What We Treat / Anxiety

Anxiety Treatment.

Anxiety treatment in Orange County for generalized anxiety, panic, social anxiety disorder, and related anxiety symptoms — structured PHP and IOP when worry has outgrown weekly therapy.

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Levels of care

PHP & IOP

Modalities

CBT, DBT, exposure

Psychiatry

On staff

Length

Clinical need

What anxiety treatment looks like here

For nervous systems stuck in alarm.

The question isn’t whether you need support. It’s whether the support you have matches the weight you’re carrying.
Dr. Courtney Tracy — Founder, LCSW, PsyD

An anxiety disorder is more than stress. It’s a pattern of fear, avoidance, and body alarm that hijacks work, sleep, relationships, and physical health — generalized anxiety, panic, social anxiety, phobias — often maintained by the very behaviors that bring short-term relief. Anxiety and depression often travel together.

At High Tide, Orange County anxiety treatment uses cognitive behavioral therapy (therapy CBT), exposure-informed practice, and medication management inside PHP or IOP days — among the most effective approaches for long-term change when practice is daily. Clients commute from Irvine and across Southern California.

At High Tide, anxiety treatment happens inside PHP or IOP structure: CBT and exposure work with clinicians present, DBT skills for distress tolerance, and enough session frequency that progress doesn’t stall between appointments.

Who it's for

For anxiety that has taken over daily life.

Anxiety treatment here fits when symptoms are frequent, severe, or avoidance-based — and weekly sessions aren’t enough to make progress.

This level of care fits when

  • Panic attacks are happening regularly and you’re avoiding places, people, or situations because of fear.
  • Generalized worry is constant — interfering with sleep, concentration, and relationships.
  • Social anxiety has isolated you from work, school, or friendships.
  • You’ve tried medication but need closer psychiatric monitoring during adjustment.
  • Phobias or OCD-related anxiety need structured exposure work with clinical support.

A different level may fit better when

  • Anxiety is mild and manageable with weekly therapy and self-care.
  • You’re in acute crisis with safety concerns — stabilization comes first.
  • Primary presentation is OCD with compulsions — see our OCD page for ERP-focused care.
  • You need 24/7 supervision.

What we treat here

Anxiety disorders we treat.

Anxiety shows up in different forms. We treat the presentation, not just the category.

01

Generalized anxiety

Persistent, excessive worry about everyday concerns — restlessness, fatigue, difficulty concentrating.

  • Chronic worry
  • Physical tension
  • Sleep disruption
  • Irritability

02

Panic & phobias

Sudden panic attacks or intense fear of specific situations that drive avoidance.

  • Panic disorder
  • Agoraphobia
  • Specific phobias
  • Health anxiety

03

Social anxiety

Fear of judgment or embarrassment that limits relationships, work, and daily activities.

  • Performance anxiety
  • Social avoidance
  • Fear of scrutiny
  • Isolation

04

Overlapping patterns

Anxiety rarely exists alone — we treat the full picture.

  • Anxiety & depression
  • Trauma-related anxiety
  • OCD spectrum
  • Substance use coping

Avoidance is the enemy of recovery. Our structured days give you daily opportunities to practice facing fear with support — not white-knuckling it alone between weekly sessions.

See everything we treat

What to expect

Programming hours and weekly groups.

Here is how PHP and IOP are structured — plus the group types offered every week. Condition- and modality-specific work (individual therapy, psychiatry, and targeted skills) is scheduled inside these PHP and IOP hours — not as a fixed minute-by-minute sample day.

Our groups aim for a holistic, clinically excellent, and human approach to healing. Programs address the whole self — brain, mind, and body — with a wide range of perspectives and ways to engage in treatment. Individual therapy and psychiatry are scheduled inside PHP or IOP; the weekly mix shifts with your plan.

  1. PHP

    9 AM – 4 PM

    Full-day programming five days a week — individual therapy, group work, psychiatry, and holistic practices in one integrated day.

  2. IOP

    Morning & afternoon tracks

    Part-day sessions several days per week. Morning and afternoon tracks are offered so you can keep work, school, or family routines while staying anchored in treatment.

  3. Group

    Dialectical behavior therapy (DBT focus)

    Dialectical behavior therapy skills for emotion regulation, distress tolerance, and interpersonal effectiveness.

  4. Group

    Therapeutic Process Groups

    Small-group therapy where emotional triggers, relationship patterns, and recovery challenges surface and get worked in real time.

  5. Group

    Relationships / Family Based Groups (IFS/ACT Focus)

    Internal Family Systems and Acceptance and Commitment Therapy lenses on attachment, family dynamics, and values-aligned connection — including family therapy themes when clinically useful.

  6. Group

    Physical Movement Groups

    Body-based sessions that support regulation, energy, and the physical side of recovery — part of the clinical week, not optional fluff.

  7. Group

    Recovery (SUD & MH track focus)

    Integrated recovery groups with substance use and mental health tracks — cravings, relapse prevention, and the mental health drivers underneath both.

  8. Group

    Somatic Healing Groups

    Breathwork, sound bowls, and mindfulness exploration for nervous-system regulation and trauma-informed body awareness.

  9. Group

    Art-Based Expression / Music-Based Process Groups

    Creative process groups for clients who access emotion and insight more readily through art and music than talk alone.

  10. Group

    Cognitive behavioral therapy (CBT focus)

    Cognitive behavioral therapy for thought patterns, behaviors, and the loops that keep depression, anxiety, and related symptoms going.

  11. Group

    Aftercare Planning Groups

    Discharge and aftercare planning so outpatient therapy, medication, recovery support, and home structure are mapped before you leave.

  12. Group

    Adventure

    Experiential outdoor and adventure-based groups that practice regulation, trust, and peer connection outside the therapy room.

What's included

Treatment tools for anxiety.

Evidence-based anxiety treatment — not just reassurance, but skills that change how your nervous system responds.

01

CBT & exposure therapy

Graduated exposure to feared situations with clinician support — the gold standard for phobias and panic.

02

DBT distress tolerance

Skills for surviving anxiety spikes without avoidance or self-destructive coping.

03

Psychiatry & medication

Careful prescribing for anxiety — with attention to dependence risk and therapy integration.

04

Somatic regulation

Breathwork and body-based practices for the physical symptoms anxiety creates.

05

EMDR

For anxiety rooted in trauma — processing that reduces the nervous system’s threat response.

06

Mindfulness training

Present-moment awareness skills that reduce catastrophic thinking over time.

What changes

What structured anxiety treatment changes.

The goal is a nervous system that can tolerate uncertainty — not a life without any anxiety.

Daily

Exposure and skills practice in PHP — not once a week with homework you avoid.

Team

Individual therapy and psychiatry scheduled inside your programming week.

Planned

Discharge planning with outpatient therapist and medication follow-up.

Week 1

Full assessment including avoidance patterns and exposure readiness.

Not sure PHP is the right level?

PHP and IOP, side by side.

When avoidance and panic need daily exposure support and psychiatric contact, PHP provides the intensity — IOP fits when you need structured care alongside a job or school schedule. Here’s how the levels compare for anxiety.

PHP

This program
Time commitment
9 AM – 4 PM, 5 days a week
Best for
Acute symptoms, stepping down from inpatient, medication changes
Psychiatry
Multiple check-ins weekly with close monitoring
Work & school
Usually paused or reduced during the program
Length
Follows clinical need

IOP

The step down
Time commitment
Part-day sessions, several days a week
Best for
Moderate symptoms, stepping down from PHP, working or in school
Psychiatry
Weekly or as-needed appointments
Work & school
Designed to run alongside your regular schedule
Length
Follows clinical need
Explore IOP

How to start

From first call to first day — usually within a week.

Admissions is one phone call, not a paperwork gauntlet. Here’s the whole process.

01

Call or verify online

A confidential conversation with our admissions team — what’s going on, what you’re looking for, and whether anxiety treatment is the right fit. We verify your insurance the same day, usually while you’re still on the phone.

02

Symptom & diagnosis mapping

Your assessment maps how symptoms show up in sleep, relationships, work, and safety — not just the diagnosis on paper. That picture drives which modalities and which level of care (PHP or IOP) actually fit.

03

Structured start

Within days you’re in daily programming with psychiatry and therapy aligned to your condition — medication questions answered early, skills introduced in week one, and the team adjusting the plan as your symptoms respond.

Most PPO plans cover this program. Verification is free, confidential, and usually same-day.

Common questions

Answers before you have to ask.

Can't find your question? Call us — a real person answers, and there's never pressure to commit.

Will insurance cover anxiety treatment?

Most PPO plans cover PHP and IOP for mental health, and California parity law requires insurers to cover mental health care at the same level as physical health care. We verify your exact benefits before you commit — free, confidential, and usually same-day. Start at /insurance or read /mental-health-guides/does-insurance-cover-php-iop.

Can I keep working during treatment?

Exposure and anxiety work often need daytime availability — PHP clients usually reduce work during acute treatment. IOP is designed for people who need daily clinical contact but still have a job or school schedule to protect.

How long will treatment last?

Length depends on exposure progress and functioning — not a fixed package. IOP often continues after PHP so you can practice skills in real-world settings between sessions.

What if I’m coming from out of town?

Many clients travel for specialized condition care. We can help arrange optional supportive housing nearby — but PHP and IOP do not require living on campus; most people spend evenings at home or a hotel. Orange County families often start at /mental-health-treatment-orange-county.

Is this the same as being hospitalized?

No. Condition treatment here is outpatient PHP or IOP — structured clinical days without overnight stay, locked units, or hospital corridors. You return home (or optional housing) each evening.

What happens after I finish?

You’ll leave with exposure homework routines, outpatient therapist referrals, and medication plans — plus IOP step-down if anxiety still needs structured practice. Many plans continue CBT skills after discharge.

What is an anxiety disorder?

Anxiety disorders are diagnosable patterns — like generalized anxiety, panic disorder, or social anxiety — where fear and avoidance impair daily life. We assess which pattern you have and whether PHP, IOP, or outpatient care fits.

How do I know if I need anxiety treatment beyond weekly therapy?

When panic, avoidance, or constant worry is shrinking your life despite outpatient therapy — or when symptoms need daily skills practice and closer psychiatry — structured PHP or IOP is often the next step.

Anxiety Treatment Orange County | PHP & IOP