For example, a patient who expresses their emotions freely through art may receive more art therapy sessions to play to their strengths. Another client may bond and open up to peers, so they would attend more peer support groups. If a trauma patient responds well to eye movement therapy, then they might add in 2 more sessions weekly.
Trauma is highly specific to each patients’ experience, environment, and personality. A strengths-based approach acknowledges that people who have experienced trauma can access innate strengths to promote healing.
Key Components of the Strengths-Based Approach
Some trauma treatment approaches use deficit or pathology-based methods, meaning they focus on addressing the negative symptoms; however, a strengths-based approach builds on existing strengths, resilience, and coping mechanisms to recover.
Trauma-Informed Care
Notably, a strengths-based approach incorporates trauma-informed care principles, which seek to address the effects of trauma and promote safety, self-regulation, and empowerment2. It recognizes and adheres treatment to the impact of trauma and creates a safe and supportive environment that fosters healing. Other methods might risk re-traumatizing the patient by treating trauma symptoms without sensitivity.
Therapists using a strengths-based approach, such as Judy Crane3, tend to have specialized trauma training and incorporate the idea of the Trauma Egg into their practice. The Trauma Egg offers a visual framework to view how trauma affects a patient’s life4, and it aims to promote personal reflection and healing. Using this concept, patients can “talk” to and peel back each separate component that their traumatic experience has given them. Adopting practices like these into a strengths-based approach can help the patient feel in control of their recovery.
Collaborative Decision Making
A strengths-based approach encourages collaborative decision-making between patients and their treatment team. It actively involves patients in their recovery process, respecting their autonomy and choices. By building on a patient’s independence, this approach can help them flourish in recovery with strength, growth, and resilience.
Empowerment
A strengths-based approach bolsters a patient’s natural positive coping skills, emphasizing their ability to adapt in the face of adversity. This approach views patients as inherently capable of their own recovery and in control of their lives, particularly in the context of trauma.
Benefits of Strengths-Based Trauma Recovery
Patients participating in a strengths-based recovery can gain control and build a new mindset of creating and rebuilding, rather than being broken.
Patients learn how to set goals, develop healthy coping skills to foster growth, and confront rather than avoid challenges. Their strengths and newfound resilience can then improve their personal, family, and community well-being5. It also builds self-esteem and competence in recovery and their daily lives.
Calling a rehab center for the first time can feel overwhelming, but it’s an important first step toward getting help.
Knowing what to expect when you get on the phone with a rehab can give you the confidence you need to make that first call. Here’s what to expect—and what to ask—when inquiring at a rehab.
Before you pick up the phone, it’s a good idea to have a list of questions you want to ask. It’ll help you feel prepared, and ensure you’ll get all of the information you need to make a decision about your treatment.
Rehab Questions: The Basics
How much does treatment cost?
This is the first question on most people’s minds when they call a treatment center. Knowing the costs of treatment upfront allows you to financially prepare for rehab.
In the U.S., most insurance policies cover up to a certain level of treatment. Rehab admissions teams can usually help you find out what your plan will cover. Heather Charlet, Director of Admissions at Gallus Detox Center Colorado, explains that coverage “depends on each individual’s policy and what their out-of-network benefits are. We run a verification of benefits for every patient that has insurance to see what we’re able to cover.”
Use these questions as a starting point:
Do you accept my insurance?
If not, what are my payment options?
Is full payment required upfront or can I pay a deposit to hold my spot?
Most people seeking treatment want help as soon as possible. Because of the large number of treatment centers available, waitlists generally aren’t common in the U.S. But in Europe and Australia have far fewer private rehab options, which may be waitlisted.
Because addiction is an urgent issue, whether a rehab has a waitlist or not may determine if you can, or want to, receive treatment there. Knowing this right away can save you time.
Tell me more about your treatment approach and therapies.
The path to recovery is highly personal: What works for one person may or may not work for another. That’s why rehabs use so many different methods to treat addiction and mental health disorders.
Faith-based, 12-Step, non-12-Step, and holistic rehabs are examples of rehab treatment approaches that frame entire programs and may appeal to different types of people. Specific therapies include a range of evidence-based and holistic treatments.
What works best for you depends on your personal framework, past treatment experiences, and addiction or mental health history. Learn what each center offers so you can decide whether their approach resonates with you.
How qualified is your staff?
Knowing who will care for you is just as important as knowing what methods they use. These rehab staff-related questions will help you get a clearer picture of the people guiding your treatment:
What kind of professionals will I be interacting with on a day-to-day basis?
Who will be on my treatment team?
What are their qualifications?
Rehab Questions: Details of Your Stay
What types of clientele does your program serve? Do you offer specialized services?
These questions are important for several reasons:
Some rehab programs are tailored to the needs of certain clientele. There are rehabs that cater to executives and wouldn’t be appropriate for teens, for example.
If you identify with ethnic or sexual minority groups, you may require resources to address your minority experiences. For example, a trans person may need an LGBTQ+ affirming environment to safely process trauma.
You may need other specializations for a successful treatment experience, such as co-occurring disorder treatment or trauma-informed care.
Some people require detox before they begin inpatient treatment. And some residential rehabs are equipped with the facilities and medical staff necessary to offer detox services on-site. Other centers may offer detox off-site through partnerships with local medical facilities.
An admissions counselor or addiction specialist can help you determine if you need medical detox.
Detoxing on your own can be harmful to both your physical and mental health. Consult with your doctor or a qualified medical professional when making decisions about detox.
How many clinical hours does your program include
A key indicator of a rehab center’s value is how many individual therapy sessions you’ll receive per week. The more time you get to spend with your counselors and therapists, the more help you’ll directly receive. Some treatment programs consist mainly of group therapy sessions, while others include more one-on-one time with practitioners. Finding this out upfront can help you avoid unpleasant surprises when you arrive.
What’s your policy on contact with loved ones? Can I use my laptop or cell phone?
Relationships with your partner, family, and friends are an essential part of your life and recovery. Don’t let fear of not knowing whether you’ll be able to communicate with them be the roadblock that stops you from getting help.
Ask the center what their device or communications policies are:
Questions to Ask a Rehab Facility Before Being Released
Is it possible for me to extend my stay if necessary?
Most inpatient rehab programs have set lengths of stay that range from 30 to 90 days. Still, you never know what’s going to happen and if you’ll feel fully prepared to check out once you’ve reached the benchmark time spent in treatment. While most centers are happy to allow clients to extend their stay, if yours is waitlisted, it’s worth checking in advance.
What kind of continuing care do you provide?
Most people require ongoing support and care after their stay at a residential rehab. Jan Gerber, CEO of Paracelsus in Zurich, Switzerland, points out:
“What happens after treatment is probably the most important question about treatment, because that’s what people go back to after they leave from treatment. The whole concept of aftercare is maybe even more important than the treatment itself.”
Certain components of continuing care, such as ongoing therapy and a strong support network, are essential to relapse prevention. But aftercare options vary greatly between rehab centers. Some centers may not offer continuing care, or may offer these services at an additional cost. So make sure you find out as much information as possible about their aftercare program.
Choosing the Right Rehab Center for You
Wherever you are in the process of seeking help, it’s okay to not have all of the answers. The first phone call to a rehab is a key first step toward getting the help you need. Make the most of your conversation with an admissions advisor so you can make an educated choice about which center is best for your needs.
Browse our list of rehabs to learn more about available treatment options.
Frequently Asked Questions About Calling a Rehab Center
What happens when you call a drug rehab?
An intake specialist will ask a series of questions to learn more about you. This helps them determine the level of care you need and other treatment details. It’s also a chance for you to find out more about the center.
What questions should I ask when choosing a drug rehab?
These questions can help you make the most out of your call:
How much does treatment cost?
Is there a waitlist? If so, how long is it?
Tell me about your center’s philosophy and treatment methods.
How many clinical hours does your program include?
Who answers the phone when you call a rehab?
An intake or admissions specialist picks up. Sometimes a receptionist will answer and redirect your call. All rehab staff should follow ethical standards when interacting with potential patients.
Internal Family Systems (IFS) therapy is a relatively recent therapeutic approach developed by Richard Schwartz. It describes the psyche as having multiple parts with a centralized Self—or, your core essence. Within the Self are Parts, each with its own unique characteristics, emotions, and motivations. These Parts can be in conflict with each other, leading to inner turmoil and psychological distress.
Dr. Schwartz created IFS to identify Parts of the self1 and change how those Parts interact; it’s used in interpersonal psychotherapy and in group settings. Healing damaged Parts and addressing self-protectors can identify trauma, legacy burdens, and deep pains. Then, the client and therapist work together to soothe the Parts and create a sense of safety that allows clients to heal their parts on their own.
IFS and other forms of therapy can also address deep-seeded legacy burdens, which are conscious or subconscious burdens from generational trauma, family legacies, and family expectations that affect your life.
What Is Internal Family Systems Therapy (IFS)?
IFS therapy offers a comprehensive framework for understanding and addressing the complexities of the human psyche, both at an individual and systemic level.
Managers and Firefighters, the other 2 Parts, both work to keep Exiles hidden and safe.
Your Firefighter Part is responsible for behaviors like drinking, drug use, and self-harm. These behaviors arise to control the Exiles’ feelings (terror, rage, grief, fear). Manager Parts find control through carefully evaluating situations, caretaking, and controlling. By staying in control, Managers think they can protect you from further pain and rejection.
Healing The Parts in IFS
In IFS, you’ll learn to hold space for the vulnerable Parts and meet them with compassion, a core part of the Self. IFS therapy helps you create a safe internal environment to confront your protective and vulnerable Parts and engage your compassionate Self. This safe internal environment can help you process traumatic memories and release legacy burdens without retraumatization.
IFS also connects your mind and body to increase mindfulness. You’ll become more aware of what you’re feeling and why, and where it may hold itself in your body.
Ultimately, IFS draws on “the inherent wisdom of the Self2” to rework cognitive distortions from childhood trauma, legacy burdens, and negative views of self. It’s done compassionately and without judgment, allowing the Parts to accept healing and back away from their maladaptive coping strategies.
Therapists are trained to provide IFS therapy. Not all therapists will offer IFS, and some will be more experienced than others. Check with your provider to see if they’re trained in IFS and their level of experience.
IFS for Trauma and PTSD
IFS can help those with trauma and PTSD become “compassionate witnesses”2 to their traumatic experiences without feeling overwhelmed or retraumatized. Patients use mindfulness to separate from the emotions, sensations, and images of their trauma. That mindful separation can strengthen their ability to reflect on their experiences as caring, compassionate observers.
For example, a patient may have residual shame after childhood abuse. IFS would help them step away from the shame, address the Part responsible for it, and allow their Self to replace the shame with self-compassion. Releasing the shame and allowing self-compassion can then reduce the hold of the traumatic experience and help the patient step into the present (and feel safe doing it).
Legacy Burdens: What They Are and Their Effects
A legacy burden leaves an imprint on future generations’ worldview and wellness. It can stem from one person or exist across a generation of people groups as generational trauma.
A single-person legacy burden could be caused by a belief carried down. For example, one of your grandparents or a parent may impose a belief on you and others in your family. The belief could be that you need to earn a lot of money, stay in a particular religion, or have a specific relationship. Even if you don’t necessarily believe their beliefs, the internal burden of their beliefs and expectations can still affect you.
Stress and trauma can pass between generations through genetic changes3. Environmental stress can molecularly affect how a parent’s genes function, which then pass down to their child. Parents may also recreate their trauma and traumatize their children in turn. Generational trauma can pass down through a combination of the 2 as well.
The generations who didn’t experience the trauma firsthand may still experience the residual effects through their parents. Distant parenting, witnessing parents suffer from trauma, and avoiding the topic can strain relationships and create unhealthy attachment patterns. Some also feel the need to hold onto the trauma to honor those who directly went through it and bring awareness.
Interestingly, positive change commonly occurs in the third generation3. Grandparents, for example, may be more willing to share their experience with their grandchildren. It could be because enough time has passed, and because the third generation is more likely to seek growth and healing. This, in turn, can help the first and second generations heal.
Generational trauma can also create resiliency. Some children may see the burden carried in their lineage and actively pursue healing for themselves and others—which can turn into a sort of legacy burden itself. But, having a legacy burden doesn’t automatically entail generations of suffering. Individuals and groups can end the cycle, sometimes through IFS therapy.
IFS as a Healing Tool for Legacy Burdens
IFS can address the Parts carrying legacy burdens, allowing the Self to heal and prevent the trauma from extending. For some, their Exile may need healing. Others may need to heal a Firefighter or Manager to learn new coping tools.
Once the Part with the legacy burden feels safe and heard, the Self can bring in compassion and perspective, allowing you to detach from the burden. Continued IFS sessions and homework from your IFS therapist can help you maintain this release and continue forward.
Your legacy burden may surprise you once you identify it, or it could be an obvious burden carried through your family (like alcoholism or racism). In either case, IFS and other therapies can help you identify the burden and use your natural capabilities to heal.
Ecopsychology explores humans’ relationship with the natural world. It examines how nature and the human psyche are interconnected and how this relationship can impact physical, mental, and emotional health.
Humans are fundamentally connected to nature. We evolved in and adapted to natural environments. When we spend time in nature, we can experience a number of positive benefits, such as reduced stress, improved mood, increased creativity, and enhanced problem-solving skills. When we are disconnected from nature, we can experience stress, depression, and loneliness.
Ecopsychologists, such as Renee Baribeau3, seek to understand and use this connection to reconnect with nature that is meaningful and beneficial to our lives. They put these ideas into action, specifically in mental health and addiction recovery, to nourish the mind, body, and spirit.
We all should access and feed our ecological unconscious, or core human identity.
Our ecological unconscious is intrinsically tied to the natural world. We come into this world with a connection to nature.
Ecopsychology helps people recover by using the outdoors as a source of healing and rejuvenation for the human psyche.
Ecopsychology seeks to create more environmental awareness and a sense of wonder for the natural world.
It also promotes taking responsibility for maintaining nature.
We can see nature as an equal, not something to dominate.
Ecopsychology emphasizes personal empowerment. It views us as an interconnected entity but does not support mass consumption/large-scale domination.
There is a synergistic interplay between humans and nature, “the needs of the planet are the needs of the person, and the rights of the person are the rights of the planet.”
Using these principles, ecopsychology heals the person and the planet. In a recovery setting, ecopsychology encourages patients to focus on their interconnectedness with the natural world to help them rediscover their true selves.
Ecopsychology in Practice: Nature Therapy and Wilderness Immersion
Nature therapy is a core element of ecopsychology. It’s a therapeutic approach involving time in nature to promote healing and personal growth. This can look like outdoor individual counseling, group therapy, or workshops. Sometimes, therapists incorporate elements like animal therapy or horticulture therapy.
Some providers prioritize natural healing by incorporating wilderness immersion. During these programs, you spend an extended period of time in natural, often remote, settings. These immersive experiences provide an opportunity to disconnect from the modern world, reflect on life, and deeply reconnect with nature. You may participate in adventure therapies such as rock climbing or hiking.
Both approaches utilize experiential learning. The therapist or group leader will use natural elements to emphasize specific lessons within therapy, such as self-reflection, resilience, and mindfulness. They may introduce therapeutic interventions complimenting the outdoors, such as nature meditation and art therapy. Nature therapy leverages the calming and restorative qualities of natural environments to address issues like stress, anxiety, depression, and trauma.
Eco-connection refers to the deep and inherent relationship between human beings and the natural world9 and is a fundamental concept in ecopsychology. This concept highlights that humans are not separate from nature; instead, they are intrinsically connected to and dependent on the natural world.
Ecopsychology practices eco-connection by using the human:nature relationship to not only help people but also to benefit the environment. In recovery, you may participate in horticulture therapy, which has psychological benefits and replenishes and maintains the earth.
Strengthening your bond with the planet can improve your well-being, and it’s easier to do than you may think. Simply taking a mindful nature walk, nature journaling plants and animals you see, outdoor yoga, and nature photography can all help you feel closer to the earth. As you bolster this relationship, you may find it easier to benefit from ecopsychology in your recovery.
Ecopsychology and Climate Change
Ecopsychology provides a therapeutic framework to help patients cope with anxiety about environmental challenges, sometimes called eco-grief. With the scale of ecological and climate crises, it’s normal to feel uneasy about the path our planet is on; however, ecopsychology can help you address these emotions and find ways to manage them.
Ecopsychology validates eco-grief and encourages being mindful in your relationship with the natural world (how do you treat Earth?). Moreso, it emphasizes power in numbers. Ecopsychology believes that relying on social systems to process these feelings and enact change10 is one of the best ways to ease anxiety. You may be more likely to problem-solve ways you can make a difference when you have the support of others.
For example, you could educate yourself on climate change and raise awareness for various issues, such as deforestation. Doing so can help you feel more in control of your future and aligned with the planet.
Future of Ecopsychology
As society begins to see the importance of human connection to nature, and the climate crisis, ecopsychology will continue to make a lasting impact. Moving forward, there may be more specific ecopsychology practices and nature wellness programs put into place—for mental health recovery and general health and well-being.
More research is needed to incorporate these principles into mainstream healthcare; however, programs and people are seeing the benefits. If you’re curious about your eco-connection and programs that focus on ecopsychology, talk to your doctor or a nature therapist. You may find that this approach can have a lasting impact on your recovery and life.
How to Talk to Your Provider
If you’re interested in adding nature therapy or wilderness immersion into your recovery, reach out to your primary care physician. You can talk to them about what you’re hoping to gain from these therapies, and they can help you find an appropriate nature therapy provider that fits your needs. Once you meet with the provider, consider asking these questions to see if this approach is a fit for your recovery:
What specific nature-based practices or interventions do you offer?
Do my recovery goals align with the benefits of nature therapy/wilderness immersion?
What can I expect during a typical nature therapy session?
How will you evaluate my progress and adjust the therapy plan if needed?
Is insurance coverage available for nature therapy, or will it be an out-of-pocket expense?
Disclaimer: Healing from addiction can be an incredibly spiritual experience. There are a variety of resources available to help individuals on their journey to recovery, each of which may be used in a unique and personalized way. Everyone’s path to sobriety and healing is different, and the following provides just one perspective.
God has the power to rescue you from addiction. As Corinthians 10:13 reads ““No temptation has overtaken you that is not common to man. God is faithful, and he will not let you be tempted beyond your ability, but with the temptation he will also provide the way of escape, that you may be able to endure it.”
You might see Him working through talented counselors, therapists, and doctors, or a divine intervention (miracle!). In any case, you don’t have to walk the journey alone. You can use this knowledge to bolster your faith and your recovery efforts. But you need to know where to start.
Addiction is a complex disease that could affect anyone, regardless of their background, religion, economic status, or gender. Addiction can even change the way your brain works1. That’s why stopping can feel like such a monumental feat—even with God at your side.
Stopping substance use can also make you sick, which may only reinforce your need for more drugs, alcohol, or medications. Depending on your unique situation, you may need to detox in a medical facility (or a residential rehab with detox) for your safety. Here, doctors monitor your symptoms and can prescribe comfort medications for withdrawal symptoms.
Process addictions impact your brain2 in the same way, too. Though you won’t get physical withdrawal if you stop watching porn or spending too much money, it can cause a lot of emotional distress and grief. As with substance addictions, behavioral addictions can also separate you from your family, loved ones, and God.
Addiction affects your mind, body, and spirit. That’s why treatment must, in turn, reach your mind, body, and spirit. For some, the spiritual component can feel crucial.
The Role of Faith And Spirituality in Recovery
If you’re a believer, incorporating your faith into recovery could be the key for your success. Connecting to God and learning more about who you are in Him can give you the encouragement, hope, and strength to recover.
Finding Unwavering Faith
With God’s help, you can grow your faith as you rely on Him for delivery. As with all trials of this world, including addiction, God promises to see us through. Sometimes, you won’t be able to go back to the life you lived before addiction. But that’s okay. A new start might be exactly what God intends.
Holding fast to truths like this can offer encouragement. God doesn’t promise an easy life. He also doesn’t promise to answer prayers. But He does promise to work all things for your good. Look at these verses:
“And we know that for those who love God all things work together for good, for those who are called according to his purpose.” Romans 8:28
“For I know the plans I have for you, declares the Lord, plans for welfare and not for evil, to give you a future and a hope.” Jeremiah 29:11
These promises can strengthen your faith—whether you’ve just started your recovery journey or have years of sobriety under your belt.
Leaning on God’s Strength
Limitless strength through God can help you throughout your recovery journey. It’s not always easy to feel strong, though. Especially if you’ve relapsed—again or for the first time—or unintentionally hurt someone you love because of your addiction. In these difficult moments, you can look back at God’s word (and your own life) to see examples of His strength and mercy.
And remember, your strength doesn’t have to come from you. So, part of your recovery journey could include admitting you need help. Then, you can ask God for strength and take comfort in sharing your yolk with someone who can endlessly bear it.
Many verses from the Bible3 talk about strength—it’s something we’ve needed for decades. Here’s one from Philippians:
“I know how to be brought low, and I know how to abound. In any and every circumstance, I have learned the secret of facing plenty and hunger, abundance and need. I can do all things through him who strengthens me.” Philippians 4: 12-13
And from Isaiah,
“He gives power to the weak and strength to the powerless.” Isaiah 40:29
Alone, these verses and truths may not help you much. True change and joy often takes prayer, meditation on these truths, and voicing your struggles to others.
Seeking Divine Intervention And Guidance
Your first step in seeking God may already sit on your shelf: your Bible. But having one doesn’t mean you’ll automatically know how to find the passages you need—it’s a big book! So, you can connect with a member of your church, your pastor, an elder, or a Biblical counselor to help you use your Bible well. You can also use Bible studies on addiction and recovery. YouVersion has dozens of free Bible studies on a variety of addictions, including pornography.
Many Christian authors have also covered the topic of addiction and recovery. Redemption House lists books about addiction, shame, recovery, and how you can rediscover hope.
You can listen to resources on addiction, too. Plenty of podcasts discuss addiction in Christians, how they’ve healed, and their own personal stories with recovery. You can see a non-exhaustive list here.
Finding Support in Religious Communities
Your church might have resources and advice for addiction recovery. You can also ask your pastor, elders, or someone else on your church’s team for advice and direction. Even if they don’t know how to help you right away, you at least won’t be alone as you look.
You can also use the internet to find faith-based support groups. Celebrate Recovery has peer support meetings available around the world. Some 12-Step meetings identify God as the Higher Power mentioned in the Steps—or, you can make God your Higher Power. You decide which direction to go. Here’s a few other steps you can take:
Reach out to religious leaders in your local area. They can provide advice and support or connect you with people in the community who can.
Attend religious services or events at local places of worship. This can be a great way to meet people and make connections.
Join an online forum or chatroom related to your religion. Here, you can find support from people who have similar beliefs.
Use services offered by your local church or other religious organizations. These may include counseling, support groups, or other resources that can provide support.
Research organizations or charities that focus on providing spiritual support. These may offer programs, events, or other services that can provide support.
Developing a Spiritual Practice
You can create your own spiritual practice of recovery through Bible studies, prayers, and meditation. Try crafting one or more prayers for your recovery journey, either alone or with someone who can offer guidance.
For example, you might come up with a prayer to combat the flashbacks that once prompted you to drink. Rather than forcing down the thought or feeling, you redirect it into a prayer to God. And if you’ve told people about your struggles, you can text or call them and have them start praying for you, too. Here’s some other examples:
Start your day with prayer: Take a few moments each morning to thank God for the gift of a new day and ask for His guidance throughout the day.
Read the Bible: Spend some time each day reading the Bible. You can work through a Bible study, go chronologically, or pick a book in the Bible to dissect and apply to your life.
Memorize scripture: Commit one or 2 Bible verses to memory each day, or choose a life verse for your recovery journey and memorize it.
Journal: Take some time to write down your thoughts and reflections on your spiritual journey.
Attend church: Make it a priority to attend church services regularly and participate in church activities, like small groups and Bible studies.
Practice acts of service: Take time to practice acts of service to others, such as volunteering in your community or helping a friend in need.
Reflect on how you can live out your faith: Spend some time each day reflecting on how you can live out your faith in your daily life.
Spend time in nature: Take time to appreciate the beauty of God’s creation.
Give thanks: Take some time each day to thank God for all his blessings.
Connect With Others
You can also start going to small groups at your church. These connect you to others at your church and may provide a space that feels safe to share. And, going to these groups keeps you continually connected to God’s Word, your church, and your hope in Christ.
Serving can keep you busy and productive, all while helping others. Your church likely has plenty of volunteer opportunities available, either within your church (like nursery, coffee, and decorating) or with outside organizations, like college ministries.
But sometimes, you need more than the help of your church and the people in it. And while prayer, Bible study, and meditation can strengthen and sustain your recovery, you may need professional help to heal efficiently.
Integrating Professional Help And Treatment
Faith-based and evidence-based treatments can, and do, mix. You don’t have to sacrifice either one to see results.
A multidisciplinary treatment team can help you find, and keep, your recovery. Your faith will only bolster it.
Discover Your Hope Everlasting
Your addiction likely won’t go away after a prayer or 2—if it did, recovery wouldn’t be a life-long journey. But keeping your eyes on God, meditating on His promises, connecting with others in your faith, and seeking professional help can all make your recovery journey fruitful. You can browse our collection of faith-based Christian rehabs to see photos, pricing, reviews, and more.
Detox usually lasts at least a couple of days, but many factors can affect how long detox lasts and your side effects. Getting proper care during this sensitive time is vital. Licensed professionals will help you understand how long the detox process is and safely guide you through it.
These days can provide an opportunity to start a healthier life, and detox can help lay the foundation for success. Residential or outpatient treatment can further equip you with necessary skills to maintain sobriety. To begin your journey towards a healthier life, explore the various detox services available.
Factors Affecting Detox Duration
Here are 4 things to consider when talking with a doctor about what your detox process will look like:
How long you’ve been using the substance
To what extent you’ve been using the substance
If you’ve been using just one substance vs multiple substances
Individual factors, such as overall health, mental health conditions, and metabolism
Detox Timeline for Common Substances
Every substance, and every person, is different, but this is what you can expect to encounter during detox for each substance.
Alcohol
Alcohol detox usually lasts 2 – 10 days1. Symptoms appear within 6 – 24 hours after quitting drinking and are most severe during the 36 – 72 hour period. Symptoms include:
Anxiety
Sweating
Tremors
Dehydration
Increased heart rate and blood pressure
Insomnia
Nausea and vomiting
Severe withdrawal may involve complications like:
Seizures
Hallucinations
Delirium tremens
Extreme agitation
Alcohol detox can be life threatening, so doing this with medical care is vital.
Opioids/Heroin
Opioids are drugs such as heroin, opium, morphine, codeine, and methadone. Detox can last 4 – 20 days, depending on the opioid used1. Quick-acting opioids like heroin typically have a shorter duration than long-acting opioids like fentanyl. Withdrawal symptoms usually appear in 8 – 12 hours after quitting. Symptoms include:
Nausea and vomiting
Anxiety
Insomnia
Hot and cold flashes
Sweating
Muscle cramps
Diarrhea
Opioid withdrawal can be safely worked through as long as you are detoxing with medical supervision.
Benzodiazepines
Benzodiazepines are psychoactive drugs that act as central nervous system depressants. Doctors prescribe them to treat anxiety and sleeping disorders. This drug is relatively easy to become addicted to, so if you are prescribed benzodiazepines, you should use them with caution.
Benzodiazepine withdrawal could be fatal, so it’s important to taper off these with guidance from medical professionals.
Meth/Stimulants
Stimulants are drugs such as methamphetamine, amphetamine, and cocaine. Detox usually lasts 3 – 5 days1, and symptoms begin within 24 hours of quitting. Symptoms include:
Agitation and irritability
Depression
Increased sleeping and appetite
Muscle aches
Particularly those who use methamphetamine can develop hallucinations, paranoia, or depressed thoughts during detox.
Meth and stimulant withdrawal can be safely worked through as long as you detox with medical support.
Barbiturates
Barbiturates are depressant drugs prescribed for sleep aid, muscle spasms, anxiety relief, and seizure prevention. Detox usually lasts around 2 weeks, and symptoms appear 2 – 4 days after stopping the medication2. Symptoms include:
Barbiturate detox can be life-threatening, so it’s vital to do so under medical supervision.
Marijuana
Marijuana detox typically lasts 1 – 2 weeks1, and the symptoms are relatively mild compared to other detoxification processes. However, this can still be an uncomfortable experience. Symptoms include:
Anxiety
Feelings of fear or dissociation
Restlessness
Irritability
Poor appetite
Disturbed sleep
Gastrointestinal upsets
Night sweats
Tremors
Marijuana withdrawal can be safely worked through as long as you detox with medical supervision.
Your Unique Experience Detoxing
Taking all of this into account, detox duration and experience can vary from person to person.
The detox process can negatively affect your co-occurring disorder(s)4 or vice versa. This could apply to medical disorders or mental disorders. Agitation, depression, or hallucinations can appear during detox, so if your mental health issues include these, they may be heightened during this process.
Be sure to tell your doctor about any medical conditions you have. It’s very important that they take these into account when deciding what medication to give you, your tapering timeline, etc.
Medical Detox vs. Other Forms of Detox
Detox is a broad term, and the general definition is to rid the body of toxic things. When we hear “detox,” we may first think of using dandelion tea to cleanse our bodies, or holistically-based cellular detox.
Medical detox, what we’ve been covering in this article, involves ridding the body of drugs or alcohol under the supervision of licensed medical professionals. Often, this involves using medication to assist the detoxification, like methadone and diazepam.
Coming off of any substance could have negative or life threatening effects, so this process shouldn’t be taken lightly. Your detox beyond dandelion tea needs to be medically monitored for your own safety and well being.
Detoxing Safely With Professional Guidance
Substance detox is a complicated process that requires professional guidance 24/71. Doctors can help you safely rid yourself of the substance. You could risk harming yourself if you detox without proper care. You might also relapse without the guidance of a doctor. Having professionals there helps make this uncomfortable experience as comfortable as possible.
Evaluation: testing how substance use has affected your body and creating a plan
Stabilization: medically assisted detox to get you to a stable, substance-free state
Fostering the patient’s entry into treatment: emphasizing the importance that you follow through with a substance abuse program to maintain your sobriety
During detox, you usually won’t participate in talk therapy because you’re in a susceptible, healing state. The real work and self growth comes after detox. During residential or outpatient care, you’ll work in individual and group therapy sessions using a variety of methods, including cognitive behavioral therapy (CBT). CBT is a highly effective treatment for addiction6. This is because it targets the thoughts, feelings, and behavior patterns that are common in substance use disorder.
You can build a support network with your therapists, peers, and family. You’ll learn to identify the early warning signs of relapse. You can even participate in relapse prevention groups. And in treatment, you’ll have more time to solidify your new coping skills.
Addiction is more than just using substances, and recovery is more than just detoxing from those substances. It’s impacted your perspective and how you think. Treatment can guide you back to a better place by shifting how you view yourself, your surroundings, and your future.
A Step Forward You can try your best to plan for what your detox may look like, but the bottom line is that there are a lot of variables. Detoxing safely with medical professionals ensures that the bumps along the road during this process can be molehills instead of mountains. Explore where your new journey will take you by starting with detox.
As a mentor and friend, a sponsor supports every part of your recovery progress, and plays a vital role in guiding your recovery journey. Whether by answering questions, holding you accountable, or just listening, they can help you commit to healing. Sponsors can help in any phase of recovery, especially when you’re newly sober.
Having a sponsor in addiction recovery isn’t mandatory. However, most 12-Step programs encourage you to find one. To do that, it’s important to understand the purpose of this relationship.
What Does a Sponsor Do?
A sponsor does a lot of different things, but their primary role is to offer guidance. In most 12-Step programs, a sponsor is a senior member1 who has been sober for at least a year. With personal experience in recovery, they can help you learn how to work the 12 Steps.
Sponsorship is one of the key differences between 12-Step vs. non-12-Step programs. Studies show sponsorship leads to better recovery outcomes.2 Once you connect with your sponsor, you can come to them with any questions about addiction and the program itself. For example, say you have a few tough weeks and miss a couple of meetings. Expect a call from your sponsor to get you back on track. Your sponsor’s job is to hold you accountable, encouraging you to do the work to attain and maintain your sobriety.
Qualities of a Good Sponsor
A good sponsor is there for you but also knows when to let you figure things out for yourself. You should always feel comfortable reaching out to them for help. Here are some qualities to look for in a sponsor:3
They can guide you in the right direction: Your sponsor can answer your questions about membership, the 12 Steps, and addiction. They’ll also encourage your program attendance and participation. A good sponsor knows you’re responsible for yourself and capable of making your own decisions. Still, they’ll give you a nudge to keep you moving forward if you ever need it.
They set boundaries: It’s always okay to ask your sponsor for support. But a good sponsor lets you know when contacting them is appropriate. You can agree on times and ways to connect that work for both of you.
They listen and offer support: Your sponsor is there to advise and support you—but they’re not your therapist. A good sponsor knows when a professional should step in. They may even connect you with outside resources.
They’re patient: Addiction recovery takes time. A good sponsor understands that you’ll face challenges as you adjust to sobriety. They’ll keep supporting you even when you’re having a hard time.
They understand you: With an understanding sponsor, it’s easier to ask for help. You might seek someone with a similar background to yours. Maybe you’re a mom of 4. A sponsor who has been through motherhood and addiction might understand you on a deeper level. But everyone’s needs are different. Sometimes it’s better to find a sponsor with a different history of addiction. You never know what you can learn from a new perspective. Considering your unique recovery goals can help you find the right fit.
What Does a Sponsor Not Do?
There are some things your sponsor shouldn’t do.4 Even if you like them as a person, you should be wary if your sponsor shows any red flags:
They impose their personal views on you: Your sponsor shouldn’t judge your recovery process. They might have similar experiences, but only you know what’s best for you. A sponsor should never urge you to make a decision based solely on their own beliefs.
You’re already close with them: It’s not a good idea to have a loved one as your sponsor. You should be able to trust your sponsor and open up to them. Sometimes, personal relationships can lead to bias.
They’re not engaged in the program: If your sponsor regularly misses meetings, or you question their sobriety, they likely aren’t the best person to help you.
They believe they have every answer: A good sponsor isn’t afraid to say, “I don’t know.” If you feel like your sponsor always thinks they’re right or never considers another way, they might not be a good choice.
If you notice red flags like these, reach out to trusted members of your support network, both in and outside of AA. You can also talk to your therapist. And remember: you always have the right to change sponsors. AA’s literature on sponsorship5 specifies:
We are always free to select another sponsor with whom we feel more comfortable, particularly if we believe this member will be more helpful to our growth in A.A.
How to Find a Sponsor
Typically, the process of finding a sponsor is informal. You might notice someone in the 12-Step program you admire. Maybe their outlook on sobriety inspires you, or they seem very open and honest. All you have to do is ask them to be your sponsor. Then, they can either accept or decline.
As a newcomer, you can also ask around the program. At some meetings, the leader may ask people who want to become sponsors to raise their hands. You can also ask people you meet if they know of anyone interested in taking on that role.
Your Responsibilities as a Sponsee
Just like your sponsor, you’ll have certain responsibilities in this relationship. Here are some tips to be a good sponsee:
Show up: Attending meetings regularly helps you stay on track. Try to let your sponsor know in advance if you have to miss a meeting.
Respect your sponsor’s boundaries: After you and your sponsor agree on boundaries, it’s important to honor them. Your sponsor has their own responsibilities outside of your recovery process. Of course, there may be times when you need to call them out of the blue. But this is an opportunity to practice building respectful relationships. Recognizing the other person’s needs is an important part of that process.
Work the 12 Steps: Show your sponsor that you’re just as committed to your recovery as they are. You can do this by working the 12 Steps of Alcoholics Anonymous or another 12-Step program. Sometimes you might leave meetings with assignments. Dedicate time to work on your sobriety outside of the program. Then, talk to your sponsor about your progress.
Don’t overshare: It’s easy to overshare as you become more comfortable with your sponsor. There’s nothing wrong with seeing your sponsor as a friend. But your sponsor isn’t your partner, your parent, or a clinician. They’re just one person in your wider support network.
In most 12-Step programs, your sponsor plays an integral role. Still, many people reach sobriety without a sponsor at any point in addiction recovery. It all depends on what makes the most sense for your recovery process.
Learn more about sponsorship and 12-Step rehab programs that might be a good fit for you.
Frequently Asked Questions About AA Sponsorship
What’s the role of a sponsor in my recovery?
A sponsor serves as a mentor and guide, providing crucial support throughout your recovery journey. They offer guidance, answer questions about addiction and the program, and help you work the 12 Steps. While having a sponsor isn’t mandatory, it’s highly encouraged in most 12-Step programs for better outcomes.
What qualities should I look for in a good sponsor?
A good sponsor should be knowledgeable and able to give guidance, while also maintaining healthy boundaries and encouraging your personal responsibility. A good sponsor listens, offers support, and understands the challenges of addiction recovery. Finding someone who understands your background and recovery goals can be beneficial.
What are red flags to watch out for in a sponsor?
While sponsors are meant to support your recovery, there are certain warning signs to be aware of. A sponsor should not impose their personal views, exploit you, or be disengaged from the program. It’s also important to avoid choosing a sponsor who is a close friend or family member to maintain objectivity. If you notice any red flags, seek support from other trusted people in your support network and consider changing sponsors.
When you’re ready to recover from alcohol addiction, detox is an important first step. Most people detox from alcohol in a week or less. During that process, you’ll likely experience withdrawal symptoms. These can be uncomfortable or even life-threatening—but they’re temporary. And in a medical detox program, your care team will keep you safe from any serious side effects. Proper treatment can set you up for success when you move on to the next phase of recovery.
Symptoms of Alcohol Withdrawal
Everyone’s alcohol withdrawal symptoms are a little different. Your experience will depend on a few factors, including how long and how much you’ve been drinking. About 50% of people with alcohol addiction1 have withdrawal symptoms when they start recovery. Within that group, 3-5% have severe symptoms that could be fatal. The first symptoms of withdrawal2 usually appear about 8 hours after your last drink:
Alcohol cravings
Irritability
Anxiety
Insomnia
Nightmares
Tremors
Headaches
Nausea and vomiting
Even mild alcohol withdrawal symptoms can be uncomfortable. Perhaps as a result, withdrawal symptoms can lead to relapse.3 Medically assisted detox provides a more comfortable withdrawal experience. You may still have symptoms, but your care team will help you manage them. Most programs include non-addictive medications, talk therapy, and some complementary treatments.
Delirium Tremens
Withdrawal from severe alcohol addiction sometimes leads to delirium tremens4 (DTs, also referred to as DT), also called alcohol withdrawal delirium. While it’s not very common, this tends to affect people with chronically excessive drinking habits. This condition presents with a few key symptoms:
Hallucinations
Confusion
Elevated blood pressure
Elevated body temperature
Agitation or aggressive behavior
Seizures
Without proper treatment, these symptoms can be fatal. Certain people are more at risk for DTs than others. If you have multiple addictions, abnormal liver function, a history of DTs, or a history of seizures, this condition is more likely. Certain short-term health issues can also increase your risk, like dehydration and low potassium levels.
Medical detox is extremely important for anyone with a risk of DTs—even a low one. In these programs, you’ll work with a team of doctors, nurses, and other experts. They can manage your symptoms with medication and offer round-the-clock care in case of emergency.
PAWS is often triggered by stress. Because PAWS can cause relapse,6 it’s important to have a treatment plan in place. With the right approach, you can manage your symptoms and continue to focus on recovery.
Stages of Alcohol Withdrawal
Most symptoms of alcohol withdrawal7 appear during the first few days after your last drink. However, the precise timeline for alcohol withdrawal is different for everyone. Depending on the severity of your addiction, your symptoms may be mild or more intense.
6-12 Hours
Withdrawal symptoms normally start within 6-8 hours after your last drink. You might have a headache or start sweating. You may also feel nauseous or nervous. For people with a long history of heavy drinking, it’s possible to have a seizure in the first 6-12 hours of withdrawal.
12-24 Hours
Mild symptoms continue to build in the first 24 hours of withdrawal. You might have tremors, particularly in your hands. Some people experience insomnia. For those with more severe withdrawal symptoms, hallucinations may start to occur in the first 24 hours. These can be visual, auditory, or tactile hallucinations.
24-48 Hours
If you have only mild withdrawal symptoms, they may peak 24-48 hours after you stop drinking. From then on, symptoms like headaches, tremors, rapid heart rate, and nausea could decrease.
People with more severe symptoms might have seizures 48 hours into the detox process.
48-96 Hours
If your symptoms are more severe, they may also last longer. For some people, peak withdrawal occurs within 72 hours of quitting alcohol. After that point, you’ll probably start to feel better.
Other people are at risk for developing delirium tremens on the 3rd day of withdrawal, starting around 72 hours into detox. You might not know in advance whether this is a risk for you. This is why it’s so important to get proper care during alcohol detox. Your team can stand by during this crucial time, ready to help you if new symptoms develop.
96 Hours and Beyond
Most people start to feel completely better around day 4 or 5 of detox. At this point, your body stops compensating for the lack of alcohol in your system. You’ll reach a new equilibrium as tremors, nausea, anxiety, and other symptoms subside. Most people complete withdrawal sometime between days 5-7.
If you experience delirium tremens, you may need more time to detox. Delirium tremens symptoms usually last 7 days, and sometimes longer.
Treatments for Alcohol Withdrawal
You’ve got a few options for alcohol withdrawal treatment, including hospitals, medical detox centers, and rehab. Most detox programs follow similar treatment plans, though some provide more therapeutic support than others.
Treatment typically begins with a thorough physical exam. Doctors will ask about any pre-existing conditions that might impact your withdrawal experience. From there, you’ll begin detox.
Over the first few days, your medical team will monitor you closely. They might provide medication if you need it. If you don’t show any signs of withdrawal symptoms after 48-72 hours, you might be released to outpatient care or residential rehab. If you’re detoxing in rehab, you might progress to the next stage of treatment.
For some people, the fear of alcohol withdrawal symptoms10 is a barrier to treatment. Medical detox programs can keep you safe and as comfortable as possible while you detox.
How Long Will It Take to Detox from Alcohol?
How long alcohol stays in your system is unique for everyone. In most cases, acute withdrawal symptoms end after 5-7 days. You can go through this process in an onsite or offsite detox program. Most care plans include medical treatment, non-addictive prescriptions, and psychotherapy.
Onsite Detox
Some inpatient rehabs offer onsite detox. This approach lets you move seamlessly from initial detox into longer-term treatment. You can get medical and therapeutic support in the same place, instead of moving to a new center in the middle of treatment.
For example, at Noosa Confidential in Australia, clients stay in a waterfront retreat with 24-hour access to staff. Here, you’ll work with the same clinicians throughout detox and residential treatment.11 This consistency makes it easier to build trust with your care team.
Off-site Detox
In a program with offsite detox, you’ll go through withdrawal in a separate facility before you start inpatient care. For people with more severe withdrawal symptoms, more complex medical treatment might be necessary. With offsite detox, you can still transition smoothly into rehab when you’re ready.
The Beekeeper House in Thailand is an inpatient rehab with an offsite detox program. They work with their partner facility, The Warm, to determine the best plan of action for your detox.12 Many patients go through detox at The Warm before they start residential treatment. If you have more complex medical needs, you can transfer to their partner hospital in Chiang Mai before returning for rehab.
New Jersey’s Enlightened Recovery also has offsite detox as part of their flexible detox options.13 You can detox in their inpatient rehab, at one of their partner facilities, or an independent detox center before you start longer-term treatment.
Will Health Insurance Cover the Cost of Alcohol Detox?
Many detox centers accept insurance, including Medicaid. The cost of detox varies depending on the facility and the level of care you receive. Check with your insurance provider in advance to see what you plan will cover. Your treatment program’s admissions team can also offer guidance. There are options for everyone, even if you don’t have insurance. If you’re interested, you can learn more about alcohol detox and inpatient rehab programs that accept insurance.
Detox is an essential step in the healing process. Medical detox programs can help you start recovery as safely as possible. When you’re ready to start addiction treatment, you can find a rehab that offers alcohol detox.
Frequently Asked Questions About Alcohol Detox
How long does alcohol detox last?
The duration of alcohol detox varies for each person. In general, most people complete alcohol detox within a week or less.
What are the symptoms of alcohol withdrawal?
Alcohol withdrawal symptoms can vary depending on factors like the duration and amount of alcohol you consumed. About 50% of people with alcohol addiction experience withdrawal symptoms when starting recovery, with 3-5% facing severe symptoms that can be life-threatening. Common early withdrawal symptoms (which start about 8 hours after the last drink) include intense cravings, irritability, anxiety, insomnia, nightmares, tremors, headaches, and nausea/vomiting. Even mild symptoms can be uncomfortable and increase the risk of relapse. Medically assisted detox programs provide a safer and more comfortable experience.
What are delirium tremens (DTs), and who is at risk?
Delirium tremens (DTs) can happen during withdrawal from severe alcohol addiction, although it’s relatively uncommon and typically affects people with chronic excessive drinking habits. DT symptoms include hallucinations, confusion, elevated blood pressure, elevated body temperature, agitation or aggressive behavior, and seizures. Without proper treatment, DTs can be fatal. Certain factors increase the risk of developing DTs, including multiple addictions, abnormal liver function, a previous history of DTs or seizures, and short-term health issues like dehydration and low potassium levels.
Without proper care, the withdrawal symptoms from certain substances could kill you. A symptom this extreme depends on what you’ve been taking, how much, and how long you’ve been taking it.
Not every drug has dangerous withdrawal symptoms. Some, though extremely uncomfortable, won’t hurt you. But alcohol, benzodiazepines, and opiates have the potential to be deadly.
After discussing your situation with your doctor or care team, you might decide to detox in a licensed, medically monitored detox environment. Many rehab centers with detox offer just this.
What Causes Withdrawal Symptoms?
Your brain and body get used to drugs or alcohol and adapt to work around them. Once you stop taking substances, your body has to adjust to life without them. So, you experience withdrawal symptoms as your body returns to homeostasis1. Though the change is arguably good, your body still has to adjust—which might not feel good at all.
If you’ve become highly dependent, stopping becomes dangerous. In those cases, you can seek treatment in a detox center or a residential rehab with detox. Detox centers treat non-life-threatening withdrawal symptoms too. Your comfort and safety both matter.
Withdrawals vary across the different types of drugs and substances. Some pose no threat. Others require careful supervision.
Alcohol Withdrawal
Detoxing from alcohol2 could be dangerous. The level of danger, and general symptom intensity, depends on how much you drink and how long you’ve been drinking.
Excessive, purposeless activity (getting in and out of bed, wandering around)
Anxiety
Grand mal seizures
Delirium tremens commonly affect those with a long history of drinking. DT’s symptoms3 include “profound confusion, autonomic hyperactivity, and cardiovascular collapse.” It’s rare, but needs to be caught as soon as possible to avoid danger.
The other symptoms of alcohol detox may feel gross, but don’t tend to be life-threatening—especially under the supervision of doctors and nurses. Then, medications like Antabuse can help you stay sober4 in recovery.
Opiate Withdrawal
Opioid withdrawals can feel like a bad flu5, or the sickest you’ve felt in your entire life. Typically, though, it’s not one of the withdrawals that can kill you. The severity of symptoms depends on your dose and how long you’ve been taking opioids.
The discomfort of opiate withdrawals can make you crave opioids even more. For many, temptations to alleviate the pain can cause a relapse5. Detoxing in a residential setting could help you avoid this in your early days of recovery.
During your opioid detox period, you might experience
Depending on your dose and length of use, benzodiazepine withdrawals can be life threatening. Benzos treat anxiety and sleep disorders5 but could become addictive if used too long. Detoxing from benzos presents several dangers.
Withdrawing from multiple substances has its challenges, but it’s not uncommon. A study found 71% of patients in detox were withdrawing from 2 or more substances11. Your care provider will make the ultimate decision regarding any medications you’ll need during detox and how the process might look for you.
Getting Treatment for Withdrawal Symptoms
At best, detoxing might feel uncomfortable. At worst, it could kill you. But for each end of the detoxing spectrum, you have treatment options.
For many withdrawal symptoms, you may need the help and care of a detox center. Or, a residential rehab with a detox program. In a center like this, you can begin therapeutic residential treatment right after detoxing. To see your options, you can browse our list of rehabs with detox that includes pricing, photos, insurance information, and more.
What does it mean to be “California sober?” This is a relatively new idea in addiction recovery. And while some people swear by it, it’s certainly not right for everyone.
“Telling myself I can never have a drink or smoke marijuana is setting myself up for failure because I am such a black-and-white thinker. I had it drilled into my head for so many years that one drink was equivalent to a crack pipe.”
Some people say being California sober means only using marijuana while abstaining from alcohol and other drugs. Other people say that it’s using marijuana in addition to psychedelics or natural drugs like kratom or kava. Some people in recovery for alcohol addiction may still drink in moderation and consider that as being California sober. The term means vastly different things to different people.
Harm reduction interventions,4 like being California sober, aim to reduce the harmful consequences of substance abuse. So with this approach, you might limit the number of daily drinks you have instead of quitting alcohol entirely. The goal is sustainability, not total abstinence.
Moderation means different things to different people. Some replace “hard” drugs like methamphetamines, opioids, or stimulants with “soft” drugs like marijuana, natural psychedelics, or alcohol. The belief is that these natural drugs are safer5 than synthetic drugs. However, that’s not necessarily true.
Does Going “California Sober” Work?
Many people think “soft” drugs are automatically safe.6 And it’s true that drugs like marijuana typically have a lower risk of overdose and other negative effects. But they’re not entirely harmless.
Every substance has the potential to be addictive—even marijuana. Over time, any type of substance use hijacks your brain’s reward system. Experts believe that addiction to one drug might even make you more sensitive to other drugs. If that theory is correct, then going California sober might just increase your risk of developing a new addiction.
Some data also suggests that marijuana might be a gateway drug.8 One study found that adults who used marijuana were at a much higher risk of alcohol addiction. Whether because of social pressure or brain chemistry, cannabis use might make it harder to abstain from drinking.
On the other hand, marijuana’s health effects may help some people reduce their use of other drugs. For example, marijuana is a powerful painkiller.9 Some doctors are using it to decrease patients’ need for opioid medications. Experts note that this treatment can “dramatically lower opioid use and can provide pain relief.” If you’re in recovery from opioid addiction, going California sober might be extremely helpful.
Lung irritation, illness, and infections for people who smoke
Increased heart rate, which raises your risk of heart attack
Severe nausea and vomiting
Paranoia
Depression and anxiety
Worsened symptoms for people with pre-existing mental health conditions, especially schizophrenia
It’s also common for people who are California sober to use psychedelics like LSD and psilocybin, which is found in mushrooms. And while many people believe that these drugs are completely safe, both psilocybin and LSD can cause mental health symptoms:11
Each California sober person in recovery gets to decide which drugs they can use, when, and how often. And because it isn’t set in stone, you may find yourself changing your definition of sobriety to slowly include more and more frequent drug or alcohol use. This flexibility can become a slippery slope back toward addiction. Traditional sobriety sets strict boundaries around alcohol and drugs that may be more difficult to cross.
“I think substituting one intoxicant for another has a lot of dangerous pieces to it. What if you decided to smoke marijuana and then decided to drink a little alcohol? An intoxicant can help with withdrawal, but it can also act as a cue and trigger craving for a drug.”
Your risk of relapse is especially high16 if you used to drink or smoke marijuana while using more dangerous drugs. For example, if you would typically drink and use cocaine at the same time, drinking in recovery may trigger your cravings for cocaine.
Doesn’t Address the Root Cause of Your Addiction
Trauma is a common cause of addiction.17 Being California sober might still enable you to self-medicate the symptoms of trauma, just with “softer” drugs. You might continue to seek out substances or behaviors that help you cope with triggers. This can be less harmful than using “harder” drugs—but it’s even better to address the underlying cause of your symptoms.
Potential Benefits of California Sober
While there are risks to practicing moderation, being California sober may benefit people seeking more grace in their recovery.
Reduced Stigma
Recognizing that success is a spectrum can reduce the amount of stigma18 you experience in recovery. Some abstinence-only programs teach that relapsing is a sign of failure. However, most people relapse 3-4 times19 before finding long-term success.
Dr. Brian Hurley, director-at-large for the American Society of Addiction Medicine, explains:
“I’m less interested as an addiction physician in focusing on whether somebody is completely abstinent from every substance ongoing forever, and I’m more interested in: How have their lives changed in response to treatment? How are their behaviors improving?”
According to harm reductionist philosophy, any positive change is a success.20 Being California sober means not punishing yourself for very normal parts of recovery, like relapse and cravings. Instead, it can help you embrace the challenges of healing.
More Support and Access to Treatment
Many rehabs require clients to be abstinent21 from all substances. For some people, this can be a barrier to treatment. Data suggests that if people with severe addiction can access free and immediate treatment, many will still refuse because they don’t want to be totally abstinent.
Studies show that moderation-based treatment plans can be effective for long-term recovery, compared to abstinence-only programs. For example, people recovering from alcohol addiction are more likely to drink more heavily during a relapse than people practicing moderation. Being California sober can teach you how to manage your drinking, which may help you continue to drink at a healthier level.
Expert Opinions on Going “California Sober”
Many experts in the field of addiction recovery critique the idea of being California sober. Some, like addiction treatment administrator April Marier, say it’s just ineffective. Marier compares the trend to “switching seats on the Titanic22 — it’s not going to save you; you’re still going down.”
Others, like addiction specialist Ken Seeley, say the very idea could be harmful to other people in recovery:
“I think the term ‘California sober’ is quite disrespectful to the sober community.23 I know a lot of people that work really hard to hold their abstinence and fight for their lives in recovery, and to bring up this new term, ‘California sober’ is so inappropriate.”
“For some people, it’s reducing, for some it’s discontinuing, for some people it might be harm reduction—not getting HIV or not overdosing. There are lots of ways people who use drugs can improve their health and well-being.”
Choose the Sober That Helps You the Most
Everyone’s pathway to recovery is different. Even if you wouldn’t seek treatment that requires abstinence, you can still heal from addiction. However, if you need to set stricter boundaries around drug use, traditional sobriety may be more achievable.
Recovery can also be a fluid process. You don’t have to decide everything in advance. Even Demi Lovato says that they are now “sober sober,”25 because being California sober stopped working for them. But other celebrities continue to practice this type of moderation. There’s no one right way to heal.
You have the right to decide what healing means to you.
Frequently Asked Questions About Being “California Sober”
What does it mean to be “California sober?”
Being “California sober” means that people avoid “hard” drugs like cocaine, opioids, or stimulants with “soft” drugs like marijuana, natural psychedelics, or alcohol.
What are the risks of being “California sober?”
“Soft” drugs like marijuana or natural psychedelics can harm your mental and physical health, and can still be addictive. Because there’s no set standard for sobriety, it can be a slippery slope back toward addiction.
Is being “California sober” a form of harm reduction?
Yes, being “California sober” is a harm reduction approach. It aims to reduce the harmful consequences of substance abuse by limiting the number of daily drinks or drug use instead of quitting entirely. The goal is sustainability, not total abstinence.
