Depression
Major depressive disorder, persistent depressive disorder, and treatment-resistant depression.
Los Alamitos · IOP
For the military-connected and professional adults of Los Alamitos, our Intensive Outpatient Program is built around the two constraints that define this city: a duty schedule and a job that cannot simply be paused. With the Joint Forces Training Base sitting on the city's northern edge, many of the people we hear from are Guard and Reserve members, veterans, and military spouses — and IOP's three-evenings-a-week structure is designed so a drill weekend, an airfield shift, or a Carrier Row workday does not have to derail treatment.
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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.
Los Alamitos is far enough from our Laguna Hills facility — about 30 miles and roughly 32 minutes south on I-405 with the SR-22 stretch near Seal Beach — that the commute is a genuine factor, especially in a city where most workers drive alone. In-person evening IOP suits residents from College Park North or Dutch Haven with predictable evenings; for service members juggling military obligations against a civilian job, or anyone whose week shifts around deployment timelines, we are candid that Virtual IOP often makes more sense. We help each person weigh the freeway drive honestly against the consistency that treatment actually requires.
IOP at Manifest meets three evenings a week, combining Cognitive Behavioral Therapy and Dialectical Behavior Therapy skills groups with process groups, weekly individual therapy, and psychiatric medication management when it is part of the plan. For a Los Alamitos service member or a parent in Rossmoor Highlands, the evening format is the whole point — it preserves the day for duty, work, or family while still delivering far more clinical support than a single weekly session can.
The military character of Los Alamitos shapes the clinical work in real ways. Deployment cycles, reintegration after a mobilization, the hypervigilance and sleep disruption that follow trauma, and the strain all of that puts on a marriage are recurring themes, and our trauma-informed approach is built to hold them. In a community where the culture often prizes toughness and self-reliance, the group setting does something important — it lets a Guard member or veteran sit alongside others who understand that struggling is not the same as failing, and that getting help is not a breach of duty. Confidentiality is protected by HIPAA throughout; we never contact a command, an employer, or anyone else without written consent.
When alcohol or substance use has woven itself into the coping pattern — easy to do under the pressure of deployment cycles or a demanding professional life — one clinical team treats it alongside the underlying mental-health condition in a single integrated dual-diagnosis plan, so you are not handed off between two separate providers. Because IOP is a scheduled outpatient track rather than a detox unit, any supervised withdrawal happens first through a referral we arrange, and you step into IOP once that is complete. Insurance verification is free and confidential, no referral is required to begin, and we are an independent provider with no affiliation to JFTB or the Department of Defense.
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.