Somatic Therapy: 5 Ways Body-Based Healing Transforms Trauma Recovery

What if your body is the key to healing your mind? According to somatic therapy and those who have benefited, it is. 

Somatic means “of, relating to, or affecting the body especially as distinguished from the mind.” Essentially, ‘body therapy.’ It uses physical sensations and awareness to release trapped trauma and negative emotions, bringing a type of healing talk therapy can’t always reach.

You can picture trauma like something that gets stuck inside you, almost like a popcorn kernel in your teeth. You can usually feel it there but it’s hard to find, and hard to release when you don’t know where to reach. Somatic therapy brings awareness to trapped energy and allows its release through movement, which can bring long-awaited healing.

what is somatic therapy infographic

Somatic Therapy Explained

Somatic therapy, an evidence-based type of trauma therapy, centers on mindfulness, which means being aware of your internal state and surroundings. It was developed by psychologist and healthcare researcher Peter Levine. It’s often used to treat post-traumatic stress disorder (PTSD) and trauma, since the body can store trauma.1 

Healing trauma can become more of a struggle when the effects of a traumatic event feel psychologically and biologically engrained. That’s why somatic therapy focuses on your mind-body connection, interoception, and self-awareness.

A build up of trauma and other negative emotional experiences can skew your self-regulation ability, making emotions and other internal sensations feel intense and hard to bear. Moving your body serves as an activation of this pent-up energy, allowing its release.

Here’s how somatic therapy offers a unique path to trauma recovery that goes beyond what traditional talk therapy can achieve alone:

1. It Addresses Effects of Trauma

Trauma is ‘stored’ in the body because it can change how the brain and parts of the body function, even down to a cellular and genetic level,2 which can lead to disease and poor health. Bessel van der Kolk studied and published a book on this phenomena and novel ways of treating trauma, called The Body Keeps the Score. 

Traumatic experiences can place someone in perpetual fight-or-flight mode,3 which can damage and strain other areas of the body, like adrenal functions and other autonomic nervous systems. Mainly, this can mean someone constantly has elevated levels of cortisol, which causes stress and puts strain on the body that should only be temporary.

how trauma shows up in the body graphic

2. It Provides Solution-Based Support

Somatic experiencing is an intervention that aims to bring attention to the areas of the body that respond when someone remembers their trauma, or experiences a similar event. By doing this somatic therapists ‘release’ the emotions and sensations stored in the body that prevent true healing. A sign of success includes feeling safer in their body and more comfortable with various bodily sensations.

Somatic psychotherapy also uses aspects of psychotherapy to improve your overall mental health, sometimes called sensorimotor psychotherapy. For example, your session may start by verbally going through traumatic memories and then noticing their physical symptoms. Does your chest tighten? Do you start sweating? Does your stomach hurt?

Improving your body awareness can help you and your therapist discover what has an effect on you, and what movements can help.

3. It Explores Numerous Evidence-Based Techniques

Somatic therapists will use a variety of mind-body techniques and modalities to release trapped negative emotions and trauma4. They blend aspects of neuroscience and body psychotherapy for a completely unique approach to healing. These somatic practices can vary based on individual needs, but options can include any of the following.

Bottom-Up

This approach means you start by becoming aware of physical sensations before moving into your mind and emotions. You’ll make nonjudgemental notice of what your body feels like and simply accept that before moving into your mind. There, you’ll see what may be attached to those feelings and sensations.

unique somatic therapy techniques for trauma

Breathwork

Breathwork, one of the simplest somatic approaches, focuses solely on your breathing. You’re guided to become aware of your breathing and follow breathing patterns to calm your mind and body. Your somatic therapist may have you put a hand on your belly and chest to connect to each breath, reducing dissociation.

Breathwork can be used in-the-moment to calm a stress response like racing heartbeat, shallow breathing, and even panic attacks.

Body Scans

In a body scan your psychotherapist will guide you through noticing areas of the body that feel tense, uncomfortable, or relaxed. For example, maybe you’ll come into your session feeling fine but during the body scan notice you’re holding tension in your shoulders, or feeling tightness in your stomach. You may also tune into your proprioception, which is how you sense where you are and what movements you’re making.

Body scans can be the first step in the bottom-up approach, or done on their own.

Pendulation 

Pendulation means thinking of the traumatic event and feeling those negative emotions before swinging back to a place of calm and comfort, then swinging into the strong emotions again. 

You’ll first identify the mental space you’ll go to when you need calm, which could be the present moment or a past memory that makes you feel at ease and happy. Then you’ll focus on a painful memory, let yourself experience its emotions, and swing back to safety before it gets to be too much. This can gradually build your tolerance and show your mind and body that you can control your feelings of safety.

Titration

Using the titration technique means you work through a traumatic memory, either by verbally walking through it or simply remembering it in the quiet of your mind. As you do, you’ll make note of how your body reacts and what types of physical sensations you feel.

Dance

Dancing to music can release energy and emotions that may be pent up inside you. This could look like slow, repetitive movements that make you feel calm and grounded, or more vigorous dancing that gets your heart pumping and releases energy. For this type of dance your somatic therapist might cue up some pop or EDM music, or jazz and classical tunes for more calming moves. 

Yoga

Somatic yoga often begins with a body scan to identify areas of tension and discomfort, both so somatic therapists know which areas to target and to avoid adding extra discomfort. 

Somatic yoga involves slow, grounded movements to connect your mind and body and release energy and tension. It can be a highly emotional, freeing experience, as can other somatic techniques. 

Resourcing

This technique is similar to pendulation, but serves more as a way to identify a calming, peaceful memory and bodily sensation that you can return to when you feel anxious, distressed, and overwhelmed. It’s like making note of it and storing it for later. 

You may use a memory of being in nature, like spending a quiet afternoon at the lake, and remember how it felt in both your mind and body. Maybe you felt completely relaxed, grounded in the sensations of the sun, wind, and sounds of the water. You’ll practice getting back into this headspace and noting how it calms and soothes your body. Then, as needed, you can use your ‘resource’ to relax, calm down, or recuperate. 

4. It Combines Conventional Therapy Structure With Body-Based Techniques

A somatic therapy session will have some similarities to talk therapies like cognitive behavioral therapy (CBT), but differ in the fact that it involves your body, too. Some type of movement or body scan will accompany each session.

You may start with talk therapy, like verbally processing a recent event or a traumatic memory, before moving into the physical portion. Your somatic therapist won’t force you to do anything you don’t want to do; you’ll collaborate to find the most appealing and effective techniques.

Somatic therapy sessions can last anywhere from 1-2 hours, like a typical therapy session. The exact length may be predetermined by the therapist or even your insurance coverage. You’ll most likely meet in person, since your therapist will need to guide your movements and, in some cases and with consent, use touch. 

The room your sessions happen in may look a little different too, probably with extra space and even some tools like body rollers, hula hoops, stereos, and sensory objects like stones. Somatic therapy could even happen outside, using nature as a powerful grounding tool.

5. It Delivers Life-Changing Results

Somatic therapy can be hugely beneficial for those with trauma, PTSD, depression, chronic pain, and anxiety. For some it can be more comprehensive than talk therapy alone,5 since it takes an active, body-focused approach to healing you can feel.

Somatic therapy can reduce symptoms of PTSD and trauma,6 along with conditions like depression and anxiety. It also was found to improve general well-being and quality of life.

You may also find hobbies you enjoy through somatic therapy, like dance or yoga. Engaging in these hobbies broadens your community and can give you a continuous outlet for both positive and negative emotions.

Start Your Somatic Healing Journey

Somatic therapy could be the breakthrough you’ve been searching for. If traditional talk therapy hasn’t fully addressed your trauma, stress, or emotional challenges, a body-based approach might unlock the healing you deserve.

Take the next step: Find qualified somatic therapists in your area and discover how this powerful mind-body connection can transform your recovery.


FAQs

Q: What is somatic therapy?


A: Somatic therapy is a body-centered approach to mental health that focuses on the connection between the mind and body. It helps people in recovery release trauma and stress stored in the body through physical awareness and movement.

Q: What is an example of a somatic treatment?


A: Examples include breathwork, body scans, somatic yoga, pendulation, titration, and even dance therapy—each designed to help you feel and process emotions stored in the body.

Q: What is the difference between CBT and somatic therapy?


A: Cognitive behavioral therapy (CBT) focuses on changing thought patterns to influence behavior, while somatic therapy starts with bodily sensations to process emotions and trauma. Somatic therapy often involves physical techniques alongside talk therapy.

Q: Does somatics really work?


A: Yes, research shows that somatic therapy can reduce symptoms of PTSD, anxiety, and depression, and improve overall well-being. It’s especially effective for trauma stored in the body.

Q: What does somatic therapy treat?


A: Somatic therapy is commonly used to treat trauma, PTSD, chronic stress, anxiety, depression, and even physical pain linked to emotional distress.

Q: How does somatic psychotherapy work?


A: Somatic psychotherapy works by helping you tune into your body’s sensations and responses, often through guided movement, mindfulness, and breathwork. This process helps release trapped trauma and restore emotional balance.

Q: What is Somatic Experiencing Therapy?


A: Developed by Dr. Peter Levine, Somatic Experiencing (SE) is a form of therapy that guides patients to notice and release physical sensations connected to traumatic experiences in a safe and controlled way.

Q: What happens during a somatic therapy session?


A: A typical session may involve a mix of talk therapy and body-based techniques like breathing exercises, body scans, or movement. You and your therapist work together to explore physical sensations tied to emotional experiences.

How Much Does Rehab Cost? 

Getting professional help for alcohol use disorder, drug use, and other addictions is possible even if you don’t have health insurance or a lot of money in the bank. 

We understand how concerns over the cost of rehab may still prevent you from working toward recovery. Keep reading to learn how much rehab costs and what financing options might be available to you.

1. Price Levels of Addiction Treatment

The variety of treatment options and therapies available in drug and alcohol rehabs is extensive. Because of this, there’s not really an average cost for rehab and different programs can have vastly different costs.

In the U.S., the cost of residential rehab programs can range from more affordable options that cost less than $10,000 to premium, single-client addiction treatment centers that can cost upwards of $80,000.

Several elements determine how much treatment at different rehab facilities will cost.

Infographic showing a comparison between the cost of treatment and the consequences of addiction. A scale tips heavily toward addiction, with blocks representing life lost, relationships broken, job loss, jail time, medical bills, substance costs, and legal fees. The treatment side shows only a single block labeled program cost. Text above states that treatment can cost thousands, but addiction costs everything.

2. Factors That Influence the Cost of Rehab

Type of Treatment

The word “rehab” is an older way to refer to many kinds of treatment programs. The most common of these are detox programs, outpatient treatment, intensive outpatient programs, partial hospitalization programs (PHP), and inpatient treatment, also known as residential rehab. The difference between most of these treatment plans is whether you go home every day after treatment sessions (outpatient programs) or whether you live and receive care 24/7 for an extended amount of time at a facility (inpatient care/residential). 

These types of treatment often include resources for family members and loved ones, support groups, and connections to various helplines and other resources for when you leave treatment.

Some facilities provide medical detox, which includes medical oversight for detoxification. These programs may use medications to manage withdrawal symptoms, like Methadone for opioid use. Inpatient rehab costs can be higher if the program includes medical detox.

Typically, more time spent at a center results in higher costs for addiction treatment programs. One study by the U.K.’s National Institute for Health and Care Excellence (NICE) reports that “a course of outpatient treatment averaged less than 10% of the cost of inpatient treatment.”1 Though residential treatment programs may be slightly more effective for some people, “preference might still be given to non-residential treatment based on cost-effectiveness.” 

How do you pay for rehab?

Paying for treatment can feel overwhelming, but there are many options available that include insurance coverage, sliding-scale fees, state-funded programs, and even community-based resources like churches or nonprofit organizations. It’s crucial to make financial information more available, accessible, and easy to understand so that cost isn’t an immediate deterrent to seeking care. When financial options are difficult to access or navigate, they can become a major barrier, so creating a transparent and supportive process helps ensure that people can get the help they need.

Andrew Schreier, ICS, CSAC, LPC, ICGC-II, BACC
Infographic titled Main Factors that Determine the Cost of Treatment, featuring six key elements: level of care, length of stay, medication needed, insurance coverage, facility amenities, and location. Each factor is represented by a circular icon, and a large prescription bottle is illustrated on the right.

Location

Highly desirable settings, like the beach or mountains, will likely increase the cost of treatment. But, traveling abroad for substance use treatment can sometimes be less expensive than getting treatment locally because of the cheaper costs of operations in different locales, like Thailand or Bali. Garry Irvin, Admissions Manager at The Dawn Rehab describes the cost of drug rehab in Thailand:2

Clients coming from Western countries, from the US, from Australia, UK, would be able to get three or four months’ worth of treatment here for what they would get for a month back at home.

Services Offered

The cost of rehab may increase with additional treatments like detox, medication-assisted treatment (MAT), complementary therapies, outpatient care, or aftercare. These may be offered as optional “add-ons” at an extra cost depending on the treatment facility.

Program Length

The standard length of say at a residential rehab facility is 30, 60, or 90 days. Program rates generally increase according to how long you stay.

Amenities

Treatment at centers with luxurious accommodations and exclusive amenities, like pools and lounges, fully-equipped gyms and sports courts, and business centers or computer labs will likely cost more.

It’s important to remember that the cost of a treatment program doesn’t always correlate with the quality. In other words, just because you’re paying top dollar for a program doesn’t mean you’re necessarily getting the best treatment, and vice versa. 

There are many factors to consider, other than cost, that can help you determine the quality of drug and alcohol treatment programs and facilities. If you’re interested in a particular location or facility, the best thing to do is to call and talk to their admissions team to learn more about any specific benefits, prices, and payment options.

Most clients at All Points North Lodge use insurance; “the rest either choose not to use it or don’t have it.”

Bar graph infographic titled Comparing the Average Price of Key Treatment Types, showing cost ranges for 30-day outpatient, inpatient, and detox programs. Outpatient ranges from $1,400 to $10,000, inpatient from $5,000 to $80,000, and detox from $250 to $37,500. A hand holding stacked coins appears in the lower right.

3. Using Insurance to Pay for Addiction Treatment

Before you can use insurance to pay for addiction treatment, you need to know the following: 

  • Does your insurance plan cover the type of treatment you’re considering, and the level of care you’re wanting?
  • Does the center you’re considering accept insurance?

Will My Insurance Cover Rehab Expenses?

Today in the U.S., most private health insurance policies do cover addiction treatment3 costs. In 2014, the Affordable Care Act (ACA) classified addiction and mental health treatment as essential health benefits,4 thus requiring insurance plans to cover treatment for alcohol addiction, drug addiction, and mental health conditions. This includes inpatient programs and outpatient rehab.

Even though having insurance may increase your opportunity to receive treatment, in 2018 only 13.4% of insured adults with a substance use disorder received treatment.5 Additionally, spending on substance abuse treatment6 is just 0.6% of overall private insurance spending. 

Understanding what your insurance provider and plan covers can be difficult, but it’s essential to make sure you’re taking advantage of all of your insurance benefits. The best way to know if your insurance plan covers substance use treatment is to call and discuss your plan details with a customer service agent at your provider. 

Which Alcohol and Addiction Rehabs Accept Insurance?

Since the ACA was passed, most US rehab centers will accept insurance in addition to offering multiple payment options. If this information isn’t listed on the center’s website, an admissions officer can give you those details when you call. Per Jerry Vaccaro, President of All Points North Lodge in Edwards, Colorado,

Because we’re in the U.S. and we’ve got the Affordable Care Act…the vast majority of people who come to us have insurance. Some choose not to use it for a variety of personal reasons. In the facility, I’d say at any one time, probably 70% to 75% of our clients have insurance and are using it and the rest either choose not to use it or don’t have it.

How Medicaid and Medicare Can Help Cover Treatment Costs

In the U.S., eligible recipients of Medicaid or Medicare can use these federal- and state-funded health insurance programs to also help pay for treatment. 

Medicaid is free or low-cost health care for people who meet low-income requirements, whereas Medicare is a US federal health insurance program for adults over 65 or under 65 with a disability, regardless of income. As one report explains, “To more broadly cover uninsured individuals, the Affordable Care Act includes a provision that allows states to expand Medicaid coverage. Benefits include mental health and substance use disorder treatment services6 with coverage equivalent to that of general health care services.” 

Each state has different eligibility rules and treatment coverage, which often change annually, and not all facilities accept Medicaid/Medicare as a form of payment.

What is the average cost of rehab?

The average cost of rehab varies widely depending on several factors, such as the type of treatment, location, duration, and whether the facility is inpatient or outpatient. Traditional inpatient stays can range from $5,000 on the lower end to upwards of $80,000 for a luxury site. Although options are more limited for those in financial need, Medicaid, Medicare, government grants, and various managed care (insurance) plans may be able to offset some or even all of the cost, allowing minimal to no charge for the patient.

Matthew Glowiak, PhD, LCPC, CAADC, ACS, NCC | Hazelden Betty Ford Graduate School
Infographic titled Top 3 Myths of Affording Recovery, highlighting common misconceptions that prevent people from seeking treatment. The three myths are treatment is only for the rich, insurance doesn’t cover rehab, and the more you pay, the better the results. Each myth is displayed in a quote box with a corresponding icon.

4. Paying For Rehab with Grants, Public Funds, and Scholarships

With or without insurance, you may still need additional funding to fully pay for treatment. As the U.S. Surgeon General’s 2016 report on addiction elaborates, although insurance coverage is critical for individuals with substance use disorders,6 “it is unlikely to cover all the services that such individuals may need, such as crisis services (e.g., emergency treatment intervention), housing, supported employment, and many community prevention programs and services (e.g., school-based prevention programs).” 

There are public funds available through government organizations like the U.S. Department of Veterans Affairs, as well as grants from private institutions, like SAMHSA, and even scholarships from some rehab centers directly. 

It’s historically documented that, in the U.S., state and local governments have been “the largest source of spending on substance use disorder treatment.”7 In 2009, excluding Medicaid expenses, their funds covered $7.6 billion—nearly a third—of total spending on substance use disorder treatment. 

These forms of financial assistance to help pay for treatment are available because many institutions, including rehab centers themselves, recognize how vital treatment is and how financially beneficial it is for all of society for people to receive treatment. 

Although the United States spends roughly $35 billion across public and private payers to treat substance use disorders, the social and economic costs associated with these disorders are many times higher: Annual costs of substance misuse and substance use disorders in the United States are estimated at more than $400 billion,” according to the Surgeon General’s report. “Thus, treating substance use disorders has the potential for positive net economic benefits,6 not just in regard to treatment services but also general health care.”

To find out if a particular rehab center offers scholarships and how to apply for the reduced costs, contact the center directly. An admissions specialist can help you navigate the process of getting funding for treatment. 

5. Additional Rehab Treatment Financing Options

If you don’t have insurance, or perhaps don’t want to use your insurance coverage for whatever reason, there are other payment options: financing directly from a treatment center, personal loans from family and friends, personal loans from a bank, or paying via credit card.

In general, the main goal of getting financing is to decrease or eliminate your out-of-pocket financial obligations. To that end, choosing a credit card or a loan with low interest rates and manageable payback terms may be preferable. 

Some credit card companies offer deferred interest rates for medical-related expenses, including substance and mental health treatment. Furthermore, some centers offer financing options directly from their own funds or work with third-party lenders to create affordable loan packages. 

Rehab can be a life-changing (and life-saving) experience, but it does often entail a sizable investment.

Disclaimer: Please note that it’s important to speak with your own financial advisor before taking action that will financially affect your future. 

Using Your Own Money to Pay for Treatment

Another way to fund treatment is to self-pay using savings or other assets. In fact, this is one of the most common ways to pay for rehab. Do note that many rehab centers require full payment upfront. Alternatively, you can ask about any payment plan options such as putting down a deposit to secure your spot and then paying off your treatment in increments or monthly payments. Heather Charlet, Director of Admissions, explains the process at Gallus Detox Center in Colorado:

We can put clients on a bit of a payment plan to take a percentage of that upfront and then spread the rest of the payment out over several months. We then also work hard for the verification of benefits to be able to reimburse them as much as possible. We do everything we can to try to make it as cost-effective as possible.

Again, the best way to know what options your rehab center offers is to call them directly. 

Is going to treatment or rehab worth it?

The answer requires careful consideration in terms of my commitment to recovery. Is going to treatment or rehab worth it, especially when considering the financial cost? Substance use invariably results in the loss of one’s identity. When we consider the impact of substances on one’s self-perception, the collateral damage, coupled with the onset of hopelessness, is going to treatment or rehab worth it? Yes, there’s no amount of money I wouldn’t spend to get my life back. The relevant question regarding the financial cost of treatment is, am I committed to the recovery process?

Charles Harris, CADC-II

6. Your Recovery is Worth the Cost of Rehab

No matter how much residential rehab may cost, it is worth it to get the help you need—both in the short term and in the long run. This isn’t just because treatment may save your life, but also because addressing your addictions or mental health conditions now can help reduce your total healthcare costs throughout your lifetime. 

As the U.S. Surgeon General’s 2016 Report on Alcohol, Drugs, and Health describes, “Costs associated with substance use disorders6 are not limited to health care. The accumulated costs to the individual, the family, and the community are staggering and arise as a consequence of many direct and indirect effects, including compromised physical and mental health, loss of productivity, reduced quality of life, increased crime and violence, misuse, and neglect of children, and health care costs.”

When viewed from this perspective, you can see how the reduction in your future health care costs that are associated with treatment and recovery “would more than cover the cost of addiction treatment.” 

We know the expense of inpatient treatment can seem intimidating at first. But, your financial concerns don’t have to be roadblocks on your path toward recovery. There are many different paths you can take to get the help you need, no matter what your budget or financial circumstances are.

See our collection of rehabs to find centers offering recovery programs in various price ranges, as well as those that accept insurance.


FAQs

Q: What are the price levels of addiction treatment?


A: Addiction treatment costs vary widely based on the type of care provided. Residential rehab can range from under $10,000 for basic programs to over $80,000 for luxury treatment. Outpatient programs are generally more affordable, with costs starting around $1,000 and going up to $10,000 or more for intensive care.

Q: What factors influence the cost of rehab?


A: Several factors affect the cost of addiction treatment, including:

  • Type of treatment: Inpatient rehab is more expensive than outpatient programs.
  • Program length: Longer stays (60 or 90 days) increase costs.
  • Location: Treatment centers in high-demand areas (beachfront or mountain retreats) may cost more.
  • Services offered: Medical detox, therapy, and holistic treatments can add to the cost.
  • Amenities: Luxury facilities with private rooms, pools, or gourmet meals tend to be pricier.

Q: Does insurance cover addiction treatment?


A: Yes, most private insurance plans cover addiction treatment, including inpatient rehab, outpatient care, and detox. Thanks to the Affordable Care Act (ACA), substance use treatment is considered an essential health benefit. However, coverage varies by provider, so it’s important to verify your benefits with your insurance company.

Q: How can I use Medicaid or Medicare to pay for rehab?


A: Medicaid and Medicare both provide coverage for addiction treatment, but eligibility and services covered vary by state. Medicaid is for low-income individuals, while Medicare is for adults 65+ or those with disabilities. Some rehab centers accept both programs, so it’s best to check directly with facilities or visit Recovery.com to find covered providers.

Q: Are there grants or public funds available to help pay for rehab?


A: Yes, several options can help cover rehab costs:

  • State-funded rehab programs: Many states offer low-cost or free treatment for qualifying residents.
  • Scholarships from rehab centers: Some private facilities offer financial assistance to those in need.

Q: What financing options are available for rehab?


A: If you don’t have insurance or need additional financial support, you may consider:

  • Payment plans: Many rehab centers offer flexible monthly payments.
  • Medical loans: Specialized loans for healthcare expenses.
  • Credit cards: Some credit cards provide deferred interest for medical expenses.
  • Personal savings or family contributions: Self-paying is also an option for some individuals.

Q: Is rehab worth the cost?


A: Absolutely. While rehab can be a significant expense, not seeking treatment often leads to much higher costs, including medical bills, lost income, legal issues, and long-term health complications. Research from the National Institute on Drug Abuse (NIDA) shows that every $1 spent on addiction treatment saves up to $12 in healthcare and social costs.

Q: How do I find an affordable rehab center?


A: You can find cost-effective treatment by:

  • Checking insurance-covered rehab facilities.
  • Looking for state-funded or nonprofit programs.
  • Asking about sliding scale payment options at private centers.
  • Applying for scholarships or grants offered by treatment facilities.

If you’re ready to start treatment, reach out to a rehab center’s admissions team to discuss your financial options and find a solution that works for you.

Does Alcohol Really Help You Relax? Understanding the Effects

Alcohol can make you feel relaxed, but it’s fleeting, dangerous, and not a true state of relaxation. Reaching for alcohol to cope with stress can start a self-feeding cycle marked by anxiety and eventual dependence.

Let’s explore the true effects of alcohol and how short- and long-term consequences can hide behind the guise of relaxation.

How Alcohol Affects the Brain and Body

Does alcohol help you relax if you’re stressed? It can, but that’s because alcohol is a central nervous system depressant. So it can lower your ability to feel stress—not make it go away.

Alcohol as a Central Nervous System Depressant

Your central nervous system (CNS) controls1 your movement, thinking, speech, senses, and general awareness of what’s happening within and around you. When it’s depressed from alcohol, you may slur your speech, lose your balance and coordination, feel less pain, and lose your ability to think clearly. 

You’ll also feel an initial calming sensation as your CNS slows down. But operating without your central nervous system in full gear can have disastrous effects, including

  • Accidental self-injury due to falls
  • Criminal behaviours
  • Drunk driving
  • Memory blackouts
  • Vomiting
  • Slowed (or stopped) breathing and heart rate

Impact on Neurotransmitters

Alcohol increases ‘inhibitory’ neurotransmitters2, meaning brain activity slows down. This is what causes that initial wave of calmness. Alcohol also acts on the GABA (gamma-aminobutyric acid) receptor, causing a sense of sedation and lowered anxiety. It affects serotonin levels3, too, and over time, these skewed levels contribute to alcohol addiction.

To balance the inhibitory effects of alcohol, your brain produces excitatory neurotransmitters2. If you stop drinking alcohol and the extra excitatory neurotransmitters have nothing to balance, you can develop symptoms of alcohol withdrawal

Disruptions to Sleep and Rest

Alcohol lowers the quality of your sleep4. It negatively affects the same neurotransmitters involved with sleep, meaning it can alter your body’s natural cycles and rhythms. You may fall asleep due to the initial sedative effects of alcohol, but it disrupts your sleep later on in the night. 

Sleeping with alcohol in your system leads to frequent wakings during the night5 and poor-quality sleep as the alcohol slowly makes its way out of your body. This means you’ll wake up feeling unrested, groggy, and generally not your best.

Heavy, continuous drinking can lead to insomnia. People with sleep challenges like sleep apnea or snoring are likely to experience more negative effects5 if they drink before bed, even if just one drink. 

The Short-Term vs. Long-Term Effects of Alcohol on Relaxation

The initial slowing of activity in your CNS causes a feeling of relaxation, but it doesn’t last. 

The Initial Relaxing Effect

Drinking alcohol can produce a sense of calm6, and for some, even a sense of euphoria. This can make it seem like a quick solution to stress, but since it doesn’t take away the problem, only distracts from it, alcohol isn’t a true solution.

Alcohol also activates the brain’s reward system6, which can make the act of drinking feel pleasurable or exciting. This excitatory state combined with reduced inhibitions can cause the sense of euphoria some feel.

And, alcohol slows down the parts of your brain that process negative emotions7, which is why it can seem like sadness, guilt, or grief vanish after drinking.

Increased Anxiety and Stress Over Time

Drinking regularly can build a dependence and increase your tolerance7, meaning you’ll need to drink more and more to mitigate the negative effects (like cravings) and feel intoxicated. As dependence and tolerance grow, drinking changes from pleasurable to monotonous—satiating a need for alcohol rather than enjoying its effects.

Feeling more dependent on alcohol can increase your overall anxiety and stress, especially for those balancing other responsibilities and demands.

The “Alcohol Hangover” and Rebound Anxiety

A study reports that “alcohol may reduce anxiety by inhibiting responding to anxiety-provoking stimuli.8” Once those effects wear off, rebound anxiety can occur as the dampened systems in the brain start functioning normally. Rebound anxiety can feel like a wave of symptoms crashing all at once.

Rebound anxiety can lead to a cycle of consumption in hopes of keeping the wave from crashing—but it’s not sustainable. People can inadvertently develop alcohol use disorder trying to stay afloat.

Alcohol and Stress: Myths vs. Reality

Think of how many “person-unwinding-after-a-hard-day-with-alcohol” scenes crop up in movies, TV shows, and books. It would seem to be a perfectly normal stress response.

In reality, the stress-relieving idea and the normalcy of this ritual both prove to be myths.

The Myth of Alcohol as a Stress Reliever

Alcohol only changes your ability to notice your stress—it doesn’t take any bit of it away. It may dampen the sensations of stress, which some people experience more pronouncedly than others9, but doesn’t solve the underlying issue. Momentary distractions like this may feel like an adequate solution, but they can cause much more harm than the initial stressor itself.

The Reality: Alcohol’s Impact on Stress and Mental Health

Over time, alcohol can actually raise levels of stress and worsen (or cause) mental health conditions10 like depression and anxiety. It can also make you more irritable and emotionally volatile. 

Its negative effects on sleep can also worsen mental health conditions and cause additional stress11. Fleeting relief from negative emotions comes with a high price, but it doesn’t have to.

Healthier Alternatives to Alcohol for Relaxation

For a comprehensive list of ways to relax without alcohol, check out our article here.

Meditation and Deep Breathing Techniques

Your mind and lungs can be powerful tools in inducing relaxation. 

Next time stress overwhelms, try sitting down and playing a guided meditation session. Search the app store on your phone to find dozens of meditation apps to choose from.

Either separately or alongside your meditation, try a paced breathing technique. Deep, slow breathing tells your brain you aren’t under threat. Examples of breathing techniques include

  • Box breathing: Breathe in for 4 seconds, hold for 4, exhale for 4, hold for 4, and start the cycle again.
  • Belly breathing: Focus on expanding your stomach as you breathe. When you breathe out, decompress your stomach as much as you can. This is also called diaphragmatic breathing—try putting your hand on your stomach to feel it rise and fall.

Physical Exercise

Exercise lowers levels of stress hormones12, helping you feel more relaxed. You don’t have to do certain exercises to get these benefits, just find a way of moving that works for you. You could try

  • Walking
  • Weightlifting
  • Jumproping
  • Running
  • Climbing the stairs in your house/apartment
  • Swimming

Developing an exercise routine can help you stick to your goals, like working out before you head into work. And, you can use exercise as-needed to manage acute stress—like doing jumping jacks before or after a stressful situation.

Music and Creative Outlets

Creative expression can also relieve stress13 by engaging the mind and body in a pleasurable, open-minded way. Art and music can alter your perception of the stressful event by helping you take a step back from it. Keeping your hands busy can also help you process stressful events without feeling overwhelmed.

Examples of creative outlets include

  • Doodling
  • Painting
  • Singing
  • Listening to music
  • Creative writing
  • Poetry

Building Sustainable Relaxation Habits

Identifying Triggers for Alcohol Use

Identifying what triggers an urge to drink can help you proactively avoid and prepare for these scenarios, including stress. For example, maybe certain days of the week feel more stressful, like Mondays. Planning a relaxing activity on these days can help manage that stress, and give you peace of mind knowing you have a plan and won’t need to resort to alcohol.

Other situations could include social settings, like a party or event. You might feel stressed and want to use alcohol to numb the nerves and help you be more social—plan ahead by practicing breathing techniques (or other coping skills) before the event and opt for non-alcoholic drinks to limit your alcohol intake.

Creating a Relaxation Routine

Block off time to relax and write down your favorite relaxation techniques. Do one or more relaxation techniques during the time you block off, like a meditation before bed or spending time outside after work. Incorporating relaxation into your daily routines can help it become habitual. 

Seeking Support for Alcohol Dependence

Sometimes you need more than stress relief—developing a physical and emotional dependence on alcohol takes medical care to safely reverse. Set up an appointment with your primary care provider to voice your concerns and learn your next steps. Helpful conversation points include

  • “Should I be concerned about my symptoms?”
  • “What can I do to stop being dependent on alcohol?”
  • “Will I need a medical detox to start my treatment?”
  • “Would you recommend alcohol rehab?”
  • “What strategies or treatments can I start using right away?”

Your doctor may refer you to therapy, outpatient alcohol addiction treatment, or residential rehab for alcohol addiction. Detoxing at a rehab or hospital may be a necessary first step; make sure you ask your doctor for their medical opinion. You can use Recovery.com to find rehabs and outpatient programs that treat alcohol addiction.

The Reality of Alcohol and Relaxation

Alcohol isn’t a healthy or sustainable relaxation tool, but relaxation techniques relevant to your preferences and needs are. Fill your toolbox with techniques like breathing exercises, meditation, exercise, creative expression, and more to cope with stress without alcohol. Planning ahead for stressful situations can help you feel more prepared and empowered.

Bipolar 1 vs. Bipolar 2: Crucial Differences You Need to Know

Not everyone with bipolar will have the same symptoms. The differences are drastic enough for bipolar to have two distinct clinical categories: types 1 and 2. 

Both versions of bipolar include ‘polar’ opposite moods—noticeable highs and lows. Just how noticeable depends on what type of bipolar you have. Shorter periods of low-level mania (called hypomania) are unique to bipolar 2, while bipolar 1 has pronounced episodes of mania that may require hospitalization. 

With such distinct differences between symptoms, treatment and management for these sister conditions requires a personalized touch.

Characteristics of Bipolar Disorders

Bipolar disorder is a biological mental illness1, meaning parts of your brain aren’t working exactly how they should. Unlike depression, which can be the product of an unpleasant situation, bipolar exists independently of what you’re experiencing. Life events can certainly trigger a mood swing, but they aren’t what causes bipolar to exist in the first place. 

A combination of genetics, your brain’s ability to send and receive signals, your natural temperament2, and more produces bipolar disorders. Malfunctioning connection points in the brain mean you can get skewed amounts of neurotransmitters like dopamine and serotonin, leading to extreme mood swings, irritability, depression, and mania2

Mood Stabilizers vs. Antidepressants

Mood stabilizers, the go-to medication for bipolar, work by improving and stabilizing2 those ineffective connection points in your brain. This means neurotransmitters can flow as designed, leveling out mood swings and reducing mania. Highs won’t feel as high, and lows not so low—basically, the healthy baseline between depression and mania. 

Antidepressants produce more of certain mood-boosting neurotransmitters or help your brain receive more of them. While mood stabilizers help neurotransmitters flow correctly, antidepressants affect the amount of neurotransmitters created and/or received. 

Often, both a mood stabilizer and an antidepressant are used to treat bipolar disorders.

Signs and Symptoms of Bipolar I

Bipolar 1 mania often has a strong presentation, including out-of-character behavior that patients typically fear or regret. Manic episodes last at least 7 days1, including symptoms like

  • Extreme irritability
  • Extreme elation; high mood
  • Fun-seeking behaviors, including sexual promiscuity
  • Lacking sound judgment when it comes to purchases, activities, and priorities
  • Talking quickly and bouncing between ideas, sometimes so fast others can’t keep up or understand
  • Needing less sleep
  • Highly productive
  • Feeling especially important or special

And, sometimes,

  • Psychosis
  • Delusions
  • Hallucinations

The symptoms of mania may require hospitalization to manage the person’s safety and well-being, and to prescribe the correct mood stabilizers and bring them out of acute mania. Mood stabilizers like lithium can address acute mania and manage symptoms long-term, though prescription trends show more doctors leaning away from lithium3 and into other medications. These can have fewer side effects and easier tolerability. Atypical antipsychotics have proved helpful for bipolar 1 and 2.

Along with high moods and mania, people with bipolar 1 also experience extreme periods of depression. Episodes of depression typically last 1-2 weeks with bipolar 11, but can last longer. With this depression can come symptoms like

  • Thoughts or plans of suicide
  • Self-harm
  • Decreased energy and motivation
  • Loss of interest or pleasure in once-enjoyable activities
  • Feeling hopeless
  • Low mood and fatigue

Mood stabilizers and atypical antipsychotics can help manage depression, too. Interestingly, for bipolar depression, clinicians don’t recommend antidepressants as a sole medication. They can actually trigger a manic episode if not combined with a mood stabilizer1 or atypical antipsychotic.

Research suggests that there are complex links between diabetes and mental health conditions, such as depression, bipolar disorder or schizophrenia — connections that are not fully understood.

National Alliance on Mental Illness

Signs and Symptoms of Bipolar 2

Bipolar 2 mimics bipolar 1, but with a crucial difference in manic symptoms. Someone with bipolar 2 experiences hypomania4, which means their periods of mania are much less intense and less debilitating, often not affecting their safety, relationships, and work responsibilities nearly as much as mania. You can remember “hypo” means low or less, so low-mania.

Sometimes, people with bipolar 2 actually enjoy their hypomanic states. They often feel more energized, but not out of control, and happier, but not over energized. Perceiving hypomania as a “good mood”, especially following a depressive episode, can keep those with bipolar 2 from seeking treatment or realizing something’s amiss. 

Hypomania occurs more frequently than mania5 and can have negative consequences even if people perceive them as positive. Many people with bipolar 2 don’t feel comfortable with their actions and behaviors during a hypomanic episode, either. Symptoms of hypomania5 include

  • Increased energy
  • Less need for sleep
  • Urge to socialize and talk about anything and everything
  • Risky and promiscuous sexual behaviors
  • Extreme irritability
  • Intense anxiety

Notably, hypomania doesn’t cause psychosis, delusions, or hallucinations. People in a hypomanic state may not even notice it’s happened, whereas mania has much more pronounced signs and effects. Loved ones may notice hypomania, and they will certainly notice mania.

Bipolar 2 also includes periods of depression, often more so than bipolar 16. Periods of depression can last months or years, while hypomania often lasts several days. 

Those with bipolar 2 face the highest likelihood of an incorrect diagnosis6. Since symptoms of mania are much less pronounced than bipolar 1, providers may misdiagnose patients with major depression, dysthymia (constant low-level depression), or borderline personality disorder (BPD). Hypomania can even present as extreme anxiety and irritability, which could be misdiagnosed as general anxiety disorder. Though these conditions can co-occur with bipolar 2, mistaking them for the primary diagnosis delays proper treatment.

Recognizing the cyclic nature of low/high moods can help patients and their providers arrive at an accurate diagnosis. Getting the right diagnosis means getting the most effective medications and therapy, which can be especially vital in treating bipolar disorders.

Key Differences

Key, overarching differences between bipolar 1 and 2 include

  1. Mania vs. hypomania
  2. Less vs. more frequent depressive episodes

Other differences vary person-to-person. Everyone will experience bipolar 1 or 2 differently. Doctors will often take a deep-dive to determine if you have bipolar 1 or 2, or an entirely different diagnosis.

Treatments for Bipolar 1 and 2

Medications

It’s true mood stabilizers like lithium can be life-changing medications for those with bipolar, especially bipolar 1. Mood stabilizers can manage mania (acute and long-term) and prevent mood cycling. 

Certain mood stabilizers and atypical antipsychotics center on reducing depression and suicidality, not mania. Those with bipolar 2 often benefit from these types of mood stabilizers, plus an antidepressant. 

Therapy

Therapy can help people manage and understand their symptoms. Cognitive behavioral therapy (CBT) focuses on changing thoughts and behaviors to positively alter mood, which can help in a depressive episode. Dialectical behavioral therapy (DBT) teaches practical strategies for managing distress, surviving crisis urges (like suicidal ideation), and interpersonal communication.

Those with bipolar often remain in therapy throughout their lifetime, as regular sessions can help manage stressors and other life events that could trigger a mood swing. Patients can learn personalized strategies for managing their symptoms and receive ongoing emotional support by working with a therapist.

Mood Tracking

Tracking mood serves as a vital tool for people with bipolar disorders. You can download apps designed exactly for this, or track it in a notebook. Keeping track of your mood and what’s happening in your life can clue you into the unique aspects of your mood cycles, helping you proactively manage highs and lows. This can help you feel more in control, not like your moods are happening to you.

Finding Your Cornerstone: Bipolar Maintenance

Figuring out your unique symptoms and expression of bipolar 1 or 2 can take time, but with accurate diagnoses, medications, therapy, and acceptance, you can learn to manage your bipolar as confidently as you might manage your diet or sleep. 

Regular appointments with therapists and psychiatrists can be key to long-term recovery. Let your loved ones know of your condition too, so they can offer their support when needed. And keep an open, non-judgemental mind as you navigate your symptoms—you’ve got this, and you’re in good company on the journey.
Use Recovery.com to find recovery centers offering bipolar treatment, with pictures, insurance information, reviews, and much more to help you find the best fit for you.

Opioid Misuse and Addiction

Opioids have many forms and uses, from essential painkillers to illicit pseudo-prescriptions with hidden risks and dangers. In any form, prescribed or illicit, they’re highly addictive.

In this article, opioid “misuse” will describe the act of taking opioids, prescribed or not, for purposes beyond their intent. This type of use can quickly spiral into addiction, but many treatment programs offer pathways to recovery.

What Are Opioids?

Opioids are a type of drug derived from the opium poppy plant1, but can also be lab-created without the opium base. When opioids bind to opioid receptors in the brain, they block pain signals1 and produce a sense of euphoria. This aspect in particular can spur misuse and, eventually, addiction.

Opioid Types and Their Uses

Opioids come in many forms, carefully modified for medicinal uses or haphazardly assembled in clandestine labs for illicit purposes. Here are some of the most common types and their uses.

Pain Relievers

Pain-relieving opioids have been developed specifically for intense pain. Doctors often prescribe them after surgeries or for painful, chronic conditions like cancer. When used as prescribed (usually a small amount over a specific time frame), prescription opioids are less likely to lead to addiction. 

Prescription opioids2 include:

  • Oxycodone
  • Hydrocodone
  • Morphine
  • Oxymorphone
  • Fentanyl
  • Codeine

Illegal Types

Some opioids are never prescribed due to their potency and potential for addiction. These opioids might be naturally derived or synthetic (man-made). They’re classified as illegal, and having them can result in jail time. Examples include

  • Heroin, which comes directly from the opium poppy
  • Fentanyl and carfentanil (when procured and taken without a prescription)

Risk Factors for Opioid Misuse

Although opioids can be highly addictive, not everyone who takes an opioid, prescribed or otherwise, will develop an addiction. Certain risk factors can make addiction more likely, like your genetics, environmental influences, and mental health conditions.

Genetics

Your genes can increase the chance of opioid addiction3. They don’t cause addiction, but slight variations and epigenetics (changes in how your body reads gene sequences) can make you more prone to opioid addiction. For example, variations in your mu-opioid receptors can alter how your reward system works—an integral part of developing an addiction.

Environmental Influences

Growing up in an environment that normalizes substance use can make addiction more likely. Stressful environments can, too, as substances can serve as a coping mechanism. People may also use substances to connect and fit in with peers4.

For example, a child who grows up with family members who drink heavily may get introduced to alcohol early on and view drinking as a way to connect with their loved ones. Someone who grows up in high-stress environments, like poverty or often witnessing domestic violence, may also turn to substance use as a way to cope with the ongoing strain. These types of environments can lead to the initiation of use, which can snowball into addiction.

Mental Health Conditions

Having a mental health condition like depression, anxiety, or post-traumatic stress disorder (PTSD) can make you more susceptible to addiction5. Someone may use substances to self-medicate6 the symptoms of their condition. For example, someone with anxiety may notice their prescription opioids gave them a sense of calm and well-being that made social interactions easier. Or, a stressed executive may find they can get through the day easier if they take heroin before work. 

Regular use for these reasons can bloom into an addiction. 

Signs of Opioid Use

If you suspect a friend or a loved one has started using opioids not as prescribed or procuring illicit opioids, you can look for key signs of opioid use7 and voice your concerns to them. This can start the process of getting treatment if and when they’re willing.

Physical Signs

  • Seeming tired often, “out of it”
  • Small pupils
  • Disheveled appearance
  • Track marks on their arms or legs and/or unseasonal clothes to hide them
  • Sudden, unexplained loss of pain that previously impaired their functioning

Behavioral Signs

  • Avoiding family and friends without adequate explanation
  • Acting secretive about their belongings and activities
  • A marked change in their attitude or personality
  • They may lose their job or academic standing due to poor performance

Symptoms of Opioid Addiction

The symptoms of an opioid addiction may look similar to the signs of initial use. Their key differentiator is how greatly they affect someone’s day-to-day life. An addiction will rewrite someone’s priorities and motives, while regular use often doesn’t.

Job Loss and/or Financial Struggles

Fixating on using opioids can lead to neglecting work responsibilities, which may cause job loss and ensuing financial struggles. They may lose their home or need to sell personal belongings, like their car and jewelry, to keep paying for opioids. They might even resort to theft.

Health Complications

An opioid addiction can cause various health complications8, including weight loss, infection, and blood-borne diseases from unclean needles. You may notice they seem haggard and generally unwell.

People who regularly take opioids are also more likely to fall, get sick more often, and actually become more sensitive to pain.

Relationship Struggles

Someone with an opioid addiction may neglect personal relationships and friendships to either hide their use or spend more time on getting, taking, and coming down from opioids. Their relationships may fade and crumble as a result. 

Treatments for Opioid Use

Opioid addiction has many paths to recovery. 

Detox

Opioid treatment often starts with detox, which safely removes opioids from the body and allows it to return to homeostasis. Medications like buprenorphine9 and methadone10 can help people detox from opioids more comfortably and lessen cravings. Some people stay on these medications to enhance their recovery since they reduce the effects opioids have and make them pointless to take.

Rehab

Many residential rehabs offer detox and therapeutic care over the course of 28+ days. Rehabs aim to treat both the medical and emotional effects of opioid addiction, helping people address root issues and build practical relapse prevention skills.

A typical day in rehab includes 1:1 and group therapies, plus group activities and likely a peer step meeting or two. Depending on its location, some rehabs may offer daily activities or weekly outings, like hiking.

Outpatient

Outpatient programs offer intensive care with greater flexibility. You’ll attend therapy during the day but go home at night and have time for personal responsibilities. Many clinics also offer medication-assisted treatment for opioid addiction recovery.

For example, you may go to outpatient treatment after work from 5-7 p.m. You’ll likely attend multiple group therapy sessions and focus on building and strengthening relapse prevention skills. A more intensive outpatient program is day treatment, which typically runs for 5-8 hours a day, 5-7 days a week. Intensive outpatient programs (IOPs) often include 3-5 days of weekly treatment for 2-3 hours daily. 

Continuing Support

Treatment for opioid addiction doesn’t end once your programs do—it can continue for years in aftercare and peer support programs. For example, you could attend regular 12-Step meetings like Narcotics Anonymous (NA) or secular SMART Recovery meetings. These keep you connected to others in recovery and provide accountability.

Ongoing therapy can support your healing, too. You can meet with a therapist on a regular cadence to discuss current events and keep working through issues identified in addiction treatment.

Find Opioid Rehabs

Opioid rehabs exist worldwide. They offer various approaches and levels of care, meaning you can find a rehab best suited to your needs and preferences. 
On Recovery.com, you can search for opioid rehabs by location, insurance type, level of care, and more. You can also see reviews, photos, pricing information, and read detailed descriptions of each center.

What is Recreational Drug Use? Risks, Signs, and Responsible Choices

Using a drug recreationally means it’s used for non-medical reasons—primarily to enjoy its effects. Many people use alcohol recreationally and substances like marijuana or cocaine. Caffeine, too. 

Dabbling in substance use doesn’t always lead to addiction, but it can; along with other health risks and consequences. Fully understanding the risks can help you make responsible, healthier choices when it comes to recreational drugs.

Types of Recreational Drugs

Recreational drugs aren’t a certain class of substances; rather, a drug used to recreate or better enjoy an experience. For example, having alcohol at a party, ecstasy at a rave, or a cigarette with a cup of coffee.

Recreational drugs may be used non-recreationally, too. Someone may drink alcohol because they’ve developed an addiction and need the substance to avoid withdrawal symptoms, not to enjoy it. Someone may also smoke marijuana for medicinal reasons, like pain management, rather than to enjoy the high.

All sorts of drugs can have recreational purposes, but these are some of the most common.

Marijuana

Marijuana has medicinal and recreational uses. When used recreationally, marijuana causes a sense of relaxation and disconnection that some people leverage to soothe stress or connect more fully with peers. It also has use as a medical pain reliever and relaxant that doctors may prescribe at set doses.

Marijuana, typically called weed, has become legal in some American states. Most states haven’t legalized it, but that doesn’t keep people from obtaining and taking the substance. Regular use can lead to addiction and adverse health effects. 

Cocaine

Cocaine is a stimulant1 popularized as a recreational drug by how it’s portrayed in media. For example, movies or shows about raucous executives or wealthy celebrities often include cocaine use in party scenes. People in real life, tycoons or not, may use cocaine for similar reasons. 

Recreational use can spin into an addiction, legal consequences, negative health effects, and damage to relationships and finances.

Ecstasy

Ecstasy, often called Molly, is a synthetic stimulant with psychedelic properties2. Taking it releases endorphins and slightly alters the reality around you, creating a “trippy” experience that makes it a popular recreational drug at raves with loud music and flashing lights. Its association with these settings marks it as one of the more prominent recreational drugs.

Alcohol

You can easily find alcohol at most social gatherings and events—recreation is often the sole purpose of drinking it (until it becomes an addiction, and someone needs to drink regularly to function.)

Alcohol releases dopamine3, giving it a feel-good effect. It also lowers inhibitions, making people feel more talkative, fun, and primed to enjoy social events better. Drinking alcohol also serves as a way to connect with others; for example, your group of friends may want to celebrate with their favorite drinks or try challenges involving alcohol. 

Hallucinogens

Hallucinogens include drugs like LSD and psilocybin. Many psychedelics with hallucinatory effects come from plants and fungi; or, they may be synthetically based. People often use hallucinogens to have a spiritual experience or to disconnect from reality. They may do it alone or with others.

Differences Between Recreational and Medicinal Drug Use

Purpose and Intent

Why you use a drug can determine if the use is recreational or medicinal. Ask yourself questions like these:

  • Am I taking this to “fix” something negative I’m feeling?
  • Am I following the prescription guidelines, or only taking this when I want the effects?
  • Do I only take this drug when I’m at parties or other social events, to make the event “more fun”?

If you’re taking a medication because you’ve been prescribed it, and taking it as prescribed, the use of the drug likely isn’t recreational—this would be medicinal. 

If you’re taking a drug or medication to enjoy its effects or to boost your sense of well-being at-will, the use follows recreational patterns.

Legal and Ethical Considerations

Using controlled substances for medicinal purposes, like taking opioids as prescribed for pain, doesn’t breach any laws. Taking controlled substances without a prescription does. Purchasing these illegal substances funds illegal practices, which often operate with little ethical guidelines—focusing on profit over safety.

Potential Dangers of Recreational Drug Use

Health Risks

Using recreational drugs can cause symptoms like:

  • Dehydration
  • Serotonin syndrome4
  • Overdose—stopped breathing, heart slowing dangerously
  • Mental discombobulation
  • Bloodshot eyes

Mental Health Impacts

Taking recreational drugs can trigger or worsen mental health conditions5 like anxiety and depression. The unpleasant side effects of substance use, combined with symptoms of a mental health condition, can perpetuate the cycle of use.

Risk of Addiction

Using drugs, even for recreation, opens up the risk for addiction. Regular use builds tolerance, which means you need a higher and higher dose to feel the same effects. Those higher doses can start changing the neurochemical balances and processes in your brain, making it crave the substance and struggle to function properly without it.

Signs of Drug Use and Intoxication

Physical Indicators

If you or someone else has used a recreational drug, you’ll likely notice physical signs like these.

  1. Red or bloodshot eyes—this is especially common after smoking marijuana.
  2. Discoordination when moving around.
  3. Sudden loss of appetite. Stimulants like cocaine can curb appetite and lead to rapid weight loss.

Behavioral Changes

Someone’s behavior also changes when they’re intoxicated. Recreational drugs, often stimulants, can bring about especially noticeable changes in behavior. Look for signs like:

  1. Seeming “out of it,” like they’re in a dream state and not aware of what’s going on around them.
  2. Acting secretive about their whereabouts and activities.
  3. Neglecting professional and personal responsibilities.
  4. Acting unusually erratic as a result of the drug raising their energy and lowering their inhibitions.

Psychological Signs

The better you know someone, the easier spotting psychological signs of drug use may be. Keep an eye out for indicators like:

  1. Abrupt mood swings, where they may seem down then extremely happy, or the opposite.
  2. Paranoia is a common symptom of taking recreational drugs like marijuana. They may feel like they’re being watched, or something’s out to get them.
  3. Cognitive impairment, meaning they’re suddenly struggling to articulate their thoughts, think clearly, or make sense of what’s going on around them.

When to Seek Help

Recognizing the Need for Intervention

Drinking every so often, or even using more ‘extreme’ recreational drugs sparingly, likely doesn’t pose a major problem for the person and their loved ones—though no amount of drugs used or frequency makes them safe, so stopping is always a good idea. Regular use comes with more pronounced issues that could require an intervention.

Behaviors indicating an addiction, like neglecting responsibilities to use substances, could warrant an intervention, as could signs of physical harm. Use your best judgment to determine if someone’s drug use causes harm to themselves or others, and plan an intervention accordingly.

Resources for Support

Fortunately, help for recreational drug use spans far and wide. Whether you’re looking to cut back on occasional use or recover from a painful addiction, help can help. Some of your many options for healing include:

  • Therapy, which you can attend in person or virtually.
  • Residential rehabs provide clinical and therapeutic care for recreational drug addiction, including detox when needed.
  • Outpatient programs like day treatment and intensive outpatient offer regular, structured care for drug addiction, but with the ability to maintain some personal and professional responsibilities.
  • Peer support groups like Narcotics Anonymous (NA) or SMART Recovery meetings connect you with others in recovery.

Prevention Strategies

Education and Awareness

Knowing more about recreational drugs and what happens when using them can help people make informed decisions, and know what to do in times of need. Young adults can especially benefit from education and awareness on recreational drug use, as they’re likely to encounter these substances at parties and social events in college.

Colleges can boost their efforts on spreading awareness of the risks and dangers of recreational drug use, and make their support services better-known across campus. For example, many colleges have on-campus counseling services and medical services students may not know about.

Community Programs

Many local communities seek to educate and spread awareness through educational materials, support groups, and by presenting alternatives to recreational drug use. To find one of these programs, search online for drug prevention programs in your city or go to your community center to see what resources they offer.

Support Systems

Strong support systems serve as a preventative measure against drug use and addiction6. Those in your circle can help you identify harmful use, find and practice coping strategies, and support you if you need professional treatment.

Professional treatment providers, like doctors, therapists, and psychiatrists, can offer expert support for recovery through counseling, medical care, and helping you form a personalized care plan. With their support you can identify which practices may help you best, like traditional therapies or a blend of traditional and alternative approaches.

Legal Risks

Some recreational drugs are legal to use, but many aren’t. For example, having ecstasy, LSD, and marijuana (in some states) could incur criminal charges for possession. Criminal charges can lead to jail time and potentially prison. 

This creates a criminal record that can upend future jobs, housing opportunities, and more.

Societal Perceptions and Stigmas

Recreational drugs carry a harmful stigma that can attach to the user—mainly, that they’re irresponsible or prioritize a good time over their safety. For younger people and college students, this stigma might not exist among peers, when using recreational drugs is more commonly accepted. But this often changes as they age and mingle with professional peers.

Certain cultures and demographics may be particularly opposed to drug use of any sort, and any regularity.

Thankfully, the stigmas surrounding drug use and mental health conditions have begun to dissipate. Though the progress isn’t blazingly fast, it’s there—and getting better as more people share their experiences and messages of hope.

Getting Help: Drug Rehab for Recreational Drugs

Help for drug addiction comes in many shapes and sizes, catering to your unique circumstances with virtual treatment, in-person care, medical or non-medical care, and even rehabs on the other side of the globe. They take many different approaches to care; some use the 12 Steps, others may focus more on holistic methods. There’s an option for you and your preferences.
To find the treatment that’s best for you, you can use Recovery.com and filter your search by insurance, price, conditions, and more.

Effects of Substance Use During Pregnancy

Substances like alcohol, marijuana, and illicit drugs can greatly affect the mother and child during pregnancy and cause complications during and after birth. Sometimes, the mother isn’t aware of her pregnancy and may use substances as if she weren’t carrying. In any case, using substances while pregnant can alter the health of the mother, the fetus, and the baby as it grows in and out of the womb.

Knowing the effects of substance use beforehand can help those who know they’re pregnant or think they may become pregnant carefully assess the risks to plan ahead for a healthier birth and pregnancy.

Understanding Substance Use During Pregnancy

Substance use during pregnancy can look like taking drugs that aren’t approved for pregnant people, like alcohol. These drugs have been identified as dangerous for the mother and fetus or potentially harmful. 

Common substances used during pregnancy, whether done intentionally or not, include alcohol, nicotine, some prescription medications (like prescribed opioids), and illicit drugs like cocaine or heroin. Studies found roughly 5% of pregnant women use substances while pregnant1.

Much of what mothers consume while pregnant reaches their infant because the placenta is easily permeable—including addictive and non-addictive substances.

Effects of Alcohol Use During Pregnancy

Alcohol can have damaging effects on a developing fetus throughout each stage of pregnancy1, even before mothers realize they’re pregnant. Drinking while pregnant can cause Fetal Alcohol Syndrome Disorders (FASD), which includes Fetal Alcohol Syndrome and other birth defects caused by alcohol.

FASDs cause cognitive, physical, and behavioral damage2 that may show right after birth or later on in childhood. Alcohol can disrupt the development of vital organs, like the brain, heart, and how the body functions as a whole. Heavy drinking can cause the most damage, especially when it occurs throughout the entire pregnancy. But no amount of alcohol is safe during pregnancy2. And with many pregnancies not being planned, doctors recommend women not to drink even while they’re trying to get pregnant or think they might be2.

Children born with a FASD may have defining facial features, cognitive impairments, and related behavioral problems. 

Effects of Tobacco Use During Pregnancy

Smoking while pregnant can harm the mother and baby3 in several ways. It can lead to:

  • Premature births
  • Low birth-weight even if the baby is to term
  • Damage to the baby’s lungs and brain
  • Birth defects
  • Higher risk of sudden infant death syndrome (SIDS)
  • A doubled risk for excessive bleeding at birth and during pregnancy

Smoking can also create issues with fertility3 for both the mother and father. Nicotine can affect the fetus throughout the whole pregnancy—some mothers give birth to healthy babies, but that doesn’t guarantee they can smoke through a second pregnancy and get the same results. Smoking while pregnant can even result in a stillbirth (a deceased baby born after 20 weeks). Quitting at any point during the pregnancy can reduce the likelihood of all negative effects.

Second-hand smoke can also cause damage. Pregnant mothers can reduce their risks by quitting smoking and limiting their exposure to second-hand smoke. 

Effects of Illicit Drug Use During Pregnancy

Using illicit drugs when pregnant can double or even triple the chances of a stillbirth1. These types of drugs include heroin, cocaine, methamphetamine, and psychedelics like psilocybin. Since drugs pass easily through the placenta and into the developing fetus, babies can be born reliant, and addicted, to the substance their mother used. This is called neonatal abstinence syndrome (NAS).

Neonatal Abstinence Syndrome: Symptoms and Recovery

NAS correlates to illicit or prescribed opioids used during pregnancy4. Babies born with NAS greet the world in a state of withdrawal, experiencing irritability, stomach issues, seizures, and trembling. Babies with NAS also cry excessively and with a higher pitch than normal.

Medical care can help babies detox4 from substances safely and with greater comfort. Some babies require benzodiazepines, morphine, or methadone to relieve symptoms. They can recover to full health.

Effects of Prescription Medication Use During Pregnancy

Some prescribed medications aren’t fit to use during pregnancy—doctors should make women well-aware of this if they’re trying to conceive or are already pregnant. When pregnant women take prescribed medications against doctor’s advice, or procure them from non-medicinal places, it can harm them and their baby. 

These medications include benzodiazepines, opioids, and stimulants like Adderall. Most medications, prescribed or over the counter, haven’t been well-studied in regards to how they affect pregnant women and babies. A study found 9 out of 10 pregnant women took medications1—many of whom don’t know how it might affect their developing fetus, which is why providing a list of all medications taken can help doctors identify any risks.

Some medications can cause NAS, like oxycodone. Other medications may cause no harm, but it’s best to let doctors make the final call.

Combined Substance Use and Its Effects

Using more than one substance, or polysubstance use, can create more pronounced health effects for the mom and baby. For example, a pregnant woman who smokes and drinks alcohol imposes greater health risks to herself and the baby than someone only smoking or only drinking. 

The more substances passing through the placenta to the baby, the more likely they’ll have a negative effect on their development and future health. The National Institute on Drug Abuse says1,

Children born to mothers who both drank and smoked beyond the first trimester of pregnancy have a twelvefold increased risk for sudden infant death syndrome (SIDS) compared to those unexposed or only exposed in the first trimester of pregnancy.

Psychological and Emotional Impact on Pregnant Women

Taking drugs during pregnancy can have a host of emotional and psychological effects on women. They may feel low or depressed as a result of their substance use, especially when that combines with hormone fluctuations. Regular substance use can cause a cyclical effect, where highs are followed by extreme lows and cause someone to continue their use to mitigate the lows.

Impaired mothers may also struggle to bond with their baby once they’re born. Drug use can affect the parts of the brain that help mothers bond with their baby5, making it difficult for them to form a secure parental relationship. This can impact their connection and parenting style throughout the baby’s life.

Preventative Measures and Treatment Options

One of the first steps in preventing substance use during pregnancy is testing regularly (or as needed) for pregnancy if using substances—or don’t use substances at all if you’re hoping to conceive

Educating men and women on the dangers of substance use during pregnancy can help mothers and partners understand and evaluate risks, and then adjust their behaviors accordingly. Knowing these risks before pregnancy can help mothers adequately prepare and create a substance-free environment for their baby to form and grow.

If you’re struggling with an active addiction and become pregnant, you can attend recovery programs and rehabs specifically for pregnant women (there’s a lot!). These programs account for you and your baby, addressing your needs with appropriate medical care, therapies, and prenatal care to support a healthy, full-term pregnancy.

If babies are born with substance-related complications, hospital staff can initiate a detox for the baby with medications to ease their withdrawals. Some birth defects caused by substances can’t be treated or reversed, but medical care can treat some symptoms throughout the person’s life.

Support Systems and Resources

Friends, loved ones, and medical staff can offer key support for pregnant women, helping them navigate addiction treatment if needed, and the journey of pregnancy. Women can join various support groups too, like 12-Step peer meetings or non-12-Step groups like SMART Recovery meetings. Prenatal clinics may also offer support groups to educate women on child-raising, best practices for their health, and to connect women to resources for housing, mental health care, and other personal needs. 
If pregnant women need to detox and/or get addiction treatment, they can go to one of the many rehabs with specialized care for pregnant women. Some rehabs will also offer services and help for other children, helping pregnant mothers attend treatment when childcare needs may otherwise prevent them.

Tackling Injury, Addiction, and Recovery with Jeff Hatch

Jeff Hatch was a recent guest on The Recovery.com Podcast, where he told us his personal recovery story: years riddled with moments of doubt, uncertainty, hope, and love. Jeff played in the National Football League (NFL), finding fame and success as an offensive tackle—but eventually found his name in headlines for very different reasons. 

jeff hatch headshot

You can listen to Jeff’s episode here, and episodes with past guests!

Touchdowns, Injuries, and Addiction

Jeff Hatch grew up in a home that expected and encouraged high achievement and strict positivity, which Jeff embodied in both school and sports. He remembers feeling separated from others with big emotions and a big physical presence, standing much taller than his classmates. Alcohol, Jeff discovered, helped him fit in. He says, 

“Boy, it just, it soothed all those crevices that were there from that other stuff. I don’t know what the differentiator is between me and someone who doesn’t have what I have, but I know for me, once I felt that soothing, I knew that I was going to pursue it and keep getting it.”

Jeff left college with an Ivy League education and a new career in the NFL, playing for the Buccaneers and the New York Giants. Standing 6’6”, he looks the part. A smattering of injuries began the end of Jeff’s time in the NFL, with an opioid and alcohol addiction urging him along.

Reaching his level of success, Jeff thought his feelings of emptiness and incompleteness would fade, but they didn’t. His problem wasn’t fixed, and his self-medicating wasn’t working. On this he says,

“It really wasn’t until four years later when I’d had multiple back injuries, had a career-ending injury and had overdosed multiple times that getting actual help became what was required.”

Living a Double Life

Jeff sought and received treatment for his addiction to opioids and alcohol. He spent months in treatment, then living and working in recovery as a minimum-wage employee at a movie store. Recovery clicked for him—for a time.

Jeff began working at treatment centers, using his past profession and story to reduce stigma and encourage others to get treatment. But eventually, he began taking opioids again (following surgery) and eventually moving drugs across state lines for his dealer. This got Jeff in trouble with the Feds.

Once these charges came to light, Jeff was let go from his job at a recovery center and faced a prison sentence. He also stopped using substances. He says,

“When the DEA, the FBI leave your place and you realize you’re now part of an active federal investigation, you’re going to end up getting charged with a federal felony—and your life is going to fall apart, but not today. Somewhere down the line, it’s going to happen. That experience was the one that really forced me into the deeper work of the spiritual aspects of the 12 Steps.”

Jeff worked with the DEA and FBI, helping them with the case and simultaneously educating them on addiction. 

Walking in Recovery—With a Shadow

Even though Jeff complied with the investigation and helped solve the case, he still faced time for his part. While awaiting his sentence, Jeff recommitted to sobriety and met the woman who recently became his wife. 

But the prison sentence lingered. While waiting, Jeff served in various community services and worked to help others in recovery, and his community as a whole. 

Shaking The Shadow

With his compliance, helpfulness, and supportive testimonies, Jeff faced no prison time. In light of this freedom, he married his girlfriend and has become the National Clinical Outreach Coordinator at Summit Behavioral Health, which treats acute psychiatric needs and addiction in 30 different facilities nationwide. He’s also working on getting certified as a recovery coach. About his collection of experiences, Jeff notes,

“All my experiences, negative and positive come together in a means by which I can be helpful and useful and like, that’s the mission of all of it, right?

His dedication to recovery and work with the 12 Steps deepened his roots in sobriety, and Jeff has remained sober since the relapse that landed him in federal trouble. He continues to serve in his community and reach the unreachable. He and his wife hope to start a family soon. On his recovery, Jeff says,

“Recovery means life. Recovery means wholeness. Recovery means peace, serenity, and the capacity to walk on this earth, live life on life’s terms and be okay inside. And that is a miraculous thing for a guy like me.” 

Listen to Jeff’s episode here

Addiction, Recovery, And The Monkey Mind: Reprogramming for Wellness with JF Benoist

JF Benoist, a man in recovery, author, and substance use counselor, joined our podcast to share his personal recovery story and the inspirations for his book Addicted to the Monkey Mind. His story captures the strength found through experiences and experiencing, which JF emphasizes in his unique therapy, experiential engagement therapy (EET).

JF headshot

Listen to JF’s episode and hear from other guests here!

Growing Up Surrounded by Alcohol and Toxic Masculinity

JF grew up in an environment where alcohol use was common and normalized, leading to the start of his drinking at age 15. Drinking progressed into drug use, which he struggled with for the next 10 years.

JF’s environment also perpetuated toxic masculinity, where his emotions and reactions needed to remain within the parameters of his gender. He reflects,

“I think what’s epidemic in our society is that we get the message that our emotions are not acceptable.”

This can lead to numbing strategies like substance use, emotional distancing, and staying disconnected from how we truly feel.

Debunking The Promise of Shame

JF’s recovery journey centered around him connecting with others, experiencing a sense of belonging, and countering shame—along with other aspects of the monkey mind. JF says,

“Now you’re trying to change, but you’re not changing. So now you start judging yourself…and this dynamic is ingrained in us, right?” 

And the myth he debunked,

“The promise of shame is that it will make you a better person, right? But the result of shame is that it makes you feel worthless.”

Feeling worthless, as JF and many others have found, doesn’t inspire feelings of belonging, connection, and self-worth. With these feelings of shame and sadness, people may distance themselves further from their emotional self and sink deeper into the monkey mind.

Defining and Treating The Monkey Mind

JF described the monkey mind as a “mindset based in trauma” and “a corrective mindset” that forms after trauma and the various comments we hear about ourselves. It aims to correct anything about ourselves perceived as wrong so we can belong. JF says,

“And we subscribe to it. And part of subscribing, full line and sinker to that monkey mind is to fully disconnect from the emotional body.”

With this disconnection, we can become more reactionary and unable to recognize and counter the untrue beliefs that lead to shame, anger, or grief. On shifting out of the monkey mind, JF adds,

“So the shift to an observing mind actually comes from the intelligence of the emotional body. The ability to attune to that emotional body.”

Elevating The Observing Mind

JF posits the observing mind as the solution for the monkey mind, which we can elevate by attuning to our emotional intelligence. This means feeling and observing what we feel without falling into traps of shame or correcting from the monkey mind. JF says,

“So … we have to develop courage. We literally have to develop courage. Our mind tells us that the experience is too scary. It’s too painful, whatever story that we pile on top. But when we help people navigate their emotional body, and I ask them, was it as bad as your mind made up, the story that it was, and every single time they say, actually not.”

Attuning to the emotional body offers a stronger connection to the observing mind, a practice strengthened through mindfulness and repetition. JF notes how switching to the observing mind, rather than letting the monkey mind decide your reactions, can produce greater calm and control over urges. This can be especially beneficial for those facing cravings and urges to use substances.

Avive La Vie

JF is working on a new book and course, Avive La Vie. This book builds off the teachings in Addicted to The Monkey Mind, helping people “Live in Connection vs Correction.” His JF also has a podcast, online groups, and adventure weekends focused on his teachings.

Learn more about JF’s upcoming projects by listening to his episode with us!

The CBT Triangle: How Behaviors Influence Your Recovery

The cognitive behavioral therapy (CBT) triangle uses the interconnected nature of emotions, thoughts, and behaviors to positively change thoughts and mood, primarily through behaviors. 

According to the CBT triangle, you have the majority control of your behaviors and actions1. You have some control of your thoughts. And you have zero control over your emotions. So you can’t control how you feel, but you can control how you think and behave.

Leveraging this has been revolutionary for many people in treatment, and long-term recovery.

Leveraging The CBT Triangle

Since the 3 elements of emotions, thoughts, and behaviors feed into each other, the CBT triangle2 posits changing your behaviors (which you have the most control over) will change your thoughts and emotions. Similarly, changing your thoughts can also positively affect your emotions and behaviors.

For example, someone experiencing depression may think, “I can’t get out of bed. I’m too depressed.” This could lead to emotions of helplessness and self-hatred. 

Getting out of bed proves your control of what you do, even if you don’t feel like doing it. Realizing your abilities can lead to more positive emotions and helpful thoughts. You may even be encouraged to tackle another difficult task…creating a snowball effect.

As you get more practice, you’ll likely become more aware of unhelpful thoughts AND how you act on them. As awareness grows, you’ll have more opportunities to correct untrue thoughts or act opposite to your thoughts and feelings.

The CBT triangle helps with multiple conditions3, too. These include depression, anxiety, obsessive compulsive disorder (OCD), addiction recovery, and trauma.

Behavioral Activation: Valued, Routine, and Enjoyable Activities

Behavioral activation (BA) centers on doing something even if you don’t feel like it, not waiting for motivation or to “feel better”4—and in doing so, you can actually feel better. Scheduling activities or doing them as-needed can offer symptom relief by breaking the negative emotions-thoughts-behavior pattern of depression.

There’s 3 types of BAs. Here they are in detail.

Valued BAs

Your valued BAs include activities related to what, where, or who you value. Your values are like north stars, guiding you through life. They might include spirituality, family, creative expression, friendship, and more.

Doing a valued BA could look like practicing a religion, spending purposeful time with family, engaging in social settings with friends, and creating art.

Symptoms of depression or other illnesses can make valued activities harder to do. Intentionally doing them, like attending church even if you don’t want to, can add value back into your life.

Enjoyable BAs

Enjoyable BAs are things you like to do. They bring you pleasure and add joy to your life. Examples could include cooking, painting, sports, hobbies, outings with friends, and eating good food.

One of the symptoms of depression is struggling to feel pleasure5, even if it’s something you used to love. Reincorporating enjoyable BAs can help you regain interest and pleasure in these activities.

Routine BAs

Your routine BAs include day-to-day tasks you must manage to stay healthy, employed, housed, and more. They may not be particularly enjoyable, but they’re important for maintaining a fruitful life.

Routine activities include paying bills, going to work, doing laundry, brushing your teeth, showering, doing schoolwork, and tidying up.

BAs and The CBT Triangle

Conditions like depression, trauma, and addiction can push many BAs off to the wayside, affecting your thoughts and emotions. You may not feel pleasure from your enjoyable BAs, and your symptoms could get in the way of routine and valued activities. Engaging in BAs can change your thoughts and emotions for the better, ending the cycle of negative effects. 

By starting with what you have the most control over, behaviors, you can change your thoughts and emotions and stop the cycle of negative thoughts/unhelpful behaviors.

For example, you may have emotions of sadness and thoughts of worthlessness because you can’t get anything done. But you exercise control of your behavior and get up and do the dishes, even though you don’t want to. This action challenges your thoughts of worthlessness and can change your sad emotions into neutral or encouraged ones. 

The CBT Triangle and Recovery Maintenance

When you use the connections of the CBT triangle to improve your mood by changing your thoughts and behaviors, you’ll likely notice your success isn’t infinite. Reaping continuous benefits from the CBT triangle takes repetition and practice. The more you do it, the easier it will be to keep doing it—like any other habit.

Once you feel you’re in the maintenance phase of your recovery, you can leverage the CBT triangle differently. Instead of using it to address symptoms, you can start using it to prevent symptoms.

For example, maybe you’ve learned to manage your depression symptoms. You know your warning signs and have a good grasp on what situations will trigger a negative mood or spiraling thoughts. You also know not going into the office makes you feel lonely and more isolated. When you start feeling like isolating, you proactively address this symptom by going to the office. Since you’re going in and not isolating, your feelings of loneliness don’t get the chance to fester and worsen to the point of redeveloping depression.

Leveraging the CBT triangle isn’t just a tool for depression, either. You can use it for substance use recovery, behavioral addictions, anxiety, and other emotions that aren’t serving you. Its benefits can be life-long.
For more intensive treatment options, use Recovery.com to find rehabs and outpatient clinics focused on depression recovery.