What We Treat · Virtual IOP & OP · California
Addiction and mental health, treated by one team.
Substance use and mental health conditions treated together in a structured virtual program — nine hours a week of group, individual, and psychiatric care from anywhere in California.
Free, confidential, no obligation · ASAM-informed care

The condition index
Every condition below is treated virtually, by our own clinicians.
Most people who come to us are carrying more than one of these at once. That's expected — your assessment sorts out what's primary, what's secondary, and how they interact, and one plan covers all of it.
Substance use
- AlcoholThe most common thing we treat. Group work on triggers and rituals, with medication options like naltrexone when appropriate.
- OpioidsMedication-assisted treatment with craving support, alongside a group that understands what early opioid recovery actually feels like.
- StimulantsStructured weeks that rebuild sleep, mood, and focus after cocaine or methamphetamine — the crash cycle is treated, not judged.
- BenzodiazepinesSlow, medically supervised tapering coordinated with psychiatry. Never abrupt, never alone.
- CannabisFor when “it’s just weed” stops being true — motivation, sleep, and anxiety work alongside cutting down.
- PolysubstanceMore than one substance in the picture is common. One integrated plan, one team tracking all of it.
Mental health
- DepressionBehavioral activation, CBT, and psychiatry — structure and small wins built into every week.
- AnxietySkills groups for panic, rumination, and avoidance, with individual work on what’s driving it.
- Trauma / PTSDPaced, trauma-informed care. Stabilization first; deeper work only when you have the skills for it.
- Bipolar disorderMood stabilization through psychiatry and routine — sleep, schedule, and early-warning tracking.
- OCDExposure-based, skill-focused therapy adapted for virtual delivery, with psychiatric support when indicated.
- Co-occurring conditionsWhen substance use and mental health feed each other, they’re treated together. That’s the default here, not the exception.
The overlap
Dual diagnosis is the default, not the exception.
Most clients arrive with both a substance use and a mental health condition. They’re treated together, in the same week, by the same team — never split across programs.
- One assessment
- One weekly plan
- One clinical team
Clinically reviewed by the Pacific Haven Recovery clinical team. Care follows the ASAM criteria; your assessment determines the right level of care, and we refer out when that isn’t us.
How we treat
The therapies behind the program
Every modality below is delivered over secure video — adapted for the format, never watered down.
- Cognitive behavioral therapyIdentify the thought patterns driving use and mood, then practice replacing them — in group and one-on-one, with worksheets you keep between sessions.
- Dialectical behavior therapyDistress tolerance, emotion regulation, and interpersonal skills taught in weekly skills groups — especially useful when emotions feel unmanageable.
- Motivational interviewingA collaborative style that works with ambivalence instead of against it — you set the reasons for change, we help you build on them.
- Trauma-informed carePaced, consent-based trauma work. Nothing is forced open before you have the skills to handle it — stabilization always comes first.
- Group therapyThree process and skills groups a week with the same small cohort — the core of the program, and where most of the change happens.
- Individual therapyA dedicated one-on-one session every other week with your primary clinician to work on what doesn't belong in group.
- Psychiatry & medicationPsychiatric evaluation, medication management, and medication-assisted treatment for substance use when clinically appropriate.
- Family sessionsStructured sessions that bring partners or family into the work — boundaries, communication, and what support actually looks like.
Beyond the session
Holistic support, built for home
Recovery runs on more than therapy hours. These practices are woven into the weekly program — and designed to work in a living room, not a facility.

Mindfulness & meditation
Guided practice inside group sessions, plus short daily exercises you can repeat on your own between meetings.
Sessions open or close with a short guided practice, and you get two- and five-minute versions for the moments between meetings — before work, after a hard call, in the car.
Guided in group · daily on your own
The virtual part
How treatment works when it's virtual
Same license, same clinical model, same standards as in-person care — delivered over secure video.
- 01Clinical assessmenta one-on-one video evaluation that maps your conditions, history, and goals, and confirms this is the right level of care.
- 02Your weekly schedulethree group windows a week (morning, midday, or evening), plus individual therapy and psychiatry booked around your life.
- 03Secure video sessionsHIPAA-compliant video, one link by text, no app to download. Cameras on, same cohort every week.
- 04Review and step-downprogress is reassessed throughout; when you're ready, you step down to outpatient with the same team.
HIPAA-compliant video · Licensed to treat California residents · If you need a higher level of care, we coordinate the referral.
Questions
Questions about what we treat
Straight answers about virtual IOP, schedule, and what happens if this isn't the right level of care.
01Do I need a formal diagnosis before I reach out?
No. Most people call with a suspicion, not a diagnosis. Your first clinical assessment is where conditions are actually identified — you just need to describe what's been happening.
02Can you treat addiction and mental health at the same time?
Yes — that's the model. Substance use and mental health are treated together by the same clinical team in the same week, not split across separate programs or treated one after the other.
03Is virtual treatment effective for these conditions?
For many people in intensive outpatient care, telehealth has shown outcomes comparable to in-person treatment. The structure is identical — same hours, same licensed clinicians, same group model. If your assessment shows you need a higher level of care, we'll tell you and help you find it.
04Do you prescribe medication?
Yes. Psychiatry is part of the program — our prescribers evaluate whether medication would help, manage it if so, and coordinate medication-assisted treatment for substance use when clinically appropriate.
05What if I need detox or residential treatment first?
We don't provide detox or residential care, and we won't pretend virtual IOP is a substitute. If your assessment indicates a higher level of care, we coordinate a referral to a licensed program and stay involved so nothing falls through the cracks.
06Are there conditions you don't treat?
Yes. We're not the right setting for primary eating disorders, active psychosis, or anyone who needs 24-hour medical supervision. If that's your situation, we'll say so on the first call and point you to the right level of care.
In crisis right now? Don't wait for an intake call.
Admissions
Not sure where you fit? That's what the first call is for.
Fifteen minutes. We'll listen, answer your questions, and tell you honestly whether this program matches what you're dealing with.
Mon–Fri 8am–8pm PT · Sat 9am–2pm PT