PHP · Orange County

Partial Hospitalization Programin Orange County

A full day of treatment in Laguna Beach, Monday through Friday, then home or to the Truth House each evening.

Located in Laguna Beach, California

(949) 670-9345
  • Week5 days
  • DayAbout 6 hours
  • EveningsHome or Truth House

What PHP is

A Full Day of Treatment, Then Home for the Night

Our partial hospitalization program (PHP) is the most structured outpatient care we offer. You're with us about six hours a day, Monday through Friday, with breaks and lunch scheduled. Each day has four group sessions, and through the week you meet your own therapist, your case manager, and a doctor for medication if you want one. In the evening you go home, or back to the Truth House.

It's a bit like going to school or a job during the day.

Call (949) 670-9345
A person sitting on the edge of a real bed at dusk, the Pacific in the window after a PHP day.

Four Groups a Day and Your Own Team

Each PHP day runs the whole three-part clinical model. You have four group sessions each treatment day, with breaks and lunch scheduled. Through the week you also meet your own therapist, your case manager, and a doctor for medication if you want one.

  1. Morning somatic practice in a Laguna Beach living room, Pacific in the window.

    Body

    Somatic care looks at how your body and mind affect each other, through yoga, mindfulness, and other therapies.

  2. A quiet conversation in a Laguna Beach sitting room in late afternoon light.

    Mind

    Cognitive work looks at how you think and make decisions, and at the automatic thoughts that feed what you're struggling with.

  3. Dusk at a Laguna window, leftover Pacific sky after the clinical day.

    Brain

    Psychoanalytical work gives you a safe space to explore hidden emotions and patterns, and why you feel and act the way you do.

  4. A one-on-one session in a Laguna Beach study, canyon light in the window.

    Skills & 1:1

    Groups teach DBT and other coping skills, and you see your own therapist one-on-one at least three times a week.

Our Approach

We will see you, and show up for you, as humans first, before any and all diagnoses.

Exist Centers

Every PHP day follows Dr. Courtney Tracy's three-part model, which she built from more than a decade of clinical work with co-occurring disorders. The same team treats your mental health and substance use together.

  • Founder

    Dr. Courtney Tracy

  • Credentials

    LCSW · PsyD · CCTP

  • Accreditation

    The Joint Commission

See the clinical model

Conditions We Treat in PHP

PHP treats these conditions on their own or together, including mental health and substance use at the same time.

See what we treat
  1. Trauma

    We treat trauma, PTSD, and complex PTSD with EMDR, somatic work, and parts work (IFS).

    • PTSD
    • C-PTSD
    • EMDR
  2. Personality

    For borderline personality disorder we use DBT and IFS-informed sessions, and you won't be stigmatized here.

    • Borderline
    • DBT
  3. Depression

    When depression makes it hard to get through the day, PHP gives you structure and people around you.

    • Depression
    • Bipolar disorder
    • Behavioral activation
  4. Anxiety

    We treat anxiety with exposure-based therapy and somatic care, and OCD with exposure and response prevention (ERP).

    • GAD
    • Panic
    • OCD
  5. Substance Use

    We treat substance use, including alcohol, alongside your mental health. Full abstinence is required while you're in the program.

    • Alcohol
    • Drugs
    • Co-occurring
  6. Dual Diagnosis

    When mental health and substance use problems happen together, we treat both in one plan with one team.

    • Co-occurring
    • One plan

Stay at the Truth House During PHP

The Truth House is transitional living in Laguna Canyon for clients in our PHP or IOP, about a mile from the clinic. You get a single or double room, food provided with guidance from a nutritionist, a live-in house manager, and daily rides to the clinic. Insurance doesn't cover the house.

  • Single and double rooms
  • Co-ed environment
  • On-site night staff
  • Food provided
  • Fitness and yoga studio
  • About a mile from the clinic
  • Free trolley to downtown
  • House bikes
See the Truth House
The Truth House deck in Laguna Canyon at dusk.
Looking into a bedroom at The Truth House.
Evening light in a room at The Truth House.
A room at The Truth House at dusk, window to the canyon.
Loungers on the Truth House deck at sunset.

Who You'll Work With

Meet the team
  • Headshot of Mikaela Karpinski, executive director at Exist Centers.

    Mikaela Karpinski

    Executive Director

    LCSW · trauma and substance use

  • Headshot of Maggie Scotto, somatic practitioner at Exist Centers.

    Maggie Scotto

    Somatic practitioner

    RADT · RYT-500 · somatic therapy

  • Headshot of Dr. Randall Turner, medical director at Exist Centers.

    Dr. Randall Turner

    Medical director

    DO · psychiatry and addiction medicine

  • Headshot of Dr. Nathan Ngo, medical director at Exist Centers.

    Dr. Nathan Ngo

    Medical director

    Psychiatry · mood, anxiety, and trauma

How PHP and IOP Compare

The day

PHP

About six hours, Monday to Friday

IOP

About three hours, three to five days

Evenings

PHP

Home or Truth House

IOP

Home or Truth House

Groups

PHP

Four each day

IOP

Two each day

Best for

PHP

Needing more than weekly therapy

IOP

Keeping time for work or school

How You Pay

We check your PHP benefits for free and get back to you within one business day. We also accept Anthem Blue Cross and Kaiser. Verification isn't a guarantee of coverage, since benefits vary by plan.

Verify insurance
  • Aetna
  • Blue Shield of California
  • UnitedHealthcare
  • Optum
  • Magellan Health
  • Cigna
  • Anthem Blue Cross
  • Kaiser Permanente
  • In-Network

    Aetna, Cigna, Blue Shield of California, UnitedHealthcare, Optum, Magellan, and TRICARE.

  • Out-of-Network

    Many other plans may pay back part of the cost, usually with higher out-of-pocket costs. We'll check yours before you start.

  • Private Pay

    You can pay by credit card or set up a payment plan, and we accept CareCredit.

Three Steps to Start PHP

  1. 01

    Tell Us About You

    Call us, or tell us about yourself on the insurance form.

  2. 02

    We Call or Text You

    We complete an assessment with you, go over the financial side, and set your intake date.

  3. 03

    Your First Day

    You get your schedule ahead of time, and we give you a warm welcome when you arrive.

(949) 670-9345

Common Questions About PHP

PHP runs Monday through Friday, about six hours a day, with breaks and lunch scheduled. You don't stay overnight at the clinic. You go home, or to the Truth House, every evening and on weekends.

Something we didn’t cover? Call (949) 670-9345 or text us.

Talk With Us About PHP

Call and tell us what's going on. We'll tell you honestly whether PHP fits, or whether IOP, 1:1 therapy, or a referral would serve you better.

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