Dr. Listengarten has been practicing medicine since 1986 and he specializes in the field of psychiatry and addiction medicine. He is a Fellow of the American Board of Psychiatry and Neurology and a Fellow of the American Board of Addiction Medicine. Throughout his career, he has focused on addictive disorders and treatment of co-occurring disorders. He has served as attending psychiatrist in several hospitals in Arizona and Texas. He served as Chairman of the Department of Psychiatry and the Director of Chemical Dependence Unit at HCA Methodist Specialty and Transplant Hospital. He continued his practice at San Antonio Behavioral Health Hospital and currently serves as Director of Chemical Dependence Unit. He also practices at Soba Texas providing psychiatric and chemical dependency consultations and treatment to patients in all levels of care.
Windmill Wellness Ranch4.6 (34 reviews) ADD YOUR REVIEW
- Insurance is Accepted
- Financing is Available
- Medicare is not Accepted
- Medicaid is not Accepted
Each person comes to us with a different set of wounds and circumstances. Windmill Wellness Ranch works to heal the entire individual, not just the addiction or behavior. We treat underlying issues, such as trauma, depression, anxiety, and other mental health or neurocognitive issues. We treat the physical, mental, emotional, spiritual and relational health of the individual and family. We help you discover your authentic, whole self and bring your entire person into balance. Many of those that seek our help are “stuck”. They can’t imagine getting better, but at Windmill Wellness Ranch, we help them find their joy. Our program is unlike any other. It is clinician owned and was designed by the most talented and experienced doctors, psychiatrists, clinicians and nurses in the field. In order to make long-term recovery certain, clinical components must be part of the recovery process. These components include: 1. Master’s Level Clinicians - Why? Without a Master’s Level Clinical License, you cannot diagnosis or treat any underlying disorders. WWR has clinicians that are specialized in various disorders and trauma resolution. 2. Psychiatry is available daily to our clients 3. Genetic Testing - Most of those that seek our services have been given many medications to help with depression or anxiety. Most of the time the medications do not work, or stop working, and many report they feel like a “guinea pig”. WWR is conservative with medications, however if medication is needed genetic testing takes the guess work out of psychiatry and our psychiatrists know which medications will work with your metabolism. 4. EMDR - This is a rapid form of therapy that heals trauma. When trauma occurs, the body releases chemicals such as adrenaline. Trauma does not need to be a tragic event, it can be a childhood divorce or something that happened on the playground. EMDR resolves the trauma that grows as we age into depression, anxiety or both. 5. Having a compassionate environment and staff that understands that they are part of your healing process. Windmill Wellness Ranch is in a non-institutional home/ranch setting. This may sound silly, but a comfortable full mattress and well-appointed rooms make sleep better, which make healing and therapy better. 6. We empower clients to find activities which bring them purpose and well-being in recovery. We recognize that they need to fill the void left in the absence of substances with meaningful roles and occupation. This helps them regain their sense of purpose and direction. 7. PeakLogic PrTMS treatment – Treating the brain. Let’s face it, damage has been done to the brain as a result of use or trauma, and is sometimes organic. We can see and treat the brain with PeakLogic PrTMS. Each Client will receive an EEG upon admission. 8. Each client has a comprehensive assessment by a Master’s Level Clinician, which is paired with a medical and psychiatric provider that follows each client through their entire stay into aftercare. This process allows each clinical team following the client to build a treatment plan that encompasses all 6 dimensions of an individual. Each client is also assessed medically with a wellness panel to rule out any health conditions. 9. We truly offer “individualized care” and “Co-Occurring disorder treatment” 10. If you have anxiety or depression a medication is not just prescribed, we review the assessments and work with the client to determine where the anxiety and depression may have originated and if there was an event we work through that therapeutically. We don’t simply give you a pill and hope it works. 11. Medical/ Psychiatry and Master’s Level Clinical Team for each Client
The following is based on a combination of Surveys of Alumni, Staff, Loved Ones, and Reviews and Ratings from around the web.
Reviews at a Glance
- Client & Family Support Groups
Group therapy is a vital component of addiction recovery treatment, considered as important and effective (sometimes even more so) than individual therapy. Benefits include reducing isolation and loneliness and providing the opportunity to learn from others in recovery. In the addiction setting, group therapy is run by trained professionals who guide participants toward a shared goal of recovery.
- Family Program
Research shows that the odds of successful, sustained recovery from addiction are far higher when family members and loved ones are involved in treatment. Drug and alcohol addiction often have genetic roots, whether related to substance abuse, mental illness or both. Family dynamics also play a role and, often, family members are the first to realize a loved one has developed an addiction. Also, it’s important for family members to understand and embrace the lifestyle changes that are required to sustain recovery.
- Medical Detoxification
Drugs and alcohol have widespread effects throughout your body, including but not limited to the addiction and/or physical/psychological dependence that develops with substance abuse over time. Many organ systems are affected by addiction and will react to withdrawal. The term “medical detoxification” means that there is a trained and licensed medical professional onsite to monitor your vital signs and protect your physical and emotional health as your body goes through withdrawal.
Though not all rehab facilities offer “medical detoxification,” all people with an addiction to drugs or alcohol will experience intense physical and emotional changes and discomfort as their bodies react to withdrawal of the addictive substance. Many people use the term “detox” to refer to the period of time (ranging from a few days to a week) when the body is reacting to an addict’s decision to stop using.
- Dual Diagnosis/Co-Occurring Disorders Treatment
These two terms describe a person who is not only addicted to drugs or alcohol, but also has a mental or emotional illness, such as depression, anxiety, bipolar disorder, etc. Facilities that treat patients with dual-diagnosis or co-occurring disorders provide psychiatric treatment in addition to drug and alcohol rehabilitation services.
- Individualized Treatment
Some facilities have an addiction treatment protocol that all patients or clients are expected to follow, while others customize or individualize treatment based on a person’s unique needs and circumstances. Factors that may affect treatment decisions include age, lifestyle, medical conditions, type of drug, religious beliefs, etc.
- Process Abuse Treatment
Not all addictions involve mood-altering chemicals. The term “process addiction” describes the unhealthy use of behaviors (including eating, gambling, sexual activity, shopping, internet use, etc.) that has spiraled out of control and into the realm of addiction.
- Individual Therapy
This term describes one-on-one therapy, in which a patient and trained counselor, social worker, psychologist or psychiatrist meets privately with a patient to discuss challenges related to lifestyle, work, family and romantic relationships that may have contributed to the development of an addiction.
- Aftercare Support
Addiction recovery does not end with discharge after completing a rehab program. Facilities that offer aftercare planning and/or support work with patients to ensure sustainable recovery by helping to plan and make arrangements for transitional or sober living, help with housing, vocational counseling, etc.
- Creative Arts Therapy
Writing, making art or engaging in theater can be deeply therapeutic for people working to recover from addiction. Many facilities offer one or several forms of creative arts therapy as a way to help patients learn to express their feelings in productive ways.
- Holistic Therapy
Facilities that offer “holistic therapy” see and treat patients in the context of their entire lives and health status. They treat the “whole person,” not just the addiction.
- Cognitive Behavioral Therapy (CBT)
The focus of cognitive behavioral therapy (also called CBT) is helping people to understand the thoughts and emotions that underlie their addiction with the goal of learning new, healthier and more productive ways to understand and express themselves.
- Eye Movement Desensitization and Reprocessing (EMDR)
EMDR is a highly specific, research-validated form of therapy that can help people overcome traumatic stress, anxiety and depression. With EMDR, a trained practitioner uses bilateral stimulation, eye movement and touch to stimulate parts of the brain as a patient recounts certain experiences and memories as a way to more thoroughly process uncomfortable, painful feelings.
- Trauma & Associative Awareness Therapy (AAT)
Associative Awareness Therapy (AAT) uses the brain’s innate ability to adapt to change in a healing way, essentially “retraining” the brain to respond differently to familiar memories of trauma or pain.
The term “12 Step Program” describes a way to recover from addiction that is based on the model developed by Alcoholics Anonymous. Many drug and alcohol treatment centers base their treatment on 12 steps – the first three of which are situational, the next four addressing the practical issues created by the addiction, followed by two steps focused on making amends for hurting others. Steps 10 and 11 involve a deeper examination of the previous steps and the final step is focused on helping others avoid and recover from addiction.
- Intensive Outpatient
Patients who undergo intensive outpatient treatment continue to live at home and sometimes go to school or work while participating in a highly structured treatment protocol that is focused on ending substance abuse. Programs vary in terms of how much treatment patients receive, how often and for how long. Some facilities design individualized intensive outpatient treatment programs.
Outpatient treatment describes all addiction treatment that is not residential. Patients live at home while undergoing rehab.
- Residential Treatment
Residential treatment programs provide housing (food and meals) in addition to treatment for substance abuse. Some facilities offer only short-term residential treatment, some offer only long-term treatment and others offer both, ranging from a few days to many months, based on patient needs.
Dmitry Listengarten, M.D. - MD Psychiatry
Shannon Malish - CEO, LCSW
Shannon has a Master's degree from the University of Texas San Antonio in social work with an emphasis in addiction counseling. She is experienced in leading and directing substance use disorder treatment facilities. Her undergraduate degree is in Business Management from Azusa Pacific University. She works closely with Clinical staff to provide Evidence Based Practice models to address co-occuring disorders. As the wife of a police officer and military veteran, Shannon takes a special interest in trauma resolution. Shannon uses an integrative approach with patients and their families. Strengths-Based Practice is used where the inherent strengths of a person or family are assessed and built upon to aid in recovery and empowerment. This perspective along with Family Systems Theory and Ecological Theory emphasize that environmental factors play a part in development. She believes that a holistic approach to recovery is necessary for growth of the individual. Additionally, Solution Focused Therapy, Motivational Interviewing, EDMR and Cognitive Behavioral Therapy are tools that she uses in her practice to be culturally competent to work with a diverse group of clients.
Melanie Little - Clinical Director, LCDC, LMSW
Melanie has counseled hundreds of clients in residential treatment. She is a Licensed Chemical Dependency Counselor and she has a BA in Psychology with a concentration in Addiction Studies. Melanie has obtained her MA in Social Work at Our Lady of the Lake University in San Antonio. She has worked in several residential treatment facilities and intensive outpatient programs. Melanie is experienced with clients of all ages and she has extensive experience working with families. She practices Cognitive Behavioral Therapy, Motivational Interviewing, Solution-Focused techniques, and is EMDR trained. She takes an existential attitude with any approach she employs. She is passionate about her work and believes freedom from addiction is available to all who are willing to work a recovery program.
Mia Tracy - LMSW
Mia has a Master’s Degree from Stephen F. Austin State University which is located in Nacogdoches, Texas. Her undergraduate degree is in Criminal Justice and Psychology. While living in Nacogdoches, she was employed with the State of Texas in child welfare and the court system. Since moving to the Austin area, Mia has provided therapy services at addiction treatment centers and in a private group therapy practice. Mia works with her clients to “make sense” of the how their history is intersecting with current life experiences. Life can present us with great challenges and those challenges can bring us growth or defeat. Mia will “hold the space” for clients to begin the process of healing and growth. Research has shown that the relationship between the therapist and the client is the best predictor of success. She strives to create a safe environment for clients to express their deepest feelings and thoughts, by being genuine, listening attentively and intuitively. Mia is both compassionate and direct. She uses various therapeutic approaches; such as Mindfulness to connect in with our physical self, Internal Family Systems to discover the narrative, Cognitive Behavioral to learn how thoughts influence emotions and behaviors, and EMDR to work through trauma. Her specialties include Relationship Issues, Attachment Issues, Substance and Process Addiction, Chronic Pain, Body Image, Health and Wellness, Depression/Anxiety/PTSD/Complex Trauma.
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