The Ranch Tennessee Treatment Programs

The Ranch Tennessee treatment programs combine clinical structure with the slower rhythm of ranch life. Clients spend their days in a setting shaped by open fields, wooded trails, horses, and hands-on activities that support emotional grounding. Our programs are designed to help people step away from the pressure of everyday life and focus on steady, meaningful recovery.

While evidence-based therapies form the foundation of care, the ranch environment adds real-world practice, consistent routines, and opportunities for reflection that complement clinical work.

A full continuum of care

The Ranch Tennessee offers several levels of care so clients can move through treatment at a pace that matches their needs. Programs include:

Each level of care maintains the same grounding, nature-centered approach that defines our community.

What our therapy programs include

Daily programming blends clinical sessions with experiential work. Clients learn skills in therapy and then practice them through outdoor movement, equine activities, group work, and quiet reflection.

Core components of our ranch therapy programs include:

  • Individual therapy focused on thought patterns, emotional skills, and personal goals
  • Group therapy that builds accountability and shared learning
  • Trauma-informed approaches to address underlying experiences
  • Cognitive-behavioral therapy (CBT)
  • Dialectical behavior therapy (DBT)
  • Equine-assisted therapy, where horses help clients build awareness and regulation
  • Outdoor recovery programs that include movement, grounding, and sensory engagement
  • Mindfulness and holistic therapies, such as art or movement-based work
  • Education and skill-building workshops

These programs help clients understand themselves more clearly and practice new ways of responding to stress, cravings, and relationships.

How outdoor work supports recovery

Life on The Ranch encourages people to slow down and pay attention to what’s happening internally. Outdoor routines create natural opportunities to practice grounding techniques and emotional regulation.

Clients may spend time:

  • Joining group bonfires
  • Working with horses under guidance from trained staff
  • Participating in group reflections outside
  • Enjoying adventures on the rope courses and zip lines
  • Sitting in quiet spaces to process daily insights

These experiences help clients connect with themselves in ways that traditional indoor settings sometimes cannot. The land offers room to think, move, and breathe.

Equine-assisted treatment

Horses play a central role in many clients’ progress. Equine sessions are not just about riding—they are about connection, patience, and learning how emotions show up in the body. Clients practice:

  • Building trust
  • Setting boundaries
  • Recognizing emotional signals
  • Slowing down their thinking
  • Managing frustration or anxiety

Many people describe equine work as one of the most memorable and impactful parts of their time at The Ranch. While sessions start with caring for horses, they can graduate to riding lessons.

Holistic therapies at The Ranch Tennessee

Holistic options help clients strengthen mind-body awareness and find balance during recovery. These may include:

  • Guided mindfulness sessions
  • Yoga and movement-based practices
  • Ropes course and zip line
  • Art and music therapies
  • Food and nutrition education

Holistic work is not separate from clinical work—it supports it. Clients use these practices during group sessions, outdoor activities, and everyday life on The Ranch.

Therapy that fits real-life challenges

Therapy at The Ranch Tennessee focuses on practical application. Clients explore thinking patterns, emotional habits, and relational behaviors. Then, through experiential work, they test these skills in real time.

For mental health clients

Therapy helps people return home feeling steadier and more like themselves. After treatment, everyday moments—conversations with loved ones, challenges at work, or unexpected stress—feel more manageable. Clients leave with tools to understand their emotions, communicate more openly, and respond to life with greater balance and confidence.

For addiction treatment clients

Addiction therapy supports sustainable recovery. After treatment, our clients are better prepared to recognize triggers, cope with cravings, and make choices that protect their recovery. With healthier routines and stronger support systems in place, life beyond treatment feels more stable, hopeful, and forward-moving.

Programs for every journey

Every client comes to The Ranch for different reasons. That's why we offer different programs to support our residential program. These include:

  • Partial hospitalization program (PHP): A great step down from residential. About seven hours of treatment a day, five days a week. 
  • Intensive outpatient program (IOP): Consistent support, more flexibility. Morning or evening sessions a few times a week. 
  • Telehealth: Access treatment from home without trying to bend a busy schedule. 
  • Alumni events: Our alumni groups meet regularly to celebrate progress and stay in touch with peers in recovery.

Staying connected helps clients maintain progress from the point they start through the time they complete treatment at The Ranch.

Find the right program for your needs

If you’re exploring Tennessee addiction services and want to learn more about our ranch-based approach, call 470.571.3586. Our team can explain program options, walk you through admissions, and help you determine which level of care fits your goals.

Connect with
The Ranch Tennessee

Take your next step and join us at The Ranch.

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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© 2026

Brian Fuller, MD

Medical Director

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.