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Finding the Right Rehab for Your Teen or Young Adult

Anyone can struggle with substance use. Whatever your age, gender, job, or relationship status, you deserve to get the care you need. However, it can sometimes be hard to know what interventions would be most helpful. This is especially true for teens with substance use disorders.

Substance use during adolescence may have long-term effects on brain chemistry.1 For example, “cocaine exposure during adolescence may lead to miswiring in the developing brain and result in long-lasting behavioral problems, such as increased risk-taking, in adulthood.” Because of this, it’s especially important to get teens the help they need in order to begin recovery.

Young people may not always be able to recognize that they need help. And even when they do, they may not be legally or financially capable of seeking that help on their own. Whether you’re a teen or an adult caring for a teen with substance use disorder, the good news is that (specialized) treatment is widely available. Many rehabs offer programs created specifically for younger clients.

If you’re considering rehab for your teen, it’s important to understand the different options available. Depending on the client’s age and geographical location, there may be certain types of treatment that are more appropriate. This decision will also be influenced by your teen’s unique history, diagnoses, and treatment goals.

Reasons for Teen Substance Use

Research suggests that “the human brain is still maturing during the adolescent years.2 The developing brain may help explain why adolescents sometimes make decisions that are risky and can lead to safety or health concerns, including unique vulnerabilities to drug abuse.”

Beyond the simple fact of their age, there are many elements that impact a young person’s likelihood to misuse substances. Among them are risk factors, which make substance use more likely, and protective factors, which guard against these behaviors.

These external influences change with a person’s age. While that’s true for all clients, these changes occur more drastically in children, adolescents, and young adults. For example, middle school students who are too harshly disciplined are at greater risk for substance use disorders. Receiving support from extended family, on the other hand, makes substance abuse less likely in this population. Slightly older adolescents are at greater risk for substance misuse3 when they lack adult supervision, and at lower risk when family members set clear expectations.

Also, teens are experiencing heightened stress4 in this turbulent era of history. According to one study, even teens who had not experienced early life stress—such as neglect or abuse—were prone to “increases in anxiety and depression symptoms” during 2020. In this context, young people may be at a greater risk of developing mental health conditions than they once were.

It’s impossible to guard against every single circumstance that increases the risk of teen substance misuse. However, it can be helpful to familiarize yourself with some of the most prevalent risk factors. Whether or not you’re able to protect yourself or your teen from these stressors, knowing what they are may empower you to get help when it’s needed.

Parental Substance Use

If an adolescent is close to an adult who has a substance use disorder,5 they may be at a higher risk for developing one themselves. For some young people, this is simply a way of enacting the same behavior they’ve seen modeled. Others may use substances in order to cope with the stress of an unstable home life.

Strained familial relationships, financial insecurity, and similar issues can be hugely impactful. However, instability refers to more than these external circumstances. These teens may also have genetic predispositions to substance use disorders, as well as other mental health diagnoses.

Co-Occurring Disorders

Certain mental health concerns, such as depression and ADHD,6 make teens and young adults more likely to misuse substances. In some cases, this is an attempt to self-medicate. However, it’s not always that simple.

For teens with multiple diagnoses, the root cause of substance use can easily become a question of the chicken or the egg. As their brain chemistry continues to change, due to either normal development or unhealthy habits, they may begin to develop co-occurring disorders that make substance use even more appealing.

Whatever the cause of this behavior, few teens have the resources to pull out of this cycle without external interventions. In some cases, inpatient treatment is the most effective way to begin recovery.

Choosing a Rehab for a Young Adult

If you’re a parent or guardian supporting a struggling teenager, it can be difficult to know what’s best for them. And even if you’re confident that they should go to rehab, you may or may not be legally allowed to make that decision on their behalf

In some U.S. states, a parent can unilaterally decide to send a teen to rehab. In other areas, minors’ consent is also required. This varies widely based on the client’s exact age and geographical location. It’s best to learn what your family’s options are before making any specific plans regarding residential treatment.

The client’s age will also help determine which treatment program is best for them. For example, while it may seem that children and younger teens are more likely to grow out of a difficult phase, they may actually be in greater need of interventions. According to one study, “people are most likely to begin abusing drugs during adolescence,7 and the longer adolescents defer experimentation, the less likely they are to develop long-term drug abuse problems.”

Many rehabs often treat a wide variety of mental health concerns, not limited to substance use disorders. Teens and young adults may also benefit from rehab if they’re struggling with eating disorders, personality disorders, or even PTSD. Each of these diagnoses requires a slightly different approach to treatment, possibly including different levels of family involvement.

Some teens are able to live at home during treatment, receiving in-person support from family and friends while they begin recovery. Others may benefit from traveling to rehab. This gives clients both physical and emotional space from the challenges of daily life. It can also teach young people to set boundaries with those who enable their substance use. While this change of scenery may seem drastic, it has the potential to be extremely helpful. Remember that there is no one right way to heal; just the right way for each individual person.

Types of Teen Rehab Programs

If and when you’re ready to choose a rehab center, it’s best to learn as much as possible about the available options. Various programs specialize in treating different conditions, and each takes a unique approach to the process of healing. Because of this, it’s best to choose a facility that is qualified to meet your teen’s unique needs.

Substance Use and Eating Disorders

Eating disorders are extremely common among adolescents. As of 2018, as many as 10% of young women suffered from an eating disorder.8 What’s more, a growing body of research links eating disorders with addiction.9 One theory even suggests that anorexia nervosa is in fact “an addiction to the body’s endogenous opioids.” A number of rehabs focus on helping clients with one or both of these diagnoses.

Gender-Specific Treatment

For some clients, having space from people of different genders can feel like a much-needed break. This gender-specific approach to recovery may be especially helpful for adolescents. Studies show that young men and women exhibit “unique patterns of substance use,”10 and may therefore benefit from distinct approaches to treatment.

Some rehabs focus on treating young women. The program at Foothills at Red Oak Recovery, on the other hand, is tailored to meet the needs of young men, as well as non-binary and gender non-conforming teens. Although it is an LGBTQ+-affirming rehab, it is probably not the right fit for cis women.

Foothills at Red Oak
Foothills at Red Oak in Ellenboro, North Carolina has specialized programs for young men, non-binary and gender non-conforming teens.

In this protected environment, clients are invited to explore their developing identities. According to staff, “​​Adolescence is a time of self-discovery and identity formation…If one successfully navigates the tasks during this stage of life, one emerges with a solid sense of identity. This is a sense of knowing oneself despite the chaos and pressures of the world around them and is paramount to making healthy, value-based decisions.”

Experiential Therapy

Experiential therapy can be hugely beneficial for people of all ages. In this group of modalities, you may go skiing, river rafting, or rock climbing. Some rehabs even take their clients on adventure outings, where they might hike the lip of a volcano or swim with the dolphins.

These experiences aren’t just fun excursions; they’re also ways to practice the skills learned in talk therapy in a different context. They can also encourage clients to develop new hobbies, and help to restore the connection between mind and body. The latter is especially important for teens in recovery.

By surfing, horseback riding, or just playing sports, young people can get back in touch with their bodies and learn how it feels to be physically healthy. Experts theorize that this has a lasting impact on their continued sobriety and health. According to one study, “continued physical health for rehabilitated adolescent drug addicts is crucial…since it could enhance the effectiveness of rehabilitation.”11

With this in mind, some adolescent rehab programs have a special focus on physical activity. Pacific Quest, for example, is a wilderness therapy program located on Hawaii’s Big Island. Here, clients participate in outdoor programming which may include hiking, paddle boarding, swimming, sailing, and more. Participants also perform community service during their time in residence. Through this process, they are encouraged to learn how to engage with nature, their communities, and themselves in a healthy way.

Personalized Treatment

There are numerous ways to approach recovery. Although many teens benefit from highly structured rehab programs, others may require a more nuanced approach. For these clients, personalized treatment may be the best option.

Pacific Teen Treatment, for example, treats only six clients at a time. Each teen is assigned a primary, secondary, and family therapist. Their team of providers works together to carry out a highly individualized plan of care. This approach may not be appropriate for all clients—especially those who want to focus on improving their interpersonal dynamics within a larger cohort. But it can be extremely effective for families who are committed to healing their relationships with one another.

Family Therapy

Adolescent substance misuse impacts family dynamics.12 According to one group of experts, “every chemically dependent person has a significant impact on the lives of several other people.” Because of this, it’s important for the parents, siblings, and other relatives of these clients to engage in their own healing processes.

In many cases, family therapy is a productive way to approach this. Most adolescent rehab programs offer some version of family therapy. This may include in-person sessions, video chats, or regularly scheduled phone calls.

Pacific Teen Treatment
A peek inside the calming environment at Pacific Teen Treatment in Malibu, California, where family therapy is a key area of focus.

Some facilities may limit clients’ communication with people outside of their cohort. Often, these programs restrict cell phone use during rehab. Others may prohibit calls or visits at the beginning of the program, but encourage this type of contact after some time has passed. Every rehab has its own unique guidelines, and those guidelines may vary from one client to another.

Therapy isn’t easy. This process may bring up traumatic memories and shine a light on difficult family dynamics. Even so, it is often an essential component of helping a teen recover from substance misuse.

Growing Beyond Substance Use

Substance use disorders are serious conditions. At any age, and especially for teenagers, this behavior should not be dismissed as “just a phase.” That being said, it can be temporary. It’s always possible to heal and grow beyond unhealthy habits.

A person’s adolescent years are powerfully creative. Over time, teens will inevitably learn more about themselves, defining their identities and discovering their own needs, goals, and values. It’s extremely important to connect these clients with the help they need and deserve. It’s also important to trust the process.

To see reviews, virtually tour facilities, and more, see our curated list of adolescent rehab programs.

Frequently Asked Questions About Rehab Programs for Teens

Why are teen rehabs important for addressing substance abuse and mental health in adolescents?

Teen rehabs play a crucial role in providing specialized treatment for adolescents who face substance abuse and mental health issues. Through therapy, education, and support, these programs help teens and young adults overcome challenges and develop skills for long-term recovery.

What treatment approaches are used in teen rehabs?

Teen rehabs use a variety of treatment approaches:

• evidence-based treatment, such as cognitive-behavioral therapy (CBT); 
• individual and group counseling; 
• experiential therapies, like adventure outings;
• family therapy; 
• and more.

These approaches aim to address the unique needs of teenagers and support their physical, emotional, and psychological well-being.

How long do teens typically stay in rehab?

The duration of teen rehab programs vary depending on the severity of the issue, individual needs, and treatment plans. Most programs range from 30 to 90 days, while others extend for longer. The focus is to provide comprehensive support and equip teens with the tools for sustainable recovery.

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Gender-Specific Rehab Offers Peer-to-Peer Support

At its best, rehab is a safe, protected environment. And some people feel most supported recovering alongside people of their own gender. This may be especially true if you’re healing from trauma or toxic relationships, or simply want to reduce the time you spend explaining your emotional experience.

It’s important to distinguish between the concepts of gender and biological sex.1 The National Institutes of Health Office of Research on Women’s Health defines sex as “a biological classification, encoded in our DNA. Males have XY chromosomes, and females have XX chromosomes.” Most—but certainly not all—people are able to define their biological sex in this way.

Gender, on the other hand, is described as “the socially constructed roles, behaviors, expressions, and identities of girls, women, boys, men, and gender diverse people. It influences how people perceive themselves and each other, and how they act and interact.” Gender and sex, as defined here, don’t match up for everyone. Because of this, some clients may consider attending a rehab that caters to people with LGBTQ+ identities.

Significant research has been done into the differences between men and women with substance use disorders. There is still much to learn about the relationship between gender and addiction, especially regarding trans, nonbinary, and gender non-conforming clients. Not every rehab offers gender-specific treatment. And of the ones that do, some may be more welcoming of trans, nonbinary, and gender nonconforming people. LGBTQ+ clients may want to prioritize rehab programs that are explicitly supportive of their life experiences.

People of any demographic may benefit from attending rehab with a cohort of people who share an aspect of their specific identity. You may feel safe among people with a similar vocation, age, religion, or gender. Being in a group of people like you can facilitate communication, and cut down on any potential distractions from recovery. This focused approach may also give you insights into your relationship with addiction, especially as it relates to your unique identity.

Gender-Specific Risk Factors for Substance Use Disorders

People of different genders face differing social pressures. For example, men often feel that they have to make a certain amount of money, repress their emotions, and project an image of strength. Women, on the other hand, often themselves in caretaking roles, prioritizing their loved ones’ needs over their own. All of these social pressures can contribute to mental health issues and substance use disorders. However, they often cause men and women to experience different kinds of distress.

Trauma

Anyone can be affected by trauma. Many people develop PTSD or CPTSD as a result of traumatic experiences, and these conditions often affect people with substance use disorders. However, research shows that women entering rehab for drug addiction2 self-report “much greater proportions of past and current physical and sexual abuse than men.”

Attending a women-only rehab program may let clients heal among peers who share their understanding of trauma, which allows you to speak in shorthand. This cuts down on the emotional labor that’s necessary to describe your perspective. As a result, you may get more immediate and fulfilling support from the people in your group. Those with co-occurring PTSD and addiction, or who otherwise have concerns about underlying trauma, may also want to consider attending a rehab that offers trauma-informed care.

sunrise recovery ranch mens rehab
In the men’s program at Sunrise Recovery Ranch, clients work through “the pain, embarrassment, anger, and fear surrounding an addiction that can ultimately lead to relapsing.”

Shame

Although “the rate of substance abuse and dependence is higher among men3 than it is among women,” men tend to enter treatment later in the course of addiction than women do. This may be because there is a greater stigma attached to the idea of seeking help among men than there is among women. That stigma is isolating and extremely harmful. As a result, men may feel it’s better to suffer in silence than it is to get the help they need and deserve.

In a men’s rehab program, clients can work through some of this socially imposed shame among people who innately understand the pressures they face in their daily lives. Just by being present with each other, clients are reminded that they’re not alone. This facilitates community building, which is an important part of recovery.

Co-Occurring Disorders

Dual diagnoses can contribute to addictive tendencies for people of any gender. Research suggests that the prevalence of certain diagnoses varies between men and women.

One study on gender differences in substance use disorders4 found that women “have a significantly higher prevalence of comorbid psychiatric disorders, such as depression and anxiety, than do men, and these disorders typically predate the onset of substance-abuse problems.” However, Glen R. Hanson, Acting Director of the National Institute on Drug Abuse, believes this data may be misleading. He explains, “Depression is much more common among women than men in the general public. This gender difference is much less pronounced among drug abusers. Possible explanations are that depression is a more potent risk factor for drug abuse among men than among women, or that drug abuse is more likely to cause depression among men5 than among women.”

Because of these distinctions, men, and women may require radically different kinds of therapy and medical treatment. By working with a team that specializes in rehab for people of your gender, it may be easier to get the specific kind of help you need.

Specific Addictions

Men and women have tendencies to misuse different substances. For instance, when compared to women, men are twice as likely to develop alcohol addictions.6 Experts say, “For most of American history, men were much more likely than women to drink alcohol and use illicit drugs recreationally, while women were more likely to be prescribed drugs as medicine.”7

These distinctions may be due to the different expectations that society places on men and women. Men are encouraged to go out and impress their friends and colleagues. This makes it easy for them to develop—and then to hide—addictive behaviors. On the other hand, women’s health issues are chronically under-researched and misunderstood.8 As this begins to change, there is hope that women may have more resources for healing from substance use disorders.

Susceptibility to Cravings

Overall, “women may be more susceptible [than men] to craving and relapse9 which are key phases of the addiction cycle.” This may be connected to gender-specific tendencies toward depression and anxiety. Hanson writes, “Among men relapse is more likely to be associated with anxiety and positive feelings,10 while among women depression and negative feelings appear to be more common triggers.”

Part of any rehab program includes the process of planning for aftercare. Your specific risk factors for relapse may impact how your team of healthcare providers helps you prepare for life after rehab.

hannahs house womens rehab
Hannah’s House focuses on issues that many women face, including “body image issues, financial inequality, burnout, trauma, and mental health disorders.”

Gender-Specific Approaches to Treatment

If you choose to attend a gender-specific rehab program, you’ll likely spend your time there focused on the common experiences of people who share your gender identity. Although no two people have the exact same history, these commonalities empower clients to teach and learn from each other. Doing this in a protected environment may make it even easier to build strong relationships with your peers.

Treatment for Women

Women-only rehab tends to focus on trauma and relationships with loved ones. In an effort to make clients feel as safe as possible, many of these programs even have all-female teams of therapists and other staff.

Hannah’s House, a rehab center in Texas, is one facility that exclusively treats women. This program focuses on issues that many women face, including “body image issues, financial inequality, burnout, trauma, and mental health disorders.” Their clinicians are experts in these specific areas. In fact, ““each primary therapist is a masters-level clinician, experienced in treating…physical and sexual trauma, disordered eating, body-image issues, self-harm issues, and other challenges commonly facing women with addictions.”

While Hannah’s House only treats women, some rehab centers offer separate treatment programs for both women and men. If you attend this type of program, you’ll be surrounded by people of your gender, although both programs may take place on the same campus.

Sunrise Recovery Ranch, for example, is structured this way. They recognize that “The unfortunate reality is that many women who have abused or become addicted to alcohol,11 cocaine, heroin, stimulants, or prescription painkillers have also experienced domestic violence, assault, or other forms of trauma.” While these and other issues may impact people of any gender, their program honors the fact that “addressing them in a mixed-gender setting may preclude some women from receiving the full benefit of the therapeutic experience.”

Treatment for Men

It’s true that, in many cultures, men experience less societal oppression than women. However, the presence of women in a treatment program may still be a trigger for some men, either as a distraction from the emotional work at hand or due to the pressure to present a certain image.

In the men’s program at Sunrise Recovery Ranch, clients work through “the pain, embarrassment, anger, and fear surrounding an addiction that can ultimately lead to relapsing.” By doing this surrounded only by men, they may be able to get some much-needed space from these emotions. This allows clients to hone certain skills, such as emotion regulation and distress tolerance, before returning to their lives outside of treatment.

Soberman’s Estate, in Arizona, is a men’s-only rehab. Unlike Sunrise Recovery Ranch, there are no women on-site at the facility. This program is designed for professional men aged 30-80, and provides treatment with a focus on the emotional issues unique to men with substance use disorders. They honor the fact that “it takes courage to reach out for help, and that confidentiality and convenience are important to you.”

This luxury rehab provides amenities that may be of particular interest to the clients they serve. Specifically, it offers clients access to a putting green, a fire pit, and a farm-to-table menu. Rehab is hard work, but recovery doesn’t have to take place in isolation. This is a place where men can learn or relearn how to enjoy the healthy pleasures that life has to offer.

Specialized Care for People of Different Genders

Individualized treatment can be extremely helpful for anyone in recovery, regardless of gender. Alex Spritzer, Family Addiction and Psychiatric Nurse Practitioner at The Hope House Scottsdale, says, “The biggest takeaway I’ve ever learned from addiction medicine is that everyone’s going to be different and they’re going to require different needs. Looking at relapse rates and the challenges people have in staying sober, there’s a uniqueness about that.”

This philosophy can be applied specifically, by creating a bespoke treatment regimen for every individual client, or more broadly, by offering unique programs to people of diverse identities. It’s especially important in the context of gender because women and men often have such different social experiences of addiction.

One study found that although “women and men have similar outcomes after treatment for substance use disorders…women might experience greater sensitivity to stress or the cues associated with the drug.”12 Furthermore, “women who are addicted experience greater stigma than do men; this combined with less social support means more isolation and greater risk for relapse for women than men.”

These differences not only impact each individual client’s experience of addiction; they also change the way other people treat men and women with substance use disorders. And recovery isn’t just about improving your mental health; it’s also about improving your life and your relationships. With that in mind, gender-specific programs may take different approaches to medical treatment, types of therapy, and even the length of a client’s stay in a residential program.

The Question of Gender

While these programs may be very helpful to some, they are not effective for all clients. If you’re not concerned with the way your experience of gender has affected your substance use, it may be unnecessary to find a gender-specific program. In addition, non-binary, gender non-conforming, and transgender clients may find these programs to be isolating, or even to exacerbate dysphoria.

Other clients may benefit from seeking treatment with a co-ed group, in which they have the opportunity to learn from people whose life experiences are vastly different from their own. It’s important to find a program that makes you feel safe, but doesn’t isolate you from the interactions that will help you grow.

Reconnect With Yourself Through Community

Gender-specific rehab is a protected space. Clients can trust that they already share certain experiences with the other people in their cohort. When everyone in the room has the same basic understanding of one aspect of your identity, it’s easier to share tactics for how to effectively navigate the world around you.

These programs offer you insight into the ways that your experience of gender may impact your relationship with substances. Many people turn to substances as a way of numbing the pain or dissociating from the trauma caused by social pressures. Being surrounded by people who you know have been subject to those same challenges can be extremely validating.

Perhaps most importantly, gender-specific rehab allows you to connect with your peers in a unique way. As you watch the people in your cohort learn and grow, reintegrating the different aspects of their identities, you may find it easier to do the same. This can support you in learning the skills you need to find joy and meaning in life throughout recovery.

If you’d like to begin recovery in a gender-specific rehab, learn more about these programs in our searchable list.

Frequently Asked Questions About Gender-Specific Addiction Treatment

What is gender-specific addiction treatment?

Gender-specific addiction treatment refers to rehab programs that cater specifically to people of a particular gender. These programs recognize the unique experiences, social pressures, and risk factors associated with substance use disorders based on gender. They provide a safe and supportive environment for recovery, addressing gender-related trauma, relationship dynamics, and other specific needs.

How does gender-specific rehab benefit people in recovery?

By being surrounded by peers who share their gender identity, people in recovery can connect with others with similar experiences, reducing the need to self-censor their experiences. This safe environment allows patients to go deeper into their healing journey and facilitates communication, community building, and a deeper understanding of addiction.

Are gender-specific rehab programs suitable for everyone?

Gender-specific rehab programs may not be suitable for everyone. While they provide valuable support and understanding for many, those who don’t feel their gender identity significantly impacts their substance use may not require a gender-specific program. Additionally, non-binary, gender non-conforming, and transgender folks may find these programs isolating. It’s important to find a rehab program that aligns with your specific needs and makes you feel safe while also allowing for diverse interactions and growth.

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Experts Weigh In on Individualized Care

Recovery is an extremely personal process. Each person’s needs are different, whether you’re healing from a broken leg or a substance use disorder. With that in mind, many rehabs offer individualized treatment.

As Jan Gerber, CEO of Paracelsus Recovery, explains:

“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.”

Most rehab facilities offer some aspects of individualized care, such as one-on-one talk therapy. However, some programs take this approach much further. Certain residential rehab centers offer every individual client a completely bespoke experience, tailored to meet their exact needs.

What Is Individualized Rehab?

If you choose to attend an individualized rehab program, the treatment process may begin even before you arrive. You’ll begin by going through a detailed intake process, in which providers get to know you. Dr. Christine Merzeder, Senior Clinical Coordinator at Paracelsus Recovery, says,

“We start with an interview on the telephone or people write their own history of how they think their situation is. Then we work our way through the medical file. There’s no routine – it’s always something very, very different. Every client is a very individual case.”

Paracelsus individualized care
Paracelsus Recovery goes to great lengths to offer individualized care to each client.

Once your team is familiar with your personal needs and priorities, they’ll collaborate with you to create a treatment protocol that fits your values, needs, and goals. For example, some clients may benefit from 12-Step programs, such as Alcoholics Anonymous. Others might prefer to focus on one-to-one therapy. At White River Manor, for example, groups are not mandatory. Jeanine Fourie, Therapeutic Director and Co-Owner of the facility, firmly believes:

“Each client is here for their own treatment, and their own journey of recovery…it’s important for us that they feel that they get what they need out of their time with us. We accommodate what each client specifically needs.”

These bespoke programs offer benefits that may be hard to find in more structured rehabs. Notably, clients are more active in the process of choosing which therapies they’ll engage in. This allows you to practice making healthy choices in a safe context, surrounded by treatment providers who can provide structure as needed.

Who Is a Candidate for Individualized Care?

Individualized care isn’t for everyone. If you’d prefer to recover in a more structured and predictable environment, you may prefer a different style of treatment. However, certain demographics are more likely to benefit from a highly personalized approach.

Dual Diagnosis

Many people with substance use concerns present with co-occurring disorders. And clients with co-occurring conditions often find great value in programs tailored to meet their unique needs. For example, if you’re in recovery from both substance use and PTSD, you may require a very different treatment plan than a person recovering from both substance use and treatment-resistant depression.

The Hope House Scottsdale, for example, offers individualized care to treat dual diagnoses. According to their philosophy, “There isn’t one way to treat mental health problems.” This program utilizes a variety of treatment options—such as biofeedback, EMDR, family therapy, CBT, DBT, and group therapy—to treat clients with substance use disorders and additional mental health concerns.

Executive Clients

Like any other demographic, high-level executives are sometimes subject to substance use disorders. However, high-achieving people often have a unique set of needs during recovery. You may be unable to step away from work or family commitments to get the help you need. You may also be accustomed to a certain standard of living, and concerned about spending time without necessary amenities.

A number of rehab facilities offer executive treatment programs, which are specifically designed to address these concerns.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 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.”

This approach makes recovery accessible for clients with demanding schedules. Individualized care is often a good solution for people who need to balance their health with their responsibilities, instead of sacrificing one for the other.

White River Manor lobby
A peek into White River Manor in South Africa.

High-Profile Clients

Individualized care programs tend to have a strong emphasis on discretion, which may be important to high-profile clients. Safe from prying eyes, you’ll be able to focus entirely on your own healing process.

It’s important to note that while these environments are protected, they don’t have to be isolating. Clients are often encouraged to continue the activities that make them feel the most grounded and capable. For example, Orenda at Futures is home to an addiction and mental health treatment program specifically designed for athletes. In residence here, clients continue to train throughout the recovery process.

Recovery in Private, But Not Alone

Research suggests a link between social isolation and substance abuse.1 And many clients benefit from honing their interpersonal skills during rehab. Individualized care often offers a greater degree of privacy, but doesn’t have to be isolating.

Of course, your specific rehab program will determine how you connect with the people around you. In some facilities, you’ll go through recovery with a small cohort of peers. Soberman’s Estate, for example, hosts a maximum of 10 people at a time. This format allows clients to find common ground and build relationships with each other. You’ll also be able to practice social skills in a safe, supervised context, which may alleviate concerns about falling back into unhealthy patterns.

Dr. Thomas Gazda of Soberman’s Estate is very focused on providing individualized care to each of his clients:

“When I sit down with a patient, I want to know more about them. I want to know about their background. What are their passions in life? What passions have they lost during their addiction? Have they become bored or distracted by something? What are they getting away from? Those things kind of come out…It’s very individualized.”

Clients are able to receive a high level of personal attention, as well as observe their peers in recovery. For many people, this is an effective way to balance their need for a specific type of treatment with the universal need for community.

Other programs take individualized care a step further, treating only one client at a time. Mercui Recovery is one such rehab center. Clients are hosted in a remote wilderness location, far from the hustle and bustle of urban life. Each person’s experience is unique, and “every client service is customized for the individual, every time.” This experience would likely not be a good fit for people who want to focus on peer-to-peer support during rehab. However, this unfettered access to your clinical team gives clients the time to create a comprehensive aftercare plan before completing the program. That plan may include a network of family and loved ones, local support groups, continued therapy, and medical care.

Mercui Recovery
A look at one of Mercui Recovery’s properties.

For many clients, the experience of individualized care is “the first time in their life that they pool all their medical information together,” says Dr. Christine Merzeder, Senior Clinical Coordinator of Paracelsus Recovery.

“With one client at a time, the knowledge base and communication base are very efficient. It’s a lot of being alert and not missing any information, and there’s no standard clinical path you can develop for that because every case is individual…it’s efficient, it’s fast, it involves the client and their family. And when they leave they get a written summary with all the findings and recommendations.”

In some highly individualized programs, you’ll be able to stay in touch with your friends, family, and possibly even your colleagues. This is most often true of rehabs that treat only one person at a time, and those that cater to high-achieving professionals. This strategy allows you to connect with people from afar, and then process your recent interactions with them during therapy. Even without on-site peer support, you’ll be able to practice interpersonal relationships. By engaging with the people who matter the most, you can learn not only about general social skills, but about how those skills can have the greatest possible impact within your own community.

Choosing an Individualized Care Program

Although individualized care aims to meet your unique needs, not every program will offer the exact mix of programming and amenities that’s right for you. It’s important to find a rehab center whose treatment philosophy aligns with yours. In the right context, you’ll be surrounded by providers with expertise that applies to your experience, and able to engage in activities that support your personal healing process. There are many different therapeutic modalities to choose from, and individualized therapy invites you to do just that.

Experiential Therapy

Experiential therapy is a way to process your emotions from a brand-new perspective. Rehab programs around the world offer a wide variety of activities that you may find engaging or inspiring. For example, if you want a fully embodied, adventurous experience, several rehab centers in Orange County invite clients to go surfing. At The ‘Ohana, in Hawaii, you can swim with the dolphins. Activities like these invite you to examine your behavioral habits in a greater context, and not just in a private room with a talk therapist.

The Ohana Hawaii
The ‘Ohana in Hawaii

Holistic Treatment

There are countless ways to approach healing. It’s quite common for individualized treatment programs to offer holistic care, with the intention to heal the body as well as the mind. You may have the opportunity to receive massage, reiki, acupuncture, or similar treatment modalities. These techniques encourage clients to learn about mindfulness, come into the present moment, and accept themselves just as they are.

Outpatient Care

Recovery is important, but it’s not always convenient. But you don’t have to delay your own healing process. Many clients choose to attend intensive outpatient programs (IOPs), which may be more feasible than residential treatment.

For example, Evolve Treatment Centers has several locations in California, treating adolescents from 12 to 17 years of age. This program allows them to continue living at home and going to school, while still engaging in treatment that’s tailored to meet their needs. Because of this flexibility, clients can get the help they need without interrupting this important chapter of their lives.

Bespoke Treatment Puts You Back in the Driver’s Seat

People of many demographics can benefit from individualized treatment programs. Alex Spritzer, Family Addiction and Psychiatric Nurse Practitioner at The Hope House Scottsdale, says,

“For example, a middle-aged mom of two children going through a separation is going to have very unique needs…versus someone who might per se not have a family, not be married, might be a single male, youthful, 18 years old. Considering where the person exists before the disease process, their home environment is really essential to their recovery.” In the context of individualized treatment, healthcare providers seek to honor each client’s experience, providing the best possible care for that particular person, at that particular time in their life.

However, bespoke care isn’t right for everyone. For some clients, it may be overwhelming or counterproductive to take such an active role in designing their own treatment course. Individualized treatment is founded on the idea that your unique needs are important. If what you need is a predefined structure, it’s important to respect that.

Rehab is, among other things, a way to regain control of your own life. When you begin treatment by working with a team to assess and understand what your life entails, you will almost certainly learn a great deal about your needs, goals, and values. This process mirrors the process of recovery itself.

If you think bespoke treatment may be right for you, learn more about rehabs offering individualized care here.

Frequently Asked Questions About Individualized Addiction Treatment

What is individualized care in rehab?

Individualized care is a type of treatment that is tailored to the needs of each individual. This can involve a number of factors, such as the individual’s substance use history, mental health history, and personal goals.

What are some of the different types of individualized care available in rehab?

Types of individualized treatments available in rehab include: one-on-one therapy (where you discuss your individual needs and goals with a therapist), experiential therapy (to help you process emotions from a new perspective), and holistic treatments (like massage, Reiki, and acupuncture).

What are the benefits of individualized care in rehab?

Individualized care in rehab can help you get the most out of treatment by addressing your specific needs. Your therapists and treatment team will consider your substance use history, your mental health, and personal goals when creating a treatment plan for you. This attention to detail can help you stay on track and motivated during recovery.

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LGBTQ+-Affirming Rehab

As an LGBTQ+ person, it can be hard to find supportive, affirming healthcare. People in this community face unique barriers to treatment. You may struggle to find providers who are both willing and able to give you the care you need. In some cases, it can actually be dangerous to disclose certain aspects of your life to a doctor.  And even staunch allies sometimes lack cultural competency, requiring clients to do the emotional labor of describing their own identities at every appointment. When you expect the very act of getting help to be such hard work, recovery can be daunting.

Fortunately, as time goes on, more and more healthcare providers are starting to understand the needs of the LGBTQ+ population. Information is readily available in ways it hasn’t always been, and people are actively learning what it means to be respectful. And it’s not just about reading up on theory. There are a number of rehabs that cater to the unique needs of LGBTQ+ clients.

Addiction in the LGBTQ+ Community

Historically, research has shown that LGBTQ+ people are at higher risk for substance use disorders1 than other populations. A 2012 study found that “between 20 percent to 30 percent of gay and transgender people abuse substances, compared to about 9 percent of the general population.” This finding was supported by the National Survey on Drug Use and Health in 2015, which asserted that lesbian, gay, and bisexual people were “more likely than their sexual majority counterparts to have substance use and mental health issues.”2

Addiction is a mental health issue, and queer communities often lack access to effective mental health care. Recovery is the process of healing yourself as a whole person, reintegrating different aspects of your identity, and focusing on the parts of your life that bring you joy. In order to do that, it’s important to work with healthcare providers who encourage you to be the best and most authentic version of yourself. As time goes on, providers are learning more about what it means to do that for LGBTQ+ people. Thankfully, there are a growing number of resources available for LGBTQ+ people in the process of recovery.

caron ocean drive
Caron Ocean Drive in Boca Raton, Florida has on-staff endocrinologists who work closely with transgender clients.

What Is LGBTQ+-Affirming Care?

As with any demographic, LGBTQ+ affirming care is not one-size-fits-all. Skilled healthcare providers understand that there is more to you than your gender or sexuality. However, certain types of treatment are especially important to people with these identities.

Respectful Therapy

The goal of therapy is to become your best self, not to change or “fix” who you are. Culturally competent therapists honor their clients’ identities. By helping clients define and understand their own personal values, therapists encourage them to build joyful, sustainable lives. 

It’s important to find a therapist who is willing to meet you where you are, whether or not you subscribe to dominant cultural norms. For example, the United Recovery Project offers LGBTQ+ clients “resources designed to address the unique challenges and needs of those within this community” and “a space where you can feel at home and respected.”

Medical Support for Trans Clients

When seeking any kind of medical care, trans clients may be concerned about the way prescriptions interact with hormone replacement therapy (HRT). Addiction recovery adds a deeper layer to this concern, because the detox process is yet another change in body chemistry. However, it’s absolutely possible to start recovery without losing access to the prescription medication you need. 

Finding the right balance of medications can be hard, and it can take time. Some rehab facilities, like Caron Ocean Drive, have staff endocrinologists who work closely with transgender clients. These experts are there to ensure your access to gender-affirming care3 throughout the process of detox and recovery.

Body Image Therapy

Rehab isn’t just for substance addiction. Many people also attend inpatient programs for various mental health conditions, including eating disorders. For example, providers at The Emily Program Seattle aim to offer all clients a positive experience of treatment—including LGBTQ+ people.

The providers at this facility are well-trained in the nuances of gender-affirming care. According to one of their published resources, “16% of transgender individuals have been diagnosed with an eating disorder. Eating disorders in the transgender community4 may be partially attributed to the attempt to more closely match a person’s physical appearance to their gender identity. Transgender men may rely on their eating disorder to lose weight, and thus, lose feminine curves and appear more muscular. Transgender women may engage in disorder[ed] eating in an attempt to lose muscle and appear more petite.”

the emily program
The Emily Program in Seattle, Washington offers inclusive treatment for eating disorders: a common condition in the transgender community.

Chosen Family Therapy

For the LGBTQ+ community, “family” is a complex and often painful concept. Many of those in this demographic are closer to their chosen families than their families of origin. Whether your family is defined by shared DNA, experience, or values, your health has an impact on your loved ones. Because of this, family therapy can be an important part of recovery.

The providers at Caron Ocean Drive recognize both the importance and complexity of family in LGBTQ+ communities:

“Family engagement is critical to treatment success so we invite those you identify as your family of choice to take part in education that enables them to better understand substance use disorder, mental health disorders, and how to best support you in recovery as well as attend to their recovery and emotional health.“

LGBTQ+ Youth

Historically, it’s been difficult to find adequate health care for young LGBTQ+ people. At its worst, treatment was once intended to force these vulnerable clients into living inauthentic lives. Mental health care has come a long way since that time, and there’s still a long way to go. 

Thankfully, there are now many resources available that aim to support LGBTQ+ youth in the process of coming out and growing into healthy adults. Providers today are proactively creating programs to support this population. With or without support from their families of origin, LGBTQ+ youth deserve high-quality care.

In particular, the providers at Paradigm Teen Treatment recognize that “One of the most vulnerable populations among youth today are LGBTQ teens.”6 This rehab center has a special focus on family therapy. They explicitly encourage parents to accept and support young people in the process of coming out. This is not just intended to heal family dynamics, but also to connect young clients with more community resources. Providers teach that when a family can accept a teen as they are, “it helps a community to do the same.”

At any age, LGBTQ+ clients face unique stressors. Culturally competent healthcare providers recognize that recovery will not make these hardships disappear. Instead, queer-friendly rehab programs are designed to help you navigate whatever life brings your way.

paradigm teen treatment
Paradigm Teen Treatment in Malibu, California encourages family members to support and accept young people in the process of coming out.

Treating Mental Health in LGBTQ+ Communities

Certain factors put LGBTQ+ people at higher risk7 for mental health concerns. Specifically, people in this demographic may face discrimination, harassment, a lack of access to adequate healthcare, and family rejection. These external stressors can exacerbate underlying mental health conditions. When your mental health takes a hit, it can be all too easy to return to unhealthy coping mechanisms. 

With or without a diagnosed mental illness, many LGBTQ+ people experience minority stress.8 This state is the result of living under discriminatory conditions that are, according to researchers, “unique (not experienced by nonstigmatized populations), chronic (related to social and cultural structures) and socially based (social processes, institutions and structures).” Even people without severe trauma can be worn down by daily life in difficult circumstances. Minority stress is common among people who experience oppression,9 including queer and BIPOC communities. 

People who experience more severe, specific trauma are likely to develop mental health disorders. For example, LGBTQ+ youth are at higher risk for PTSD.10 Many luxury rehabs offer trauma-informed care, which is designed to respect these clients’ unique needs and boundaries. Your providers will pay careful attention to your personal history, triggers, and treatment goals. This process encourages clients to understand the relationship between their trauma and substance use. The better you understand your own emotional experience, the better equipped you’ll be to handle stress in a healthy and sustainable way. 

As prevalent as stress and trauma are among LGBTQ+ clients, no experience is universal. Many rehab facilities pride themselves on offering bespoke treatment, tailoring the program to suit each individual client. If you have a specific mental health concern, it may be helpful to find a program that offers treatment for co-occurring disorders. Remember: there are as many ways to heal as there are people in recovery. You have the right to find a rehab program that honors every aspect of your health and your identity.

Take Pride in the Healing Process

Navigating the healthcare system can be hard for anyone, and even harder for queer folks. Members of minority populations are often taught that asking for help means admitting your lifestyle is problematic, and that’s simply untrue. LGBTQ-affirming care is designed to honor and support you, just as you are. In the right rehab program, you can learn to let go of unhealthy behaviors, while still celebrating your authentic self.

To find a program that suits your unique needs, you can connect directly with a rehab facility that offers LGBTQ+-affirming care.

Frequently Asked Questions About LGBTQ-Affirming Rehab

What is LGBTQ+-affirming rehab?

LGBTQ+ affirming rehab is a type of rehab program designed specifically for people in the LGBTQ+ community. These programs aim to create a safe therapeutic environment where people can explore their issues without fear of retraumatization.

Why is LGBTQ+-affirming rehab important?

Members of the LGBTQ+ community face unique challenges when seeking treatment for addiction or mental health issues. These can include discrimination, lack of understanding, and lack of access to appropriate resources. Affirming rehab programs provide safe, supportive spaces where people can receive the care they deserve.

How do LGBTQ+-affirming rehab programs differ from traditional rehab programs?

LGBTQ+-affirming rehabs may take a trauma-informed approach to treatment that assumes a history of identity-based trauma. They may also offer LGBTQ+-only housing, groups, or entire programs. The goal of LGBTQ+-only spaces and LGBTQ-focused care is to allow LGBTQ+ clients to engage in therapy without the self-censoring that would stall progress in a mainstream treatment setting.

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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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An Ultimate Guide to Single Client Rehabs

Kusnacht1

There’s a new treatment option growing in popularity: single client addiction centers. These innovative, highly confidential—therefore ideally suited for high profile business people, celebrities, and politicians—luxury rehab centers treat one person only in an exclusive environment.

A client stays at these centers—The Bay in Australia, Paracelsus in Switzerland, The Cottage in the UK, Kusnacht in Switzerland—and is alone except for the team of professionals treating them.

There are significant differences between single client and multi-client centers. Single-client rehabs often have the following:

Complete client-focus: There is no one else at the center, the client receives a dedicated service.

No group therapy: Often, these clients do not wish to expose themselves and have an urgent need for confidentiality—some may be public figures.

A team of dedicated professionals: An entire team will deliver a tailor-made recovery program for their clients. In these single client centers, there is no such thing as a one-for-all program. Each client receives their own bespoke recovery based on their individual and unique needs.

Integrative approach to healing: Most single-client rehabs believe that addictions do not have one cause, but a complex combination of emotional, mental health, medical, physical and spiritual issues. Their approach tends to be multi-disciplinary.

Privacy: Accommodation is private and luxurious, helping clients relax.

Confidentiality: The client’s recovery is paramount and their personal journeys are held in absolute confidence.

Unique services: These centers deliver all sorts of extra services like cars for client outings, therapists to accompany their meals if they wish, and internet facilities for family and business meetings.

Aftercare: Single-client centers help with the transition back into everyday life with personalized aftercare support.

Four of the Best “One Client at a Time” Centers Around the World

One of the criteria that we look for when listing a center on Recovery.com is the staff-to-client ratio, and most of the rehabs on our site have a great ratio. The most private, individualized care you can receive is found in centers that treat one client at a time.

1.The Bay, Byron Bay, Australia

The Bay in Byron Bay

The Bay programs are run in lovely private houses near the beach or hinterland amid tropical flora. It was founded in 2005 by a group of psychotherapists who wanted to treat addiction in a different way. “We believed that the addiction was being treated but not the underlying trauma and mental health issues,” says psychotherapist and founder, John Dass. “We wanted to address this so we created The Bay.”

Why did you want it to be a single client center? “We didn’t want clients to have to deal with other people because that can be a disruption to recovery. The idea was that the client would come to us and be able to have a totally private recovery experience and one that was dedicated to their personal recovery. Being private means that our international clients could relax more; and relaxation is a key to healing.”

Why is The Bay different? “Many rehabs do “one-to-one” therapy sessions, but in the context of having a group of clients staying in one facility, or attending on a daily/weekly basis. We have a range of highly qualified psychotherapists, nutritionists, doctors, nurses who all come to the client. There is a team of up to 20 professionals who dedicate themselves to one client.

Because of my multi-disciplinary background, we have created a holistic environment, which is truly unique at The Bay. Clients have said that it is more like a retreat than a rehab. We use meditation, yoga, qi gong, mindfulness, acupuncture and massage with one-to-one psychotherapy which produces an intentionally “emotionally warm” structure for our clients. The atmosphere is openhearted and welcoming. Warmth, nurture and nourishment are very important at The Bay.”

Why is it vital to recognize and treat the trauma behind the addiction? “If we only treated the addiction and its symptoms, we would be failing our clients. We know that most addictions have underlying reasons—often from childhood trauma—for being there. By creating a safe space in the psychotherapeutic context, we encourage clients to resolve past traumas, thus enabling a deeper recovery. It might be the first time that clients start to understand where their alcoholism, food or drug addiction comes from so we also use compassion-focused therapy in order that they feel fully seen, heard and understood in a tender, non-judgmental way. I think we’re the only Rehab in the world to provide this heart-centered approach. Clients often get in touch with a lot of shame—they feel they have let down their family and colleagues—and we find ways for them to let go of it.”

Why is one-to-one therapy so important? “Many clients don’t feel comfortable around group therapy. We design the programs for them specifically so that they trust the process. Many clients are well-known or high profile and our gentle but engaging regime helps them to gain this trust. They want confidential therapy and that’s what they get.”

Can a client keep on working? “Yes, there is plenty of room at the house for the clients who often come from the business world to keep on working. We don’t take their mobiles or computers, we just ask that they are ready to work with our therapists when they arrive. We recognize that it’s important to many of our clients to keep working.”

2. Paracelsus Recovery, Zurich, Switzerland

paracelsus

Paracelsus was founded in its current form in 2012 as a family business. It is located on the scenic lakefront of Zurich. They focus on the luxury aspects of their services as well as the single client core philosophy. “Our international team of highly qualified therapists, doctors, nurses, counselors and other professionals focus on the recovery of only one client at a time. Our team works with our clients eight to twelve hours a day, not weekly or monthly as is the case with most other addiction therapy providers,” says chairman, Jan Gerber MSc.

What makes Paracelsus different? “We have recognized the importance of a balanced bio-chemistry of the brain and body for recovery from addiction. We don’t only address the addiction itself, but we identify and treat the underlying reasons for the client’s addiction. We treat the entire person—body, mind and soul. We call it the 360 degree approach.

We also provide an unparalleled high-end all-round service during the treatment program from limousines, a chef, a butler and a 24 hour a day concierge service. We give 7 star service.”

Who are your clients? “Our clients are looking for the best treatment available. They are also looking for 100 percent confidentiality. That’s what we give. We also guarantee that they will never come across another client. We have treated heads of states so it’s very important to guarantee this confidentiality and privacy.”

How do you work as a team? “We assign a team around this client, pull information together and work together very much in a collaborative way until the client leaves,” says clinical coordinator, Dr Christine Merzeder, PhD.

How does the treatment work with psychotherapy? “The client arrives and I find this exciting because I know I have the opportunity to facilitate change. I am here 24 hours a day, 7 days a week. I am getting to know the client so that I can work in the best way with them. Sometimes if they would like, we eat together. It all supports the process,” states psychotherapist, Louis Fitzmaurice.

How does the bespoke program work? “Clients don’t adhere to a program that is already in place, they have their own program. We provide an interdisciplinary program that includes nutrition but also yoga, personal training etc,” says Dr Thilo Beck, the medical doctor.

How long can a client expect to be with you? “Normally they would stay for 4 to 8 weeks but it depends on the individual. We also provide comprehensive after-care in that they might come back for weekends or the psychotherapists visits them,” says Gerber.

What does Luxury Rehab mean to you? “It’s not about spoiling someone because they have an expensive lifestyle. You can’t judge someone because they have a lot of money or are very successful. They are vulnerable like everyone else, and they need support,” says Gerber.

3. The Cottage, Surrey, UK

the cottage surrey

The Cottage is part of Life Works, one of the Priory Group’s leading centers network and is located in the charming Surrey countryside with easy access to Heathrow and Gatwick airports. The Cottage is the only single client addiction center in the UK. They treat addictions and a wide range of mental health issues. They are the exception in this small group in that they do offer group therapy and 12 Steps, if the client would like them. “Our high end, bespoke treatment caters for clients who might be suffering from drug and alcohol addictions, eating disorders, prescription drug addiction, depression, gambling addiction and more,” Stephen Clarke, the hospital director.

What makes The Cottage’s approach different? “We believe that addiction and behavioural health issues require an in-depth and sophisticated approach that treats the physical, mental, social and spiritual elements of each person. Therefore our treatment program looks at us as a whole person, beyond, just their addiction and offers a person-centered approach to treatment. This vastly increases the chance of sustained recovery and enjoying a good quality of life.”

What is your core treatment philosophy? “We offer a range of treatment programs to help our clients with their recovery process. Our therapies are based on scientific evidence and research. We offer specialist programs for eating disorders, we offer CBT, sex addiction specialists, a mood disorder program, one to one psychotherapy, psychiatric care, group therapy. We also offer all the complementary therapies. We are comprehensive in what we have on offer.”

How does your team work together? “Our experienced team work with the clients to ensure they have maximum input into how their program is designed. Their entire stay will be organized by your own personal Program Coordinator who is available to support the client and tailor their treatment program according to their needs. Five star treatment begins before they even arrive with our private car and chauffeur service available to pick them up from anywhere in the UK if necessary.”

Why do you offer single client occupancy? “Our facility caters to clients looking for the most discreet and exclusive environment to relax, unwind and deal with their recovery. We only take one client at a time to ensure everyone we treat has the best possible care.”

4. The Kusnacht Practice, Zurich, Switzerland

the kusnacht practice slide 5

The Kusnacht Practice opened in 2007 and is located on the beautiful shores of Lake Zurich. It prides itself on being one of the most exclusive and expensive Rehabs in the world. Both George Michael and John Galliano are said to have been treated there. Each client has his or her own villa—there are seven villas—with a butler, maid and chauffeur. “We make a home for our clients,” says owner and CEO Eduardo Greghi.

What makes the Kusnacht Practice different? “The level of luxury. This all-inclusive service, as if in a hotel, is characteristic of 5-star psychiatry and it includes 70 permanent employees and 90 freelancers, from a yoga teacher to an acupuncturist.

The clinical team here has a rich heritage of developing innovative methods of looking beyond the surface issues in order to identify the true underlying causes. We find these forms of compulsive behavior are usually associated with biochemical or neurochemical imbalances. We have developed our own Bio R methodology to deal with these imbalances.”

Why single client? “We prefer to treat clients individually rather than in a therapy group, as this enables us to tailor a unique care plan to the personal requirements of each individual. Clients stay at our exclusive luxury residences. We provide clinical excellence in luxurious surroundings.”

Do you include family members in the recovery process? “Many people who seek treatment at The Kusnacht Practice may be experiencing emotional pain or may have suffered trauma, which can also be distressing for family and friends.

Although not mandatory, in most cases we strongly recommend that family and close friends take part in our treatment program. This helps each party to truly understand what is causing their family member’s disorder and their part in the healing process. A thorough preparation for a healthier and happier life after treatment and during our continuing care for the whole family system is an important part of the lasting treatment success.”

What types of therapy are used? “We offer a wide range of innovative and science-based therapies and procedures delivered by qualified medical professionals, along with counseling, complementary treatments and 12 Steps spiritual programs. This may include biomolecular restoration, clinical hypnotherapy, psychotherapy/cognitive therapies, EMDR, Family Systems Therapy, Mindfulness work, Neurofeedback, Positive psychology, repetitive Transcranial Magnetic Stimulation and more.”

Finding Recovery That’s Tailored to You 

Addiction can make us feel misunderstood. In that vulnerable state, feeling seen is so important. That’s what single-client rehabs do for their patients. By understanding and catering to the individual needs of their clients, these rehabs create a comfortable and nurturing environment for recovery. 

Search our collection of luxury rehab centers to learn more about single-client rehabs, their accommodations, pricing, amenities, and more.

Frequently Asked Questions About Single-Client Rehabs

Are there rehabs that treat just one person?

Single-client rehabs treat just one patient at a time. Their clients include executives, celebrities, and high-profile people who want an ultra-bespoke, confidential rehab experience.

What’s the most private rehab?

Single-client rehabs are as private as they get. They offer personalized treatment, an entire team dedicated to your care, secluded and luxurious accommodation, and complete confidentiality.

Are single-client rehabs effective?

They can be—personalization improves treatment outcomes. Single-client rehabs address each client’s unique situation, including trauma or concerns that stem from addiction. They tailor therapies to clients and adjust treatment as needed, according to your progress.

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Athletes and Addiction: Can You Attend Rehab Without It Becoming a Headline?

Athletes-and-addiction

Professional athletes battle with keeping up with the competition, and performance-enhancing drugs are one such way to do so.

But what about when athletes begin abusing drugs or other destructive behavioral patterns outside of the workplace? When depression and isolation overcome an athlete off the field?

Addiction in sport is quite common. And due to the nature of the work, it can be difficult for athletes to both accept and receive the help they need without it destroying their career. Yet, if you carry on without getting help, you put everything at risk—your career, your health, and even your life.

Michael Phelps lost his sponsorship deal with Kellogg’s1 when he was pictured smoking cannabis. Montee Ball’s NFL career was short-lived due to struggles with alcohol and depression.2 Chris Herren’s professional basketball career ended due to addiction;3 paramedics revived him several years later from a heroin overdose.

If you’re a professional athlete, here’s how you can attend rehab and get help without landing in the headlines.

1. Leave the Country

Some countries thrive on celebrity culture.

Their people soak in celebrity problems like they’re their own. But there are countries where celebrities can walk down the street without hassle (and attend rehab without landing in the tabloids).

Switzerland is renowned for its security, privacy and non-sensationalism. The country has some of the most exclusive rehab centers in the world. They prioritize your privacy and ensure that the tabloids can’t get to you.

Many centers here offer individual therapy and bespoke treatments so that you can get the help you need without fear of getting caught by reporters.

To find out more about rehab in Switzerland, watch our video series on Swiss rehab centers.

2. Get Exclusive Treatment, Tailored to You

If you’re a celebrity athlete struggling with addiction and you want to get help in privacy, consider avoiding group therapy sessions. While other people in therapy might not tell your story to the news, they may sell it at another point in the future.

Keeping out of the tabloids is about risk reduction. The fewer people that see you, the less likely your story will leak.

Attending private individual treatment that is personalized to you is one way to do that. Some centers, such as Tikvah Lake Recovery in Florida or The Dawn Rehab in Chiang Mai, help you stay off the grid.

3. Get the Tabloids to Sign a Super-Injunction

Before you go to rehab, you can take steps with the media to legally inform them that they can’t report on particular issues for the sake of selling a story.

In the U.K., a super-injunction4 is an effective way of minimizing reported stories about your rehab. However, it uses the term “reported stories” because it’s becoming difficult to avoid stories leaking on social sites like Twitter.

Ryan Giggs’ case is a famous example. He sought an injunction to protect his identity over an alleged affair with a reality TV contestant, as well as a super-injunction to protect himself against an affair he had with his brother’s wife for eight years.

While these stories were eventually leaked and brought to light by media sources, a super-injunction can be an effective way of reducing your risk of making the headlines, especially if your story is personal to you and uncontroversial.

4. Tell Your Team You’re on Holiday or Hiatus

In most cases, tabloid news stories are leaked from the inside. It’s not unusual for a member of your team to sell your story to make a quick buck. And while we encourage you to only work with trusted people, that isn’t always the case.

To minimize your risk of getting “caught in rehab,” avoid telling people. It might seem like simple advice, but money buys secrets, and the media has a lot of money.

Your team only needs to know that you’re away on holiday or hiatus; they don’t need to know more details.

5. Be the First to Share About It

This is definitely counterintuitive and not for everyone. If you don’t want to be in the headlines for a drug or alcohol problem or other mental health issues, submitting an honest, transparent statement to media sources or posting an update on your social media accounts is the last thing you would choose to do.

However, this approach may work really well. You may desire, for instance, “to be the change you want to see in the world” and show that it’s okay to seek out treatment for addiction and mental health issues. That it’s actually the best thing you can do and a sign of strength not weakness. You may feel that being straightforward and honest about your situation will actually help mitigate speculation and gossip, especially if you’re concerned about it leaking anyway. Although all were in blackmail situations, consider Alexander Hamilton with the Reynolds Pamphlet, Jeff Bezos’s Medium article,5 and John Skipper’s resignation statement.6 If you do choose this route, be prepared for potential consequences.

Be Sure to Seek the Help You Need

With all this said, the most important factor about attending rehab is to get the right help for you.

Many locations across the globe have unique and tailored solutions that will work for some athletes but not for others.

Be sure to do your homework on the rehab center you’re interested in and choose one based on the treatment available and the expert clinicians who work there. These clinicians, after all, are the ones who will help you get sober and stay sober.

To get the specialized treatment you may need, explore our collection of rehabs across the globe to learn about pricing, their treatment approach, clinical team, and more.

Frequently Asked Questions About Rehab Privacy for Athletes

Where can athletes with drug addiction get help?

Help is available for athletes struggling with addiction:

• Your primary care physician may refer you to treatment.
• A specialized mental health professional can guide your recovery.
• Find an addiction treatment program specifically for athletes. Some have unique therapies like HBOT. 
• Join a 12-Step or non-12-Step support group in addition to a treatment program.

Can athletes go to rehab without anyone knowing? 

It’s possible. Single-client rehabs offer completely private treatment. Going abroad is another option. Countries like Switzerland have strict privacy laws and some of the world’s most exclusive rehabs.

How can athletes attend rehab in private?

You can attend rehab abroad, or get personalized treatment at a private rehab that offers individualized care, private rooms, and doesn’t require group therapy.

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Addicted Attorneys: How to Identify Your Addiction and Get the Help You Need

A 2016 study held by the Hazelden Betty Ford Foundation and the American Bar Association found that out of the participating 12,825 licensed attorneys, 21 percent of lawyers qualify as problem drinkers,1 while 28 percent struggle with mild or more serious depression and 19 percent struggle with anxiety.

What’s worse, only 3,419 lawyers responded to the question about drug use. As explained by the study’s lead author, Patrick Krill, in the New York Times:

“It’s left to speculation what motivated 75 percent of attorneys to skip over the section on drug use as if it wasn’t there.”

Substance use disorder among lawyers isn’t just prevalent in the United States. In fact, much of the Western world’s legal profession is built on drink and drugs. But the true problem does not lie in the substance use itself, it lies within the culture surrounding it.

In this blog post, we shed light on some of the common factors of addiction for those in the legal profession, why lawyers need to be vigilant in recognizing them, and how you can seek the help you or a colleague might need to get sober and stay sober.

Death by Drugs: The Story of Peter

In July 2017, the New York Times published an article about the life of Peter, a high-level Silicon Valley attorney who overdosed on drugs.2

According to the article, it was a problem that his ex-wife, children, colleagues and close friends didn’t see coming. Further, it was a problem Peter felt he could fight on his own, but he failed to make the necessary priority adjustments to make time for doing so. His work always came first.

The article is eye-opening for any lawyer experiencing similar issues, and we urge you to read it. In the article, the writer depicts a scene prior to Peter’s death. The line reads:

“Of all the heartbreaking details of [Peter’s] story, the one that continues to haunt me is this: The history on his cell phone shows the last call he ever made was for work. Peter, vomiting, unable to sit up, slipping in and out of consciousness, had managed, somehow, to dial into a conference call.”

In any scenario, it’s difficult to understand why humans put their work before their own lives.

Perhaps it’s because we don’t want to let others down. Perhaps it’s because self-punishment is an all too common illness we’ve yet to talk about. Whatever it is, work is work and will remain so for the rest of time. Your health is precious; and it requires intentional effort to keep it stable.

A Few Addiction Factors to Watch Out For

There are many reasons people turn to drugs to deal with the realities of life. Failed careers, a lack of income, the death of a family member, stress … each person becomes addicted for their own reasons.

In the legal profession, however, there are some specific warning signs to watch out for. For example:

1. Overworking

attorney overworked

We can only work so hard.

We need sleep, food, water and rest to ensure we can sustain a peak level of performance in anything we do. But due to the nature of the legal profession, lawyers tend to work more than most other people.

Sure, they might bill 40 or 50 hours of work in a week, but in truth, lawyers likely work 60 or 70 hours3 just to keep up.

Balancing this level of work with a social life often means staying awake and “on” to get the job done, and some people may turn to artificial substitutes. According to the same study, 5.6 percent of respondents used cocaine, crack and other stimulants, 5.6 percent used opioids, and nearly 16 percent used sedatives to turn themselves off after a long day.

Be sure to recognize the signs of overworking and proactively deal with these problems by speaking up. There’s no shame in admitting you need help.

2. A Lack of Time With Family

In Peter’s story, it was expressed that he didn’t have enough time to spend with his family and that he’d often go out in the evening and not return.

Isolation is an all too common addiction factor, and it makes it difficult for people to identify personality changes. If you begin to notice that you’d rather be alone and taking drugs instead of around the people you love, it’s time to speak up and seek expert help.

3. Stress

Often people use smoking, alcohol and drugs as ways of trying to evade the reality of a situation and “calm down” when life gets overwhelming. In 2015, Bloomberg estimated that workplace stress contributes $190 billion in healthcare expenses4 and more than 120,000 deaths each year.

Given the nature of hard work, stress can be classified as an epidemic in the legal profession.5 Last year, legal website Above The Law wrote an article titled Stressed-Out Lawyers in First 10 Years of Practice More Likely to Have Mental-Health and Wellness Issues and they’re accurate in their statement.

As explained in the article:

“If you know 10 lawyers, three of them are likely depressed, and two of them are suffering from a drinking problem or anxiety.”

Get the Help You Need With Rehab

The stigma behind going to rehab is slowly diminishing, and the acceptance of seeking help is becoming more prevalent.

In the medical profession, which is also a high pressure, high-stress career path, doctors can enter rehab, get the treatment they need, and still continue practicing medicine once they’re sober.

The legal profession is similar. No longer should you or your colleagues fear losing your legal license and getting fired; you’re human. However, continuing down a path of substance use and overworking can be detrimental to any career.

We finish this article by addressing you personally:

If you notice that you’re becoming reliant on drugs, it’s difficult to balance work and life, or if you’re failing to treat yourself with the respect you deserve, help is available.

The United States has several lawyer assistance programs and we urge you to pick up the phone and call them.

If you feel that rehabilitation is your ticket to recovery, we urge you to find a rehab center that fits your needs.

Remember: You are not alone.

Frequently Asked Questions About Addiction Among Lawyers

Are lawyers more prone to addiction?

Certain factors increase the likelihood of addiction among lawyers. These include the normalization of drinking and drug use, overwork, and chronic stress.

How prevalent is drug use among lawyers?

Self-reported figures show 22.6% of lawyers engaged in problematic drug use or drinking at one point in their lives. Actual numbers may be higher. (75% of respondents in the same study skipped over questions about drug use.)

Can lawyers continue practicing after rehab?

If you were disbarred due to drinking or drug use, you can practice again under 3 conditions: 

1. You received appropriate rehabilitation.
2. You’ve abstained from drinking and drug use for one year minimum. 
3. You’ll likely continue to abstain.