Patients can step down to outpatient care after attending the Intensive Outpatient Program, or they may begin in this level of care if they are engaged in employment or other meaningful activity which would prevent them from attending the daytime intensive program. On average, patients begin by attending two groups and one individual session per week, and they reduce treatment over time. Patients may continue in individual therapy for a longer period of time, but the treatment is flexible and can be adjusted through discussions between the patient and clinician.