Depression
Major depressive disorder, persistent depressive disorder, and treatment-resistant depression.
Long Beach · IOP
In-person Intensive Outpatient is something Long Beach residents can realistically reach, which is not true for much of Los Angeles County. Our facility is only about thirty-five miles down the I-405 from Long Beach — roughly forty to fifty minutes — so adults who want face-to-face group work can attend three evenings a week and still be home the same night. Across those evenings IOP adds up to about nine hours of structured clinical care each week, while you keep living, working, and parenting at home.
Last updated:
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.
The I-405 is the artery Long Beach moves on, and that corridor is exactly what makes in-person IOP workable here. A professional in Bixby Knolls or Los Altos, an engineer with aerospace roots near the airport, or a commuting CSULB student 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 you your job or your classes. For residents whose shifts or caregiving make a fixed drive impossible, Virtual IOP covers the same ground — but when you can make the trip, being physically in the room carries its own weight.
A week of IOP at Manifest is built from three evening meetings of roughly three hours, each one weaving together Cognitive Behavioral Therapy and Dialectical Behavior Therapy skills groups, process groups, and a weekly individual session, with psychiatric medication management from our team when it belongs in the plan. 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 Long Beach 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 it is something telehealth, for all its convenience, delivers a little differently.
Since mental-health and substance-use conditions are addressed side by side here, dual-diagnosis care is woven directly into IOP under one team instead of being handed off to a separate referral — which matters in a port-and-nightlife city where heavy drinking can hide in plain sight. 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, and no referral is required to begin.
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.