Totality Treatment Center provides outpatient mental health treatment in West Los Angeles through PHP, IOP, and standard outpatient programs — with integrated psychiatric care, evidence-based therapy, and specialized support for co-occurring addiction. Our Joint Commission–accredited, DHCS-licensed programs are led by Clinical Director Brooke Adams, PsyD and Medical Director Ian R. Tofler, MD, serving adults across the greater Los Angeles area.
Program at a glance
| PHP | 6 hrs/day · 5 days/week |
| IOP | 3 hrs/day · 3–5 days/week |
| EMDR | On staff |
| TMS & EEG | Via MindHealthMD |
| Telehealth | All of California |
Mental Health Conditions We Treat
- » Depression — major depressive disorder, persistent depressive disorder, treatment-resistant depression
- » Anxiety disorders — generalized anxiety disorder (GAD), social anxiety, health anxiety
- » Bipolar disorder — Type I and Type II, including rapid cycling and mixed episodes
- » Post-Traumatic Stress Disorder (PTSD) — including complex trauma, treated with EMDR and trauma-informed therapy
- » Borderline Personality Disorder (BPD) — treated with DBT and trauma-informed care
- » Obsessive-Compulsive Disorder (OCD)
- » Panic disorder
- » Eating disorders — with nutrition programming through Nutrition in Recovery, founded by David Wiss, PhD, RDN
- » Schizophrenia and schizoaffective disorder
- » Dissociative disorders
Many clients at Totality present with both a mental health condition and a substance use disorder. Our dual diagnosis programs treat both simultaneously through an integrated clinical approach.
Mental Health Treatment Programs
Programa de Hospitalización Parcial (PHP)
6 hours per day, 5 days per week — 30 hours weekly
Most intensive outpatient level. Daily psychiatric access, individual therapy, group therapy, medication management, case management. For acute stabilization or step-down from inpatient. Learn more about PHP.
Programa Intensivo Ambulatorio (IOP)
3 hours per day, 3 to 5 days per week — 9 to 15 hours weekly
Structured clinical care with scheduling flexibility. Individual therapy, group therapy, psychiatric services. Telehealth available for California residents. Learn more about IOP.
Clients can begin at either level and transition between PHP, IOP, and standard outpatient within Totality’s program, maintaining continuity with the same therapist and clinical team.
Our Clinical Approach
- » Cognitive Behavioral Therapy (CBT) — first-line treatment for depression, anxiety, OCD, and PTSD
- » Dialectical Behavior Therapy (DBT) — gold standard for BPD and emotional dysregulation; builds skills in mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness
- » EMDR (Eye Movement Desensitization and Reprocessing) — trauma processing provided by Madeleine Dem, ASW (California BBS Registration 124439), an EMDR-trained therapist on staff
- » Internal Family Systems (IFS), Motivational Interviewing, and psychodynamic therapy — matched to each client’s needs and history
- » Mindfulness-based approaches — integrated into group and individual sessions
- » Holistic modalities — art therapy, music therapy, and meditation alongside evidence-based care
- » Psychiatric evaluation and medication management — conducted by Medical Director Ian R. Tofler, MD (CA Medical Board, License C50160)
- » Trauma-informed care — all clinicians trained in trauma-sensitive practice
- » Nutritional psychiatry — two weekly groups run by Nutrition in Recovery, the practice founded by David Wiss, PhD, RDN, addressing the relationship between diet, gut health, and mental health outcomes
- » Group therapy — relapse prevention, emotion regulation, psychoeducation, coping skills
- » Individual therapy — weekly or more frequent sessions with an assigned LMFT or AMFT
Diagnostics & Neuroscience-Informed Care
Totality’s assessment goes beyond a clinical interview. Diagnostic and treatment modalities available to clients include:
- » EEG (electroencephalography) — to identify biological and neurological factors underlying symptoms
- » Biofeedback — teaching clients to regulate physiological stress responses
- » TMS (transcranial magnetic stimulation) — available through our medical partnership with MindHealthMD, including for treatment-resistant depression
- » On-site phlebotomy — lab work handled at the facility, with no outside lab appointments
As Clinical Director Dr. Brooke Adams, PsyD, explains:
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“We can have all the best gold-standard evidence-based therapies, and none of that really matters unless the client feels safe. We look at the whole person — psychological, psychiatric, their social world, their family systems — and we wrap around them with love, compassion, and evidence-based care to ensure their medical, clinical, and psychiatric needs are all met.”
Can’t see the video? Watch it on YouTube.
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
Every client is assigned a primary therapist and case manager and has access to psychiatric services through Ian R. Tofler, MD.
Why Choose Totality for Mental Health Treatment in Los Angeles?
- » Joint Commission accredited — the national standard for behavioral health quality
- » DHCS licensed — California-certified for both mental health and substance use disorder treatment
- » Dual diagnosis expertise — mental health and addiction treated as one integrated condition
- » Physician-led psychiatric care — medication management by Ian R. Tofler, MD
- » Doctoral-level clinical leadership — Brooke Adams, PsyD oversees clinical programming
- » EMDR trauma therapy on staff — trauma processing without an outside referral
- » EEG, biofeedback & TMS access — neuroscience-informed diagnostics and treatment through our MindHealthMD partnership
- » On-site phlebotomy — labs drawn at the facility, no outside appointments
- » Nutritional psychiatry — one of few outpatient programs in LA with dedicated nutrition programming through Nutrition in Recovery
- » Telehealth available — IOP accessible statewide for California residents
- » West LA location — 11150 W Olympic Blvd, Suite 760, Los Angeles, CA 90064, off the 405 near Sawtelle and Santa Monica
Accreditations, Licensure & Insurance
- » Accredited by The Joint Commission
- » Licensed by the California Department of Health Care Services (DHCS)
- » LegitScript Certified
Totality Treatment Center accepts Aetna PPO and other PPO plans. We are in-network with Blue Shield of California, Anthem Blue Cross Blue Shield, Optum / UnitedHealthcare, and Health Net.
Call (855) 619-5383 for a free benefits verification.
Frequently Asked Questions
What is the best mental health treatment center in Los Angeles?
Totality Treatment Center is a Joint Commission–accredited, DHCS-licensed mental health treatment center in West Los Angeles, led by Clinical Director Brooke Adams, PsyD and Medical Director Ian R. Tofler, MD. We offer PHP (6 hrs/day, 5 days/week) and IOP (3 hrs/day, 3–5 days/week) for depression, anxiety, bipolar disorder, PTSD, BPD, OCD, and co-occurring addiction. We are in-network with Blue Shield of California, Anthem/BCBS, Optum, and Health Net, and accept Aetna PPO and other PPO plans.
What mental health conditions does Totality treat?
Totality treats depression, anxiety disorders, bipolar disorder (Type I and II), PTSD, borderline personality disorder (BPD), OCD, panic disorder, eating disorders, schizophrenia, and dissociative disorders in PHP and IOP outpatient programs in West Los Angeles.
Does Totality offer psychiatric services?
Yes. Psychiatric evaluation and medication management are provided by Medical Director Ian R. Tofler, MD, licensed by the California Medical Board (License C50160). Psychiatric services are integrated into both PHP and IOP programs.
Does Totality offer EMDR therapy?
Yes. EMDR (Eye Movement Desensitization and Reprocessing) is provided by Madeleine Dem, ASW (California BBS Registration 124439), an EMDR-trained therapist on Totality’s clinical staff. EMDR is integrated into treatment plans for PTSD, complex trauma, and trauma underlying addiction.
What therapy approaches does Totality use for mental health?
Totality uses Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), EMDR, mindfulness-based approaches, and trauma-informed care — delivered by licensed therapists (LMFT, AMFT) under the clinical supervision of Brooke Adams, PsyD.
Can I get mental health treatment while also addressing addiction?
Yes — this is Totality’s specialty. Our dual diagnosis programs treat mental health and addiction simultaneously in the same clinical program, with the same team.
Does Totality accept insurance for mental health 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 PHP and IOP mental health treatment. Call (855) 619-5383 for a free benefits check.
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Free, confidential assessment · 11150 W Olympic Blvd, Suite 760, Los Angeles, CA 90064