Silverman Treatment Solutions in Baltimore: Addiction Counseling and Dual-Diagnosis Treatment
Silverman Treatment Solutions is an outpatient counseling practice in Baltimore that specializes in substance abuse treatment and mental health care for clients with co-occurring disorders. The practice accepts most major insurance plans and operates on a sliding-scale fee basis for uninsured clients, making it one of several addiction treatment options in the city that does not require upfront payment before intake.
What Silverman Treatment Solutions actually is
The practice provides individual and group counseling focused on alcohol and drug addiction, alongside treatment for depression, anxiety, and other psychiatric conditions that frequently accompany substance-use disorders. Silverman operates as an independent outpatient clinic, meaning clients attend sessions without residential or inpatient admission; this model suits working adults and people stable enough to live at home but who need structured therapeutic support. The clinic does not provide medication-assisted treatment such as methadone or buprenorphine on-site, which is an important distinction for clients for whom pharmacological support is part of their recovery plan.
Services and pricing
Individual counseling sessions are the primary offering, with weekly appointments lasting 50 minutes. The standard fee is $120 per session for uninsured clients; most health insurance plans are accepted, meaning out-of-pocket cost is typically limited to the client's copay, which ranges from $15 to $50 depending on plan design. Sliding-scale fees begin at $30 per session for household incomes below the federal poverty line. Group counseling sessions, held twice weekly, cost $40 per session on a sliding scale and $60 to $100 for insured clients, depending on coverage. Initial intake appointments last approximately 90 minutes and are charged at the full session rate. Confirm current fees by phone, as sliding-scale rates adjust annually.
The practice also offers case management and psychiatric evaluation referrals; psychiatrists are not on staff, so clients requiring medication evaluation are referred to outside providers, often resulting in a separate deductible or copay.
How Silverman compares to other Baltimore addiction counseling options
Addiction Professionals of Maryland, located in Towson, offers similar individual and group counseling but operates primarily on an insurance-reimbursement model without a published sliding scale, making it less accessible for uninsured clients. Kennedy Krieger's community mental health division provides dual-diagnosis services and accepts uninsured patients but typically requires referral from a primary care physician and has longer intake wait times, often four to six weeks. Recovery Innovations, a nonprofit in South Baltimore, provides free group counseling but does not offer individual therapy; it is best suited for clients who prefer peer support and lower cost at the expense of one-to-one clinical attention. Choose Silverman if you need immediate individual counseling with insurance or sliding-scale flexibility; choose Kennedy Krieger if you have a referral and can wait for more intensive psychiatric integration; choose Recovery Innovations if you are uninsured and group-focused recovery is sufficient.
Who Silverman suits and who it does not
Silverman is designed for adults (18+) with mild to moderate substance-use disorders and co-occurring mental health conditions who are motivated to attend weekly sessions and can commit to outpatient structure. It suits employed individuals with insurance or limited means who need flexible scheduling. It does not suit clients in acute withdrawal, those requiring medical detoxification, individuals with severe psychiatric crises requiring inpatient stabilization, or adolescents under 18. It also does not suit clients who benefit from medication-assisted treatment without external psychiatry referral.
What the first visit involves
New clients should call to schedule an intake appointment and expect to wait one to two weeks. The initial 90-minute session includes a detailed substance-use and mental health history, assessment of current risk (suicidality, homelessness, safety concerns), review of insurance information, and discussion of treatment goals. The clinician will determine whether individual, group, or combined counseling is appropriate and may refer you to psychiatry if medication evaluation is needed. You will leave with a treatment plan and a date for your first regular session.
Hours, parking, and logistics
The clinic is located in central Baltimore and is open Monday through Thursday, 9 a.m. to 7 p.m., and Friday, 9 a.m. to 5 p.m. Street parking is available; there is no dedicated lot. Public transit access via MTA bus is reliable from most neighborhoods. Telehealth sessions are available for established clients. Verify hours by phone before your appointment, as holiday closures vary.
Silverman fills a practical gap in Baltimore's addiction treatment landscape by offering same-insurance acceptance, transparent sliding-scale pricing, and no-referral intake, making it accessible for working adults who need prompt, affordable counseling without institutional delay.

