
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.
Call (949) 670-9345- 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.

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.
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.

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.
PHP
Full day, five days.
PHPPHP 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.
IOP
Half day, three to five days.
IOPIOP 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.
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
