Depression
Major depressive disorder, persistent depressive disorder, and treatment-resistant depression.
Long Beach · Virtual IOP
For Long Beach residents, Virtual IOP delivers the complete Intensive Outpatient program over secure video and cancels the I-405 drive entirely. Same three evenings a week, same clinicians, same groups as the in-person program — joined from a private room at home instead of a clinic chair in Orange County. In a city built on rotating port shifts, packed class schedules, and full childcare calendars, that one change is frequently what turns intensive treatment from something worth considering into something that genuinely gets done.
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Virtual IOP is the same IOP curriculum delivered via secure video for California residents. It runs 3 evenings/week via secure video, and is one of four levels of care we offer along a continuum from full-day PHP down to weekly aftercare.
In Long Beach, what usually settles the question is the calendar rather than the mileage. Forty minutes down the 405 is survivable, but locking in three fixed weeknight appointments is not — not for a dockworker rotating through port shifts, a CSULB student layering coursework on top of a paycheck, or a parent juggling dinner and pickup. Virtual IOP holds the full clinical intensity in place and deletes the commute, and because every Long Beach resident attends from within California, state telehealth licensure is satisfied without anyone leaving the city.
Spread across three weeknights and adding up to roughly nine hours, the virtual track runs the in-person curriculum point for point: the same Cognitive Behavioral Therapy and Dialectical Behavior Therapy skills groups, the same process groups, and the same weekly individual sessions. Psychiatric medication management runs on secure telehealth as well, so a Long Beach resident can move through an entire episode of care, intake to step-down, without driving to Orange County.
It fits the people Long Beach is made of. A port or logistics worker whose hours rotate, a veteran near the VA managing PTSD, a CSULB student dealing with anxiety and depression, or a parent in Los Altos or California Heights can all attend from home. Care is delivered with attention to the city's diversity — its large Cambodian community and visible LGBTQ+ population among them — and our admissions team can talk through clinician fit and language access when you call.
When a mood or anxiety condition and substance use show up together, one team treats both — integrated dual-diagnosis care built into the same Virtual IOP rather than handed off to an outside referral. We confirm at intake that telehealth is the clinically appropriate level of care; when someone needs detox, stabilization, or a higher level of supervision first, we are honest about it and coordinate the referral. We are an outpatient provider, not a 24/7 crisis service — for emergencies, call 911 or 988, or the LA County Department of Mental Health ACCESS line at 800-854-7771.
Virtual IOP runs 3 evenings/week via secure video. The same IOP curriculum delivered via secure video for California residents. 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.
Virtual IOP is part of a connected continuum of care. Many adults move between levels as their needs change — stepping up to Virtual IOP from weekly therapy, or stepping down to it after a more intensive level. You can read the full program details on our Virtual IOP page.
In crisis? Call or text 988 (Suicide & Crisis Lifeline, 24/7) or 911 for an emergency.