What We Treat

Mental Health Diagnoses

Every client completes a comprehensive diagnostic assessment at admission. The assessment gives our clinical team a clearer picture of the client's diagnoses and clinical needs, as well as an awareness of client's history and background. We then use the results of the assessment to match our clients with an evidence-based treatment plan and a specialized team of professionals.



Diagnoses Treated

adults participating in mental health therapy group as part of residential or day treatment

Major Depressive Disorder

Major depressive disorder, also called major depression or unipolar depression, is a serious mood disorder. Skyland Trail has expertise in treating individuals with complex diagnoses including treatment-resistant depression, persistent depressive disorder, depression and psychosis, depression and anxiety, or depression and borderline personality disorder.

Bipolar Disorder

A person with a bipolar disorder, sometimes called manic depression, has experienced at least one episode of mania as well as episodes of depression. Individuals may be diagnosed with bipolar I, bipolar II, rapid cycling, or cyclothymia. Complex diagnoses may include bipolar disorder with psychosis, bipolar disorder and anxiety, bipolar disorder and substance misuse, or bipolar disorder and borderline personality disorder.


An individual with schizophrenia – including paranoid, disorganized and undifferentiated types – may have difficulty distinguishing between what is real and what is not real and may experience hallucinations and/or delusions. People with schizophrenia often exhibit socially unresponsive and withdrawn behavior and have trouble expressing emotions. Some individuals may have complex diagnoses including schizophrenia and depression or schizophrenia and substance misuse.

Anxiety Disorders

People with anxiety disorders – including panic disorder, social anxiety, phobias, and generalized anxiety disorder – experience disability as a result of their response to stress. Untreated, their symptoms may prevent them from engaging in social and family relationships, meeting job or school performance requirements, and participating in other daily activities. Anxiety disorders frequently co-occur with depressive disorders or substance misuse, and some people are diagnosed with more than one type of anxiety disorder concurrently.

Borderline Personality Disorder

Borderline personality disorder (BPD) is characterized by mood instability, impulsivity, fears of being alone or abandoned and poor self-image. Frequent suicide attempts and/or cutting and self-harming behaviors may also be an issue. Skyland Trail treats individuals with a primary mood, thought, or anxiety disorder and a co-occurring diagnosis of borderline personality disorder. Individuals with BPD likely will be assigned to our dialectical behavior therapy (DBT) recovery community.

Dual Diagnosis

The dual diagnosis program at Skyland Trail is designed to treat clients with a primary mood, thought, or anxiety disorder who have a co-occurring substance misuse issue. Skyland Trail is not appropriate for individuals with a primary substance use disorder. Skyland Trail is not a detoxification facility.



Diagnoses Treated

five teens smiling at camera

Major Depressive Disorder

Adolescents with major depressive disorder, also called major depression or unipolar depression, experience persistent sadness and lose interest in activities and relationships. Untreated, symptoms of depression can interfere in a teen's ability to perform in school and or participate in peer or family relationships. Some teens may be at higher risk of attempting suicide. Adolescents who participate in evidence-based treatment for depression can learn skills to leverage their strengths and support networks to feel better and stay healthy.

Bipolar Disorder

Adolescents with bipolar disorder, also called manic depression, may exhibit extreme behavior changes or shifts in mood. These changes may also affect a teen's sleep patterns, energy levels and ability to think clearly. Untreated, symptoms of bipolar disorder (BPAD) may affect an adolescent's ability to participate in school or relationships and may lead to an increased risk of suicide attempts. Evidence-based treatment for bipolar disorder can help teens understand their diagnosis and adopt strategies to help regulate their mood and energy levels.

Anxiety Disorders

Adolescents with an anxiety disorder often experience fear, nervousness or shyness and tend to avoid situations or places that induce stress. Teens with anxiety may withdraw from activities they used to enjoy like sports, music, or social activities. Symptoms can manifest as physical problems like headaches or stomachaches, shaking or sweating in stressful situations, or trouble falling or staying asleep. Anxiety often co-occurs with depression, eating disorders, ADHD, and alcohol and substance use. With treatment, teens with anxiety disorders can learn skills to tolerate stress in healthy ways.

Holistic Path to Wellness

At Skyland Trail, we build a treatment plan around a person, not a diagnosis. The impact of living with a mental illness goes far beyond a set of clinical symptoms. We treat the whole person in addition to the brain.

As a unique mental health community, we provide a safe and nurturing place to recover. Through our holistic and integrated program, clients are given the opportunity to:

  • solidify an effective medication strategy
  • learn coping mechanisms
  • practice independent living skills
  • set goals for work and relationships
  • develop outlets for creative expression
  • explore their spirituality, and
  • improve physical fitness and nutrition

While each of our clients determines his or her own recovery goals, our overarching goal for all clients is that they leave Skyland Trail better equipped to live in the world.