Promises Behavioral Health

About Promises Behavioral Health

The Ranch Tennessee is a rural addiction and mental health treatment center in Dickson, Tennessee, a short drive from Nashville, where open fields, wooded trails, and horses are built into daily recovery. They treat alcohol, opioid, heroin and fentanyl, benzodiazepine, cocaine, methamphetamine, and prescription drug use, along with anxiety, depression, and trauma. Their approach pairs structured clinical therapy with outdoor routines that give clients room to slow down and practice new skills in real time. Care spans detox support, residential treatment, partial hospitalization, intensive outpatient, telehealth, and alumni programming, so clients can step down gradually as they progress.

Most clients begin with medical detox before moving into residential care, which includes individual and group therapy, cognitive-behavioral therapy, dialectical behavior therapy, motivational interviewing, and trauma-informed work. Equine-assisted therapy is a signature part of the program, starting with horse care and potentially progressing to riding, with a focus on trust, boundaries, and managing anxiety or frustration. Clients also take part in ropes courses, zip lining, group bonfires, yoga, mindfulness, art and music therapy, nutrition education, life-skills training, and family involvement. After residential care, the PHP runs about seven hours a day, five days a week, while the IOP offers morning or evening sessions, and every client leaves with an individualized aftercare plan backed by regular alumni gatherings.

About Promises Behavioral Health

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