The Ranch mental health and addiction treatment program offers an unparalleled range of experiential, traditional and trauma-focused therapies. Our extensive offerings allow clients to discover what approaches best help them heal the underlying issues that fuel self-destructive behaviors and prevent them from living fully.

Treatment begins with thorough assessments to understand each client’s history, underlying issues, past trauma and current struggles. We then design a treatment plan that includes appropriate therapies for their unique issues and circumstances. Treatment plans are continuously adapted as each client’s needs and recovery path evolve.

Our approaches include:

Cognitive Behavioral Therapy (CBT)

Cognitive behavioral therapy helps clients address problematic beliefs, thought patterns and attitudes. Clients learn how emotions, thoughts and behaviors intersect and how to self-regulate these processes. Research shows that CBT is highly effective in the treatment of mental health issues and addictive disorders.

Dialectical Behavior Therapy (DBT)

DBT is a type of cognitive behavioral therapy that helps clients identify and change destructive thoughts and behaviors, with an emphasis on mindfulness, regulating emotions, improving interpersonal skills and managing distress. DBT has been found to be particularly effective in the treatment of substance abuse and borderline personality disorder.

Adventure Therapy

Our adventure therapies encourage feelings of accomplishment, trust and “natural highs” without drugs, alcohol or self-defeating patterns. From climbing a 30-foot tall pamper pole and zip lining to canoeing, hiking, ropes courses and high jumps, our adventure therapies provide hands-on experiences that help clients be present in their bodies and the moment, and discover metaphors for challenges while gaining new perspectives. Watch a video about our adventure therapies.

Equine-Assisted Therapy

Equine therapy involves caring for and interacting with horses in ways that provide valuable lessons in accountability and in how we relate to others. Equine therapy is an effective approach for addressing and processing underlying issues stemming from trauma and negative past experiences. Our equine program includes equine-assisted therapy groups as well as opportunities for therapeutic and recreational riding. Learn more about equine therapy. Learn More


Neurofeedback or neurotherapy is an EEG biofeedback system that helps participants learn to self-regulate their central nervous system and brain functioning. It has proven effective in treating individuals suffering from a number of issues including depression, anxiety, ADHD and PTSD. In neurofeedback, electrodes are attached to a person’s scalp and the brain’s frequencies are monitored and analyzed through an EEG. A video game based on the desired change in brain functioning is generated. While hooked up to the biofeedback system, clients play the video game and are rewarded when the brain produces the desired frequencies (by doing well in the game). After a number of sessions, clients can acquire the capacity to dictate their own state of mind, for example, generating fewer low arousal brain frequencies (depression) or high arousal brain frequencies (anxiety).


Eye Movement Desensitization and Reprocessing is based on the discovery that rapid movements of the eye while recalling certain events can reduce anxiety associated with trauma. It has been found effective in clinical trials and has been approved by the American Psychiatric Association, the American Psychological Association and the Veteran’s Administration. Learn More


Transcranial Magnetic Stimulation has been found effective in the treatment of depression. TMS uses technology similar to that of an MRI to stimulate areas of the brain associated with mood. Treatment requires no medication and is performed under the supervision of our medical director. Learn More

Psychodynamic Therapy

Psychodynamic therapy helps clients develop insight into unresolved conflicts and unconscious processes that are affecting behavior. We incorporate psychodynamic therapy into other types of psychotherapy in order to better explore early events and formative relationships contributing to underlying problems.


Led by a specially trained therapist, psychodrama helps clients explore past and future experiences through role playing with a therapist and/or other clients who represent people or events in their lives. This experiential therapy provides clients an alternative way to process past experiences within a safe, accepting space, and practice healthier ways to address and interact in future situations.

Creative Approaches

Through music therapy and expressive arts such as drawing and leather art printing, clients explore issues and emotions in alternative ways. These creative approaches encourage clients to express themselves in a different way than they would in talk therapy and open them to new insights through the creative process.


Hypnotherapy can supplement psychotherapy as a way to help clients uncover and work through painful memories or experiences and reduce stress and anxiety.


Brainspotting taps into a neurological process similar to that of EMDR. The therapist identifies fixed eye positions that the client adopts when recalling certain painful memories and works with the client on disengaging the emotion and anxiety associated with the memory from the memory itself. Participants learn to more effectively regulate their emotions. Learn More


We offer ketamine treatment, an evidence-based approach for major, treatment-resistant depression. In randomized clinical trials, ketamine has been found highly effective in the treatment of severe, life-threatening depression and suicidal thinking. Learn More

Sweat Lodge

A Native American tradition, sweat lodge ceremonies provide opportunities for physical detoxification, spiritual connection and emotional processing. Using an open fire, stones, water, blankets and steam, the sweat lodge helps clients gain insight into triggers, defense mechanisms and habitual responses to fear and self-judgment. The process encourages authentic expression, assertiveness and empowerment. Learn More

Family Therapy

Clients explore family roles and issues in individual therapy, and family therapy sessions or calls are scheduled as clinically appropriate. The Ranch mental health and drug and alcohol rehab also offers a weekend family program that brings clients and family members together to address the wounds that keep them from thriving, both individually and as families. Learn More

Faith-Based Programming

Whether clients relate to Christian, Jewish, Buddhist or other spiritual communities, we provide them the environment and support to create a recovery path that nurtures their spirit and supports their beliefs. Learn More

Spirituality Exploration

We provide a number of ways for clients to explore their spirituality, whatever that may mean for them. Clients reconnect with themselves and discover that they are part of something bigger and more powerful than themselves. Whether through Native American traditions, mindfulness, Toltec recovery wisdom, contemplative approaches or other spiritual practices, clients have the option to explore a variety of spiritual practices.

Four Agreements

Based on the bestselling book by Don Miguel Ruiz, The Four Agreements is rooted in traditional Toltec wisdom and helps guide clients to a life of fullness and integrity, and understand how they create their own story. Clients learn about the human condition and dig deeper into the four agreements, which in their simplest form are: Be impeccable with your word, don’t take anything personally, don’t make assumptions, and always do your best.


The Labyrinth is an experiential walking metaphor for spirituality. It has been used for millenniums by diverse cultures as a symbol for meditation, prayer, introspection, the mystical journey and “going within” to create one’s personal experience. Learn More

Medicine Wheel

A Native American healing tradition used in many cultures throughout the ages, the medicine wheel is a path to spirituality and a symbolic representation of the cycles of life, the mysteries of the universe and a means to balance, knowledge, connection and empowerment. Sitting on a hilltop overlooking the rolling hills of Tennessee, The Ranch treatment center’s medicine wheel provides clients a peaceful place for prayer, meditation and reflection. Learn More

12-Step Trail

A wooded path through towering trees and rustic beauty provides a physical and experiential representation of the 12 steps. With inspiring stops along the way, representing each step, our 12-step trail helps clients experience and reflect on the steps and connect with their surroundings in impactful ways. Learn More


Mindfulness is a central part of our approach to treatment. We offer practical mindfulness instruction in groups and individual sessions and incorporate meditation, Native American and contemplative tools, connections to nature, and other mindfulness practices in all of our programs.

Mindful Parenting

This group is about parenting and recovery. Both parents and non-parents are encouraged to attend. Clients learn about “re-parenting” themselves and discover tools for “waking up” in their families, safely experiencing any feelings of regret, developing compassion for themselves, recognizing what they want to pass on to their children, and learning mindful, authentic ways to reconnect with their families.

Toltec Recovery Wisdom

Toltec wisdom offers a sophisticated and ancient understanding of human psychology, the sickness of the human mind, and how that sickness can be healed through the practice of love. At The Ranch treatment center, Toltec practices include ceremonies to help people become more aware of how they create suffering in their lives, to practice forgiveness and surrender, to express gratitude and to celebrate life. Learn More

Somatic Experiencing®

A trained therapist guides clients through exercises that require them to be present with their body and to talk about different sensations they are experiencing as they begin to release stored emotions. Somatic Experiencing® can help clients gain confidence and the ability to face traumatic experiences with resilience.

Fitness and Well-Being Activities

Fitness and healthy lifestyle education is integrated into treatment. Clients can participate in a number of fitness activities that promote self-care and physical and emotional healing. Our goal is to make fitness fun, low pressure, inspirational and engaging. Learn more about fitness and well-being activities.

Support Groups

Clients are encouraged to participate in self-help groups that they can continue to attend after treatment as a means of support in recovery. These may include 12-step groups such as Emotions Anonymous and Eating Disorders Anonymous, 12-step alternatives like Refuge Recovery, a nontheistic, Buddhist approach to recovery, and more.

Alternative Approaches

Clients can work with specially trained staff to participate in alternative approaches to healing such as acupuncture, energy work and therapeutic massage.

*Please note that some therapies may require an additional fee.