The First Step to Healing

Steps to Recovery: A Breakdown of Mental Health Symptoms at Intake

Our 2024 Clinical Outcomes Report guides our assessment of psychological symptoms at intake—empowering us to meet you where you’re at in your recovery.

An Overall Look at Intake Symptoms

Entering treatment is a turning point, and in 2024, more people arrived at Ripple Ranch Recovery Center carrying deeper, more intense mental health struggles than in previous years.

From severe depression and anxiety to trauma-related disorders and co-occurring symptoms, the complexity of symptoms at intake continues to rise.

We use the intake process to not only assess symptoms, but to uncover the story behind them. Understanding where each client starts helps us personalize every plan because true healing begins with clarity.

Are you ready to begin leading the life you were made for?
Reach out to Ripple Ranch today.

Depression at Intake: Even More Common in 2024

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In 2023, 73% of our incoming clients experienced symptoms of depression. In 2024, that number rose to 86%, making depression the most common mental health condition identified during intake at Ripple Ranch.

This year’s breakdown shows that the following percentage of patients came in with:

  • Severe Depression: 34% (down from 38% in 2023)
  • Moderately Severe: 23% (up from 21%)
  • Moderate Depression: 16% (up from 14%)
  • Mild Depression: 13% (up from 10%)
  • No Depression: 3% (down from 4%)
  • Unlikely to Have Depression: 17% (up from 13%)


This shift reflects a broader trend we’re seeing across the board: more people are seeking help while still struggling to manage deep, daily emotional pain.

That’s why our approach to depression remains comprehensive. From cognitive behavioral therapy (CBT) and medication management to mindfulness-based therapy and trauma-informed support, we meet clients where they are and walk with them toward where they want to be.

You are not defined by your mental health symptoms and challenges.
Reach out to Ripple Ranch for personalized support and sustainable healing.

Anxiety at Intake: Persistent, Pervasive, and Still a Top Concern

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Anxiety remains one of the most common and complex mental health conditions clients report at intake. In both 2023 and 2024, 86% of clients arrived with mild to severe anxiety symptoms, demonstrating just how consistently this issue impacts those entering treatment.

Here’s the 2024 breakdown:

  • Severe Anxiety: 50% (up from 49% in 2023)
  • Moderate Anxiety: 21% (down from 22%)
  • Mild Anxiety: 16% (up from 15%)
  • Minimal Anxiety: 5% (up from 4%)
  • Unlikely to Have Anxiety: 14% (up from 10%)


These numbers don’t just show prevalence – they point to the broad spectrum of how anxiety presents. For some, it’s physical: racing heart, tight chest, sleepless nights. For others, it’s mental: spiraling thoughts, constant dread, or even numbness.

At Ripple Ranch, we take all of it seriously.

Treating Anxiety at the Root

Our integrated treatment approach includes CBT, mindfulness practices, and lifestyle interventions to help clients manage anxiety from every angle, internal and external.

Because we don’t just look to reduce symptoms — we’re looking to build resilience, regain peace, and reclaim the ability to face life with confidence.

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Don’t let anxiety maintain autonomy over your life.
Contact Ripple Ranch today and begin recovery.

Trauma at Intake: The Deep Roots Behind the Pain

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Trauma remains a core issue for many clients entering treatment at Ripple Ranch. In 2024, 59% of clients presented with symptoms consistent with severe PTSD, a slight improvement from 2023, but still a powerful reminder of how much past pain clients are carrying when they arrive.

Here’s the full breakdown from 2024:

  • Severe PTSD: 59% (down from 63% in 2023)
  • Probable PTSD: 10% (same as 2023)
  • Possible PTSD: 7% (up from 4%)
  • Mild or No PTSD: 5% (same as 2023)
  • Symptoms Unlikely: 25% (up from 18%)


This shift tells a story: more clients are still struggling deeply, but there’s also a growing awareness of trauma and its impact, and that’s leading more people to seek help earlier.

Treating Trauma With Whole-Person Care

We know trauma can’t be addressed with a one-size-fits-all solution. We use trauma-informed therapy to create safety, build emotional regulation, and untangle the experiences that led to substance use or mental health challenges.

Whether trauma is recent or long buried, we help clients understand what happened, how it shaped them, and how to move forward, without carrying it all alone

Experience the Ripple Effect: compassionate care tailored to your needs.
Contact us today for a brighter tomorrow.

Mania at Intake: Less Common, Still Critical to Catch

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While fewer clients present with symptoms of mania compared to depression or anxiety, identifying and addressing manic episodes is essential to long-term stability.

In 2024, our intake data showed:

  • Severe Mania: 11% (down from 16% in 2023)
  • Probable Mania: 6% (same as 2023)
  • Possible Mania: 13% (same as 2023)
  • Mild or No Mania: 31% (up from 29%)
  • Symptoms Unlikely: 44% (up from 36%)


The good news? Fewer clients are entering treatment with severe mania. However, those who do are still experiencing elevated mood swings, erratic behavior, and impaired judgment that can derail recovery if left untreated.

Your Recovery, Your Way

Ripple Ranch approaches mania through both clinical and holistic lenses, combining dialectical behavior therapy (DBT) with medication management and emotional regulation strategies. Our goal is to help clients recognize early signs, develop coping tools, and regain a sense of stability and control.

Because when mania goes unrecognized, it can lead to impulsive decisions, burnout, or relapse – but when it’s addressed with care and intention, healing becomes possible.

You are capable and deserving of a happy, healthy life.
Let us help you get there.

Psychosis at Intake: Understanding the Disconnect, Rebuilding Reality

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Psychosis can be one of the most disorienting and isolating experiences a person can face. We meet it with compassion, structure, and a plan for stabilization.

In 2024, intake data revealed:

  • Severe Psychosis: 14% (down from 16% in 2023)
  • Probable Psychosis: 16% (up from 13%)
  • Possible Psychosis: 5% (down from 8%)
  • Mild or No Psychosis: 10% (up from 9%)
  • Symptoms Unlikely: 51% (down from 55%)


What does that tell us? The number of clients arriving with some level of psychotic symptoms remains substantial, and those symptoms often require immediate stabilization, trust-building, and long-term planning for recovery.

Whole-Person Support for Lasting Recovery

Ripple Ranch integrates clinical therapy, psychiatric support, and residential care to create a safe environment for individuals navigating psychosis.

We understand that psychosis is not the full picture of a person; it’s a symptom. And, beneath that symptom, is someone still worthy of dignity, understanding, and long-term healing.

Start your journey towards well-being.

Contact Ripple Ranch today and discover the power of personalized care.

What Our Intake Data Tells Us: A Clearer Picture, A Stronger Purpose

Every intake assessment at Ripple Ranch gives us insight into the lives, struggles, and needs of the people who walk through our doors. And in 2024, that picture was clear: clients are arriving with more complex, overlapping, and severe mental health symptoms than in years past.

From rising depression and sustained anxiety levels to deeply rooted trauma, mania, and psychosis, the challenges are real, but so is the opportunity for healing.

This data reminds us that the progress clients make here is even more meaningful because of where they’re starting from.

We honor that by tailoring every treatment plan to the individual, meeting clients where they are, and guiding them toward where they want to be.

Learn More About Assessing Patient Symptoms During Their Last Treatment

Don’t settle when it comes to your mental health care.

Reach out to our Texas team today and experience the Ripple Ranch difference.