Who We Treat

What Does Orama Treat?

Orama works with adolescent girls experiencing a range of mental health and behavioral health concerns. Many of the girls who come to us are navigating more than one challenge at the same time.

Common diagnoses and presenting concerns we work with include:

Anxiety Disorders

Anxiety can affect nearly every part of a teen’s life, from friendships and family relationships to school performance and everyday activities. We support girls experiencing generalized anxiety, excessive worry, panic symptoms, social anxiety, and other anxiety-related challenges.

Depression and Mood-Related Concerns

Depression in adolescence can look different for every girl. Some may withdraw from friends and family, while others experience irritability, hopelessness, low motivation, changes in sleep, or difficulty participating in activities they once enjoyed.

Our residential environment provides structure and consistent therapeutic support while helping residents develop healthier ways of understanding and managing their emotions.

Trauma and PTSD

Trauma can affect emotional regulation, relationships, trust, behavior, and a teen’s sense of safety. Orama provides trauma-informed care for girls experiencing trauma-related symptoms and post-traumatic stress disorder (PTSD). Our approach focuses not only on what happened, but also on how those experiences continue to affect the teen emotionally, physically, relationally, and developmentally.

Emotional Dysregulation

Some teens experience emotions so intensely that it becomes difficult to respond to stress, disappointment, conflict, or change in healthy ways. Emotional dysregulation may involve extreme emotional reactions, impulsivity, frequent conflict, difficulty calming down, or feeling overwhelmed by emotions. Through our DBT-centered approach, residents can learn practical skills for identifying emotions, tolerating distress, communicating effectively, and responding differently when difficult situations arise.

Self-Harm and Non-Suicidal Self-Injury

Self-harm can be frightening and confusing for families. Orama works with teens struggling with non-suicidal self-injury (NSSI) and related behaviors when residential treatment is clinically appropriate. Treatment focuses on understanding what is driving the behavior while helping residents develop safer coping strategies, emotional regulation skills, and healthier ways of communicating distress.

Suicidal Ideation

Some residents come to Orama after experiencing suicidal thoughts or periods of significant emotional crisis. Safety is always a priority. Our team evaluates each adolescent individually to determine whether Orama’s residential level of care is appropriate for her current needs.

Substance Use and Co-Occurring Mental Health Concerns

Substance use in adolescence does not always occur independently. Teens may turn to substances while trying to cope with anxiety, depression, trauma, social pressures, emotional pain, or other underlying concerns. Orama can support adolescent girls experiencing substance use alongside mental health challenges when their clinical needs are appropriate for our program. Rather than focusing solely on stopping a behavior, we work to understand what may be underneath it.

ADHD and Attention-Related Challenges

ADHD can affect far more than concentration. For some adolescent girls, attention-related challenges can contribute to impulsivity, emotional regulation difficulties, academic struggles, frustration, low self-esteem, or conflict at home. When ADHD occurs alongside other mental health concerns, treatment can address how these challenges interact rather than viewing them separately.

School Avoidance and Academic Difficulties

School refusal or avoidance may be connected to anxiety, depression, trauma, bullying, social difficulties, academic pressure, or other emotional challenges. Our structured residential environment gives residents an opportunity to continue their education while also addressing the mental health concerns that may be making school participation difficult.

Relational and Attachment Challenges

Relationships are an important part of adolescent development, but they can also become a significant source of distress. Orama works with girls experiencing attachment concerns, family conflict, difficulty trusting others, unhealthy relationship patterns, peer challenges, or struggles maintaining healthy boundaries. Because our program is relationship-centered and family-focused, residents have opportunities to practice healthier ways of connecting throughout treatment.

Disordered Eating

Some adolescents develop disordered eating behaviors or an unhealthy relationship with food, eating, or body image alongside other mental health concerns. When these concerns are present, our clinical team considers them as part of the teen’s overall treatment picture. Orama is not an eating disorder treatment program. Adolescents requiring specialized or medically intensive eating disorder treatment may need a different level or type of care. Appropriateness for Orama is determined during the clinical intake process.