PHP · Orange County
Partial hospitalization programin Orange County
Five days a week in Laguna Beach for dual diagnosis. Evenings at home or at Truth House.
Located in Laguna Beach, California
(949) 670-9345- Week5 days
- DayFull day
- NightsHome or house
What PHP is
Hospital-level days without the hospital night.
A partial hospitalization program is the most structured outpatient we offer. Five days a week you are here for the full clinical day — groups, 1:1, the body, the mind, the brain. Then you go home, or to Truth House. The evening is the rehearsal: the kitchen, the family, the thought that used to run the night. We hear it in the morning and the plan moves.
You spend the day in the work. Then you sleep in a real bed.
A day in PHP
Four groups. Then 1:1. Then the door.
Each treatment day runs the whole Exist model. Four groups. A session with your therapist. Case management. A doctor when medication is part of the plan. Lunch is in the house, not a cafeteria line.
Body
Yoga, breath, the nervous system that will not stand down. The day starts in the body when the mind can’t.
Mind
The automatic thought, the decision, the story. We change the reaction before we ask you to change the life.
Brain
What sits under the pattern — trauma, personality, and use read as one history. A safe room for it.
Skills & 1:1
Distress skills, then your own clinician. Three or more 1:1s in the week. A doctor when you want a regimen.
Who holds the week
Every PHP day is her model. Not a 12-step hallway.
Dr. Courtney Tracy · Founder and chief clinical officer
Full clinical days in Laguna Beach run on one plan. Trauma, personality, and use sit with one team.
Founder
Dr. Courtney Tracy
In the room
LCSW · PsyD · CCTP
Clinic
Joint Commission PHP / IOP
What we treat
Treated here. Together.
Most people arrive with more than one of these. PHP holds the overlap — not a diagnosis hallway.
All we treatPersonality
Distress skills, then relationships, then identity — not a hallway down the clinic.
- Borderline
- Other patterns
Substance use
The use sits in the same week as the trauma under it. Not a later handoff.
- Alcohol
- Prescriptions
- Stimulants
Truth House
Sleep at Truth House if home isn’t the night yet.
The house is in Laguna Canyon, for people already in Exist PHP or IOP. A room, a kitchen, staff on site. Insurance does not cover the house.
- Single or shared rooms
- Co-ed environment
- On-site night staff
- Food in the house
- Fitness and yoga studio
- Two miles from the beach
- Free trolley to downtown
- House bikes
Who’s in the room.
The team
Mikaela Karpinski
Executive Director
LCSW · trauma and personality
Maggie Scotto
Somatic practitioner
RADT · RYT-500 · yoga and breath
Dr. Randall Turner
Medical director
DO · psychiatry
Dr. Nathan Ngo
Medical director
Psychiatry · dual diagnosis
PHP and IOP are the same clinic.
PHP
The day
Full clinical day, five days.
Half day, three to five days.
Nights
Home or Truth House.
Home or Truth House.
The work
Body, mind, brain — four groups.
The same model, a shorter day.
When
Weekly isn’t holding.
The day has to stay partly yours.
How you pay.
We verify PHP benefits and write back within one business day. Verification is free and is not a guarantee of coverage.
In-network
Aetna, Cigna, Blue Shield of California, UnitedHealthcare, Optum, Magellan.
Out-of-network
Many other plans still reimburse part of PHP. We map that before you start.
Private pay
If insurance isn’t the path, admissions will talk through a plan. No invented copays on this page.
Starting is one conversation.
- 01
Reach out
Call or send the form. You talk to the clinic — not a call center.
- 02
We verify
We contact your insurance and map PHP, IOP, and outpatient.
- 03
A start date
We recommend an intensity — and a room at Truth House if you’re coming from out of town.
Questions we actually get.
A full clinical day, five days a week, Monday through Friday. Evenings and weekends are at home or at Truth House. PHP is not an overnight hospital stay.
Something we didn’t cover? Call (949) 670-9345 — you talk to the clinic, not a call center.
Come for the day.
Call Exist. We’ll see if PHP is the intensity — or if IOP, 1:1, or a referral is more honest.
Clinically reviewed by Dr. Courtney Tracy, LCSW, PsyD · Reviewed September 2026