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What’s a Typical Day Like in an IOP Program? 

If you or a loved one is considering an Intensive Outpatient Program (IOP), one of the most common questions is

If you or a loved one is considering an Intensive Outpatient Program (IOP), one of the most common questions is simple: What will the day actually look like? 

Starting any type of structured mental health treatment can feel uncertain, especially if you’re not sure what to expect. Understanding the rhythm of a typical IOP schedule in Fresno can make the process feel much more approachable. 

IOP programs are designed to provide meaningful support while still allowing people to maintain important parts of their daily life—like school, work, or family responsibilities. 

Reach out to our team to explore intensive outpatient treatment and get answers to your questions about what a typical program day looks like. 

What Is an Intensive Outpatient Program? 

An Intensive Outpatient Program (IOP) is a structured form of outpatient mental health care that provides more support than traditional weekly therapy but doesn’t require overnight hospitalization. 

IOP programs help people stabilize symptoms, develop coping skills, and rebuild daily routines while continuing to live at home. 

Many people enter IOP when: 

  • Weekly therapy isn’t providing enough support 
  • Symptoms have recently worsened 
  • They are transitioning from inpatient or residential treatment 
  • They need a more consistent structure to regain stability 

How Often Are IOP Sessions? 

Most IOP programs meet several days a week rather than once weekly. While every program is slightly different, many schedules include: 

  • Three to four days per week of programming 
  • About three hours of therapy per day 

This schedule allows participants to receive consistent support while still returning home each day and staying connected to their normal environment. 

Some IOP programs offer morning, afternoon, or evening tracks to accommodate school and work schedules. 

What Happens During an IOP Day? 

Nadiyah Parks, Clinical Director at Vitalize Behavioral Health, says one of the things that makes the program unique is how structure and flexibility work together. 

“One of my favorite things about Vitalize’s IOP programming is how structure meets flexibility.” 

A typical IOP treatment day usually includes a mix of structured therapy, skill-building, and support. 

Programs often combine several different types of therapeutic approaches, such as: 

Group Therapy 

Group sessions are the foundation of many IOP programs. Participants meet with peers who are facing similar mental health challenges, which helps reduce isolation and create a supportive environment. 

Group therapy often focuses on: 

  • Emotional regulation 
  • Stress management 
  • Communication skills 
  • Processing life challenges 
  • Building healthier coping strategies 

“Each group room covers the same topic, but every facilitator brings their own creativity and approach to help participants apply what they’re learning in real time,” Parks explains. 

Individual Therapy 

Many programs also include regular one-on-one sessions with a therapist. These sessions allow participants to explore personal concerns, set treatment goals, and track progress. 

Skill-Building and Psychoeducation 

Structured programs often include educational components that help participants better understand their mental health and develop tools for managing symptoms. 

Topics may include: 

  • Coping skills and distress tolerance 
  • Healthy boundaries and relationships 
  • Mindfulness and emotional awareness 

Family Support (When Appropriate) 

For teens and young adults, family involvement is often an important part of treatment. Family sessions can help improve communication and create stronger support systems at home. 

How Long Does Someone Stay in IOP? 

The length of time someone participates in IOP varies depending on their needs and progress. Many programs last six to eight weeks, though some individuals may benefit from shorter or longer stays. 

The goal of IOP isn’t just symptom relief—it’s helping people build the skills and stability needed for long-term recovery. 

Why Structure Can Make a Big Difference 

One of the biggest benefits of IOP is consistency. Instead of waiting a full week between therapy sessions, participants receive support several times each week. 

That structure helps people: 

  • Practice coping skills more regularly 
  • Address challenges in real time 
  • Build momentum in their recovery 
  • Stay connected to a supportive clinical team 

For many individuals and families, this increased level of support can make meaningful progress possible. 

A Step Toward Stability 

If you’re considering structured mental health support, learning about the daily rhythm of IOP can make the decision feel less intimidating. 

Programs like IOP are designed to meet people where they are—offering consistent care without requiring them to step away from their daily lives entirely. 

As Parks explains, the intention behind each session is simple but meaningful: 

“The goal is for each participant to leave every session feeling supported, gaining insight, and building greater awareness about themselves.” 

If you’re curious about an IOP schedule in Fresno, the team at Vitalize Behavioral Health can help answer your questions and determine whether this level of care is the right fit. 

Get Started With Structured Support 

If you’re exploring intensive outpatient treatment, reaching out for an assessment is often the best place to begin. 

Contact Vitalize Behavioral Health today to learn more about IOP and how structured support can help you or your loved one move toward greater stability and well-being. 

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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