The Ranch in Nunnelly, TN

Overall Rating

(3.7 of 5)
Treatment Effectiveness
Accommodations & Amenities
Meals & Nutrition
PO Box 38
Nunnelly TN 37137

The Ranch Philosophy

Surrounded by the scenic beauty of farms and ranches in the rolling hills of Nunnelly, TN – just outside of Nashville – The Ranch provides a full spectrum of addiction and mental health treatment services. The program offers treatment for trauma, depression, eating disorders, substance abuse, sex and intimacy disorders, and other mental health disorders. The Ranch’s experientially based program is designed to meet the needs of each individual and help them address thoughts, feelings and behaviors that keep them stuck in destructive patterns. Through a trauma-focused treatment approach, clients address underlying issues and learn to embrace their authentic selves while gaining a sense of belonging and connection.

Areas of Specialization

  • Trauma-Focused Treatment
    Trauma often underlies addictions, eating disorders, intimacy disorders and other mental health issues. The Ranch is known for its comprehensive, trauma-focused approach to treatment. A wide selection of trauma therapies helps clients address these underlying issues while building resiliency.

  • Whole-Person Healing
    Clinicians at The Ranch draw on an unparalleled selection of traditional, alternative and experiential approaches to help clients heal in many different ways. By addressing the physical, mental and spiritual deficits that destructive behaviors leave in their lives, clients are able to recover fully and adopt a healthy, positive lifestyle.

Facility Highlights

Spirituality Focus

Equine Therapy

Family Program

Meet the Staff

Paul Wilhelm Ragan, MD

Medical Director

Photo of Paul Wilhelm Ragan, MD

With over three decades of experience in mental health and addiction treatment, Dr. Ragan is a sought-after expert in the field. He regularly appears in the media as a consultant on behavioral health topics and is the recipient of several prestigious awards. Past roles include director of mental health for the Direct Support Command, Fleet Marine Force, in Saudi Arabia/Kuwait during Operation Desert Shield/Desert Storm, clinical investigator for the National Institute on Alcohol Abuse & Alcoholism, and associate clinical professor of psychiatry at Vanderbilt, among others. Dr. Ragan earned a medical degree from the University of Arizona, College of Medicine and completed an internship and residency in psychiatry at the National Naval Medical Center. He is certified in general adult psychiatry, addiction psychiatry and psychosomatic medicine.

Gina Marchando, DMFT, LMFT, CHt, CIt

Clinical Director

Photo of Gina Marchando, DMFT, LMFT, CHt, CIt

A licensed marriage and family therapist, board certified hypnotherapist, certified incorporation therapist, and traumatologist, Dr. Marchando brings a wealth of experience to The Ranch. She earned master’s and doctoral degrees from Nova Southeastern University and has a post-graduate certificate in family systems healthcare. Dr. Marchando has worked in inpatient and outpatient psychiatric care and private practice, and also has taught at both the master’s and doctorate levels. She specializes in dissociative disorders and treating survivors of trauma and abuse.

Rehabs.com 360 Guide

Review by Rehabs.com Contributors

ABOUT THE RANCH

The Ranch sits on 2,000 acres of rolling hills in rural Nunnelly, Tenn., 60 miles southwest of Nashville. The facility offers a variety of residential programs for adult men and women that treat a range of behavioral and mental health issues, including substance abuse, sex addiction, eating disorders, and trauma. Medical detox and dual diagnosis treatment are also available on-site.

TREATMENT & ASSESSMENT

Clients who require detoxification begin their treatment at Piney Lodge, The Ranch’s detoxification and stabilization unit. The initial assessment is comprehensive and includes a full medical history review, physical exam, psychiatric evaluation, biopsychosocial assessment, at-risk assessment, nutritional screening, and lab work, if necessary. All clients in detox are monitored by a 24-hour nursing staff.

The Ranch takes a holistic approach to substance abuse treatment, combining traditional therapies such as cognitive behavioral therapy (CBT) and dialectical behavior therapy (DBT) with less traditional modalities, such as equine therapy, adventure therapy, meditation, and sweat lodge ceremonies. Counseling is conducted in both group and one-on-one settings, and addiction education is a core component. Residents are introduced to both 12-step and alternative recovery models, and medication is available on an as-needed basis.

Those who struggle with a sex or intimacy addiction are treated through The Center for Relationship and Sexual Recovery, a separate, gender-specific program led by specially trained clinicians.

STAFF CREDENTIALS

Members of the clinical and medical teams include licensed social workers, master’s level therapists, certified sex addiction therapists, nutritionists, holistic wellness practitioners, physicians, and nurses.

ACCOMMODATIONS & AMENITIES

The Ranch has several homes, many of which border the Piney River. Facilities range from Southern mansions to Cape Cod-style homes with pitched roofs and dormer windows. Each residence offers comfortably furnished communal areas, and some also have classic Southern front porches and state-of-the-art kitchens. The facility is equipped with horse stables, and there is a small fitness center on-site.

WHAT ALUMNI SAY

At the time of this writing, dozens of alumni have provided feedback to Rehabs.com. Three basic metrics were rated by 23 reviewers who gave mixed ratings for the facility’s treatment effectiveness (3.22 out of five), accommodations (3.55 out of five), and meals (3.52 out of five). Eight of them have submitted surveys to evaluate The Ranch based on additional, distinct categories. While six out of the eight respondents noted that they would recommend the facility to others, most metrics evaluated received low to mediocre ratings.

Kate told Rehabs.com that The Ranch felt like a “second home,” while another alum, S.H., wrote: “It is a pretty place you are rarely allowed to go outside or enjoy the properties.”

Alumni also cited money and insurance problems. An anonymous alum wrote. “Had to pay additional to see psychiatrist additional times,” and though L.M.W. said: “I made it very clear before I went that the cost was causing a significant financial hardship,” they reported that no insurance aid was provided.

Additionally, the facility’s advertised offerings didn’t fare much better, with an average rating from 11 reviewers of 1.83 stars on a scale from one to five, suggesting that The Ranch’s offerings did not live up to their expectations. “The accommodations are far from luxury so do not come here expecting that kind of treatment…The money does not match the treatment,” J.M. told Rehabs.com.

WHAT FRIENDS & FAMILY SAY

The Ranch fared slightly better among loved ones polled by Rehabs.com at the time of this writing. For treatment effectiveness, the facility has received a slightly below average 3.18 out of five stars from 11 reviewers, and eight of them noted that they would recommend the rehab to others. One anonymous reviewer described the facility as “clean, comfortable, and effective.”

The facility’s pricing received some pushback from loved ones as well, which is not surprising as some reviewers characterized treatment as “very expensive,” while others referenced insurance issues. Other complaints noted the faults with treatment for eating disorders. J.B., a parent, told Rehabs.com: “They didn't talk once about Eating Disorders.” Another anonymous respondent concurred: “They may be great for substance abuse, but truly have no idea what Eating Disorders are and how to treat them.”

WHAT STAFF SAY

Three former staff members who were polled by Rehabs.com at the time of this writing noted that they would recommend the facility to friends and family. Although they characterized their peers as devoted and “open minded,” all felt that staff were underpaid and overworked.

FINANCING

According to the facility’s website, The Ranch accepts most major PPO insurance plans. Estimates for treatment costs are provided following a confidential phone consultation.

Updated March 2017

Published on June 2016

User Reviews

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It was here that I have learned the process of recovery is both a recovery from something unmanageable, and a recovery to something greater. The Ranch taught me how to add vibrancy to a previously grey life. The staff was amazing. The challenge of rediscovering my authentic self was cultivated in a very open, compassionate, and safe environment. I learned vulnerability was not just validated, but a true signal of a courageous life. To the Ranch I am highly grateful.

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The Ranch has two things going for it: the therapeutic team and the horses. Otherwise it is awful. I went there to be treated for PTSD and Trauma from a history of abuse and recent spousal abuse. In the first week I was there, myself and three other women were sexually harassed in a meeting by the male clients, who are meant to be kept separate but are not. In fact, they are frequently left unattended on main campus; all turning and zooming in, ogling and drooling when we women are near. I was certainly not the only woman this happened to. Once I had to protect and extract another client who had been surrounded. When I discussed this with my primary therapist, she told me she too feels uncomfortable (and powerless to change this) on campus for this same reason. Disgusting and horrible. When I voiced a complaint, nothing was done, even after speaking with 4 different supervisors! This incident was then followed up by body shaming me at the all women residence, twice, again by supervisors. I was then denied phone privileges for speaking out and standing my ground. All of this severely interfered with my treatment and re-traumatized me at a place I went to for safety. I stayed on because, as I said, the therapeutic team was quite good, regardless. Additionally, the "sisters, " that is, the other female clients were super supportive as they too were there due to sexually related traumatic events. Having wasted 10 days with the above nonsense of my (covered by insurance) 28 day stay, and because I was making progress with therapeutic counseling — including many 12 step meetings, group counseling, weekly EMDR, etc, —at the beginning of my final week, I asked for an extension to be worked out. On the day after my discharge date, a full 8 days after asking for the extension, when I believed everything had been taken care of, I was told that my insurance would not cover an extension, that my financial/medically responsible abusive ex refused to pay and that I had to leave immediately. I was thoroughly unprepared to go. In fact, I had had a most difficult Therapeutic Trauma Session that very morning which I had yet to even process, but regardless, I was out the door within hours. With no place to go, I booked a room at the nearest motel and was promptly dropped there. This was five days ago. In the meantime, I have contacted the Director of Alumni Affairs twice since and have heard nothing back. I still remain in Tennessee, staying at a youth hostel as I cannot return "home" due to to the abusive situation there. I honestly have no idea what to do next. On the whole, The Ranch has many severe and serious issues, I could go on and on... and on. And on the whole, these are Top Down issues. Whoever the executives are, they are clearly not interested in the safety, the well being, nor the recovery of the clients. This was made very evident not only by my treatment, but by the treatment of other clients and most importantly through the voices of the therapeutic team members who made very conspicuous their agreement regarding this matter. Until the management is changed, I would definitely not entrust The Ranch with your or your loved ones recovery. This is too bad because it could be a great place. Here is a shout out to my sisters- love you, be strong, Hugs and Peace to you.

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i went to the ranch in February 2017 to treat my addiction to a few substances, depression, anxiety and PTSD. it was hard work. working through trauma and digging deep to find the reasons i was using drugs to cope was difficult but it was the most incredible thing i have ever done for myself. with their help, i fell back in love with myself and my life. i left almost five months ago and i will be six months sober in a few days. i still talk to my therapist every now and then- she made a big impact on me. i learned a lot about myself and each of my diseases. i would most definitely recommend the ranch to a loved one. and to a stranger too. remarkable place !

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The Ranch did not provide the treatment that was promised by the admissions specialist. I was seeking primary care treatment for my son who has struggled with internet porn addiction and has serious depression issues. I was told that The Ranch would use Patrick Carnes' 30 Task Model, but they did not. HIs therapist was friendly, but not effective. She spent only an hour with my son and I before they discharged him. She made recommendations, but didn't help facilitate any after care. His discharge nurse told him she thought he was depressed. We already knew that! Another client gave him a book about being gay and diagnosed my son as gay. This is not a treatment facility for internet porn addiction. I don't think they know anything about porn addiction.

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I recently had a 30 day stay at The Hilltop house, at The Ranch. I got superior care for past trauma (basically a start for many addictions), my addictions and depression. I said time and again I was grateful to have the opportunity to get care at one of the best places in the USA. I am quite particular in everything, did my research, and went to The Ranch in TN. A Great decision. I had insurance that paid a portion and I paid a portion. Money well spent on my healthy future.

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I HAD AN EXTREMELY POSITIVE EXPERIENCE AND WAS BLOWN AWAY BY THE PROFESSIONALISM OF MOST OF MY THERAPISTS. MY PRIMARY LISA WAS BRILLIANT AND EXTREMELY CARING AND KNOWLEDGEABLE. family THERAPY WAS ALSO OUTSTANDING. THIS EXPERIENCE SAVED MY LIFE AND MY FAMILY. THE FINANCE DEPARTMENT WAS THE EXCEPTION TO A VERY POSITIVE EXPERIENCE. THE RA'S WERE OUTSTANDING AND EXTREMELY HELPFUL AND SIGNIFICANT TO RECOVERY. 12 STEP IS OVER PLAYED THE VAN AT SPRINGHOUSE NEEDS REPLACING. I AM EXTREMELY SATISFIED WITH THE RANCH AND ALL IT HAS TO OFFER. ADVENTURE DAY'S EVENTS WERE MOSTLY GREAT UNLESS HELD INSIDE AND THE TWO GIRLS WHO HEADED DRAGGED THE PROCESSES OUT TWICE AS LONG AS NECESSARY. MUSIC NIGHTS WERE GREAT JEFF'S CHURCH SERVICES WERE GOOD ABOVE ALL ELSE THE LACK OF JUDGEMENT AND WORK DONE AT PRIMARY WERE SO BENEFICIAL

As a former employee of over 6 years, this place has unfortunately took a turn for the worst. I chose to leave, I was not terminated, asked to leave or under investigation for anything. I simply left. I'm also not a disgruntled employee. This place is nothing more than a BUSINESS! Yes I have seen many lives changed in the past but it had came to a point where the clients best interest of recovery was no longer at heart for this business. Yes I'm sure there will be a reply from upper management in California denying these things but the fact of the matter is they are in California. They are looking at the number side they don't know the real truth. All the White House management at The Ranch get on their best behavior when California peeps come to town, it's comical! Truth is not their best subject. No raises in over 2 years, major lay offs at Christmas time only to have a job fair a few months later. The turn over rate of employees is through the roof! There are only a handful of employees still there that started when The Ranch was opened 15+ years ago. The employees did not retire either they also chose to seek different employment. There are so many more statements I could make but I won't keep going. Look for a recovery center that isn't a cooperation. That's when everything here fell apart. Cooperate America doesn't belong in the Recovery Field. There is hope if you are struggling with an addiction or other issues. If this is your only choice do it but hope your wallet is deep. Make sure you are aware that you get a certain number of sessions, everything after that comes out of your pocket, usually $100 or higher per session. Make certain you know the ends and outs of this place before committing to it. Get Help! It's out there!

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Some of the staff are well experienced, knowledgeable. They do seem to have some good information and insight that help you get an idea of where your problems started from and treatment styles to help you try to overcome your struggles. Billing and admissions staff will say whatever they need to to convince you to come. It's typically a minimum 3 month program but admissions convinced me that 4 weeks would be ok. I made it very clear before I went that the cost was causing a significant financial hardship and that I would need assistance with insurance. I received absolutely no help with insurance. They also refused to provide a copy of the agreement I signed when I was admitted or an itemized bill after multiple requests. I think it would be helpful if they worked to find a counselor that might match the treatment needed and had the appropriate experience. There were so many extras that cost a significant amount of money above the cost of the stay, which is very expensive. Unfortunately some of those extra things were necessary for recovery, like visits with trauma counsellors. If you're pulling strings to get the money needed to go there then you can forget about affording any extra help you may need. I learned a lot about different types of therapy and some of the cause and effect for traumatic events and how folks handle things. I had chalked a lot of my behavior and mannerisms up to the personality type I was born with. There's so much more to it than that though. My 4 week stay opened up some new issues that I have yet to understand or resolve and it's been almost 3 years since my stay. Quite a confusing can of worms for the therapists I have at home.

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Staff is amazing, location is magnificientstaff layoffs/ freeze on raises have increased employee burnoutI have learned a ton and grown. I am more educated professionally after working here. i love the client, staff, programing but the pay is dismal and benefits waning.

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This was a very expensive and horrible experience. It did not help in any way and was actually so awful in some of its therapies. Total waste of time and money.

I attended the Ranch before it was sold for substance use disorder mainly alcohol. I stayed from detox through 2 months time though the summer and it was nothing but a positive experience for me from beginning to end. I was there before all the renovations took place so the pace of life on the ranch was slow and easy and a lot of healing was taking place. They were just beginning to build the women's sweat lodge at the time and I was in the first group of women to live in Mill House which was newly renovated at the time. We all cooked our own meals, we all got along fine, we supported each other, we healed together. In fact, many of us are still in touch with other from around the country all these years later and continue to support each other from afar. The wonderful head of alumni supports all of us and the alumni program at the Ranch is stellar. The grounds and location of the Ranch is beautiful the housing is beautiful and serene. My primary therapist was great and I learned so much from her. To this day I have a notebook full of work that I did with her and I cannot thank her enough for all her guidance and wisdom. We called ourselves the wolf pack, everyone who was in her group. It was a joy to go to her group every morning. I look back at my time at the Ranch very fondly as a time that I got my life back and stayed sober for a very long time afterward. I did have one small slip but managed to get myself back on track quickly. Thanks. I would recommend the Ranch in Tennessee.

My spouse is currently at The Ranch, I went up last weekend for couples therapy. It snowed so one of our days got cancelled. The Ranch wouldn't extended our time even though all the couples begged too. My spouse has had bed bugs in his room for the past 3 weeks. With all the money they spend you would think someone would get him a new mattress, but no! They have bombed his room twice only for him to still find new bites daily. I emailed one woman there to extended my disappointment overall with The Ranch, only for to her to ignore my email. The Ranch is suppose to help people, couples, families, etc only they aren't. They showed no remorse on ending our weekend after 8 hours of therapy. On top of that you have to pay to attend couples weekend and you have to pay for your hotel. I guess $35,000 doesn't help with that. Wouldn't recommend this place.

Husband there for sex addiction. Terrible communication. 1. B4 admission: Was told that family week would be beneficial for ME even if divorce was inevitable. Once he was there was told they don't do family week for people who have been separated as long as we had. 2. B4 admission told us each (separately) that it would cost $7000 to get started. It was only $3k on admission. This delayed entry for 3 months. 3. My husband signed for me to have full disclosure. Upon his admission I got an email welcoming me, stating I was now a part of the family and would b hearing from primary therapist. I got NO communication. Not even a straight answer about if it was recommended he stay an additional month. 4. My husband who has identified as SLA for 10 years and gone to mtgs comes out and with no explanation says he can not see me, although he will text and email logistics. He say that it turns out SA is not really his issue!!!!! But gave no other explanation. I have no idea what happened in there. 5. The family week person called me, I thought to schedule family sessions, she had me tell he our whole story then told me there wasn't family week for couples separated as long as wee had been. NO family support NO effort to save our marriage.

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My adult daughter attended the Ranch for severe suicidal depression, trauma, and eating disorder. This facility--its wonderful staff, its treatment program, and the community they build among the residents--gave my daughter her life back. She wakes up with energy to face the day for the first time in memory. She has skills to handle difficult emotions and the problems of life. She is healing from her past and moving ahead with her life with new grace and even joy. My daughter's attitude of determination to recover whatever it takes, her openness to the program, and the hard work she did at the Ranch were certainly major factors in her success. The Ranch provided the therapy, the program, and the loving community she needed to begin her recovery. Not only my daughter, but our family was also transformed through the family weekend program. Don't miss this chance if you're invited. Staff communication with us during her stay was excellent while in the trauma house, somewhat less than excellent in the eating disorder house but adequate. We are very grateful to the staff of this facility and highly recommend it.

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I would not recommend this facility if your treatment need is for trauma recovery only. I was there for 5 weeks, and my treatment was focused around 12 step recovery, and I did not have an addiction problem. I only received therapy 30 minutes a week from my primary therapist, and 45 minutes a week from a trauma therapist who used EMDR. I was promised two sessions a week with my primary therapist if I signed up for another month. I sure could have used that the first month. I was promised DBT therapy, but never received it. I could have paid my therapist at home for two visits a week, and paid a trauma therapist for another visit per week, and even had an impatient stay at the psychiatric hospital to readjust my medications for a small fraction of the cost I paid here. When I left there, I was worse off by far than when I arrived. Since then, however, I have realized I learned some things from there that were helpful. My EMDR/Trauma therapist helped me get through a particularly difficult event during the 3 times a saw her. One of the primary groups was very difficulty for me at the time, but looking back I see how much that opened my eyes to things I didn't realize were a problem in my life. I can't speak for people who go here for other problems such as substance abuse, eating disorders, and sexual addictions. It may be a great place for that.

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I graduated from there. Terrible. I don't know how else to describe it. The food was awful. If anything the animals helped so much but that's all that that place did for me. After a year and a half I came home worse then ever.

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I spent the summer of 2016 at The Ranch, and had a great experience (for the most part). As can be expected, there are certainly some drawbacks to the program. I will preface the negatives by saying the positives FAR OUTWEIGHED the negatives--so if you get caught up in my personal opinions, take into consideration that I would do it all over again if I had to. I, like a lot of people, didn't go to The Ranch for any sort of "chemical dependency" issues, but because I did at some point have an issue with alcohol I literally had "The Twelve Steps" beaten down my throat. If you are not in the sex addiction house (which I wasn't), everything--and I mean EVERYTHING--is centered around "The Twelve Steps." In other words, the entirety of your Ranch existence will center around your "addiction." Even if, like me, it was 8th or 9th on your list of problems, they will MAKE IT your #1 problem. With this, you will be met by countless, endless metaphors that are JUST.........SO........CHEESY. You will "beat your biggest fear" (with a stick) or "burn your biggest regrets" (on a piece of paper you place into a fire) or "play tag" (which nobody could figure out the metaphor), and, of course, the famous "trust falls" that everybody did freshman year in high school. "Adventure Day" is an absolute joke. The counselors who lead it, especially 2 women, take themselves waaaaaaaaaaaaaaaaaayyyyyyy too seriously. We spent THREE HOURS walking around a paper maze laid out on the floor (not THAT maze), and then we spent 45 minutes TALKING about it. (SMH) The only other negative I can really gripe about is that, unfortunately, it really IS a cash cow. Despite what they say, different people pay different amounts, and EVERYTHING IS NEGOTIABLE. A lot depends on insurance (thus the different payment amounts), but again, and I can't stress this enough, EVERYTHING is negotiable. My roommate had to get a new therapist for reasons I won't elaborate on, and the FIRST DAY he visited his new therapist she jumped right in and said he should extend his stay. Now WHY would she lead with that????? HOW would she even KNOW (outside his former therapist's not surprising recommendation he stay???) I don't know -- it's far from an isolated incident and happens far too often. Now, for all the negatives I mentioned, there were twice as many positives. I'm not a religious or spiritual person, but I truly felt BLESSED to have these two women as my primary therapists.. She was an absolute sweetheart and a wonderful person. Each house will have a two-hour "primary group" session during the week, and our house was extremely lucky to have those two women leading us. One of the women was extremely intelligent, empathetic, and experienced beyond her years. The other woman brought an excitement and enthusiasm that made primary sessions enjoyable. It was evident they both truly cared about you and your recovery. Both of them were fabulous listeners and always knew how to handle every situation. You should be so lucky as to have either of them as your primary therapists. Despite the negatives I listed, the positives far outweigh any of the unsavory experiences I listed--and those two women are a big reason. I was also fortunate to have another 2 women as my trauma and DBT therapists, respectively. Both were wonderful, insightful therapists who I looked forward to meeting with weekly. The coping mechanisms they both armed me with have proved to be life savers, and I am extremely grateful for both of them, as well. There were also several other wonderful people there, such as the Alumni Coordinator, the Christian Services leader, the woman who led a "Road to Recovery" workshop, another woman and her assistants at Equine Therapy; the Twelve Step General (that's what I called him) who is extremely intense but has a wealth of personal experience, accompanied with a blunt, no-nonsense delivery that is very powerful; and lastly, the RAs at Spring House! Those guys were so fun to be around, and made the day-to-day grind of being away from your loved ones kind of fun. It's amazing how much of an impact a good RA can be on your experience, and I am thankful to have gotten to know the guys I just mentioned. The Ranch is like any place else in that if you spend enough time there you will find some negatives; but I will reiterate that, for me, the positives far outweighed the negatives.

Since it was sold it is NOTHING like it used to be. Please spend your time and money on Onsite Milestones. You don't have to believe me. But you won't regret it.

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I attended The Ranch in 2010 for an eating disorder, self injury, and prescription drug addiction and it was overall a wonderful and life changing experience. The only thing I would say is I would not recommend The Ranch for anybody with an ED that needs to undergo weight gain because many of the residents in the ED house were there simply because they over ate and needed to lose weight and did not appear to have BED or any other eating disorder that I could tell. It was very triggering being in a house with dieters when I was trying to gain weight myself.

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non judgmental, good experience

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They have way too many beds to operate well. They do have great equine programs for the men, but not the women. It is a pretty place you are rarely allowed to go outside or enjoy the properties.

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I stayed at the Ranch for sex addiction for tow months in the late fall of 2016. First off, I find the 0-5 star rating system somewhat ironic. Most people that were in my house had never been to rehab before so what exactly are we comparing to? It's not Disneyland OR Burger Kind so it's neither the Happiest Place nor will you be having it your way. Overall, I feel that their focus on trauma as the underlying force driving all addictions is powerful and will serve me well as I trudge my road. On the flip side I feel that the constant refrain of "all addictions are the same" is not helpful. I can concede that if you're dealing with any SUBSTANCE addiction there are great similarities but if you're dealing with PROCESS there are differences that need to be addressed more deeply. One can have a reasonably happy life in the absence of alcohol, drugs, and the like; however, life will be unnecessarily short and unhappy in the absence of sex, food and risk taking (read: gambling). I would hazard a guess that in the ED houses they talk about effective use of food however in the sex addiction program there is never (in MY 63 days at least) any talk about healthy sexuality. You sign an abstinence contract (leave everyone else alone and leave yourself alone) and that's that. Now, back to some positives - first and most obviously, it's in the hills of central TN. I was there in the fall. It was beautiful. Although my first house was down on a creek/river we moved midway to a large horse farm ~40 minutes from main campus. You really could turn off the outside world and focus on yoru recovery. Second, I did not feel any stigma from or toward any of the others there. Whether your problem was available at the corner store, behind it in an alley or in the cheap motel nearby, we were all brothers (and sisters) at The Ranch. That brings up another point of positive and negative - gender separation. Men and women are largely segregated and for good reason. The term "rehab romance" didn't originalt for nothing. But...back to one of my earlier points, healthy interaction with the opposite sex is something that needs to develop. In our house, the RAs took it upon themselves to restrict interaction beyond that prescribed by the program. When asked why they (he) said "we changed meetings because some of you get so triggered by the girls that we have to work with you the rest of the day." Hmm - sounds like instead of helping a patient work through their issues that RA (he's no longer there but the policy may be) wanted to just have an east Saturday. Same with on-campus events (Bubba's Music Night). The RAs took it upon themselves to not take us "because of all the d@&n women." I've read one other review that talked about sorting out a billing issue. I, too, am trying to get some insurance stuff resolved after seven months now. So, more positives, group therapy was amazing - it's VERY dependent on who your primary therapist is (honestly there's some duds but that's what you get when you toss a drug rehab guy into the sex addict house). I was able to get through my wall of denial and stop being a "recovery ninja" as one of the superstar therapists named me. They were patient with me and pushed only as far as I could handle (OK, so maybe a little farther, but that's what I needed). The equine therapy ran hot and cold. Some weeks (it's 1hr/week) it was really meaningful and others you stared at a horses eyes while they listened to music. Adventure day also ran hot and cold. If I was in the right spot emotionally it was amazing (Gump Day) but when I got analytical and stayed up in my head I walked away resentful (Labyrinth). Also, it's understandable that they have to be on a schedule but I had brothers who were asked to do a Third Step exercise on their second or third day at The Ranch (Pamper Pole). Others have complained about cooking and cleaning up after yourself. I personally enjoyed that aspect of the program and chose The Ranch partially so I COULD cook for myself (and others). Doing that actually turned into therapy when I learned that I hide some of my emotions in the kitchen - it's the ultimate place of changing from a Human Being into a Human Doing - and getting praised for it. And to finish, because no one has read this far), I too would like to comment on the "family therapy." The sex addiction program has its own version so this may not be applicable to the substance folks, but there seemed to be not much work on how to actually move forward together. The "individual" session (one) with my wife and my therapist was fairly lame. He basically said we had that hour to yell at each other but since we didn't want to do that we didn't have a lot to do. Spouses were never challenged on their crap so the stigma of "this is 100% HIS fault" was perpetuated. I think some improvement could be made there. Bottom line, If I needed to (and could afford it) I'd choose The Ranch again. I think they would be even better if they could get and retain all CSAT primary therapists for the sex addiction house and work in more "healthy sexuality" programming.

I came here for a mental health professional weekend and was completely blown away by the quality, care, and expertise of the clinicians, and staff that work at The Ranch. The moment that I stepped onto the grass of The Ranch property, I knew that this was a place where healing happens. Through our workshops and tours, it was proven this is the case. The level of care here exceeds exceptional. I would not hesitate to send a loved one or client to The Ranch, because I believe the integrated approach and level of genuine care that each person receives at The Ranch provides the needed foundation for lasting lifelong change. I am so thankful to have had this experience, and to know The Ranch exists!

Programs such as family visits are cost thousands extra though it is implied that this is a part of the treatment program. Poor communication. Our loved one had been at the Ranch for 4 weeks and we only had one staff phone call though we were told initially that there would be weekly interaction. The next call was from our loved one asking for more time and money for tests...

Im recently 5 years sober from alcohol. I have nothing but the up most respect for the Ranches beliefs and staff. Not your typical 12 step treatment center, but the steps are present. The best part of the Ranch is that you will find out what works for you(having options). Like anything else, you get what you put in. I would recommend the Ranch to anyone.

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Great programand staff. All are truly interested in your recovery. However, it was 3 hours from our home.Great facility, staff, and program. Very involved.

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Strengths: Horse therapy. Weaknesses: Quick relapse. Seemed like a good program, but sent work.

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The professionals and staff and clients at The Ranch helped me get sober and address PTSD symptoms. They taught me how to stay sober and fearless and gave me the tools to stay sober and without fear. Quite simply the folks and clients at The Ranch saved my life and taught me how to live that life well.

The Ranch therapists were very good and caring. However, communication with the management was poor during the stay, and continues to be a problem. Eight months later, we are still trying to resolve simple billing questions. To middle class families like ours the costs of such treatment, while worth it are staggering. The lack of business sense is tragic. It is essentially a lack of compassion or understanding in that it continues to cause damage to families that are already struggling.

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One of the most amazing and spiritual experiences of my life. I would recommend anyone with trauma, depression, eating , chemical, or sex addiction. This program is 2nd to none!

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My loved one should have never been admitted here. They discharged him after 1 week and will not return phone calls regarding refund of the money they owe us back. They have no justification for the 3 weeks he was not staying there, and we paid for 4 weeks in advance. We were told we would have a call back in 24 hours and 1 week later we still have no phone call back. I had high hopes for this place and they have completely let us down and were unable to help my loved one. Unfortunately, my recommendation would be to not send someone you love or care about to this place because they obviously lack compassion. I am from a medical background in hospice care and this is extremely disappointing to see in the care of mental illness.

Our daughter was there for 9 weeks for her ED and we were lied to every step of the way. We were told they were experienced with ED and they are not. We were promised Family therapy and the only family therapy they have is a week end that you pay extra for, and they didn't talk once about Eating Disorders. Truly avoid if you have an Eating disorder.

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My experience is that the facility can only foster the willingness of the individual to do the work, it is not the cure. The Ranch worked with me from early on regarding the expenses I might incur. They were there at the airport to pick me up and take me to in processing. There were some delays and frustrations here but nothing exceptional and the staff was friendly and conscientious. Once in the house the Resident Advisors, as recovering people themselves, passed on their experience, strength and hope and helped me with 12 Step work. The Primary therapists are all recovering people and were exceptional in listening and working toward overcoming roadblocks to recovery. The trauma therapist was exceptional and did wonders to help me start feeling again. The adventure program provided great insights in to the areas of trust in both my brothers as well as a higher power. The equine program taught me things about relationships I never would have guessed they could. The after care recommendations were vague and left something to be desired. The alumni network outside of the Nashville area is almost non existant. Still I would recommend this facility after talking to individuals who have attended others.

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Please do not go to The Ranch. It was the worst experience I ever had. The staff doesn't care about the patients, you rarely get to see a doctor, and most of the activities you have to pay more than the cost of enrollment. You only get 4 credits with your package, and those run out the first week. Please listen to me, if your a parent who is doing this for your child, a spouse doing this for your husband, or any situation you might have, I promise you this program did nothing to help with my recovery. Thank you for taking the time to read this message.

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The Ranch was amazing! From the moment I got off the plane to the moment I was discharged I was given excellent care. The Ranch allowed me the opportunity to work on my eating disorder while addressing trauma issues - something I'd never encountered at the many treatment centers I'd been in previously. The Ranch allowed me the opportunity to grow up and to take charge of my recovery. The Ranch allowed me to find my voice and with my voice, healing. The Ranch saved my life. The Ranch was supportive and caring. The Ranch is in my blood and I'm a survivor. I'm so grateful to the exceptional staff. The Ranch has forever changed my life. Thank you to The Ranch. Thank you. And yes, I thank myself too for allowing the process in - that's the key - take action and you will survive!

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The Ranch was the best thing that ever happened to me. The location is truly magical and filled with beauty. I love how committed the staff was to me personally and to our entire house. I found the treatments to be very effective — especially the "wilderness therapy" and the "equine therapy." Before being a client at The Ranch I was spiritually bankrupt and my life was filled with lies and shame. The Ranch taught me how to love myself and others and helped me learn to live a life filled with honesty and purpose. Ultimately it's all about the individual and how much you are willing to do for your own recovery, but The Ranch helped make it possible for me to do it and I'm still sober today!

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Going to the Ranch was the best decision I ever made. I did a lot of research trying to find a place to get help with my trauma and addiction. When I got there I was terrified, but I left feeling like I had found a second home. Everyone that works there cares about the clients and treat you like a real person — not just an addict. All the staff are top notch and know what they are doing. Many places just try to get you sober, but at the Ranch you really get to the heart of your troubles. My trauma no longer affects my life in negative ways. Also, they treat the whole person. If you have more than one issue to work on, they will help. And the campus is beautiful and very healing. The Ranch literally saved my life and gave me a life I can be proud of. The other thing the Ranch does well is work with the whole family if that is something you need. Thank you everyone at The Ranch for everything you did for me and my family!!

The professionals, staff and clients at The Ranch taught me how to get sober and to recover from the symptoms of PTSD. They then gave me the tools to live sober and fearlessly. I use those tools each day and now more than three and a half years have passed since I left The Ranch. I am more than honored to say I began my recovery at The Ranch and have remained in recovery and living sober as a result of the gifts I received in that very, very special and spiritual place.

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I was at The Ranch for eating disorder and trauma treatment. This was my first experience with both diagnoses being treated together, and it was highly effective. The staff took the time to respond to my many questions before I even arrived at The Ranch. I knew exactly what the cost of treatment would be, what to bring in terms of clothing and personal items, and what the rules were. My ride was waiting for me when I arrived at the Nashville airport and was kind and respectful on the seemingly long ride to The Ranch. (I have since returned for alumni events and the ride isn't nearly as long as it seemed that first time!) Upon my arrival at the Manor House, the staff treated me respectfully and the intake process went smoothly. Of course, the staff had to inspect my things before I was admitted, but that was to be expected. And I didn't want to stay overnight at Piney, but given the circumstances, I completely understand that it was for my safety. The intake team didn't miss a beat making sure that I was safe. The assessments were thorough and my treatment plan modified as necessary throughout my stay. The RAs were mostly helpful. When I felt like I was being treated unfairly by someone, whether a resident or an RA, I was able to learn how to speak up and advocate for myself. The trauma therapist and primary therapist were phenomenal and supportive throughout my work. That doesn't mean they were easy on me. They were firm. Called me out on my behaviors when necessary. But they listened. And I felt they truly cared. Recovery isn't easy, and it is definitely not for the faint of heart. You have to work the program there. No one will do it for you. And you have to continue working the program when you leave. I had a discharge plan. I followed through with it. And I continue to work my program eighteen months later, with much success. The opportunity to stay involved with alumni activities, such as the Extravaganza in September, is definitely a bonus at The Ranch. The Ranch programming works, but you have to work it. And you have to want to get well. (Even if you don't realize it at the time of your arrival. I know I didn't.)

I am an alumni from The Ranch. I stayed in the eating disorder house for 4 months. I had never talked about my addictions, trauma or eating disorder until then. The Ranch showed me how to live life on life's terms. When I arrived at the Ranch, I wanted more time with my primary therapist but realized group therapy was the most effective. I found a lot of healing in adventure therapy and equine therapy. I received healing around my trauma using EMDR and brain spotting. I learned how to cook meals and have healthy relationships. I developed a spiritual connection and for the first time I found a connection with a higher power. Yes, it is a lot of money, but can you really put a price on your life? The "gifts" I received at the Ranch out-weigh the price.

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I was very impressed at the level of care I received and how compassionate everyone was, including the four legged creatures. The accommodations were well beyond my expectations. I found the group of men as a fellowship like no other and after 6 years we are still in touch with another. The therapist knew exactly what I needed and dealt with my issues with the utmost respect. The meals were well thought of since we catered to our liking and the grocery list was well laid out. Today I am still sober after 6 six years and still continue with my discharge plan.

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This place is a rip off. Paid $25,000 for my treatment. ... It is a money maker, not a rehab place. Got very little counseling and too much time visiting nature. Save your money find another place.

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I was in my bubble. I was shut down with no voice or opinion of my my own opinions. PTSD and depression. I started my journey of my life. They are patient, they listen and they maintain strong boundaries. However, they are too new to understand my situation.

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I have no relapsed. Ranch has saved my life.

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Can't say with much detail as I personally did not participate. Residents are treated with respect and dignity. However, the effectiveness of treatment is average.

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We placed a family member here and I think it was the best option under the circumstances. It is clean, comfortable, and effective, allowing the patient and family to get down to business. It is just very expensive.

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It was an overall wonderful facility; however, the leadership needed improvement.

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It was an excellent facility, with wonderful counseling and staff support.

The devotion of the RA staff is excellent. However, the benefits they pay are not great.

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Good for dual diagnosis.

She loved the experience and came out better than any other treatment center she tried. This facility is long-term commitment to long-term change. NOT for the faint of heart.

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I would not consider re-entering because if I went again, that would mean it didn't work. Why repeat something that didn't work? My issues are now manageable.

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It was not an effective program.

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I was highly unimpressed by The Ranch. They're "intense" psych study on you to place you in the "correct" house was severely flawed, as I was pigeonholed into the eating disorder house though my eating disorder had been a non-issue for an extensive period of time. I had to fight to be placed in a more appropriate house. The accommodations are far from luxury so do not come here expecting that kind of treatment. You must cook your own meals, clean your own house, including the transportation van. You also must take care of the random animals (all of which are filthy) no matter if your allergies are an issue. The "resident assistants" are mostly a joke. This is a job for people with serious superiority complexes. These young women ate our food all day, joined in on our treatment groups to offer their stellar opinion, and told us what to do all day. I was not aware that part of the cost was to provide therapy, housing and food to the resident assistants. There were many times that the RAs outnumbered the clients by a significant amount. Sounds like a dream job to me. The mantra of this place is "do not project negativity due to the imperfections of The Ranch." It's very difficult not to when so many things are wrong with this place. The Ranch is a summer camp with light therapy. The money does not match the treatment. Seek help elsewhere.

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I went to The Ranch in Tennessee. I initially thought I was only going to be away for a month but ended up staying three months. I was livid at first, it seemed like just a ploy to keep getting money because they suggest extensions for literally every patient, but as the original group of women I went with left earlier than suggested every single one of them relapsed and I realized I was fortunate. The EMDR therapy easily changed my life. It approaches trauma in an effective way without having to "talk it out," which proves to be ineffective with trauma work. I received a primary therapist who I would see twice a week, a trauma therapist I saw once a week, and relationship therapist who I saw once a week. Since The Ranch treats so many different issues you are placed in a house with women who struggle with the same primary issue and your program is customized off of that. For example, in the eating disorder house you work daily with a nutrition consultant, while in the trauma house you have DBT (dialectical behavioral therapy) daily. Like any treatment center you are going to have your issues and hate it sometimes. The staff can be condescending or apathetic, the food can be nad, etc etc. but this place changed my life and ultimately I owe so much of my personal success to it.

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(Strengths are) open minded staff based on the 12 steps but also Meditation and heavily involved in teaching residents how to learn coping and life skills...(Weakness are) Poor attention to staff insurance needs and overworking staff. 14 hour days are common practice 4 days a week.

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Our child enjoyed her stay there even though she didn't improve. (She) liked the country setting and all the animals...(but) they don't do what they say and tell you what you want to hear to get you there...They provided no discharge planning, (weren't upfront) about money...or family therapy...(or policies surrounding stay like) what clothes you can bring etc...They may be great for substance abuse, but truly have no idea what Eating Disorders are and how to treat them.

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I found every part of my involvement there to be respected and engaged with dignity and kindness.

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Good for trauma work & small group...Many activities advertised not provided/available...Had to pay additional to see psychiatrist additional times and withdrawal symptoms were unmanageable and not medically handled well.

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