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Xanax and Alcohol: 5 Critical Risks of Mixing These Substances

Mixing Xanax and alcohol is more common than you might think—and that’s concerning because this combination carries some serious risks. Both substances affect your brain in similar ways, and when they’re taken together, they can amplify each other’s effects to a potentially life-threatening degree. 

Most people don’t realize that having “just a few drinks” while taking Xanax can harm their health.

Some people mix these substances on purpose; others don’t fully understand their risks. Either way, the combination can cause lasting damage to your physical and mental health.

We’ll help you understand how Xanax and alcohol affect your body, why the combination is so risky, and how to get help if you’re concerned that you or your loved one is becoming dependent.

Illustration warning about the dangers of mixing Xanax and alcohol. A prescription bottle and liquor bottle pour into a bubbling beaker, symbolizing a dangerous chemical reaction. Text reads:

What Happens When You Mix Alcohol and Xanax?

When you mix Xanax (the brand name for alprazolam) and alcohol, you’re combining two substances that both slow down your central nervous system. Xanax works by boosting the effects of GABA1 (Gamma-aminobutyric Acid), a natural neurotransmitter that reduces brain activity. Alcohol affects many of the same brain systems, also increasing GABA’s effects while blocking other brain chemicals.

This creates what behavioral health experts call a synergistic effect. This means that when combined, Xanax and alcohol don’t just add their effects together—they multiply them. This is why the combination is especially dangerous.

Why do people mix Xanax and alcohol?

People mix Xanax (alprazolam) and alcohol primarily for enhanced sedative effects, as both substances depress the central nervous system which can lead to increased relaxation, euphoria, or intoxication. Some individuals may do this intentionally to heighten the effects, while others may mix them unintentionally, not realizing how dangerous the combination can be.  It is important to ask what intention the person had when mixing the substances or if it was consumed unintentionally.

Andrew J. Schreier, ICS, CSAC, LPC, ICGC-II, BACC

Infographic titled “What Happens When You Mix Xanax & Alcohol,” showing five risks: enhanced sedation, impaired judgment, memory blackouts, slowed breathing, and increased overdose risk. Visual icons accompany each effect, with illustrations of a prescription bottle and alcohol bottle on the right. Recovery.com logo appears in the bottom left.

1. Enhanced Sedation

Both Xanax and alcohol are central nervous system depressants2 that cause sedation on their own. When combined, this sedative effect becomes much stronger.

You might feel extremely drowsy, dizzy, or uncoordinated. Tasks that require alertness, like driving or using machinery, become highly dangerous. Even just walking around normally is more dangerous, as you’re more likely to fall and hurt yourself.

2. Life-Threatening Breathing Problems

One of the most life-threatening side effects of mixing Xanax and alcohol is respiratory depression—when your breathing becomes dangerously slow or shallow. Both substances suppress the part of your brain that controls breathing.

Together, they can slow your breathing to the point where your body doesn’t get enough oxygen, potentially leading to brain damage, coma, or death.

When combined, Xanax and alcohol suppress your autonomic respiratory drive.3 That means they interfere with the brain stem’s ability to detect carbon dioxide in your blood—the primary trigger that tells your body to breathe. Without this signal functioning properly, your breathing can slow or even stop completely without even feeling like you’re having trouble breathing.

3. Increased Overdose Risk

This combination increases your risk of overdose. Even amounts of each substance that would be safe individually can become deadly when combined. In fact, one report finds Alprazolam (Xanax) is even more toxic than other benzodiazepines in overdose,4 warning that “severe toxicity is often related to co-ingestants, especially alcohol.”

This is particularly dangerous because the effects of alcohol and Xanax can be unpredictable—what might seem like a small amount of alcohol can dramatically increase the effects of Xanax in your system.

Maybe you’ve taken your normal prescribed dose of Xanax with a moderate amount of alcohol before without serious consequences. But taking higher doses, changes in your physical condition, timing between doses, or even what you’ve eaten that day can suddenly make the same amounts deadly.

4. Memory Impairment and Blackouts

Both Xanax and alcohol affect your memory. Used together, they can cause severe memory problems. You might find yourself having more blackouts or periods of time you can’t remember at all.

One participant in a study on benzo use by young people in the UK5 reflects on his experience with frequent blackouts: 

I don’t know how many memories or experiences I have lost due to my benzo use back then, but they are parts of my life that I will never be able to get back.

These memory gaps can be frightening—and potentially dangerous—if you made decisions or took actions you can’t recall.

What are the risks of combining alcohol and Xanax?

In your brain, alcohol increases the release of the neurotransmitter GABA, which produces slower brain activity that you perceive initially as relaxation. But both alcohol and Xanax also enhance the effect of the GABA-A receptor, making the increased GABA levels much more potent. This creates a particularly dangerous situation since a dose of either Xanax or alcohol that might be “safe” on its own can combine in the brain in dramatically more powerful and unpredictable ways. They also have synergistic effects on muscle control, short-term memory, judgment, and breathing- meaning that alcohol and Xanax are incredibly dangerous and potentially fatal when combined.

W. Lee Warren, MD

Infographic showing the health impact of Xanax and alcohol individually and when combined. One Xanax leads to moderate sedation, and one alcoholic drink causes a mild buzz. Together, they result in severe health risks. A skull and crossbones image emphasizes the danger. The graphic is titled Xanax and Alcohol Dose Comparison, with a subtitle stating they are safe on their own but dangerous when combined. Recovery.com logo is visible at the bottom.

5. Behavioral Changes

Over time, the combination of substances can cause noticeable changes in how you feel and act. You might become more aggressive, emotional, or take risks you normally wouldn’t. Severely impaired judgment can lead you to make poor decisions with lasting consequences. While most people start taking Xanax for anxiety or panic disorders, abusing Xanax can make you feel more anxious or agitated rather than calmer.

Why Do People Mix Xanax and Alcohol?

People mix Xanax and alcohol for several reasons, often without realizing how serious the risks are.

  • Seeking Stronger Effects: Some people combine these substances intentionally to feel a stronger effect. Since both Xanax and alcohol reduce anxiety and make you feel relaxed, some people think taking them together will increase these pleasant feelings. They might be seeking deeper relaxation or trying to escape stress, anxiety, or other emotional discomfort.
  • Self-Medication: Someone whose prescribed Xanax isn’t fully controlling their anxiety disorder might drink alcohol for additional relief. This often happens when anxiety breaks through between doses6 or when someone has developed tolerance to their medication.

For more information on how substances can interact with each other and affect your body’s response to medication, see our article on cross-tolerance. Understanding this concept is especially important if you take Xanax or other prescription drugs.

  • Unintentional Mixing: Many people mix these substances unintentionally. Someone might take their prescribed Xanax and later attend a social event where they have a drink, not realizing the interaction they’re creating. Others might simply not know about the risks or might think that “just one drink” won’t cause problems.
  • Social Pressure: Social pressure can play a role too. In settings where drinking is expected, someone who takes Xanax might feel awkward explaining why they can’t drink, especially if they don’t want to discuss their mental health.

Regardless of the reason, mixing Xanax and alcohol is never safe, even in small amounts—the risks far outweigh any perceived benefits.

How Long After Taking Xanax Can You Drink?

If you’re taking Xanax, you might wonder if there’s a safe time to wait before having alcohol. The short answer is that there’s no truly safe window—the risks remain even after you think the Xanax has worn off.

Xanax has what medical professionals call a half-life, which is how long it takes for half of the drug to leave your system. For Xanax, the average half-life is about 11 hours,7 but this can range from 6 to 27 hours depending on several factors.

This means that even if you took Xanax in the morning, a significant amount could still be in your body when you have a drink that evening.

A few factors affect how long Xanax stays in your system:

  • Your age (older adults eliminate the drug more slowly)
  • Your liver function (liver problems can slow down elimination)
  • Your weight and metabolism
  • Whether you’re taking other medications that interact with Xanax
  • How long you’ve been taking Xanax (regular users may metabolize it differently)

Even if you can’t feel the long-term effects of Xanax, the drug is still in your body and can still interact with alcohol. Just because you don’t feel sedated from a dose you took earlier doesn’t mean it’s safe to drink.

If you’re taking Xanax, it’s best to avoid alcohol completely. If you’re concerned about interactions, talk to your healthcare provider about your specific situation.

How do you treat alcohol and Xanax addiction?

Xanax and alcohol use can lead to psychological and physiological dependence after long-term use. If a person is thinking about quitting Xanax or alcohol after prolonged use, it is crucial for them to consider the need for medically monitored withdrawal management, as these are two substances that can lead to death as a result of withdrawal. It’s important to assess the history of withdrawal, the intensity of those experiences, and the need for current medical support. Post-withdrawal management placement criteria should be performed to assess the level of care a person may need to move forward with their recovery goals. Outpatient and residential treatment, individual therapy, and self-help groups are all appropriate levels of care for people who struggle with Xanax and alcohol addiction.

Tanya Kraege LCSW, CSAC, CCAR RC, WI CPS | Ventus Rex

Do You Need Medical Detox for Alcohol and Xanax?

If you’ve been using both Xanax and alcohol regularly, especially in combination, you should not try to quit on your own. Withdrawal from either substance can be dangerous, but withdrawing from both at the same time can be life-threatening.

Withdrawal symptoms from Xanax8 and alcohol can include:

  • Seizures
  • Hallucinations
  • Severe anxiety and panic
  • Dangerous changes in blood pressure and heart rate
  • Delirium tremens (DTs),9 a severe (and potentially deadly) symptom of alcohol withdrawal

Professionally supervised detox is a safe environment where healthcare specialists can monitor your health and help you manage withdrawals. In a medical detox program, your doctor may give you medications to ease withdrawal symptoms and prevent complications.

Detox typically lasts 5-7 days but can take longer depending on your history of use. During this time, your medical team will gradually taper your dosage to minimize symptoms as your body adjusts to functioning without these substances.

After detox, it’s important to continue with a comprehensive treatment program to address your underlying reasons for substance use and learn strategies for long-term recovery.

Treatment Options for Alcohol and Xanax Addiction

Recovery from Xanax and alcohol addiction involves several phases of treatment: 

Medication-Assisted Treatment

Some medications can help manage cravings and support recovery. While there are no specific medications approved for benzodiazepine addiction, certain medications may help with anxiety symptoms or co-occurring conditions.

If you’re curious about medication options that can help with recovery from substance abuse, see our article on medication-assisted treatment (MAT) to learn if this approach might be right for you.

Inpatient Rehab

In inpatient Xanax and alcohol rehab, you live onsite and receive round-the-clock care in a structured, substance-free environment. Residential rehab typically lasts 30 to 90 days and includes:

  • Evidence-based and holistic therapies
  • Addiction education and recovery coaching
  • Learning and practicing healthy coping skills
  • Treatment for co-occurring mental health conditions

Outpatient Programs

For those with less severe substance use disorders or who have completed inpatient treatment, outpatient programs allow you to live at home while attending treatment sessions several times a week. These programs offer similar therapies to inpatient care but with more flexibility.

Support Groups and Aftercare

Long-term recovery often involves ongoing support through:

  • Ongoing one-on-one therapy 
  • Alumni programs through your treatment center
  • Meeting regularly with sober community via AA, SMART Recovery, or other support groups
  • Building your social support network

The best treatment plans are individualized and created specifically for you and your unique situation. They don’t just focus on helping you stop using substances—they also address any underlying trauma or mental health concerns that might have led you to use them in the first place. Everyone’s journey to well-being looks different, and finding the right combination of support is the key to long-term success.

Ready to find help for Xanax and alcohol use disorder? Our treatment finder can show you rehab options that match your location and specific needs—just a few clicks can connect you with centers that can help.

FAQs

Q: What happens when you mix alcohol and anxiety medication?

A: When you combine alcohol with anxiety medications like Xanax, you significantly increase the sedative effects of both substances. This can lead to extreme drowsiness, breathing problems, memory impairment, and increase your risk of overdose. The combination affects brain function more severely than either substance alone and can be life-threatening even “moderate” amounts.

Q: Do people go to rehab for Xanax?

A: Yes, many people go to rehab specifically for Xanax addiction. Benzodiazepine addiction is a serious condition that often requires professional help to overcome safely. Because Xanax withdrawal can be dangerous, addiction specialists typically recommend medically supervised detox, followed by comprehensive addiction treatment that addresses both physical dependence and underlying causes.

Q: Can you drink on Xanax if you wait long enough?

A: There is no completely safe time frame for drinking after taking Xanax. Even if you wait 24 hours or longer, residual amounts of the drug may remain in your system. Individual factors like age, liver function, and metabolism affect how long Xanax stays in your body. The safest approach is to avoid alcohol completely while taking Xanax.

Q: What are the main risks of combining Xanax and alcohol?

A: The main risks include respiratory depression (dangerously slow breathing), enhanced sedation, memory blackouts, impaired coordination, behavioral changes, increased addiction risk, and increased risk of fatal overdose. This dangerous combination creates unpredictable effects that can vary significantly from one person to another.

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Is This Untreated ADHD? The Adult Symptoms Nobody Talks About

Living with undiagnosed ADHD as an adult can feel like swimming against the current. You might wonder why everyday tasks seem harder for you than for others. Many adults with ADHD weren’t diagnosed as kids, especially women and those who aren’t hyperactive. Without proper diagnosis and treatment, ADHD can affect your job, relationships, and mental health. Understanding these challenges is the first step toward managing them. 

This guide explains how untreated ADHD shows up in adults, how it affects daily life, and ways to find help—whether you’re looking for a diagnosis or exploring treatment options.

What Is Adult ADHD?

ADHD stands for attention-deficit/hyperactivity disorder. It’s a brain condition that makes it hard to focus, stay organized, and control impulses. Many people think ADHD is just for kids, but that’s not true. We often underestimate its prevalence—over 4% of adults have ADHD,1 but many don’t know it.

Adult attention-deficit/hyperactivity disorder often looks different than childhood ADHD. Kids and adolescents with ADHD might be very active and run around a lot. Adults with ADHD might feel restless inside, struggle with distractibility and executive function, have trouble staying organized, and find it hard to finish tasks. You might always lose your keys, miss important deadlines, or feel overwhelmed by normal daily responsibilities.

Many people think ADHD only affects hyper little boys2 or that smart, successful people can’t have it. The truth is anyone can have ADHD, no matter their gender or how smart they are. Some very intelligent adults with ADHD find ways to hide their symptoms, but this often leads to feeling anxious and tired all the time.

If simple tasks seem harder for you than for other people, or if you can hyperfocus on things you like but not on other important things, you might want to look into whether you have undiagnosed ADHD.

Infographic titled 7 Common Signs of Undiagnosed ADHD in Adults. Signs include chronic procrastination, hyperfocus on favorite things, frequent disorganization, losing items, emotional overreactions, time blindness, and racing thoughts at night. Each sign is represented with a gear-shaped icon.

Signs of Undiagnosed ADHD in Adults

It can be hard to spot untreated ADHD in adults, because it can look like other conditions. Adult ADHD doesn’t always match what we see in kids who can’t sit still. In adults, ADHD can be quieter but still cause major problems in daily life.

You might have undiagnosed adult ADHD3 if you often:

  • Can’t focus on boring tasks, but can get super focused on things you enjoy for hours
  • Put things off even when you really want to get them done
  • Have a messy home or desk and can’t find important things when you need them
  • Forget appointments, deadlines, or where you put your keys or phone
  • Start projects but don’t finish them, leaving things half-done
  • Misjudge time, always thinking tasks will take less time than they really do
  • Have a busy mind with thoughts that won’t slow down, especially at bedtime
  • Get upset easily and have trouble calming down when frustrated

ADHD shows up differently in different people. If you mainly struggle with inattention, others might assume you’re spacey, lazy, or say you’re not trying hard enough. If you have the hyperactive-impulsive type, people might think you’re “too much” — talking too much, moving too much, or making quick decisions without thinking.

Women with ADHD are often underdiagnosed4 as kids because they don’t always show obvious hyperactive behaviors. Instead, they may try extra hard to please others to make up for their struggles, or just seem like daydreamers who worry a lot.

Infographic explaining the 3 types of adult ADHD and how they present. The inattentive type involves trouble focusing and organizing; the hyperactive-impulsive type includes restlessness and impulsive actions; the combined type features a mix of both. Each type lists common symptoms and behaviors in adults. Icons represent each category.

What’s one overlooked way untreated ADHD has affected your (or your clients’) daily life that people might not expect?

If ADHD is untreated/undiagnosed, one may judge themselves very harshly for not being able to “keep up” with the typical demands of life. They may struggle with shame, anxiety, or self-criticism because they assume something is wrong with them, rather than understanding that their brain has unique strengths and needs that other non-ADHD people’s brains don’t have. These emotional struggles, in turn, can feel overwhelming or can contribute to executive functioning difficulties, making it harder for the person to get out of feelings of stuckness.

Kiki Fehling, PhD, DBT-LBC

The Impact of Untreated ADHD on Daily Life

Untreated ADHD affects nearly every aspect of daily functioning. At work, you might feel like you’re working twice as hard as colleagues to produce the same results. You may excel in crisis situations but struggle with routine tasks and paperwork. Job-hopping is common as people with untreated ADHD seek environments that better match their cognitive style.

In academic settings, young adults with undiagnosed ADHD often underperform5 relative to their abilities. ADHDers are often told they’re “not living up to their potential” throughout their education, or default to procrastination and last-minute cramming that only heightens their stress.

Managing your home life with untreated ADHD presents unique challenges. You might find that you accidentally overlook bills, even when you have money to pay them. Cleaning the house can feel overwhelming without a clear structure, and grocery shopping without a list can mean forgotten essentials and impulse buys.

Financial difficulties often accompany untreated ADHD. Research shows that because ADHD affects how people manage money,6 adult ADHDers are more likely to have lower credit scores, higher debt, and impulsive spending habits. You might make good money but still struggle with financial stability because of how ADHD affects planning and organization.

These daily experiences can make adults with untreated ADHD feel perpetually behind and wonder why life seems easier for everyone else. But these challenges stem from differences in brain function—not from lack of effort or ability. People who manage their ADHD effectively often develop creative solutions that work well for their unique thinking style.

Infographic titled What You’ve Been Told vs. What’s Actually Undiagnosed ADHD. Common criticisms like lazy, flaky, or disorganized are reframed as symptoms of ADHD such as executive dysfunction, time blindness, masking and burnout, rejection sensitivity, initiation difficulty, recall gaps, and attention problems. Each misconception is paired with a purple icon and an ADHD-related explanation.

Emotional and Psychological Effects

The emotional toll of untreated ADHD often goes unseen by the neurotypical world. After years of missing deadlines, forgetfulness, and feeling like you’ve failed, you might start to doubt yourself or feel ashamed. 

A lot of people with ADHD also deal with anxiety7 and depression. Sometimes these develop because of the daily struggles with ADHD. These other conditions can also mask ADHD, so you may end up getting treatment for anxiety, but not for the ADHD that’s causing it.

Living with untreated ADHD can be exhausting. You might feel like you’re always putting out fires, dealing with one problem after another without having room to breathe. This ongoing stress can wear you down, especially in jobs that don’t make room for different ways of thinking.

Many adults with undiagnosed ADHD become very sensitive to criticism or rejection. This is sometimes called rejection-sensitive dysphoria (RSD).8 It means criticism or feeling rejected hurts more deeply, making work and social situations extra stressful.

For many people, understanding that these feelings come from how your brain works—not because there’s something wrong with you as a person—is the first step to feeling better.

Relationship Challenges With Untreated ADHD

ADHD can affect your relationships in several ways: 

Love and Partnership

In romantic relationships, your partner might have a hard time understanding when you forget things you promised to do, interrupt during talks, or have trouble finishing household chores. They may feel like they’re doing more of the work.

Communication Barriers

Talking with others can be tricky sometimes. ADHD can make it hard to stay focused during conversations or remember important things your loved one told you. This can make them feel like you don’t care, when really your brain just takes in information differently.

Family Dynamics

Family relationships can face challenges too. If you’re a parent with ADHD,9 keeping regular routines might be harder. If you’re an adult with ADHD, your parents may not have understood why some things were difficult for you as a child.

Strain on Friendships

In friendships, staying in touch regularly might not come easily. You might cancel plans or forget birthdays, sending the message that you don’t care when you really do. But with understanding friends and the tools to communicate your needs, these challenges don’t have to hurt your relationships.

The bright side is that learning about ADHD can make all your relationships better. When you and your loved ones see ADHD as a different way your brain works and not as a choice you’re making, things can start to improve. People can start appreciating the good things ADHD brings to relationships—like your creativity, your excitement about life, and interesting conversations.

Long-Term Risks of Untreated ADHD

When ADHD goes untreated for a long time, it can affect your well-being in a few ways: 

Stress and Physical Health

Research shows that adults with untreated ADHD have more physical health challenges10 because it’s harder to keep up with regular sleep, exercise, and healthy eating habits. The extra effort it takes to manage life with untreated ADHD can create ongoing stress for your body and mind. Over time, this stress can contribute to other health concerns.

Career and Professional Development

Your work life might also be affected. Even though you may have great skills and ideas, untreated ADHD can sometimes make it harder to stay at one job or advance in your career. This can affect your income over time.

Substance Misuse as a Coping Strategy

Some adults with untreated ADHD turn to substances like alcohol or cannabis to help manage their symptoms without realizing they’re self-medicating. Getting treatment for both addiction and ADHD often helps reduce these substance abuse patterns.

Pointing out these effects isn’t meant to worry you, but to show how getting proper guidance for navigating ADHD can make daily life easier and support your long-term health. Each person has their own feelings about receiving an ADHD diagnosis, but many adults say they feel relieved and empowered after getting diagnosed and finding treatments that work for them.

How do you help adults with ADHD reclaim a sense of control or confidence in their lives—especially if they’ve struggled for years without a diagnosis?

One of the first steps I take as a mental health occupational therapist when working with clients after a late ADHD diagnosis is helping them navigate self-acceptance and self-compassion. From there, we look at how ADHD impacts their daily life by breaking down the flow of their day through the lens of habits and routines. Many of my clients struggle with transitions and balancing the different roles they play, so we focus on creating anchor habits—small, intentional activities like changing clothes after work or having tea before bed—to make shifts between tasks feel more natural. I also help clients integrate tidying and decluttering strategies into their routines, which reduces cognitive load and makes it easier to follow through with daily tasks without feeling overwhelmed.

Sarah Anderson, OTD, OTR/L | Elevated Wellbeing OT LLC

Treatment Options and Support

If you see yourself in these descriptions of untreated ADHD, it’s important to know that there are plenty of effective treatments and support systems available to help you. The first step is usually a comprehensive evaluation by a mental health professional who’s experienced in adult ADHD.

Medication 

Treatment usually involves a combination of approaches. Medication is often an important part of ADHD treatment plans,11 as it helps balance brain chemicals that affect symptoms of ADHD. Stimulants are the most commonly prescribed ADHD medications, but there are also non-stimulant options for people who can’t take stimulant medications or don’t find them helpful.

Therapy

Therapy specifically for ADHD12 can also be hugely helpful. Cognitive-behavioral therapy (CBT) for ADHD, for example, teaches practical skills for getting organized, managing time, and regulating emotions during mood swings. ADHD coaches can help you create systems that work with your brain instead of against it.

Support Groups

ADHD support groups, both in-person and online, connect you with others who understand what you’re going through. Sharing tips and challenges with people who “get it” can help you feel much less alone.

Supportive Work Environments

Workplace changes can help you succeed on the job. Simple adjustments like getting written instructions, using noise-canceling headphones, or having some flexibility in your work environment can help you make the most of your strengths while managing the challenges ADHD presents.

What’s one myth about adult ADHD you wish more people understood—and how do you respond to it?

One myth I wish more people understood is the belief that adult ADHD is just about being ‘distracted’ or ‘unfocused.’ I often remind clients that ADHD is deeply connected to how the nervous system regulates safety, energy, and connection. What looks like ‘procrastination’ or ‘lack of motivation’ is often a body that’s stuck in a state of overwhelm or shut down. When we start to explore ADHD through the lens of the whole person, not just the brain but the body, the environment, and relationships, it becomes easier to offer ourselves compassion and find what actually helps.

Amanda Stretcher, MA, LPC-S | Crescent Counseling

Living Successfully With ADHD (With or Without Medication)

It’s a proven fact that ADHD is, in some ways, an advantage13—especially when it comes to certain types of creative thinking. Research scientist Holly White at the University of Michigan points out:

ADHD may also bring with it an advantage: the ability to think more creatively. Three aspects of creative cognition are divergent thinking, conceptual expansion and overcoming knowledge constraints. Divergent thinking, or the ability to think of many ideas from a single starting point, is a critical part of creative thinking. Previous research has established that individuals with ADHD are exceptionally good at divergent thinking tasks, such as inventing creative new uses for everyday objects, and brainstorming new features for an innovative cell phone device. In a new study, college students with ADHD scored higher than non-ADHD peers on two tasks that tapped conceptual expansion and the ability to overcome knowledge constraints.

Many adults thrive with ADHD, with or without medication. The key is developing strategies that align with how your brain works. Instead of forcing yourself to conform to neurotypical expectations, successful management often means leaning into your unique cognitive style.

Coping Strategies for Adult ADHDers 

Many people find techniques like these helpful for improving their quality of life with ADHD:

Outside structure is vital when it’s hard to organize yourself. Try using timers, reminders, and visual cues to help with time awareness. Make big tasks smaller to help you get started. Work next to someone else (called body-doubling) to stay focused and accountable.

Technology can help a lot. There are ADHD apps14 that help with things like reminding you to take medicine or prioritizing tasks. When writing seems too hard, try making voice recordings of your thoughts instead.

Moving your body throughout the day can help with restlessness and improve your focus. Even small movements like fidgeting or working at a standing desk can help your brain work better.

And finally, remember the good things about having ADHD. Many adults with ADHD are great at creative thinking, solving problems in emergencies, and bringing excitement and energy to the things they care about. Finding places that value these strengths can turn ADHD from a challenge into an advantage.

Recovery isn’t about eliminating all ADHD symptoms—it’s about building a life that works with your brain rather than against it.

Reclaiming Your Potential: Next Steps for Adults with ADHD

Untreated ADHD doesn’t have to control your future. While living with ADHD has its challenges, learning more about how your brain works is a great step toward positive change. Whether you’re just now seeing these patterns in yourself or have wondered about adult ADHD for years, talking to a qualified healthcare provider can help you find an effective path forward.

Having trouble with organizational skills, focus, and time management does not say anything about how smart you are or your value as a person. ADHD is simply a different way your brain is wired. With the right support—like medication, therapy, coaching, or a mix of these—many adults with ADHD find that life gets easier and more enjoyable.

If you recognize yourself in the descriptions here, think about reaching out to a professional who’s experienced in working with adult ADHD. A thorough evaluation can help you learn how ADHD is affecting your life and what kinds of support might work best for you. Recovery.com can help you find treatment centers that understand adult ADHD and offer proven approaches to manage it.

You deserve a life that lets your uniqueness shine. 

FAQs

Q: What does untreated ADHD lead to in adults?

A: Untreated ADHD can lead to problems with work performance, relationship difficulties, financial struggles, executive functioning challenges, higher rates of anxiety disorders and depression, increased risk of substance use, and lowered self-esteem.

Q: Can you be successful with unmedicated ADHD?

A: Yes, many adults with ADHD succeed without medication by implementing effective strategies, creating supportive environments, and learning how to leverage their ADHD-related strengths like creativity and problem-solving abilities.

Q: How does untreated ADHD impact relationships?

A: Untreated ADHD can strain relationships through miscommunications, forgotten commitments, emotional reactivity, and unequal responsibilities, which can cause patterns of misunderstanding and frustration.

Q: What are the long-term effects of untreated ADHD in adults?

A: Long-term effects can include chronic stress, career underachievement, financial struggles, higher risk of accidents, substance use disorders, and ADHD-related physical and mental health conditions.

Q: Can untreated ADHD in adults lead to other mental health issues?

A: Yes, untreated ADHD often leads to mood disorders like anxiety, depression, and low self-esteem, which sometimes develop as responses to ongoing ADHD-related challenges.

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Step One of AA: 4 Essential Ways to Understand the Foundation of Recovery

Taking that first step toward recovery can feel a lot like standing at the edge of an unfamiliar path. If you’re looking into Alcoholics Anonymous (AA) as a possible way to help with drinking problems, understanding Step One is a good place to start.

This first step introduces an idea that many people find challenging: The thought that alcohol may have taken control over parts of your life.

In this article, we’ll break down what Step One of AA really means, how it functions within the program, and how people typically work with it.

We’ll also answer common questions and clear up misunderstandings to help you figure out if this approach might be a good fit for your recovery needs.

Illustration of a person sitting in a sinking boat with one hand covering their face, representing denial. Text on the left reads that you can't fix a problem if you don't admit it exists. The message highlights the importance of acknowledgment in recovery.

What Is Step 1 of Alcoholics Anonymous?

Step One of AA1 simply states: “We admitted we were powerless over alcohol—that our lives had become unmanageable.”

These words from the Big Book introduce the idea of honesty—what they call the first spiritual principle in the program. Basically, this step asks people to recognize that they can’t control their drinking, and that alcohol has created problems in their lives.

When AA began back in 1935,2 founders Bill Wilson and Dr. Bob Smith came up with this step based on their own struggles with problematic substance use. They noticed that many people with drinking problems spent a lot of time trying to control their drinking before they finally asked for help.

In AA’s approach, Step One works like a doorway into the program: It’s about recognizing there’s a problem and that trying to solve it on your own hasn’t worked. AA sees this acknowledgment as necessary before moving on to the other steps in the program.

How do you explain the concept of “powerlessness” to someone new to recovery who may find it disempowering or difficult to accept?

I tell people new to recovery that feeling powerless is a very normal part of the process. Feeling powerless doesn’t mean you’re weak—it means you’re finally being honest with yourself during a very difficult time. It’s saying, ‘This isn’t working, and I can’t do it alone,’ which is actually acknowledging the power substance use has had over you in the past and that you’re ready to make a change. Admitting powerlessness is about taking your power back by choosing a new way forward.

Rebecca Tenzer, MAT, LCSW, CCTP, CGCS, CCATP, CCFP, CIMPH | Astute Counseling & Wellness Services

1. Why AA Emphasizes Admitting Powerlessness

The idea of being “powerless” might sound strange, especially since we live in a culture that values taking control and handling things on our own. But within AA, acknowledging this powerlessness is considered helpful for a few reasons.

People who support this approach say it takes away the mental and emotional drain of constantly trying to control drinking behaviors. Many folks share that they’ve spent years trying different strategies to manage their drinking—like promising they’d stop after just one drink, switching from hard liquor to beer, or only drinking on weekends. From AA’s perspective, accepting that you can’t control alcohol allows you to stop wasting energy on these efforts and redirect it toward actually getting better.

This admission can also open the door to considering outside help. AA believes that as long as someone thinks they can fix their drinking problems through sheer willpower, they’ll probably resist asking others for support. Step One is designed to help you become more open to the and structured approach and community support system that make AA so effective.3

Honesty in Recovery

This step establishes the importance of honesty when working the Steps of Alcoholics Anonymous. Self-honesty is the foundation of recovery,4 because breaking through denial is often what allows someone to recognize their relationship with alcohol has become unmanageable. Many people only become willing to change when the evidence of alcohol’s impact becomes too overwhelming to ignore.

The Power in Admitting Limitations

Step One represents a basic paradox in AA’s thinking: The idea that admitting your limitations can actually be empowering. Step One states5 that while no one likes to admit powerlessness, 

Upon entering A.A. we soon take quite another view of this absolute humiliation. We perceive that only through utter defeat are we able to take our first steps toward liberation and strength. Our admissions of personal powerlessness finally turn out to be firm bedrock upon which happy and purposeful lives may be built.

This shift—from struggling alone to accepting help—is one that many AA members describe as life-changing. 

Infographic illustrating Step One of Alcoholics Anonymous: Admitting Powerlessness Over Alcohol. Key points include acknowledging alcohol's control over thoughts and behavior, recognizing its negative impact, understanding powerlessness is not weakness, and accepting this as the first step to recovery. A handcuffed hand holds a bottle in the corner.

2. Different Perspectives on Step One

Some people worry that talking about “powerlessness” might make you feel weak, or like you’ve somehow failed. But AA members explain that this step isn’t about personal weakness. It’s about recognizing addiction as a condition that can affect anyone.

Terry G, who has been in recovery from alcohol use disorder6 for over 30 years, explains:

I think a lot of us have a problem with this part of this step: Powerlessness over alcohol. I had a major problem with powerlessness because when I drank I felt powerful. Booze did a lot of things for me that I couldn’t do for myself. Now, I believe powerless over alcohol simply means that when we start drinking, we don’t know where it’s going to end. Powerlessness means I’ve come to a conclusion in my life that I cannot drink safely.

It’s worth noting that some recovery approaches take a different angle, focusing more on empowerment rather than powerlessness. These different approaches highlight an important truth: The recovery process isn’t one-size-fits-all, and different methods may work better for different people depending on their experiences and beliefs.

In your experience, why is Step One considered foundational in the 12-Step model, and how does it set the stage for the rest of the recovery process?

Step One is considered foundational in the 12-Step model because it helps individuals move from a sense of control to surrender, recognizing that their addiction has taken over their lives. It encourages humility by fostering an honest self-assessment, allowing them to see the unmanageability caused by their substance use. This step also opens the door to seeking help, shifting the focus from isolation to connection with a supportive recovery community. By accepting powerlessness, individuals create the foundation for lasting change and growth in the recovery process.

Andrew Schreier, ICS, CSAC, LPC, ICGC-II, BACC

Infographic titled Common Strategies that Fail to Control Problem Drinking. It lists ineffective approaches like switching to beer or wine, drinking only on weekends, setting drink limits, drinking only when eating or socially, and taking short breaks like Dry January. Background features a wine glass and splashes of red liquid.

3. How People Typically Approach Step One

In AA, working through Step One isn’t just a declaration—it’s more of a process. Here’s how AA members engage with this concept in practice:

People often start by assessing how alcohol has affected their lives7—a practice often referred to as “taking inventory.” This might include listing times they drank more than they planned to, failed attempts to cut back, and how drinking has impacted their relationships, work, and health. This exercise helps people see their relationship with alcohol more clearly and objectively.

If you’re exploring Step One, you might ask yourself questions like: 

  • What happens when I try to control my drinking?
  • How has alcohol affected my relationships?
  • If a friend described my drinking patterns to me, what advice would I give them?

AA meetings that focus on Step One give you a chance to hear how others have navigated similar challenges. Realizing you’re not alone in your struggles helps normalize your experience and ease feelings that you’re somehow uniquely flawed when it comes to substance use disorders.

What are some practical ways people can begin working Step One, especially if they’re struggling to see how alcohol has made their life unmanageable?

For many, the very first step of Alcoholics Anonymous (AA), admitting powerlessness over alcohol and that life has become unmanageable, is most challenging because use has become essentially ingrained into every fabric of one’s life. People are naturally creatures of habit, and change is a daunting process, especially when it involves a holistic lifestyle and environmental change. Rather than envision the entire process as a whole, begin by taking it one day and step at a time. Optimistically reframe your mindset to one where you can see the benefits of recovery, perhaps so much so that your life will be even better than before you started drinking. This requires a true inventory of self and others, which likely requires prosocial and/or professional support. Remember, there was a time when you used to have more control of your drinking before it got out of hand. Channel that younger, wiser voice within your head to let you know that everything will ultimately be okay.

Matthew Glowiak, PhD, LCPC, CAADC, ACS, NCC | Hazelden Betty Ford Graduate School

4. How Step One Fits With the Rest of AA

In the AA program, Step One is the entry point into the AA framework. Understanding this relationship helps clarify how the recovery program works as a complete system. Anne Marie, an AA member who has been sober since 2018, recalls how hard—and ultimately helpful—it was to admit she was powerless over alcohol:8

Something happened and for the first time I could see I was not the only person affected by my drinking, and I admitted I needed help. I was terrified that because of this admission I couldn’t withdraw it. There was also relief in outing my ‘little’ problem. 

Step One is the foundation that makes all the other steps of AA (Step Two of accepting help from a higher power, and so on) relevant. All of the following steps build upon the initial idea established in Step One—that alcohol has become unmanageable and we need help. “We need to be honest and admit that we are alcoholics9 and be honest with ourselves and start working a program of recovery, because it’ll reinforce Step One,” says Terry G. “All the other steps reinforce Step One.” 

Many long-term AA participants say they revisit Step One throughout their recovery journey. During challenging times, reconnecting with their original motivation for seeking help serves as a reminder of their personal experiences with alcohol addiction and strengthens their commitment to staying sober.

Exploring Your Alcohol Treatment Options

Learning about Step One of the Twelve Steps helps you understand one approach to recovery, but it’s definitely not the only way forward. There are many paths that can lead to healing.

Some people benefit from peer-led 12-Step programs like AA,10 while others prefer non-12-Step options like SMART Recovery. Some find help through medication-assisted treatment, while others do best with therapy or holistic modalities. Most people find they benefit from a combination of approaches that meet their needs. Support groups like Al-Anon also exist to help family members of those struggling with alcohol and drug addiction.

If you’re not sure where to start, talking to an addiction specialist can help. They can suggest options based on your specific situation, whether it’s meeting with a counselor once a week, joining a more intensive outpatient treatment program, or spending time in inpatient treatment center or sober living. They can also help you determine if detox is necessary.

Ready to Find Your Path Forward? Personalized Recovery Support Is Here

When you’re ready to take the next step toward your new life, our addiction treatment finder can help you connect with programs that match what you’re looking for. Remember, there’s no one “right way” to mental health and wellness—what matters is finding a path that makes sense for you or your loved one.

FAQs

Q: What does Step 1 of AA mean?

A: Step One means recognizing that you can’t control your drinking and that alcohol has made your life difficult to manage in some ways.

What is the principle behind Step 1 in AA?

A: The main principle of Step One is honesty: Facing the truth about your relationship with alcohol without minimizing or denying the problems.

Do I have to believe in the concept of powerlessness to recover?

A: No. While AA emphasizes this concept, many people recover through other approaches that focus on different principles. The important thing is finding an approach that works for you.

Can I work Step 1 without joining AA?

A: Yes. While Step 1 is part of AA’s program, you can explore its concepts independently or within other addiction recovery frameworks to see if they’re helpful for you.

How long does it take to complete Step 1?

A: There’s no set timeline. Some people connect with this concept quickly, while others may spend more time working through it. In AA, the Twelve Traditions aren’t considered “completed” but rather ongoing practices.

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How to Detox from Alcohol: 5 Essential Tips for a Safe Recovery

Taking the first step toward sobriety can feel daunting, especially when facing the unknowns of alcohol withdrawal.

If you or a loved one is considering detox, it’s natural to feel overwhelmed by the process. Alcohol detoxification is more than just quitting drinking—it’s about navigating the body’s adjustment to sobriety while managing withdrawal symptoms that can range from mild discomfort to severe medical complications.

Understanding what to expect during detox, recognizing when professional help is necessary, and knowing how to support your body through recovery can make a significant difference.

No matter where you are in your journey, you are not alone—there are resources, medical professionals, and support systems ready to help guide you toward a healthier, alcohol-free life.

1. Understand the Process of Alcohol Detox

If you or a loved one1 is struggling with alcohol use disorder, the idea of detoxing may feel overwhelming. Alcohol detoxification is the body’s process of eliminating alcohol consumption2 after prolonged use. For regular drinkers, this can trigger severe withdrawal symptoms,1 including delirium tremens.

Infographic titled 5 Questions to Ask Yourself Before Trying to Detox Without Professional Support. It includes questions about heavy drinking, withdrawal symptoms, past relapses, and detoxing without supervision. Depending on the answers, the image advises either professional detox or consulting a doctor for home detox.

How do I know if I am withdrawing from alcohol?

Though the experience of withdrawal from alcohol is slightly different from one person to the next, it is often marked by a combination of physical, emotional, and cognitive symptoms that vary depending on the quantity and duration of alcohol consumed (among other personal factors). Traditional physical symptoms may include tremors, sweating, nausea, vomiting, insomnia, headache, increased heart rate, and in more severe cases, seizures and/or delirium tremens. From a cognitive-emotional standpoint, symptoms may include negative thoughts, anxiety, depression, agitation, et cetera. Symptomatology along these lines is atypical of responsible drinking and may indicate a more significant issue warranting professional support.

Matthew Glowiak, PhD, LCPC, CAADC, ACS, NCC | Hazelden Betty Ford Graduate School

Why Does Alcohol Withdrawal Syndrome Happen?

Drinking alcohol depresses the nervous system,3 slowing brain function and creating a sedative effect. Over time, the brain compensates by increasing excitatory signals. When alcohol use suddenly stops, these heightened signals cause overstimulation, resulting in severe alcohol withdrawal.3

What Are Alcohol Withdrawal Symptoms and When Do They Occur?

There are different levels of severity for alcohol withdrawal that range from mild to severe symptoms.

Stages of Alcohol Withdrawal: Withdrawal symptoms typically begin 6 to 24 hours after the last drink1 and can last a week or more, depending on the severity of alcohol dependence. Alcohol withdrawal symptoms can be scary and dangerous, especially if you don’t know what to look for. Having correct information and knowing what to expect can help you or your loved ones prepare.

Mild Symptoms (6-12 hours after last drink)1:

  • Headache
  • Anxiety and restlessness
  • Nausea and vomiting
  • Sweating and shaking
  • Insomnia

Moderate Symptoms (12-48 hours after last drink)1:

  • Increased heart rate
  • Tremors and shakiness
  • Confusion and irritability
  • Hallucinations

Severe Symptoms (48-72 hours after last drink – Delirium Tremens)1:

Infographic titled Essential Tips for an Alcohol Detox, showing seven strategies: have a good support system, consider professional detox if severe, stay hydrated, eat whole foods, get good sleep, avoid triggers, and redirect your mind. Each tip is paired with a simple icon, and the top-right corner features an alcohol-related graphic.

2. Know When You Should Seek Medical Care

Emergency Symptoms:

Seek immediate help from a medical professional5 if you or a loved one1 experiences the following severe withdrawal symptoms:

  • Severe confusion or hallucinations (DTs)
  • Withdrawal seizures
  • High fever
  • Extreme agitation or violent behavior

When should I seek emergency medical care for alcohol detox?

If you or someone you know is going through alcohol detox, it’s important to recognize when to seek emergency medical care. Alcohol withdrawal can be life-threatening, so call 911 or get to an ER immediately if you experience seizures, severe confusion, a racing or irregular heartbeat, high fever, or uncontrollable shaking and agitation. Even if symptoms seem mild, it’s always safer to get checked out. The best way to detox is under medical supervision, where professionals are standing by and ready to help.

Janelle Salo, RN | Healthy Earth Living

Can You Detox from Alcohol at Home?

While mild withdrawal symptoms can sometimes be managed at home, medical supervision is strongly advised, especially for those with a history of heavy drinking. Detoxing alone can be dangerous, and individuals should not hesitate to seek professional guidance if necessary.

Professional medical help may be required for those at risk of severe withdrawal. Medical professionals can administer medications to help manage withdrawal symptoms and reduce the likelihood of complications like seizures or DTs.

Even if you think your withdrawal symptoms are mild, always consult a healthcare provider before stopping alcohol use. Their expertise can help determine the safest approach for detoxing based on your health history.

Illustration of a man in boxing gear punching a giant soda can hanging like a punching bag. The image symbolizes the struggle of alcohol detox. Text on the left says the pain of alcohol detox is temporary but the rewards of recovery are worth the fight.

3. Learn How to Care for Yourself During Alcohol Detox

Stay Hydrated

Dehydration is common during alcohol withdrawal due to sweating, vomiting, and diarrhea. Drink plenty of fluids such as water, electrolyte-rich drinks like sports drinks, or coconut water to stay hydrated.

Hydration is key6 for your recovery. Electrolyte imbalances can cause additional complications, so maintaining a balance of sodium, potassium, and magnesium is essential.

Drinking fluids also helps flush out toxins more efficiently, aiding the detoxification process.

Eat Nutritious Foods

Alcohol depletes essential vitamins and minerals, so eating a balanced diet is crucial:

  • B vitamins (found in leafy greens, eggs, and whole grains) help support brain function.
  • Magnesium and potassium (from foods like bananas, avocados, and nuts) are important for muscle relaxation and nerve function.
  • Protein-rich foods (chicken, fish, tofu) will help rebuild strength and energy.

Proper nutrition supports the body’s healing and helps to maintain mental clarity, which can be especially beneficial during the detox process.

A nutrient-rich diet can also combat some of the psychological symptoms, such as mood swings and irritability, that often accompany withdrawal.

Get Plenty of Rest

Fatigue is a common issue during detox. Make sure to create a relaxing environment for sleep, practice deep breathing techniques, and limit screen time before bed.

Adequate rest is crucial during detox for effective recovery.

Sleep helps the body repair and recharge, and it plays a significant role in managing withdrawal symptoms such as anxiety, restlessness, and depression.

Consider calming practices like meditation or gentle stretching before bedtime to promote better sleep quality. These restful activities also promote a decrease in blood pressure over time and support for other health conditions.

Avoid Triggers

Being around alcohol or in situations where drinking is encouraged can heighten cravings and tempt you to relapse.

When you try to quit “cold turkey” this can be even more challenging. Removing alcohol from your home and avoid people or places that may provoke drinking may help support the effects of alcohol overuse or dependence.

Avoiding a recurrence of use can be an essential part of long-term recovery. Engage in activities that don’t involve alcohol and help shift your focus to healthier alternatives. Seeking medical advice or other support from medical professionals and therapists can support relapse prevention.

Use Over-the-Counter Medications Cautiously

Some over-the-counter medications may help with common withdrawal symptoms, but should only be used cautiously:

  • Ibuprofen or acetaminophen for headaches and body aches
  • Antacids (e.g., Tums, Pepto-Bismol) for nausea
  • Melatonin or herbal teas to help with sleep issues

While OTC medications can alleviate minor symptoms, they should be used in moderation. Certain medications, especially painkillers, may be harmful if combined with alcohol or if taken in excess.

Always consult with a healthcare professional before using any medication during detox, especially those like diazepam that might be prescribed for medical detox or severe side effects.

Have a Support System

Detoxing alone can be risky. Ask a trusted friend or family member to check in with you regularly, providing emotional support and reassurance.

It is also imperative that a medical provider is included in treatment planning. Having trained and experienced addiction treatment and alcohol detox providers can be key to a successful detox strategy.

Social support7 is a significant factor in successful alcohol detox. Support can come in many forms, whether through emotional encouragement or practical assistance (e.g., helping with meal preparation or attending appointments).

4. Consider Professional Help

Even if detoxing at home, consult a healthcare professional before stopping alcohol use. Some individuals may require medication-assisted treatment (MAT) with benzodiazepines like diazepam to prevent seizures and alleviate withdrawal symptoms.

Find out more about medication-assisted treatment (MAT).8 MAT involves a combination of medications and counseling to help manage withdrawal and reduce cravings. It can be an essential part of the detox process for some individuals.

Why is professional help important when detoxing from alcohol use?

Professional help is very important when someone is detoxing from alcohol use because withdrawal symptoms can be very severe and even life-threatening, requiring medical supervision. During this time, professionals can provide necessary support and interventions to manage symptoms, prevent complications, and ensure individual safety. Additionally, professionals offer a structured environment to the individual for emotional and psychological support, which allows them to address the underlying causes of addiction.

Sorhaya Zamor, RN, PMHNP

Is there a Safer Alternative?

Because alcohol withdrawal can be dangerous and even fatal, it is important that individuals and families seek professional, medical advice. Inpatient and outpatient treatment programs provide medically supervised detox and addiction recovery options to make withdrawal safer and more comfortable.

Caring for a loved one during alcohol withdrawal is challenging, but you don’t have to do it alone. There are medical professionals, support groups, and community resources available to help.

Encourage your loved one to take the next step toward recovery—whether that means entering an inpatient program, attending support groups, or simply reaching out for help.

5. Discover Long-Term Recovery After Detox

Detoxification is only the first step in recovery. Maintaining long-term sobriety requires a multi-faceted approach that can include therapy and counseling, support groups and peer support, and healthy lifestyle changes.

Mental health support can also be a key factor in addressing alcohol detox and alcohol addiction. Connecting with therapy and counseling, support groups, and other supports that promote healthy lifestyle changes can be key. Alcohol use disorder is a medical condition that needs ongoing support and treatment just like other health issues and health conditions.

  • Therapy & Counseling: Behavioral therapies like Cognitive Behavioral Therapy (CBT) can help address addiction triggers and support emotional healing. Research shows CBT is effective in treating alcohol use disorders.
  • Support Groups: Programs like Alcoholics Anonymous (AA) and other peer support groups provide a community of individuals who share similar experiences and can offer support in staying sober.
  • Healthy Lifestyle Changes: Maintaining regular physical activity, eating a balanced diet, and managing stress are essential for sustaining long-term recovery. Studies show that exercise helps reduce alcohol cravings and improve mood during recovery. Healthy lifestyle choices not only support physical health but also improve mental well-being, making it easier to avoid relapse triggers.

Recovery from alcohol dependence is not just about stopping drinking—it’s about reclaiming your life, one step at a time. Alcohol detoxification can be overwhelming, but with the right knowledge, support, and self-care, the process becomes more manageable.

Withdrawal symptoms range from mild discomfort to severe, life-threatening conditions, making medical supervision an important consideration for safety.

Staying hydrated, nourishing your body, getting enough rest, and avoiding triggers are crucial to a successful detox. Most importantly, you don’t have to go through this alone—support from loved ones, professional treatment programs, and recovery groups can make all the difference. The path to sobriety may have its challenges, but every step forward is a step toward a healthier, more fulfilling life.

FAQs

Q: How to detox your body from alcohol?

A: Detoxing from alcohol involves eliminating toxins from your body while managing withdrawal symptoms. The safest way to detox is under medical supervision, especially if you drink heavily. Medical detox programs provide medications to ease withdrawal symptoms and prevent complications.

Q: What happens after 2 weeks of no alcohol?

A: After two weeks without alcohol, many experience improved sleep, better digestion, and increased hydration. The liver starts repairing itself, and inflammation decreases. You may also notice weight loss and a clearer mind.

Q: How long does it take to reset your body from alcohol?


A: The body starts recovering within hours of quitting alcohol. In mild cases, withdrawal symptoms last a few days, but it can take weeks to months for brain chemistry and organ function to fully reset, depending on drinking history.

Q: What happens on day 5 of no alcohol?

A: By day 5, withdrawal symptoms like headaches, nausea, and anxiety typically subside. In some cases, Post-Acute Withdrawal Syndrome (PAWS) may develop, causing mood swings and sleep disturbances.

Q: How do you detox from alcohol?

A: The safest approach is a medically supervised detox, which may include IV fluids, vitamins, and medications. Home detox can be risky, but if attempted, it should involve proper hydration, nutrition, and medical consultation.

Q: How Long Is Alcohol Detox?

A: Alcohol detox typically lasts 3 to 7 days, though lingering withdrawal symptoms may persist for weeks. The severity of withdrawal depends on drinking habits, amount of alcohol consumed on a regular basis, and individual health factors.

Q: What are the signs of alcohol addiction?

A: Signs of alcohol addiction include:

  • Drinking more than intended
  • Failed attempts to cut down
  • Increased tolerance
  • Withdrawal symptoms when not drinking
  • Prioritizing alcohol over responsibilities

Q: What is alcohol detoxification?

A: Alcohol detox is the process of clearing alcohol from your system while managing withdrawal symptoms. It is the first step in addiction treatment and should ideally be followed by therapy and support groups.

Q: Are you covered for addiction treatment?

A: Many insurance plans cover alcohol detox and rehab programs. Check with your provider to understand your coverage for addiction treatment.

Q: What does it mean to have a substance abuse problem?

A: A substance use disorder occurs when drinking interferes with daily life, relationships, and health. It can range from mild to severe, with addiction requiring professional intervention.

Q: What are the best methods to detox from alcohol at home?

A: If attempting a home detox (only for mild cases), follow these steps:

  • Drink plenty of water to stay hydrated.
  • Eat nutritious foods (fruits, vegetables, lean proteins).
  • Take vitamins (especially B vitamins and magnesium).
  • Avoid triggers that encourage drinking.
  • Have medical support available in case of severe withdrawal symptoms.

Q: What are the symptoms of alcohol withdrawal?

A: Alcohol withdrawal symptoms include:

  • Mild: Anxiety, nausea, headache, sweating
  • Moderate: Tremors, increased heart rate, confusion
  • Severe: Seizures, hallucinations, delirium tremens (DTs)
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Project Alumni: Share Your Story, Inspire Hope.

Your journey matters. Your story, as an alumnus, can profoundly impact others.

We’re launching Project Alumni, a collaborative initiative designed to build a powerful collection of recovery stories. By sharing your experience in a short video, you can inspire and support those facing mental health, substance use, and addiction challenges, and help reduce stigma.

Why Share Your Story Through Project Alumni?

  • Inspire Others: Your journey, especially your experience within the treatment center’s program, can be a beacon of hope for someone currently struggling.
  • Treatment Center Testimonials: Your video may also be used by your treatment center to showcase the effectiveness of their program.
  • Reduce Stigma: Help us break down the barriers and misconceptions surrounding recovery and treatment.
  • Provide Support and Validation: Offer invaluable insight and encouragement to those seeking help, drawing from your lived experience.

How to Share Your Story Through Project Alumni:

It’s simple and easy! Just record a short video directly from your phone using the link provided. We’ll handle the professional editing at Recovery.com, free of charge, so you can focus on sharing your authentic experience.

Check out Kelly’s story as an example:

What to Expect:

  • Seven thoughtful questions designed to guide your storytelling (see below).
  • Professional video editing provided by Recovery.com.
  • Your video featured on Recovery.com and our social media channels.
  • Your video may also be used by your treatment center on their website and social media.
  • The knowledge that you’re making a real impact on individuals and the broader recovery community.

Ready to Share?

Tips for Recording:

  • Find a quiet place with good lighting.
  • Use your phone’s vertical video setting.
  • Speak from the heart – your honesty and reflections are what matters.

What Questions Will You Ask?

  1. What is your first name, the treatment center you attended, and what are you in recovery from?
  2. How was your life before you entered treatment?
  3. How did you know it was time to get treatment?
  4. What were your expectations going into treatment, and was the reality of it different than you expected?
  5. What have you learned in treatment that has allowed you to stay in recovery?
  6. What is your life like now, compared to before you started your recovery journey?
  7. What advice do you have for someone who might experience similar challenges as you?
  8. What would you tell someone on the fence about getting treatment?
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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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Kai’s Journey to Recovery: Embracing Change and Finding Strength

In the depths of addiction, Kai found himself homeless, without a car, and stripped of material possessions. He had hit rock bottom, selling everything he had to sustain his habits, and finding himself on the fringes of society. However, it was this same desperation that became the catalyst for his profound transformation and the beginning of a challenging but rewarding recovery journey.

1. Facing The Breaking Point

Kai’s physical deterioration was alarming; he was underweight, mentally plagued with depression, anxiety, and suicidal thoughts, believing he had no future or worth. Emotionally disconnected and spiritually bereft, Kai lacked empathy and motivation. His life mirrored the Buddhist parable, “fall seven, rise eight,” epitomizing his relentless spirit to rise again despite numerous setbacks, including attending rehab seven times.

2. A New Beginning

With a resolved heart, Kai threw himself into recovery, drawing strength from attending meetings, engaging in a 12-Step program, and taking therapeutic steps toward a healthier lifestyle. He freed himself from substances by going through detox and committed over a year to a treatment center. Diving into clinical therapies and support groups, he acquired mindfulness and coping skills, constructing a robust network of recovery allies.

3. Rediscovering Life

Gradually, Kai witnessed substantial changes in his life. He returned to physical health, finding joy in activities such as running and playing music. Gaining independence was monumental; he secured an apartment, a testament to his newfound self-sufficiency. Kai no longer answered to curfews or drug screens but enjoyed the liberty to live a life unburdened by addiction.

4. Building a Supportive Community

Community played a pivotal role in Kai’s recovery. He surrounded himself with like-minded individuals dedicated to sobriety, forming invaluable connections. Kai became an active member of his group, offering support and mentorship to others navigating similar paths. From sponsoring newcomers to facilitating meetings, he embodied the principle of giving back what he had received.

5. Embracing the Present and Planning for the Future

Kai approached his challenges with a renewed sense of calm and wisdom. He maintained physical health and mental clarity through exercise, healthy sleep patterns, and reflective journaling. By engaging in creative hobbies and community activities, Kai found stability and purpose. Emphasizing patience and perseverance, he cultivated a lifestyle that embraced vulnerability, compassion, and honesty.

6. Wise Words for Others

In sharing his journey, Kai offers valuable advice for others grappling with addiction. He stresses the importance of being gentle with oneself, pursuing sobriety, and finding a supportive network. Kai encourages seeking professional help, embracing creative outlets, and building a life grounded in authenticity and resilience.

Kai’s recovery story is a testament to the human spirit’s capacity to rebuild and thrive. By prioritizing well-being, forming supportive communities, and continuously seeking personal growth, Kai demonstrates that it is possible to rise above adversity, rebuild a life worth living, and inspire others on similar journeys.

7. Share your Recovery Story

Your journey matters. Your story can make a difference.

We’re building a powerful collection of recovery stories to inspire and support those facing mental health, substance use, and addiction challenges. By sharing your experience in a short video, you can offer hope and reduce stigma.

Share your recovery story now.

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Project Mosaic: Share Your Recovery Story To Inspire Hope & Break Stigma

Your journey matters. Your story can make a difference.

We’re building a powerful collection of recovery stories to inspire and support those facing mental health, substance use, and addiction challenges. By sharing your experience in a short video, you can offer hope and reduce stigma.

Why Share Your Story?

  • Inspire Others: Your journey can be a beacon of hope for someone struggling.
  • Reduce Stigma: Help us break down the barriers and misconceptions surrounding recovery.
  • Provide Support: Offer invaluable insight and encouragement to those seeking help.

How to Share Your Story:

It’s simple and easy! Just record a short video directly from your phone. We’ll handle the editing, so you can focus on sharing your authentic experience.

Check out Kai’s story as an example:

What to Expect

  • Seven questions that take about 10-15 minutes to answer
  • Your video featured on Recovery.com and our social media channels.
  • The knowledge that you’re making a real impact.

Ready to Share?

Tips for Recording

  • Find a quiet place with good lighting.
  • Use your phone’s vertical video setting.
  • Speak from the heart – your honesty is what matters.

What Questions Will You Ask?

  1. What is your first name and what are you in recovery from?
  2. How was your life before you started your recovery journey?
  3. How did you know it was time to make a change or get some help?
  4. What did you do that helped set you on the path to recovery?
  5. What have you learned that has allowed you to stay in recovery?
  6. What is your life like now, compared to before you started your recovery journey?
  7. What advice do you have for someone who might experience similar challenges as you?
  8. What would you tell someone on the fence about getting help and starting their own recovery journey?

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Tiffany Ima’s Story: 9 Steps to Healing From an Eating Disorder

The journey to recovering from an eating disorder is not linear. It is filled with twists and turns, highs and lows. There will be moments of doubt and moments of strength. But through it all, it is important to remember that recovery is possible.

In this blog post, we will hear from Tiffany Ima, a body image coach, mental health advocate, and wellness enthusiast, as she shares her story of overcoming a decade-long battle with an eating disorder and the steps she took toward recovery.  

1. Acknowledge The Problem

Tiffany’s eating disorder developed in college. She recalls a specific moment when some friends commented on her weight gain, which triggered her to begin thinking that her body was “wrong”.  

“I just remember being like, Oh, no. Like my body is wrong. Like there’s something wrong,” Tiffany said.  

At first, she began exercising excessively, but when she couldn’t keep up with the rigorous workout schedule, she also began restricting her food intake.  

“It was very, just like, never truly about, oh, this makes me feel good in my body. It fuels me,” Tiffany said.  

For a long time, Tiffany did not think she had a problem. It wasn’t until years later that she admitted to herself that she had an eating disorder.  

“I was starting to like actually admit like I have an eating disorder because before it was just like, oh, like, I’m fine,” Tiffany said.  

The first step to recovery is acknowledging that there is a problem. This can be difficult, as there is often shame and stigma associated with eating disorders.  

2. Seek Support

When Tiffany finally admitted she had an eating disorder, she initially tried to recover on her own.  

“The first thing I did was I started reading. I would get the books, I would search the websites. I would be like, how do I do this?” Tiffany said.  

However, she does not recommend this approach.  

“I would never suggest that for anyone else because you don’t need to spend five years recovering because you’re trying to also study how to recover,” Tiffany said.  

Eating disorder recovery can be a long and difficult process, so it is important to have a strong support system in place. This might include friends, family, therapists, or support groups.

Unfortunately, Tiffany did not have a strong support system. When she finally told a friend she may have an eating disorder, her friend told her to just pray.  

“So I didn’t seek therapy for my eating disorder healing, and I did it just by sheer grit and will, and it took way too long,” Tiffany said.  

3. Find a Therapist

Therapy is an important part of eating disorder recovery. A therapist can help you identify the underlying causes of your eating disorder and develop healthy coping mechanisms.  

For various reasons, Tiffany did not seek out therapy, which she said prolonged her recovery.  

“I didn’t have to suffer like that. Um, and no one should have to suffer like that by themselves, trying to just heal something, trying to navigate an extremely hard thing,” Tiffany said. 

Check out eating disorder treatment programs near you. 

4. Demoralize Food

Many people with eating disorders develop a moral relationship with food, viewing certain foods as “good” or “bad”.  

“There’s a big reason why part of my philosophy, too, is to demoralize food. We have this stigma around food. That’s like, oh, this donut, this is bad. This salad, this is good,” Tiffany said.  

This can lead to a cycle of restriction and binging, which is not sustainable. It is important to develop a healthy relationship with food and to see food as fuel for your body.  

5. Practice Intuitive Eating

Intuitive eating is an approach that focuses on listening to your body’s natural hunger cues. For some, this can help them develop a healthier relationship with food.  

However, for people with ADHD, intuitive eating must be approached strategically.  

“Like for me, when I sat down with a nutritionist who specifically deals with like IBS. Um, and I was telling her how, like, you know, I have trouble remembering to eat sometimes. And she’s like, so set a timer, like put it on your watch,” Tiffany said.  

6. Identify and Address Comorbidities

Eating disorders often occur with other mental health conditions, such as depression and anxiety. It is important to identify and address these comorbidities in order to have a successful recovery.  

Tiffany, for example, was diagnosed with ADHD, which she believes contributed to her eating disorder.  

“People with ADHD are four times more likely to be diagnosed with the eating disorder,” Tiffany said.  

7. Develop Healthy Coping Mechanisms

People with eating disorders often use food to cope with difficult emotions. It is important to develop healthy coping mechanisms, such as exercise, journaling, or meditation.  

Tiffany found it helpful to establish a routine that included reading, journaling, and meditation.  

8. Practice Self-Compassion

Recovery is not a linear process and there will be setbacks. It is important to practice self-compassion and to be patient with yourself.  

“When you’re in eating disorder recovery, you’re in recovery because if you’re prone to eating disorder behaviors, like it doesn’t just disappear,” Tiffany said.  

9. Focus on the Benefits of Recovery

It can be helpful to focus on the positive aspects of recovery. Recovery can lead to more joy and freedom.  

“There was so little joy to be had when you’re in the middle of that, because you’re consumed and it’s all you can see. And so coming out on the other side of it, it allows you to experience joy in your life and to have more freedom in your life,” Tiffany said.  

Recovery is possible. By following these steps, you can begin to heal your relationship with food and your body, and live a more fulfilling and authentic life

In conclusion, the road to recovery from an eating disorder is a challenging but ultimately rewarding journey. As Tiffany Ima’s experience shows, it requires courage, self-awareness, and a willingness to seek support. By acknowledging the problem, finding a therapist, demoralizing food, practicing intuitive eating, addressing comorbidities, developing healthy coping mechanisms, practicing self-compassion, and focusing on the benefits of recovery, individuals can break free from the grips of an eating disorder and cultivate a healthier, more fulfilling life.

Remember, as Tiffany emphasizes, “You deserve to experience joy.” Recovery is not just about overcoming a disorder; it’s about reclaiming your life and embracing the joy and freedom that await you on the other side.

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Recoverycast With Tom Farley

Join hosts Tom Farley and Brittani Baynard for authentic conversations about the joys and challenges of mental health and addiction recovery. Each episode features influential voices sharing their raw, honest stories—the ups, the downs, and the paths that led them to hope and healing. This is a space where vulnerability is celebrated, connection is found, and you’re reminded that recovery is possible. Tune in for inspiration and community.