Promises Behavioral Health - The Ranch Tennessee

Immersive Healing on a 2,000-Acre Horse Ranch

The Ranch Tennessee offers a treatment experience grounded in nature, community, and clinical depth. Located just outside Nashville, the facility sits on a sprawling 2,000-acre working horse ranch, where clients engage in equine-assisted therapy and other outdoor experiences. The natural setting isn’t just scenic—it plays a central role in helping clients regulate emotions, reconnect with their bodies, and rebuild a sense of calm and agency.

Trauma-Focused, Dual Diagnosis Treatment

This facility specializes in treating co-occurring mental health and substance use disorders, particularly for individuals with unresolved trauma. Modalities like EMDR, adventure therapy, and expressive arts are integrated into programming, giving clients a variety of ways to process and express their experiences. Treatment also addresses process addictions, eating disorders, and personality disorders, with dedicated clinical oversight for complex cases.

Gender-Specific Living in Rustic Cabins

Clients are housed in one of five gender-specific cabins designed to foster connection and safety. Shared kitchens encourage communal meals and bonding, while the rustic, cabin-style setting supports a low-distraction environment conducive to healing. The physical layout and structure of the campus reflect the facility’s emphasis on grounded, experiential recovery.

A Holistic Approach That Includes the Body, Mind, and Spirit

Alongside talk therapy and structured group work, clients participate in fishing, hiking, yoga, ropes courses, and volleyball. Both 12-Step and non-12-Step recovery paths are supported, along with spiritual recovery programs. This range of offerings reflects The Ranch’s commitment to treating the whole person, not just the symptoms of addiction.

Transition Support and Continued Connection

After treatment, clients can access structured aftercare that includes continued therapy appointments and participation in alumni recovery groups. This continuity of care helps individuals maintain progress and connection, which are key predictors of long-term recovery success.

What Patients Are Saying

Patient reviews describe the facility as a place of deep emotional healing, praising its compassionate staff and immersive therapeutic environment. Alumni frequently highlight equine therapy and outdoor programming as transformative. Some concerns have been raised about administrative communication and billing, but clinical care receives consistently high marks for its thoroughness and heart.