Depression
Major depressive disorder, persistent depressive disorder, and treatment-resistant depression.
Tustin · IOP
For working adults and parents in Tustin, our Intensive Outpatient Program is built around the one constraint that defines this city: there is no spare time. IOP meets three evenings a week for about nine hours total, so a resident commuting from Tustin Ranch or Old Town can get a real dose of treatment without giving up the workday or the school run.
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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.
Tustin runs on its commutes — the 5, the 55, the 261, and Jamboree carry residents toward jobs in Irvine, Santa Ana, and the larger OC market every morning. At about eighteen minutes south on I-5, our Laguna Hills facility is close enough that three evening sessions a week stay realistic instead of aspirational. That proximity is what helps turn IOP from a good intention into consistent attendance — the difference between starting treatment and staying with it.
IOP at Manifest blends Cognitive Behavioral Therapy, Dialectical Behavior Therapy skills groups, process groups, and weekly individual therapy, with psychiatric medication management when it is part of the plan. The evening format is deliberate: it preserves the daytime hours Tustin adults can least afford to lose while still delivering a clear step up from a single weekly therapy session.
The people we see most from Tustin are high-functioning — they hold demanding jobs, run households, and keep showing up — which can make it harder to admit that something has stopped working. IOP is designed for exactly that profile. The group setting offers accountability and the quiet relief of being in a room with others who are carrying a full life and struggling anyway, which lands especially well in an achievement-minded community. Many residents arrive after weekly therapy has plateaued, or after a stressful stretch tipped anxiety or depression into something they could no longer manage alone.
Because Tustin is one of central OC's more culturally diverse cities, with a large Hispanic and Latino community and a substantial Spanish-speaking base, we work to keep IOP family-aware and culturally responsive — sensitive to how stigma, family obligation, and language can shape whether someone reaches out. If alcohol or another substance has become part of how you cope, the same IOP clinicians work that thread and the underlying mental-health condition at once, so you are not bounced to a second provider somewhere else in the county. What we do not do is supervised withdrawal — that is a hospital-level service, and when it has to come first we set up the referral and hold a place for you in IOP for when it is done. Insurance verification is free and confidential, no referral is required to begin, and we explain what you can expect to owe before you commit.
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.