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What Kind of Treatment Do I Need? Understanding Levels of Care for Addiction and Mental Health Treatment

Trying to figure out what kind of treatment you need can feel like stepping into a maze. You might be asking: Do I need to detox first? Is inpatient too much? What even is PHP? If you’re feeling unsure or overwhelmed, you’re not alone—and you’re not doing anything wrong.

This guide is here to help you understand what your options actually look like in practice. From round-the-clock care to flexible weekly therapy, different levels of care are appropriate for different situations. Knowing how they work can make it easier to take the next step, whatever that looks like for you.

Infographic showing six treatment levels arranged around a compass: Medical Detox (24/7 medical care for withdrawal), Inpatient/Residential Treatment (live-in treatment with round-the-clock therapy), Partial Hospitalization Program (daytime outpatient care with high structure), Intensive Outpatient Program (part-time therapy balancing treatment with daily life), Outpatient Therapy (weekly one-on-one flexible support), and Virtual Care/Telehealth (online access to therapy and medication management).

Levels of Care Explained

Addiction treatment takes place on a continuum of care, with various levels of care designed to meet people where they are. Some offer 24/7 medical support. Others give you space to keep working or caring for family members while getting help. Stepped-down treatment options allow you to gradually introduce more and more responsibilities into your life as your mental health and confidence improve.  

Here’s what each one involves, so you can get a better sense of what best fits your life right now.

Medical Detox

  • Typical duration: 5–10 days
  • Hours per week: 24/7 care
  • Time of day: Day and night

If you’ve been using substances (especially alcohol, opioids, or benzodiazepines) regularly, stopping suddenly can result in severe, or even fatal, symptoms. Medical detox gives you a safe place to withdraw with trained staff on hand. A qualified treatment team will monitor your symptoms, help you manage pain or discomfort, and step in if any complications arise. 

This is often a preliminary step, prior to starting a comprehensive addiction treatment program, for people who are physically dependent on substances.

Learn more about what to expect in the detox process: See our detox FAQs.

Pie charts showing time commitment by treatment level: Inpatient/Residential Treatment requires 100% of time, Partial Hospitalization Program requires 18% of time, Intensive Outpatient Program requires 7% of time, and Outpatient Therapy requires 2% of time.

Residential or Inpatient Treatment

  • Typical Duration: 30–90 days
  • Hours per Week: 24/7 care
  • Time of Day: Day and night

In residential rehab, you live at a treatment facility while focusing entirely on recovery. It offers a structured environment and full daily schedule of therapy, group support, mental health care, and activities that help you build new coping tools. Many residential programs also incorporate family therapy. 

Because your meals, housing, and daily routine are all taken care of, you can put all your energy into getting better without juggling the pressures of work, school, or family obligations. It’s a space where your only job is to focus on your healing.

This level is a good fit if you need more acute care such as dual diagnosis or eating disorder treatment, or need space away from issues at home that may complicate your recovery.

Partial Hospitalization Program (PHP)

  • Typical Duration: 15–30 days
  • Hours per Week: 25–30 hours
  • Time of Day: Primarily during the day

A PHP (also known as day treatment) is one of the most intensive available outpatient services. You’ll spend most of your day at a treatment center for therapy, psychiatric care, and medical check-ins, then go home (or to sober housing) in the evening. For most people, the time spent at a PHP feels like the equivalent of a full-time job.

PHPs are a step down from inpatient care but still offer a high level of structure and support, especially if stabilization is still a concern.

Timeline showing progression through addiction treatment levels: Medical Detox (1 week) for safe opioid withdrawal, Inpatient Treatment (30 days) for space away from triggers, Intensive Outpatient Program (8 weeks) for continued support while returning to daily life, and ongoing Outpatient Therapy for stress management while staying connected to care.

Intensive Outpatient Program (IOP)

  • Typical Duration: 8–12 weeks
  • Hours per Week: 9–15 hours
  • Time of Day: Day or evening options

IOPs give you solid support without requiring you to put your life on hold. You’ll attend several individual and group therapy sessions each week, and may have access to medication management. The time commitment here is similar to a part-time job.

An IOP works well if you’re stepping down from a higher level of care, or if you’re juggling recovery with work, school, or family responsibilities.

Outpatient Therapy

  • Typical Duration: Ongoing or as needed
  • Hours per Week: 1–5 hours
  • Time of Day: Flexible

Outpatient therapy can be as simple as seeing a therapist once a week. Some people start here if their symptoms are mild; others continue therapy after completing a more structured program. It’s a space to keep working through triggers, rebuild relationships, and stay grounded in your recovery over time. You can choose a schedule that fits your daily life.

Warning signs indicating need for higher level addiction treatment: worsening symptoms, impaired daily functioning, relapse or increased use, failed outpatient attempts, social withdrawal, frequent crises or emergencies, inability to cope, and unsafe home environment. Illustrated with a figure climbing stairs representing treatment progression.

Sober Living or Transitional Living

  • Typical Duration: 1–12 months
  • Hours per Week: Independent, with optional meetings
  • Time of Day: Mostly daytime routines

Sober living homes are group environments where people in early recovery live together under shared rules. There’s no formal therapy, but you’ll usually have curfews, house meetings, and drug testing, as well as attending meetings and recovery-friendly activities outside the home. It’s a helpful bridge between structured treatment and living completely on your own—especially if your home environment poses challenges to your recovery.

Learn more about length of stay in different types of treatment in our article on how long rehab lasts.

Virtual Care (Telehealth)

  • Typical Duration: Varies by program
  • Hours per Week: 1–15 hours
  • Time of Day: Day or evening availability

Virtual care lets you access therapy, support groups, and even medication management from home. It’s especially useful if you live in a rural area, have mobility issues, or just need more flexibility. Some people use it to start treatment; others use it to stay connected to a sober support network after in-person care. As long as you have a phone or internet connection, you can access high-quality behavioral health care.

How to Know What’s Right for You

Choosing a treatment program is about finding what fits your circumstances and resonates with your approach to healing. Start by thinking about how withdrawal affects you, whether you’re also dealing with anxiety, depression, trauma, or other mental health disorders, and if you’ll have any specific needs while in treatment.

If you’re in crisis, can’t stop using on your own, or feel unsafe at home, inpatient care might be the most supportive place to begin. If you’re more stable or have responsibilities you can’t step away from, outpatient care may give you the balance you need.

There’s no wrong place to start. The most important thing is to start somewhere.

Do I Need Medical Supervision?

If you’ve ever had severe withdrawal symptoms (or you’re worried you might), it’s important to talk to an addiction specialist before you try to stop using on your own. Symptoms like seizures, hallucinations, or heart issues can be dangerous without medical support.

You might also need supervised care if you have certain medical needs such as a health condition that affects your recovery, or if you’re taking medications that could interact with withdrawal. Medical detox or inpatient treatment can give you safety and stability while your body adjusts.

Dual Diagnosis or Co-Occurring Disorders

If you’re struggling with both mental health and substance use, you’re not alone—and you’re not a problem to solve. A lot of people use substances to cope with depression, anxiety, trauma, or other emotional pain. But over time, that coping can create its own set of challenges.

When both are happening at once, it’s called a  co-occurring disorder. These situations often need integrated care: treatment that addresses mental health and substance use at the same time, not in separate silos.

Dual diagnosis treatment is available at most higher levels of care and some outpatient programs. If this applies to you, look for programs that offer addiction treatment, psychiatry, and trauma-informed support under one roof.

What an Intake Assessment Looks Like

Most treatment centers begin with an intake or admissions assessment to better understand your needs. This process typically includes two parts:

  1. A brief phone screening with an admissions advisor. This initial conversation covers basic information about your substance use, mental health, and immediate needs to determine whether the program is a good fit. It’s also your chance to get your questions answered.
  2. A more in-depth assessment once you arrive at the treatment center. This is usually conducted by medical and clinical staff and dives deeper into your medical history, substance use patterns, mental health conditions, living situation, and any safety concerns.

The goal is to get a full picture of your situation so the team can recommend the most appropriate level of care and build a personalized treatment plan. Clinicians often use tools like the ASAM Criteria1 (developed by the American Society of Addiction Medicine) and a biopsychosocial assessment to guide your treatment plan.

You don’t need to have all the answers going in, just be as honest as you can.

Adjusting Treatment Over Time

You don’t have to commit to one level of care forever; you’ll likely move through several stages of treatment as your needs change. For example, you might start with inpatient rehab as your primary care, then step down to a lower level of care like an IOP, then continue with weekly therapy while living in sober housing.

Recovery isn’t linear. You might go forward, take a step back, or ramp up your meetings or therapy sessions when you’re going through a hard time. That’s normal. What matters most is staying engaged and open to support, even when your path looks different than someone else’s.

Ready to Take the Next Step?

If you or your loved one are thinking about treatment, you don’t have to figure it all out alone. Rehab admissions advisors are usually happy to walk you through your options and help you find a level of care that fits your individual needs.

Use Recovery.com to explore treatment centers near you. You can compare programs, read about their services, and reach out directly.

The right kind of support is out there—you just have to ask for it.

FAQs

Q: What are the levels of care in addiction treatment?

A: Levels of care in addiction treatment include medical detox, inpatient or residential rehab, partial hospitalization programs (PHP), intensive outpatient programs (IOP), sober living, individual therapy, and virtual or telehealth services.

Q: When do you need inpatient treatment?

A: Inpatient addiction treatment is best when you need 24/7 support, can’t stay sober on your own, or are dealing with complex mental health or medical issues.

Q: How does outpatient substance use treatment work?

A: Intensive outpatient programs (IOPs) offer therapy and support on a set schedule—often a few times a week—so you can keep living at home while receiving a high level of therapy and support.

Q: Who needs residential treatment?

A: Residential care is ideal for people who need structure, distance from triggers, or support for a co-occurring substance use disorder and mental health condition.

Q: How long do you need to be in outpatient treatment?

A: It varies. Some people stay for a few weeks while others find long-term support helpful. Your treatment team can help you determine your timeline based on your needs and healing progress.

Q: How do I choose the right level of care for my treatment needs?

A: Your treatment provider can help you determine what level of care you need via an intake assessment. How much support you need will likely depend on your daily functioning, withdrawal risk, mental health, and living environment. When it comes to addiction and mental health treatment, your safety and well-being come first.

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Men’s Mental Health Quotes: 25 Inspiring Messages to Live By

June is Men’s Mental Health Awareness Month,1 a time to uplift and validate the emotional lives of men. These 25 mental health quotes spotlight the power of vulnerability, healing, and self-love while also highlighting important mental health challenges that many men face.

As a therapist who works primarily with men, I’ve learned this: most guys aren’t taught how to name what they feel, so instead they manage it quietly. Their mental well-being suffers from it. These quotes aren’t just feel-good messages. They’re reminders from real men with real stories that your mental health matters and it being honest about it doesn’t make you soft— it makes you strong.

Mental health quote image featuring Ernest Hemingway's words: “We are all broken. That’s how the light gets in.” The background shows a blue-toned silhouette of a man with illuminated veins and a glowing heart, symbolizing emotional healing and vulnerability. Light beams radiate from the heart outward. Image from Recovery.com, designed for Men’s Mental Health Awareness.

25 Quotes to Inspire and Live By

These quotes are reminders that mental health struggles don’t define you and recovery is possible.

Here’s a revised list of 25 inspirational quotes for Men’s Mental Health Awareness Month—featuring only quotes by men.

These voices range from artists and athletes to philosophers and advocates, offering encouragement for mental well-being, vulnerability, and resilience.

Illustration featuring three mental health quotes for men on the theme of being understood. The first quote by Michael Phelps addresses stigma, saying, “I believe the biggest stigma right now with mental health is that a lot of men are afraid to talk about it.” The second quote by Frederick Buechner states, “The heart of man’s pain is the pain of not being seen.” The third quote by Wayne Dyer reads, “Self-worth comes from one thing—thinking that you are worthy.” A blue-toned illustration of a man holding his hands to his chest under a spotlight appears on the right.

25 Quotes to Inspire and Live By (By Men, For Men)

  1. “There is hope, even when your brain tells you there isn’t.” – John Green
  2. “You’re only given a little spark of madness. You mustn’t lose it.” – Robin Williams
  3. “Being vulnerable is not a weakness—it’s a strength.” – Dwayne “The Rock” Johnson
  4. “Don’t give in to stigma. A diagnosis does not determine who you are or what you can do.” – Pete Wentz
  5. “The heart of man’s pain is the pain of not being seen.” – Frederick Buechner
  6. “Mental health is just as important as physical health. You have to nurture your inner world the same way.” – Lewis Hamilton
  7. “I believe the biggest stigma right now with mental health is that a lot of men are afraid to talk about it.” – Michael Phelps
  8. “You don’t control the situation, but you control what you think about it and how you respond.” – Ryan Holiday
  9. “We are all broken. That’s how the light gets in.” – Ernest Hemingway
  10. “It’s okay not to be okay.” – Prince Harry
  11. “Out of your vulnerabilities will come your strength.” – Sigmund Freud
  12. “The times in my life when I’ve been happiest are when I’ve let myself be the most vulnerable.” – Chris Evans
  13. “It is not death that a man should fear, but never beginning to live.” – Marcus Aurelius
  14. “My dark days made me stronger. Or maybe I already was strong, and they made me prove it.” – Emery Lord
  15. “I am seeking. I am striving. I am in it with all my heart.” – Vincent van Gogh
  16. “Success is not final, failure is not fatal: it is the courage to continue that counts.” – Winston Churchill
  17. “You cannot swim for new horizons until you have courage to lose sight of the shore.” – William Faulkner
  18. “Life is not easy. Life is not fair. But life is beautiful if you choose to see it that way.” – Steve Gleason
  19. “Self-worth comes from one thing—thinking that you are worthy.” – Wayne Dyer
  20. “Our greatest glory is not in never falling, but in rising every time we fall.” – Confucius
  21. “Everyone is going through something that we can’t see.” – Kevin Love
  22. “When we are no longer able to change a situation, we are challenged to change ourselves.” – Viktor Frankl
  23. “He who conquers himself is the mightiest warrior.” – Confucius
  24. “There is no education like adversity.” – Benjamin Disraeli
  25. “Try not to become a man of success, but rather try to become a man of value.” – Albert Einstein
Mental health quote for men featuring the words of Sigmund Freud: “Out of your vulnerabilities will come your strength.” The illustration shows a kneeling man crying with his face in his hands, while a second version of himself stands behind him flexing his muscles, symbolizing inner strength emerging from emotional struggle. Blue tones emphasize resilience and healing.

Men’s Mental Health Treatment

Men often experience unique mental health struggles2 that can make asking for help feel overwhelming. But with the right support, healing is possible.

Men are often taught to manage quietly, power through, or downplay their struggles altogether. I see it all the time in the therapy office. Clients who’ve spent years in high-functioning survival mode without realizing how lonely or exhausted they’ve become. The truth is, asking for help is often the most courageous step in a man’s healing journey.3

Men’s-Only Rehab

Men’s-only treatment centers offer a safe space to explore personal trauma, mental health challenges, and substance use in a nonjudgmental setting. They provide a gender-responsive approach to care, helping men reconnect with their emotional well-being without societal pressure to appear “tough” and surrounded by other men who truly get it.

Burnout and Stress

Burnout can look like overcommitment, irritability, numbness, or quietly feeling like you’re failing at everything. Plenty of men say things like, “I’m just tired,” but what they may mean is, “I feel like I’m not allowed to stop.” Chronic stress can impact both mental and physical health, leading to anxiety, depression, or even substance misuse. Men’s programs address these mental health conditions with evidence-based therapies focused on stress management and emotional regulation.

Loneliness

Men are lonely. I share this in a recent article in my weekly newsletter, More to the Story:4

There is a crucial difference between being alone and being lonely. Loneliness is an emotion that, like all others, tries to communicate something to us. It is neither inherently good nor bad; instead, it indicates that we lack connection and intimacy—two fundamental human needs. When someone asks, “How are you doing?” and you respond with, “Oh, I’m good!” but the truth is that you are not good at that moment, you will inevitably feel lonely. This discomfort arises from a lack of genuine connection and intimacy. 

Loneliness isn’t a flaw or failure—it’s a signal. For many men, it can feel shameful or weak to admit feeling isolated, but the truth is that loneliness may be pointing you toward the connection and support your mind and body deeply need. If that’s hard to believe—if your lived experience tells you that connection isn’t safe or possible—you’re not alone in that, either. That pain is real, and it deserves compassion.

Dual Diagnosis

Many men experience co-occurring mental health and substance use disorders. Dual diagnosis treatment tackles both issues at the same time, recognizing how depression, PTSD, or bipolar disorder may be driving unhealthy behaviors.

Eating Disorders

Although often overlooked, eating disorders like binge eating and body dysmorphia affect men, too. These conditions can be tied to trauma, shame, and perfectionism. When we trace it back, and unhealthy relationship with food can often be rooted in unprocessed grief, body-based trauma, or a desperate attempt to feel in control. Specialized care is critical to promoting long-term wellness and better mental health.

Explore Men’s Treatment Centers

Not all treatment centers are created equal. When searching for support, it’s important to look for men’s programs that are trauma-informed, personalized, and led by licensed mental health professionals. From support groups to inpatient rehab, men have options for addressing their mental health needs.

FAQs

Q: What are some inspiring quotes to support men’s mental health?


A: Inspiring quotes like “It’s not weak to speak” or “Real strength is asking for help” remind men that vulnerability is a part of courage, not a contradiction to it. These messages help normalize emotional expression and support seeking help.

Q: Can quotes about mental health help men open up about their struggles?


A: Yes, quotes can be powerful conversation starters. They provide language for feelings that may be hard to express and let men know they’re not alone in their experiences.

Q: What to say to a man struggling with mental health?


A: Offer validation and support: “You don’t have to go through this alone—I’m here for you,” or “It’s okay to not be okay, and it’s okay to ask for help.”

Q: Why is men’s mental health overlooked?


A: Cultural expectations and stigma around masculinity often discourage men from expressing emotions or seeking help, leading to underdiagnosed and untreated mental health issues.

Q: Are men less prone to mental illnesses than women?


A: No. While women are more likely to be diagnosed with certain conditions like depression or anxiety, men often experience mental health issues differently—and may be less likely to seek help, which can increase the risk of substance use or suicide.

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How to Deal With Depression: 9 Proven Recovery Methods

Depression can feel like an invisible weight, making even the simplest tasks seem overwhelming. If you’re wondering how to deal with depression, you’re taking an important first step—and effective help is available. 

Recovery from depression is entirely possible through a combination of professional treatment, self-care strategies, and support from others. Here, we outline 9 proven strategies that have helped countless people living with depression reclaim their mental well-being. 

Illustration featuring the quote 'Depression tries to convince you that you’re the storm — but you’re really the one weathering it,' with an image of a sad person standing under rain, imagining an umbrella.

1. Understand the Condition: Recognizing Depression’s Impact

Depression is a common and serious mental health condition that affects how you feel, think, and handle daily activities. Globally, depression impacts 5% of the adult population1 and 13% of adolescents. Also known as major depressive disorder or clinical depression, it can cause persistent feelings of sadness, hopelessness, and a loss of interest in activities once enjoyed.

Adolescents can be especially vulnerable to depression due to hormonal changes, academic and social pressures, identity development, and increasing exposure to social media and cyberbullying. For teens, the prevalence of major depressive episodes2 was also higher among females at 29.2%.

Dr. Kay Redfield Jamison, a clinical psychologist and professor of psychiatry at Johns Hopkins University who has written extensively about her own experience with bipolar disorder and depression, shares in her memoir An Unquiet Mind:3

Depression is awful beyond words or sounds or images. It bleeds relationships, blanches pleasure, eats memory, peace and self-respect.

While it can be one of the most challenging mental health conditions, when we understand what depression is and other aspects, it can help support long-term and sustained recovery.

Infographic titled 'How to Start Small When You Have Depression,' featuring simple coping strategies like opening a window, drinking a glass of water, putting on clean socks, stepping outside for one minute, brushing teeth, writing down one feeling, playing one calming song, and sitting up in bed. Includes an illustration of a person sitting under a raincloud holding a checklist.

2. Assess Personal Risk Factors: Customizing Your Recovery Approach

Depression is a complex mental health condition that can affect individuals of any age, gender, background, or income level. However, certain factors may increase the risk of developing depression:​

  • Family history of mental illness or mental health problems: Individuals with a family history of depression or other mental disorders are at a higher risk of experiencing depression themselves. ​
  • Chronic medical conditions: Living with chronic illnesses,4 such as heart disease, can elevate the likelihood of developing depression.
  • Exposure to trauma: Experiencing traumatic events,5 especially during childhood, significantly increases the risk of depression.
  • Substance use: The misuse of substances6 like alcohol and drugs is closely linked to the onset and severity of depression.

Understanding these risk factors is crucial for early identification and intervention, which can lead to more effective management and treatment of depression.

How has managing depression—either personally or professionally—shaped your understanding of mental health and well-being?

As a trauma therapist, I’ve learned that depression often isn’t just a chemical imbalance; it’s a nervous system response to overwhelm, loss, or disconnection. Professionally, supporting clients through depression has deepened my belief that healing comes through safety, self-compassion, and co-regulation. It’s taught me to honor slowness and softness as valid forms of strength.

Amanda Stretcher, MA, LPC-S | Crescent Counseling

3. Identify Your Depression Type: Targeting the Right Treatment

There are several types of depression, each with distinct characteristics:

  • Major depressive disorder (MDD): Severe symptoms that interfere with daily life. MDD is characterized by a persistently low mood, anhedonia (loss of interest or pleasure), feelings of guilt or worthlessness, fatigue, and other symptoms that impair daily functioning.7 Diagnosis requires at least 5 symptoms present most of the day, nearly every day, for a minimum of 2 weeks. It’s one of the leading causes of disability worldwide.
  • Persistent depressive disorder: Long-term (2 years or more) symptoms that may be less severe but still disabling. This chronic form of depression8 involves a depressed mood lasting for at least 2 years in adults (one year in children and adolescents), accompanied by additional depressive symptoms that may not meet the criteria for MDD but still cause significant distress.
  • Bipolar disorder: Involves episodes of depression9 alternating with mania. Bipolar disorder includes episodes of depression alternating with periods of mania or hypomania. The depressive episodes share similarities with MDD, but the presence of manic symptoms distinguishes bipolar disorder from unipolar depression.
  • Postpartum depression: Occurs after childbirth. This type of depression occurs after childbirth, characterized by sadness, fatigue, changes in sleeping and eating patterns, reduced libido, and crying episodes. It’s more severe and longer-lasting than the “baby blues.”
  • Seasonal affective disorder (SAD): Related to changes in seasons, typically starting in the fall or winter. SAD is a subtype of depression10 that occurs at a specific time of year, usually in the fall or winter, and remits in the spring. Symptoms include low energy, hypersomnia, overeating, weight gain, and craving for carbohydrates.
Infographic titled 'Change the Script: Reframing Your Thoughts in Depression,' showing examples of shifting negative thoughts like 'I'm lazy' to 'I'm struggling' and 'I'm weak' to 'I'm surviving something hard,' alongside an illustration of storm clouds parting to reveal sunshine.

4. Monitor Your Symptoms: Tracking Progress for Effective Recovery

Persistent Feelings of Sadness or Hopelessness

This isn’t just “feeling down” for a day or 2. It’s a heavy, lingering sadness that doesn’t seem to lift, even when good things happen. You might wake up with a pit in your stomach or go to bed feeling like nothing will ever get better. Hopelessness can feel like your future has disappeared into fog.

Loss of Interest in Hobbies and Activities

Things that once brought you joy—music, cooking, hiking, spending time with friends—start to feel meaningless. You might force yourself to participate, but it feels like going through the motions. It’s not laziness; it’s as if your connection to pleasure has been cut off.

What treatment strategies or coping tools have you found most effective in reducing symptoms of depression and improving day-to-day life?

In order to effectively treat symptoms of depression, evidence-based treatment suggests engaging in behavioral activation. This is activating one’s brain through different activities, specifically geared towards enjoyable, valuable, and routine activities. When someone becomes depressed, there is decreased brain activity, so it is helpful for one to engage different parts of their brain through several types of activities. Will this cure depression? No, but this will help activate the brain into a non-depressed state for a temporary period of time, which, over time, will help to lift one’s mood overall.

Jennifer Chicoine, MA, LCPC | Peaceful Healing Counseling Services

Sleep Problems (Insomnia or Oversleeping)

You might lie awake for hours, exhausted but wired with worry. Or, sleep might become your escape, and even after 10–12 hours, you still feel tired. Either way, it disrupts your rhythm and makes the days feel even harder to face.

Weight Loss or Weight Gain

Your appetite may vanish entirely, or food might become a form of comfort. You may notice clothes fitting differently, but not care enough to do anything about it. These changes can be subtle or dramatic, but they often reflect deeper emotional shifts.

Fatigue or Low Energy

This isn’t just being tired—it’s like your body has run out of fuel. Even small tasks, like taking a shower or replying to a text, can feel overwhelming. It’s frustrating because you want to do more, but the energy simply isn’t there.

Difficulty Concentrating

Reading a book or following a conversation can feel like trying to think through fog. Your brain just won’t focus. You may find yourself rereading the same sentence or zoning out in meetings, which adds to feelings of guilt or inadequacy.

Feelings of Worthlessness or Guilt

You might start believing you’re a burden or that you’ve let everyone down. Even small mistakes can spiral into overwhelming self-criticism. These thoughts don’t come from truth—they come from depression distorting your self-image.

Thoughts of Self-Harm or Suicidal Thoughts

In the darkest moments, depression can convince you that the world would be better off without you. These thoughts are serious and require compassionate, immediate support. You’re not alone, and help is available—even if it’s hard to ask.

These symptoms must last for at least 2 weeks to be considered a depressive episode.
But if you’re experiencing even one or 2 of these symptoms persistently, it’s worth talking to a mental health professional. If you are having thoughts of self-harm or suicidal ideation or thoughts, please reach out for emergency medical care. You are not alone.

The 988 Lifeline is a resource for you at any time of the day, every day of the week.

5. Identify Root Causes: Understanding Depression’s Origins

Depression results from a combination of genetic, biological, environmental, and psychological factors. Common causes and risk factors include:

  • Imbalances in brain chemicals like serotonin
  • Traumatic life events or prolonged stress
  • Chronic medical conditions or pain
  • Substance use or withdrawal
  • Low self-esteem or negative thoughts
  • Family history of mental health conditions

What message would you share with someone currently experiencing depression who may feel hopeless or unsure about seeking help?

People often mistake sadness for depression. The capacity to feel sad when experiencing a loss of some kind is emotionally healthy. Sadness, like all emotions, has a rhythm of its own and will pass in time. Depression, however, is emotional constipation, i.e., being numb, detached, and unable to feel sad, and it is very responsive to a ‘laxative’, or treatment, such as psychotherapy. For someone who is unsure about seeking help, the best way to find a good therapist is to start by asking trusted friends and family if there is someone with whom they’ve had a good experience. I recommend that you get a few names and meet with those therapists until you find what feels like a good fit for you.

Avrum Weiss, PhD

6. Seek Proper Diagnosis: Working With Healthcare Professionals

A health care provider or mental health professional diagnoses depression by evaluating your symptoms, personal history, and mental well-being. Tools like the PHQ-9 questionnaire may be used, and blood tests may help rule out underlying medical conditions.

  • Self-report questionnaires: These are completed by the individual and ask about the presence and severity of depressive symptoms over a specific period (usually the past 2 weeks).  
  • Patient Health Questionnaire-9 (PHQ-9): This is a widely used, brief, 9-item self-report questionnaire. It directly corresponds to the DSM-5 criteria for major depressive disorder. It helps in diagnosing depression, assessing its severity (minimal, mild, moderate, moderately severe, severe), and monitoring treatment response. A score of 10 or higher is often used as a cut-off for indicating clinically significant depression. The PHQ-2, a shorter 2-item version, is often used as an initial screening tool.  
  • Beck Depression Inventory (BDI): This 21-item self-report inventory assesses the severity of depressive symptoms. Individuals rate the presence of various symptoms on a 0-3 scale. Higher total scores indicate more severe depression. It’s suitable for individuals aged 13 to 80 and has been validated across various populations.  
  • Center for Epidemiologic Studies Depression Scale (CES-D): This 20-item questionnaire was initially designed for use in the general population but is also used in primary care settings to screen for depressive symptoms. It asks about the frequency of symptoms in the past week, rated on a 4-point scale. It can be used for a wide age range, including children.
  • Edinburgh Postnatal Depression Scale (EPDS): This 10-item self-report questionnaire is specifically designed to screen for depression in women after childbirth. It asks about symptoms experienced in the past week.  
  • Geriatric Depression Scale (GDS): This scale is specifically designed for older adults (60 years and over). It is available in different lengths (e.g., 30-item, 15-item, and a shorter 4-item version) and typically uses a yes/no format for responses, making it easier for some older individuals to complete.  
  • Clinician-administered rating scales: These scales are administered through structured interviews conducted by a healthcare professional. 

Many behavioral healthcare providers use the DSM-5-TR to provide diagnostic criteria. For example, here is an example of the criteria for major depressive disorder.11

A diagnosis requires the presence of 5 or more of the following symptoms during the same 2-week period, with at least one of the symptoms being either depressed mood or loss of interest or pleasure: 

  1. Depressed mood most of the day, nearly every day
  2. Markedly diminished interest or pleasure in all, or almost all, activities most of the day, nearly every day  
  3. Significant weight loss or weight gain (when not dieting or an increase/decrease of more than 5% of body weight in a month), or decrease or increase in appetite nearly every day  
  4. Insomnia or hypersomnia nearly every day
  5. Psychomotor agitation or retardation nearly every day (observable by others.  
  6. Fatigue or loss of energy nearly every day
  7. Feelings of worthlessness or excessive or inappropriate guilt nearly every day
  8. Diminished ability to think or concentrate, or indecisiveness, nearly every day
  9. Recurrent thoughts of death (not just fear of dying), recurrent suicidal ideation without a specific plan, or a suicide attempt or a specific plan for committing suicide.

The symptoms must cause clinically significant distress or impairment in social, occupational, or other important areas of functioning and not be due to the direct physiological effects of a substance or another medical condition.  

It’s important to note that while these tools are valuable for screening and assessing the severity of depressive symptoms, a diagnosis of depression should always be made by a qualified healthcare professional based on a comprehensive evaluation, including a clinical interview, the individual’s history, and the consideration of other potential medical or psychological conditions.

Screening tools help identify individuals who may need further evaluation and support from a trained medical or treatment professional.

7. Explore Treatment Options: Finding Your Path to Recovery

Psychotherapy (Talk Therapy)

  • Cognitive behavioral therapy (CBT): CBT is a widely used form of therapy that helps individuals recognize and change negative thought patterns and behaviors. It’s especially effective in treating mild to moderate depression and can prevent relapse. Research supports CBT as one of the most effective interventions for depression.12
  • Interpersonal therapy (IPT): IPT helps people improve communication and relationships, often disrupted by depression. It focuses on current interpersonal issues like grief, role transitions, or conflicts.
  • Behavioral activation: This approach encourages individuals to engage in meaningful activities to increase positive reinforcement and reduce avoidance, a common symptom of depression.

Medication (Antidepressants)

Selective serotonin reuptake inhibitors (SSRIs) like fluoxetine and sertraline are commonly prescribed and have been shown to relieve symptoms in people with moderate to severe depression.

The National Institute of Mental Health highlights that antidepressants can take 4-8 weeks to work13 and should be closely monitored by a healthcare provider.

Lifestyle Changes and Self-Care

  • Regular exercise: Exercise boosts endorphins and supports neurogenesis, or the growth of new brain cells. It can be as effective as medication for mild depression.
  • Sleep hygiene: Improving sleep routines can help stabilize mood and reduce depressive symptoms. Going to bed and waking up at the same time each day is a good place to start.
  • Nutrition: A balanced diet rich in fruits, vegetables, whole grains, and omega-3 fatty acids supports brain health. Some studies suggest that dietary interventions may reduce depressive symptoms.

Social Support

  • Group therapy and peer support: Talking with others facing similar struggles can reduce isolation and increase motivation. Group settings also allow for shared coping strategies.
  • Family involvement: Involving supportive family members in the recovery process can improve outcomes and ensure a more stable environment.

Advanced and Emerging Treatments

  • Mindfulness-based cognitive therapy (MBCT): MBCT combines mindfulness techniques with cognitive therapy to reduce relapse in those with recurrent depression.
  • Transcranial magnetic stimulation (TMS): TMS uses magnetic pulses to stimulate areas of the brain associated with mood regulation. It’s FDA-approved for treatment-resistant depression.
  • Ketamine and esketamine (Spravato): These medications offer rapid relief of symptoms and are typically used when other treatments haven’t worked. They must be administered under medical supervision.

8. Practice Prevention Strategies: Building Mental Health Resilience

Can I prevent depression?

While you can’t always prevent depression, there are ways to reduce your risk. Building up protective factors can help build resilience for this condition. However, often times, treatment is needed for long-term recovery and positive outcomes.

These are a few healthy coping strategies that you can try:

  • Stay connected with a support group or loved ones
  • Manage stress through mindfulness14 or gratitude practices
  • Maintain a healthy lifestyle with regular exercise and good nutrition
  • Seek help early when experiencing symptoms
  • Avoid alcohol and drug use, which can worsen mental health

With proper treatment and support, most people recover from depression. However, it can be a recurring condition, and managing long-term well-being is key. Early intervention improves outcomes, and ongoing support can help prevent relapse.

9. Develop Daily Management: Living Well Despite Depression

When should I see my healthcare provider about depression?

Depression isn’t just feeling sad—it can affect every part of your life. If you’re not sure when to ask for help, here are some key signs it’s time to reach out to a doctor, counselor, or mental health professional:

You should see your healthcare provider if:

  • Symptoms last more than 2 weeks. Things like persistent sadness, fatigue, or loss of interest in activities you used to enjoy.
  • You’re struggling with daily life. This might look like trouble at work, in relationships, or just keeping up with basic self-care.
  • You have thoughts of self-harm or suicide. These thoughts are serious and deserve immediate attention. You are not alone, and help is available.

You are not alone. Many people—just like you—face depression. Healing is possible. And reaching out is a brave and important step toward recovery. Talk to someone you trust—a friend, pastor, or mentor—and let them know how you’re feeling.

Schedule an appointment with a primary care provider or therapist. You don’t need to have all the answers—just take the first step. Use support resources if you’re in immediate danger or need someone to talk to.

If this sounds like what you’re going through, take one small step today. Reach out to a professional or supportive friend. You are worth it. And help is just a conversation away.

FAQs

Q: What are the best ways to deal with depression?

A: Effective treatment for depression often includes a combination of therapy, antidepressant medications, physical activity, and support from loved ones. Working with a mental health professional can help you develop a personalized plan that addresses your specific needs.

Q: What triggers depression?

A: Depression can be triggered by a range of factors, including genetics, traumatic life events, chronic stress, substance use, medical conditions, and imbalances in brain chemistry, such as low serotonin levels.

Q: How to get out of depression naturally?

A: Some people find symptom relief through natural approaches like regular exercise, mindfulness meditation, healthy eating, sleep routines, and maintaining social connections. While these can be helpful, severe depression often requires professional treatment.

Q: How do you cope with a depressed person?

A: Offer support by listening without judgment, encouraging them to seek help, and being patient. Avoid trying to “fix” them. Suggest professional resources like a mental health provider or the 988 Lifeline.

Q: What are the symptoms of depression?

A: Common symptoms include persistent sadness, loss of interest, fatigue, changes in sleep or appetite, difficulty concentrating, and thoughts of self-harm or suicide.

Q: What are the different types of depression?

A: Types include major depressive disorder, persistent depressive disorder, postpartum depression, seasonal affective disorder, and bipolar disorder (which includes depressive episodes).

Q: What is the link between smoking and mental health conditions?

A: Smoking is more common among people with mental health conditions and may temporarily relieve stress, but it often worsens mental illness symptoms over time and is linked to higher rates of depression.

Q: What is substance use disorder?

A: Substance use disorder (SUD) is a mental health condition characterized by the uncontrolled use of substances, such as drugs or alcohol, despite harmful consequences. SUD often co-occurs with depression.

Q: When should I call my healthcare provider?

A: Call if you notice depression symptoms lasting more than 2 weeks, if they interfere with daily life, or if you or a loved one has suicidal thoughts.

Q: How can I help a loved one who is depressed?

A: Be present, listen with compassion, encourage professional help, and check in regularly. Avoid minimizing their pain. Share resources like the 988 Lifeline or a mental health provider.

Q: Can exercise help alleviate depression symptoms?

A: Yes. Studies show that regular physical activity boosts mood, reduces anxiety, and supports long-term mental health by increasing endorphins and serotonin.

Q: Are there effective self-help strategies for managing depression?

A: Yes. Journaling, setting small daily goals, practicing gratitude, and limiting social media use can support emotional well-being.

Q: Are there lifestyle changes that can help alleviate depression?

A: Yes. Healthy nutrition, consistent sleep, reducing alcohol and substance use, and nurturing social relationships can all help improve mental health and ease depression symptoms.

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How Much Does Rehab Cost? 

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

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

1. Price Levels of Addiction Treatment

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

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

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

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

2. Factors That Influence the Cost of Rehab

Type of Treatment

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

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

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

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

How do you pay for rehab?

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

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

Location

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

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

Services Offered

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

Program Length

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

Amenities

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

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

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

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

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

3. Using Insurance to Pay for Addiction Treatment

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

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

Will My Insurance Cover Rehab Expenses?

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

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

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

Which Alcohol and Addiction Rehabs Accept Insurance?

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

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

How Medicaid and Medicare Can Help Cover Treatment Costs

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

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

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

What is the average cost of rehab?

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

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

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

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

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

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

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

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

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

5. Additional Rehab Treatment Financing Options

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

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

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

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

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

Using Your Own Money to Pay for Treatment

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

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

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

Is going to treatment or rehab worth it?

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

Charles Harris, CADC-II

6. Your Recovery is Worth the Cost of Rehab

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

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

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

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

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

FAQs

Q: What are the price levels of addiction treatment?


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

Q: What factors influence the cost of rehab?


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

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

Q: Does insurance cover addiction treatment?


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

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


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

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


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

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

Q: What financing options are available for rehab?


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

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

Q: Is rehab worth the cost?


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

Q: How do I find an affordable rehab center?


A: You can find cost-effective treatment by:

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

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

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Navigating the Tempest: Understanding Binge Drinking in College

As dusk settles on college campuses, a familiar scene unfolds. Throngs of students escape the confines of lecture halls, swapping textbooks for what might seem like harmless revelry. Yet, beneath the veneer of college nightlife lurks a more troubling ritual: binge drinking. This practice, often glamorized as a rite of passage, carries profound implications for health, safety, and academic success.

Binge Drinking in College: Understanding the Risks and Promoting Safer Choices

Binge drinking in college is a pervasive issue that threatens student health, academic performance, and safety. Understanding the risks associated with this behavior is crucial for developing strategies that promote safer choices. Defined as consuming an excessive amount of alcohol in a short period, binge drinking is alarmingly common among college students, often due to social pressures, a desire for acceptance, or as a misguided method for managing stress. 

The consequences can be severe, ranging from immediate risks like accidents and alcohol poisoning to long-term effects such as liver damage and psychological disorders. Addressing this issue requires a multi-faceted approach that includes education on responsible drinking, enhancing campus mental health resources, and fostering an environment where students feel supported in making healthier decisions. By raising awareness and providing practical interventions, colleges can help mitigate the dangers of binge drinking and guide students toward safer, more informed choices.

The High Tide of Binge Drinking

Binge drinking is defined as consuming five or more drinks for men or four or more for women1 in about two hours. However, these numbers are just a starting point for many college students. The National Institute on Alcohol Abuse and Alcoholism reports alarming statistics: roughly 2 out of 5 college students admit to binge drinking within the past month.

Why do so many students find themselves caught in the current of excessive drinking? The reasons are as complex as the individuals themselves. Social pressure acts as a powerful undertow, pulling even the most steadfast into its depths. For others, alcohol serves as an anchor, steadying the tumult of stress and anxiety that often accompanies university life.

The Impact: A Ripple Effect

The consequences of binge drinking extend beyond individual health risks, such as injuries, alcohol poisoning, and long-term effects on brain function. Academically, it’s a storm surge that washes away potential. Studies link heavy episodic drinking to lower GPAs, missed classes, and delayed graduations. Socially, it can erode trust, fueling incidents of assault and impaired relationships.

Yet, it’s the hidden ripcurrents of mental health issues that are particularly concerning. Many students who binge drink may be attempting to navigate the murky waters of depression or anxiety, not realizing that alcohol, in reality, may pull them further from shore.

Changing Tides: Strategies for Navigating Safer Waters

Addressing binge drinking in college requires a multifaceted approach beyond mere policy changes and tapping into the heart of campus culture. Here are some strategies that can be implemented:

  1. Education and Awareness: Knowledge is the lighthouse guiding students away from dangerous waters. Comprehensive education about the effects of alcohol, tailored to college students’ realities, can demystify myths and highlight risks.
  1. Building Community: Creating strong, inclusive communities on campus can provide the social fulfillment many seek from alcohol. Clubs, sports, and other group activities can offer social connections without the need for binge drinking.
  1. Mental Health Support: Enhancing access to mental health resources can help address underlying issues that may contribute to binge drinking. Counseling, support groups, and wellness programs can provide lifelines to those struggling.
  2. Peer Intervention Programs: Training students to recognize the signs of alcohol abuse among their peers—and to intervene effectively—can act as a first line of defense against binge drinking behaviors.
  1. Parental Involvement: Engaging parents in discussions about alcohol providing them with strategies to open dialogues with their children, can reinforce healthy behaviors from a trusted source.

A Call to Action

As we chart the course for healthier collegiate environments, it’s crucial that all stakeholders—students, faculty, administrators, and parents—work collaboratively to alter the tide of binge drinking. No matter how small, each step taken is a step towards calmer, safer seas.

While the waters of college life are often turbulent, navigating them does not necessitate succumbing to the undertow of binge drinking. We can guide our students to survive and thrive in these formative years with concerted efforts and communal support.

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How to Stop Procrastinating: A Guide to Getting Things Done: Dr. Sarah Anderson

We’ve all experienced it—the clock ticking, the deadline looming, and instead of diving into the task at hand, we’re doing everything in our power to avoid it. It’s a struggle for many—procrastination. Whether it’s delaying a work project, avoiding studying for exams, or putting off a household chore, procrastination affects us all. But what exactly is procrastination? Why do we do it? And most importantly, how can we stop?

Procrastination is more than just a bad habit—it often stems from psychological and emotional factors that make it difficult to stop. However, there are effective strategies that can help you regain control. By adopting these techniques, you can improve focus, productivity, and time management, leading to reduced stress and more effective action. 

What Is Procrastination?

Procrastination is the deliberate avoidance of tasks. While everyone procrastinates from time to time, chronic procrastination can lead to stress, guilt, and anxiety. It’s important to note that procrastination isn’t a sign of laziness; rather, it’s a complex psychological phenomenon.

Procrastination is often seen as a failure in self-regulation (Steel, 2007). It involves engaging in activities that provide short-term satisfaction—like watching TV or scrolling through social media—rather than focusing on tasks with long-term benefits. This leads to a buildup of pressure as deadlines draw near, and over time, chronic procrastination can contribute to increased stress, poor performance, and decreased self-confidence. Ultimately, this cycle can negatively impact mental health.

Why Do We Procrastinate?

Procrastination often has deeper psychological roots than what appears on the surface, and understanding these underlying factors can help us break the cycle. Here are some of the most common reasons people procrastinate:

Fear of Failure or Perfectionism

One of the biggest reasons for procrastination is a fear of failure. When confronted with a challenging task, we may avoid starting it entirely because we’re so focused on not doing it perfectly. Perfectionists, in particular, tend to procrastinate because they are afraid of making mistakes, and this fear of imperfection often leads to complete avoidance of tasks (Flett et al., 1992).

Perfectionists tend to set unrealistically high standards for themselves, which can create a fear of inadequacy and result in avoidance. They often delay work because they worry they won’t meet their own expectations. Research has shown that perfectionism is strongly correlated with procrastination, especially when individuals feel the need to achieve flawless results (Flett et al., 1992). As a result, procrastination becomes a coping mechanism to avoid facing the potential for imperfection or failure.

Low Motivation or Lack of Interest

Sometimes, we procrastinate simply because we don’t want to do the task. If the task feels boring, overwhelming, or uninteresting, it can be difficult to find the motivation to start. Van Eerde (2003) found that individuals are more likely to procrastinate on tasks that are perceived as unpleasant, tedious, or lacking in immediate rewards. If a task doesn’t excite us, it’s easy to push it aside in favor of more stimulating activities. For example, instead of working on a long-term assignment, you may find yourself distracted by social media or texting. This is especially true for tasks that feel unrewarding, like studying for a far-off exam or working on a large project that won’t pay off immediately.

Poor Time Management

Procrastination is often linked to poor time management. Without a clear plan or sense of urgency, it’s easy to delay tasks until the last minute. Effective time management also involves prioritizing tasks. When someone struggles to determine what’s most important or urgent, they may have difficulty deciding what needs to be done immediately and what can wait. 

Additionally, if we don’t allocate enough time for each task or misjudge how long something will take, procrastination becomes even more tempting. Without a clear structure, it’s easy to push tasks aside until the pressure of a looming deadline creates unnecessary stress.

Avoidance of Discomfort

Procrastination often functions as an avoidance strategy. Tasks that feel mentally taxing or anxiety-inducing—like writing a report or filling out paperwork—tend to be delayed. This avoidance can provide temporary relief from uncomfortable emotions such as anxiety, frustration, or boredom (Sirois et al., 2013).

However, procrastination only worsens the situation. Although it may offer short-term relief, the underlying stress and anxiety will eventually accumulate, leading to an even more overwhelming experience in the long run.

The Consequences of Procrastination

While procrastination might feel like a temporary escape, it can lead to several negative long-term consequences:

Increased Stress

Procrastination typically results in higher levels of stress and anxiety as deadlines draw near. The longer we delay a task, the more pressure we feel to complete it last-minute. This creates a cycle of stress that worsens with every delay.

Lower Quality of Work

Procrastinators often rush to finish tasks at the last minute, which compromises the quality of their work. Steel (2007) found that procrastinators tend to perform poorly on tasks because they are rushed or distracted by the anxiety that comes with looming deadlines.

Negative Impact on Mental Health

Chronic procrastination can contribute to feelings of guilt, shame, and low self-esteem. The cycle of avoidance and stress gradually erodes self-confidence, resulting in a diminished sense of well-being (Sirois, 2014). These negative emotional experiences can ultimately impact mental health.

Relationship Strain

Procrastination can also strain relationships, especially in work or personal settings. If you’re constantly delaying tasks or missing deadlines, it can create tension with colleagues, family members, or friends who depend on you to fulfill commitments.

Methods to Stop Procrastinating

Stopping procrastination is not easy, but it is entirely possible with the right strategies. Below are several evidence-based techniques that can help you take control.

Break Tasks into Smaller Steps

One of the most effective ways to combat procrastination is by breaking large tasks into smaller, more manageable steps. Complex tasks can feel overwhelming, but when divided into bite-sized chunks, they become much more achievable. Instead of thinking, “I need to write a 10-page paper,” focus on one small part at a time—like writing a single paragraph or creating an outline. This makes the task feel less intimidating and helps you build momentum.

Use the Two-Minute Rule

The two-minute rule is a simple technique that helps you get started on tasks. The rule is straightforward: if something takes less than two minutes to complete, do it immediately. This principle helps prevent small tasks from accumulating and reduces the mental resistance to starting a task. David Allen, creator of the Getting Things Done productivity method, advocates for this approach as a way to prevent procrastination (Allen, 2001). Tackling quick tasks immediately builds momentum and makes larger tasks feel more manageable.

Time Blocking and the Pomodoro Technique

Time blocking involves setting aside specific periods of time to focus on tasks, creating a structured schedule that fosters a clear sense of priority and helps reduce procrastination. Similarly, the Pomodoro Technique—while a form of time blocking—offers a more structured approach by having individuals work in 25-minute intervals followed by a 5-minute break (Cirillo, 2018). 

Create a Reward System

Rewarding yourself after completing tasks can help keep motivation high. When tasks are boring or unpleasant, offering a reward afterward can make them feel more rewarding. For example, treat yourself to a break, a favorite snack, or a fun activity after completing a task. Self-reward can boost motivation and reduce procrastination by reinforcing productive behaviors, which increases the likelihood of forming better habits.

Practice Self-Compassion

Practicing self-compassion is a key strategy for overcoming procrastination. Instead of criticizing yourself for delaying tasks, practice kindness and understanding. Studies show that individuals who are self-compassionate tend to procrastinate less because they don’t experience the same level of guilt and shame that fuel procrastination (Sirois, 2014). Instead of berating yourself for procrastinating, recognize that it’s a normal part of life and focus on taking small steps to move forward. 

Why Common Strategies Might Not Work for Individuals with ADHD

While these strategies are effective for many, individuals with ADHD face unique challenges that make traditional procrastination techniques less effective. While pretty much everyone procrastinates from time to time, individuals with ADHD often experience chronic procrastination. Understanding the neurocognitive differences that contribute to procrastination in ADHD is crucial when it comes to finding effective solutions.

1. Impaired Executive Functioning

ADHD is associated with impairments in executive functions, such as planning, organizing, and task initiation (Gustavson & Miyake, 2017). These deficits make it challenging for individuals with ADHD to break tasks into smaller, manageable steps or develop detailed plans for completing them. As a result, strategies like task breakdowns may not be effective unless individuals are specifically taught how to make the process easier and more engaging. 

While procrastination is inherently tied to issues with executive functioning, it’s important to note that individuals with ADHD do not always respond well to typical strategies for overcoming procrastination. For example, standard techniques like setting deadlines or using time management tools may not provide the same level of effectiveness, as they do not account for the unique ways ADHD affects attention, motivation, and task initiation.

2. Skewed Time Perception

People with ADHD often struggle with “temporal discounting”—a tendency to underappreciate the amount of time a task will take and how imminent the deadline truly is (Thomas et al., 2007). This skewed sense of time makes it difficult to use time-based techniques like time blocking effectively. People with ADHD may feel that they have “plenty of time” until the deadline arrives, causing them to delay work unnecessarily.

3. Emotional Dysregulation

People with ADHD experience heightened emotional responses to tasks, especially those that feel overwhelming or uninteresting. This emotional sensitivity increases the likelihood of procrastination, as individuals with ADHD may avoid tasks to escape negative feelings such as anxiety or frustration (Van Eerde, 2003).

Tailored Approaches for ADHD

For individuals with ADHD, more tailored and personalized strategies are necessary. Here are some techniques that can be particularly effective:

1. Finding the “Why”

Connecting tasks to personal interests or long-term goals can increase motivation. Because individuals with ADHD often struggle to generate intrinsic motivation for boring tasks, linking them to a bigger “why”—such as future career benefits or personal goals—can help increase engagement (Gustavson & Miyake, 2017).

2. Gamifying Tasks

Making tasks more engaging by turning them into games or challenges can increase focus. For example, challenge yourself to complete a task in a set amount of time and track progress to add an element of competition. Gamification increases dopamine release, making tasks feel more rewarding.

3. Using Visual Cues

Visual reminders such as sticky notes, to-do lists, or color-coded calendars are especially effective for people with ADHD. These visual cues provide constant reminders, helping to trigger attention and prioritize tasks (Van Eerde, 2003).

4. Flexible Time Blocks

Rather than using rigid time blocks, allow for flexibility in work periods. People with ADHD often experience fluctuating energy and focus levels, so alternating between work and breaks can make time blocking more effective. When taking breaks, set a timer to help you get back on track. I recommend using a simple timer, separate from your phone, as this reduces the risk of distraction and prevents getting further off task.

5. Novel Rewards

Rewards are more motivating for people with ADHD when they are novel or aligned with personal interests. Instead of generic rewards like snacks, opt for activities that are personally engaging, such as watching a favorite TV show or dedicating time to a hobby. Additionally, changing up rewards regularly can help maintain their novelty and excitement.

6. Urgency

For individuals with ADHD, creating a strong sense of urgency can be crucial to overcoming procrastination (Barkley, 2015). Without a clear deadline or immediate pressure, tasks can feel endless, leading to avoidance. Setting internal deadlines that are earlier than the actual due date or breaking tasks into smaller, time-limited segments can help create that necessary sense of urgency. Additionally, having external pre-deadlines can be particularly helpful. 

For example, if you need to complete a paper for a class by a specific date, joining a writing group with an earlier deadline can create added urgency. This strategy helps ensure you finish your paper on time by giving you a deadline that’s sooner than the final due date. This approach prevents the tendency to delay work until the last minute and can increase focus by encouraging quicker decision-making and action. Creating time constraints also taps into the heightened focus people with ADHD may experience under pressure, motivating them to complete tasks efficiently.

7. Body Doubling

Body doubling is a strategy that can be particularly effective in reducing procrastination, especially for individuals with ADHD or those who struggle with focus. The concept involves having another person present while you work—whether in person or virtually. This “body double” doesn’t need to actively participate in the task, but simply their presence can create a sense of accountability and reduce the temptation to get distracted. The idea is that the act of having someone else in the room can provide the necessary external structure to stay on task and help combat feelings of overwhelm or isolation (Dittner, 2004).

8. Self-Compassion

As with anyone struggling with procrastination, practicing self-compassion is key for people with ADHD. Acknowledging the unique challenges posed by ADHD helps to reduce self-criticism and guilt. Self-compassion creates a more supportive mental environment for tackling procrastination (Sirois et al., 2013).

Final Notes

Procrastination is a challenging habit, but it’s one that can be broken. Understanding the psychological and emotional factors at play, and implementing targeted strategies, can help you regain control over your tasks and improve productivity. For individuals with ADHD, additional modifications and a more individual approach may be necessary to address unique neurocognitive differences. 

Whether it’s breaking tasks down, using time blocks, or practicing self-compassion, these strategies can help you reduce procrastination and unlock your potential.

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What Happens When You Quit Drinking Alcohol “Cold Turkey”

While the idea of immediately cutting off alcohol may seem like a fast path to recovery, it can actually be very dangerous, especially for those with long-term dependence. The body and brain become accustomed to alcohol’s presence, and suddenly removing it can trigger severe physical and psychological withdrawal symptoms. 

Safe recovery begins with knowing when to seek medical supervision and creating a plan that prioritizes your health and well-being.

Understanding Alcohol Dependence

Alcohol dependence, or alcohol use disorder (AUD), is defined by a loss of control over drinking habits1, leading to a need for alcohol and compulsive drinking. What may begin as social or stress-related drinking can cause a cycle where alcohol becomes the central part of life, regardless of its negative impact on health, relationships, and responsibilities. 

Key signs of alcohol addiction include

  • Increased tolerance
  • The inability to cut back or stop drinking
  • Withdrawal symptoms like tremors, nausea, or seizures

At large, alcohol dependence is a widespread issue, affecting around 283 million people worldwide2. It’s not confined to a specific demographic or region, but actually a global issue that affects young and old, rich and poor alike.

Alcohol dependence affects both the mind and body, creating a dual grip of addiction that makes it challenging to break free. Psychologically, alcohol becomes a coping tool. Many struggling with dependence may drink to manage underlying mental health issues3 like anxiety, depression, and trauma. 

Regular drinking interferes with the brain’s neurotransmitters4, especially those related to pleasure and reward, such as dopamine. Eventually, the brain begins to expect and depend on alcohol to maintain this pleasant state, and without it, the person experiences discomfort and distress. As the body adapts to the constant presence of alcohol, tolerance builds, requiring more to achieve the same effects. As the body becomes used to the presence of alcohol, suddenly removing it can be dangerous. 

What Does Quitting “Cold Turkey” Mean?

Quitting alcohol “cold turkey” refers to abruptly stopping alcohol consumption without safely tapering off or using any form of medical assistance—which can cause serious health consequences or be fatal. 

Brain chemistry changes when the body adapts to chronic alcohol use5. Alcohol depresses the nervous system6, so in response, the brain creates more receptors to stimulate the system. When alcohol is quickly removed, these receptors become hyperactive, leading to severe withdrawal symptoms.

Sudden alcohol cessation can trigger tremors, seizures, or even delirium tremens, a life-threatening condition. For this reason, it is vital to taper off alcohol under medical guidance. Medical professionals can monitor your vital signs, assess the severity of your withdrawal, and provide prescribed medications such as naltrexone if appropriate7 (this helps safely manage withdrawal symptoms). While quitting cold turkey may seem like a quick fix, the dangers outweigh the supposed benefits.

Immediate Risks of Quitting Alcohol Cold Turkey

When alcohol is abruptly removed from the body, common withdrawal symptoms often emerge within hours to a couple days8, including tremors, sweating, nausea, vomiting, and headaches. Many people also experience rapid heart rate, elevated blood pressure, and restlessness.

The brain, accustomed to the depressant effects of alcohol, can become hyperactive and dysregulated, making it difficult to manage emotional responses. Quitting drinking cold turkey can cause heightened anxiety, depression, irritability, and mood swings. For some, these distressing feelings can be overwhelming and lead to agitation or panic. 

Severe Complications of Alcohol Withdrawal

In the worst case scenario, seizures and delirium tremens (DTs) are the most severe and potentially life-threatening risks of suddenly quitting alcohol. Without immediate medical treatment, both seizures and delirium tremens can be fatal, which necessitates detoxing under medical supervision. 

Delirium tremens is a severe withdrawal condition that can lead to confusion, hallucinations, agitation9, and in extreme cases, heart failure. This medical emergency is characterized by sudden and extreme confusion, agitation, hallucinations, and severe changes in nervous system function. DTs usually appear 48 to 72 hours after the last drink.

The rebound effect of hyperactivity that the brain experiences after alcohol cessation leads to the intense symptoms associated with DTs.

Not everyone who experiences alcohol withdrawal will develop DTs, but some factors increase the likelihood including:

  • Chronic heavy alcohol use: Long-term, high-volume drinkers are at higher risk.
  • Previous episodes of withdrawal or DTs: Those who have gone through alcohol withdrawal before, especially if they’ve experienced DTs previously, are at greater risk.
  • Other medical conditions: Underlying health issues, particularly related to the heart, liver, or nervous system, can increase the risk of developing DTs during withdrawal.
  • Older age: Older individuals are more susceptible due to the cumulative effects of alcohol on the body and the slower withdrawal recovery rate.
  • Co-occurring substance use: Using other drugs in conjunction with alcohol, such as benzodiazepines or opioids, increases the risk of severe withdrawal symptoms like DTs.

DTs are fatal in 5-15% of untreated cases, due to complications like heart failure, severe dehydration, or head injuries from seizures. For those who survive, uncontrolled seizures can lead to permanent brain damage, cognitive impairments, or other neurological complications.

Medical Supervision and Detoxification

Detoxing under medical supervision is essential for your safety and well-being. Medically supervised detox programs provide proper care and attention to help individuals safely withdraw from alcohol, offering professional support every step of the way. 

These programs are usually held in hospitals or recovery facilities where compassionate medical staff closely monitor your condition to ensure the process is as safe as possible. The first step is a thorough assessment to understand your medical history, alcohol use patterns, and any co-existing mental or physical health issues. From this, a personalized detox plan is crafted, tailored specifically to meet your needs.

During detox, medical professionals may provide medications to help ease withdrawal symptoms and prevent serious complications. Throughout the process, they regularly check your vital signs to catch any potential concerns. In this supportive environment, any complications can be immediately managed, ensuring your safety in a way that isn’t possible when trying to detox alone.

The most effective way to manage withdrawal is a gradual tapering approach to alcohol detox, meaning slowly reducing alcohol intake or using medications to ease symptoms. This method allows time for your body to adjust, reducing both physical discomfort and emotional distress. With gradual tapering, the detox process becomes more manageable and less overwhelming. 

Psychological and Emotional Support

Therapy offers a safe space to explore the underlying reasons behind alcohol use and helps address the emotional struggles that often accompany recovery. Whether through 1-on-1 therapy sessions or group counseling, these services provide tools for managing cravings, coping with stress, and developing healthier thought patterns. A trained therapist can guide you through the ups and downs of recovery, offering encouragement and strategies to help you maintain your progress, even when challenges arise.

Support groups, such as Alcoholics Anonymous (AA), also play a vital role in long-term recovery. These groups offer a sense of community and belonging, providing a space to share experiences, struggles, and successes with others who understand what it’s like to overcome alcohol addiction. Regular meetings help keep you grounded in your commitment to sobriety and remind you that you’re not alone in this process.

Building a support network of family and friends is equally important. The people closest to you can offer emotional support, encouragement, and accountability, helping you stay focused on your goals. Surrounding yourself with loved ones who understand your commitment to recovery makes a significant impact, as they can provide a shoulder to lean on during tough times and celebrate your milestones with you. 

Long-Term Recovery and Relapse Prevention

Long-term recovery from alcohol dependence extends well beyond detox—it’s a journey that requires ongoing effort, self-awareness, and commitment. After detox, you can develop a plan with practical steps to stay on track, such as attending regular therapy sessions, continuing with support groups, and setting clear goals. These tools help provide structure and accountability, giving you the resources needed to navigate life without alcohol.

A critical part of relapse prevention is learning to recognize and manage your triggers (situations, emotions, people, or environments that may prompt the urge to drink). Understanding what triggers you and developing coping strategies—such as breathing exercises, reaching out to a trusted friend, or practicing distraction techniques—can help you manage these moments of vulnerability. 

Long-term recovery isn’t just about avoiding alcohol; it’s about creating a life you don’t want to escape from. With the right strategies, support, and self-care, you can maintain sobriety and build a future full of promise and possibility.

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The 12 Most Dangerous Drugs in the World

If someone is overdosing, call 911, or your local emergency services number, immediately. If you are qualified, administer CPR. Use Naloxone (Narcan) if available.

Dangerous substances like heroin, cocaine, and methamphetamine are known not just for their immediate effects but for how quickly they can lead to addiction, wreaking havoc on one’s body; however, mental health effects can be as equally severe. In most cases, addiction co-occurs with mental health issues like depression1 or can cause the onset of others, like psychosis. 

The unpredictability of dangerous drugs adds another layer of risk. Often, these substances are mixed with other harmful or deadly chemicals, especially in unregulated street sales.

Recognizing these dangers is vital for not just those directly at risk but for society as a whole. And awareness isn’t just about scare tactics—it’s about equipping people with the knowledge they need to make informed choices, and to understand that one experiment can turn into a life-altering struggle.

1. Heroin

Heroin is considered one of the most dangerous and addictive drugs2 in the world due to its powerful effects on both the brain and body. Heroin acts as a depressant on the central nervous system3, slowing down critical bodily functions such as breathing and heart rate. The drug can be injected, smoked, or snorted, and each method of use comes with its own set of health risks, such as infections like HIV and organ damage. Heroin also damages the brain through deterioration of white matter4, negatively impacting decision-making skills, emotional and behavioral regulation, and stress tolerance. 

Heroin is notorious for being highly addictive. When a person uses heroin, the drug rapidly crosses the blood-brain barrier, creating a euphoric rush by binding to opioid receptors in the brain. This intense pleasure, as well as harmful withdrawal symptoms, reinforces the desire to use the drug again, leading to repeated use. 

Heroin users also have a high overdose risk since it’s often mixed with potent substances like fentanyl. Fentanyl-laced heroin has led to a significant spike in overdose deaths5, as users often don’t know they are ingesting such a potent drug. Even a small amount of fentanyl can cause immediate death. 

2. Alcohol

Alcohol, while legal and widely consumed across the world, is one of the most dangerous and commonly misused substances6. It has a perilous long-term impact on physical and mental health, has the potential for addiction, and causes societal harm. Because alcohol is so deeply embedded in many cultures and social practices, its risks are often underestimated, but it remains a major public health issue worldwide.

Alcohol is a central nervous system depressant7, impairing brain function, motor skills, and judgment in the short term and ultimately leading to adverse changes in mental health. Excessive drinking can also lead to dangerous behaviors like impaired driving, risky sexual activity, and violence. 

Alcohol affects vital organs8, including the brain, liver, gastrointestinal system, cardiovascular system, and kidneys. Additionally, alcohol is a cancer-causing agent9 directly associated with multiple forms of cancer, including liver, breast, colon, mouth, throat, and more. 

3. Fentanyl

Fentanyl is one of the most potent and dangerous opioids in the world, and it has played a significant role in the ongoing opioid crisis. Initially developed for medical use, fentanyl is a synthetic opioid that is 50 to 100 times more potent than morphine and about 50 times stronger than heroin10. Doctors can prescribe it in specific cases to manage severe pain, particularly for cancer patients or those recovering from major surgeries. When used under medical supervision, fentanyl can be effective, but its extraordinary potency and widespread illegal use have made it incredibly lethal outside controlled settings.

Due to its strength, even a very small dose can suppress breathing to the point of being fatal. This risk is amplified in street fentanyl, which is often mixed with other drugs like heroin or cocaine without the user’s knowledge, dramatically increasing the risk of accidental overdose. The amount of fentanyl required to cause an overdose is so small that just a few milligrams—equivalent to a few grains of salt—can be deadly.

The widespread availability of illicit fentanyl has had devastating effects on communities, contributing significantly to the opioid overdose epidemic. According to the Centers for Disease Control and Prevention (CDC), synthetic opioids like fentanyl are now the leading cause of overdose deaths11, surpassing those caused by prescription opioids and heroin.

4. Cocaine

Cocaine is a powerful stimulant drug derived from the leaves of the coca plant in South America. Cocaine is highly addictive, as the intense craving and quickly developed tolerance make it difficult to quit. This tolerance often leads to higher doses and more frequent use, which significantly increases the risk of overdose. 

Cocaine overdoses are often fatal, especially when the drug is combined with other substances, such as alcohol or opioids. The combination of cocaine and heroin, known as a “speedball,” is hazardous, as the opposing effects of the two drugs can cause respiratory failure and death. 

Cocaine use also significantly increases the risk of heart attacks12, strokes, and arrhythmias, as it raises heart rate and blood pressure while constricting blood vessels. Even young, healthy individuals risk sudden death from heart complications after using cocaine. 

In addition to cardiovascular issues, cocaine can cause long-term damage to the brain, leading to cognitive impairments, memory loss, and an increased risk of strokes and seizures. Chronic users often develop mental health issues, including paranoia, hallucinations, and psychosis.

5. Methamphetamine

Methamphetamine, commonly known as meth, is a synthetic drug related to amphetamines13 but with more intense and longer-lasting effects on the central nervous system. Meth can be smoked, injected, snorted, or swallowed. These consumption methods make meth particularly dangerous, as they deliver enormous amounts of the drug into the bloodstream, amplifying the risk of addiction and overdose.

Meth’s impact on the body is both immediate and catastrophic14, leaving visible consequences over time. Users experience heart attacks, strokes, and arrhythmias, as well as “meth mouth”—or severe dental decay. Methamphetamine often causes users to compulsively pick and scratch at their skin, leaving sores and scars.

Mentally, methamphetamine use has devastating implications. The drug creates intense psychological dependence due to its powerful effects on the brain’s reward system, leading to addiction after just a few uses. Chronic users often experience severe paranoia, hallucinations, and psychosis. Eventually, meth can cause permanent cognitive damage, including memory loss, difficulty concentrating, and poor decision-making.

6. Benzodiazepines

Benzodiazepines, also known as “benzos,” are a class of drugs primarily prescribed for anxiety, insomnia, seizures, and other conditions. While Xanax, Valium, Ativan, and Klonopin are highly effective in treating short-term anxiety or helping with sleep disorders, they carry significant risks, especially when misused or taken over a long period of time. The soothing effects that make benzodiazepines helpful also make them dangerous, as they can lead to physical dependence, psychological addiction, and potentially life-threatening withdrawal symptoms.

When used regularly over a period of weeks or months, the brain begins to rely on the drug to maintain its calm state15, and natural GABA production (a neurotransmitter) is reduced. This dependence can happen even when the medication is taken exactly as prescribed. If the person tries to reduce their dose or stop taking the drug abruptly, they can experience intense withdrawal symptoms.

Benzodiazepine withdrawal is severe and can be life-threatening. Unlike some other drug withdrawals, which can be intensely uncomfortable but not fatal, stopping benzodiazepines suddenly after prolonged use can lead to serious complications such as seizures, delirium, hallucinations, and psychosis16. Common withdrawal symptoms also include extreme anxiety, panic attacks, muscle pain, insomnia, and agitation. It is vital to detox from benzos under medical care.

7. Crack Cocaine

Crack cocaine is a highly addictive and potent form of cocaine that appears as solid “rocks.” The user smokes the crack rocks, delivering an immediate and intense high that is more potent than snorting powdered cocaine but far shorter in duration. 

The stimulant properties of crack cause a dramatic increase in heart rate and blood pressure, putting immense strain on the heart and blood vessels. This can lead to serious conditions such as heart attacks, strokes, and permanent heart damage17. Smoking crack also causes lung damage18, leading to chronic bronchitis, persistent coughing, and respiratory infections. In more severe cases, long-term crack use can result in acute respiratory distress, which can be life-threatening.

Chronic crack cocaine use can lead to seizures and permanent cognitive disabilities18, such as memory loss, difficulty concentrating, and impaired decision-making. Over time, many users experience lasting brain function alterations, which can leave them struggling with basic cognitive tasks. Crack cocaine also leads to anxiety, paranoia, and psychosis.

8. Synthetic Cannabinoids

Synthetic cannabinoids, often marketed under names like “Spice,” “K2,” “Black Mamba,” or “Cloud 9,” are man-made chemicals designed to mimic the effects of THC found in marijuana19. These substances are typically sprayed onto plant material and smoked, or they can be sold as a liquid for vaporizing. 

While synthetic cannabinoids are sometimes advertised as a “legal” or “safe” alternative to marijuana, they are anything but. In fact, synthetic cannabinoids are among the most unpredictable and dangerous drugs20 in circulation today. They can cause extreme reactions that are vastly different from natural cannabis, posing serious risks to both mental and physical health.

Synthetic cannabinoids are extremely potent—which significantly increases the risk of overdose and severe reactions. Unregulated production causes some batches to contain highly concentrated chemicals while others may be weaker. 

The chemical formulations of synthetic cannabinoids are ever-changing—meaning that one batch of “Spice” or “K2” may contain entirely different chemicals than another, making it impossible to predict how the drug will affect the user. In many cases, the effects of synthetic cannabinoids are much more intense and dangerous than natural cannabis, often leading to severe health problems that can result in hospitalization or even death.

9. Prescription Opioids

Prescription opioids are a class of powerful pain-relieving medications prescribed for pain following surgery, injury, or in the treatment of chronic conditions like cancer. These medications, including oxycodone (OxyContin), hydrocodone (Vicodin), morphine, and fentanyl, come with significant risks, like the potential for addiction, overdose, and health complications. Their widespread availability and misuse play a central role in the opioid crisis, as well.

Sometimes, people misuse prescription drugs by taking higher doses than prescribed, using them without a prescription, or continuing to use them after their medical need has passed. This can quickly lead to dependence, causing withdrawal symptoms—such as anxiety, nausea, muscle aches, and intense cravings21—when they stop taking the drug.

10. PCP (Phencyclidine)

Phencyclidine, or PCP, is a powerful dissociative drug initially developed as an anesthetic for medical use, though it is no longer in practice due to its severe and unpredictable psychological effects. Today, PCP is a street drug used for dissociation, hallucinations, and altering perception, leading to violent behavior, self-harm, and life-threatening health consequences. PCP is typically sold as a white crystalline powder, though it is often found in liquid or tablet form. It can be smoked, snorted, ingested, or injected. It is sometimes sprayed on marijuana or tobacco and smoked.

PCP can cause severe psychological disturbances22, even at low doses. Users experience paranoia, delusions, aggression, and psychosis, contributing to long-term memory loss and cognitive decline. Some people slip into permanent psychosis, which may require long-term psychiatric treatment.

11. MDMA (Ecstasy)

MDMA, commonly known as ecstasy or molly, is a synthetic drug that alters mood and perception. Despite its reputation as a party drug, MDMA carries significant risks. In the long-term, MDMA causes serious damage to the brain’s serotonin system23 and has potential neurotoxic effects. Because MDMA releases large amounts of serotonin, frequent use can deplete the brain’s natural reserves of this neurotransmitter, leading to issues with mood regulation, memory, and cognition over time. 

MDMA is typically used in recreational settings and in conjunction with other substances, so it can be cut with other chemicals, such as fentanyl, methamphetamine, and caffeine. These substances can significantly alter the effects of MDMA, leading to more dangerous outcomes like overdose, extreme agitation, or psychosis. 

12. Ketamine

Ketamine is a dissociative anesthetic that has been used in both medical and recreational settings for decades. While ketamine has legitimate medical uses, when misused it can cause physical harm, psychological effects, and addiction. 

Ketamine is widely used as a recreational drug, and in these settings, ketamine is typically snorted or taken in pill form. Frequent ketamine use can lead to bladder and kidney damage, including ketamine-induced cystitis24, a condition characterized by inflammation and damage to the bladder. It can also cause memory problems, difficulty concentrating, and impaired cognitive function.

Similarly to MDMA, ketamine can be mixed with other dangerous substances, and as an unregulated party drug, it’s possible to have severe psychological reactions or overdose.

Treatment Options For Dangerous Drugs

A multifaceted treatment approach can support healing from drug addiction. No single treatment works for everyone, and the most effective programs are often tailored to meet each person’s unique needs.

Detox is a crucial first step in recovery, clearing the body of harmful substances while managing the often painful or dangerous withdrawal symptoms. In cases where withdrawal can be life-threatening—such as from alcohol, opioids, or benzodiazepines—medical detox is a necessity.

For those battling opioid or alcohol addiction, medication-assisted treatment (MAT) has proven to be an effective tool. By combining medications with counseling and behavioral therapy, MAT helps reduce cravings and withdrawal symptoms, making the road to recovery less overwhelming. Depending on your needs, your care team may recommend methadone, naltrexone, or others. 

Residential programs offer a structured, immersive environment, free from distractions, where you can focus entirely on healing. For patients who have been in inpatient rehab for 30+ days, it includes intensive therapy, medical care, and life skills training. You may participate in various evidence-based therapies such as cognitive behavioral therapy (CBT), motivational interviewing, and holistic approaches like yoga.

Outpatient care is another pathway, offering flexibility for those who need to balance treatment with work, school, or family commitments. With therapy sessions scheduled throughout the week, outpatient rehab allows you to remain at home while still receiving support. Like residential rehab, you may engage in individual, group, and family therapy.

Once formal treatment is complete, transitioning back to daily life can be daunting. Sober living homes provide a safe, drug-free environment where you can ease back into everyday life while continuing to receive support. These residences often require residents to attend therapy, maintain sobriety, and participate in household responsibilities, reinforcing the skills needed for long-term recovery. 

Find the Best Drug Rehabs

If you or someone you know is struggling with addiction, help is available. Taking that first step toward seeking support can feel overwhelming, but it’s also a step toward reclaiming your life. There are resources designed to guide you through the challenges of recovery and help you build a healthier, more fulfilling future. You don’t have to face this journey alone—reach out, lean on others, and know that with the right support, you can break free from addiction and rediscover your strength.
Use Recovery.com to find drug rehabs and see photos, reviews, insurance information, and more.

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Coping with Loneliness During the Holidays and Finding Connection and Joy: Caroline Beidler

The holiday season is often depicted as a time of celebration, family gatherings, and festive cheer. But for many, it can be a period of deep loneliness. 

Have you ever heard the phrase, “no man is an island?” 

It was penned in the 1600s by English poet, John Donne. He had lived through some stark, tragic times including a plague. Sounds rough, right? This tortured poet knew hardship. 

Have you been there? Maybe you are feeling the loneliness setting in now as the holidays are drawing close or coming to an end. Perhaps you have a bit more comfort than a 16th-century poet, but chances are you can connect with the feeling of being out on an island alone. 

In my own personal journey of recovery, there have been times when loneliness threatened to drown me, especially around the holidays. My substance use disorder pushed me further away from people, yet my heart needed and longed for connection. It was a cycle of pain that bred feelings of isolation for years, although I desperately longed for the type of community that I have since found in recovery.

Loneliness during the holidays can feel especially challenging, as all of the Target ads show glittering people with glistening smiles. The world reflects images of perfect families, joyful reunions, and hot cups of shared cocoa. Yet, loneliness does not have to define our experiences this holiday season or anytime throughout the year. We can create meaningful connections and find joy even during the most difficult times.

The Hidden Struggles of the Holidays

For many, the expectations surrounding the holidays can feel overwhelming. We see images on social media or hear stories of families coming together, and it can be easy to feel like we don’t measure up. Like our stories don’t matter. For those dealing with loss, whether from the death of a loved one to substance use or the end of a relationship, the absence can be especially painful.

The holidays can also trigger old wounds or stir up grief, making us more aware of who or what we are missing. In recovery, the season may present challenges as we balance sobriety with social gatherings (often associated with substance use) or family dynamics that can be emotionally painful and make us want to find the nearest deserted island.

What’s important to remember is that loneliness is not permanent. There are ways to address how we are feeling and even actions that we can take. 

Recognizing Loneliness as an Opportunity for Self-Reflection

What if we viewed loneliness as an opportunity for self-reflection or self-awareness? Quiet, still moments can have a purpose, too. We can think about our goals for the new year, explore a new hobby, journal, or meditate on what truly brings us peace.

Practices like journaling can help us to process challenging emotions and gain clarity. If you’re struggling with loss or grief, expressing your thoughts on paper can be a powerful tool. Writing is like having a deep heart-talk with ourselves. For me personally, I know that sometimes in writing I come to discover my thoughts, as if I am meeting them out for coffee for the first time.

Additionally, consider making a list of gratitude. This simple act can shift our perspective, helping us focus on what we have, not what is missing. If we are in recovery, chances are we have had the chance to be irritated by someone telling us to “write a gratitude list.” It might be irritating at times, but this is suggested because it works. Gratitude practices have been shown to improve mental health by increasing optimism and fostering mindfulness. 

Finding New Ways to Connect

We can connect in new ways during the holiday season if our families of origin or other friends are not healthy people we can be around or if we find ourselves feeling lonely for any reason. Feeling isolated during the holidays can also highlight the important need for connection. But connection doesn’t always have to come in the form of traditional family gatherings. There are many ways to reach out and form bonds with others during this time.

1. Reach Out to Healthy Friends: Get in touch with people you trust. When we are feeling lonely, sometimes that phone is heavy. It is hard to pick up the phone to text or call someone that may be a support for us. But even a simple phone call, text message, or video chat can make a difference. Let them know you’re thinking of them, and you might find that they’re experiencing similar feelings of loneliness or isolation.

2. Join a Support or Recovery Group: If you’re in recovery or dealing with grief this season or any time during the year, connecting with others who have been there can be transformative. There are many options for support that move us from our islands and into spaces where others may be feeling the same things we are feeling or who have experienced the same things. A safe space, either in-person or virtual, can help us find encouragement and the support we need to feel less alone.

3. Volunteer: One of the best ways to overcome feelings of loneliness is by helping others. Volunteering or being of service allows us to connect with our community and experience the joy of giving. Whether it’s serving meals at a shelter or church, helping at a local recovery community center or treatment center, or participating in other community events, showing up for others can help us feel less alone and more a part of something outside of ourselves.

Building Meaningful Traditions for Yourself

Sometimes, loneliness is exacerbated by a sense of loss or the absence of past traditions. Maybe your memory of holidays brings back trauma you experienced as a child. This holiday season, consider creating new traditions that reflect your values and recovery now. It’s exciting to think that we can create new ways to honor the seasons that are healthy and life-giving.

For example, you might start a tradition of reflecting on the past year and setting goals for the upcoming one. You could create a ritual of lighting candles each evening, journaling, or learning a new hobby you enjoy playing guitar or painting. New traditions can provide a sense of comfort and continuity, regardless of external circumstances. They can help us to embrace the present.

Seeking Professional Help if Needed

If loneliness feels overwhelming and is affecting your ability to function, it might be time to reach out for professional support or treatment. Addiction treatment can help you or a loved one manage difficult emotions and feelings of loneliness and help provide healthy coping strategies and tools.

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How to Handle Holiday Triggers, Family Dynamics, and Stay True to Your Recovery: Caroline Beidler

It’s beginning to look a lot like…the holidays. For those of us in or seeking addiction and mental health recovery, this time of year can bring up fond memories and important reminders of why we want to be sober.

This time of year, however, can also bring up family drama, unresolved trauma, and a whole host of triggers that can make November through the first of the year feel almost unbearable.

The holiday season is a time for joy, connection, and celebration. For many of us in recovery, it can also trigger anxiety, emotional strain, and even the urge to revert to old coping mechanisms. Family dynamics, past memories, and the social pressures of the season can become overwhelming, especially when recovery feels fragile or uncertain.

The good news is that while you can’t control the actions of others or the triggers that may surface, you have complete control over how you respond. There are things that we can do to not only set healthy boundaries but also protect our recovery in a way that promotes inner peace and well-being during the entire year, not just 

when… the weather outside is frightful.

Understand Your Triggers

Just like recovery can be a unique, individualized process, so too are the triggers or challenges that may come. These can be different and can include things that might seem obvious: going to a bar, a favorite liquor store or dealer’s house, or another person, place, or thing that is associated with our using days.

Triggers can also be unexpected, such as a smell, taste, or song. Sometimes, painful memories or temptations surface when we least expect them, in the most unsuspecting ways.

The holidays can also bring a sense of nostalgia for many of us surrounding our substance use. Family gatherings can be like a boxing ring with tensions high, old patterns surfacing, and even substances like alcohol present that offer an easy “out” for those uncomfortable feelings and emotions.

Especially when our loved ones don’t understand what recovery is or if they struggle with their own substance use challenges.

For some of us in recovery, triggers might include:

Unhealthy family dynamics: Loved ones who don’t understand our journey, or speak and act in stigmatizing or exclusionary ways may unintentionally (or intentionally) bring up uncomfortable, hurtful things like past behavior. You may even have to dodge offers for a drink or another substance.

Holiday expectations: Think Clark Griswold from one of my all-time favorite Christmas movies. The pressure to recreate the perfect holiday season may amplify tensions, feelings of stress and guilt, or even loneliness, which can wreak havoc with our mental health, which might already feel fragile.

Old traditions: One of my favorite past traditions around the holidays was isolating. I would show up for the meal and then bolt as soon as I could. Whether it’s binge eating, drinking, or other “old traditions” that may be tough to let go of, what is easy or comfortable can feel tempting when we are navigating the stress of the season.

Acknowledging, understanding, and being on guard against these triggers is the first step in being mindful of holidays in recovery. Whether you have a tough time believing it yet or not, the holidays don’t have to be a season of stress—they can become a time for deepening your self-awareness and nurturing your recovery.

Practice Boundary Setting

At its core, setting boundaries is about protecting our space. Our hearts, minds, physical selves, and spirits. 

Boundaries are about recognizing what feels safe for us and taking action (even when it’s tough) to ensure our well-being is prioritized and respected. When we think of boundaries, we often think of them as walls, but in reality, they’re more like shields that allow us to continue living and engaging with the world, but on our own terms.

Healthy boundaries let you engage in the holidays without compromising your values, your recovery, or your peace of mind. They aren’t about creating conflict, instead they are about protecting our peace, mental health, recovery. 

So how can we create boundaries with intention this holiday season?

Say “No” with Love

Boundaries also involve the art of saying no. It’s easy to feel guilty or pressured into attending every event or meeting every expectation, but the truth is, you don’t owe anyone an explanation for protecting your peace. Saying “no” isn’t selfish—it’s a form of self-care.

If a holiday gathering feels overwhelming, it’s okay to skip it. You don’t need to be everywhere or do everything. 

It might sound silly, but you can practice saying no. Sometimes this means sending a text instead of calling so that you can firmly state your “no” without anyone trying to argue or dissuade you. 

What matters is that you’re being true to your values and protecting your recovery. 

If someone does pressure you, or pushes back on the boundary you set, you can still respond in a kind, but firm way: 

“I’m choosing to rest tonight, but I appreciate the invite.”

“This doesn’t work for me today. Let’s get together for lunch another time.”

“Right now, I’m not able to attend. Thanks for offering.”

Remember, you can say no with love. A friend once told me that most people aren’t concerned about you, they are more concerned about themselves. We are also not responsible for other people’s feelings or expectations. We can control what we can which is our own mental health and recovery.

Prepare for Holiday Challenges

Another way to stay true to our recovery during the holiday season is to prepare for the challenges before they arise. Before that family gathering that is keeping you up at night,, take some time to meditate on what is important to you. What are your values? What are your limits?  What are my non-negotiables? 

What situations, people, or places tend to trigger discomfort, stress, or temptation?

Once you’ve identified your boundaries, communicate them clearly with your family or close friends. Be assertive about what you need to feel safe—whether it’s saying no to alcohol, limiting certain conversations, or avoiding particular gatherings. Assertiveness is key. It’s okay to stand firm in your decisions, even if others may not understand them.

For example, if a family member offers you a drink, you can politely but firmly respond with: “I’m in recovery, so I don’t drink anymore. Thanks for understanding.” Setting that boundary may feel uncomfortable at first, but remember—your well-being is the priority.

Shift Your Perspective

Mindset is an integral part of the recovery process as we continue to heal. As we navigate the season, we can focus on having a recovery mindset. Instead of seeing boundaries as barriers or limitations, we can view them as tools that enable us to live with greater freedom. Boundaries are not walls that keep us isolated. There is a surprising and welcome joy that comes when we live true to our values, when we love ourselves too.

We can also view the holidays as a time when we can create new traditions and memories—ones that honor our recovery, uphold our well-being. Some of my favorite holiday times now is when I can create new experiences with my family: Decorating the tree sober, hiking in the woods, making ginger bread house, going to our church children’s Christmas pageant rehearsals. These moments can be opportunities to build new associations, replacing old triggers, tensions, and stress with what the season is really about.

Stay True to Our Recovery

This holiday season, let’s take time to reflect on how we can stay true to our recovery.

  • What triggers can we understand and address in new ways?
  • How can we practice saying “no” with love?
  • When can preparing for holiday challenges help prevent more struggles?
  • How can shifting perspective and having a recovery mindset help us enjoy the season in new ways?

We have the joy and honor of creating new holiday memories that reflect our values of recovery. This time of year does not have to be a time of stress or a recurrence of use. With support, we can take positive action to not only handle the struggles of the season but also come to appreciate and experience the joys in new ways.