Client Referrals or Inquiries All outside calls received that are not related to a currently enrolled Gilead client, but are of a clinical nature should call our Middletown Outpatient Clinic at # 343-5303. Gateway Counseling Services Founded in 1970, Gateway Counseling Services in Essex serves Lower Middlesex County and Shoreline residents. Individual, couples, and family counseling are offered for a variety of needs, including depression, anxiety, and marital problems. Staff include social workers, nurses, and a psychiatrist with years of experience in psychotherapy, psychiatric diagnosis, and psycho pharmacology. Gateway is committed to treating all individuals regardless of their financial or insurance situations. Services are available on a sliding fee scale for those without insurance coverage. Call (860) 343-5303 to make an appointment for a consultation. Gateway Counseling Services is accredited by CARF. Read more about Gateway's Counseling Staff To view a list of accepted insurance carriers Middletown Outpatient Clinic The Gilead Outpatient Clinic in Middletown provides individual, group, and family counseling and psychiatric treatment for individuals served by Gilead residential and case management programs. Individual therapy is designed to meet the clients needs in all areas of life. Groups meet on a variety of topics, sometimes co-ed, sometimes solely for men or women. Family therapy provides support and cohesion. All work toward the goal of pursuing a greater quality of life and a broader range of options. The Gilead Outpatient Clinic is accredited by CARF Gilead Friends and Family Satisfaction Survey Results