“Working with Dr. Courtney’s team is like having people finally translate my inner chaos into understandable behavior. Her team understands things most centers miss, especially around identity, trauma, and mental health. Every session felt intentional, grounded, and honest.”
Est. Laguna Beach, CA
Mental Health Treatment · Orange County
High Tide
Behavioral health PHP and IOP in Laguna Beach — dual-diagnosis care that feels less like a facility, more like coming back to shore.
Orange County · Dual-Diagnosis PHP & IOP
High tide 08:42 AM
Kind words
Trusted by the people we've walked alongside
Read what clients and families share about their experience with High Tide on Google.
Google reviews
“I’ve never met a clinician who combines clinical depth, lived experience, and human presence the way Dr. Courtney and the HighTide team does. No fluff. HighTide meets you where you are, tells you the truth, and helps you build a life that feels like your own. I still use her frameworks every day.”
“Dr. Courtney completely changed the course of my life. I came to her in one of my lowest seasons, unsure if I could keep going. For the first time, I felt like I wasn’t broken and that I found a place that really cares about me.”
Our philosophy
Serious clinical care, in a place built for rest.
High Tide delivers mental health treatment in Orange County as an outpatient behavioral health and dual-diagnosis center — we treat mental health and substance use together. Designed by Dr. Courtney Tracy, LCSW, PsyD, our clinical team runs PHP and IOP in Laguna Beach with evidence-based therapy, psychiatry, and the space genuine recovery requires — honest before it is comfortable. Most major PPO plans are accepted.
“Small by design. You will never be a bed number here.”
- Founded
- 2021
- Levels of care
- PHP · IOP
- Focus
- Dual-Diagnosis
Levels of care
A program that meets you where you are.
01PHP · 9 AM – 4 PMPartial Hospitalization
Our most structured level of care — individual therapy, group work, psychiatry, and holistic practices, five days a week, with optional supportive housing available.
- 9 AM – 4 PM, five days a week
- Optional supportive housing
- Psychiatry & medication management
02IOP · Part-day sessionsIntensive Outpatient
A step down in hours, not in care. Part-day sessions, several days per week, give you room to rebuild routines — work, school, family — while staying anchored in treatment.
- Part-day sessions, several days per week
- Morning or afternoon tracks
- Optional supportive housing
03Residential · 24/7 staffSupportive Housing
Optional residential homes in Laguna Beach with ocean views, 24/7 staff, food provided, and transport to and from PHP or IOP — so the only work is the clinical work.
- 24/7 residential staff
- Food & essentials provided
- Transport to outpatient programming
What we treat
Care for the whole picture.
Most people arrive with more than one thing going on. We treat mental health and substance use together, with one integrated plan.
- 01
Anxiety Disorders
Generalized anxiety, panic disorder, social anxiety
- 02
Personality Disorders
Borderline and related patterns, emotion regulation, DBT skills
- 03
Bipolar Spectrum Disorders
Mood stabilization with psychiatric oversight
- 04
Post Traumatic Stress Disorder
EMDR, somatic experiencing, trauma-focused CBT
- 05
Complicated Grief
Prolonged grief, loss, and identity after bereavement
- 06
Obsessive Compulsive Disorder
Exposure and response prevention, anxiety hierarchy work
- 07
Dissociative Disorders
Grounding, integration, and trauma-informed stabilization
- 08
Suicidality
Safety planning, crisis stabilization, underlying conditions
- 09
Psychotic Disorders
Stabilization and recovery support with psychiatric care
- 10
Major Depressive Disorders
Major depression, persistent depressive disorder, treatment-resistant depression

Our approach
Every treatment plan is built individually — no two recoveries look alike.
The Residence
A home in Laguna, with ocean views.
Not institutional. A home — quiet, beautiful, and kept with care — so your only work is the work.

For residents
- 24/7 staff
- Food provided
- Essentials provided
- Transport to and from outpatient
- Ocean views
- Bedrooms


The team
Clinicians who stay human.

Dr. Courtney Tracy, LCSW, PsyD
Founder & Chief Clinical Officer
A nationally recognized clinician, Dr. Tracy built High Tide around a simple conviction: people in crisis deserve both clinical rigor and genuine human warmth — never one at the expense of the other.

Mikaela Karpinski, LCSW, C-DBT, EMDR Trained
Executive Director
Deeply passionate about lasting personal care and a treatment program that makes sense — balancing humanistic care with clinical expertise so the program and client experience thrive together.

Amber Shaw, SUDRC
Program Director
Amber shapes each client’s path through the program — the schedule, the groups, the milestones — with deep experience in recovery care.
Insurance
Care that's covered.
We accept most commercial insurance plans for treatment at High Tide. Our admissions team verifies benefits directly with your insurer, usually the same day, always for free — so you know your coverage and estimated costs upfront.
Also accepted
- UMR
- ComPsych
- GEHA
- Meritain
- Beacon
- HMC HealthWorks
- Magellan
- MultiPlan
What plans typically cover
- Partial Hospitalization (PHP)
- Intensive Outpatient (IOP)
- Psychiatry & medication management
- Individual & group therapy
How verification works
- Share your plan details — takes two minutes
- We call your insurer directly on your behalf
- You get a clear cost breakdown, same day
- No commitment, and it never affects your plan
Good to know
- PPO plans often include out-of-network benefits
- California parity law requires mental health coverage
- Your employer never has to know
- We handle all pre-authorizations for you
Not sure what your plan covers?
Verification is free, confidential, and usually done the same day. No obligation — you'll simply know your options.
Licensed in California
Admissions
Whenever you're ready, we're here.
- 01
Reach out
Call or send the form. A real person answers — no scripts, no pressure.
- 02
Verify benefits
We confirm your insurance coverage, usually the same day, at no cost.
- 03
Arrive
A clinical assessment, a plan built for you, and optional supportive housing if you need it.
Admissions, available now
Verify your benefits
