At Unbound Horizon Outpatient Service, our mission is to provide compassionate, evidence-based, and accessible care for those navigating the complexities of addiction and/ or co-occurring mental health conditions. We offer a range of mental health services, including counseling, psychiatric medication management, Medication Assisted Treatment (MAT) and life style intervention. We strive to meet individuals exactly where they are, ensuring personalized support that honors their unique journey. We recognize that struggling with substance use either alcohol, smoking or drugs opioid use disorder is a chronic brain disease that requires a holistic, whole-person approach—integrating mental, physical, and emotional well-being into every treatment plan. With the right support and clinical expertise, we believe there is an unbound horizon for everyone seeking a path forward.
Our Guiding Message
"BEYOND THE STRUGGLE LIES YOUR UNBOUND HORIZON"

OUR TREATMENT APPROACH
Our approach to care is holistic, focusing on the unique needs of each patient to support long-term recovery and overall well-being.
OUR SERVICES INCLUDE:
**Medication-Assisted Treatment (MAT) and Therapy Programs.** We utilize FDA-approved medications such as Suboxone, Buprenorphine, Sublocade, Vivitrol, Naltrexone, and other evidence-based medications to effectively treat Opioid Use Disorder. These medications help reduce cravings, prevent relapse, and support long-term recovery. Additionally, we manage medications for co-occurring mental health issues, ensuring comprehensive care.
Medication is only one part of recovery.
Our MAT programs are complemented by **Comprehensive Recovery Support,** which includes:
we believe that each person's needs are different; evidence shows hypnosis can aid individuals who struggle with tobacco use and other addictions.
Our goal is to provide safe, compassionate, and evidence-based treatment that supports each patient’s path toward lasting recovery.
**CONDITIONS WE TREAT**
Our clinic provides comprehensive outpatient care for individuals experiencing substance use disorders and co-occurring mental health conditions. We focus on evidence-based treatment tailored to each patient’s individual needs.
**SUBSATNACE USE DISORDERS"**
We provide treatment for a wide range of substance use conditions, including:
**MENTAL HEALTH CONDITION **
Many individuals struggling with addiction also experience mental health challenges. Our team provides integrated mental health services for these co-occurring conditions, including:
**Integrated Dual-Diagnosis Care**
We address both substance use and co-occurring mental health conditions simultaneously. By treating the whole person, we help patients build healthier coping strategies, stabilize their mental health, and achieve long-term recovery.

We believe that effective addiction and mental health treatment requires a compassionate, personalized, and comprehensive approach. Our team works collaboratively to address the unique needs of each individual, focusing on both immediate concerns and long-term wellness.
Asefa “Sef” Gebre, DMSc, Psych CAQ, PA-C
Sef Gebre is passionate about helping individuals struggling with addiction and /or mental health conditions. He has been practicing medicine for over 10 yrs in the area. Before transitioning fully into addiction medicine and psychiatry, he built an extensive background in primary care serving underserved population in Southwest MO. His passion to help people struggling in addiction and mental health deepened while treating patients with substance use disorders and menal health problems in primary care. This experience inspired him to further specialize in behavioral health and addiction medicine . Given his dual cetification in both medical and psychiatry, his approach to treatment is holistic that reovery and healing should include both mental and physical.
He went to MSSU and Ozark Christian College for his undergraduate and MSU for PA school. He earned his Doctor of Medical Science (DMSc) with a psychiatry focus from the University of Lynchburg. He holds a certificate of added qualification (CAQ) in psychiatry. In addition, he obtained a graduate certificate in Addiction Medicine, which includes training in MAT, recovery and relapse prevention.
Sue Matthews, LPC
Licensed Professional Counselor
Sue Matthews, LPC, is an experienced Licensed Professional Counselor with extensive experience providing counseling across a wide range of areas, including addiction counseling, trauma therapy, and family and group therapy.
Sue is dedicated to helping individuals and families navigate life’s challenges by providing compassionate, evidence-based mental health services. She works with clients struggling with substance use disorders, trauma, and other mental health concerns, helping them develop healthier coping skills and achieve lasting recovery through tailored mental health services.
Her therapeutic approach focuses on creating a supportive and collaborative environment where clients feel safe to explore their experiences and work toward meaningful change.
Chandra Day -Drug and alcohol counseling (coming...)
Chandra has a deep passion for people struggling with drug and or acohol to help in the recovery journey.
Shannon Feather, Hypnotherapist
Ms. Shannon is our hypnotist with several years of experience helping people in the four-state area to overcome challenges related to addiction and mental health.
Janette Leal, MD
Psychiatrist
Dr. Janette Leal is a psychiatrist with extensive experience treating psychiatric and addiction-related disorders in both inpatient and outpatient settings. She provides comprehensive psychiatric care tailored to each patient’s needs, including Medication Assisted Treatment (MAT) options.
Dr. Leal has a special interest in holistic psychiatry, focusing on the connection between mental, physical, and emotional health when developing treatment plans. She is available only via Telehealth.
Join us and discover what we can do for you.
We love our patients, so feel free to visit during normal business hours, or call or email us. we would love to get back to you as soon as possible
Open today | 08:00 am – 05:00 pm |
After hours /evening and weekend on appointments ONLY
WALK-IN AND THE SAME DAY APPT AVAILABLE
for therapy and medications management
We Take Medicare, medicaid, Aetna, Anthem, Optum ( UBH), non medicaid united care , healthy blue, ambetter, home state, BCB...etc
Self pay or cash as low as $75 per visit depending on the income
Unbound Horizon Outpatient Services (“we,” “our,” or “us”) is committed to protecting the privacy and confidentiality of our patients’ personal and health information. This Privacy Policy explains how we collect, use, disclose, and safeguard your information in accordance with applicable laws, including the Health Insurance Portability and Accountability Act (HIPAA).
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