About High Tide

Built by a clinician. Run like it matters.

High Tide Mental Health is a Laguna Beach, CA dual-diagnosis PHP and IOP program — serious clinical care and genuine human dignity, without making them a trade-off.

A coastal walking path above the beach in Laguna Beach at golden hour

Why we exist

Dual diagnosis is not a niche. It's most people.

The majority of people struggling with substance use are also carrying a mental health condition — and treating one while ignoring the other is how relapse gets built. High Tide was founded to treat the whole person, at the same time, in the same place.

Founder and Chief Clinical Officer Dr. Courtney Tracy, LCSW, PsyD is a nationally recognized clinician known for making real psychology accessible without watering it down. Her program pairs Partial Hospitalization (PHP) and Intensive Outpatient (IOP) levels of care with optional supportive housing — clinical depth inside a place that feels like a retreat, not a facility.

Our values

What we stand for — and how we show up for you.

Tap a value to read the full commitment behind it.

We lead with honesty and create space for people to exist freely.

We believe in bringing our full humanity — our pain, joys, humor, honesty, and expertise — to the table with you. Our purpose is to care for you with sincere intention. You deserve a team that values their full self so we can help you discover your truest self.

The team

Clinicians who stay human.

Portrait of Dr. Courtney Tracy, LCSW, PsyD

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.

Portrait of Mikaela Karpinski, LCSW, C-DBT, EMDR Trained

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.

Portrait of Amber Shaw, SUDRC

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.

High Tide Mental Health | About Our Laguna Beach Center