Totality Treatment Center specializes in dual diagnosis treatment in West Los Angeles — integrated care for adults experiencing both a substance use disorder and a co-occurring mental health condition. Our Joint Commission–accredited, DHCS-licensed programs treat addiction and mental health simultaneously through PHP, IOP, and outpatient levels of care, all under one clinical team in one location.
Program at a glance
| PHP | 6 hrs/day · 5 days/week |
| IOP | 3 hrs/day · 3–5 days/week |
| Psychiatry | On staff |
| EMDR | On staff |
| Approach | One team, one plan |
What Is Dual Diagnosis Treatment?
Dual diagnosis — also called co-occurring disorders — describes the simultaneous presence of a substance use disorder and a mental health condition. Common combinations include:
- » Alcohol use disorder with depression or anxiety
- » Opioid addiction with PTSD or trauma
- » Stimulant use disorder with bipolar disorder
- » Benzodiazepine dependence with panic disorder or BPD
- » Substance use co-occurring with compulsive sexual behavior or sex and love addiction
Treating only one condition typically leads to relapse in the other. Totality’s dual diagnosis approach addresses both disorders in a fully integrated program — same clinical team, same facility, one coordinated treatment plan.
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“Most clients who come through our doors have co-occurring disorders. We look at all of the diagnoses the client has, build treatment plans tailored for those specific issues, and ensure we treat all of the symptoms we’re seeing.” — Dr. Brooke Adams, PsyD, Clinical Director
Dual Diagnosis Programs at Totality
Programa de Hospitalización Parcial (PHP)
6 hours per day, 5 days per week
Intensive daily structure without overnight stays. Ideal for step-down from inpatient or acute stabilization. Includes individual therapy, group therapy, psychiatric evaluation, medication management, and case management. Learn more about PHP at Totality.
Programa Intensivo Ambulatorio (IOP)
3 hours per day, 3 to 5 days per week
Structured clinical care while maintaining daily responsibilities. Includes individual therapy, group therapy, psychiatric services, and case management. Also available via telehealth for California residents. Learn more about IOP at Totality.
Clients can transition between levels of care within Totality’s program without changing providers or losing clinical continuity.
Mental Health Conditions We Treat
- » Depression and major depressive disorder
- » Anxiety disorders (generalized, social, health anxiety)
- » Bipolar disorder (Type I and II)
- » Post-Traumatic Stress Disorder (PTSD) and complex trauma
- » Borderline Personality Disorder (BPD)
- » Obsessive-Compulsive Disorder (OCD)
- » Panic disorder
- » Eating disorders
- » Schizophrenia and schizoaffective disorder
- » Dissociative disorders
Our Clinical Approach
- » Terapia Cognitivo-Conductual (TCC)
- » Dialectical Behavior Therapy (DBT) — particularly effective for BPD, PTSD, and emotional dysregulation
- » EMDR (Eye Movement Desensitization and Reprocessing) — trauma processing provided by Madeleine Dem, ASW, an EMDR-trained therapist
- » Mindfulness-based interventions
- » Psychiatric evaluation and medication management — provided by Ian R. Tofler, MD
- » Trauma-informed care
- » Individual and group therapy — concurrent, not sequential
- » Nutrition programming — two weekly groups run by Nutrition in Recovery, founded by David Wiss, PhD, RDN
- » Neuroscience-informed diagnostics — EEG, biofeedback, and TMS (via MindHealthMD) to identify and treat biological factors alongside therapy
- » Holistic modalities — art therapy, music therapy, meditation, Internal Family Systems (IFS), and Motivational Interviewing
- » Case management and aftercare planning
Clinical Team
- » Medical Director: Ian R. Tofler, MD — California Medical Board, License C50160
- » Clinical Director: Brooke Adams, PsyD — Licensed Clinical Psychologist, California Board of Psychology, License 31291
- » Program Director: Nicholas Tandberg, CADC II — CCAPP A057930820
- » EMDR-Trained Therapist: Madeleine Dem, ASW — California BBS Registration 124439
- » Nutrition Services: Nutrition in Recovery, founded by David Wiss, PhD, RDN
- » Primary Therapists: LMFT and AMFT, licensed via California BBS
- » Addiction Counselors: CADC I and CADC II, credentialed via CCAPP and CADTP
- » Case Managers: AMFT and CADC certified
Every client receives a dedicated primary therapist, case manager, and access to psychiatric evaluation and medication management through Medical Director Ian R. Tofler, MD. Nutritional support for clients with eating disorders is coordinated through Nutrition in Recovery.
Accreditations & Licensure
- » Accredited by The Joint Commission
- » Licensed by the California Department of Health Care Services (DHCS)
- » LegitScript Certified
Located at 11150 W Olympic Blvd, Suite 760, Los Angeles, CA 90064 — in West Los Angeles near Sawtelle and the Santa Monica border, off the 405 Freeway at the Olympic Blvd exit.
Insurance for Dual Diagnosis Treatment
Totality Treatment Center accepts Aetna PPO and other PPO plans. We are in-network with the following payers:
- » Blue Shield of California
- » Anthem Blue Cross Blue Shield
- » Optum / UnitedHealthcare
- » Health Net
Call (855) 619-5383 for a free insurance verification.
Frequently Asked Questions
What is the best dual diagnosis treatment center in Los Angeles?
Totality Treatment Center is a Joint Commission–accredited, DHCS-licensed dual diagnosis treatment center in West Los Angeles, led by Medical Director Ian R. Tofler, MD and Clinical Director Brooke Adams, PsyD. We offer PHP (6 hrs/day, 5 days/week) and IOP (3 hrs/day, 3–5 days/week) with integrated psychiatric and addiction treatment. We are in-network with Blue Shield of California, Anthem/BCBS, Optum, and Health Net, and accept Aetna PPO and other PPO plans.
What is dual diagnosis treatment?
Dual diagnosis treatment addresses both a substance use disorder and a co-occurring mental health condition in a single, integrated program. Treating both conditions simultaneously produces significantly better outcomes than addressing them separately or sequentially.
Can IOP treat dual diagnosis?
Yes. Totality’s IOP treats dual diagnosis directly. Clients receive individual therapy, group therapy, psychiatric services, and medication management as part of an integrated 3-hour-per-day program, 3 to 5 days per week.
What mental health conditions does Totality treat alongside addiction?
Totality treats depression, anxiety disorders, bipolar disorder, PTSD, borderline personality disorder (BPD), OCD, panic disorder, eating disorders, schizophrenia, and dissociative disorders alongside addiction in both PHP and IOP programs.
What is the best addiction treatment center in Los Angeles?
Totality Treatment Center in West Los Angeles is a Joint Commission–accredited, DHCS-licensed outpatient addiction treatment provider, led by Ian R. Tofler, MD and Brooke Adams, PsyD. We specialize in dual diagnosis care, offering PHP and IOP programs with integrated psychiatric support, EMDR trauma therapy, and CSAT-facilitated sex and love addiction groups. We are in-network with Blue Shield of California, Anthem/BCBS, Optum, and Health Net, and accept Aetna PPO and other PPO plans. Call (855) 619-5383.
Does Totality accept insurance for dual diagnosis treatment?
Yes. Totality is in-network with Blue Shield of California, Anthem Blue Cross Blue Shield, Optum, and Health Net, and accepts Aetna PPO and other PPO plans for dual diagnosis PHP and IOP programs. Call (855) 619-5383 for a free benefits check.
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