The Counseling Center at Middlesex, NJ

Providing Outpatient Treatment, IOP, and Individual Counseling for Adults and Adolescents

The Counseling Center is an outpatient mental health and addiction treatment center for adults and adolescents, for those  seeking treatment for addiction, alcoholism, and co-occurring disorders associated with addiction and substance use. The Counseling Center at Middlesex offers individual and group mental health therapy, and a state-of-the-art substance abuse treatment program combining evidence-based and 12 step principles with an intense, focused Intensive Outpatient Treatment (IOP) option, integrated into professionally-prepared treatment plans.


Elina Malamud, LCSW, Clinical Director

Elina Malamud, LCSW, Clinical Director

Clinical Director Elina Malamud, LCSW, has over 18 years of experience treating the mental health barriers that often lead to substance abuse, including depression, anxiety, PTSD, bipolar disorder, and many psychotic disorders. She utilizes evidence-based treatment models, including CBT (Cognitive Behavioral Therapy), MI (Motivational Interviewing), and IMR (Illness Management and Recovery), as part of the individualized treatment plan developed for each individual client.

Originally from the Republic of Uzbekistan, Elina immigrated to the U.S. with her family in 1991. She earned a Bachelor’s degree in Psychology from New York University, and a Master’s degree in social work from Columbia University.

As Clinical Director, Elina Malamud works closely with each clinician, and is an active participant in every client's treatment plan. Elina ensures that clients are not only working towards abstinence goals, but are also actively working to overcome family conflicts, manage anger, and resolve communication problems. Elina also supports and counsels the clinical staff of The Counseling Center, providing guidance and encouragement for their continued professional development in service to our clients and community.

Elina knows that it is possible to recover from addiction and mental illness. Elina and her team are dedicated to teaching clients needed coping skills, helping clients develop recovery-oriented life goals, and to address and overcome specific mental health barriers, while securing essential family and social support.


Suzanne Higgins, M.S.ED., LCADC, Counselor

Suzanne Higgins, M.S.ED., LCADC, Counselor

Counselor Suzanne Higgins, M.S.ED., LCADC, has over 30 years of experience working in all levels of care within substance abuse and mental health treatment. She has dedicated her career to helping individuals and families address the complex mental health and interpersonal family dynamics associated with substance abuse and addiction.

For Suzanne, the Initial Assessment is a key component of effective treatment. The initial clinical assessment is the first opportunity for a counselor to learn about a client's life. Effective treatment requires attention and care for the unique individual -- acknowledging the dynamic relationships we each maintain with our families, with coworkers and employers, with each other, with our environment, and perhaps most importantly, with ourselves.

Suzanne builds the trust, hope, knowledge, and belief in themselves that are paramount to success in their recovery.


Frederick Caruso, LAC, Counselor

Frederick Caruso, LAC, Counselor

New Jersey local Frederick Caruso, LAC is a Licensed Addictions Counselor, and a member of five local advocacy groups, including Project Zero where he participates on the Opioid Awareness Committee.

Years ago, Frederick recognized within himself a strong personal desire to help people struggling with substance abuse issues. He returned to graduate school intent on learning practical, evidence-based methods that he could use to make a difference in New Jersey. He earned a Master's Degree in Professional Counseling from Monmouth University in 2012.

Frederick commits himself to each client by offering support, knowledge, and his personal experience, to help through difficult times. His combination of personal experience and professional, solution-focused treatment approach helps individuals develop the strengths needed to achieve reach their ultimate goal: recovering from substance abuse.


Tom Roskin, Community Outreach, The Counseling Center at Fair Lawn, NJ
Tom Roskin, Community Outreach
The Counseling Center

Tom Roskin, Community Outreach

Tom Roskin is the Marketing Representative for The Counseling Center throughout New Jersey and New York. Tom earned his Bachelor’s degree from Syracuse University and was born Roslyn, NY, giving him a dedication to the New York/New Jersey area that can only come from being a part of it. A dedicated family man Tom likes to spend his free time, playing golf, tennis, and working out, along with catching up on some reading, and of course spending quality time with his family.

Tom Roskin brings a sincere commitment to trustworthy support to his work at The Counseling Center, where he represents the outpatient treatment clinics as reliable partners in the Continuum of Care for patients and clients in New Jersey. Contact Tom with any questions you have about referrals, programs, or access to care in Monmouth and Ocean counties.


The Counseling Center : Outpatient Addiction Disorder Treatment in Local New Jersey and New York Communities

The Counseling Center offers state-of-the-art professional outpatient treatment programs and individual counseling, for adults and adolescents, through 6 regional substance abuse treatment centers. Local substance abuse treatment centers are located in FreeholdClarkToms RiverCherry Hill, Middlesex, and Fair Lawn, New Jersey, and in Yorktown Heights serving Westchester County, New York.

Outpatient treatment is a perfect adjunct to inpatient rehabilitation, and for those who qualify, Intensive Outpatient is an effective, comprehensive program of treatment and follow-up care. The Counseling Center works hard to collaborate with treatment centers and providers to maintain a Continuum of Care in support of successful recovery.

Getting Started
with a Clinical Assessment

The Counseling Center at Middlesex is an outpatient addiction treatment center for adults and adolescents seeking treatment for addiction, alcoholism, and co-occurring disorders associated with addiction and substance use. The Intensive Outpatient Program (IOP) combines evidence-based, state of the art treatment with 12 Step principles. The IOP is an intense, focused experience designed to enable sober and productive living.

IOP may be recommended for individuals who do not require medically supervised detoxification, and who live within driving distance of the center, and for individuals who have recently completed residential treatment (rehab) and are in the early stages of recovery.

Eligibility for the IOP is based on a clinical assessment. Treatment is individualized, and full information on program options, costs, and schedules will be available after assessment.