Depression
Major depressive disorder, persistent depressive disorder, and treatment-resistant depression.
Lakewood · IOP
In-person Intensive Outpatient is well within reach for Lakewood residents — not a stretch, a real option. Our facility sits about 32 to 37 miles south in Laguna Hills — roughly 40 to 50 minutes up I-405 North — so adults who want face-to-face group work can attend three evenings a week and still sleep in their own beds. Across those evenings, IOP adds up to about nine hours of structured clinical care a week, all of it fitting around the work, parenting, and daily life you keep up in Lakewood.
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Intensive Outpatient Program (IOP) is 3 evenings per week, 9 hours total — built to fit around work, school, or caregiving. It runs 3 evenings/week, ~9 hours total, and is one of four levels of care we offer along a continuum from full-day PHP down to weekly aftercare.
What makes in-person IOP workable in Lakewood is the city itself: a settled, car-owning community of homeowner families laid out right along the I-405 corridor. A commuting professional in Lakewood Park, a parent in Mayfair, or an aerospace-corridor worker near the old Long Beach plants can fold an evening session into a route they already drive. Evening scheduling is deliberate: the program meets after the workday, so attending does not cost a Lakewood resident their job. When a daily round trip is one thing too many on top of childcare, Virtual IOP covers the same ground — but for anyone who can make the drive, being in the room carries its own weight.
A week of IOP at Manifest is built from three evening meetings of roughly three hours apiece — Cognitive Behavioral Therapy and Dialectical Behavior Therapy skills groups, process groups, and a weekly individual session woven together, plus psychiatric medication management from our team whenever the plan calls for it. It is the level most adults enter at — more structure and accountability than weekly therapy, without the full-day commitment or overnight stay of a higher level of care.
For Lakewood adults who have tried weekly therapy without enough traction, or who are stepping down from a hospital stay or a Partial Hospitalization Program, in-person IOP offers a higher dose of treatment and the particular benefit of practicing skills alongside other people working on the same things. That shared-room dynamic matters for the social anxiety, depression, and isolation that often bring people in — and in a settled suburb where families have lived for decades and "keeping up appearances" runs deep, the relief of sitting with peers who understand can be a turning point.
Since we treat mental-health and substance-use conditions side by side, dual-diagnosis care is built into IOP under one team instead of being handed off to a separate referral. We are an outpatient provider, not a detox or residential facility; when someone needs medically supervised withdrawal or stabilization first, we coordinate that referral and welcome them into the program afterward. Insurance verification is free, no referral is required to begin, and the nearest emergency department for any Lakewood resident is UCI Health – Lakewood on East South Street.
Intensive Outpatient Program (IOP) runs 3 evenings/week, ~9 hours total. 3 evenings per week, 9 hours total — built to fit around work, school, or caregiving. Manifest is an outpatient program — not a medical detox or residential facility; when supervised withdrawal is needed first, we coordinate a referral. Insurance verification is free and confidential, and no referral is required to begin.
Intensive Outpatient Program (IOP) is part of a connected continuum of care. Many adults move between levels as their needs change — stepping up to IOP from weekly therapy, or stepping down to it after a more intensive level. You can read the full program details on our Intensive Outpatient Program (IOP) page.
In crisis? Call or text 988 (Suicide & Crisis Lifeline, 24/7) or 911 for an emergency.