready to work on.

Sessions are primarily in person. We do offer telehealth when appropriate and depending on availability, for example in cases of illness, rural access barriers, or specific diagnoses like agoraphobia.

Our therapy team is made up of master’s-level licensed therapists with specialized training in trauma-informed care. All combined, they represent decades’ worth of therapeutic experience. We’re incredibly proud of our therapy team and the depth of expertise they bring, from education to lived experience, which they continue to build through ongoing training.

Fortunately, there’s a growing number of resources to support mental health and wellbeing.

If you’re having thoughts of suicide, please call or text 988 to reach the Suicide and Crisis Lifeline. In an immediate emergency, call 911. If you have an Ariel case manager, our on-call team is also available after hours. For a comprehensive list of suicide, loss survivor, mental health, and related resources, visit https://suicidepreventionmc.org/resources/.

For other challenges, like food insecurity, housing instability, or job loss, we recommend connecting with community providers as well. Learn more at https://www.211colorado.org/ (Colorado) or https://wc211.org/ (Western Slope).

Stories on this site are about real people. To protect their privacy, names, details, and images may have been changed.