Unbound Horizon Outpatient Service
Unbound Horizon Outpatient Service
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Compassionate care for the road ahead

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Care built around the whole person

Unbound Horizon Outpatient Service provides compassionate, evidence-based, and accessible care for people navigating addiction, mental health conditions, or both. Our services include counseling, psychiatric medication management, Medication-Assisted Treatment, and lifestyle intervention.


We meet individuals exactly where they are. Substance use is a chronic brain disease that calls for a whole-person approach — integrating mental, physical, and emotional well-being into every treatment plan.


“Beyond the struggle lies your unbound horizon.”

How we can help

Medication-Assisted Treatment

Psychiatric Medication Management

Medication-Assisted Treatment

FDA-approved medications to reduce
cravings, prevent relapse, and support
long-term recovery.

Counseling & Therapy

Psychiatric Medication Management

Medication-Assisted Treatment

Individual, group, and family counseling
with licensed professional counselors.

Psychiatric Medication Management

Psychiatric Medication Management

Psychiatric Medication Management

Ongoing management of medications for
mental health and co-occurring conditions.

Mental Health Care

Dual-Diagnosis Treatment

Psychiatric Medication Management

Care for depression, anxiety, PTSD,
bipolar disorder, and other behavioral
health conditions.

Trauma-Informed Care

Dual-Diagnosis Treatment

Dual-Diagnosis Treatment

Therapy approaches, including CBT
and DBT, delivered in a safe and
supportive setting.

Dual-Diagnosis Treatment

Dual-Diagnosis Treatment

Dual-Diagnosis Treatment

Substance use and mental health treated
together, in one coordinated plan.

A personalized approach to recovery

Medication is only one part of recovery. Depending on what a patient needs, care can also include counseling, behavioral therapy, and other outpatient support — all coordinated by the same team.

Our Medication-Assisted Treatment programs are complemented by comprehensive outpatient support:

  • Individual counseling
  • Trauma-informed therapy
  • Cognitive Behavioral Therapy (CBT)
  • Dialectical Behavior Therapy (DBT)
  • Group therapy
  • Hypnosis, where appropriate

Every person’s needs are different. Our goal is safe, compassionate, evidence-based treatment that supports each patient’s own path.

Conditions we treat

Substance use disorders

Mental health conditions

Mental health conditions

  • Opioid use disorder, including fentanyl and prescription
    opioids
  • Alcohol use disorder
  • Methamphetamine use disorder
  • Cocaine use disorder
  • Benzodiazepine use disorder
  • Tobacco and nicotine use disorder
  • Polysubstance use disorder
  • Kratom and 7 OH Treatment
  • Other substance-related and addictive disorders

Mental health conditions

Mental health conditions

Mental health conditions

  • Depression
  • Anxiety disorders
  • Post-traumatic stress disorder (PTSD)
  • Bipolar disorder
  • Trauma-related disorders
  • Stress and adjustment disorders
  • Other behavioral health conditions

Treating mental health and substance use together

Integrated Dual-Diagnosis Care

Many people living with addiction are also managing depression,

anxiety, or trauma. We address substance use and co-occurring

mental health conditions at the same time, with one care plan.


By treating the whole person, we help patients build healthier coping
strategies, stabilize their mental health, and work toward long-
term recovery.

Meet your care team

Asefa “Sef” Gebre, DMSc, Psych CAQ, PA-C

Asefa “Sef” Gebre, DMSc, Psych CAQ, PA-C

Addiction Medicine & Psychiatry

Practicing medicine in the area for over 10
years, with dual certification in medical and
psychiatric care and a graduate certificate in addiction medicine.

Janette Leal, MD

Asefa “Sef” Gebre, DMSc, Psych CAQ, PA-C

Psychiatrist · Telehealth only

Treats psychiatric and addiction-related
disorders in both inpatient and outpatient
settings, with a special interest in
holistic psychiatry.

Sue Matthews, LPC

Licensed Professional Counselor

Experienced in addiction counseling, trauma
therapy, and family and group therapy, with
a collaborative, client-led approach.

Shannon Feather

Shannon Feather

Hypnotherapist

Several years of experience helping people
in the four-state area with challenges related
to addiction and mental health.

Chandra Day

Shannon Feather

Chandra Day

Drug & Alcohol Counseling

Brings a deep commitment to supporting
people through the recovery journey.

Ready to take the next step?

Ready to take the next step?

You don’t have to navigate the next chapter alone. Connect with Unbound Horizon to learn about treatment options and available care. Get Started or call (417) 423-1739.

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Insurance & Payment

We take Medicare, Medicaid, Aetna, Anthem, Optum (UBH), non-
Medicaid United Care, Healthy Blue, Ambetter, Home State, BCBS,
and others.


Self-pay or cash as low as $75 per visit, depending on income. 


HIPPA confidentiality. 

Address

Unbound Horizon Outpatient Services, 2929 S Grand Ave, Carthage, MO 64836, USA

(417) 423-1739

Hours

Open today

08:00 – 17:00

Copyright © 2026 Unbound Horizon Outpatient Service - All Rights Reserved.

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