Author: Hannah Friedman

Hannah is a writer with a focus on holistic wellness. Her work explores post-traumatic growth and mental health as an intersectional issue. In addition to writing for Recovery.com, she’s composed meditations for the NatureSpace app, articles for the Cardea app, and essays on the connection between physical and mental health. In her private practice as a massage therapist, she works primarily with LGBTQIA+ clients and survivors of assault.
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Attending Rehab as a High-Level Executive

Addiction can affect anyone, even high-level executives. According to a 2012 study conducted by the Substance Abuse and Mental Health Services Administration (SAMHSA), people who worked in management had the third highest rate of illicit drug use1 of any surveyed profession. This issue is invisible to many people, which makes it even harder for executives to seek the addiction recovery help they need. 

Executives face unique stressors. With so many people depending on you, including employees, loved ones, and colleagues, it can be hard to recognize the signs of abuse. You may be so focused on your lengthy to-do list that you simply don’t have time to consider your own well-being. And even if you do recognize that you have a problem, it can be even harder to get help. Many executives feel like they don’t have the time or freedom to step away from work in order to begin recovery. 

As difficult as this process may appear, there are options available. Some rehab centers offer treatment plans tailored to meet the unique needs of high achievers, without isolating you from your responsibilities.

Understanding Addiction Among Executives

According to popular perception, high achievers have it easy. That just isn’t true. In order to maintain your lifestyle, you may face extreme pressures coming from many different directions, including the workplace, home, and social situations. In these circles, it’s often important to maintain appearances. Because of this, many executives have no way of knowing how common it is for people like them to struggle with substance use and mental health. Everyone’s experience is unique, but a few concerns in particular are extremely common among this demographic.

Anxiety

With great power comes great responsibility, and with great responsibility comes a great risk of anxiety. If you’ve ever lost sleep over a board meeting, had to stop and catch your breath on your way to a gala, or spent hours replaying a sound bite from your last business lunch, this might be something to consider. According to experts, “Studies indicate that approx. 10–40% of alcoholics have a panic-related anxiety disorder,2 and about 10–20% of anxiety disorder patients abuse alcohol or other drugs.”

Perfectionism

When an entire team of people relies on you, you may feel that you need to be the best of the best. As Louise Stanger, LCSW, writes “People in powerful positions are associated with strength, confidence, and a rock solid moral compass. Unfortunately, our society still views addiction as a weakness or moral failure, which sharply contradicts the key qualities of successful individuals. Add in public visibility and it can be difficult for an influential CEO or celebrity to seek help3 in an honest and open way.”

When you feel like you can’t ask for help, it’s natural to develop coping mechanisms that replace community support. You may even feel like substance abuse is what’s helping you to succeed. In reality, though, addiction is far more likely to hold you back. Research suggests that there may be a connection between perfectionism and substance misuse.4

However, there’s a way to make perfectionism work for you. Positive perfectionism is the attitude of striving to achieve high goals “while maintaining the ability to be satisfied with one’s performance.” Striking this balance may help you recover from substance misuse. 

If you’re a high achiever, there are likely aspects of your life and your personality that you don’t want to lose, even temporarily. Going to rehab can help you reintegrate the aspects of life that you find fulfilling, while stepping away from that which doesn’t serve you.

Unique Amenities at Executive Rehab Facilities

When selecting a rehab, high achievers have a very specific set of needs. There are a number of luxury rehab programs that are tailored to meet those needs, helping you heal in a way that won’t undermine your lifestyle. 

Discretion

mercui confidentiality
Mercui Recovery offers life and business coaching as part of their personalized treatment program at their centers in Malibu, Aspen, and Costa Palma, Mexico.

Luxury rehabs offer the utmost discretion. Some even serve only one client at a time. 

Mercui Recovery, a facility with locations in Malibu, Aspen, and Costa Palma, Mexico, is one of these. The program offers each guest treatment from several different schools of thought. You may do yoga and meditate, or participate in specialized therapies such as DBT or CBT. Most notably, Mercui Recovery also offers life and business coaching. Clients are not expected to simply step away from their entire life in order to focus on recovery. Instead, clinicians take a holistic approach, helping you heal every aspect of your life. This highly personalized program ensures that your specific concerns will be addressed during treatment.

Bespoke Treatment

white river manor suite
White River Manor in Mpumalanga, South Africa has an on-site business center that makes it easy for executive clients to work remotely during their stay.

Personalized addiction treatment means more than just connecting with the right therapist. Jan Gerber, CEO of Paracelsus Recovery, explains that “every person is very different, and this one-size-fits-all approach to treatment, mental health, and addiction rarely works well. Everybody has a different background: culturally, in terms of their family values, political views, hobbies, what gives meaning to their lives, and their lack of purpose in their lives. We can only help somebody recover from all these factors that have fueled an addiction if you individually attend to all these underlying reasons. And you can only do that when you individually tailor a treatment so that every client gets exactly what they need.”

Paracelsus is just one of many rehab facilities that work with each guest to create a unique treatment program. If you participate in this type of treatment, you’ll be able to choose from a wide variety of options, from art therapy to rock climbing. White River Manor, in South Africa, even takes guests on safari. 

Contrary to popular belief, rehab doesn’t need to be an isolating experience. Guests can continue to have adventures, learn about themselves in new contexts, and connect with the wider world. 

Stay Connected During Recovery

orenda at futures
Orenda at Futures in Tequesta, Florida connects clients with sober companions to support their return to work after rehab.

Rehab is a protected environment. In some programs, this means that guests have no phone or internet access, in order to focus on themselves instead of the people in their lives. However, this isn’t universally true. It can be especially important for executives to stay connected during their time in rehab. This makes rehab much more accessible to people who can’t take time off work.

Giles Fourie, Director and Co-Owner of White River Manor, says “A lot of business executives, business owners and professionals come through our program. And that’s because we offer our clients the ability to be able to use their phones, to work from the luxury of their rooms or the business center, and keep whatever they need to keep going at their office still running.” The healthcare providers at these facilities have a deep understanding of the stressors that may contribute to your emotional experience. As a result, they’re well-positioned to help you navigate the first stages of recovery.

If you continue to work while you’re in rehab, you may be preparing to return to the office as soon as you complete residential treatment. In that case, you may need to plan for social support in addition to therapeutic care. Some rehabs programs, like Orenda at Futures offer you access to a sober companion who can accompany you to business meetings and social engagements. Having someone there to support you in person can help ease the transition back into daily life after rehab. This external reminder of your new goals and healthy habits can remind you to strike a more sustainable balance, even as life returns to a faster pace.

Making Recovery Work for You

High-powered professionals often prioritize work over their own health. As laudable as this is, it can be unsustainable. Remember: you are the only person who can define what success means to you. It’s possible to achieve your goals while still living a healthy life. 

Rehab facilities that work with executives understand this delicate balance. These programs won’t ask you to walk away from your responsibilities entirely. Instead, they’ll teach you how to maintain a positive relationship with your personal definition of accomplishment. Recovery is not just a way to set down unhealthy patterns. It’s also a way to find balance in your busy life.

To learn more about programs that can help you restore your sense of peace, see our collection of rehabs serving executives.

Frequently Asked Questions About Rehab for Executives

What should I expect from a rehab program for executives?

Executive rehab programs offer personalized treatment plans that take your unique needs and work responsibilities into account. They may have flexible technology use policies and offer greater privacy, such as private accommodation and one-on-one therapy if group therapy isn’t an option for you.

How can I maintain my privacy while attending rehab as a CEO?

CEOs can maintain their privacy during rehab by enrolling in an executive program. These tend to prioritize confidentiality, with bespoke treatment plans and luxurious, single accommodation. Some don’t require group therapy for utmost privacy.

How do I manage my work responsibilities during rehab?

Many executive rehab programs let you stay connected to work during treatment. They may have more flexible technology policies, a business center, and even a sober companion who accompanies you to business meetings and social engagements.

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Trauma-Informed Care: How Rehab Can Support Post-Traumatic Growth 

Trauma can be an isolating experience. When you go through something so painful that it changes you, it’s natural to feel like no one else can understand your new reality. You may have trouble connecting with the people around you, or no longer enjoy activities you once found meaningful. No matter how hard it is at first, remember: this is not the end of your story. You can always create a new beginning.

By going to rehab, you can get help from experts in trauma, PTSD, and CPTSD. The simple fact that these experts exist is proof that trauma is extremely common. You may feel isolated, but you’re certainly not alone. Depending on your program, you can also spend time in rehab building community with people who have life experiences like your own.

Diagnosis After Trauma: PTSD and CPTSD

This process can teach you a great deal about your own perspective. There are countless kinds of trauma, and everyone’s response to it is unique. For the most part, however, people whose mental health has been severely impacted by trauma are diagnosed with PTSD and/or CPTSD. 

PTSD

Post-Traumatic Stress Disorder1 (PTSD) normally develops in response to trauma that occurred in a discrete, specific amount of time. It’s often diagnosed in veterans and survivors of sexual assault. This condition is characterized by many symptoms, including but not limited to the following: 

  • recurring, involuntary, and intrusive memories of the traumatic event
  • flashbacks and/or dissociation
  • avoidance of reminders of the traumatic event
  • dissociative amnesia
  • persistent negative beliefs and/or self-blame
  • feelings of alienation

PTSD can be overwhelming. You may have the sense that one moment, or one brief period of time, permanently changed your emotional capacity. And that might even be true. But it doesn’t mean you’ll always be in pain. 

paracelsus confidentiality
Paracelsus Recovery in Zurich, Switzerland takes developmental trauma into account when addressing mental health and addiction issues.

CPTSD

Complex Post-Traumatic Stress Disorder2 (Complex PTSD or CPTSD) is similar but not identical to PTSD. This describes people who have experienced prolonged trauma, such as long-term domestic abuse or long-term childhood trauma. While many veterans who served only one tour have PTSD, those who spent years in active service, and especially those who were detained in Prisoner of War camps, may in fact have CPTSD. The term may also apply to people who grew up in violent neighborhoods or spent time in prison. 

CPTSD is not yet officially classified as a diagnosis by the DSM-V (the American Psychiatric Association’s manual for assessing and diagnosing mental health conditions). However, many clinicians use it as a framework for discussing their clients’ experience. The term has been in use since at least 1988, when Dr. Judith Hartman of Harvard University suggested that the symptoms of long-term trauma may require a different kind of treatment than those of PTSD. She referred to a number of specific symptoms: 

  • self-destructive behavior, such as impulsivity and substance misuse
  • emotional difficulties, including rage, depression, and panic
  • chaotic personal relationships
  • dissociation and personality changes

Although CPTSD is not yet classified as a medical diagnosis, a growing number of healthcare providers use the concept as a therapeutic tool. It may very well be included in a future version of the DSM. Even now, many people in recovery identify with the term. Like any diagnosis, this is not only meant as a way of explaining ineffective or damaging behavior. Instead, it can help you define your experience in order to chart a path away from destructive patterns. 

What Is Trauma-Informed Care?

“Trauma-informed care“3 refers to a variety of healthcare practices that take into account the unique experiences of people with a history of trauma. Providers may be experts in treating PTSD and CPTSD, and they may offer special accommodations for certain clients. For example, when a survivor of assault sees a massage therapist who offers trauma-informed care, the therapist might make it a point to ask for verbal consent before touching any new area of their body. The provider’s goal is to treat the client with respect, making sure they feel as safe as possible throughout the healing process. 

Trauma-informed care takes the client’s past, present, and future into account. It’s not productive or even possible to ignore the original traumatic event while trying to move forward. Jan Garber, the CEO of Paracelsus Recovery, explains:

“When we’re looking at trauma, we often look at family of origin to understand how people were shaped and how that then informs how they react in life and how they relate to others.”

He adds, “If someone’s coming to us, most of the time they’ve identified a set of symptoms that’s saying, ‘Hey, stuff in life isn’t well, or it’s not working the way it could.’ So that’s the smoke, and where there’s smoke, there’s fire. So we want to really look at where that fire is and how the fire started.”

Looking at the root cause of trauma is not about assigning blame. It’s unlikely that you caused your own trauma, and it’s certainly not true that you’re responsible for other people’s behavior. You did not make this mess; or at least, you didn’t make it alone. Whatever or whomever the source of your pain may be, though, healing is your responsibility. That can feel very daunting, especially for people who experienced childhood trauma. Remember that you are not the first person to feel this way. There is a great deal of research that can guide you through PTSD and CPTSD, and your healthcare providers are there to help you navigate it.

mclean fernside
McLean Fernside in Princeton, Massachusetts recognizes clients’ need for trauma treatment as an essential part of recovery.

Learning From Triggers

Trauma-informed care is sensitive to triggers. This word has been co opted and even denigrated in recent years, so it’s important to define it in this context. 

A trigger is an inciting event that elicits a strong emotional reaction which may be disproportionate to the present moment, but is a reasonable response to the past trauma you’ve experienced.

It is not true that being triggered means you are weak, or fragile, or maladjusted. On the contrary, triggers exist for good reason. The extreme emotional reactions they cause used to serve you well. With time, effort, and therapy, many people can overcome these disproportionate reactions. 

Triggers are unique to everyone. Some are very common; for example, many survivors of physical violence have trouble looking at gorey images. However, they can also be hard to predict. A bouncy pop song might be triggering if it was playing when you got in a terrible car accident. If you struggle with your family of origin, you may be triggered by a funny sitcom about a happy family.

Simply avoiding triggers is both impractical and ineffective. Even if you never play the radio in your home, that same bouncy pop song might come on the speakers while you’re at a grocery store. Isolating yourself from situations in which you might be triggered can prevent you from living the life you want. The long-term goal of trauma-informed care is not to protect you from triggers—although that may be a useful short-term strategy. You will instead learn how to regulate your emotions and tolerate difficult situations.

The first step toward building habits is to acknowledge your current patterns. From there, you can decide which of them are still helpful. The skills that got you to this point served an important purpose, but they may not be the skills you need to build a better life. 

Trauma, Addiction, and Mental Health

When you experience trauma, it’s natural to develop coping mechanisms that are appropriate to use in emergencies. These strategies are very important; they are designed to help you survive and ultimately escape. But life isn’t always an emergency. Some of these habits can become harmful if you keep using them after the danger has passed. For example, a person who grew up in a violent home might have learned to mistrust their family members. That skill was probably a very important defense mechanism during their childhood. In adulthood, however, that same skill has the potential to damage a romantic partnership. 

If you’re living in an unsafe situation, it’s normal to want to escape. If physical escape is not an option, you may turn to other means of escape, such as substance use. Researchers have found “that there is high comorbidity between PTSD with substance abuse disorders4 and other mental disorders.” Because of this well-understood connection, many rehab centers are well-equipped to offer trauma-informed care. 

“Even if the person doesn’t define for themselves that they have trauma history, we assume that they do,” says Dr. Monika Kolodziej, Program Director of McLean Fernside. She describes their trauma-informed approach:

“What that means is being very respectful of space. It means being a clear communicator. It means not overstepping boundaries. And it means introducing the possibility that treatment for trauma might be an important part of their recovery. So in addition to being sensitive and interacting with the person in a way that’s respectful, that doesn’t overstep boundaries or is not aggressive or confrontational, it also means providing treatment and skills.”

PTSD and CPTSD can also co-exist with or even cause other diagnoses, such as anxiety and depression. Scholars have also suggested a link between CPTSD and Borderline Personality Disorder (BPD);5 some even suggest that we stop differentiating between these two conditions.6 If you’re living through ongoing trauma, and develop an additional mental health issue as a result, it can be even harder to get out of danger. And once you do arrive at a safer place, these conditions can complicate the healing process. 

Trauma-informed care takes these many complexities into account. Rehab is a place to not only move past substance use, but also learn to cope with the underlying cause that led you to use substances in the first place.

Camino Recovery exterior pool
Camino Recovery in Vélez-Málaga, Spain uses EMDR to help clients reduce the impact of traumatic memories.

Trauma-Informed Behavioral Health Services

Rehab is designed to be a safe, protected environment in which you can begin healing from trauma. You’ll have access to experts who can help you process your past experiences and learn new skills to use in the future. Without the added responsibilities of work, school, or caring for your family, you’re free to focus on yourself. This dynamic is especially important for people with a history of domestic violence, and anyone whose trauma has caused them to struggle with interpersonal dynamics. 

PTSD and CPTSD can be extremely isolating, both during and after the original trauma. That isolation can even be a key indicator of whether or not you’ll develop one of these conditions in the first place. For instance, if a person gets in a car accident and then has to wait for hours before an ambulance arrives, that waiting period might be just as emotionally damaging as the accident itself. After that traumatic event, it could also be hard for them to explain why they’re triggered by sitting quietly at the side of a road.

Rehab offers clients the opportunity to inhabit a safe and protected environment, without isolating them from care. By connecting with your cohort and your team of providers, you can learn how it feels to simultaneously exist in a private space and benefit from community support. 

Various rehab facilities offer different types of therapy for people with a history of trauma. Behavioral therapy is a particularly effective treatment. This approach provides clients with very specific tactics for navigating difficult situations, coping with triggers and urges, and living in accordance with their personal values. Some common styles of therapy for healing from trauma7 include cognitive-behavioral therapy (CBT), exposure therapy, and eye movement desensitization and reprocessing (EMDR). 

Each of these kinds of therapy looks at trauma from a slightly different vantage point, and it’s important to choose the one that’s right for you. EMDR, for example, aims to restructure the way memories are stored in the brain. Meena Lavender, Family Therapist and EMDR Practitioner at Camino Recovery, explains:

“If you had a filing system in your brain, it would house traumas in different sections of your brain. What EMDR does is access it one by one and processes that to eliminate the emotional charge it has.”

EMDR is just one example of trauma-informed care that simultaneously treats the mind and the body. This holistic approach can be helpful for clients who experience physical symptoms as a result of their emotional experience. In some cases, these symptoms can be extreme: panic attacks can be mistaken for heart attacks, and dissociative episodes can put a person at risk of physical harm. Ryan Soave, Director of Program Development at All Points North Lodge, states: 

“We hold trauma in our body, and stress is really the symptom of trauma. we can start working some of that stress out of the body, utilizing things like yoga, breath work, meditation, massage, the sensory deprivation tank, exercise and other types of functional movement, then when that stress is released from the body, it makes it easier to deal with the stressors that are going to come on a daily basis.”

The Ball, the Box, and the Button: A Metaphor for Healing

Imagine that, at the moment you originally experienced trauma, someone handed you a box. Inside it, you find a bouncy ball and a big red button, which is mounted on one of the sides. Whenever the ball hits the button, you’re reminded of your painful experience. That may mean you get triggered, feel anxious, and/or have the urge to engage in destructive behavior. 

At first, the ball and the box are almost the same size. The ball is constantly pressing down on the button, and you spend most of your time feeling the effects of what you’ve been through. This acute phase of healing from trauma can be very overwhelming. Without effective tools to regulate your emotions, it’s unfortunately easy to fall back on unhealthy coping mechanisms.

Over time, though, you learn. You grow. The box gets bigger, and the ball has room to bounce around. It spends less and less time pressing on the button. Your feelings may still be intense every time the button gets pushed, but you’ll have some space to breathe in between those moments. You’ll develop skills to manage your own reactions, and be better prepared for the next time the ball hits. 

This metaphor was originally developed to describe grief. And the process of healing from trauma is not unlike the process of grieving.8 Often, though, what you’re grieving is a version of yourself. As painful as that is, there is a well-charted path forward. 

Trauma-informed care offers people the space they need to get to know themselves again. This is your opportunity to redefine yourself, your life, and your values. Healing is a-linear, and there will always be good days and bad days. This process is intended to help you navigate them both. 

To learn more about your options for care, see our collection of residential rehabs offering trauma treatment here. 

Frequently Asked Questions About Trauma-Informed Care in Rehab

What is trauma-informed care in rehab?

Trauma-informed care in rehab is an approach to treatment that recognizes the impact of past traumatic experiences on an individual’s mental, physical, and emotional health. It focuses on creating a safe and supportive environment for healing and recovery.

What are the key principles of trauma-informed care in rehab?

The key principles of trauma-informed care in rehab include safety, trustworthiness, choice, collaboration, empowerment, and cultural sensitivity. These principles inform every aspect of treatment, from the initial assessment to ongoing support after leaving rehab.

What are the benefits of trauma-informed care in rehab?

Trauma-informed care in rehab benefits individuals by taking their experiences and trauma into account to provide a safe and supportive environment for recovery. This can foster a sense of empowerment and autonomy, which may lead to improved mental health outcomes.

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What to Expect While You’re in Rehab

Rehab is a place for you to build a sustainable life. In order to do that, you’ll develop healthy daily habits, learn to cope with cravings, and set goals. This is not a simple process. In order to create a better future, you first need to understand what led you to this point. By working through your emotional experience of your life so far, you’ll learn more about yourself and your own values. And when you truly understand yourself, you open the door to a life that can support your unique version of health.

Most rehab programs are designed to give you a type of structure you may have been missing up until now. You’ll likely have a full agenda, waking up early for a full day of activities and going to bed soon after you finish them. This schedule strikes a delicate balance. The intensive process keeps you focused on the work at hand, with little time to get too distracted by the cravings and triggers you came to get a break from. You will, however, have some opportunities for downtime to process the hard emotional work you’re doing in therapy. How intensive this journey is varies from program to program.

Because everyone is different, each rehab center offers a number of different healing modalities, ranging from individual therapy to recreational group outings. The process may feel more accessible if you have a sense of what to expect in advance.

A Typical Day in Rehab

Your time in rehab will be carefully curated by a team of healthcare providers. In addition to receiving medical care, you’ll spend time with the other residents, attending one-on-one therapy, and processing your experiences. Here’s what a typical schedule might look like: 

7am – 8am Yoga 

8am – 9am Breakfast 

9am – 10:30am Individual therapy 

10:30am – 12pm Group therapy 

12pm – 1pm Lunch 

1pm – 1:45pm Medical aspects or energy work

1:45pm – 3:30pm Trauma therapy

3:30pm – 4:30pm Recreation therapy

4:30pm – 5:30pm Meditation

6:30pm – 7:30pm Group Activity or Speaker

7:30pm – 10pm  Free Time & Homework

10pm Bedtime

You won’t have the same schedule every day, but it’s likely that each day will be tightly structured. Most facilities have time set aside for visiting hours, family therapy, and experiential therapies or outings such as skiing and rock climbing. Some rehabs offer even more flexibility. For example, at All Points North Lodge , a luxury rehab in Colorado, clients sometimes go on nature walks with their therapists during individual sessions. 

As you can see, most centers maintain a balance between time alone, one-on-one sessions with a provider, and group experiences. Every one of these dynamics is an important part of healing. Because rehab is a place to reconnect with yourself, it’s valuable to learn how to be alone. Talking through your feelings with a trusted guide in a private setting will help keep you on track throughout that process. Social dynamics offer group support, and encourage clients to hone their interpersonal skills. Many clients even find the simple act of sharing meals with their rehab community gives them a helpful sense of camaraderie and support. 

paracelsus bedroom
Paracelsus Recovery in Zurich, Switzerland.

Personalized Programming at Bespoke Treatment Centers

Some residential rehabs serve only one client at a time, offering a completely bespoke experience tailored to meet their needs. Other rehabs take a holistic approach, treating a few clients at a time using a highly individualized approach. For instance, the team at Paracelsus Recovery works very closely with each person in their care to come up with a plan perfectly suited to their recovery goals. Louis Fitzmaurice, a therapist at Paracelsus, says: 

“Everything that goes on in the therapeutic environment that we exist in has been created for and directed at our client. It’s designed. It’s tailor-made for our client, everything that goes on. That’s the food, the complementary therapy, the psychotherapy, the psychiatry. That’s me, the live-in therapist. That’s the physical work. Everything that goes on in the environment is focused on our client and is for the best outcome for our client.”

This careful scheduling offers clients the structure they were likely missing before rehab. It also ensures that you’ll have the chance to benefit from a number of different healing modalities. 

Emotional Exploration in Individual Therapy

Individual therapy is a safe, private space for you to express yourself without being concerned about the listener’s reaction. Your therapist’s job is not to fix you, but to help you do the hard work of healing. 

This is not a fast or easy process, but in the end, it’s worth the effort. By developing the skills to navigate whatever life throws at you, you can come to rely on yourself and go forward with confidence. Ryan Soave, Director of Program Development at All Points North Lodge, says that “With therapy in general, the goal is not to reach some place where nothing affects you and you’re happy 100% of the time. It’s really about building the capacity to experience difficult emotions, to experience hardship. We’re going to experience pain – it’s part of life. In fact, we can’t have joy without pain. The more we can build the capacity to experience the full amount of pain, the more capacity we have to experience joy in life.”

During individual therapy, you’ll get to process anything that’s coming up for you. You might feel called to talk about your life before rehab, your daily experience of the program, or your concerns about the future. This is also a place to discuss practical skills like how to manage cravings, how to define your goals, and how to set healthy boundaries in your relationships. Bear in mind, however, that one-on-one therapy is just a starting point. It’s your responsibility to take what you learn in this context and apply it to the rest of your life. 

There are many different styles of one-on-one therapy. Depending on where you go to rehab, you may have access to some or all of these; you may even want to choose a program based on which types of therapy they offer. Some popular styles of therapy offered at rehab are Cognitive Behavioral Therapy (CBT),1 Eye Movement Desensitization and Reprocessing (EMDR),2 and Acceptance and Commitment Therapy (ACT).3

As productive as individual therapy is, it’s not a simple solution to all your problems. In fact, much of the work of therapy happens between sessions. This allows you to reflect on your observations, put what you’ve learned into practice, and gain new insights into your patterns. When you return for your next session, you’ll be ready to delve even deeper into your treatment process. As you integrate the lessons of therapy into your daily experience, you’ll develop a greater understanding of yourself. Eventually, you’ll start to define what you want your life to look like after rehab.

Group Therapy and Social Dynamics

Group therapy is another way to prepare yourself for life after rehab. This is an opportunity to connect with people at a similar point in their path. By building community with the other clients in your program, you’ll realize through sharing your experiences that you’re not alone. As valuable as it is to work with a therapist, there are some lessons that you can only learn from peers. As Lana Seiler, Associate Director of Clinical Operations at All Points North Lodge, says, “We’re social creatures by nature, so it’s a very different feel working one-on-one with someone versus working in a small group and in their community.”

If you attend a program for a specialized cohort—such as a men’s group, a women’s group, or a group for older adults—group therapy may allow you to speak in shorthand. If you’re the parent of adult children, for example, there are parts of your life that a childless 23-year-old might not understand without explanation. On the other hand, that same person can probably teach you a great deal about what it’s like to be a young adult relating to her parents in this era of history. There is no right or wrong group of people with whom to undergo group therapy, but it’s important to find the right group for you. 

For many people in rehab, interpersonal skills are an area of growth. Group therapy is a safe, gentle way to learn or relearn how to build healthy relationships. Openly describing past and present experiences can help clients work against shame. “Group therapy is important for a variety of reasons. Firstly, addiction and substance use bring around a lot of isolation, shame and secrecy over time. People often feel very alone. So an important vehicle for change is to have support and encouragement from others,” says Dr. Monika Kolodziej, Program Director of McLean Fernside. This dynamic helps clients cultivate a sense of self-acceptance, which is essential in order to move forward from substance use. 

Substance use can easily damage your relationships with family, partners, colleagues, and friends. As such, group therapy is a safe place to practice skills that will serve you well when you return to your community after rehab. The act of building relationships in this context provides a certain level of accountability, which may have been lacking in your life before rehab. When you see how the people around you approach their treatment, you may be inspired to commit to your own process even more fully. Data shows that group therapy can improve clients’ engagement with recovery.4 

all points north online aftercare
All Points North Lodge in Edwards, Colorado

Finding Joy in Complementary Therapies

Recovery is hard work; there’s no way around that. However, recommitting to yourself and your wellness means building a better life. In support of that goal, there are many therapies that focus on relaxation and fun. Inpatient rehabs often offer complementary therapies, giving you time and space to process the more demanding aspects of treatment.

Bodywork: Healing the Body to Heal the Mind

Some rehabs invite clients to receive bodywork such as massage, acupuncture, and other spa services. These experiences have a dual purpose. On a therapeutic level, they help your body heal from the negative impacts of substance use. They’re also an opportunity for you to relax and enjoy yourself. Some of these modalities have a component of mindfulness, which can contribute to your emotional recovery.

Recreational Therapy: Emotional Processing Through Self-Expression

Depending on where you go to rehab, you may have the opportunity to participate in recreational therapy. Arts and crafts, film, and psychodrama—to name just a few—offer a different way of relating to yourself and expressing your emotions. Veronique De Buck​, Evolutionary Art Therapist at Camino Recovery, explains: 

“By working with art, you can reconnect with your resources, your potential, your talents and all the beautiful things you have inside of you. Sometimes people can’t put their trauma into words. So it helps to feel, to contact their heart, to feel the emotions and to put those emotions on paper.”

Adventure Therapy: Exploring Your Inner and Outer Worlds in Tandem

Some rehabs are known for their adventure therapy programs. These experiences vary widely from location to location. In California, you might hike a beautiful mountain trail. Some Florida rehabs offer beach activities from surfing to wave running. At White River Manor in South Africa, you can even go on safari. These activities are a fun and exciting way to learn about your own reactions to life in different contexts. According to Ryan Soave, these experiences are more than just a break from the intensity of therapy:

“Fun and play are super important to getting well. It actually allows people to access creative states, which we want people to be in. In behavioral health, it’s about inventing a new way of relating with oneself and others and the world around them. So being able to get out and have fun can really help their process.”

Through these experiences, you’ll develop more sustainable ways of relating to the world. And having positive memories to draw from can make the next chapter of your life feel more accessible.

People are complex, multifaceted beings. Rehab is designed to treat every aspect of self. The demanding work of individual and group therapy encourages you to delve into your reasons for being in rehab in the first place. By balancing this work with enjoyable low-stakes activities, you’ll be reminded of how much the world has to offer you. As challenging as recovery can be, it’s the first step in moving towards a life you love.

Browse our collection of treatment centers to learn more about the experience of rehab. 

Frequently Asked Questions About What Happens in Rehab

What is a typical daily schedule like in rehab?

A typical day in rehab is highly structured from morning until late evening. Schedules usually include individual and group therapy, complementary therapies like yoga, other recovery activities, and downtime.

How long does rehab typically last?

The length of stay in rehab varies depending on individual needs, but most programs last between 30 and 90 days. Some programs are shorter or longer stays depending on the severity of addiction and the individual’s needs.

What kind of therapies are offered in rehab?

Rehab programs offer a range of therapies, such as cognitive behavioral therapy (CBT) and acceptance and commitment therapy (ACT). These different styles of therapy may be delivered in a one-on-one or group setting. Luxury rehabs tend to offer complementary therapies like yoga or art therapy.

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Florida Rehab Has Something for Everyone

There is no one right way to heal. When you choose a rehab center, you’re not just choosing a place: you’re also choosing your treatment environment, who you’ll be around, and which therapeutic modalities you’ll have access to. This can be an empowering decision that sets you up for success as you move forward in your recovery journey. 

If you’re interested in recreation therapy—such as psychodrama, arts and crafts, or horseback riding—a facility in Florida might be the right fit for you. Several Florida rehab centers also specialize in treating the underlying circumstances that contribute to addiction. For example, some of these programs cater to high-powered professionals, older adults, people with co-occurring mental health diagnoses, or those with chronic physical pain. Some programs also offer gender-specific treatment, with different groups for men and women. And clients of many demographics are offered specialized care designed to help with their specific concerns. 

Recovery by the Sea

Florida’s beautiful climate can have a powerful impact on your health. Visitors can relax on the state’s world-famous beaches, or engage in more active pursuits like scuba diving, paddle boarding, or wave running. Local culture places a great focus on physical health and enjoyment of the outdoors—but this isn’t just for athletes. The state’s temperate weather is also a big draw for families and older adults seeking a gentler experience. 

Many of Florida’s rehab centers offer direct access to the coast. Some of them are located close to the water, and others invite residents to go on beach excursions. While these spaces are protected from the hustle and bustle of major cities, they’re not necessarily completely isolated in remote locations. Guests at treatment centers in this area have the time to enjoy nature and adjust to a new pace of life while engaging in the physical activities that suit them best. 

In this diverse area, there’s a great emphasis on respecting each client’s unique needs. If you choose to attend a luxury rehab here, there’s a good chance you’ll work closely with your clinical team to design a personalized treatment plan.

futures recovery healthcare
Futures Recovery Healthcare in Tequesta, Florida

Treatment Tailored to Each Client’s Background

Florida has long been a destination for people from all walks of life, from college students to retirees. And like the state itself, the rehab facilities in Florida offer specific opportunities to several different populations. This is an excellent place to connect with other people in recovery who can easily relate to your own life experience. 

Recovery for Older Adults

Older adults in recovery have a unique set of priorities and needs. Some Florida facilities, such as The Hanley Center at Origins, specialize in offering care to this community. When you begin recovery later in life, it’s especially important to form connections with people you can relate to. The emphasis on group therapy empowers clients to learn together and share the wisdom they’ve cultivated over time. To that end, this addiction treatment program for older adults encourages “patients to feel a human connection, share experiences, and polish their interpersonal skills… We strive to create a close-knit community of peers so that our patients feel safe, welcomed, and comfortable.”

Physical fitness can also play a role in recovery. While there is a well-understood link between physical and mental wellness for people of all ages, older adults often have unique health considerations. For example, the medical treatment of chronic pain can easily lead to opioid addiction.1 Recovering from that addiction is important, but the underlying cause remains an issue. The Hanley Center helps older clients learn to manage their physical health without engaging in destructive behavior. To that end, you may develop skills that support healthy medication management, nutrition, and exercise.

Gender-Specific Addiction and Mental Health Treatment

Rehab is, by nature, an insulated setting. Some guests may want to take this a step further, and only be among people of their own gender. Florida has many options for gender-specific treatment. If you choose this type of environment, you’ll join a cohort of all women or all men, and heal alongside people who understand the pressures that come along with your identity. 

The Hanley Center’s program for women offers a deep and compassionate understanding of the unique stigmas and traumas they often face. Specifically, “women are more likely to experience discrimination based on their physical appearance and more likely to function as single parents. Likewise, women are also more likely to be victims of abuse or assault, and they receive diagnoses of depression and anxiety at higher rates than men…[and] many of these issues can exacerbate substance use. Body image disorders, trauma, and co-occurring mental health disorders are all risk factors for addiction that we see among the women seeking treatment.” By taking these circumstances into account, the facility offers women space to heal in a protected community. 

Men in recovery face a different set of concerns. The pressures men face in their respective cultures often isolates them from the support they need. In particular, the simple act of asking for help often carries a stigma. Without a strong support network, it’s all too easy to resort to unsustainable means of emotion regulation. In the men’s group at the Hanley Center, expert professionals “address deeply rooted issues and clear a path to emotional, mental, and spiritual wellness.” Men are invited to seek support not only from these professionals, but also from each other. Learning how to ask for and accept community care, they learn to navigate life’s challenges. 

beachway therapy center
Beachway Therapy Center in West Palm Beach, Florida

LGBTQ+ Affirming Programs

LGBTQ+ clients often struggle to find competent care, especially for mental health concerns and substance use. It can be difficult to find healthcare providers who understand how to affirm your experience, allying with you to address your concerns without pathologizing your identity. The LGBTQ+ community faces higher rates of mental health disorders2 due to minority stress. Yet many people struggle to access the support they need and deserve. 

Caron Ocean Drive, a rehab center in Boca Raton, Florida, offers LGBTQ+ affirming services. In all of their programs, this facility focuses on treating each client as a whole person. And in their efforts to support LGBTQ+ clients, they offer individual and group therapy and access to community events through their partnerships with organizations such as the PRIDE Center in Fort Lauderdale and Lambda North in Delray Beach. These opportunities actively work against the isolation that so many LGBTQ+ people face in their daily lives. 

People with these identities face not only social stigma, but also unique concerns related to physical and mental health. With that in mind, Caron Ocean Drive offers collaborative therapy that’s open to a client’s family of origin and/or chosen family. Transgender clients also have the opportunity to work with endocrinologists to ensure that they have a plan for ongoing gender-affirming medical care during and after the transitions that take place in rehab.  

Discrete Care for High-Powered Clients

Certain clients require a high level of discretion and flexibility. Florida has a number of programs that cater to extremely successful clients, including CEOs and those with public personas. These lifestyles can be very demanding, and the pressure to maintain an appearance may make it difficult to find the care you need.

Orenda, a program at Futures Recovery, is designed to support high-achieving clients. This process is supported by a staff of medical professionals and hospitality experts. Orenda’s highly personalized program gives you access to innovative medical techniques, from neurorestorative care to hypnotherapy. Athletes continue their physical training in conjunction with therapy and the amenities of rehab. Programs like this one encourage guests to learn more about their own needs, and to meet them in creative ways.

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Tikvah Lake Recovery in Sebring, Florida

Adventure Therapy

In the effort to support each client’s individualized care plan, many Florida rehabs offer adventure therapy. Most of these programs are meant for small groups, and allow participants to explore social dynamics in a safe and structured way. Some outings are only offered to those in outpatient treatment, but certain residential programs have a special focus on these experiences. 

Rise, at Futures Recovery, is one of these adventure-based programs. After completing detox, residents can choose to go fishing, paddle boarding, scuba diving, wave running, and more. These physical activities provide a number of benefits for people in recovery. First, they have a positive impact on physical health, which can aid in the biological process of healing. Experts have also found a link between physical activity and improved executive function.3 Any group activity is also an opportunity to have fun, bond with program peers, and create positive memories.

Traveling to Florida

Florida is easily accessible by plane, with four major airports servicing the state. New clients are discouraged from driving themselves to rehab. Most rehabs will help you plan travel logistics, even offering transport to and from your flight. Because of the temperate climate, it’s easy to reach these facilities at any time of year. 

If you’re coming from the Midwest or the East Coast, Florida is one of the most accessible warm-weather locations in the U.S. Many programs in this area offer both residential and outpatient treatment. These choices may be especially appealing to Florida residents, or to those who want to stay on in the state for a longer period of time. 

Freedom to Define Health for Yourself

Your time in rehab—anywhere in the world—is a chance to step away from the stresses of daily life, and instead focus on your own needs. Florida’s climate is a good fit for people who want to heal both physically and emotionally. This is an opportunity to decide what you need to feel healthy. 

Florida centers are best for people who want to get personalized care. This is a place to connect with a cohort of people who are likely to understand your experience of the world. And those connections can be a valuable source of insight as you discover what recovery means to you. 

For more information on available programs, see our collection of rehabs in Florida here. 

Frequently Asked Questions About Rehab in Florida

What are the benefits of rehab in Florida?

Florida rehabs offer tailored treatment for diverse client groups, a full spectrum of care, and adventure programs where clients can go fishing, paddle boarding, scuba diving, wave running, and more. 

What are the costs of rehab in Florida?

The average cost of inpatient rehab in Florida is $30,000 per month; the average cost of PHP is $15,000 per month; and the average cost of IOP is $10,000 per month. In general, inpatient rehab is the most expensive type of rehab, followed by PHP, IOP, and outpatient rehab.

How do I find a rehab center in Florida?

To find a rehab, you can start by asking your doctor, therapist, or a trusted friend or family member for a referral. You can also search online using an unbiased platform or SAMSHA’s treatment finder. When choosing a rehab, it’s important to consider your individual needs and preferences. Ask about the treatment options offered, the cost of treatment, and the success rate of the program.

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What Happens if I Relapse?

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Rehab is just the first step in making long-term changes to your lifestyle. Because many people choose to go to rehab in response to a crisis, it’s easy to approach this process with a sense of urgency. In the moment, that urgency is warranted. However, when you’re so focused on the short term, it can be difficult to imagine a better future. People tend to catastrophize, picturing themselves going through crisis after crisis, and this emotional spiral can lead to poor decision-making.

Preparing for hard times is helpful, but catastrophizing is not. You are a dynamic, learning, growing person. And the more time you spend focused on healing, the more tools you will develop to navigate any hardship that comes your way.

After rehab, it’s natural to be concerned about relapsing. And that’s understandable, because relapses do happen. But they’re not the end of the world. By the time you leave rehab, you’ll be prepared to work through these setbacks. Nearly 75% of people who experience addiction ultimately recover.1 This includes people who experience relapses.

The process of preventing a relapse begins the moment you enter rehab. Addiction treatment providers understand that your goal isn’t just to complete the program, it’s to successfully reenter the world and live a sustainably healthy life. Your experience of rehab will prepare you for what comes next.

Relapse is a valid concern for many clients. That’s why so many good-quality rehabs focus on giving you the tools you need to work through it.

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Delamere in England offers relapse prevention support, 12 months of aftercare, and a 24/7 helpline for those who complete their residential program.

What Causes Relapse?

Stress

Stress is a natural part of life, and research shows that people with a history of addiction may be more sensitive to stress. Even positive events can be stressful,2 like getting a promotion or planning a wedding. The goal isn’t to eliminate these triggers, but to manage them in a healthy way.

Following rehab, stress can make you vulnerable to relapse.3 That’s because there’s a well-understood link between stress and addiction4—and this is especially true of chronic stress. Many people first turn to substances in response to difficult life situations. And without strong coping mechanisms, it’s easy to fall back into those unhealthy patterns. During rehab, you’ll learn how to manage your responses to stressful situations.

Although mindfulness is something of a buzzword these days, it’s also an effective tactic for coping with stress. This and other emotion regulation techniques taught in rehab can help you focus on the issue at hand, instead of getting lost in a series of overwhelming reactions.

Unexamined Trauma

Don Lavender, Program Director of Camino Recovery in southern Spain, explains the impact of unresolved trauma on relapse:

“The biggest contributor to relapse is stress, and the biggest contributor to stress is unaddressed or unresolved trauma.”

Trauma can result from any number of things, and no two people have the same experience. One person might develop PTSD from a car accident, while another walks away with no lasting psychological effects. Ongoing trauma, such as an abusive relationship or a toxic living situation, can result in complex PTSD (CPTSD), which has slightly different symptoms than PTSD.

With either of these conditions, it’s quite common to develop triggers. A trigger is an experience that evokes feelings of the original trauma, which are often disproportionate to the present moment. For example, open flames might trigger a person with PTSD from a house fire. When they see a burning candle, they may feel a sense of fear and urgency or even rush to put out the flame. In life, this isn’t always an appropriate response. That’s why, in healing from PTSD and CPTSD, clients are encouraged to pinpoint their triggers and develop more effective coping mechanisms.

Substance abuse is a common response to triggers5 like these. When you feel frightened or hurt, substances can short-circuit your emotional state. However, mind-altering substances are just tools, and each one of them has a specific effect. And when substances are the only tool you have available, it makes sense that you would try to use them to fix emotional problems. That’s why rehab is designed to give you more tools, so you can always use the right one for the task at hand.

michaels house relapse prevention
Patients at Michael’s House in Palm Springs, California discuss relapse prevention strategies in group therapy.

How to Plan Ahead

Rehab is designed to give you the resources you need to not only guard against relapse, but to deal with it when it happens. Many people have concerns about transitioning out of rehab and back into their regular lives. It’s important to remember that rehab is not a vacation; it’s more like a class. You won’t be expected to go back to your old routine when you finish the program. In fact, your experience in rehab will help you decide how to change that routine in order to prioritize your long-term health.

By the time you decide to go to rehab, you probably already know that your habits need to change. Your team of healthcare providers understands this, and they want to help. The process of planning for your reentry into the wider world begins the moment you enter the program, says Rowland Tweedie, the Health and Fitness manager at Paracelsus Recovery:

“Often I tell clients their job, in that initial period after the treatment, is them: it’s their health, it’s their wellbeing. We should plan that…It’s important to have local support in place.”

Planning for life after rehab is different for everyone, and your providers will help you come up with strategies that fit your needs. Some clients find it helpful to create an emotional first aid kit, in which they write down strategies to employ in the future. It can be difficult to think clearly during times of extreme stress, and this is one way to remind your future self of the tools you have available. For example, an emotional first aid kit might include the following:

  • The phone number of your therapist or sponsor
  • A list of activities you enjoy, like cooking or exercising
  • A list of distress tolerance skills you learned in therapy, such as listening to a song you love, lighting a scented candle, or holding an ice cube in your hand
  • A comfort object, like a soft pillow or a worry stone, that you can pick up and hold in the moment
  • A mantra you can repeat to yourself during meditation

Rehab is a valuable opportunity to learn from experts, and many programs include educational components. You might learn about the root causes of addiction, including biological predispositions, risk factors in your upbringing, and co-morbid diagnoses. Many rehab centers offer skills coaching, equipping you with healthy habits intended to improve your quality of life. You might learn how to exercise properly, how to cook, or even how to paint. Craving management classes provide strategies for working through any urges you experience in the future.

This type of learning is extremely important, and you’ll ideally come away from it with many useful coping strategies. However, finishing rehab doesn’t mean you’re simply “fixed.” When you exit the program, you’ll begin a whole new learning process. The environment of a rehab facility is very different from the wider world, and it will take you time to reacclimate. There will be times when you’re overwhelmed and unsure of how to react to a new situation. Each of these moments is an opportunity to put your new skills into practice.

immersion recovery relapse prevention
Immersion Recovery Center in Florida helps patients prevent relapse via stepped-down treatment like sober living and outpatient care.

Life After Rehab

By the time you leave rehab, you’ll have a very specific plan in place for aftercare. Although the transition may be jarring, your team will work with you to make it as seamless as possible. Most clients make plans for continuing care, which may be ongoing or may just see them through the transitional period. These services may be offered by your original treatment facility, or you may work with a different provider after you complete the program. Certain types of care may be covered by insurance, but that’s not universally true.

If you traveled to a destination rehab center, you can still find providers that will be locally available when you return home. This may take a little more effort on your part, but it’s important to at least begin the process before you finish the program. You’ll want to have ground support as soon as you arrive, so that your new team can help you process the move to a new place. At this point, you’ll also be navigating brand new big changes. You may need to restructure your relationships, move to a new home, or change careers. It’s far easier to do this with a team standing by to support you in person.

Continuing care refers to any type of support that sustains your ongoing recovery. Components of continuing care may include the following:

  • Individual therapy
  • Psychiatry
  • Group therapy
  • Support groups (12-Step programs, harm reduction meet-ups, etc.)
  • Work with a nutritionist
  • Personal training and exercise
  • Massage therapy or acupuncture
  • Family support (family of origin or chosen family)
  • Community support (friends and loved ones)
  • Recreational groups (hiking groups, sports teams, fan clubs, knitting circles, etc.)

Any or all of these types of care may be appropriate for you. And remember that healing can be fun! Joy and passion are essential components of recovery. Taking pride in your accomplishments—whether a big presentation at work or a doodle of your cat’s face—allows you to find meaning in your daily life. It’s also important that you find healthy and sustainable ways to unwind. As you transition out of your old lifestyle, it can be difficult to imagine having fun without using substances. But don’t be afraid to try new things. There are countless ways to enjoy yourself, and you may be surprised to find you have much more fun when your head is clear.

Responding to Relapse

Relapses happen. Even when you have new skills, a strong support network, and the very best of intentions, this is a risk that you’ll face during recovery. Remember that relapse is not a sign of weakness, and it doesn’t have to be a failure. As Dr. Christine Merzeder, Senior Clinical Coordinator at Paracelsus Recovery, explains:

“When [you] relapse, there’s no moral issue with that. We say, ‘Okay, back to square one.’ If you relapse, phone us, come back to us. We give you advice on what to do. Don’t panic.”

If you do relapse, start by reaching out to a trusted healthcare provider. This could be someone you see regularly, like a local therapist or psychiatrist, or you can call the facility where you started treatment. Don’t isolate yourself or get lost in feelings of shame. There is a strong link between shame and addiction,6 and hiding your struggles often amplifies them.

Remember that this is a relapse. That means you’ve been here before, and you’ve gotten help before. You already have the tools you need to start or restart the healing process. You are living proof that change is possible. Some rehabs offer programs specifically for people who have relapsed after treatment. Depending on where you go, you may be able to return to the same place for a shorter stay. If that’s not available to you, you might also consider an Intensive Outpatient Program (IOP) in your area. In an IOP, you would continue to live at home, attending regular therapy sessions and workshops at a local treatment center.

Healing is a holistic process. If you’re considering rehab as an option, you probably already understand that substance abuse can have an impact on every area of your life. This might include your job, your family, your social life, and even your physical health. The goal of rehab is not just to heal your mind; it also aims to empower you to make big changes to the structures around you. You’ll have to reexamine the way you relate to the world, and take steps to make your life more sustainable. Don’t be daunted by this process. With every positive change, you’ll build momentum. This is true even during setbacks. If you relapse, remind yourself how far you’ve already come.

Lasting change is a long, slow process. The Stages of Change model7 lays out the many steps that go into this process, from precontemplation to ongoing maintenance. Most notably, this model includes relapse as a distinct possibility. Alex Lickerman, M.D., writes:

“Never let a few days, or even weeks, of falling back into bad habits discourage you from fighting to reestablish the good habits you want. Always remember: No one was born with habits. They were all learned, and can all, therefore, be unlearned.”

Relapse is just one step in a lifelong journey. It may feel like a step backward, but it’s also an opportunity to learn more about yourself. Pain of any kind—be it emotional, physical, or spiritual—is just information. When you touch a hot stove, you learn not to do it again. The lessons of relapse are more complex. You may learn that a particular relationship is causing you harm, or that you need to pay more attention to your sleep schedule. Any information about yourself is valuable. This learning process empowers you to build a life aligned with your values.

Remember: the path to healing isn’t linear. Whether you’re recovering from a broken ankle or emotional trauma, setbacks are to be expected. If you can, let these experiences motivate you. Listen to yourself, understand your needs, and focus on doing the next right thing.

If you’re in need of support, many rehabs offer programs that can help. Search for a facility based on your criteria and speak directly with an admissions advisor about the best course of action for you.

Frequently Asked Questions About Relapse

What are the causes of relapse?

Many factors can contribute to relapse, including stress, boredom, negative emotions, and peer pressure. Be aware of your own triggers and to have a plan in place for coping with them.

What can I do to prevent relapse?

There are a number of things you can do to prevent relapse. These include attending regular therapy and support groups, learning healthy coping strategies, avoiding triggers, taking prescribed medication (if necessary), and leaning into your support network.

What should I do if I relapse?

If you relapse, talk to your therapist or sponsor. They can help you understand what happened and develop a plan to prevent relapse in the future. Remember: relapse is a common part of recovery and it does not mean you’ve failed. An addiction treatment center, addiction-specialized therapist, or supportive loved one can help you recommit to your recovery and get back on track to your goals.
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Colorado Rehabs: A Beautiful Backdrop for Creating Life Change

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Rehab is an opportunity for all-around healing. Although you will receive clinical care during your stay, that care is just one aspect of the experience. You’ll also get to connect with people at a similar point in their lives, develop healthy new habits, and redefine your own wants, needs, and goals. In order to do this effectively, it’s important to choose the right environment for you.

Rehabs in Colorado offer a unique combination of opportunities to do just that. Your time at a residential rehab center can be full of rich and inspiring new experiences. This diverse landscape is beautiful during every season, and especially appealing to more adventurous people. Many centers offer experiential therapies based in nature, encouraging their guests to go hiking, skiing, rafting, rock climbing, or even horseback riding. The cultural focus on healthy living and outdoor exploration invites clients to heal through interaction with the world around them. 

We paid a visit to Colorado to find out what makes treatment there so special. Hear from experts at All Points North Lodge and Gallus Detox Center about how this special setting promotes recovery.

Colorado’s Revitalizing Landscape

To call the Colorado landscape “diverse” would be an understatement. This state has eight distinct regions, appealing to people from all walks of life who enjoy exploring the great outdoors. You can go snowboarding in the Rocky Mountains, soak in the Colorado Hot Springs, hike the Manitou Incline, or just enjoy the temperate weather and majestic views. Some facilities even invite clients to spend time outside during their regular therapy sessions.

Most of these activities can be either solo or group experiences, while more extreme sports may require a professional guide. Whether you want to push yourself to new heights or just commune with the natural world, outdoor sports can be a great opportunity for emotional catharsis. Experts agree that exercise has a positive impact on mental health.1 Some also hypothesize that the social component of sporting activities plays a role in this, which can be very helpful for people in recovery. Rehab is a place to start healing yourself, and to begin thinking about how you can heal in the context of your family and community. 

These external events let you learn about your internal experience in a broader context, and not just in the privacy of therapy. As Dr. Ryan Drzewiecki, Director of Clinical Operations at All Points North Lodge, explains, “it puts you in your place in the world.” 

Because of the state’s cultural focus on alternative medicine, many medical professionals in the area are especially qualified to help clients decide which treatments will work best for them. For example, you may choose to go through a medical detox program before arriving at a rehab facility, or you might decide to stay in a sober living environment after the first stage of treatment. By staying in close communication with your treatment team, you can choose your own adventure, both literally and figuratively. 

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Views of the Vail Valley and New York Mountain Range surround All Points North Lodge in Edwards, Colorado.

Experiential Therapy: Learning by Doing

Colorado rehab centers tend to take a holistic approach to healing. Many programs place a strong focus on experiential therapy, in which therapy techniques are delivered via hands-on processes. In the right context, activities like canoeing, kayaking, hiking, snowshoeing, and whitewater rafting can serve as transformative experiences. Dr. Drzewiecki explains:

“The experiential philosophy says that the way you do one thing is the way you do everything, or at least there’s something to learn from the way that you experience everything. So we periodically pause during activities and say, ‘What’s going on for you right now? What are you noticing?’ And we’re able to use that as a therapeutic opportunity to look at what’s happening.” 

These outings also provide opportunities for clients to unplug and process the hard work they’re doing in their sessions. Temporarily stepping outside of the conventional therapy box can spark new insights into your treatment experience. 

Physical activity is certainly an important part of treatment in this region, but it’s just one facet of a much larger perspective. For example, some clients choose to begin recovery before they even arrive at a rehab center. Medical detox is a way to safely move past physiological dependence on substances prior to attending a longer program. 

Before Residential Rehab: Private Detox in the Heart of the Rockies

The Gallus Detox Center in Colorado is a highly regarded destination for medical detox, visited by people from across the U.S. Like any medical detox program, a team of doctors and nurses closely monitors patient progress—but the Gallus Method provides an especially high standard of care. 

So why do people come to Colorado for medical detox? Douglass Weiss, President and Chief Customer Officer at Gallus Detox Centers, says the state itself is a draw:

“First of all, Colorado is a destination in and of itself. We find that substance use patients like the outdoors. They may want to go skiing or kayaking or hiking after they’ve done detox. Denver is easy to reach if you’re coming in for destination care, which a lot of our patients do. And the outdoor activity component complements the recovery journey very nicely.”

Residents at the Gallus Center are treated by physicians who specialize in addiction. They use cutting-edge equipment to monitor every aspect of each patient’s progress, from cardiac telemetry to video monitoring of every room. This practice ensures safety during every phase of treatment. And because detox is only the first step in a long-term recovery journey, in addition to daily doctor visits, patients also work with counselors and partnered rehab facilities to plan how they’ll proceed after their discharge. 

Advanced Therapy Technologies for Specialized Care

Some Colorado rehabs offer a unique opportunity to try innovative treatment technologies, like All Points North Lodge’s float tank and hyperbaric oxygen chamber. President Jerry Vaccarro says these enhance clients’ treatment experience:

“One of the things here at APN that we focus on is that we like to see ourselves as innovative and embracing technology. We have a hyperbaric oxygen chamber which is used in a lot of areas of medicine as an indicated intervention. We’re now performing an investigation of it to see whether it has an impact, and we believe it does, in behavioral health conditions. For example, it looks to be effective when people have PTSD, traumatic brain injury, and other conditions of that nature.” 

Sandstone
Sandstone Care in Colorado Springs, Colorado.

Traveling to Colorado for Treatment

As a popular tourist destination, Colorado is extremely accessible by plane. All major airlines fly into the Denver International Airport, including international flights. And if you’re traveling to a facility far from Denver, there are 12 more commercial airports to choose from. Some rehab centers also offer free transport to and from the airport. If you’re attending treatment in the winter, it’s important to take the weather into account when making your travel plans, as flights or roads may be affected by snowfall. 

When you travel to a rehab center, you’ll need to account for your safety throughout the trip: it’s inadvisable for clients to travel alone. To help with this, rehabs’ admissions teams can often assist you in the planning process. Heather Charlet, the Director of Admissions at Gallus Detox Centers, explains that their facility has “a white-glove car service that goes to the airport, picks [clients] up and brings them straight to us. So we can help with all the aspects of planning to get them here safely.”

Colorado offers a pleasant balance between rural and urban life. While its mountain slopes, hot springs, and remote wilderness areas are the epitome of natural beauty, they are still easily accessible. Both Denver and Boulder boast vibrant metropolitan areas, and numerous smaller towns pepper the countryside. Visitors can choose to be high in the mountains, near major-city conveniences, or anywhere in between.

At most rehabs, core programming takes place at the facility itself. However, the world around you can still have a great influence on your experience. This region is most compelling for people who appreciate vast open spaces and plenty of time outdoors. The landscape is an ever-present component of life in Colorado. 

Could Your Next Chapter Start in Colorado?

Traveling is a powerful way to mark a major change in your life. New scenery may help you gain a fresh perspective on your most deeply ingrained patterns. This is certainly not the right choice for everyone; some people may find travel to be too stressful at a time when life feels unmanageable. Remember that this is your journey. Recovery is, among many other things, the process of relearning how to trust your own judgment. The simple act of choosing the right facility for your needs can be very empowering. 

Whether or not you decide to travel, this is a time to start making changes. If you’d like the next chapter of your life to focus on holistic health and physical activity, Colorado has a great deal to offer. Outdoor adventures can allow you to learn new skills, take pride in your accomplishments, and most importantly, have fun in the process. 

Colorado boasts a selection of top-tier rehab facilities that also accept Medicaid and other state insurance options, providing accessible and quality care to those seeking recovery.

To explore treatment options in this state, see our collection of rehabs in Colorado.

Frequently Asked Questions About Rehabs in Colorado

What makes rehabs in Colorado unique?

Rehabs in Colorado offer a unique combination of clinical care in a beautiful natural environment. Clients can connect with others, develop healthy habits, and redefine their goals. Colorado’s diverse landscape allows for outdoor experiential therapies like hiking, skiing, rafting, and more. This focus on healthy living and outdoor exploration enhances the healing process.

Why should I consider a rehab in Colorado?

Colorado’s revitalizing landscape and cultural focus on alternative medicine make it an ideal choice for rehab. The state’s diverse regions offer various outdoor activities, from snowboarding in the Rocky Mountains to soaking in hot springs. Outdoor sports and exploration contribute to emotional catharsis and positive mental health. Moreover, Colorado has qualified medical professionals who can guide you in choosing the best treatments for your needs.

How does experiential therapy play a role in Colorado rehabs?

Colorado rehab centers emphasize experiential therapy, delivering hands-on processes for holistic healing. Activities like canoeing, hiking, and snowshoeing serve as transformative experiences. These outings provide opportunities to unplug, gain new insights, and complement conventional therapy. Experiential therapy in Colorado encourages self-reflection and personal growth, promoting a comprehensive recovery journey.

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How Does Online Aftercare Work?

Rehab is just one step on the road to long-term recovery. It’s also important to make plans for aftercare, so you’ll continue getting the support you need after inpatient treatment. For many clients, online aftercare is the most accessible option. You may even be able to participate in virtual therapy through your residential rehab program.

Since the events of 2020, it’s become the standard for most healthcare visits to occur online. This may include anything from mental health services, like talk therapy, to regular appointments with a general practitioner. Certain visits require in-person interactions, but these have become limited, and in some cases, even discouraged.

While this began as a way to protect clients and providers from contagion, it’s rapidly becoming the standard. We may see this practice continue for years to come. And it has many benefits, even for those at a low risk of contracting disease. Telehealth provides an unprecedented level of accessibility for clients who can’t easily see providers in person. This may include people with mobility concerns, clients in areas with severe weather, or those who want to stay in touch with practitioners who are far away.

The popularity of telehealth has grown extremely quickly, and technological tools are continuing to develop. Some clients—and providers—may still be learning exactly how this type of healthcare works. And we can expect the specifics to change over time.

What Is Teletherapy?

Teletherapy is a type of telehealth, and refers specifically to mental health services that take place online. Most commonly, clients will connect with providers through HIPAA-compliant video chat platforms. There are a growing number of online tools that meet the legal requirements for privacy, such as Doxy and Zoom for Healthcare.

Many clients use these tools to meet with providers as they normally would in person. For example, you might schedule weekly appointments with a talk therapist, meeting via video chat instead of in person.

Although teletherapy was popularized in 2020,1 it’s been around for a long time. “In 1959, the Nebraska Psychiatric Institute was using early videoconferencing to provide group therapy, long-term therapy, consultation-liaison psychiatry, and medical student training.” It grew much more popular as the general population started using the internet. Researchers began comparing it to other types of medicine in the 2000s, and found that it was “as effective, but slightly different, than in-person care.”

Despite its long history, more information is still needed to determine whether it’s effective for everyone. As more people turn to telehealth, there is hope that researchers will be able to collect enough data to answer this question.

all points north online aftercare
The team at All Points North Lodge in Colorado understand that relapse is a concern for those recovering from addiction. They invest in virtual therapy so that “when you leave, you stay connected.”

Is Online Therapy Effective?

Although there is more research to be done, online therapy has been proven to be extremely helpful for certain clients. This is primarily due to its accessibility. In some cases, experts recommend a mix of online and in-person services.

According to one study, “Telehealth may help engage patients in addiction treatment2 by improving access and convenience.” Additional research is needed to confirm that benefit and to determine how best to tailor telehealth to each patient’s circumstances and with what mix of in-person and telehealth services.

Others believe that telemedicine should be the standard way of providing addiction treatment services,3 like Robert Caudill, M.D., a member of the American Psychiatric Association’s Committee on Telepsychiatry:

“’We should be doing it immediately; the more, the better,’ said Robert Caudill, M.D., a member of the American Psychiatric Association’s Committee on Telepsychiatry. ‘It’s exploded in the past week, obviously,’ he told ADAW in a Zoom interview on March 23. But he thinks it should be the norm.”

However, online therapy has some noteworthy limitations. Some of these concerns are especially relevant to people healing from substance use disorders. For example, people in recovery from opioid addiction may be prescribed methadone. It’s important for this treatment to include office visits, to monitor the client’s physical and mental health. Even in these cases, some may benefit from supplementing in-person treatment with virtual services. And fortunately, many types of mental health services are available online.

Online Talk Therapy

Just a few years ago, online counseling was rare, and often dismissed. Lori Gottlieb, psychotherapist and bestselling author, wrote,

“If you had asked me what I thought of online therapy sessions4 before the coronavirus pandemic, I would have said, trying my best not to sound dismissive, ‘Well, I’m sure they can be helpful in certain ways — but I wouldn’t call them therapy.’”

However, recent events have made individual teletherapy a necessity. A huge number of therapists moved their practices online5 with very little notice. And despite their previous opinions, many have grown to appreciate these online sessions. After reflecting on her experiences throughout 2020, Gottlieb concludes that this modality illuminated certain details of her clients’ lives, “breaking down the facades we all construct and highlighting our shared humanity.”

And whether or not these therapists plan to return to seeing clients in person, the fact remains: now, we know it can be done. This has important implications for the alumni of residential rehab programs. Specifically, it may mean that you can maintain certain therapeutic relationships after you complete inpatient treatment.

At All Points North Lodge, for example, some clients continue to receive services after they leave rehab. Jerry Vaccaro, President of this facility, explains:

“For substance use disorders, the recidivism or relapse rates are huge. Rather than facilitate this revolving door that patients often experience, we’ve invested in virtual therapy so that when you leave, you stay connected.”

oceanica online aftercare
Oceanica Treatment Center in Mazatlan invites patients to attend weekly virtual sessions for 6 months after treatment.

Staying with the same therapist may help ease your transition out of residential treatment. You won’t need to spend time researching providers, or sharing your personal history with someone new. Instead, you’ll simply continue the conversation, updating your provider on your progress in a different environment.

However, this service isn’t always available. First, some rehabs may require their providers to focus only on inpatient services. And regardless of your program’s policies, “all psychologists and other professional health providers must be licensed by the state in which they practice.”6 If you travel out of state or out of the country for treatment, you may or may not be able to see the same provider after you return home. Despite these limitations, you may still be able to access other virtual mental health services, provided by more local groups.

Web-Based Support Groups

While strict regulations govern online talk therapy, fewer rules apply to support groups. Organizations like A.A. and N.A., for example, are simply groups of people coming together to talk about their experiences. Because they are usually facilitated by members, and not by licensed professionals, they have fewer issues with liability.

If you have a reliable internet connection, you can easily attend an online 12-Step group meeting. Several non-12-Step groups, like SMART Recovery, also host virtual sessions. These meetings are available worldwide, to anyone who can access the site.

Because online support groups may be hosted from any location, they cross countries, cultures, and time zones. This provides an unprecedented level of accessibility. While it may be difficult to find an in-person meeting at 4 am on a Saturday, you may be able to attend one that’s hosted in a distant location, simply because of the time difference. But make sure to check that the meeting you choose takes place in a language you understand!

Your rehab program may also offer online support groups. At Oceanica Treatment Center, for instance, has a very active alumni program, in which you will be invited to attend weekly virtual sessions for 6 months after treatment. The team at this facility is committed to staying in touch with clients long after this six-month period, supporting them in their continued recovery journeys.

Apps Support Continued Sobriety

Mobile apps are increasingly popular with people of all demographics, including rehab alumni. These platforms are extremely accessible; unlike talk therapy or support groups, you can use them casually and repeatedly throughout the day. It may not be appropriate to speak at A.A. meeting while you’re waiting in line at a coffee shop; however, it’s perfectly acceptable to look at your phone.

There are a variety of sobriety tools available for smartphone users, many of which are free to use. Some of these apps focus on alcohol use,7 while others let you customize your settings. For example, if you stop using illicit substances as soon as you enter rehab, and then quit smoking several months later, you may be able to track your progress in both these efforts using one app.

Every app is different, but most of them share some common features. You might read daily inspiration quotes, celebrate milestones, or even connect with a sober support network. This is also a powerful way to share your progress with friends and loved ones, either through a share function or simply by taking a screenshot of the app itself.

And if a sobriety tracker isn’t right for you, there are many other health and wellness apps that may support your recovery. For example, many clients find that they benefit from mindfulness and meditation exercises. Others may want to focus on nutrition, in which case a calorie tracker may be helpful.

Much more research is needed regarding the efficacy of these apps for mental health. When used with intention, they may be very beneficial. However, self-directed processes are no substitute for talk therapy. It’s very important to use these tools to supplement—and not to replace—professional care.

Online Therapy Makes Aftercare Accessible

Following rehab, it’s vitally important to engage in aftercare. This stage of recovery looks different for every client. And as you plan for the next stage of your life, it’s extremely important to get advice from your team of providers. As experts, they’ll be able to guide you toward resources that support your specific goals.

For many clients, aftercare is made possible by these virtual options. And even if you don’t face specific barriers to receiving in-person treatment, online care can simplify the logistics of recovery. As a result, it can help make your healing process more sustainable.

Search luxury rehabs to learn more about treatment and aftercare and reach out to centers directly.

Frequently Asked Questions About Virtual Aftercare

How can I continue my recovery after leaving rehab?

After completing a rehab program, you can continue your recovery journey with virtual support through teletherapy or virtual support groups. These alternatives to in-person aftercare provide a convenient option for maintaining sobriety.

What are the benefits of using virtual aftercare services?

Virtual aftercare services, like online therapy and support groups, are a convenient way to access additional support in early recovery. These services can also provide flexibility for those with busy schedules.

How effective is online aftercare for addiction treatment?

Studies show that online aftercare for addiction treatment can be just as effective as in-person aftercare. Virtual services like teletherapy and online support groups are proven to improve treatment outcomes and reduce the risk of relapse.

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Ibogaine Treatment for Substance Use Disorders

gabon scenery

When you first enter recovery, it can be daunting to consider the road ahead. Especially after addiction, which sometimes offers instant gratification, you may be concerned about the slow rhythm of sustainable change. Some clients find it helpful to kickstart this process using ibogaine-assisted therapy.

Ibogaine is an alternative medicine, often administered in a short-term retreat setting. While it’s not readily available in the U.S., clients can travel to treatment centers around the world to seek it out. If ibogaine is right for you, it could certainly worth the trip. This experience is extremely different from most other forms of treatment.

What Is Ibogaine?

Ibogaine is a naturally occurring psychoactive alkaloid, found in the West African iboga shrub. In small doses, it’s a mild stimulant. In large doses, it can produce a dreamlike psychoactive state. This medicine has a long history, and has historically been used in healing and initiation ceremonies by members of the Bwiti religion.

The Multidisciplinary Association for Psychedelic Studies (MAPS) is exploring ibogaine as a potential treatment for substance use disorders, especially opiate addiction. According to their experts, “People with problematic substance use have found that larger doses of ibogaine can significantly reduce withdrawal from opiates1 and temporarily eliminate substance-related cravings.”

Experts found that ibogaine can have both psychological and physiological benefits. It’s sometimes administered at the beginning of a client’s detox process, because it “diminishes opioid withdrawal symptoms and reduces drug cravings.”2 Research suggests that ibogaine and its analogs “potently promote neuronal growth,” and produce “antidepressant-like behavioural responses.” Because of this, its effects may be beneficial for clients with a variety of mental health diagnoses.

The Uses of Ibogaine

This versatile treatment is especially useful for clients at the beginning of their recovery process. According to Álvaro de Ferranti, Founder of Tabula Rasa Retreat,

“It is not necessary to detox off drugs before an ibogaine treatment, particularly heroin…Ibogaine does take away heroin withdrawals instantly.”

It’s important to note, however, that clients detoxing from alcohol or benzodiazepines should taper off before beginning this treatment. Make sure to talk to your team of providers about your medical history, in order to avoid any serious side effects.

In addition to opiates, ibogaine is “also known to arrest cravings and addictions to stimulants such as crack cocaine and meth,” Ferranti continues. “It can also help people with dual disorders, mental disorders, and people who simply want to enhance their life spiritually and find answers and come back to self-love.” In particular, research supports the use of ibogaine for certain mental health concerns.

Opioid Addiction

In the Western world, this treatment is best known for its effect on recovery from opiate addiction. It alleviates most withdrawal symptoms, making detox faster and less uncomfortable. Clients also experience long-term benefits.

In one study, conducted by MAPS, “Results showed the most improvement in drug use at one month with 50% of participants reporting no opioid use during the previous 30 days. Ibogaine was associated with substantial reductions in opioid withdrawal symptoms3 and drug use in participants and may provide a useful prototype for development of innovative pharmacotherapy of addiction.”

Cocaine and Stimulant Addiction

According to the team of providers at Iboga Quest in Mexico, “cocaine addiction appears to respond very well to ibogaine treatment4 when coupled with proper preparation and after-care.” This finding is aligned with preliminary data from formal research.

In one retrospective study, subjects who had been treated for “cocaine dependence,5 almost none of whom used opioids, reported a median relapse-free interval of 5.5 months following single doses of ibogaine.” Ibogaine’s influence on the risk of relapse may be caused by its other psychological benefits.

Another study, which specifically focused on people in recovery from cocaine addiction, found that clients “patients benefited from the treatment in all the secondary outcomes, reporting decreases in craving and improvements in personal relationships, quality of life, and self-efficacy, thus supporting existing notions that treatments combining ibogaine and psychotherapy do have a therapeutic potential in the treatment of substance use disorders.”6

PTSD

Many people in recovery present with co-occurring disorders, meaning that they have both substance use disorders and additional mental health diagnoses. In particular, it’s quite common for clients to have PTSD. This condition has a complex relationship with substances. Some clients turn to substances in order to self-medicate its symptoms, and others develop PTSD due to experiences they have while using substances.

Ibogaine is shown to have a positive impact on PTSD patients.7 One study, conducted with military veterans, found that treatment “may offer a rapid and robust, and well-tolerated, treatment option for those suffering from a variety of psychiatric and cognitive symptoms,” and specifically for symptoms related to trauma.

Depression

Promising research is currently being done into ibogaine as a treatment for depression. Scientists began by creating an analog of ibogaine,8 intended to have similar effects. This medicine, called tabernanthalog (or TBG), “appears to relieve depression and addiction symptoms without producing hallucinations or other dangerous side effects.”

Although much more research is needed into the effects of TBG, some healthcare providers already support success using ibogaine to treat depression. According to the team at Tabula Rasa Retreat, “ibogaine can lead to an increase in serotonin levels in the brain, leading to a sense of wellbeing and possibility after a difficult period.” Their program caters to people with substance use disorders, depression, PTSD, and a wide variety of other mental health concerns.

The Experience of Ibogaine

Ibogaine is available at treatment centers around the world, although not in the U.S. Just like any other type of rehab, each of these facilities has its own distinct philosophy. Choose an environment that suits your specific needs.

Whatever the atmosphere of the facility, it’s important to carefully prepare for this experience. If you’ve been using certain substances—such as alcohol—you may need to detox prior to treatment. For others, this may not be required. Make sure to talk to your medical doctor and to the staff at your treatment center about the safest way to proceed.

Ibogaine induces a psychedelic experience. During the session itself, you may find yourself in a dreamlike state for up to 72 hours. Clients often report revisiting traumatic events from the past, and gaining new insight into their least healthy behavioral patterns.

As you slowly emerge from this state, you will likely experience immediate and significant differences. Rich, a client at Iboga Quest, had previously undergone detox, and later decided to try ibogaine after a relapse. Comparing these 2 experiences, he told interviewers, “With iboga, or ibogaine, it’s like hitting the reset button…I would say I still had symptoms, but they were significantly less—maybe 20-30% of what you’d normally have.”

Ibogaine also transformed his experience of shame. Prior to treatment, he struggled to accept himself, and was haunted by past mistakes. In an ibogaine-induced dream state, he envisioned a human body with empty spaces inside it, which he’d been trying to fill by using substances. As he explored these images, he learned the value of accepting himself just as he is.

“I always thought that acceptance was almost like admitting defeat. And [ibogaine] showed me that I didn’t have to necessarily like these aspects of myself; it wasn’t asking me to do that. But I had to accept them…these are things that happened…and even if they’re aspects of myself that were true at some point, they don’t have to remain true. And accepting them doesn’t mean that they remain true forevermore. In fact, accepting them puts you in a really great position to be able to change those aspects of yourself that you don’t like. And so that was my major teaching, really.”

The Long-Term Effects of Ibogaine

Unlike some other psychedelic medicines, ibogaine can have a lasting effect on mental health.9 In fact, researchers believe that it can “modify addiction-related neural circuitry through the activation of neurotrophic factor signalling.” This has important implications for its use in the long-term recovery process.

Despite its rapidly apparent benefits, however, ibogaine is not a miracle cure for substance use disorders. Experts at Tabula Rasa Retreat have defined 4 distinct phases of ibogaine treatment:10

  • In Phase 1, patients ingest ibogaine and experience a dreamlike state. You’ll likely spend this portion of treatment in bed, and under medical supervision.
  • During Phase 2, you’ll be fully conscious and aware, but may be hypersensitive and overwhelmed by recent epiphanies.
  • Phase 3 “begins abruptly and lasts for around 3 months. This phase is known as Temporary Freedom.” During this time, clients report decreased cravings and a lower sensitivity to triggers. It’s extremely important to remember that this, too, is just one phase of treatment. Clients should have a clear plan for aftercare in order to take advantage of this time.
  • Phase 4 is also known as the “Return to Earth.” At this point, clients often see an increase in their emotional sensitivity, and may be susceptible to relapse.

Researchers have determined that ibogaine “is not a cure for addiction.11 Instead, it merely interrupts addiction.” There is a great vulnerability associated with Phase 4 of treatment. No matter how relieved you may feel in Phase 3, it’s extremely important to prepare for your long-term recovery. If at all possible, it’s best to make plans for aftercare before you begin treatment. This may guard against the impulse to return to your old life too quickly.

Some clients begin recovery with ibogaine, and then go on to attend a more traditional rehab program. You might also consider joining an intensive outpatient program (or IOP), meeting with a support group, or simply seeing a talk therapist who specializes in substance use disorders. However you choose to proceed, make sure you’re prepared for the next phase of the healing process.

Beginning Recovery With Ibogaine

Although more research is needed, ibogaine is a very promising treatment. Whether you’re healing from substance addiction, trauma, or another mental health diagnosis, it may be a good place to start moving forward. However, like any other medication, this medicine is not appropriate for all clients. It has some notable health risks,12 and may cause unwanted physical side effects. Make sure you consult with a medical professional in advance, to ensure it’s a safe method for you.

Remember that while recovery can start with ibogaine, it’s just the first step in a lifelong process. It’s best to combine this medicine with other, evidence-based therapies, which may include rehab, medical care, talk therapy, or other options. Ibogaine can be a powerful element of your healing process, and may make it easier for you to move toward a healthier lifestyle. But this experience is no replacement for the slow, careful cultivation of sustainable behaviors.

If you’d like to learn more about this therapy, see rehabs offering ibogaine-assisted treatment.

Frequently Asked Questions About Ibogaine Therapy

What is ibogaine treatment for substance use disorders?

Ibogaine treatment is a unique approach to treating substance use disorders that involves the use of the iboga plant. It’s believed that ibogaine can help people heal from addiction by providing a deep psychological and spiritual experience that helps them confront its root causes.

Is ibogaine treatment safe?

While ibogaine treatment shows promise in treating addiction, it’s not without risks. It’s important to seek treatment at a licensed and reputable facility with trained medical staff who monitor patients and provide appropriate care.

What types of addiction can be treated with ibogaine?

Ibogaine treatment is used to treat a range of conditions, including addiction to opioids, alcohol, cocaine, and meth. However, it may not be suitable for everyone and should only be used under the guidance of trained medical professionals in a controlled and supervised setting.

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Treating Depression With Ketamine and Psychedelics

spiral staircase marble steps brass banister photo cred: ludde lorentz

Both ketamine and psychedelics have emerged as popular therapeutic methods in recent years for those who have been resistant to other forms of depression treatment. While many medical professionals and people who have undergone these treatments attest to their benefits, there are still legitimate concerns being expressed about the potential risks associated with their use.

]We take a look at some factors to consider, and the science behind this approach.

How Ketamine Is Used to Treat Depression

Ketamine’s most common medical use is as an anesthetic and a sedative. But it can also be used as a fast-acting antidepressant, usually in the form of a nasal mist or IV infusion performed under medical supervision. Studies have shown that, starting within 4 hours of receiving a dose, ketamine relieved the symptoms of depression for approximately one week at a time.1 Research further suggests that ketamine causes new connections to form in brain. Its fast-acting effectiveness and impacts on neuroplasticity have led clinicians like Gerard Sanacora, Psychiatry Specialist at Yale Medicine, to speculate on its increased use in medical research.

“It’s quite possible that we will see more medical institutions offering ketamine as a treatment,”2 says Sanacora. “And the FDA recently approved the use of esketamine, which is derived from ketamine. These are all very exciting prospects.”

Is Ketamine Safe?

Currently, ketamine is only approved by the FDA as an anesthetic and pain reliever,3 not as a depression treatment. This is largely due to the fact the long-term impacts of ketamine are mostly unknown. Since it’s also used recreationally for its narcotic properties, addiction risk is a major concern. Too much ketamine can have adverse effects like dissociation, hallucinations and paranoia (known as a “K-hole”).4 While ketamine administered in the proper doses under professional supervision is considered safe, these concerns prevent it from becoming more mainstream.

How Psychedelics Are Used to Treat Depression

Psychedelics have a different way of treating depression. Research shows that hallucinogens like psilocybin (found in psychedelic mushrooms), LSD and ayahuasca can potentially relieve the depression symptoms after just a single dose. Successful psychedelic treatments can help people gain clarity about problems they’re experiencing, giving them the opportunity to access their subconscious and process past traumas they had previously suppressed. According to recent studies, psychedelics enhance people’s feelings of connectedness with others,5 their spirituality and their sense of meaning. Some studies suggest that these substances open pathways in the brain—hence the notion that psychedelics expand your mind. While this sounds promising, the science on how these drugs work to treat depression is still being studied.

Watch this TED Talk by Mark Haden, Adjunct Professor at the University of British Columbia School of Population and Public Health, to learn more about psychedelics:

Are Psychedelics Safe?

Psychedelics also pose their own set of risks. Although they’re not generally considered to carry high addiction risk, there can be unpredictable short-term effects of psychedelics.6 Not least of these is a “bad trip,” which can include symptoms like extreme paranoia, anxiety, and loss of psychological control. While these symptoms usually subside within a relatively short period of time, they can lead users to place themselves in dangerous situations. Generally speaking, however, when intentionally therapeutic doses of ketamine or psychedelics are administered by professionals in safe environments, the risks to your safety are quite low.

Finding the Right Rehab for Depression

If you’ve tried different treatment methods for depression and find yourself still struggling with this debilitating disorder, know that there is an abundance of treatment options out there, and some may work better for you than others. While ketamine or psychedelics may not be for you, a variety of other program offerings might be.

Visit our collection of rehabs specializing in depression treatment to explore some of the world’s best centers today. Additionally, learn more about RehabPath and get the most up-to-date company news.

Frequently Asked Questions

How can ketamine and psychedelics be used to treat depression?

Ketamine and psychedelics treat depression by influencing the brain’s chemical pathways, promoting new thought patterns and behavior. They can provide rapid relief for symptoms of depression, and may be particularly useful for people who haven’t found success with other treatments.

What is the difference between ketamine and traditional antidepressants?

Unlike traditional antidepressants which can take several weeks to start working, ketamine can provide relief from depression symptoms within hours. Ketamine targets different neurotransmitter systems in the brain compared to other antidepressants, making it a valuable treatment option for people who haven’t responded to other medications. Additionally, helps repair damaged neural pathways, leading to longer-lasting effects.

What’s the process for ketamine or psychedelic therapy for depression at a residential rehab center?

In residential rehab, you’ll undergo ketamine or psychedelic therapy under the guidance of qualified professionals. Patients are carefully screened to ensure that they’re appropriate candidates for these treatments. After an initial consultation, your care team will develop a personalized treatment plan, and you’ll receive the medication in a comfortable, private setting. The treatment is closely monitored to ensure safety and efficacy, and you may receive ongoing therapy and support to promote long-term recovery.