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For containment, structure and loving care Bluff is incredible! I’ve been there twice and both times I was impressed with interactions with daily staff. My therapists on both occasions were incredible but this is not a place where psychiatrists are of much value. Preliminary trauma work is definitely possible with a staff and the horses. The most beneficial work for me was with my therapy sessions, DBT, and the care of the techs and nurses. I never saw Dr. was more detrimental to the program than effective so if you go there the expectations should be around awesome structure, healthy and motivating groups and incredible care by the techs, nurses & Dr. These people are the backbone of Bluff and will help you more than Dr. Additionally, the chef could be working anywhere but chooses to be at Bluff to help patients detox with delicious, incredible, low sugar and healthy food.