Category: Connect with Providers

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Group Therapy in Rehab: How It Works and Why It Matters

Addiction isolates you from other people. In a rehab program with group therapy, you can learn how to reconnect. This treatment invites you to build strong relationships with your peers. It also teaches valuable interpersonal skills that can help you navigate every stage of recovery.

What Is Group Therapy?

Group therapy brings together 6-12 patients for regular sessions, guided by at least one therapist. You might meet weekly, twice a week, or even daily. The exact frequency depends on your program.

In a rehab setting, this treatment helps you connect to other patients. Since you’ll likely be around the same people for 28+ days, it’s important to feel comfortable with them. Group therapy facilitates these relationships and aids in your recovery.

Most group therapy techniques come from styles of one-on-one therapy. Group therapists often use evidence-based practices like cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT), and motivational interviewing techniques.

Types of Group Therapy

Groups often focus on a specific topic. You might learn anger management skills in one group, and talk about family dynamics in another. Some groups also hold space for clients with specific identities. For example, rehabs might offer a women’s group, a veterans’ group, or a group for young people.

Groups will likely be based on one of several group therapy models commonly used in addiction treatment:

  • Psychoeducational groups to teach patients about addiction and related behaviors
  • Skills development groups to teach healthy coping skills
  • Cognitive-behavioral groups, which focus on making behavioral changes
  • Support groups to provide patients with emotional support as they experience the joys and challenges of recovery
  • Interpersonal process groups, in which therapists leverage group dynamics to help patients identify and change their patterns
  • Relapse prevention groups, where patients learn strategies for avoiding relapse

Your specific group could be open or closed. In open groups, people come and go as they enter and leave rehab. Closed groups only accept patients on certain dates, keeping the same set of people together until treatment ends.

paradigm teen and young adults treatment patients
At Paradigm Teen & Young Adults Treatment in Malibu, California, “peer community is a crucial aspect of recovery and healing.”

Group Therapy for Addiction

During rehab, you and your group will learn practical skills to support addiction recovery. These might include stress management and relapse prevention strategies. You’ll also learn how to identify common triggers. You might even role play triggering scenarios together, so you can practice ways to respond.

Depending on the group, you might also talk about your personal history of addiction. Sharing your story can be extremely validating, since your peers can offer unique insight into what you’ve been through. And by supporting them in return, you might even develop compassion for yourself.

What Happens in Group Therapy?

In most group therapy sessions, you’ll sit in a private room with your peers and your counselor. During the first session, you’ll probably make introductions. You might talk about yourself, get to know the other members, or learn some basic ground rules. Your therapist will also describe the group’s overarching goals.

Going forward, your conversations will probably follow a similar format in each meeting. That exact format varies between groups. You could go around the circle and check in, or reflect on what’s happened since your last session. Or, your therapist might teach you certain skills, almost like you’re taking a class. Many groups also have time for open discussions, so you can connect directly with your peers.

Sessions might last anywhere from 30-90 minutes. Some rehabs offer short but frequent groups, while others have longer sessions. In most programs, you’ll attend these meetings in addition to 1:1 therapy and complementary treatments, like art or music therapy.

A Safe Space to Make Mistakes

Group therapy is a dynamic experience. Your healing process can be an example for the people around you, and vice versa. In this context, you’re not the only person who can learn from your mistakes. So even emotional setbacks can be hugely valuable.

Because group therapy occurs in a protected space, you can try new behaviors on for size without fear of judgment. Programs like All Points North Lodge, for example, encourage patients to “practice these skills in a supportive environment with clinician guidance.”  So your therapist might comment directly on your interactions with the group. Their feedback can empower you to grow, both personally and in relation to your peers.

The Role of a Group Therapist

In a rehab setting, group therapists understand the nuances of addiction treatment. Think of them as a guide. They’ll facilitate conversations and teach you practical skills. But they’ll also allow the group to communicate organically—while making sure each conversation stays respectful and on topic. Your therapist will give everyone a chance to be heard, and encourage you to support each other as equals.

all points north lodge patients
At All Points North Lodge in Vail Valley, Colorado, patients use group sessions to practice new skills “in a supportive environment with clinician guidance.”

The Benefits of Group Therapy

The unique lessons of group therapy can be an important part of recovery.

Interpersonal Skills

As one researcher notes, “people are fundamentally relational creatures.” Connecting with peers in therapy lets you practice building healthy relationships. And relationships can inspire emotional growth. That’s true in both individual friendships and more complex communities.

For example, connecting with a group can break down the stigma of addiction.  It’s powerful to watch other people grapple with the same issues you’re facing. And by sharing mutual support, you can become a part of something greater than yourself.

Treatment for Co-Occurring Disorders

Addiction often co-occurs with other mental health issues. So if you’re healing from more than one diagnosis, you might attend rehab for co-occurring disorders. For example, some programs treat patients with both addiction and depression, or addiction and post-traumatic stress disorder (PTSD).

In these programs, group therapy treats more than addiction. It might also address your other symptoms. And healing alongside people with similar diagnoses can help you commit to recovery.

Positive Peer Pressure

Peer pressure isn’t always a bad thing. Sometimes it can even be helpful. In group therapy, you’ll spend time with other patients who share similar goals. And connecting with them can encourage you to abstain from drug use.

Your group can also hold you accountable. If they know you well, they’ll be able to catch warning signs you might miss in your own behavior. And you can do the same for them. With each other’s support, all of you can keep moving toward your goals.

Support for Teens in Recovery

The social aspect of group therapy is particularly helpful for teens and young adults. According to experts at Paradigm Teen & Young Adults Treatment, mental health issues and addiction can distance teens from their peers. Because of this, the “willingness, openness, and courage to actively re-engage in their peer community is a crucial aspect of recovery and healing.”

Group therapy teaches teens how to be vulnerable. And opening up to each other in session can help you build friendships outside of therapy. This skill is valuable at any age, and in any phase of recovery.

Limitations of Group Therapy

This treatment doesn’t work for everyone. For some clients, it can even be counterproductive.

Certain diagnoses make individual treatment more effective. Some trauma survivors, for example, might not feel comfortable sharing their experience in a group. And patients in active psychosis may struggle to communicate in this setting. So people in treatment for schizophrenia and addiction might benefit more from 1:1 therapy than group sessions.

No matter what your symptoms are, group therapy still might not be a good fit. For instance, many high-profile clients prefer the privacy of 1:1 treatment. While group therapy offers social support, it blurs the lines of confidentiality. If you’re concerned about your story getting out, you might have a hard time engaging in this treatment.

Working Toward Recovery as a Team

Recovery is a deeply personal process. But it doesn’t happen in a vacuum. During treatment, you can start to redefine what you want out of relationships. Group therapy invites you to do that in practice. By connecting with your peers in rehab, you can prepare to build a new community after rehab.

Explore rehab programs with group therapy to compare pricing, amenities, customer ratings, and more.

Reviewed by Rajnandini Rathod

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Growing Past Addiction With Horticulture Therapy

Gardening can be more than a relaxing pastime. It also has clear mental health benefits—and it even supports addiction recovery. Rehabs with horticultural therapy help patients get grounded, literally. This treatment can inspire an appreciation for nature, give you a new hobby, and help you get to know yourself again. 

What Is Horticultural Therapy (HT)?

In horticultural therapy, a therapist guides you through nature-based activities.1 That could mean gardening, weeding, or just spending time outside. You might even learn how to cook the food you grow.

Horticultural therapy looks different for everyone. In some programs, you’ll tend to a small window box of herbs. Others, like Mountainside Treatment Center, have more outdoor space for clients to explore. 

mountainside treatment center campus
Mountainside Treatment Center in Cannan, Connecticut has plenty of outdoor space for clients to explore.

What to Expect in HT, Whether Your Garden’s Big or Small

Specially trained therapists facilitate HT2 in rehab. You might see them one on one, or meet with a group of your peers. Treatment takes place in a natural setting, like a greenhouse, outdoor garden, or vegetable patch. In any of these places, you’ll learn about gardening and what different plants need to survive. Then, you’ll put it into practice. 

Like most complementary therapies, HT also invites you to process your feelings. You might talk while you’re watering, or check in after you finish weeding for the day. Specifically, gardening teaches patients to be mindful.3 This skill is hugely important during addiction recovery.

How Can Gardening Help With Addiction?

Plants don’t judge you.4 They don’t know if you have an addiction or any other diagnosis. The way you treat them is the only thing that matters. And what’s more, they depend on you for care. You’ll learn how to show up for them every day, doing your best even if you feel your worst. And that skill can help you commit to every phase of addiction recovery. 

Experts at Enlightened Recovery, a rehab focused on sustainability, believe that gardening echoes the cycle of recovery.5 They explain:

“This lesson that all things must grow, live, perish, and in turn be put back into the land is a part of our holistic outlook on recovery and living.” 

In their program, gardening becomes a metaphor for your personal growth. The act of starting rehab can be a challenge, even before you begin treatment. HT reminds patients that letting go of the past is empowering. And what comes next can be beautiful.

enlightened solutions garden
Enlightened Recovery in Egg Harbor City, New Jersey shows clients how gardening echoes the cycles of recovery.

The Benefits of HT in Rehab

Rehabs around the world use horticultural therapy to treat mental health issues, including addiction. And even after treatment, the benefits of gardening can support your ongoing recovery. 

Treatment for Co-Occurring Disorders

Horticultural therapy helps people heal from more than one diagnosis at a time. If you’re recovering from addiction and a co-occurring disorder, this treatment might be a great fit. Gardening is especially helpful for patients with certain mental health issues,6 like depression and anxiety. 

Stress Relief

Stress raises your risk of addiction.7 So throughout recovery, it’s important to engage in calming activities. And data shows that horticultural therapy relieves stress.8 Having regular access to plants—either indoors or outdoors—can greatly improve your mental health.

summit malibu campus
Summit Malibu in California teaches clients how to cook with veggies they harvest themselves.

Nutrition

Scientists believe that growing the food you eat may have physical health benefits.9 And in rehabs like Summit Malibu, it’s easy to see why. After coming in from the garden, patients here learn how to cook with their own harvest. This process can help you reconnect to your own body, and find joy in healthy hobbies. It can also teach you about the importance of nutrition during recovery. 

“Everything you do in the garden is an act of love.”

Gardening lets patients connect to nature. Every day you can see, feel, and even taste your own impact on the world around you. At rehabs like Mountainside Treatment Center, that perspective is crucial. Sheree Surdam, overseer of their horticultural therapy program,10 explains why.

Gardening gives “people a sense of purpose and stewardship over the natural world,” she says. “Everything you do in the garden is an act of love.”

Root Yourself in Recovery

A healthy plant is tangible. When you smell a rose you grew, you’re breathing in joy of your own hard work. And by learning to nurture your garden, you can learn to nurture yourself. 


Compare rehabs with horticultural therapy to find the right program for you.

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Choosing the Right Rehab as a Celebrity

We hear it all the time: “celebrities are just like everyone else.” And in many ways, that’s true. But you might have some unique concerns when it comes to rehab. For example, privacy, flexibility, and maintaining your lifestyle might be especially high priorities. In a luxury rehab center, you can start addiction and mental health recovery without sacrificing your other needs. 

Why Is Addiction So Common in Celebrities?

Addiction doesn’t discriminate. Whether or not you’re famous, you might develop an addiction for a variety of reasons. But certain aspects of fame contribute to higher rates of addiction among affluent people:1

  • Easier access to drugs and alcohol
  • Isolation from trustworthy support systems
  • Trauma from abuse and neglect, especially during childhood fame
  • Pressure from demanding professions

Like anyone else, some celebrities may also have a genetic predisposition to addiction.2 This risk is further increased when combined with a stressful lifestyle. 

Unique Challenges of Recovery for Celebrities

If fame plays a role in developing addiction, it also affects how you access treatment. Many celebrities have ongoing contractual obligations like games, tours, or interviews. So if you take time off work for treatment, you might face career and financial penalties. And those commitments don’t end after rehab. Many of them even come with an expectation to drink or use drugs with your colleagues and fans.

High achievers also face significant financial pressures. You might be supporting a large staff, artistic collaborators, and loved ones. So if you stop working, they could feel immediate effects. And fame doesn’t always bring financial success. High-profile activists, politicians, and artists can’t always afford rehab centers with the strict privacy they need. 

For this demographic, public opinion has a major impact on the recovery process. And unwanted media attention can interfere with healing. Because of this, confidentiality is a major concern for high-profile clients—as it should be. You have the right to recover on your own terms. That’s why most rehabs have privacy policies that keep celebrities safe from prying eyes. 

What Do Celebrity Rehabs Offer?

Celebrity rehabs understand the unique ways that fame affects addiction and recovery. There are a few key ways rehabs approach treatment for high-profile patients. 

Confidentiality

For most celebrities, privacy is essential for recovery. That way, you can focus on yourself and the changes you want to make, without distractions. With this in mind, celebrity rehabs have strict privacy policies. 

For the utmost confidentiality, some rehabs treat only one client at a time, and some centers cater specifically to celebrities. They take a personalized approach to recovery, tailoring treatment to meet your unique needs. 

Location can also play a role in keeping your recovery private. Swiss rehabs, for example, take anonymity to the next level. Jan Gerber, CEO of Paracelsus Recovery in Zurich, explains: 

“In terms of confidentiality, that’s basically the second name of Switzerland. It’s the banking secrecy, the whole discretion. The Swiss mindset is, in a way, non-sensational. We get clients who are celebrity, A-list Hollywood actors, who go to the local Starbucks. Of course they’re recognized, but it’s not in the news, the local tabloids don’t write about it, and they’re not harassed for autographs either.”

Flexibility

With success comes responsibility. If a team of employees depend on you, you might not be able to take time off work for recovery. Or you might need to attend social functions, or stay in touch with your family. At many elite rehabs, you can keep these commitments during your stay. 

Some centers have more relaxed device use policies, so you can stay connected throughout treatment. Others even allow you to work remotely. As long as these activities don’t interfere with your progress, you can continue taking care of business while you heal.   

Gerber describes how the clinicians at Paracelsus Recovery accommodate each patient’s individual needs:

“We’ve had people with regular scheduled TV appearances, such as entertainers who have had to be in front of the camera once a week in a different country. We could accommodate that. We have people who run companies, or family business empires. They have to have work calls every day. We have to accommodate that.”

tikvah lake recovery pool
Tikvah Lake Recovery provides clients with a sober companion to join them at special events.

Joyful Recreation

If you’re successful in your chosen field, you may be accustomed to a certain lifestyle. Rehab doesn’t have to interrupt that. In fact, learning to enjoy yourself without drug use is an important part of recovery.3 

At White River Manor in South Africa, for instance, patients can go bungee jumping, whitewater rafting, or even on safari. Director Co-Owner Giles Fourie describes the therapeutic value of these activities:  

“There’s great therapy in that. It’s also just about having fun. There’s great value in our clients experiencing what it is to have fun outside of addiction, outside of the substances that they believed they needed in order to experience joy in their lives.” 

And these experiences don’t just bring joy to your time in treatment. They can also set you up for long-term success. 

Comprehensive Aftercare

When you leave inpatient treatment, you’ll probably return to the same world you left behind. Even if you’re sober, you might need to keep attending high-profile events where drugs and alcohol play a role. And you’ll still face the same pressures you did before entering treatment. 

That’s why many celebrity rehabs offer comprehensive aftercare. You can return to the center for a follow-up stay, or meet with your therapist remotely. Some rehabs, like Tikvah Lake Recovery, even offer sober companions to join you at special events. Their presence can help you work through triggers and avoid relapse. 

What Rehabs Do Celebrities Go To?

Recovery is unique for everyone—even high-profile clients. While many celebrity rehabs are lavish retreats, that’s not universally true. 

As extravagant as this sounds, not all celebrity rehabs are expensive. And most of them accept insurance since the adoption of the Affordable Care Act. Treatment in some parts of the world, like Thailand, is particularly accessible. Whatever your budget is, you can likely find a luxury rehab that fits your lifestyle.

the hills rehab chiang mai property
The Hills Rehab Chiang Mai and other rehabs in Thailand offer luxury amenities at an affordable price point.

Bespoke Luxury Rehabs

When you’re used to a high standard of living, leaving it behind can interfere with healing. But if luxury amenities are a priority for you, many rehabs can meet your needs. You might have a private chef, personal trainer, and house staff assigned to you during your stay. And you can stay in a 5-star room, private suite, or even an entire villa. Many luxury rehabs also offer a 24/7 concierge service. You’ll have somebody there to act as a liaison between you, the staff, and your loved ones throughout treatment. And they can also be an important source of emotional support outside of your treatment team. 

In rehabs like Orenda at Futures, this approach is central to recovery. Their team believes “freeing patients to concentrate fully on therapy produces better outcomes.” To that end, their team is dedicated to meeting each client’s unique needs. They’re always available to answer your questions and make your stay as comfortable as possible. 

Holistic Rehabs

Holistic rehabs treat addiction using a variety of evidence-based and alternative therapies:

These types of rehabs treat the whole person, addressing your physical, mental, and spiritual wellness. At Alta Mira Recovery in California, expert staff “address neurobiological, psychological, social, physical and spiritual aspects of addiction” with therapies ranging from cognitive behavioral therapy (CBT) to equine therapy.4

Celebrity Rehabs: Joyful and Private Places to Heal

When you find fame, it’s all too easy to lose yourself in the process. In treatment, you can get to know yourself again without the pressure of public opinion. And you won’t have to choose between career success and recovery. Celebrity rehabs show you how to keep the best parts of your lifestyle, and let go of the behaviors that aren’t serving you.

Search our collection of luxury rehabs to learn more about their locations, approaches, and special considerations.

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Celebrity Rehab Centers: 9 Luxury Treatment Options for Privacy and Comfort

Addiction and mental health problems can affect anyone, even the rich and famous. But if you’re used to a high standard of living, you might worry about giving up comfort during inpatient treatment. Celebrity rehab centers offer the perfect solution. These luxury facilities provide top-notch health care while maintaining the comforts you enjoy in daily life.

What Makes Celebrity Rehabs Special?

Celebrity rehabs combine effective treatment with luxury experiences. At these centers, you might go whale watching, take a sunset yacht ride, or enjoy skydiving adventures. Many look like high-end resorts or tropical getaways from the outside. But inside, they offer much more than a fancy vacation.

These facilities maintain strict privacy measures to protect their famous clients. Most have security teams, private rooms, and confidentiality agreements for all staff. Some centers don’t even have map listings, to keep their location secret from the public and media.

The best celebrity rehabs focus on both comfort and effective treatment. They employ highly qualified therapists, doctors, and support staff. Many offer personalized treatment plans tailored to your unique needs.

Celebrity Rehab Centers Around the World

You can find celebrity rehabs around the globe, with a wide variety of treatments and amenities. Whether you prefer the tropics, a mountain retreat, or a private island oasis, there’s most likely a treatment facility that meets your needs. 

luxury holistic rehab exclusive hawaii facility

1. Exclusive Hawaii Rehab

This oceanside center prioritizes privacy with a gated residence hidden from the road. A security team guards the property 24/7. The center treats a maximum of 7 clients at once, offering 3 room options: shared, private with shared bathroom, or private with en suite.

Exclusive Hawaii Rehab offers naturopathic and holistic therapies for drug addiction and mental health. They provide nutritional counseling, IV therapies, and traditional Hawaiian Ho’oponopono sessions. Clients can keep up with work during recovery, with access to phones, laptops, and dedicated workspaces.

When you’re not in therapy, you can feed manta rays, take cooking classes, visit waterfalls, or simply relax on the beach.

southern california celebrity rehab passages malibu

2. Passages Malibu

Located on the sunny coast of Los Angeles County, Passages Malibu focuses heavily on individual therapy. Clients receive 60-80 hours of one-on-one therapy each month. Famous past clients include Mel Gibson, Andy Dick, and Stephen Baldwin.

Passages doesn’t use 12-Step methods. Instead, they see substance use disorder as a treatable condition with root causes that can be addressed. Their holistic approach includes hypnotherapy, acupuncture, and massage alongside traditional talk therapy.

The center offers shared or private rooms with access to lounge areas and multiple pools. On-site chefs prepare nutritious meals customized to your dietary needs.

luxury celebrity rehab cirque lodge utah

3. Cirque Lodge

In the pristine nature of Utah, Cirque Lodge provides substance abuse and co-occurring disorder recovery in a lodge-style setting. Famous clients have included Cara Delevigne, Demi Moore, Lindsay Lohan, and Kirsten Dunst.

Cirque Lodge incorporates the 12 Steps along with other evidence-based therapies. They also offer unique experiential treatments like equine therapy. Clients enjoy private bedrooms with en suite bathrooms in a cozy environment.

The campus provides plenty of opportunities to enjoy nature, with stunning views and outdoor activities in the sunny Utah weather.

luxury celebrity treatment neoviva lucerne lakeside swiss

4. NEOVIVA

This Swiss rehab center operates discreetly within a hotel on Lake Lucerne. With no signage or staff uniforms, clients look just like any other hotel guest. Treatment sessions take place in a private section away from other guests.

NEOVIVA maintains a 1:3 staff-to-client ratio and treats just 5 clients at a time. Each private room overlooks the lake. Clients have access to all hotel amenities, including a sauna, restaurant, and outdoor pool. You can even bring your pet.

Their holistic approach includes wellness treatments like yoga, breath work, and Qigong. Weekend activities might include forest hikes, trips to nearby villages, and time at the famous lake.

aton center celebrity rehab san diego

5. AToN Center

Located on 10 acres in San Diego, AToN Center provides privacy and luxury. They offer both 12-Step and non-12-Step approaches. Their treatment combines evidence-based, holistic, and trauma-informed therapies.

Clients receive 4 hours of therapy daily, including 3 hours of group therapy and 1 hour of individual therapy sessions. Family therapy is available weekly. The center doesn’t restrict access to devices as long as they don’t interfere with treatment.

Holistic treatment options include weekly acupuncture, massage, personal training, yoga, and hypnotherapy. Clients can also enjoy hiking, painting classes, meditation, and Reiki energy healing.

luxury rehab retreat istana bespoke health ibiza

6. Istana Bespoke Health 

Istana takes privacy to the extreme by treating just one client at a time. They have locations in Ibiza, Bali, and Barbados, each offering a private villa for recovery. Family members can join if the treatment team agrees it would be helpful.

The program offers completely customized treatment using evidence-based approaches like cognitive behavioral therapy (CBT). Privacy measures include unmarked villas, private airport pickups, and staff trained in confidentiality.

Each client receives support from a butler, personal chef, and life coach, among others. Free-time activities include island tours, cooking classes, music making, and dance lessons.

clinic les alpes exclusive celebrity addiction treatment center

7. Clinic Les Alpes

A luxury chalet in the Swiss mountains, Clinic Les Alpes treats addiction, mental health disorders, eating disorders, burnout, and more. Their world-renowned practitioners create personalized treatment plans using advanced testing and assessments.

Clients enjoy private bedrooms and amenities like a sauna, swimming pool, mountain views, and a gym. Every aspect of treatment is tailored to individual needs, including nutritional care.

The stunning Alpine setting provides a peaceful backdrop for recovery, away from the pressures of public life.

private celebrity rehab center raindrum byron bay pool villa

8. Raindrum

Raindrum offers ultra-private mental health and addiction treatment in various settings. Clients choose between several private residences, either on the beach or in the countryside. All therapy takes place one-on-one, including talk therapy and personal training.

This center treats addiction along with co-occurring conditions like burnout, depression, and anxiety. They offer experiential therapies like surf therapy, equine therapy, dance, and photography, as well as creative options like art therapy, pottery, and language learning.

Treatment is completely individualized, with staff coming to your residence rather than meeting in a clinical setting. A full support team includes housekeepers and a personal chef.

exclusive celebrity rehab facility sanctuary vancouver island bc

9. The Sanctuary Vancouver Island

This bespoke center offers high-end treatment for various needs. Beyond addiction and mental health, they focus on chronic pain management, post-operative care, and weight stabilizing.

The Sanctuary Vancouver Island combines evidence-based and alternative treatments, such as CBT with transcranial magnetic stimulation (TMS). More than 100 on-call specialists support your recovery process, from chiropractors to psychiatrists.

Clients stay in private residences on Vancouver Island near the shore, in the forest, or somewhere in between. Between sessions, you can enjoy meals from your personal chef, go whale watching, or explore by seaplane.

Finding Recovery as a Celebrity

Getting help for addiction doesn’t have to mean giving up luxury or privacy. These exclusive drug rehab centers prove you can heal while maintaining comfort and discretion. 

The most effective addiction treatment centers combine evidence-based therapies with holistic approaches tailored to your needs. They maintain strict confidentiality via security measures, unmarked facilities, and staff training. And after treatment, you’ll take valuable coping skills with you, whether you’re heading back to the spotlight or to your private life.

Ready to start your journey back to well-being? Visit our collection of luxury treatment centers to find the perfect match for your needs and lifestyle.

FAQs

Q: How effective are celebrity rehab centers in treating addiction?

A: Celebrity rehab centers can be highly effective when they combine luxury with evidence-based treatments. They typically employ qualified professionals and maintain low client-to-staff ratios. Success rates vary by individual, but many clients find the personalized approach and comfortable environment help them engage better in treatment.

Q: What can I expect at a luxury rehab center?

A: Expect private accommodations, gourmet meals, and amenities like pools and spas. Treatment usually includes a combination of individual therapy, support groups, and holistic options like massage or acupuncture. Many centers allow access to phones and laptops, with recreational activities available. Low staff-to-client ratios ensure personalized care.

Q: How do I find the best celebrity alcohol rehab center?

A: Consider your needs, budget, and preferred location. Look for centers specializing in alcohol addiction with experienced, licensed staff and evidence-based approaches. Ask about detox if needed. Read reviews and ask questions about outpatient program options, privacy policies, and aftercare planning.

Q: How much does it cost to stay at a celebrity rehab center?

A: Mental health or substance abuse treatment costs at luxury rehabs typically range from $30,000 to $100,000+ per month, depending on the center and services provided.

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Exploring the Link Between ADHD and Addiction

Attention-deficit/hyperactivity disorder (ADHD) is a serious mental health issue. From the name, it’s easy to think this condition is a set of behavioral problems. But those are just the symptoms. In reality, ADHD comes from a neurochemical imbalance—and it’s remarkably similar to the brain chemistry of addiction.

If you’re considering treatment for ADHD and addiction, you can start by learning how they relate to each other.

The Brain Chemistry of Addiction and ADHD

People with ADHD have much a higher risk of addiction. ((Davis, Caroline, et al. “Attention-Deficit/Hyperactivity Disorder in Relation to Addictive Behaviors: A Moderated-Mediation Analysis of Personality-Risk Factors and Sex.” Frontiers in Psychiatry, vol. 6, Apr. 2015, p. 47. PubMed Central, https://doi.org/10.3389/fpsyt.2015.00047.)) This is true across age groups, affecting both adults and teens with ADHD. ((Schellekens, Arnt F. A., et al. “Often Overlooked and Ignored, but Do Not Underestimate Its Relevance: ADHD in Addiction – Addiction in ADHD.” European Addiction Research, vol. 26, no. 4–5, 2020, pp. 169–72. www.karger.com, https://doi.org/10.1159/000509267.)) Experts agree that the 2 conditions have “a shared biological background.” Specifically, both addiction and ADHD have an impact on dopamine, which is a neurotransmitter.

Dopamine relates to the brain’s reward system. ((Watson, Stephanie. “Dopamine: The Pathway to Pleasure.” Harvard Health, 20 July 2021, https://www.health.harvard.edu/mind-and-mood/dopamine-the-pathway-to-pleasure.)) This naturally occurring chemical is released when you do something pleasurable. The brain defines “pleasure” broadly: your dopamine might increase when you buy a new pair of shoes, get a job, or eat a cookie. And when an activity feels good, you’re more likely to do it again.

That can be very healthy. For example, you can get dopamine from exercise. ((“Five Surprising Ways Exercise Changes Your Brain.” Greater Good, https://greatergood.berkeley.edu/article/item/five_surprising_ways_exercise_changes_your_brain. Accessed 14 Dec. 2022.)) Your brain is quite literally wired to make you want to work out. But there’s a downside to dopamine. Plenty of activities—like substance use—feel good while doing serious damage to your health. And for people with ADHD, dopamine might already be hard to come by.

The Biology of ADHD

If you have ADHD, it may take extra effort to concentrate, sit still, or complete important tasks. This often interferes with relationships, schoolwork and career. In severe cases, people with ADHD can qualify for disability benefits. ((Is ADHD A Disability? https://www.disability-benefits-help.org/disabling-conditions/adhd-and-social-security-disability. Accessed 14 Dec. 2022.)) But it also comes with some advantages. Like any other type of neurodivergence, this condition changes the way you see the world. And your unique insight can be a strength.

Biologically, people with ADHD can’t regulate dopamine levels. ((Blum, Kenneth, et al. “Attention-Deficit-Hyperactivity Disorder and Reward Deficiency Syndrome.” Neuropsychiatric Disease and Treatment, vol. 4, no. 5, Oct. 2008, pp. 893–918. PubMed Central, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2626918/.)) This condition affects at least one of the genes responsible for that process. And that, experts say, “makes it difficult for neurons to respond to dopamine.”

In other words, even if you have healthy dopamine levels, it may not feel that way. So things that “should” be pleasurable might not always feel as good as you want them to.

If nothing feels good enough, it makes sense to go looking for new types of stimulation. This may explain the link between ADHD and risk-taking. ((Shoham, Rachel, et al. “ADHD-Associated Risk Taking Is Linked to Exaggerated Views of the Benefits of Positive Outcomes.” Scientific Reports, vol. 6, no. 1, Oct. 2016, p. 34833. www.nature.com, https://doi.org/10.1038/srep34833.))

Drug use falls neatly into this category.

Dopamine and Addiction

Over time, addiction makes the brain less sensitive to dopamine. ((The Neurobiology of Substance Use, Misuse, and Addiction | Surgeon General’s Report on Alcohol, Drugs, and Health. https://addiction.surgeongeneral.gov/executive-summary/report/neurobiology-substance-use-misuse-and-addiction. Accessed 14 Dec. 2022.)) At first, your brain starts associating drugs with a sense of reward. The act of taking drugs triggers a release of dopamine, whether or not the drug itself does.

As you get used to this repeated flood of dopamine, you’ll feel less satisfaction from taking drugs. This effectively increases your tolerance to the drug, so you need to take more of it to achieve the same result. At the same time, you start feeling less pleasure from other activities. So even if you no longer enjoy the sensation of being high, you might still feel driven to take drugs.

These behaviors quickly become a vicious cycle. Psychiatrist and dopamine expert Dr. Anna Lembke explains that for people in this state, joy is often out of reach. “Now, our drug of choice doesn’t even get us high,” she says. “It just makes us feel normal.” ((Hu, Elise, and Audrey Nguyen. “Too Much Pleasure Can Lead to Addiction. How to Break the Cycle and Find Balance.” NPR, 4 Apr. 2022. NPR, https://www.npr.org/2022/03/31/1090009509/addiction-how-to-break-the-cycle-and-find-balance.))

But if you have ADHD, addiction recovery might not be enough to break the cycle. You might stop taking drugs, but still feel unsatisfied with your life. In order to heal from these co-occurring disorders, it’s important to find treatment for both of them.

Treatment for ADHD and Addiction

ADHD is often diagnosed in children ((Braaten, Ellen. “5 Things Parents and Teachers Need to Know about ADHD.” Harvard Health, 27 Oct. 2017, https://www.health.harvard.edu/blog/5-things-parents-and-teachers-need-to-know-about-adhd-2017102712643. and teens, and some people grow out of their symptoms. But that’s not true for everyone. And recent data shows that you can develop ADHD as an adult, ((“‘Late-Onset’ ADHD May Emerge in Young Adults.” Psychiatric Times, https://www.psychiatrictimes.com/view/late-onset-adhd-may-emerge-young-adults. Accessed 14 Dec. 2022.)) even if you showed no signs of it in childhood.

Because of these complexities, you might need different types of treatment in different stages of recovery. And after you complete rehab, you may benefit from ongoing care for addiction, ADHD, or both. Certain therapies are especially helpful for people with these diagnoses.

Cognitive Behavioral Therapy

Cognitive behavioral therapy (CBT) is a popular treatment for many mental health conditions. And a wealth of data supports CBT as a therapy for ADHD and addiction. ((Zulauf, Courtney A., et al. “The Complicated Relationship Between Attention Deficit/Hyperactivity Disorder and Substance Use Disorders.” Current Psychiatry Reports, vol. 16, no. 3, Mar. 2014, p. 436. PubMed Central, https://doi.org/10.1007/s11920-013-0436-6.)) This framework focuses more on practical skills than it does on emotional processing. Your therapist will teach you coping strategies for dealing with difficult thoughts, urges, social situations, and more. In between sessions, you’ll try them out in your daily life.

Integrated Cognitive Behavioral Therapy

As the name implies, integrated cognitive behavioral therapy (ICBT) integrates components of CBT ((Capone, Christy, et al. “Integrated Cognitive Behavioral Therapy (ICBT) For PTSD and Substance Use in Iraq and Afghanistan Veterans: A Feasibility Study.” Journal of Traumatic Stress Disorders & Treatment, vol. 3, no. 4, 2014, p. 1000134. PubMed Central, https://doi.org/10.4172/2324-8947.1000134.)) and other treatment methods. Patients learn about their condition, practice mindfulness, and learn flexible thinking skills. You’ll use a workbook, and your therapist will give you homework assignments to complete between sessions. This format empowers clients to develop practical skills and put them to use in real-life situations.

ICBT is a highly effective treatment for co-occurring ADHD and addiction. ((van Emmerik-van Oortmerssen, Katelijne, et al. “Integrated Cognitive Behavioral Therapy for ADHD in Adult Substance Use Disorder Patients: Results of a Randomized Clinical Trial.” Drug and Alcohol Dependence, vol. 197, Apr. 2019, pp. 28–36. PubMed, https://doi.org/10.1016/j.drugalcdep.2018.12.023.)) One study even found it to be more effective than other forms of CBT. ICBT can also treat post-traumatic stress disorder (PTSD). ((McGovern, Mark. Integrated Cognitive Behavioral Therapy for Co-Occurring PTSD and Substance Use Disorders. Clinical trial registration, NCT01457404, clinicaltrials.gov, 23 Oct. 2015. clinicaltrials.gov, https://clinicaltrials.gov/ct2/show/NCT01457404.)) However, like most types of talk therapy, ICBT focuses on mental, emotional, and behavioral issues. Since ADHD is also a neurochemical issue, many people need medical treatment as well.

Medication for ADHD

Prescribing medication to treat co-occurring ADHD and addiction ((Mariani, John J., and Frances R. Levin. “Treatment Strategies for Co-Occurring ADHD and Substance Use Disorders.” The American Journal on Addictions / American Academy of Psychiatrists in Alcoholism and Addictions, vol. 16, no. Suppl 1, 2007, pp. 45–56. PubMed Central, https://doi.org/10.1080/10550490601082783.)) is a controversial issue. If a patient has ADHD without addiction, prescription stimulants are the standard treatment. But stimulants are highly addictive. Because of this, experts disagree about the best course of action.

This controversy even affects people with ADHD who have no history of drug abuse. Some sources caution against treating ADHD with stimulants ((Chardée A. Galán, M. S., and PhD Kathryn L. Humphreys. “ADHD and Substance Use: Current Evidence and Treatment Considerations.” Psychiatric Times, vol. 34, no. 8, Aug. 2017. www.psychiatrictimes.com, https://www.psychiatrictimes.com/view/adhd-and-substance-use-current-evidence-and-treatment-considerations.)) because of the risk of future addiction. Others say prescribed stimulants protect against addiction, ((APA PsycNet. https://psycnet.apa.org/record/2013-43688-006. Accessed 14 Dec. 2022.)) because they empower patients to manage symptoms in a healthy way.

During addiction recovery, taking medication of any kind can be complicated. Tell your doctor about your history before you start a new prescription. Together, you can make a plan to keep yourself safe. For example, they might only prescribe you a few pills at a time, and ask you to come back into their office before you can get more.

Whatever treatments you pursue, it’s essential for you to get an official diagnosis first. That can be surprisingly difficult, especially for people of certain demographics.

Getting an Accurate Diagnosis

Because of the overlapping symptoms of ADHD and addiction, ((Chardée A. Galán, M. S., and PhD Kathryn L. Humphreys. “ADHD and Substance Use: Current Evidence and Treatment Considerations.” Psychiatric Times, vol. 34, no. 8, Aug. 2017. www.psychiatrictimes.com, https://www.psychiatrictimes.com/view/adhd-and-substance-use-current-evidence-and-treatment-considerations.)) doctors can’t always distinguish between them. This means that if you already have an ADHD diagnosis, you might need to start addiction treatment before you can get one. Most rehabs start their program with thorough assessments, so it’s relatively easy to get assessed for ADHD while you’re in residential treatment. Some doctors even recommend screening everyone in addiction treatment for ADHD. ((Matthys, Frieda, et al. “[Summary of the practice guideline for the diagnosis and treatment of ADHD in adolescents and adults with addictions].” Nederlands tijdschrift voor geneeskunde, vol. 157, no. 24, Jan. 2013, p. A6025.))

In some populations, though, ADHD is harder to diagnose. There are several possible reasons for this. Many clinicians have a preconceived image of what ADHD patients look like. This makes it easy to miss the symptoms when they present in a different way. It can also be hard to differentiate between ADHD and other mental health issues.

ADHD in Teens

For children and teens with ADHD, ((“Severity of ADHD in Children Increases Risk of Drug Use in Adolescence, Says Longitudinal Study.” Https://Www.Apa.Org, https://www.apa.org/news/press/releases/2003/08/adhd-drugs. Accessed 14 Dec. 2022.)) early diagnosis is key. That’s because children with more severe ADHD symptoms are at a greater risk of developing addiction later on. However, ADHD symptoms may not appear before puberty. ((Ostojic, Dragana, and Carlin J. Miller. “Association Between Pubertal Onset and Symptoms of ADHD in Female University Students.” Journal of Attention Disorders, vol. 20, no. 9, Sept. 2016, pp. 782–91. DOI.org (Crossref), https://doi.org/10.1177/1087054714535249.)) And because even healthy teenagers go through behavioral changes, that timing can make it difficult for parents to notice a problem. While this can be an issue for teens of any gender, it’s most common among young women.

Women With ADHD

Data suggests that up to 75% of women with ADHD may be undiagnosed. ((Walters, Anne. “Girls with ADHD: Underdiagnosed and Untreated.” The Brown University Child and Adolescent Behavior Letter, vol. 34, no. 11, Nov. 2018, pp. 8–8. DOI.org (Crossref), https://doi.org/10.1002/cbl.30337.)) That might be because women with ADHD often show different symptoms ((Quinn, Patricia O., and Manisha Madhoo. “A Review of Attention-Deficit/Hyperactivity Disorder in Women and Girls: Uncovering This Hidden Diagnosis.” The Primary Care Companion for CNS Disorders, vol. 16, no. 3, 2014. www.ncbi.nlm.nih.gov, https://doi.org/10.4088/PCC.13r01596.)) than clinicians expect.

For example, one study found that women were more likely to be inattentive than hyperactive. Inattention primarily affects the person feeling it. Your inability to focus on your book won’t distract a stranger at a bus stop. But hyperactivity, which is common in men with ADHD, can be disruptive in a group setting. Both clinicians and patients’ loved ones commonly miss “internalizing” symptoms like inattentiveness. Instead, women with ADHD are often misdiagnosed with bipolar disorder, anxiety, or depression.

Differentiating Between ADHD and Anxiety

ADHD and anxiety ((Pliszka, Steven R. “ADHD and Anxiety: Clinical Implications.” Journal of Attention Disorders, vol. 23, no. 3, Feb. 2019, pp. 203–05. DOI.org (Crossref), https://doi.org/10.1177/1087054718817365.)) often go hand in hand. While ADHD is not an anxiety disorder, ((ADHD and Anxiety: What’s the Connection? 15 May 2017, https://www.medicalnewstoday.com/articles/315303.
)) they can present with similar symptoms. For instance, either condition might get in the way of finishing your homework. In people with ADHD, that’s probably because you just can’t focus. On the other hand, people with anxiety might be able to focus, but afraid of getting it wrong.

ADHD can also cause anxiety. That’s because its symptoms make it harder to achieve your goals. Some people get anxious about the impact ADHD has on their lives. Without proper treatment, it’s all too easy to get stuck in this loop.

If you have both of these conditions, it’s important to get the right diagnosis before taking medication. Otherwise, you’ll risk making your symptoms worse. ADHD patients commonly take stimulants, which can increase anxiety. ((Stimulants – Alcohol and Drug Foundation. https://adf.org.au/drug-facts/stimulants/. Accessed 14 Dec. 2022.)) Stimulants may still be a good fit for some people with anxiety disorders—it all depends on your specific health history. You can work closely with your doctor to design a care plan that meets your needs.

ADHD May Be a Risk Factor for Depression

There’s less of an overlap between the symptoms of ADHD and depression, but they have a strong correlation. People with ADHD often develop depression ((Riglin, Lucy, et al. “ADHD and Depression: Investigating a Causal Explanation.” Psychological Medicine, vol. 51, no. 11, Aug. 2021, pp. 1890–97. Cambridge University Press, https://doi.org/10.1017/S0033291720000665.)) later in life, even if they grow out of childhood ADHD symptoms.

There may be a genetic link between these conditions. And people with ADHD and depression often have other mental health issues, like addiction or trauma. Recovering from these co-occurring disorders is complex. You may require specialized care, and ongoing treatment even after rehab.

Post-traumatic Stress Disorder

Everyone experiences trauma differently. Something that feels like just a bad day to you might be deeply traumatizing for someone else. And your personal history can make you more or less likely to develop post-traumatic stress disorder (PTSD).

ADHD increases your risk of developing PTSD ((Biederman, Joseph, et al. “Is ADHD a Risk for Posttraumatic Stress Disorder (PTSD)? Results from a Large Longitudinal Study of Referred Children with and without ADHD.” The World Journal of Biological Psychiatry, vol. 15, no. 1, Jan. 2014, pp. 49–55. DOI.org (Crossref), https://doi.org/10.3109/15622975.2012.756585.
)) in response to trauma. That’s especially true for people with both ADHD and alcohol addiction. ((Luderer, Mathias, et al. “ADHD Is Associated with a Higher Risk for Traumatic Events, Self-Reported PTSD, and a Higher Severity of PTSD Symptoms in Alcohol-Dependent Patients.” European Addiction Research, vol. 26, no. 4–5, 2020, pp. 245–53. www.karger.com, https://doi.org/10.1159/000508918.)) And data shows that people with ADHD experience a higher number of traumatic events, whether or not they develop PTSD.

If you have trauma symptoms, you might benefit from trauma-informed care (TIC). TIC is a general approach to treatment, not a specific type of therapy. This means you can get trauma-informed care for ADHD, addiction, PTSD, and any other concerns you’re seeking help for.

Many Roads to Recovery

Everyone’s recovery is unique, and that’s doubly true for people with co-occurring disorders. Your provider will help you design a care plan that accounts for your various goals.

The act of healing can empower you to understand the depth of your emotional experience. That’s how it happened for Peach Perkins.

Peach is in recovery from ADHD, alcohol and drug addiction, ((ADHD and Substance Abuse: ADHD Aha! Podcast. https://www.understood.org/en/podcasts/adhd-aha/adhd-and-substance-abuse-peachs-story. Accessed 14 Dec. 2022.)) as they explained on the podcast ADHD Aha! But it took them almost a year of sobriety to understand how those conditions worked together. At first, they thought addiction was “the thing preventing me from doing a good job at work. Now I can really go all in. And I was still at work, just my eyes were crossed and I still couldn’t do what I needed to do. That wasn’t what was in my way.” After that realization, they were able to get an official ADHD diagnosis. With the right diagnosis, they finally got the treatment they needed—and you can too.

Find Balance in Treatment for ADHD and Addiction

ADHD is often, but not always, a life-long condition. Recovery usually doesn’t mean getting rid of your symptoms entirely. Instead, you’ll learn to manage them in a healthier way. And those coping skills can make it easier to heal from co-occurring diagnoses like addiction.

Learn more about rehab programs for ADHD, including their locations, pricing, insurance coverage, and more.

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Dopamine and Addiction: What’s the Connection?

Addiction changes how the brain functions. It especially impacts the brain’s “reward system,” which is largely based on dopamine. This hormone is responsible for our pleasure response, along with other important functions like memory, attention, and mood.

Understanding addiction is an important part of recovery. Knowing there’s a physiological reason for your addiction can relieve some of the shame around it, so you can move forward in your healing journey. And gaining perspective on what’s driving your behavior can help you make lasting change.

A Peek Inside the Brain’s Reward System

We can experience pleasure from all kinds of activities, whether it’s exercise or scrolling social media. Our brain’s reward system is responsible for that feeling, and the desire to seek more of it.

How It Works

Your brain produces a chemical called dopamine. Dopamine is both a hormone and a neurotransmitter, meaning it’s used to send messages between your nerve cells. It’s tied to many functions, from mood regulation and memory to learning. It’s known as the “feel-good” chemical for the large role it plays in pleasure and motivation.

Dopamine is released along different neural pathways when we anticipate and experience something pleasurable. ((Trevor Haynes. (2018, May 1). Dopamine, Smartphones & You: A battle for your time. Science in the News. https://sitn.hms.harvard.edu/flash/2018/dopamine-smartphones-battle-time/ )) As it’s released, it affects dopamine receptors that live along these pathways, resulting in feelings of euphoria or happiness. This is known as the reward circuit.

The reward circuit activates areas of the brain that relate to focus, learning, taking action, and motivation.

The brain builds connections between a stimulus and pleasure that follows. ((Martinez, J. L., & Derrick, B. E. (1996). Long-term potentiation and learning. Annual Review of Psychology, 47, 173–203. https://doi.org/10.1146/annurev.psych.47.1.173)) Your reward circuit strengthens each time this process occurs. The more frequently it happens, the stronger your response is. Also called a reinforcing effect, it’s involved in how we form habits. ((Volkow, N. D., Fowler, J. S., Wang, G.-J., Swanson, J. M., & Telang, F. (2007). Dopamine in drug abuse and addiction: Results of imaging studies and treatment implications. Archives of Neurology, 64(11), 1575–1579. https://doi.org/10.1001/archneur.64.11.1575))

Cues leading up to pleasure are important. Dopamine makes us pay attention to markers that lead to a reward. This means dopamine activates before you even engage in a pleasurable activity.

This system helped early humans survive by rewarding beneficial behaviors, like eating. When it’s in balance, it allows us to stay focused, motivated, and happy. Dopamine imbalance is linked to mental health issues, like depression, and substance use disorders.

The Reward System at Different Stages of Addiction Recovery

Substances bypass the body’s natural dopamine production by directly flooding the reward system with it. Some substances do this more intensely than others:

Stimulants like cocaine can release up to 10 times the amount of dopamine your body would naturally produce. ((The brain in recovery. (2017, January 28). Recovery Research Institute. https://www.recoveryanswers.org/recovery-101/brain-in-recovery/ ))

The Early Stages of Substance Use

The first time a substance is used, it creates a direct dopamine response. This intensity of this varies from person to person. According to neurotheology specialist Dr. Cyrus H. McCandless, “you can never accurately predict how much reward you’re going to get.” ((Misunderstanding dopamine: Why the language of addiction matters | Cyrus McCandless | TEDxPortsmouth. (n.d.). Retrieved September 30, 2022, from https://www.youtube.com/watch?v=aqXmOb_fuN4 ))

Your brain remembers everything leading up to a reward, so it can repeat the experience. This drives the desire to use more of a substance. As dopamine levels go up, serotonin, which helps us feel satisfied, goes down. This creates a cycle of wanting more while feeling less satiated.

This cycle doesn’t just apply to substance use. Altered dopamine pathways are seen in behavioral addictions, ((Grant, J. E., Potenza, M. N., Weinstein, A., & Gorelick, D. A. (2010). Introduction to behavioral addictions. The American Journal of Drug and Alcohol Abuse, 36(5), 233–241. https://doi.org/10.3109/00952990.2010.491884 )) including gambling, shopping, and sex.

Building Tolerance

Usually, brain chemistry returns to normal after a dopamine release. But continued substance use surges the brain with dopamine until it becomes overstimulated. Over time, the body wants to balance out, so it shuts down dopamine receptors. As a result, we won’t feel the same high from using the same amount of substances as before. This is how the brain builds tolerance. ((Volkow, N. D., Wang, G.-J., Fowler, J. S., Tomasi, D., Telang, F., & Baler, R. (2010). Addiction: Decreased reward sensitivity and increased expectation sensitivity conspire to overwhelm the brain’s control circuit. BioEssays : News and Reviews in Molecular, Cellular and Developmental Biology, 32(9), 748–755. https://doi.org/10.1002/bies.201000042 ))

Addiction

The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) has 4 criteria for classifying and diagnosing substance use disorders: ((McNeely, J., & Adam, A. (2020, October). Table 3, dsm-5 diagnostic criteria for diagnosing and classifying substance use disorders [abc] [Text]. https://www.ncbi.nlm.nih.gov/books/NBK565474/table/nycgsubuse.tab9/ ))

  • impaired control
  • social impairment
  • risky use
  • pharmacologic traits

The reward system plays a significant role in these.

Substances artificially change dopamine production. This can signal to the brain that substances are more important than other natural rewards. Eventually, natural rewards become less exciting and the brain learns to value substances ((MIT scientists discover fundamental rule of brain plasticity. (n.d.). MIT News | Massachusetts Institute of Technology. Retrieved September 30, 2022, from https://news.mit.edu/2018/mit-scientists-discover-fundamental-rule-of-brain-plasticity-0622 )) above all else.

Neuroplasticity, or the brain’s flexibility, ((Castrellon, J. J., Seaman, K. L., Crawford, J. L., Young, J. S., Smith, C. T., Dang, L. C., Hsu, M., Cowan, R. L., Zald, D. H., & Samanez-Larkin, G. R. (2019). Individual differences in dopamine are associated with reward discounting in clinical groups but not in healthy adults. Journal of Neuroscience, 39(2), 321–332. https://doi.org/10.1523/JNEUROSCI.1984-18.2018 )) also plays a part in addiction. We can get used to higher levels of dopamine following prolonged substance use. But an overstimulated brain no longer produces as much of it. Instead, it relies on substances.

Withdrawal

It’s not possible to keep up substance-induced levels of dopamine at all times. Drops in dopamine levels can contribute to withdrawal symptoms:

  • depression
  • anxiety
  • cold sweats
  • headaches
  • and others

For many people, detox is the first step in the recovery journey. As substances leave your system, your body and brain recalibrate. Low dopamine levels during withdrawal can make this process difficult. But thanks to neuroplasticity, we can nurture our brain chemistry back to normal over time.

Note: Depending on the substance, detox can be life-threatening and shouldn’t be attempted alone.

How Long Does It Take for the Reward System to Recover?

Each person has different levels of dopamine and dopamine receptors. ((J R Beveridge, T., R Smith, H., Nader, M., & Porrino, L. (2008). Abstinence from Chronic Cocaine Self-Administration Alters Striatal Dopamine Systems in Rhesus Monkeys. Neuropsychopharmacology: Official Publication of the American College of Neuropsychopharmacology, 34(5). https://doi.org/10.1038/npp.2008.135))  The time it takes for the reward system to return to normal after prolonged substance use varies. Factors like the type of substance and level of use will impact recovery time. In general, it takes the brain up to 14 months to recover.

brain recovery timeline

30 days of abstinence

Brain scans show significant improvement and more dopamine receptors in just one month of abstinence from methamphetamine. ((National Institute on Drug Abuse. “Treatment and Recovery.” National Institute on Drug Abuse, –, https://nida.nih.gov/publications/drugs-brains-behavior-science-addiction/treatment-recovery.))

90 days of abstinence

Brain scans in one study showed no significant difference in dopamine receptors following 90 days of abstinence compared to 30 days. ((J R Beveridge, T., R Smith, H., Nader, M., & Porrino, L. (2008). Abstinence from Chronic Cocaine Self-Administration Alters Striatal Dopamine Systems in Rhesus Monkeys. Neuropsychopharmacology: Official Publication of the American College of Neuropsychopharmacology, 34(5). https://www.researchgate.net/figure/Representative-autoradiograms-of-3H-SCH-23390-binding-to-D1-receptors-top-panel-and_fig1_23234006 )) This indicates that recovery is possible, but it takes time.

14 months of abstinence

The brain’s reward circuit, including dopamine receptor levels, returns to nearly normal after 14 months of abstinence. ((“The Brain in Recovery.” Recovery Research Institute, 28 Jan. 2017, https://www.recoveryanswers.org/recovery-101/brain-in-recovery/.))

Repairing Your Brain in Recovery

The human brain is capable of amazing things, including the ability to modify and change throughout your lifetime. For many, it’s comforting to know that changes to the brain caused by substance use disorder are reversible. Your brain can repair and heal, if you facilitate its healing.

Rehab can help you do just that. Learn more about RehabPath and its latest announcements, and compare your options in our directory of treatment centers.

Reviewed by Rajnandini Rathod

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Privacy in Rehab: How to Keep Your Treatment Confidential

Addiction can affect anyone, including public figures and those in high-profile positions. For these clients, concerns around confidentiality can be one of the biggest barriers when it comes to seeking treatment.

Because of this, privacy is among the most important considerations when choosing a rehab. 

The good news is that you have options. In general, rehabs are at least held to clinical standards of patient confidentiality, and due to the sensitive nature of addiction treatment, most are located in discreet premises and take measures to protect your privacy. Some premium programs cater specifically to clients who need extra seclusion, with many featuring private villas and exclusively one-on-one treatment sessions. Other treatment centers also focus on confidentiality and understand that for certain clientele, like celebrities and recognizable figures, anonymity is essential.  

Understanding the protection you’re entitled to in clinical settings, and learning what to look for in a residential rehab, can give you the peace of mind you need to focus on your recovery.  

Why Privacy Matters

Recovery is a highly personal journey. If opening up to others about your struggle isn’t something you feel comfortable with, that choice is completely valid. 

While mental health stigma is decreasing1 thanks to growing visibility, coming out about a substance use disorder can, unfortunately, have consequences in some cases. In a 2017 study published in Addiction Research & Theory, researchers found that the stigma of being identified as someone struggling with addiction2 can have personal, medical and professional consequences similar to those who are dealing with mental illness. These consequences can be especially high-impact for those who are in the public eye. 

Celebrities, politicians, and high-profile businesspeople often choose to pursue more discreet treatment options. Fortunately, many centers have exclusive programs that cater specifically to this need.

How You’re Protected by Clinical Standards

Healthcare providers in the U.S., including rehab centers, must adhere to certain privacy protection laws. Two important ones that concern addiction treatment include the Health Insurance Portability and Accountability Act, or HIPAA3 and 42 CFR Part 2.4

HIPAA

HIPAA is a privacy law that enforces national standards to prevent the sharing of health information of individual patients without their consent or knowledge. Under this law, you have the right to access and examine your healthcare records and can request amendments or accounting of disclosure of your protected health information.

All healthcare providers, health plans, businesses and healthcare clearinghouses must comply with HIPAA.

paracelsus confidentiality
Paracelsus Recovery in Zurich, Switzerland treats only one client at a time in their completely bespoke program.

42 CFR Pt. 2

While HIPAA applies to all medically-related information, 42 CFR Part 2 applies specifically to those who will enter, who have entered, or who have already gone through addiction treatment programs. 

Under this law, rehab centers are prohibited from disclosing any individual information that identifies or indicates that the patient has dealt with addiction. This is so that people in recovery aren’t treated unfairly in cases of employment, child custody, or divorce. Without your written consent, treatment centers are unable to share any of your information, even with other medical facilities and practitioners.

42 CFR Part 2 applies to any entity that provides a recovery program, so all programs in the U.S. must adhere to this federal law. 

As for facilities outside the U.S., the laws can differ significantly. For example, in Canada, the Privacy Act of 1985 prevents treatment centers from sharing any mental or physical health information5 that might be harmful to the patient.

Because privacy levels can vary from program to program, it’s best to ask admissions staff at centers you’re considering what steps they take to ensure privacy and what kind of regulatory oversight they have in this area. 

While these protection laws are designed to keep the information of rehab center patients safe, there are still ways you can ensure extra layers of privacy if discretion is a major concern.  

Privacy at Different Addiction Treatment Programs

Whether you’re looking for a residential rehab program or an intensive outpatient program (IOP), certain markers can help you identify which ones offer a more confidential experience. On the most exclusive end of the spectrum are luxury rehab centers that cater specifically to clients who need to keep a low profile. 

Residential Rehabs

Here are some of the ways residential rehab programs can offer a more private experience: 

Distance From Your Community
For many people, the fear of bumping into familiar faces during or on the way to rehab prevents them from starting treatment. With residential rehabs, you live onsite for the duration of your program. Removing yourself from your everyday environment not only reduces the chances of being recognized, but also reduces circumstantial triggers. This gives many people the comfort they need to focus on their recovery. 

Discreet Locations
Luxury inpatient rehabs are often located in remote, naturally beautiful settings, which offer the added benefit of total seclusion. These peaceful, awe-inspiring surroundings are the perfect backdrop for inner healing, says Dr. Jasleen Chhatwal, Chief Medical Officer of Sierra Tucson in Arizona:

“Trying to heal in a main metropolis, where you hear cars, sirens and noise is not very conducive. When clients come to Sierra Tucson for treatment, suddenly they’re in a quiet space without extraneous sound. There’s no interference from the outside world and people can really focus inward and take care of themselves.”  

Many luxury rehabs aren’t recognizable as treatment centers from the outside, and some don’t even publicly list their location. 

An Extra Layer of Privacy at Destination Rehabs
If you’re looking for anonymity, you may consider traveling to a destination rehab where you have even more space from your usual surroundings. Local culture can even play into which destination is more appropriate for those seeking an escape from the public eye. 

Jan Gerber, CEO of Paracelsus in Zurich comments on Switzerland’s non-sensationalist culture, and how it can be attractive for clients who want to avoid media attention:

“Confidentiality is Switzerland’s second name. Some of our A-list celebrity clients will go to a local Starbucks, and while they’re recognized, they’re not in the news. Local tabloids don’t write about it and they’re not harassed for autographs either.” 

mercui confidentiality
Mercui Recovery, a single-client rehab with locations in Malibu, Aspen and Costa Palma, Mexico offers a full continuum of care on-site, from initial detox to aftercare.

Privacy Options for Intensive Outpatient Programs

Intensive outpatient programs (IOPs) are for those who don’t need 24/7 care or medical detox. This could be a good option for people who have a milder addiction diagnosis, or as a step-down from a residential rehab program. Some studies show that IOPs are just as effective as residential rehabs,6 as they offer more intensive schedules with additional hours of therapy in comparison to standard outpatient programs. 

If you’re looking into an IOP but are concerned about privacy, keep the following in mind: 

Some IOPs Cater to Your Schedule 
Some luxury rehabs offer IOPs as a step down from residential rehab or as a standalone program. 

These treatment centers understand that many clients who want to attend intensive treatment still need to keep up with their daily responsibilities. Most of their programs are designed to fit your schedule, and are located in metro areas that are more accessible from where you live. 

Passages Malibu in California, for example, has an IOP program designed to help graduates of residential treatment integrate back into daily life. They understand that this is an opportunity for clients to return to work and other day-to-day responsibilities while still receiving a high level of support for their recovery journey.

Virtual IOPs Offer Extra Privacy 
With telehealth on the rise, many treatment providers now offer a virtual IOP option. This is especially beneficial if you’re nervous about being seen at a treatment center. Usually, you can design your schedule to avoid causing any disruptions at work. Additionally, many people feel more comfortable attending treatment from the privacy of their own homes. 

A few luxury rehabs across the United States offer virtual IOPs, including All Points North Lodge in Colorado, Inspire Malibu in California and The Meadows in Arizona. 

A small number of rehabs cater specifically to high-profile clients who need very high levels of privacy. They place a special focus into ensuring client comfort and utmost confidentiality. These centers may be in isolated locations, and some even accept only one client at a time.

Paracelsus 

Paracelsus in Zurich, Switzerland is one of the world’s leading and most exclusive luxury rehabs. Catering to the ultra-wealthy, including politicians, celebrities and royalty, their program is designed for those who need to remain completely discreet: they take in only one client at a time. Founded in 2012 as a family business, Paracelsus boasts an incredibly tailored treatment experience, with a team of over 15 therapists and doctors who care for one client. 

During treatment, clients stay at their exclusive lakefront residence, featuring penthouse apartments with a main bedroom and ensuite bathroom plus an additional room for an on-site therapist. Stays here also include a private butler and housekeeper. 

Paracelsus goes to great lengths to accommodate their clients–their CEO Jan Gerber explains why:

“There’s a group of people who are underserved when it comes to addiction and mental health treatment. These are people who come from money or power and require 100% confidentiality and a place they can trust. They have a very specific background and need comprehensive care tailored to their situation. It’s important for our clients to feel at home without any disruption to the lifestyle they’re used to. Such disruptions can be incredibly negative for treatment.”

the banyans confidentiality
The Banyans in Brisbane, Australia takes no more than 8 clients at a time at their luxury residence on 13, secluded acres.

Mercui Recovery 

Mercui Recovery prides itself on its high standards of discreet care. As a top luxury treatment center, their private residences rest amongst some of the most scenic and tranquil surroundings in Aspen, Colorado; Malibu Canyon, California; Ibiza, Spain; and the Pacific coast of Mexico. They take in one client at a time, and you can choose from one of their many locations or select an in-home option. 

Clients can expect five-star service and exclusivity at Mercui Recovery, with a team of dedicated professionals for 1:1 treatment. Their treatment program is hyper-tailored to each individual, with clients ranging from politicians to business elites. Here you’re offered the full continuum of care, from initial detoxification to intensive aftercare.

The Banyans 

The Banyans in Brisbane, Australia is an exclusive treatment center that caters to the privacy needs of clients and places emphasis on the clinical aspect of care. Taking in no more than 8 people at a time, clients are accommodated in a luxury residence on a secluded 13 acres overlooking lush hills. 

Known as Australia’s most therapeutically intense private treatment program, they offer over 9, 1:1 treatments with 6 medically trained doctors as part of your clinical team.

Keeping privacy at the forefront, association of clients with The Banyans is never disclosed. This means they use personal names instead of ‘The Banyans’ on booking and reservations, no uniforms with their logo and unbranded cars for transportation. 

They also offer a 14-day virtual program called The Banyans at Home for those who prefer to receive treatment from the comfort and privacy of their own house.

For a deeper dive into exclusive, ultra-private addiction treatment programs, see our guide to single-client luxury rehabs.

Your Privacy, Protected 

Your ability to focus on recovery and healing can make your addiction treatment experience that much more impactful. Recovery is a sensitive process that shouldn’t be hindered by external factors like privacy issues. 

In addition to standard protections, there are many ways luxury rehabs centers can cater to clientele in the public eye, with solutions that range from single-client intakes to discreet transportation to and from facilities. 

You deserve a safe space for recovery and healing. See our collection of select luxury rehabs to discover a center that could be the perfect fit for you.

Frequently Asked Questions About Privacy in Rehab

How can I ensure privacy during rehab treatment?

When choosing a rehab program, consider facilities that prioritize privacy and confidentiality. Look for rehabs located in discreet premises, offering private accommodations and 1:1 treatment sessions. When calling a treatment center, ask what measures they take to protect your privacy. This knowledge can give you the peace of mind you need to focus on recovery.

Why is privacy important in rehab?

Privacy matters in rehab because addiction recovery is a personal journey. Seeking treatment in a confidential setting helps avoid potential consequences of stigma. Luxury rehab centers often have exclusive programs tailored to clients who need extra privacy, ensuring their anonymity is respected throughout the treatment process.

How can I find a rehab program that offers privacy?

Choosing a program that’s not located in your home community can provide an extra layer of privacy for your treatment experience. Luxury rehabs often have discreet locations in remote and naturally beautiful settings. For those opting for an intensive outpatient program (IOP), luxury rehabs may offer flexible schedules and even virtual IOP options for added privacy and convenience.

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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.