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How Do You Know When It’s Time to Graduate From an IOP? 

Graduating from an intensive outpatient program is based on progress, not simply the number of weeks you’ve attended. Clinicians evaluate symptom improvement,

Graduating from an intensive outpatient program is based on progress, not simply the number of weeks you’ve attended. Clinicians evaluate symptom improvement, daily functioning, treatment goals and readiness to continue recovery with less intensive support. 

Reaching IOP completion does not mean every challenge has disappeared. It means you have developed the stability and skills to continue making progress outside intensive treatment. 

Graduation isn’t the end of your mental health journey—it’s the beginning of applying what you’ve learned with greater independence. 

Signs You’re Moving Toward Graduation 

  • Symptoms are becoming more manageable. 
  • Healthy coping skills are used more consistently. 
  • Treatment goals have largely been achieved. 
  • Daily responsibilities are becoming easier to manage. 
  • A continuing care plan is in place. 

Table of Contents 

  • Progress Matters More Than the Calendar 
  • Your Goals Become the Graduation Checklist 
  • Small Changes Often Tell the Biggest Story 
  • Graduation Planning Starts Before the Final Week 
  • What Comes After IOP? 
  • What If You Don’t Feel Ready Yet? 
  • Recovery Continues Beyond Graduation 

Progress Matters More Than the Calendar 

There is no universal graduation date for IOP. Some participants complete treatment in several weeks, while others benefit from additional time depending on their symptoms, goals and progress. 

Instead of focusing only on attendance, clinicians look at whether treatment is producing meaningful improvements in emotional health and everyday functioning. 

Vitalize’s Intensive Outpatient Program adjusts treatment according to each client’s individual needs rather than following a rigid timeline. 

Your Goals Become the Graduation Checklist 

Early in treatment, you and your care team establish goals that guide your progress. Graduation discussions often begin when those goals are consistently being met. 

Goals may include: 

  • Managing anxiety or depression more effectively 
  • Reducing emotional crises 
  • Using coping skills independently 
  • Improving relationships 
  • Returning to work or school 
  • Following medication recommendations 
  • Maintaining personal routines 

Each person’s checklist looks different because recovery is personal. 

Small Changes Often Tell the Biggest Story 

Progress isn’t lways dramatic. Often, clinicians notice improvements through everyday behaviors that become more consistent over time. 

Examples include: 

  • Sleeping more regularly 
  • Missing fewer workdays 
  • Communicating more calmly 
  • Participating more actively in relationships 
  • Completing daily responsibilities 
  • Recovering more quickly after stressful situations 

The National Institute of Mental Health notes that improvements in daily functioning are an important part of successful mental health treatment, alongside symptom reduction. 

Graduation Planning Starts Before the Final Week 

Discharge planning usually begins before your final session. Rather than ending treatment suddenly, clinicians work with you to build a plan that supports continued progress. 

Planning may include: 

  • Scheduling outpatient therapy 
  • Arranging medication follow-up 
  • Identifying support systems 
  • Reviewing coping strategies 
  • Updating your safety plan 
  • Recognizing early warning signs 

A thoughtful transition helps reduce the likelihood of losing momentum after intensive treatment. 

What Comes After IOP? 

Graduating from IOP often means stepping down to a lower level of care rather than ending treatment altogether. Many people continue with weekly therapy, psychiatric appointments or support groups. 

Vitalize offers continued psychiatric and medication management for clients whose treatment plans include medication. Others transition into standard outpatient counseling while continuing to practice the skills developed during IOP. 

Recovery often happens in stages, and changing levels of care reflects progress rather than failure. 

What If You Don’t Feel Ready Yet? 

Not everyone feels confident about graduation immediately. Some people worry about losing the structure and support they have come to rely on. 

If concerns remain, talk openly with your treatment team. They can determine whether additional time in IOP, a transition to another level of care or more frequent outpatient appointments would better support your recovery. 

The decision should reflect your clinical needs—not pressure to finish by a certain date. 

Recovery Continues Beyond Graduation 

IOP completion is an important milestone, but it is only one step in a longer recovery journey. The skills, routines and support systems you develop during treatment continue to grow after the program ends. 

Talk with Vitalize Behavioral Health about what successful IOP completion looks like and how your care team can help you confidently transition into your next phase of recovery. 

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Andy Brimmer, MBA

Andy Brimmer, MBA

DIRECTOR OF BUSINESS DEVELOPMENT

Andy Brimmer is a dynamic Director of Business Development with extensive experience in sales strategy, talent sourcing, and client relationship management across the healthcare sector. Based in Fresno, California, Andy holds an MBA from Purdue Global and a BS in Business Administration from California State University, Fresno. He has a proven ability to drive revenue growth, negotiate contracts, and build strong pipelines using tools like ZoomInfo, LinkedIn Recruiter, and various CRMs. With a background that spans staffing solutions, medical recruitment, dental sales, and career development, Andy brings a well-rounded and strategic approach to business growth and team leadership.

Angel Dean, MS

Angel Dean, MS

Director of Operations

Angel Dean is an accomplished healthcare executive with over 15 years of leadership experience in medical administration, provider services, and surgical specialty management. She holds a Master of Science in Healthcare Administration and a Bachelor of Science in Business Administration from Cal State East Bay. Angel has held senior roles including Executive Director, where she spearheaded operational strategy, team development, and revenue growth. Fluent in Urdu and Punjabi, Angel excels in strategic planning, employee development, and healthcare compliance.

Simi Bhaurla, LPCC

Simi Bhaurla, LPCC

ADULT IOP CLINICAL DIRECTOR

As Adult IOP Clinical Director, I oversee our adult intensive outpatient program, guiding both the clinical work and the overall experience so the care you receive is grounded, coordinated, and truly built around you.

MacKena Dean, M.A., APCC

MacKena Dean, M.A., APCC

LEAD ADULT IOP/PHP CLINICIAN

As Lead Adult IOP/PHP Clinician, I provide direct clinical care while helping ensure the delivery of high-quality, evidence-based treatment across our adult program, creating a therapeutic environment where clients feel supported, empowered, and equipped for lasting recovery.

Background and Experience

Prior to joining Vitalize Behavioral Health, I gained valuable experience working with individuals experiencing a wide range of mental health concerns across diverse clinical settings. That background strengthened my ability to work with complex clinical presentations, facilitate meaningful group therapy, and collaborate with multidisciplinary teams to provide comprehensive, client-centered care, closely aligning with Vitalize’s mission of delivering personalized, evidence-based behavioral health services.

Areas of Specialization

I have a passion for working with adults navigating anxiety, depression, trauma, mood disorders, life transitions, and interpersonal challenges.

Therapeutic Approach

I believe that healing occurs through authentic connection, collaboration, and helping clients recognize their own strengths. My therapeutic approach integrates evidence-based interventions while honoring each client’s values, culture, and lived experiences.

Leadership and Philosophy

As the Lead Adult IOP/PHP Clinician, I am committed to fostering a culture of clinical excellence, teamwork, and compassionate care. I am passionate about helping clients build resilience, develop practical coping strategies, and achieve meaningful progress toward their personal goals, embodying Vitalize’s commitment to individualized care that empowers every client to thrive.

Dana Charles, LMFT

Dana Charles, LMFT

CLINICAL DIRECTOR OF VIRTUAL IOP SERVICES

As Clinical Director of Virtual IOP Services, I lead our telehealth intensive outpatient programming, making sure the care you get through a screen feels every bit as personal, structured, and supportive as care in the room.

Corion Duran, LMFT

Corion Duran, LMFT

Clinical Director

I am a client-centered and ACT-focused clinician with a significant history working with children and adolescents. I deeply believe that therapy needs to be driven by the people we are working with, in order to achieve their own unique goals and personal ideals in regards to what they want their lives to be.

Areas of Specialization

  • Trauma
  • Depression
  • Anxiety
  • LGBTQ+
  • Children and Adolescents

Therapeutic Approach

I was trained as a person centered therapist through my graduate program and quickly gravitated towards acceptance and commitment therapy, which is a third wave behavioral therapy that focuses on acceptance of emotions and thoughts, coping effectively and committing to living our lives by our own values and ideals. I also utilize play therapy with younger clients that allows them to explore and process their emotions and struggles through a developmentally appropriate process. What clients can expect more than anything else is receiving therapy that is tailored to their needs. This would include exploring what gets in the way of them living how they want in a deep, meaningful way, developing skills and strategies that are tailored to their experience, and moving in a significant way towards the behaviors and goals they desire for themselves.

Education and Credentials

  • B.A. Psychology
  • M.S. Counseling
  • Marriage Family and Child Counseling, LMFT
  • Trained in Affirmative Therapy, Trauma-Informed Care, Acceptance and Commitment Therapy

About Me

Primarily I gravitated towards becoming a therapist as I grew up with family members who needed mental health care in significant ways and I saw first hand how good, quality care benefitted them. I also attended therapy as a child and teenager and will be forever grateful that I saw competent, ethical therapists. Beyond that I am also a lifelong athlete who has seen the benefits of sports and meaningful experiences on people’s lives. I have been a whitewater river raft guide for the past 15 years and have worked on the Kings River and the American River.

Nadiyah Parks, LPCC

Nadiyah Parks, LPCC

REGIONAL CLINICAL DIRECTOR

As the Regional Clinical Director of the Adult IOP/PHP program, I bring over three years of experience in intensive outpatient care and six years in crisis intervention and emergency response alongside law enforcement. My clinical work is grounded in a psychodynamic approach through a trauma-informed lens, with a focus on helping clients understand how their past informs their present functioning. I became a therapist after starting my work as an emergency response advocate, where I supported individuals and families during some of their most difficult moments. Over time, I realized my true calling was in helping people not just survive those experiences, but heal from them, and that’s what led me to the deeper, ongoing work of therapy.

Areas of Specialization

  • Dialectical Behavioral Therapy
  • EMDR
  • Cognitive Behavioral Therapy
  • Internal Family Systems (IFS)

Education and Credentials

  • Bachelor of Science, Criminology, Victimology Emphasis
  • Master of Arts, Clinical Counseling
  • Certified Sexual Assault Crisis Counselor
  • EMDR Trained Therapist

Therapeutic Approach

Working with me, you can expect a warm, judgment-free space where empathy, curiosity, and understanding guide our work together. I believe in meeting you where you are, moving at your pace, and allowing you to take the lead in your healing process. My goal is to create a space where you feel safe, seen, and supported as we explore what matters most to you.

Dr. Jonathon Baird, Psy.D

Dr. Jonathon Baird, Psy.D

CHIEF EXECUTIVE OFFICER

I specialize in a neurological-psychological approach, integrating comprehensive neuropsychological assessments with empirically based, trauma-informed treatment. My work emphasizes brain-behavior relationships to inform personalized interventions across clinical and forensic settings.

Areas of Specialization

Specializes in neuropsychological and psychological assessment, with extensive experience conducting comprehensive evaluations across the lifespan, including intellectual, achievement, adaptive functioning, and forensic assessments. My clinical expertise spans trauma-informed care, forensic psychology, and behavioral and cognitive-behavioral therapy. I have provided psychological services in diverse settings, including correctional institutions, developmental centers, and outpatient clinics, addressing a broad spectrum of mental health concerns such as anxiety, depression, psychosis, impulse control disorders, and relational dysfunction. Particularly skilled in forensic evaluations, including fitness to stand trial, conservatorship, and risk assessments, frequently serving as an expert witness.

Therapeutic Approach

My approach combines neurological and psychological principles to provide individualized, brain-based care. I focus on how cognitive functioning and emotional health intersect, using comprehensive assessments and evidence-based therapies like CBT. Clients can expect a supportive, structured environment aimed at promoting insight, resilience, and lasting change.

Education and Credentials

  • Doctorate of Psychology (PsyD) in Clinical Psychology
  • Master of Arts (MA) in Clinical Psychology
  • Bachelor of Arts (BA) in Psychology