Intake & medical detox
24/7 medically supervised withdrawal, with the Medical Director's team overseeing safety and comfort.
Comprehensive psychiatric evaluation at intake, led by the Medical Director's team, to identify any co-occurring condition.
— Dual Diagnosis · The Hope Ranch Recovery Center · Perris, California
The Hope Ranch is a primary addiction treatment center. We also evaluate and treat the depression, anxiety, trauma and other conditions that so often sit underneath substance use, with the same clinical team, in the same plan, from the first day.
What is dual diagnosis treatment at The Hope Ranch?
Dual diagnosis treatment (also called co-occurring disorder treatment) addresses a substance use disorder and a mental health condition, such as depression, anxiety, PTSD, bipolar disorder or OCD, together, through one clinical team and one plan. At The Hope Ranch, that care is built into medical detox and residential addiction treatment on our private 10-acre ranch in Perris, California.
The Hope Ranch is licensed for medical detox and residential treatment. Treating addiction is what we were built to do, and it is where every client's care begins.
But addiction and mental health conditions rarely arrive separately. Alcohol and drugs can hide anxiety or depression for years, and withdrawal can mimic or intensify psychiatric symptoms. An untreated condition underneath the addiction is a common reason recovery stalls after discharge.
So the evaluation starts at intake and keeps going as the picture clears. Our team treats the addiction first and treats what is underneath it in the same plan, rather than handing you from one system to another.
See the two-track plan ↓Addiction treatment is the primary track and runs the length of a stay. The mental health track runs alongside it, starting at intake psychiatric evaluation and informing every stage that follows.
24/7 medically supervised withdrawal, with the Medical Director's team overseeing safety and comfort.
Comprehensive psychiatric evaluation at intake, led by the Medical Director's team, to identify any co-occurring condition.
An individualized addiction treatment plan built around the client's history, triggers and goals.
Evaluation findings go into the same plan, not a second one. Psychiatric medication, when clinically appropriate, is coordinated with the rest of care.
Individual and group therapy using evidence-based approaches including CBT and DBT, with relapse-focused skill building.
Trauma-informed therapy, ongoing medication management and regular reassessment as withdrawal clears and symptoms come into focus.
A discharge plan for staying sober, with personal referrals to trusted sister programs for outpatient, IOP or PHP care.
The same plan carries the mental health picture forward, so the next provider inherits the whole story.
Every stage asks two questions: how is the addiction, and what is underneath it?
📞 Talk to AdmissionsThese are the co-occurring conditions our clinical team most often treats within detox and residential care. Having one, or suspecting you do, is not a barrier to admission. It is part of why we ask the questions we do at intake.
View Residential Program →Persistent low mood, loss of interest and fatigue that can drive substance use, or be deepened by it.
Generalized anxiety, panic and social anxiety, treated alongside withdrawal and early recovery rather than after it.
Trauma-informed care for clients whose substance use is tied to what has happened to them.
Mood monitoring and medication coordination built into the daily treatment schedule.
Evidence-based approaches to obsessive-compulsive patterns, delivered alongside addiction treatment.
The intake psychiatric evaluation can bring additional conditions to light. Each plan is built around the individual in front of us.
Integration works when the same people see both sides of a client's story. These three shape how addiction and mental health are treated together at The Hope Ranch.



Helping clients find not just sobriety, but a life worth staying sober for.Ari Labowitz, M.A., LMFT
Meet the full clinical and support team on our Team page →
Anxiety, trauma and low mood don't stay in the therapy office, and neither does healing. Horses, donkeys, goats and chickens roam free on our ranch, and clients are welcome to spend time with them: to co-regulate, to connect, and to simply enjoy being around living things again.
That is Animal Immersion. It sits beside, not in place of, the clinical care described above, along with yoga and the Purpose Project.
In immediate danger or crisis? Call or text 988, or call 911.
Quick answer: Dual diagnosis care is part of your treatment here, not an add-on. We accept most private PPO plans and are in network with Aetna and Blue Shield of California. We do not accept Medicaid, Medi-Cal or Medicare.
* We do not accept Medicaid, Medi-Cal or Medicare. Self-pay options available; call us to discuss.
📞 Call (951) 577-2203 DirectlyCheck My Insurance
Free, confidential, no commitment. Our admissions team contacts you within the hour to walk through your coverage and options.
Can't find your question here? Our admissions team is available 24/7 to talk through anything specific to your situation, confidentially and without pressure.
📞 Ask AdmissionsDual diagnosis treatment, also called co-occurring disorder treatment, addresses a substance use disorder and a mental health condition such as depression, anxiety, PTSD, bipolar disorder or OCD at the same time, through one clinical team and one treatment plan, instead of treating each separately or one after the other.
The Hope Ranch is a primary addiction treatment center, licensed for medical detox and residential treatment. Co-occurring mental health conditions are evaluated and treated within that care, alongside the substance use disorder, by the same clinical team.
Our clinical team treats co-occurring conditions including depression, anxiety disorders, PTSD and trauma-related conditions, bipolar disorder and OCD. The psychiatric evaluation at intake can identify additional conditions, and every plan is built around the individual.
Every client receives a comprehensive psychiatric evaluation during intake, led by our Medical Director's team. Because substance use and withdrawal can mask or mimic psychiatric symptoms, the team keeps reassessing throughout treatment as the picture becomes clearer.
Yes. Psychiatric medication management is available when clinically appropriate and is coordinated by the Medical Director's team together with detox, therapy and the rest of your treatment plan.
We accept most private PPO plans and are in network with Aetna and Blue Shield of California. We do not accept Medicaid, Medi-Cal or Medicare. Insurance verification is free, confidential and carries no obligation to enroll.
Your discharge plan accounts for both the substance use disorder and any co-occurring condition. The Hope Ranch does not run outpatient programs on site; our team personally refers clients to trusted sister programs for outpatient, IOP or PHP care and passes the full picture along. Learn more about outpatient referrals →
Our admissions team answers around the clock: real people, no scripts, no pressure. Every call is confidential, with zero obligation until you're ready.
100% HIPAA Confidential · We do not accept Medicaid or Medi-Cal · CA DHCS Lic. #330220AP