Category: Inpatient

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Types of Private Accommodations in Rehab

Not every rehab has the same accommodations—in some, you’ll share a room with multiple people; in others, you could have a whole villa to yourself. It all depends on where you go and what kind of accommodations you feel you need for your recovery.

The more private and luxurious your accommodations, the more expensive costs of care usually are. You’ll find different forms of accommodation across various tiers of rehabs, from state-funded to top-of-the-line, private luxury.

Low-Level Rehabs (Inexpensive Rehabs or State-Funded Rehabs)

State-funded, inexpensive, or free rehabs typically have simpler accommodations. These facilities may welcome those who have been court-ordered into rehab or those who need care but can’t afford it. If you don’t have health insurance, paying for rehab can sometimes be difficult. Low-level rehabs can be a viable answer for many.

Staying at these centers still provides treatment that can be invaluable. You can still access evidence-based therapies, like 12-Step meetings, and have group therapy during your stay. These facilities typically have a higher staff-to-patient ratio, and a small variety of care options. Treatment plans may be impersonal and the same for every patient. You’ll likely receive cafeteria-style meals that aren’t able to accommodate dietary needs due to budget constraints and low staffing.

Usually, you’ll share a bedroom with 2+ roommates. You’ll have a simple bed, a place to put your clothes, and maybe a desk or side table. You’ll likely share a bathroom and showers with others in treatment. Free or low-cost facilities will also have simpler living spaces and therapy rooms; they’ll focus more on functionality than looks.

Mid-Level Rehabs

Mid-level rehabs are typically centers that accept insurance and have room in their budget for more individualized care and nicer accommodations. They may accept Medicare and Medicaid, along with private insurance and non-insurance payments.

A mid-level rehab will usually have a lower staff-to-patient ratio and be able to provide individual therapy, plus an individualized treatment plan for each client. You may also be able to access further care options, like outpatient, after you complete residential treatment.

Mid-level rehabs may also have detox on site. You might learn life skills and have help getting back into work or school, too. Meals will likely be fresh and prepared with dietary restrictions in mind. You’ll eat with your peers in a dining hall and practice socializing without using substances.

In a mid-level rehab, you’ll most likely share a room with at least one other person. You can expect comfortable beds and bedding and rooms that have a few decorations or homey touches. You’ll share a bathroom with your roommates. You’ll likely have a dresser and a couple chairs in your shared room.

The facility may also have amenities like a pool, a small fitness room with a few pieces of equipment, and outdoor spaces. 

Executive Rehabs

Executive rehabs feature personalized care that addresses addiction and its underlying causes. They’ll have more resources available to treat addiction and co-occurring mental health conditions like trauma. You may also have access to specialized treatments like transcranial magnetic stimulation (TMS), brainmapping, biofeedback, and cryotherapy. In some cases, executive rehabs could offer alternative treatments like psilocybin, ketamine, and other psychedelics (depending on legality in their state/country).

Executive rehabs typically provide a full continuum of care, too. This means detox, residential treatment, and one or more levels of outpatient care. They’ll often stay connected with you for a long time after you leave, either through periodic check-ins or through a robust alumni program. 

You’ll have the option of a private or shared room at an executive rehab, with private rooms available for an extra cost ($1,000-3,000+). In shared and private rooms, you’ll enjoy spacious and well-decorated rooms designed with comfort in mind. Private rooms typically have an ensuite bathroom, or you’ll share a large bathroom with your roommate. 

Amenities at an executive rehab could include a pool, a well-stocked gym, a yoga/meditation room, a library, and chef-prepared meals. You’ll have access to snacks, coffee, and tea, along with nutritional counseling. 

As the name implies, many executive rehabs cater to the needs of executive professionals. You’ll typically have partial or full access to electronics (depending on your needs and treatment plan) to maintain crucial work responsibilities. The private nature of executive rehabs makes them a good choice for professionals needing discretion, like pilots, lawyers, doctors, and C-level executives.

Executive rehabs commonly accept private insurance and private payments and do not accept Medicare and Medicaid.  

Luxury Rehabs

Luxury rehabs have the look and feel of a high-end resort. You’ll receive personalized treatment plans and typically have access to whatever treatment modalities you need—some luxury rehabs only welcome one client at a time for highly personalized care. A care team collaborates frequently to tailor your recovery and continuously meet your needs. Luxury rehabs often provide detox, residential treatment, and a form of outpatient care.

Luxury rehabs are usually in a unique location, like on an island or a private countryside estate. Some ultra luxury rehabs provide all their services on a yacht or a private island. You’ll have a spacious room and bathroom to yourself (sometimes, you may have a villa or home completely to yourself). All meals will be chef-prepared and aligned to your individual nutritional needs. You’ll likely have access to your phone and laptop at set hours.

Treatment at a luxury rehab addresses all areas of your mind, body, and spirit for a highly comprehensive experience. Your treatment team may work with outside providers to make sure you get the exact treatment you need. This could include medical specialists, life coaches, personal trainers, and more. 

Luxury rehab amenities include spa rooms, indoor/outdoor pools, saunas, gyms, luxury bedding and furniture, well-designed spaces, theater rooms, and well-appointed outdoor areas with walking trails, beach access (location dependent), and sport courts. 

Benefits of Private Accommodations in Rehab

Private accommodations offer multiple benefits for recovery and personal growth. Not everyone will thrive in a private setting, and that’s okay. For example, those who’d like to build relationships and grow close to their peers in recovery may prefer shared accommodations.  

For those who would like private accommodations, they can expect benefits like these:

  • Privacy. You have a room and bathroom to yourself; you don’t have to share your space.
  • Space to Unwind. You can completely relax in your own space and reflect on what you learned each day.
  • Peace and Quiet. Since you have a room to yourself, you won’t have to worry about noise from a roommate. This can be especially helpful for light sleepers. 
  • Highly Personalized Treatment. In some luxury rehabs, you’ll have an entire villa or home to yourself and a treatment team dedicated solely to your success. And in general, the fewer patients a rehab center admits, the more personalized your care will be.

Find an Addiction Rehab

Many rehabs offer private accommodations, ranging from a bedroom to yourself to a bespoke villa. Private accommodations can help the recovery journey for some, but they’re not always necessary. You may find a roommate and other shared accommodations align better with your recovery needs. 
To find an addiction rehab, browse our list of centers and see photos, reviews, insurance information, and more. 

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What to Ask a Rehab Center

Calling a rehab center for the first time can feel overwhelming, but it’s an important first step toward getting help.

Knowing what to expect when you get on the phone with a rehab can give you the confidence you need to make that first call. Here’s what to expect—and what to ask—when inquiring at a rehab.

Before you pick up the phone, it’s a good idea to have a list of questions you want to ask. It’ll help you feel prepared, and ensure you’ll get all of the information you need to make a decision about your treatment. 

Rehab Questions: The Basics

How much does treatment cost?

This is the first question on most people’s minds when they call a treatment center. Knowing the costs of treatment upfront allows you to financially prepare for rehab.

In the U.S., most insurance policies cover up to a certain level of treatment. Rehab admissions teams can usually help you find out what your plan will cover. Heather Charlet, Director of Admissions at Gallus Detox Center Colorado, explains that coverage “depends on each individual’s policy and what their out-of-network benefits are. We run a verification of benefits for every patient that has insurance to see what we’re able to cover.”

Use these questions as a starting point: 

  • Do you accept my insurance? 
  • If not, what are my payment options?
  • Is full payment required upfront or can I pay a deposit to hold my spot? 

Read more about how much rehab costs.   

Is there a waitlist?

Most people seeking treatment want help as soon as possible. Because of the large number of treatment centers available, waitlists generally aren’t common in the U.S. But in Europe and Australia have far fewer private rehab options, which may be waitlisted.  

Because addiction is an urgent issue, whether a rehab has a waitlist or not may determine if you can, or want to, receive treatment there. Knowing this right away can save you time. 

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Tell me more about your treatment approach and therapies.

The path to recovery is highly personal: What works for one person may or may not work for another. That’s why rehabs use so many different methods to treat addiction and mental health disorders. 

Faith-based, 12-Step, non-12-Step, and holistic rehabs are examples of rehab treatment approaches that frame entire programs and may appeal to different types of people. Specific therapies include a range of evidence-based and holistic treatments.

What works best for you depends on your personal framework, past treatment experiences, and addiction or mental health history. Learn what each center offers so you can decide whether their approach resonates with you.

How qualified is your staff?

Knowing who will care for you is just as important as knowing what methods they use. These rehab staff-related questions will help you get a clearer picture of the people guiding your treatment: 

  • What kind of professionals will I be interacting with on a day-to-day basis? 
  • Who will be on my treatment team? 
  • What are their qualifications? 

Rehab Questions: Details of Your Stay

What types of clientele does your program serve? Do you offer specialized services?

These questions are important for several reasons:

  • Some rehab programs are tailored to the needs of certain clientele. There are rehabs that cater to executives and wouldn’t be appropriate for teens, for example.
  • If you identify with ethnic or sexual minority groups, you may require resources to address your minority experiences. For example, a trans person may need an LGBTQ+ affirming environment to safely process trauma. 
  • You may need other specializations for a successful treatment experience, such as co-occurring disorder treatment or trauma-informed care.
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Do you offer on-site detox?

Some people require detox before they begin inpatient treatment. And some residential rehabs are equipped with the facilities and medical staff necessary to offer detox services on-site. Other centers may offer detox off-site through partnerships with local medical facilities. 

An admissions counselor or addiction specialist can help you determine if you need medical detox. 

Detoxing on your own can be harmful to both your physical and mental health. Consult with your doctor or a qualified medical professional when making decisions about detox. 

How many clinical hours does your program include

A key indicator of a rehab center’s value is how many individual therapy sessions you’ll receive per week. The more time you get to spend with your counselors and therapists, the more help you’ll directly receive. Some treatment programs consist mainly of group therapy sessions, while others include more one-on-one time with practitioners. Finding this out upfront can help you avoid unpleasant surprises when you arrive.  

What’s your policy on contact with loved ones? Can I use my laptop or cell phone?

Relationships with your partner, family, and friends are an essential part of your life and recovery. Don’t let fear of not knowing whether you’ll be able to communicate with them be the roadblock that stops you from getting help. 

Ask the center what their device or communications policies are: 

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Questions to Ask a Rehab Facility Before Being Released

Is it possible for me to extend my stay if necessary?

Most inpatient rehab programs have set lengths of stay that range from 30 to 90 days. Still, you never know what’s going to happen and if you’ll feel fully prepared to check out once you’ve reached the benchmark time spent in treatment. While most centers are happy to allow clients to extend their stay, if yours is waitlisted, it’s worth checking in advance. 

What kind of continuing care do you provide?

Most people require ongoing support and care after their stay at a residential rehab. Jan Gerber, CEO of Paracelsus in Zurich, Switzerland, points out: 

“What happens after treatment is probably the most important question about treatment, because that’s what people go back to after they leave from treatment. The whole concept of aftercare is maybe even more important than the treatment itself.” 

Certain components of continuing care, such as ongoing therapy and a strong support network, are essential to relapse prevention. But aftercare options vary greatly between rehab centers. Some centers may not offer continuing care, or may offer these services at an additional cost. So make sure you find out as much information as possible about their aftercare program.

Choosing the Right Rehab Center for You

Wherever you are in the process of seeking help, it’s okay to not have all of the answers. The first phone call to a rehab is a key first step toward getting the help you need. Make the most of your conversation with an admissions advisor so you can make an educated choice about which center is best for your needs.

Browse our list of rehabs to learn more about available treatment options.

Frequently Asked Questions About Calling a Rehab Center

What happens when you call a drug rehab?

An intake specialist will ask a series of questions to learn more about you. This helps them determine the level of care you need and other treatment details. It’s also a chance for you to find out more about the center.

What questions should I ask when choosing a drug rehab?

These questions can help you make the most out of your call:

  • How much does treatment cost? 
  • Is there a waitlist? If so, how long is it? 
  • Tell me about your center’s philosophy and treatment methods.
  • What kind of specialists do you have on staff?
  • Do you offer on-site detox?
  • How many clinical hours does your program include?

Who answers the phone when you call a rehab?

An intake or admissions specialist picks up. Sometimes a receptionist will answer and redirect your call. All rehab staff should follow ethical standards when interacting with potential patients.

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How to Find a Short-Term Inpatient Rehab

For most people, the phrase “inpatient rehab” conjures up the image of a monthlong stay in a treatment center. But that’s not the only way you can start healing. Short-term rehab programs can help you jump-start the healing process. Sometimes lasting only a few days, these programs offer intensive treatment for people in early addiction recovery. 

Finding a Short-Term Rehab

There are a few key differences between short-term treatment and more traditional rehab.

  • Short-term rehab can take anywhere from a few days to 2 weeks. Longer treatment programs typically last 28 days or more.
  • For the most part, shorter programs, such as a 7-14 day inpatient rehab, offer more intensive treatment. The goal is to jump-start recovery. This type of rehab may take less time, but it requires just as much focus and commitment.
  • While short-term treatment can help you begin recovery, it’s not always enough. Some of these rehabs—including most medical detox centers—require clients to enroll in a longer program before you even arrive on site. In that case, you’ll go directly to your next treatment center after you complete short-term rehab.

If this type of treatment sounds like a good fit, you can compare short-term programs based on several different criteria:

  • Location: If short-term rehab appeals to you because of its flexibility, you can look for a center close to home. You can find these programs around the world. Some are even attached to longer-term treatment centers, so you can easily update your care plan if necessary.
  • Types of treatment: Every rehab program is a little different. Short-term treatment can include medical care, talk therapy, alternative treatments, and more. Your length of stay is just one aspect of recovery.
  • Specific diagnoses: Rehab isn’t just for people healing from substance use. If you have a co-occurring disorder or physical health issues, you can look for a center that offers the care you need.
  • Insurance coverage: While there are many rehab centers that accept insurance, not all of them do. It may depend on your location, the provider’s location, and which types of treatment they provide. 

Is Going to Rehab for Detox the Same as Short-Term Rehab?

Medical detox can fall under the umbrella of short-term rehab. However, these terms mean different things. 

Some short-term programs require you to complete drug detox before you arrive, so you can focus more on mental health recovery. And some offer alternative treatments, which treat clients after detox but before longer-term rehab. 

How Long Do I Have to Stay in a Short-Term Rehab?

Like any other type of rehab, your length of stay depends on your specific rehab, your health, and your goals for recovery. Inpatient detox, for example, typically lasts a few days or up to a week. Clients with more severe physical symptoms may take longer to recover.

It’s important to note that very short programs are often not sufficient to heal symptoms, work through underlying issues and establish habits that support long-term recovery. After short-term inpatient rehab, clients have the option to continue treatment in an outpatient program (or choose a long-term inpatient rehab if necessary). 

Is Short-Term Inpatient Treatment Right for Me?

Short-term drug addiction programs can be a good fit for people with clear goals. These programs can help you take the first step on your recovery journey. Treatment can set you up for success as you move on to the next phase of healing. However, it’s rare for people to recover completely after just a few days. You’ll also need a strong support network to help you transition out of treatment. That could include loved ones, healthcare professionals, and other people in the process of recovery.

This approach is a powerful way to address acute or highly specific symptoms. However, short-term treatment is rarely enough on its own. Healing is a complex process, and it can take a long time. Even years after successful treatment, many people consider themselves to still be in recovery. If you’re still trying to define what you need from treatment, a longer program might be a better option. 

Pros and Cons of Short-Term Rehab

It’s important to weigh the pros and cons of any inpatient rehab program before deciding where you’ll go. Short-term rehab has some unique benefits and disadvantages. 

Benefits

  • Flexibility: You’ll need to take less time off work and away from family commitments. This can make it easier to plan your stay in a residential treatment center.
  • Intensive treatment: Short-term rehab packs therapy, medical care, and other treatments into just a few days of treatment. This can help you get a head start on the recovery process.
  • 24/7 care: Many of these facilities give you more access to healthcare professionals than you’d have in a longer program. 
  • Lower total costs: Depending on your specific center, the total cost of treatment might be lower than it would be in a 28+ day rehab. If you’re paying out of pocket, this can make recovery more affordable.

Disadvantages

  • Pressure to heal quickly: The timeline for recovery can be unpredictable. You can’t control when you’ll stop having withdrawal symptoms or have a breakthrough in talk therapy. You might get to the end of a short-term program and realize you need more time in residential rehab.
  • Back-to-back transitions: Both starting rehab and completing treatment are major transitions. In a shorter program, clients go through them with little time in between. That quick turnaround can be jarring, and in some cases, it can interfere with recovery.
  • Time for medications to take effect: As part of treatment, your care team may prescribe daily medication. Most psychiatric meds take effect in about 6 weeks.1 You might not know if they’re working for you until after you complete treatment.

Types of Short-Term Treatment

There are several different types of short-term rehab. It’s important to choose a program that aligns with your needs, goals, and values. 

Medical Detox

Inpatient detox is one form of short-term rehab. This type of treatment isn’t strictly necessary for everyone, but many clients find it helpful. Most inpatient detox programs last 5-14 days (14-day inpatient rehab), although that varies depending on your physical symptoms. 

If you’re healing from an opioid, benzodiazepine, or alcohol addiction, medical detox is essential. Detoxing from these substances can cause life-threatening symptoms, including delirium tremens.2 To see whether you’ll need medical care during withdrawal, you can learn more about detoxing in rehab.

Recovery Retreats

Some rehab programs offer intensive treatment in the form of a luxury retreat. You may even be able to bring family members, so all of you can start healing together. The lengths of these programs vary widely, ranging from days to weeks. 

Alternative Treatments

While many clients benefit from traditional medical care, some prefer a more holistic approach. Treatments like ibogaine therapy use alternative methods to help you recover. This psychedelic treatment lasts up to 72 hours, and can have a long-lasting impact on your mental health. Most programs include a few days of counseling before and after your actual ibogaine experience. It’s also important to note that the effects of ibogaine are not permanent. Most clients benefit from additional treatment after they complete one of these programs. 

Ibogaine therapy is just one type of short-term alternative addiction treatment. This approach is only available in certain countries, and it’s not appropriate for everyone. If you’re interested in trying an alternative therapy, talk to your doctor about whether this type of treatment could work for you. 

How Much Does Short-Term Inpatient Rehab Cost?

In most rehab programs, your length of stay determines the total cost. So if you’re paying out of pocket, short-term inpatient rehab can be much less expensive than a longer program. Alternatively, you can narrow your search to rehab centers that accept insurance.

The exact cost of short-term rehab varies widely depending on the type of treatment you receive and the location of your program. But many rehabs cost approximately $1,000/day.

Verify Your Insurance

Short-term rehab centers don’t always accept insurance. That’s most often true for recovery retreats and alternative treatment programs. When you’re choosing between rehab programs, you can ask their admissions teams for more specific information. You can also browse our list of insurance providers to find a program that can accommodate your plan. 

Compare addiction treatment centers and ask about available lengths of stay to find the program that meets your needs.

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Residential vs. Inpatient Treatment Programs

If you want 24-hour care while in recovery for addiction or mental health issues, you can choose between residential and inpatient treatment. While they may sound similar and some people even refer to them interchangeably, they’re 2 distinct treatment options. And one may be a better fit for you depending on your unique circumstances. 

What Is Residential Rehab?

Residential rehabs offer 24-hour care for people with addiction or mental health issues,1 typically outside of a hospital setting. You live at the treatment center and follow a set structure each day. 

Residential rehabs have different treatment approaches depending on their staff, location, and philosophy:

Many residential treatment centers combine these approaches to meet your needs. And depending on your rehab, you’ll also be able to access many different forms of therapy including group therapy, individual therapy, or experiential therapy. 

Some residential rehabs tailor their treatment programs to important parts of your identity:


With residential rehab, you typically get to choose where you receive treatment. 

What Is Inpatient Rehab?

Like residential treatment centers, inpatient rehabs also provide 24-hour care. However, inpatient treatment is usually a more intensive program2 in a hospital setting. Medical professionals like physicians direct your care alongside addiction specialists, nurses, and therapists.  

It’s a common option in emergency situations like overdoses or self-harm. Some patients enter into inpatient treatment as a result of going to the emergency room or having interactions with law enforcement.

Inpatient treatment is more medical in nature, which is why it requires the resources of a hospital. Because of that, it’s common to detox in inpatient care3 from substances like alcohol, opioids, or benzodiazepines because of how serious withdrawal symptoms can be. 

What Are the Differences Between Inpatient and Residential Rehab?

Inpatient and residential rehabs are similar in that you live at your treatment center. However, beyond that, your treatment will look different depending on which type of rehab you attend.

Setting and Level of Care Available

One of the main differences between inpatient vs. residential rehab is the level of care they provide based on their setting. According to the American Society of Addiction Medicine, residential treatment programs offer care that does not require the resources of a hospital.4 

Inpatient treatment programs provide the highest level of care, which requires hospital services with medical supervision. It’s typically for patients experiencing severe addiction or mental health issues: 

Intensity and Goal of Treatment

Because inpatient programming is for serious situations,5 it tends to be more intensive. The goal is to manage severe symptoms of withdrawal, overdose, or mental health conditions. Your treatment team will be focused on treating and stabilizing your condition. 

Meanwhile, in residential rehab, the primary goal is sustained recovery, so you’ll learn relapse prevention and coping strategies, be able to process past trauma and develop healthier habits. And while it’s still an intensive healing experience for the patient, it’s usually less medically intensive. 

Length of Stay

Inpatient care has a fixed length6 and is also usually short-term. In the U.S., many states have different laws dictating how long patients can be in inpatient treatment. For example, in most circumstances in California, inpatient services cannot last longer than 30 days.7

On the other hand, residential treatment is longer-term.8 The National Institute on Drug Abuse recommends at least 90 days of treatment9 in most cases. And the longer you stay in treatment, the more likely you are to have a successful recovery. Your length of stay may also depend on your insurance coverage, responsibilities at home, and recovery goals.

Choosing the Right Treatment Program for You

When deciding on which type of treatment to attend, consider the level of care you may need. If you’re detoxing from alcohol, opioids, or benzodiazepines, have a serious co-occurring disorder, or have not responded to treatment in the past, then an inpatient rehab may provide the higher level of care required. 

You don’t have to make this decision on your own. Your therapist or primary care physician can help you make the best choice for your unique circumstances. And, you can call admissions teams at rehabs to find out what level of care they offer. 

You can browse our list of rehabs to see reviews, pricing, insurance information, and more. To learn about RehabPath, including the latest announcements, visit us here.

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When Do I Need Residential Rehab?

Entering recovery is a major life change. While you’re learning how to heal from addiction, you might need a lot of support. For many people, inpatient rehab is the right place to start.

In these programs, you’ll get daily attention from a team of trained providers. In most centers, you’ll also be living with other people who are also in recovery. You’ll be held accountable by your therapist, your peers, and maybe even a team of doctors. During your stay, you can focus all your energy on recovery. This lets you kick-start the healing process, and make real progress before you return home.

But everyone’s journey is different. Residential treatment might not be a good fit for you. Some people need to keep living at home because of work or school commitments. Others have a strong support system, and want to stay close to them. And some types of insurance only cover outpatient treatment. In any situation, it’s important to choose a program that suits your specific needs.

In this article, you’ll learn about several aspects of residential treatment. Any one of these might be a pro or a con for you, depending on your goals for early recovery. You can use this comprehensive guide to decide whether inpatient rehab is the right place to start healing.

Medical Detox

For most people, detox is the first step in addiction recovery. And sometimes, it’s important to get medical treatment during this process. Some residential rehabs offer detox services, so you can stay in the same facility the whole time. Otherwise, you might spend a few days in a detox center before going to rehab.

Benefits of Inpatient Medical Detox

If you’ve been using alcohol, benzodiazepines, or opioids, medical detox is essential. Withdrawal from these substances can be life-threatening. Talk to your doctor before you make any major changes. Their advice can help you know what to look for in a detox program.

Detox can be helpful for people with a dependence on any drug, and those who are in poor physical health. You’ll likely work with a therapist and a psychiatrist, as well as a medical team. By the time you start rehab, you’ll already have a sense of how to approach mental health treatment.

The average length of these programs is 3 to 7 days, but that timeframe can vary widely. And even shorter detox treatment can have a major impact on your long-term recovery. In one study, those who completed both detox and rehab had far better outcomes than others.

Limitations of Medical Detox

Medical detox isn’t necessary for everyone. If you’re quitting smoking, for instance, detox can be uncomfortable—but it probably won’t be a health risk. The same is true for behavioral addictions, like gambling. People with these addictions might benefit more from going straight to longer-term rehab.

Insurance doesn’t always cover detox. This may change depending on your length of stay, and whether you’ll stay in the same place for rehab. Make sure you check with your insurance provider before choosing a detox program.

Residential Rehab Has a Structured Schedule

When you live on-site at a rehab center, you’ll be following a fully scheduled treatment program. A typical schedule will include 1:1 therapy, support groups, and complementary therapy. Most programs include down time for you to process everything, either on your own or with your peers.

Pros of a Structured Schedule

Daily life is full of triggers. You might experience stress at work, friction at home, or social pressure to do drugs. And when you have an addiction, your substance use can disrupt your daily schedule. And in turn, a lack of structure makes it easier to justify harmful behavior. This is where residential rehab programs can offer unique support.

Following a set schedule can also reduce decision fatigue. In other words, you can put your whole focus on healing, instead of worrying about what you’ll cook for dinner. And what’s more, your schedule will be carefully curated to facilitate your recovery. In a sense, there will be only one item on your agenda: doing the hard work of changing your life.

Cons of a Structured Schedule

If you have pressing commitments outside rehab, a strict schedule might not be a good fit. For example, you might be unable to take time off work to attend treatment. Or, you might need to live at home to care for a family member.

Cost can also be a factor in choosing a residential program. Even if your insurance covers treatment, you may not be able to afford the lost income. Some programs allow you to work during rehab, but it’s not the norm. If you need to work during early recovery, talk to the admissions team to see if they can accommodate that. If not, you might consider an intensive outpatient program (IOP) instead.

And for some patients, a highly structured routine might feel too strict. If you’d like to move through the day in a more intuitive way, inpatient rehab might not be a good fit. But make sure that your desire for flexibility stays grounded in the goal of healing. Even if you don’t go to inpatient treatment, it’s vital that you get help from experts in addiction recovery.

Inpatient Treatment Offers Expert Support

You can connect with healthcare professionals whether or not you go to rehab. These providers will help you decide on a treatment plan that meets your specific needs. If possible, it’s best to get evaluated by experts in both physical and mental health.

Benefits of Expert Support in Rehab

In rehab, your providers will work together to coordinate your treatment plan. And although you’ll be meeting them for the first time, they’ll have experience working together. This can simplify communication on all sides, and make your life much easier.

Your team may include a variety of professionals, including some or all of the following:

  • 1:1 therapist
  • psychiatrist
  • group therapist
  • family therapist
  • medical doctors and nurses
  • nutritionist
  • complementary therapists, such as an art therapist, equine therapist, music therapist, massage therapist, etc.

During treatment, you may build strong therapeutic relationships with your providers. These dynamics—sometimes called therapeutic alliances—can be hugely beneficial. In fact, a healthy rapport between counselor and client can make recovery more likely. ((Joe, G. W., Simpson, D. D., Dansereau, D. F., & Rowan-Szal, G. A. (2001). Relationships between counseling rapport and drug abuse treatment outcomes. Psychiatric Services, 52(9), 1223–1229. https://doi.org/10.1176/appi.ps.52.9.1223))

Limitations of Expert Support

It’s very important that you get professional support, even if you don’t go to an inpatient program. But there are some reasons you might prefer to work with providers in a different setting.

Once you arrive at a residential rehab, you’re committed to working with their staff. You might connect with the staff psychiatrist, but not with any of their talk therapists. And as long as you’re on-site, you might not have the freedom to look for another provider.

And even if you form a bond with all your providers, it will probably be temporary. At many rehabs, you’ll have to stop seeing your therapist when you complete treatment. They’ll usually help you find another provider to see after you return home. But even so, it may take you some time to adjust to your new provider’s style.

Rehab Offers a Change of Scenery

Traveling to rehab is a unique experience, and many patients find it inspiring. But even if you don’t leave your hometown, living in a residential facility will give you a new perspective. Something as simple as a change of scenery can improve your mental health.

Pros of Leaving Home for Rehab

Changing your environment can have a positive impact on brain chemistry. ((Heller, A. S., Shi, T. C., Ezie, C. E. C., Reneau, T. R., Baez, L. M., Gibbons, C. J., & Hartley, C. A. (2020). Association between real-world experiential diversity and positive affect relates to hippocampal–striatal functional connectivity. Nature Neuroscience, 23(7), 800–804. https://doi.org/10.1038/s41593-020-0636-4)) And according to one study, having new and interesting experiences can increase happiness. ((New and diverse experiences linked to enhanced happiness, new study shows. Retrieved from http://www.nyu.edu/content/nyu/en/about/news-publications/news/2020/may/new-and-diverse-experiences-linked-to-enhanced-happiness–new-st)) This data suggests that going away for addiction treatment might help motivate you to recover.

Physical space can also give you much-needed emotional distance. Early recovery is a great time to distance yourself from destructive relationships. For some people, this is the start of a permanent shift away from an unhealthy community. For others, it can be a break to regroup and consider your options. You can even take space from some people, and stay in touch with others.

A change of scenery can be helpful even if you’re not as focused on interpersonal dynamics. Triggers don’t always come from difficult relationships or situations. They can also be the mundane sights, sounds, or smells of your daily life. Taking a break from those triggers can give you insight into the basic, but sometimes unnoticed, habits of addiction.

Cons of Leaving Home for Rehab

Traveling to rehab isn’t financially feasible for everyone. In addition to the cost of treatment, you’ll have to pay out of pocket for travel expenses. This won’t be a concern if you attend an inpatient program close to home.

And even then, residential treatment can be isolating. You’ll likely have limited contact with your friends and family during your stay. You may also have less privacy than you’re used to, depending on the housing options at your facility. And living in close quarters with other patients might be a challenge.

Peer Support and Group Dynamics in Rehab

Most people attend rehab with a group of patients who share some part of their experience. The exact size of that group varies from one program to another.

The Value of Peer Support

A wealth of research shows that social support is important during addiction recovery. ((Stevens, E., Jason, L. A., Ram, D., & Light, J. (2015). Investigating social support and network relationships in substance use disorder recovery. Substance Abuse, 36(4), 396–399. https://doi.org/10.1080/08897077.2014.965870)) In one study, groups of people in addiction treatment inspired each other to focus on healing. ((1 groups and substance abuse treatment. (2005). Substance Abuse and Mental Health Services Administration (US). https://www.ncbi.nlm.nih.gov/books/NBK64223/)) By witnessing fellow members’ progress, they were drawn “into a culture of recovery.”

Your peers can support you in ways your healthcare providers can’t. Even if your therapist has a history of addiction, it would be inappropriate for them to share many details of their own life. By talking to other people in recovery, you can connect with people who understand you on a deep, personal level. This can help you work past shame and stigma.

These relationships also let you practice your interpersonal skills. Everyone in the group understands that you’re doing your best to face the challenges of recovery. They’re having the same experience, at the same time as you. This can make it a little easier to be compassionate when one of you makes a mistake.

Potential Issues With Group Dynamics

Chances are good that the shared experience of rehab will help you bond with the people around you. But, there’s no guarantee that you’ll connect. It’s natural to have concerns about how you’ll relate to the other people in your group. You can always use those concerns to help you choose an inpatient program.

For example, you might want to start treatment among people of your own gender. Many facilities offer women’s-only treatment, men’s-only treatment, and LGBTQIA+ affirming services. But in any of these specialized programs, you’ll still be isolated from your support network at home. That’s true even if you attend a program in your area.

If you have a strong local community, you might want to stay in touch with them throughout recovery. Some centers allow for this, but many ask you to take a break from contacting loved ones. Make sure you know your rehab’s policy well in advance, so you can make the decision that meets your needs.

It’s also ok to prioritize your mental health over your relationships. As tempting as it might be, don’t stay in touch with someone during rehab because you think they need you to. In the end, your recovery will improve the relationship more than a few phone calls ever could. Take advantage of your time in treatment. This is an opportunity for you to get to know yourself again—whether you attend inpatient rehab or not.

Complementary Therapy During Inpatient Treatment

Complementary therapies are used in combination with mainstream approaches, ((Complementary, alternative, or integrative health: What’s in a name? (n.d.). NCCIH. Retrieved from https://www.nccih.nih.gov/health/complementary-alternative-or-integrative-health-whats-in-a-name)) not instead of them. These treatments may include creative pursuits, sports, and outdoor adventures. Different rehab programs offer a wide range of complementary therapy techniques.

Benefits of Complementary Therapy

Recovery is more than an end to substance abuse. It’s also the start of your finding new, healthy ways to enjoy your life. Complementary therapies can help you build confidence while you learn a new skill. They can also turn into long-term hobbies after you leave rehab. These are some of the many therapies you might try during inpatient treatment:

  • massage
  • music therapy
  • art therapy
  • hiking
  • acupuncture
  • yoga
  • adventure outings, like swimming with dolphins or going on safari
    sports, like volleyball or tennis

These activities are both fun and therapeutic. By trying something new—or something you haven’t done in some time—you can break out of old patterns. And by taking a break from talk therapy, you’ll be able to process your feelings from a different point of view.

Limitations of Complementary Therapy

Every rehab program offers a unique set of complementary therapies. If you have your heart set on a certain activity, make sure your program offers it. Depending on what else you need from treatment, you may have to prioritize other therapies when you’re choosing a center.

This is especially important for patients with ongoing medical issues. You might have a chronic illness, or need treatment for health problems due to addiction. In that case, even if your program offers a certain type of therapy, you may not be able to participate. But over time, as your health improves, that may change. You may even be able to join in before you complete residential treatment.

Get Help Planning for Aftercare

Recovery doesn’t end when you complete inpatient treatment. According to the U.S. National Institute of Health, continuing care is an important way of “sustaining the positive effects” of rehab. ((McKay, J. R. (2009). Continuing care research: What we’ve learned and where we’re going. Journal of Substance Abuse Treatment, 36(2), 131–145. https://doi.org/10.1016/j.jsat.2008.10.004)) With that in mind, residential rehab facilities may help you plan for aftercare.

Get Help Planning for Life after Rehab

Your providers will try to set you up for success before you leave treatment. They may help you connect with one or more of the following resources:

You may also make a plan for relapse prevention, and discuss any other issues you’re concerned about. These conversations will help you prepare for your transition back to daily life.

Limitations of Planning for Aftercare

No matter how well you plan for life after rehab, you’ll go through an adjustment period. Most patients will have to start seeing a whole new group of providers, who may or may not know each other. It might take some time to establish relationships with them.

During that time, you’ll be going through many other changes. Whether you return home or move somewhere new, you’ll have to settle in. You’ll also be surrounded by a different group of people. And, no matter where you are, you might be getting back in touch with those you took space from during early recovery.

Many of these transitions are unavoidable, no matter how you approach treatment. But if you choose to do an outpatient program, they can take place more slowly. You’ll still make big changes to your life, but you might have more control over the timeline.

Exploring Your Options for Residential Rehab

When you first start recovery, it’s important to get the help you need. That means something different for everyone. Some people thrive in residential treatment. But inpatient rehab can be inaccessible, for many reasons. If your insurance won’t cover these programs, or you can’t step away from work and family, you can still heal from your addiction.

Learn about inpatient treatment options, including their pricing, types of therapy, and aftercare programs, on our list of rehabs that treat addiction and mental health.

Reviewed by Rajnandini Rathod

Posted on

Inpatient Treatment for Mental Health Conditions

Mental illness is highly treatable. But if you’re struggling, it can be hard to know where to start. Just remember that you are not alone, and that it’s ok to ask for help from the experts. Sometimes, the best way to begin healing is by attending an inpatient treatment program.

Residential rehab isn’t just for substance use disorders. These programs can also help patients heal from mental health conditions, manage chronic symptoms, and process trauma. They may be a good fit for those who need intensive treatment in order to kickstart the healing process.

Inpatient treatment won’t “cure” you. Most mental illnesses are lifelong conditions. However, you’ll likely leave the program with new knowledge and skills that will help you build a sustainable life. Different facilities treat a variety of mental health concerns, including but not limited to the following diagnoses:

Anxiety Disorders

The term “anxiety disorder” may refer to a number of specific diagnoses. Some of the major types of anxiety disorders are:

  • Generalized Anxiety Disorder (GAD) is characterized by chronic feelings of anxiety, regardless of life circumstances.
  • Social Anxiety Disorder causes excessive self-consciousness or anxiety in social situations. Symptoms may occur in specific situations, such as large parties or formal events, or may be present in all social interactions.
  • Panic Disorder is a condition in which patients have repeated and unexpected panic attacks, including both emotional and physical symptoms, such as intense fear and an elevated heart rate.

Other more complex conditions, such as Obsessive Compulsive Disorder (OCD) and Post-Traumatic Stress Disorder (PTSD) are sometimes also categorized as anxiety disorders.

Although anxiety disorders are the “most common mental illness in the U.S.,” ((Facts & statistics | anxiety and depression association of america, adaa. (n.d.). Retrieved March 25, 2022, from https://adaa.org/understanding-anxiety/facts-statistics)) only 36.9% of people with these diagnoses receive treatment. These patients are six times more likely than others to be hospitalized for psychiatric disorders.

Treatment Options for Anxiety Disorders

Anxiety disorders can be treated ((Anxiety disorders. (n.d.). National Institute of Mental Health (NIMH). Retrieved from https://www.nimh.nih.gov/health/topics/anxiety-disorders)) with medication, talk therapy, or both. Commonly prescribed anxiety medications ((Bandelow, B., Michaelis, S., & Wedekind, D. (2017). Treatment of anxiety disorders. Dialogues in Clinical Neuroscience, 19(2), 93–107. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5573566/)) include SSRIs (like Prozac), SNRIs (like Cymbalta) or benzodiazepines (like Xanax).

Whether or not they take medication, people with these conditions often benefit from various types of talk therapy. Cognitive behavioral therapy (CBT) ((Yoshinaga, N., Matsuki, S., Niitsu, T., Sato, Y., Tanaka, M., Ibuki, H., Takanashi, R., Ohshiro, K., Ohshima, F., Asano, K., Kobori, O., Yoshimura, K., Hirano, Y., Sawaguchi, K., Koshizaka, M., Hanaoka, H., Nakagawa, A., Nakazato, M., Iyo, M., & Shimizu, E. (2016). Cognitive behavioral therapy for patients with social anxiety disorder who remain symptomatic following antidepressant treatment: A randomized, assessor-blinded, controlled trial. Psychotherapy and Psychosomatics, 85(4), 208–217. https://doi.org/10.1159/000444221)) can be especially helpful. In this modality, patients learn specific skills to help them to interrupt anxious thought patterns and navigate triggering situations.

Inpatient treatment is rarely necessary for patients with minor or intermittent anxiety. However, untreated anxiety disorders may lead to severe symptoms, including suicidal ideation. These patients may benefit from residential programs, in which they can learn new coping mechanisms in a safe, protected environment.

Bipolar Disorder

This condition, once called manic-depressive disorder, is characterized by cycling periods of depression and mania. Some patients also experience hypomania, which is a less severe symptom, and may just present as increased energy and productivity. There are three clearly defined types of bipolar disorder: ((Bipolar disorder. (n.d.). National Institute of Mental Health (NIMH). Retrieved March 25, 2022, from https://www.nimh.nih.gov/health/topics/bipolar-disorder))

  • Bipolar I disorder includes manic episodes that last at least 7 days, or are so severe that they require hospitalization, and depressive episodes that typically last 2 weeks. This is considered to be the most severe type of the condition.
  • Bipolar II disorder has similar depressive episodes, but includes less severe symptoms of mania than Bipolar I. Instead, patients usually exhibit signs of hypomania.
  • Cyclothymic disorder (cyclothymia) presents with similar symptoms, including some combination of depression, mania, and/or hypomania. However, patients with this condition do not meet the exact criteria for either Bipolar I or Bipolar II.

These chronic illnesses may be caused by a combination of genetics, adverse life events, and neurochemical imbalances. Because of this, treatment protocols may be complex and highly individualized to each patient.

Treatment Options for Bipolar Disorder

People with bipolar may require hospitalization ((Jann, M. W. (2014). Diagnosis and treatment of bipolar disorders in adults: A review of the evidence on pharmacologic treatments. American Health & Drug Benefits, 7(9), 489–499. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4296286/)) more frequently than those with other diagnoses, possibly because of the unpredictable nature of this disorder. Severe symptoms may appear suddenly and frequently, especially if the patient does not have an adequate plan for long-term care.

This condition is most often treated with a combination of medication and talk therapy. Pharmaceutical treatment of bipolar ((Geddes, J. R., & Miklowitz, D. J. (2013). Treatment of bipolar disorder. Lancet, 381(9878), 10.1016/S0140-6736(13)60857-0. https://doi.org/10.1016/S0140-6736(13)60857-0)) may include mood stabilizers (such as lithium and lamotrigine) and antidepressants. Studies also show that certain types of psychotherapy—including CBT, family-focused talk therapy, and interpersonal and social rhythm therapy— are particularly effective.

Because bipolar disorder may be genetic and/or neurochemical, even inpatient treatment will not completely alleviate symptoms. However, temporary residential care may help patients determine which methods will be most helpful for long-term maintenance.

Borderline Personality Disorder

Borderline personality disorder (BPD) is a serious mood disorder. It’s often misdiagnosed as bipolar disorder, and to the untrained eye, symptoms may appear extremely similar. However, BPD is more closely related to PTSD and C-PTSD, as traumatic life events can cause symptoms to appear or worsen. These experiences may interfere with a person’s ability to develop a stable sense of self, regulate their emotions, and maintain healthy relationships. Patients exhibit at least 5 of the 9 official diagnostic criteria for BPD, as defined by the DSM-5. Quoted directly from an article on diagnosing borderline personality disorder ((Biskin, R. S., & Paris, J. (2012). Diagnosing borderline personality disorder. CMAJ : Canadian Medical Association Journal, 184(16), 1789–1794. https://doi.org/10.1503/cmaj.090618)) published by the National Center for Biotechnology Information, these criteria are as follows:

  • Frantic efforts to avoid real or imagined abandonment. Note: Do not include suicidal or self-mutilating behaviour covered in criterion 5.
  • A pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation.
  • Identity disturbance: markedly and persistently unstable self-image or sense of self.
  • Impulsivity in at least 2 areas that are potentially self-damaging (e.g., spending, sex, substance abuse, reckless driving, binge eating). Note: Do not include suicidal or self-mutilating behaviour covered in criterion 5.
  • Recurrent suicidal behaviour, gestures or threats, or self-mutilating behaviour.
  • Affective instability due to a marked reactivity of mood (e.g., intense episodic dysphoria, irritability or anxiety usually lasting a few hours and only rarely more than a few days).
  • Chronic feelings of emptiness.
  • Inappropriate, intense anger or difficulty controlling anger (e.g., frequent displays of temper, constant anger, recurrent physical fights).
  • Transient, stress-related paranoid ideation or severe dissociative symptoms.

Although borderline personality disorder may have a neurochemical component, it is primarily a behavioral disorder. Because of this, it’s absolutely possible for these patients to improve and even go into remission from BPD. ((Biskin, R. S. (2015). The lifetime course of borderline personality disorder. Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie, 60(7), 303–308. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4500179/))

Treatment Options for Borderline Personality Disorder

BPD is usually treated with dialectical behavioral therapy (DBT). This type of therapy combines group sessions with 1-on-1 talk therapy. The group therapy component resembles a class, as patients go through lessons from a textbook and even complete homework assignments. Groups normally meet several times a week, while 1-on-1 sessions take place at least once a week. Unlike most other forms of therapy, patients may be invited to contact their providers by phone in between sessions.

While DBT can be effective in an outpatient setting, residential treatment allows patients to focus on healing with fewer distractions. Research suggests that inpatient DBT may be more effective at treating borderline personality disorder ((Bohus, M., Haaf, B., Simms, T., Limberger, M. F., Schmahl, C., Unckel, C., Lieb, K., & Linehan, M. M. (2004). Effectiveness of inpatient dialectical behavioral therapy for borderline personality disorder: A controlled trial. Behaviour Research and Therapy, 42(5), 487–499. https://doi.org/10.1016/S0005-7967(03)00174-8)) than other modalities. Talk therapy of any kind is often combined with prescription medications, such as mood stabilizers, antidepressants, or anti-anxiety medications.

Depression

Depression, or major depressive disorder, ((Major depression. (n.d.). National Institute of Mental Health (NIMH). Retrieved from https://www.nimh.nih.gov/health/statistics/major-depression)) is an extremely common diagnosis. As of 2019, an estimated 7.8% of all adults in the U.S. had major depression. This condition is characterized by a period of at least two weeks in which the patient “experienced a depressed mood or loss of interest or pleasure in daily activities, and had a majority of specified symptoms, such as problems with sleep, eating, energy, concentration, or self-worth.”

It is important to differentiate between depression and sadness or grief. ((What is depression? (n.d.). Retrieved March 25, 2022, from https://www.psychiatry.org/patients-families/depression/what-is-depression)) Depression is a mental health condition, and not a proportionate response to current life events. It is also known to damage a person’s self-esteem, and may cause feelings of worthlessness or hopelessness. Sadness and grief, on the other hand, are generally caused by specific circumstances. These emotions can be overwhelming, but they do not necessarily damage a person’s sense of self.

Depression may be caused by genetics, ((What is depression? (n.d.). Retrieved from https://www.psychiatry.org/patients-families/depression/what-is-depression)) biochemistry, or environmental factors. Those with low self-esteem may also be at risk for developing this condition. Fortunately, most cases of depression are highly treatable.

Treatment Options for Depression

Perhaps because of its high prevalence, there are many different treatments available for major depressive disorder. ((Depression. (n.d.). National Institute of Mental Health (NIMH). Retrieved March 25, 2022, from https://www.nimh.nih.gov/health/topics/depression)) Most patients benefit from some combination of medication, talk therapy, and brain stimulation therapies.

Antidepressants, including SSRIs (like Prozac) and SNRIs (like Cymbalta), are commonly used to treat major depression. Patients normally begin to see results 2-4 weeks after they begin taking a new prescription. Severe cases are usually treated with talk therapy at the same time, and mild cases may be treated with talk therapy alone. “The length and severity of the symptoms and episodes of depression ((Can counseling help with depression? (n.d.). Verywell Mind. Retrieved from https://www.verywellmind.com/depression-counseling-4769574)) often determine the type of therapy.”

If a patient has treatment-resistant depression, they may be advised to try alternative modalities, such as brain stimulation therapies. ((Ect, tms and other brain stimulation therapies | nami: National alliance on mental illness. (n.d.). Retrieved from https://www.nami.org/About-Mental-Illness/Treatments/ECT,-TMS-and-Other-Brain-Stimulation-Therapies)) Specifically, depression can be treated with electroconvulsive therapy (ECT), transcranial magnetic stimulation (TMS), vagus nerve stimulation (VNS), and deep brain stimulation (DBS). These therapies are intended to have a direct effect on brain or nervous system function, alleviating the most extreme symptoms of depression.

Because it may lead to suicidal ideation, some patients may be hospitalized for depression on an urgent basis. If possible, it’s best to get help before your symptoms become so severe. There’s no need to wait for an emergency before attending a residential program.

Eating Disorders

Eating disorders affect at least 9% of the global population. ((Eating disorder statistics | general & diversity stats | anad. (n.d.). National Association of Anorexia Nervosa and Associated Disorders. Retrieved March 25, 2022, from https://anad.org/eating-disorders-statistics/)) These conditions can affect anyone, regardless of gender, body type, ability, occupation, age, race, ethnicity, or sexual orientation. However, certain demographics may be at a higher risk for developing certain diagnoses. Following are some of the most common types of eating disorders: ((Types of eating disorders | anxiety and depression association of america, adaa. (n.d.). Retrieved from https://adaa.org/eating-disorders/types-of-eating-disorders#Binge%20Eating%20Disorder))

  • Anorexia nervosa is characterized by the severe restriction of caloric intake. Patients with this condition may exhibit dramatic weight loss, a preoccupation with food and dieting, or adherence to an overly strict or taxing exercise routine.
  • Bulimia nervosa follows a binge-purge cycle. Patients with bulimia tend to binge eat, and then induce vomiting. Some also present with dental problems, weight loss, and excessive time spent in the bathroom after meals.
  • Binge eating disorder involves episodes of binge eating. Unlike bulimia, these episodes are not followed by purging. People with this condition may feel or express guilt and shame, hide food in strange places, and create lifestyle schedules that make time for binging behaviors.
  • Other specified feeding and eating disorders (OSFED) is a term that refers to eating disorders that do not fit neatly into any of the above categories. Patients with OSFED may exhibit weight loss or gain, and their self-esteem may be overly tied to body image.

Eating disorders are defined by a person’s behavior and emotional state, and not their body size. For example, it’s possible for someone to have anorexia and not appear clinically underweight. Eating disorders can be serious, and even life-threatening, no matter whether the patient’s weight is perceived to be healthy.

Treatment Options for Eating Disorders

Many people with eating disorders develop physical complications due to malnutrition. Because of this, hospitalization or inpatient treatment may be an important first step toward healing. This is not necessary for all patients, as it depends on the severity of their symptoms.

Some patients may benefit from residential treatment even if they don’t present with physical complications. This is an opportunity for them to begin intensive psychotherapy, work with a nutrition counselor, and be closely monitored for disordered behavior around food.

Medication alone is not usually used to treat eating disorders. ((How medication may help treat eating disorders. (n.d.). Verywell Mind. Retrieved March 25, 2022, from https://www.verywellmind.com/medications-used-to-treat-eating-disorders-4153046)) In some cases, antidepressants or antianxiety medications may be prescribed in addition to therapy and behavioral health strategies. These patients may benefit from a number of different types of psychotherapy, ((Types of Psychotherapy. (n.d.). National Eating Disorders Association. Retrieved from https://www.nationaleatingdisorders.org/treatment/types-psychotherapy)) including but not limited to acceptance and commitment therapy (ACT), cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT), and interpersonal psychotherapy (IPT).

PTSD and C-PTSD

Post-traumatic stress disorder (PTSD) and complex post-traumatic stress disorder (C-PTSD) are very similar mental health diagnoses, and are both caused by adverse life experiences. It’s important to differentiate between PTSD and C-PTSD ((Cloitre, M., Garvert, D. W., Weiss, B., Carlson, E. B., & Bryant, R. A. (2014). Distinguishing ptsd, complex ptsd, and borderline personality disorder: A latent class analysis. European Journal of Psychotraumatology, 5, 10.3402/ejpt.v5.25097. https://doi.org/10.3402/ejpt.v5.25097)) in order to design an appropriate treatment plan.

PTSD is normally caused by specific, time-bound traumatic occurrences. On the other hand, C-PTSD is caused by complex trauma, ((Giourou, E., Skokou, M., Andrew, S. P., Alexopoulou, K., Gourzis, P., & Jelastopulu, E. (2018). Complex posttraumatic stress disorder: The need to consolidate a distinct clinical syndrome or to reevaluate features of psychiatric disorders following interpersonal trauma? World Journal of Psychiatry, 8(1), 12–19. https://doi.org/10.5498/wjp.v8.i1.12)) which is the prolonged exposure to extreme circumstances such as “domestic violence, childhood sexual or physical abuse, torture, genocide campaigns, slavery etc. along with the victim’s inability to escape.” It’s important to note that C-PTSD is not yet considered an official diagnosis. ((Maercker, A. (2021). Development of the new CPTSD diagnosis for ICD-11. Borderline Personality Disorder and Emotion Dysregulation, 8(1), 7. https://doi.org/10.1186/s40479-021-00148-8)) Despite this, it is an area of interest for researchers, and some have proposed that it be included in the next edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM). The shared symptoms of PTSD and C-PTSD ((Cloitre, M., Garvert, D. W., Weiss, B., Carlson, E. B., & Bryant, R. A. (2014). Distinguishing ptsd, complex ptsd, and borderline personality disorder: A latent class analysis. European Journal of Psychotraumatology, 5, 10.3402/ejpt.v5.25097. https://doi.org/10.3402/ejpt.v5.25097)) include the following:

  • flashbacks to and nightmares of the inciting traumatic event
  • avoidance of thoughts, people, places, and activities that may bring up painful memories
  • hypervigilance due to a constant or persistent sense of threat/danger
  • an exaggerated startle response

C-PTSD may also involve personality and mood changes, difficulty with emotion regulation, a sense of worthlessness, the risk of self harm, paranoia, and/or dissociation.

“Most people with PTSD—about 80%—have one or more additional mental health diagnoses. They are also at risk for functional impairments, reduced quality of life, and relationship problems. PTSD and trauma ((Co-occurring conditions – ptsd: National center for ptsd. (n.d.). [General Information]. Retrieved March 25, 2022, from https://www.ptsd.va.gov/professional/treat/cooccurring/index.asp)) are linked to physical health problems as well.” People with a history of trauma may benefit from intensive therapy for these co-occurring disorders, which may include a period of residential treatment.

Treatment Options for PTSD and C-PTSD

It’s important for people with these diagnoses to seek out trauma-informed care. This approach to treatment takes their unique symptoms and experiences into account, and fosters a more productive environment for healing.

The primary treatment for PTSD ((Treatments for ptsd. (n.d.). Https://Www.Apa.Org. Retrieved from https://www.apa.org/ptsd-guideline/treatments)) and C-PTSD is psychotherapy. Clinicians strongly recommend cognitive behavioral therapy (CBT) and prolonged exposure therapy, although other styles of therapy may also be helpful. These two modalities invite patients to face the original traumatic events head-on, developing skills that will help them navigate flashbacks and triggers in the future.

Patients may be prescribed medication in additionto—but not instead of—therapeutic interventions. Most often, PTSD is treated with SSRIs. ((Medications. (n.d.). Https://Www.Apa.Org. Retrieved from https://www.apa.org/ptsd-guideline/treatments/medications))

Schizophrenia

Schizophrenia ((What is schizophrenia? (n.d.). Retrieved from https://www.psychiatry.org/patients-families/schizophrenia/what-is-schizophrenia)) is a chronic brain disorder, characterized by difficulty distinguishing between the real and the unreal. Symptoms generally fall into one of three categories:

  • Positive symptoms: The abnormal presence of visual or aural hallucinations, paranoia, distorted perceptions of the world
  • Negative symptoms: An abnormal loss of or decrease in the ability to make and carry out commitments, speak, express or feel emotion
  • Disorganized symptoms: Confused speech and/or thinking, disconnected logic, and abnormal behavior or movements

Experts believe schizophrenia may be caused by a combination of genetic and environmental factors. However, the disease’s exact etiology is unknown. There may be a link between schizophrenia and substance misuse, ((What is schizophrenia? | nami: National alliance on mental illness. (n.d.). Retrieved March 25, 2022, from https://www.nami.org/About-Mental-Illness/Mental-Health-Conditions/Schizophrenia/Overview)) especially among teens. Specifically, research suggests that “taking mind-altering drugs during teen years and young adulthood can increase the risk of schizophrenia. A growing body of evidence indicates that smoking marijuana increases the risk of psychotic incidents and the risk of ongoing psychotic experiences. The younger and more frequent the use, the greater the risk.” Continued substance use—and especially the use of psychedelics like LSD or psilocybin—can make it difficult to diagnose schizophrenia, because the effects of these drugs can mimic its symptoms.

Treatment Options for Schizophrenia

It’s extremely important to treat schizophrenia using both pharmaceutical and behavioral modalities. These patients are commonly prescribed antipsychotic medications, ((What is schizophrenia? | nami: National alliance on mental illness. (n.d.). Retrieved March 25, 2022, from https://www.nami.org/About-Mental-Illness/Mental-Health-Conditions/Schizophrenia/Treatment)) such as Abilify or Seroquel.

Talk therapy not only helps people to manage the symptoms of schizophrenia; ((Patel, K. R., Cherian, J., Gohil, K., & Atkinson, D. (2014). Schizophrenia: Overview and treatment options. Pharmacy and Therapeutics, 39(9), 638–645. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4159061/)) it can also “ensure that patients remain adherent to their medications.” This makes every aspect of treatment more effective in the long term. In particular, beneficial talk therapies for schizophrenic patients ((Patel, K. R., Cherian, J., Gohil, K., & Atkinson, D. (2014). Schizophrenia: Overview and treatment options. Pharmacy and Therapeutics, 39(9), 638–645. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4159061/)) include cognitive behavioral therapy (CBT), supportive psychotherapy, and cognitive enhancement therapy (CET).

If a person’s symptoms are severe enough to require immediate medical attention, they are likely to require admission to a hospital or residential treatment program. According to the CDC, approximately half of all emergency room visits related to schizophrenia ((Products—Data briefs—Number 215—September 2015. (2019, June 7). https://www.cdc.gov/nchs/products/databriefs/db215.htm)) “led to either a hospital admission (32.7%) or a transfer to a psychiatric hospital (16.7%).” These patients, as well as patients who are not in crisis, may find relief through longer-term residential treatment.

Suicidal Ideation

If you or someone you know is experiencing suicidal ideation, get immediate help by calling the National Suicide Prevention Lifeline at 800-273-8255.

Suicidal tendencies may be symptomatic of another diagnosis, or may appear independently. Regardless of the circumstances, suicidal ideation is an extremely serious symptom, and should be urgently treated.

Patients with this symptom may experience thoughts or fantasies of suicide, or may be actively planning to engage in self-harm. The warning signs of suicide ((We can all prevent suicide. (n.d.). Retrieved from https://suicidepreventionlifeline.org/how-we-can-all-prevent-suicide/)) include, but are not limited to the following:

  • talking about wanting to die or to kill themselves
  • looking for a way to kill themselves, like searching online or buying a gun
  • talking about feeling hopeless, trapped, or in unbearable pain
  • talking about feeling trapped or in unbearable pain
  • talking about being a burden to others
  • increasing reckless behavior, such as substance misuse
  • withdrawing or isolating themselves, losing interest in activities they once enjoyed
  • a sudden and unexplained lift in mood, expression of a feeling of peace or tranquility
  • sudden and extreme generosity, giving away money or treasured keepsakes

Not all instances of suicidal ideation are followed by suicide attempts. In some cases, this symptom is an expression of major depression, PTSD, or another co-occurring disorder. While emergency action may or may not be necessary, it’s important to get help as soon as this symptom appears. That may mean going to therapy, starting or changing a medication, or seeking inpatient care.

Treatment Options for Suicidal Ideation

Severe symptoms of suicidal ideation require immediate care. It may be appropriate to call an ambulance, or even call the police to request an in-person wellness check. Depending on your specific location, it may be possible to have the patient temporarily hospitalized with or without their consent. During this time, they may be closely supervised by healthcare providers to ensure they do not attempt self harm.

After the immediate threat of suicide has passed, it’s important to continue with an ongoing plan of care. Patients should begin by obtaining an official diagnosis, which will help their providers design a long-term plan. Because suicidal ideation is a symptom, and not officially a mental health condition, treatments vary widely.

Remember that you deserve care. Remember: a mental health diagnosis means nothing about your willpower or your character, and healing is absolutely possible. If you’d like to learn more about treatment for these or other conditions, you can browse our list of inpatient mental health treatment centers here.

Reviewed by Rajnandini Rathod

Posted on

Why Choose Residential Rehab? 8 Benefits to Consider

When it comes to addiction treatment, there’s no one, universal approach. Psychologists and medical experts today have a better understanding of substance use disorder treatment than ever before. We now know that everyone’s path to recovery is unique and that there are many different ways to heal.

Some people want to keep up with daily responsibilities and have a strong support system at home. For these people, an outpatient program may be the best fit. Others might find their support network lacking, or face everyday stressors that could hinder their recovery efforts. In these cases, attending a residential rehab might be a more effective choice.

Residential rehab, also known as inpatient rehab, isn’t just for people who need distance from their everyday environment. Residential treatment provides you with round-the-clock care, the opportunity to fully focus on achieving your sobriety goals, an empathetic community of people undergoing similar experiences, and other supportive aspects, from on-site detox opportunities to a peer support network.

1. On-Site Detox Opportunities

Residential rehab can be an appropriate option for clients who require specialized treatment, including those who are concerned about substance withdrawal. It can be physically and psychologically uncomfortable or even dangerous to quit certain substances cold-turkey following prolonged use. According to the World Health Organization (WHO), withdrawal symptoms from substances like opioids, alcohol, and stimulants1 can range from anxiety, headaches, and nausea to delirium, hallucinations, and seizures. For this reason, undergoing detox under the supervision of experienced professionals is the safest option.

With this in mind, some inpatient rehabs provide on-site detox services. Completing a safe, medically supervised detox at the same location as your program can result in a smoother transition into treatment.

In contrast, Boston Medical Center’s HealthCity platform reports that the period following detox can “be a dangerous time if it doesn’t lead to continued treatment.”2 This is because the possibility of relapse combined with the risk of unintentional overdose. In a study by the Grayken Center for Addiction at Boston Medical Center, out of 30,681 patients who were admitted to a detox facility, those who didn’t receive any treatment in the month following the detox program had the greatest mortality rates.3 By 12 months after detox, 2% had died. On the other hand, “the greatest mortality reduction, 89%, was seen among the few patients who received both medication and an inpatient residential stay within the month following detox.” These rates show a vital benefit to continuing treatment as soon as possible post-detox.

The length of an average detox program is 3 to 7 days. However, if you’re detoxing from certain substances like benzodiazepines, withdrawal symptoms can persist even after you’ve completed the program. In these cases, it’s valuable—and potentially life-saving—to have access to experienced medical staff on campus. Any continuing withdrawal symptoms can then be addressed and treated alongside therapy to help with deeper issues.
Some residential rehabs that don’t offer on-site detox work closely with detox centers in the area and can help with the transition from detox to addiction treatment.

2. A Structured Schedule

Whether it’s pressure at work or friction at home, day-to-day life is full of triggers. These triggers can lead to substance use that disrupts your daily schedule. In turn, a lack of structure in your day can produce ripe conditions for engaging in damaging habits. This is where residential rehab programs can offer unique support. When you live on-site at a facility, you’ll be following a fully scheduled treatment program.

A typical schedule at a residential center often includes opportunities for individual therapy, group meetings, and recreational activities. Medical support is also incorporated into the day’s program. Most residential programs also allow participants some downtime to unwind and digest what they’re learning. But regular schedules are strongly featured, though the level of intensiveness may vary from program to program. This routine can serve to close the gaps in time that allow cravings to grow and instead help you fully concentrate on your recovery. Time and attention that you would otherwise spend on household, family, and job responsibilities can go on pause during inpatient treatment. All scheduled activities share the goal of providing opportunities for you to give attention to yourself and your needs. At the end of the day, the most important item on your agenda at residential rehab is to work on changing your life.

Sierra Tuscon offers an example of a well-structured day at rehab.

“The residential treatment structure at Sierra Tucson makes for a busy day. Typically, individuals will wake up somewhere between 6:30 and 7:00. They receive support from nursing and our residential safety coaches in the morning, followed by breakfast and then a lodge meeting. Later in the morning, they’ll go to group lectures, group therapies, complete a two-hour process group and then they’d have a number of individual appointments. When the day starts to close down, they go for dinner and join wind-down group activities, which are meditative or artistic expressions. Finally, they end with a lodge meeting, connecting with peers, and say gratitude for the day. We start the day by setting intentions and end the day with gratitude.”

– Dr. Chasleen Chhatwal, Chief Medical Officer, Sierra Tuscon

3. A Helpful Change of Scenery

A change in environment can have a positive impact on brain chemistry,4 according to research published in the journal Nature Neuroscience. “New and diverse experiences are linked to enhanced happiness, and this relationship is associated with greater correlation of brain activity, new research has found.”

Going away for addiction treatment may provide you with the motivation you need to work on your relationships with the goal of rebuilding them when you return. On the other hand, creating physical distance can encourage emotional separation from bad influences. The time away can be a good start in distancing yourself from destructive relationships, whether you’re beginning to create permanent boundaries or taking a break to regroup and consider your options.

A change of scenery can also be a catalyst for a change in perspective. In fact, behavioral health experts recommend that we “place ourselves in situations and locations that spark growth.” But what if our regular environment seems to spark only negativity? Spending time away in different surroundings and participating in new experiences can help us view life through a different lens. This, in turn, can assist us in moving away from a negative mindset and toward a more positive outlook on life.

It’s worth noting, too, that triggers may not necessarily come from toxic relationships or stressful situations. They may also come from the mundane sights, sounds, or smells that are present in our everyday environments. Physically stepping away from these possible triggers can do a world of good and can help you find freedom from some of the basic, yet sometimes unnoticed, habits of addiction. You’re less likely to encounter some of those signals that trigger cravings when you’re in the organized, healing-focused environment of a residential facility.

4. An Immersive, Sober Environment

Residential rehabs provide a sober living environment. In most accredited rehab centers, you wouldn’t have access to the substances that could jeopardize your recovery. These centers provide an environment that’s carefully formulated to be conducive to your sobriety. This confidence can help you cope emotionally during the challenging phase of coming off of substances and transitioning into the deeper work of recovery.

5. An Understanding Peer Support Network

According to studies conducted by the U.S. National Institute of Health (NIH) on groups and substance abuse treatment,5 “Groups intrinsically have many rewarding benefits—such as reducing isolation and enabling members to witness the recovery of others—and these qualities draw clients into a culture of recovery. Another reason groups work so well is that they are suitable especially for treating problems that commonly accompany substance abuse, such as depression, isolation, and shame.”

These benefits can be attained in the residential rehab setting. Some are hesitant to seek treatment because of the stigma associated with substance abuse. But entering a residential treatment environment can connect you with people who truly understand the suffering that addiction brings. Clients benefit from the social dynamics at rehab facilities since they provide group support and opportunities to improve interpersonal and communication skills.

The professionals you’ll meet on campus act as understanding guides, while your recovery peers’ shared experiences create a sense of camaraderie. This environment fosters a valuable sense of connection that, in turn, can be empowering. Even meals shared with people who can relate to what you’re going through can provide comfort when you need it most.

6. Personalized Care

A person in residential treatment can truly focus on themselves, free from the constraints they left at home. It might seem difficult at first to put other obligations aside along with destructive habits, but one-on-one therapy sessions can help clients begin caring for themselves again. Opportunities to express your feelings in a confidential setting with a trustworthy therapist can help you stay on course throughout the process. Studies even show that building rapport between counselor and client can contribute to a higher possibility of continuing recovery.6

Residential rehabs offer a wide variety of programs that can cater to different clients’ needs. Since you’ll be spending considerable time at a facility, you may find it helpful to choose a treatment format that suits your personal philosophies. Many residential facilities, for example, include faith-based rehab programs; others may offer a form of animal-assisted therapy or a pet-friendly environment. Other centers may place a greater emphasis on family participation. With so many options, clients have a better chance of finding the right center for their unique set of needs. This can provide a measure of comfort during a challenging time.

7. Incorporated Complementary Therapies

According to the U.S. National Center for Complementary and Integrative Health (NCCIH), complementary therapies are non-mainstream therapy approaches7 that are used together with conventional treatments, such as talk therapy. If non-mainstream therapy is used instead of conventional medicine, it’s considered “alternative therapy.” The research shows that “most people who use non-mainstream also use conventional health care.”

Following are some examples of complementary therapies:

An important aspect of many residential rehabs is the incorporation of complementary therapies as an integral part of the treatment experience. Residential facilities that utilize these therapies recognize that this can help clients learn more about themselves by breaking old patterns and experiencing something new. Complementary therapies can integrate different aspects of a person’s thinking besides just the psychological component involved in talk therapy.

In some circumstances, talk therapy may not be as conducive to healing. Those who have experienced trauma, for example, may even risk becoming retraumatized by talking about their experiences. This is why, for example, many PTSD sufferers drop out of exposure-based therapy before seeing any results.

On the other hand, complementary therapies allow clients to access their emotions in a different, relaxing, or fun context. This can actually help them become more receptive to treatment. For example, art therapy can immerse you in the process of creative expression and open the door for breakthroughs that you may have never expected. These benefits can be a key part of the therapeutic experience and are part of the program at many residential treatment centers.

Complementary therapies are important for healing.

“In the wintertime, we’re able to go out and take advantage of skiing or snowshoeing and hiking in the mountains. In the summer we have activities like fly fishing and rafting, so that individually and together, clients can also have fun. Fun and play are super important to getting well.”

– Ryan Soave, Director of Program Development, All Points North Lodge

Whitney Armistead on All Points North’s hospitality team adds, “We offer a lot of holistic approaches to our clients’ healing process, including massage, Reiki, detox facials, a float tank; anything we can do to help our clients relax and help reset their bodies.”

8. Aftercare Provisions

Recovery doesn’t end once your time in rehab is up. Setting clients up for success when they leave residential therapy is a practical and important component of treatment. According to the U.S. National Institute of Health, “There is convincing evidence that continuing care can be effective in sustaining the positive effects of the initial phase of care.”8 With this in mind, residential rehab facilities may arrange for aftercare provisions:

  • Continuing individual therapy
  • Partial hospitalization programs (PHPs)
  • Intensive outpatient programs (IOPs)
  • Support groups (12-Step and non-12-Step)
  • Activity – or interest-based groups

Exploring Your Options for Residential Rehab

Unplugging from your everyday surroundings for a time can be a wise choice in taking the first steps toward recovery. Making this significant life change requires time, focus, and the support of experienced treatment professionals.

Residential rehab can help by affording you the time and space you need to focus on getting well. This immersive environment provides a way to disconnect from potentially toxic relationships and surroundings, as well as important opportunities to share this journey with others who understand what you’re going through. And the complementary therapies and recovery-friendly facilities at residential treatment centers can provide enjoyable ways to access and heal new parts of yourself.

Frequently Asked Questions About Residential Rehab

What are the benefits of residential rehab?

Residential rehab offers several benefits: 

• On-site detox at some centers
• Round-the-clock support
• A structured environment 
• A break from triggers
• Access to medical professionals
• Personalized treatment plans
• Therapeutic activities
• Peer support

These benefits enhance the chances of successful and long-lasting recovery.

What kind of treatment plans are offered in residential rehab?

Residential rehab offers treatment plans tailored to individual needs, although the level of personalization depends on the center. Treatment plans often include evidence-based therapies, individual and group therapy, and complementary therapies. Types of therapies and treatments vary based on the facility.

How does residential rehab provide 24/7 support?

Residential rehab provides round-the-clock support through a team of dedicated professionals. They offer continuous monitoring, guidance, and assistance. This level of support helps create a safe environment for individuals to navigate their recovery journey.