Programs · Outpatient
Outpatient therapyin plain terms.
Outpatient therapy is weekly 1:1 in Laguna Beach or on video, when a program day is more than you need.
Located in Laguna Beach, California
(949) 670-9345- WeekBy appointment
- The hourOne clinician
- FormatIn person or virtual
What outpatient is
Outpatient is a standing 1:1.
Outpatient therapy at Exist is a standing 1:1 with one clinician, in person or on a secure video call. It is the hour, not a program day: no group block, no lunch in the house, no Truth House night. Trauma, personality, and substance use can still sit in one plan. If the week starts running you, PHP and IOP are the same clinic, not a referral out.
- All programs
- Partial hospitalization
- Intensive outpatient
- Dual diagnosis
- Treatment approach
- IOP in Orange County
The hour is yours. The rest of the week stays yours.
A week in outpatient
What the hour — and the week around it — look like.
A week of outpatient therapy is one session and the life you walk back into. The same clinical model as PHP and IOP — body, mind, and brain — at the pace of a single hour. If the week starts to run you, we map a program day. We do not sell a package.

Body
Breath, the chair, the nervous system that will not stand down. The hour can start in the body when the mind can’t.

Mind
The automatic thought, the decision, the story. We work on the reaction before asking you to change the life.

Brain
What sits under the pattern — trauma, personality, and use read as one history, in a safe room.

The week
Between sessions the week is the rehearsal. We hear it in the next hour. If it is not holding, IOP is the next intensity — not a different clinic.
Who holds the hour
The hour is still her model. Not a 12-step hallway.
Dr. Courtney Tracy · Founder and chief clinical officer
A standing 1:1 still reads trauma, personality, and use as one history. PHP and IOP stay in the same clinic if the week starts running you.
Founder
Dr. Courtney Tracy
In the room
LCSW · PsyD · CCTP
Clinic
Joint Commission PHP / IOP

What outpatient treats
Whatever is underneath, treated in the same plan.
Most people arrive with more than one of these. Outpatient mental health treatment here has to hold the overlap — one clinician, one plan, not a hallway per diagnosis. DBT, EMDR, and somatic work live in the hour when they fit, not as a separate clinic.
All we treatTrauma
What happened is still in the body. Safety first, then the story — at a weekly pace.
- PTSD
- C-PTSD
- Self-harm
Personality
Skills for the hard hour first. Then relationships, then identity.
- Borderline
- Other patterns
Depression
When the bed wins some mornings, a standing hour can hold. Same plan as trauma and use.
- Depression
- Bipolar II
- Grief
Substance use
Alcohol, prescriptions, stimulants — treated with the trauma underneath, not as a standalone track.
- Alcohol
- Prescriptions
- Stimulants
Dual diagnosis
The overlap is the default here — mental health and substance use in one plan.
- Co-occurring
- One plan
Outpatient is the weekly hour. IOP is the half day.
Outpatient
The week
One 1:1, by appointment.
Three to five half days.
The work
Individual. Same model.
Groups, 1:1, the same team.
Nights
Home.
Home or Truth House.
When it fits
Weekly is holding.
The week needs more structure.
Paying for outpatient therapy.
Many commercial plans cover outpatient therapy as a behavioral-health benefit. We verify your benefits and write back within one business day. Benefits vary by plan, and verification is not a guarantee of coverage or payment.
In-network
Aetna, Cigna, Blue Shield of California, UnitedHealthcare, Optum, Magellan.
Out-of-network
Other plans often reimburse part of outpatient. We map that before you start.
Private pay
If insurance isn’t the path, admissions will talk through a plan. No invented numbers on this page.
Three steps to a first hour.
- 01
Reach out
Call (949) 670-9345 or send the form. You talk to the clinic — not a call center.
- 02
We verify
We check your benefits and map outpatient against IOP and PHP — honest about which fits.
- 03
A start date
We recommend a level of care and set a first hour — in person in Laguna Beach or virtual when that is the honest fit.
Questions about outpatient therapy, answered plainly.
No. Intensive outpatient is a program week — groups and 1:1 across half days. Outpatient therapy is a standing hour with one clinician. Same clinic, same model, a different clock. If the week is not holding, IOP or PHP is the next intensity.
Something we didn’t cover? Call (949) 670-9345 — you talk to the clinic, not a call center.
A weekly hour can hold — when it can.
Call Exist at (949) 670-9345 or send the admissions form. We’ll say honestly whether outpatient therapy, IOP, PHP, or a referral is the right level — and what your benefits actually cover.
Clinically reviewed by Dr. Courtney Tracy, LCSW, PsyD · Reviewed September 2026








