Acadia: Structure House Reviews, Cost, Complaints
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Acadia: Structure House


Durham North CarolinaAcadia: Structure House Review

Structure House offers a food addiction residential treatment program for men and women. Located in Durham, North Carolina, it emphasizes a holistic approach to weight loss treatment, food and meal management that helps each client learn to focus on personal wellness instead of weight loss. Many of its residents enroll after completing residential substance abuse treatment elsewhere, in order to learn more about nutrition, exercise and self-care.

Structure House has been in operation for over 40 years and recently joined the Acadia provider network, which operates an international network of residential and outpatient programs throughout the United States and the United Kingdom.

Accommodations and Food

Residents live in private apartments on the campus, which occupies 12 wooded acres in Durham. The campus features a modern exercise facility with an indoor salt water pool, an outdoor pool and a weight room and yoga/dance/drumming area. The apartments are recently renovated with both modern and traditional décor. Clients can live in one- or two-bedroom apartments and may arrange to have their spouse, a friend or family member accompany them.

Structure House’s cafeteria operates on an “exchange system” to promote healthy eating choices. Residents can bring their food back to their apartments or eat in the cafeteria. The cafeteria features a “mindful eating” section where residents have less conversation in order to focus on their eating experience.

For recreation, staff take clients on shopping, outings to movies and museum trips in Durham.

Treatment and Staff

Structure House has moved away from a “diet mentality” to a focus on personal wellness. It doesn’t seek to restrict clients’ eating, but rather educate them on how to make the best eating and exercise choices for their health and wellness.

The treatment team includes PhD and Master’s-level psychologists, registered dietitians, physicians, nurses and dance and yoga instructors. The core program is 30 days, though some may arrange for a shorter or longer stay.

All clients admit on Sunday and then participate in an orientation session. Treatment plans include nutrition, meal-planning and exercise classes. Clients also have daily group and individual therapy at least once a week. Therapy uses CBT, DBT and Acceptance-Commitment Therapy (ACT). The treatment team is experienced treating co-occurring disorders, but if a client’s mental illness escalates, he or she is taken to a local psychiatrist for evaluation and comprehensive dual diagnosis support. Clients who wish to attend peer support meetings for substance abuse can get transportation to local AA/NA meetings.


Clients who live locally may elect to continue to attend therapy groups as a day patient once they’ve completed the 30-day core program. Alumni can return to Structure House for a week-long stay to re-engage with treatment. Structure House’s Alumni Association plans events throughout the US, with a concentration of events in New York and Florida, where many of its alumni reside.

In Summary

Structure House has been treating obesity and food addiction for over 40 years. It has recently re-focused its treatment on wellness planning and employs a variety of evidence-based therapies to help clients cultivate the self-knowledge and confidence to make healthy choices in their eating and exercising. Its treatment team is qualified to address the psychological and medical issues that may contribute to a resident’s weight struggles, making it a promising option for those who are ready to make a long-term commitment to improving their relationship with food.

Structure House Location

3017 Pickett Rd
Durham, NC 27705

Structure House Cost

Accepts insurance. Self pay $11,000 (30 days). Reach Structure House by phone at (919) 313-3121. Find Structure House on Facebook, Twitter, Google+, YouTube and LinkedIn

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