The Ranch Tennessee is a place for healing surrounded by hills, open fields, and quiet space to think. The land shapes how we approach recovery. People come here to step away from noise and routine, to slow down, and to begin rebuilding their lives in a calm, supportive setting.
Our philosophy centers on caring for the whole person—mind, body, and spirit—through a combination of clinical precision and the grounding effect of nature. We use proven therapeutic methods alongside the rhythms of ranch life to help people build resilience and self-awareness.
Nature plays an active role in recovery. Working with horses, walking wooded trails, and engaging in outdoor activities bring balance and clarity. These experiences help clients reconnect with themselves and learn to regulate emotions outside of a clinical setting.
Our team sees the land as part of the care process. It gives structure, perspective, and a sense of calm that supports long-term healing.
Our care model draws from evidence-based practices such as trauma-informed therapy, cognitive-behavioral therapy, and dialectical behavior therapy. When needed, medication-assisted treatment supports physical stability. Clients also participate in holistic methods including mindfulness, movement, and equine-assisted therapy.
We guide each person toward recovery through a blend of medical insight and practical experience. This balance reflects the Promises Behavioral Health mission to provide accessible, compassionate, and ethical care for those seeking change.
Life at The Ranch is built around connection. Clients live and work together, learn accountability, and practice new ways of relating. Group sessions, daily responsibilities, and shared goals create an environment of trust and mutual respect.
The Ranch community lives by the values that guide all Promises locations: compassion, honesty, authenticity, and responsibility. These principles shape how staff and clients interact each day.
The Ranch Tennessee offers space to rebuild health and rediscover purpose. The work that happens here is steady, personal, and supported by a team who understands that healing takes time.
Our goal is to help each person return to life with a clearer sense of self and stronger tools for the future. Take your first step today.
If you’re ready to talk, we’re here. The Ranch offers a place to settle, breathe, and begin again. Reach out today and start your recovery in a setting built for healing.
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Dr. Fuller is board certified by the American Board of Psychiatry and Neurology. He completed medical school at the University of Tennessee Health Science Center and residency at Vanderbilt University. Additionally, he has completed the Nashville Advance Psychodynamic Psychotherapy Program, a two-year intensive program to better integrate traditional psychotherapy into his psychiatric practice. Dr. Fuller began his post-residency career in psychiatry running a psychotherapy-oriented private practice. Looking to help more people than he could working alone yet still provide treatment that emphasizes the importance and value of talk therapy, he joined The Ranch in 2017.
Dr. Fuller is passionate about helping people who have survived trauma and/or are struggling with addiction and strongly believes that the life we all deserve is within reach, no matter the adversity that one must overcome. He views medications as tools rather than solutions and his prescribing philosophy is to use the lowest dose necessary of non-addictive medications to help aid the process of recovery.