Dual diagnosis · Orange County

Dual diagnosis treatmentin Orange County

Mental health and substance use in one PHP/IOP plan in Laguna Beach. Trauma and personality in the same week — not a later handoff.

Located in Laguna Beach, California

(949) 670-9345
  • PlanOne week
  • PHPFull day
  • IOPHalf day

What dual diagnosis is

Both conditions. One room.

Dual diagnosis treatment in Orange County, at Exist, means co-occurring mental health and substance use disorders in the same PHP or IOP week. Not a detox dump and a later call. Not a mood track that ignores the drinking. The clinical team reads trauma, personality, and use as one history — then the plan moves.

The use made sense. The trauma is still in the body. We treat them together.

Call (949) 670-9345

A week of both

Integrated on purpose.

PHP or IOP, the week holds both conditions. Group for the pattern. 1:1 for the history. Somatic work for the body that found the relief. Psychiatry when medication is part of the plan.

  1. Dusk under a Laguna tree, dark canopy and leftover sky.

    The overlap

    Co-occurring disorders are not two charts. The drinking, the panic, the favorite person, the night — one clinical picture.

  2. A figure in grass at last light, back to camera.

    The body

    Relief started in the nervous system. Yoga, breath, and the skills that make a hard night survivable without the old way.

  3. A quiet face in profile against a Laguna dusk.

    The mind

    Cognitive work that can stand the dual diagnosis: the thought, the use, the story you tell about both.

  4. Evening interior of the Laguna clinic, Pacific in the window.

    The team

    Licensed clinicians, a somatic practitioner, and medical directors for psychiatry and addiction medicine. Not a rotating locum desk.

Who holds the week

One plan. Not two programs taped together.

Dr. Courtney Tracy · Founder and chief clinical officer

Courtney built Exist so mental health and substance use sit in the same PHP or IOP week. Dual diagnosis is the default, not an add-on we refer out.

  • Founder

    Dr. Courtney Tracy

  • In the room

    LCSW · PsyD · CCTP

  • Clinic

    Joint Commission PHP / IOP

The clinical model

What we treat

The pair, not the hallway.

Dual diagnosis here usually means more than one of these in the same week.

All we treat
  1. Trauma + use

    What happened is still in the body. The relief made rules.

    • PTSD
    • C-PTSD
    • Alcohol
  2. Personality + use

    Distress skills, then the substance that used to do that job.

    • BPD
    • Splitting
  3. Depression + use

    The bed and the bottle in the same week. Same chair.

    • Depression
    • Alcohol
  4. Anxiety + use

    The body first. Then the thought. Then what you used to quiet it.

    • Panic
    • GAD
  5. Substance use

    Alcohol, prescriptions, stimulants, opioids, cannabis — with the history under them.

    • Alcohol
    • Prescriptions
  6. PHP or IOP

    Pick the day length. Keep the integrated plan.

    • PHP
    • IOP

Truth House

A night that isn’t the old kitchen.

Truth House is in Laguna Canyon, for people already in Exist PHP or IOP. Dual diagnosis does not get a separate house. 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
The Truth House
A room at The Truth House at dusk, window to the canyon.
Evening light in a room at The Truth House.
Looking into a bedroom at The Truth House.
The Truth House deck in Laguna Canyon at dusk.
Loungers on the Truth House deck at sunset.

Who’s in the room.

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

    Mikaela Karpinski

    Executive Director

    LCSW · trauma and personality

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

    Maggie Scotto

    Somatic practitioner

    RADT · RYT-500 · yoga and breath

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

    Dr. Randall Turner

    Medical director

    DO · psychiatry

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

    Dr. Nathan Ngo

    Medical director

    Psychiatry · dual diagnosis

Integrated, or two programs.

The week

Exist

Both conditions, one PHP or IOP plan.

Split care

Psych this building. Use that campus.

The team

Exist

Same clinicians. Psychiatry in the room.

Split care

A referral when the other side shows up.

The night

Exist

Home or Truth House.

Split care

Often no housing next to the clinic.

The model

Exist

Body, mind, brain — dual diagnosis default.

Split care

12-step hallway, or mood-only track.

How you pay.

We verify PHP and IOP benefits and write back within one business day. Verification is free and is not a guarantee of coverage. 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.

  • Out-of-network

    Many other plans still reimburse part of dual diagnosis PHP/IOP. 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.

  1. 01

    Reach out

    Call or send the form. You talk to the clinic — not a call center.

  2. 02

    We verify

    We contact your insurance and map PHP, IOP, and outpatient for both conditions.

  3. 03

    A start date

    We recommend an intensity — and a room at Truth House if you’re coming from out of town.

(949) 670-9345

Questions we actually get.

Care for co-occurring mental health and substance use disorders in one plan. At Exist that is PHP or IOP in Laguna Beach — trauma, personality, mood, and use in the same week.

Something we didn’t cover? Call (949) 670-9345 — you talk to the clinic, not a call center.

Treat both. This week.

Call Exist. Dual diagnosis treatment in Orange County is PHP or IOP in Laguna Beach — or we will tell you honestly if a referral is the better next hour.

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

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