Two people sitting in teak chairs facing a dusk Pacific window in Laguna Beach, backs to camera.

Clinical model · Laguna Beach

Therapy,the whole day.

Courtney built PHP and IOP in Laguna Beach so three kinds of work share the same week.

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Founder
Dr. Courtney Tracy
In the room
LCSW · PsyD · CCTP
Clinic
Joint Commission PHP / IOP

What the three parts actually are.

The three parts are body, mind, and brain: somatic care, cognitive analysis, and psychoanalytic work in the same PHP or IOP week.

Dr. Courtney Tracy built the model so trauma, personality, and substance use can sit in one plan.

The week is not a 12-step hallway, a spa menu, or a weekly clinic you add later.

The clinic is Joint Commission accredited PHP and IOP in Laguna Beach.

A person sitting on a dark oak floor facing a dusk Pacific window, back to camera, hands on the lower back.

The nervous system

Somatic care

Exist in it again.

Somatic care here is breath, clinical yoga, nutrition, and pain, held inside PHP or IOP in Laguna Beach.

The week starts here when the nervous system will not stand down.

It is not a spa hour and not a weekly class you add later.

Breath and yoga start the day so the body can stay in the room for group and 1:1.

Maggie Scotto, RADT, RYT-500, holds the somatic lane inside this PHP or IOP week.

Somatic therapy

Cognitive analysis

The thought that runs the day.

Cognitive analysis here is the automatic thought, the decision, and the story you tell yourself. We work the reaction before we ask you to change the life. It sits inside PHP or IOP in Laguna Beach as DBT-informed skills, not a packaged weekly clinic.

In the week
PHP or IOP
The skills
DBT-informed
Not
A weekly skills clinic

The history

Psychoanalytic work

What sits under the pattern.

Psychoanalytic work here is a safe room for why you feel and act the way you do.

Trauma, personality, and substance use are read as one history, and we do not open with the worst memory.

EMDR sits in the week when a target is ready, next to the rest of the plan, not as a later clinic you add.

1:1 holds the history, and group holds the pattern, then you go home at night or to Truth House.

EMDR therapy
Two empty cream armchairs facing each other beside a brass lamp and tissues, a huge sun in a Pacific window.

The clock changes. The model does not.

PHP and IOP use the same three-part week. The day is longer or shorter. The room does not split the work.

  1. PHP

    Full day, five days.

    PHP is a full clinical day, five days a week, with four groups and a session with your own therapist.

    Case management and a doctor sit in the plan when medication is part of it. Lunch is in the house, not a cafeteria line.

    PHP
  2. IOP

    Half day, three to five days.

    IOP is the same model on a half day, three to five days a week, morning or afternoon.

    Groups, 1:1, and skills you can use that night sit in the shorter clock. Evenings are at home or at Truth House. IOP is also available virtually, on a secure video call.

    IOP

Talk to the clinic.

Call Exist at (949) 670-9345. We will say whether PHP, IOP, 1:1, or a referral is the honest next step.

Clinically reviewed by Dr. Courtney Tracy, LCSW, PsyD · Reviewed September 2026

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