Unbound Horizon Outpatient Service
Unbound Horizon Outpatient Service
  • Sign In
  • Create Account

  • Bookings
  • My Account
  • Signed in as:

  • filler@godaddy.com


  • Bookings
  • My Account
  • Sign out

Signed in as:

filler@godaddy.com

    Account


    • Bookings
    • My Account
    • Sign out


    • Sign In
    • Bookings
    • My Account

    Our Mission

    At Unbound Horizon Outpatient Service, our mission is to provide compassionate, evidence-based, and accessible care for those navigating the complexities of addiction and co-occurring mental health conditions.

    We meet individuals exactly where they are, ensuring personalized support that honors their unique journey. We recognize that addiction 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"

    Learn More

    About Our Care

    Compassionate staff providing personalized outpatient care.

    Our Care Services


    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) Programs

    Medication-Assisted Treatment (MAT) is an evidence-based approach that combines FDA-approved medications with counseling and behavioral therapies to treat substance use disorders. MAT helps reduce cravings, prevent relapse, and support long-term recovery.

    Our clinic provides individualized MAT programs as part of a comprehensive treatment plan that includes  therapy and recovery support.


    Medications We Offer

    Suboxone® (Buprenorphine/Naloxone)
    Suboxone is commonly used to treat opioid use disorder. It helps reduce withdrawal symptoms and cravings while blocking the effects of opioids, supporting patients in maintaining recovery.

    Sublocade® (Extended-Release Buprenorphine Injection)
    Sublocade is a once-monthly injectable medication used for opioid use disorder. It provides steady medication levels over time, helping reduce cravings and supporting treatment adherence.

    Vivitrol® (Extended-Release Naltrexone Injection)
    Vivitrol is a once-monthly injectable medication used to treat both opioid and alcohol use disorders. It works by blocking the effects of opioids and reducing alcohol cravings.

    Naltrexone (Oral)
    Naltrexone is a non-addictive medication that helps reduce cravings and prevent relapse in individuals recovering from alcohol or opioid use disorders.

    Comprehensive Recovery Support

    Medication is only one part of recovery. Our MAT programs are combined with:

    • Individual counseling
    • Trauma-informed therapy
    • Cognitive Behavioral Therapy (CBT)
    • Dialectical Behavior Therapy (DBT)
    • Group therapy and peer support

    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.

    Substance Use Disorders

    We provide treatment for a wide range of substance use conditions, including:

    • Opioid Use Disorder, including fentanyl and prescription opioids
    • Alcohol Use Disorder
    • Methamphetamine Use Disorder
    • Cocaine Use Disorder
    • Benzodiazepine Use Disorder, including medications such as Xanax
    • Tobacco/Nicotine Use Disorder
    • Polysubstance Use Disorder
    • Other substance-related and addictive disorders

    Co-Occurring Mental Health Conditions

    Many individuals struggling with addiction also experience mental health challenges. Our team provides integrated treatment for co-occurring conditions, including:

    • Depression
    • Anxiety Disorders
    • Post-Traumatic Stress Disorder (PTSD)
    • Bipolar Disorder
    • Trauma-related disorders
    • Stress and adjustment disorders
    • Other behavioral health conditions

    Integrated Dual-Diagnosis Care

    We address  both substance use and  co occuring mental health conditions at the same time. By treating the whole person, we help patients build healthier coping strategies, stabilize their mental health, and achieve long-term recovery.



    Team of caring providers ready to support your mental health journey.

    Meet Our Team

    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

    Asefa “Sef” Gebre,  is passionate about helping individuals struggling with addiction and mental health conditions. Before transitioning fully into addiction medicine and psychiatry, he built an extensive background in both medical care and behavioral health.

    Sef spent several years providing comprehensive primary care to rural communities in Southwest Missouri, where he developed a strong commitment to serving underserved populations. About five years ago, his interest in addiction and mental health deepened while treating patients with substance use disorders . This experience inspired him to further specialize in behavioral health.

    He returned to school and earned his Doctor of Medical Science (DMSc) with a psychiatry focus from the University of Lynchburg. In addition, he obtained a graduate certificate in Addiction Medicine. Sef is a board-certified Physician Assistant and holds a Certificate of Added Qualifications (CAQ) in Psychiatry. 


    Sue Matthews, LPC
    Licensed Professional Counselor

    Sue Matthews, LPC, is an experienced Licensed Professional Counselor with extensive experience providing therapy 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 care. 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.

    Her therapeutic approach focuses on creating a supportive and collaborative environment where clients feel safe to explore their experiences and work toward meaningful change.



    Winsley Dombroski,  MSW

    Winsley has a deep passion for people struggle with mental health conditions and addictions.



    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.

    Dr. Leal has a special interest in  holistic psychiatry , focusing on the connection between mental, physical, and emotional health when developing treatment plans. Available only via Telehealth



    Get in Touch

    Reach Out to Us!

    Attach Files
    Attachments (0)

    This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

    Support for Your Wellness Journey

    Watch the website for updates on our outpatient service that supports individuals on their wellness journey towards recovery from addiction and enhancing mental health.

    Unbound Horizon Outpatient Service

    2929 S Grand Ave, Carthage, MO 64836

    4174231739

    Our Hours

    Mon

    By Appointment

    Tue

    By Appointment

    Wed

    08:00 am – 05:00 pm

    Thu

    08:00 am – 05:00 pm

    Fri

    08:00 am – 05:00 pm

    Sat

    By Appointment

    Sun

    Closed

    After hours /evening and weekend on appointments ONLY

    Support Your Mental Wellness

    Enjoy 10% off your first session when you subscribe

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

    Powered by

    Your Path to Calm

    Welcome. Discover support for your mental well-being.

    Explore Support

    This website uses cookies.

    We use cookies to analyze website traffic and optimize your website experience. By accepting our use of cookies, your data will be aggregated with all other user data.

    Accept