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Luxury Addiction Rehab in Outer Banks, NC
At Two Dreams, we believe in individualized drug addiction care that treats the entire person as well as the disease of addiction. Our comprehensive treatment model, grounded in the 3-7-3 framework of Three Phases, Seven Dimensions, and Three Outcomes, ensures a holistic approach to recovery. With CARF International accreditation, we demonstrate our commitment to exceptional, personalized care that meets internationally accepted standards. Our team of board-certified psychiatrists, licensed mental health professionals, and experienced clinicians brings decades of expertise in treating substance abuse and co-occurring disorders. We specialize in addressing secondary conditions such as trauma, depression, bipolar disorder, anxiety, and co-dependency through evidence-based therapies and innovative treatment methodologies. Our residential facility on the tranquil shores of the Outer Banks provides a serene environment for recovery, featuring a 2:1 staff-to-client ratio that ensures individualized attention and support.

We offer a range of services including residential rehab, intensive outpatient programs, Suboxone treatment, and at-home consultations to accommodate diverse client needs. Our multidisciplinary approach integrates medical, psychiatric, and wellness services to equip clients with tools for long-lasting recovery. We work with most out-of-network insurances and offer treatment awards based on individual needs assessments to make care accessible. With over 37 years of combined experience among our leadership team, we maintain a reputation as trusted leaders in addiction treatment, prioritizing patient privacy and ethical standards while delivering measurable outcomes for individuals and families seeking recovery.
Services
Residential Rehab Outpatient Treatment Suboxone Therapy Intensive Outpatient Program At-Home Consultations Psychiatric Services Co-Occurring Disorders Comprehensive Assessments DUI Evaluations Luxury Addiction Treatment
Highlights and features
  • We offer CARF-accredited treatment programs meeting international quality standards
  • Our 2:1 staff-to-client ratio ensures personalized attention and support
  • We implement the 3-7-3 treatment model addressing all dimensions of addiction
  • Our board-certified psychiatrist has 37 years of addiction treatment experience
  • We provide nationwide at-home consultation services for comprehensive assessments
Associations and certifications
  • CARF International
What people say
Personalized care plans Serene coastal location Experienced staff Effective treatment model Luxury amenities
Services
Residential Rehab
Our residential rehab program provides immersive treatment for adults seeking recovery from substance abuse. Located in a serene coastal setting, the program offers structured therapy sessions, recreational activities, and 24/7 professional support. Clients benefit from individualized care plans that address both addiction and co-occurring mental health disorders through evidence-based therapies and holistic wellness approaches.
Intensive Outpatient Program
The Intensive Outpatient Program delivers structured therapy three days weekly while allowing clients to maintain daily responsibilities. This flexible treatment option combines individual counseling, group therapy, and medical monitoring to support recovery. It's ideal for clients transitioning from residential care or requiring structured support without full-time admission to a treatment facility.
Suboxone Treatment
Our Suboxone treatment program addresses opioid addiction through medication-assisted therapy combined with counseling. Certified physicians oversee buprenorphine prescriptions while monitoring progress through regular check-ins. The program includes comprehensive education about medication use and integrates behavioral therapies to support long-term recovery from opioid dependence.
At-Home Consultations
At-home consultation services provide comprehensive assessments in clients' natural environments. Our clinical team conducts in-depth interviews and evaluations to develop personalized treatment recommendations. This service facilitates family involvement while creating detailed care plans that address specific needs and environmental factors affecting recovery.
Co-Occurring Disorders
Our specialized program treats co-occurring mental health disorders alongside addiction. Certified professionals address conditions like depression, anxiety, and trauma through integrated therapy approaches. The treatment combines psychiatric care with addiction counseling to ensure comprehensive recovery addressing both substance abuse and underlying psychological conditions.
People
Andrea G. Barthwell
Director and Founder
Internationally recognized addiction medicine pioneer with 37+ years experience. Former Deputy Director for Demand Reduction at ONDCP, past ASAM president, and CARF-accredited program founder. Combines clinical expertise with policy development to create holistic treatment approaches.
David Barthwell
Psychiatrist
Board-certified psychiatrist with extensive experience in substance use disorders. Former Medical Director of VA Substance Abuse Services. Holds DEA waiver for Suboxone prescriptions. Provides expert psychiatric care integrated with addiction treatment programs.
Brett Dunning
Clinical Director
Master's level addiction specialist with expertise in 12-step facilitation and cognitive behavioral therapy. Focuses on reducing relapse through education and behavioral modification. Brings personal recovery experience to clinical practice while maintaining professional therapeutic standards.
Steve Taylor
Lead Therapist
Master Addiction Counselor with experience at Hazelden Betty Ford Foundation. Specializes in individual, group, and experiential therapies. Combines 12-step spirituality with trauma treatment advancements to create personalized recovery pathways for clients in the Outer Banks facility.
Questions
Does Two Dreams provide detox services?
We do not provide detox services but coordinate with external detox resources to ensure proper medical care before admission.
What is the average length of stay?
The average stay is 90 days, with treatment contracted in 28-day terms and personalized duration based on client progress.
Do you treat adolescents?
We treat adults aged 18+ but offer specialized programs for younger clients through our outpatient services.
Are electronic devices allowed?
Personal electronics are restricted to minimize distractions, though limited phone access is permitted with therapeutic approval.
How does insurance work?
We work with most out-of-network insurers and provide benefit checks, though we are not in-network with any providers.
What makes Two Dreams unique?
Our 2:1 staff ratio, 3-7-3 treatment model, and CARF-accredited programs combine with luxury amenities for personalized recovery.
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