Depression
Major depressive disorder, persistent depressive disorder, and treatment-resistant depression.
Solana Beach · Virtual IOP
For most Solana Beach residents who work with us, Virtual IOP is not a compromise — it is the format their clinicians recommend first. Our only facility sits about fifty-six miles north in Laguna Hills, across the Orange County line, so instead of asking residents to drive I-5 several evenings a week, we deliver the complete Intensive Outpatient program over secure video — the same clinicians, the same groups, the same schedule — to anyone attending from within California.
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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.
Solana Beach is a small, affluent, notably older coastal city — median age around fifty, a quarter of residents over sixty-five, and an economy built on professional services, tourism, and the design-and-retail trade of the Cedros Avenue Design District rather than any single large employer. Many residents are retired, semi-retired, or working remotely, and they commute from the Solana Beach rail station rather than to a local campus or hospital, because the city has neither a four-year university nor a hospital of its own. For that population, a fixed in-person commitment fifty-six miles up I-5 is simply not realistic. Delivering the program by video erases the drive without thinning out a single hour of treatment, and because every Solana Beach resident attends from inside California, state telehealth licensure is satisfied without anyone leaving North County.
Nothing about the clinical model changes when it moves to video: you still meet three evenings a week for about nine hours total, working through the same Cognitive Behavioral Therapy and Dialectical Behavior Therapy skills groups, process groups, and weekly individual sessions our in-person clients attend. Psychiatric medication management happens by secure telehealth as well, so a Solana Beach resident can complete an entire episode of care, from intake through step-down, without driving across the county line to Orange County.
The flexibility matters most for the people Solana Beach is built around. An older adult managing late-life depression, grief, or anxiety; a remote professional whose calendar cannot absorb a two-to-three-hour round trip several nights a week; a parent in Lomas Santa Fe or a resident in the historic La Colonia de Eden Gardens neighborhood who would rather keep treatment private — all can attend from a quiet room at home. When you call, our admissions team can talk through clinician fit, scheduling, and what telehealth treatment looks like day to day.
When a substance-use issue sits alongside depression, anxiety, or another mental-health diagnosis, the same Virtual IOP team treats both at once, so dual-diagnosis care is built into the program instead of handed off to a separate referral. We confirm at intake that telehealth is the clinically appropriate level of care for your situation — higher-acuity needs, including detox or stabilization, may require an in-person program first, and we are honest with you about that and coordinate the referral. We are an outpatient provider, not a 24/7 crisis service; for emergencies Solana Beach residents should call 911 or 988, or the San Diego County Access & Crisis Line at 888-724-7240.
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.