Our programs
Residential Treatment
Round-the-clock residential care in a small, single-family home, typically fewer than six clients.
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Partial Hospitalization Program (PHP)
Structured daytime treatment at our Carlsbad location, higher support than IOP.
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Intensive Outpatient Program (IOP)
A DBT-focused intensive outpatient program in Carlsbad for adults 18+, with flexible day and evening structure.
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Detox
Residential Detox and Withdrawal Management in San Marcos, plus separate outpatient withdrawal management in Carlsbad.
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Dual Diagnosis Treatment
Integrated care when mental health and substance use happen together, treated as one, not two.
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Family Therapy
Bringing the family into recovery with honest conversation and clear boundaries.
Learn moreProudly serving the Rancho Santa Fe community
Rancho Santa Fe is known for its beautiful surroundings, close-knit community, excellent schools, and commitment to health and wellness. Families, professionals, executives, retirees, and business owners from many different backgrounds call it home.
Despite its peaceful setting, addiction and mental health conditions affect individuals in every community. Stress, anxiety, depression, chronic pain, trauma, and substance use disorders often develop gradually and can affect anyone, regardless of age, profession, or circumstances. Many people quietly carry these burdens while continuing to care for their families and manage their careers.
Recovery is possible
Addiction is a treatable medical condition, not a reflection of someone's character. Many people living with substance use disorders also experience anxiety, depression, unresolved trauma, or grief, and successful treatment addresses both the addiction and what is underneath it.
Recovery is not simply about stopping substance use. It is about building a healthier, more meaningful life.
Treatment programs for Rancho Santa Fe residents
Every person entering treatment receives a thorough clinical assessment so we can recommend the level of care that actually fits. Depending on your needs, that may be residential treatment in a structured, home-like setting, a Partial Hospitalization Program (PHP) with intensive day treatment, an Intensive Outpatient Program (IOP) that flexes around work, school, or family, or integrated dual diagnosis care when a mental health condition is part of the picture.
Evidence-based therapies, chosen for you
Treatment is never one-size-fits-all. Depending on each person's needs, care may include the therapies below, and every plan evolves as recovery progresses.
Therapies we use
Cognitive Behavioral Therapy (CBT)
Identifying the thoughts and patterns behind substance use and replacing them with healthier ones.
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Dialectical Behavior Therapy (DBT)
Practical skills for emotional regulation, distress tolerance, and staying steady under pressure.
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Motivational Interviewing
Strengthening a person's own reasons for change, without lecturing or pressure.
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Trauma-Informed Care
Care that recognizes the role of past trauma in substance use, without re-traumatizing.
Learn moreFamily Therapy
Bringing the family into recovery with honest conversation and clear boundaries.
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Relapse Prevention
Building the skills, routines, relationships, and purpose that support lifelong recovery.
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Life Skills & Wellness
Building the practical, emotional, physical, and social skills for a healthy, independent life in recovery.
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Continuing-Care Planning
Ongoing support and a clear written plan for the transitions that follow treatment.
Learn moreClose to home for Rancho Santa Fe residents
Most Rancho Santa Fe residents can reach our facilities in roughly 15 to 20 minutes, making it easy for loved ones to stay involved through family therapy, education, and treatment planning.
Why Rancho Santa Fe families choose Present Moments Recovery
Rancho Santa Fe families choose Present Moments Recovery because they value confidentiality, individualized treatment, and clinicians who take the time to understand each person's story. Our small model emphasizes privacy, personal attention, and genuine clinical relationships at every stage of recovery.
Begin with one conversation
Whether you're seeking help for yourself or someone you love, recovery begins with a single conversation. Call or Text (619) 363-4767. No pressure, just a conversation about what's going on and what could help.
Frequently asked questions
Do you accept insurance?
PMR may work with PPO and POS plans that include authorized out-of-network benefits. We can explain benefits information and possible next steps based on your plan and recommended level of care. We do not accept Medicare or Medi-Cal. PMR is an in-network provider for TRICARE and TriWest. Eligibility, benefits, authorization requirements, and clinical criteria vary by plan and must be verified before admission. Coverage, authorization, admission, placement, and payment are not guaranteed.
How quickly can someone be admitted?
In many cases, same-day or next-day assessments are available depending on clinical needs and program availability. The fastest way to find out is to call or text us.
Do you treat alcohol addiction?
Yes. We treat alcohol use disorder along with opioid, stimulant, prescription medication, and many other substance use disorders, from detox through residential, PHP, IOP, and continuing care.
Do you treat mental health conditions?
Yes, when they occur alongside a substance use disorder. Our dual diagnosis approach treats addiction and co-occurring conditions like anxiety, depression, PTSD, and trauma together, because treating one without the other leaves people vulnerable to relapse.
Can family members participate?
Yes. Family involvement is encouraged whenever it is clinically appropriate, through family therapy, education, and ongoing communication with the treatment team. Recovery is often strongest when families heal together.
How long does treatment last?
Every treatment plan is individualized. Length of stay depends on clinical recommendations, your progress, and your personal recovery goals. Many people step down through levels of care over several months rather than finishing all at once.
Is treatment confidential?
Yes. Protecting your privacy is one of our highest priorities. Your information is protected by federal privacy law, and we do not share anything about your care without your written permission.
What if I'm not sure which level of care I need?
That is exactly what the first conversation is for. We will talk through what is going on, complete a confidential assessment, and recommend the level of care that fits your situation. No script, no pressure.
