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What Happens if I Relapse?

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Rehab is just the first step in making long-term changes to your lifestyle. Because many people choose to go to rehab in response to a crisis, it’s easy to approach this process with a sense of urgency. In the moment, that urgency is warranted. However, when you’re so focused on the short term, it can be difficult to imagine a better future. People tend to catastrophize, picturing themselves going through crisis after crisis, and this emotional spiral can lead to poor decision-making.

Preparing for hard times is helpful, but catastrophizing is not. You are a dynamic, learning, growing person. And the more time you spend focused on healing, the more tools you will develop to navigate any hardship that comes your way.

After rehab, it’s natural to be concerned about relapsing. And that’s understandable, because relapses do happen. But they’re not the end of the world. By the time you leave rehab, you’ll be prepared to work through these setbacks. Nearly 75% of people who experience addiction ultimately recover.1 This includes people who experience relapses.

The process of preventing a relapse begins the moment you enter rehab. Addiction treatment providers understand that your goal isn’t just to complete the program, it’s to successfully reenter the world and live a sustainably healthy life. Your experience of rehab will prepare you for what comes next.

Relapse is a valid concern for many clients. That’s why so many good-quality rehabs focus on giving you the tools you need to work through it.

michaels house relapse prevention
Delamere in England offers relapse prevention support, 12 months of aftercare, and a 24/7 helpline for those who complete their residential program.

What Causes Relapse?

Stress

Stress is a natural part of life, and research shows that people with a history of addiction may be more sensitive to stress. Even positive events can be stressful,2 like getting a promotion or planning a wedding. The goal isn’t to eliminate these triggers, but to manage them in a healthy way.

Following rehab, stress can make you vulnerable to relapse.3 That’s because there’s a well-understood link between stress and addiction4—and this is especially true of chronic stress. Many people first turn to substances in response to difficult life situations. And without strong coping mechanisms, it’s easy to fall back into those unhealthy patterns. During rehab, you’ll learn how to manage your responses to stressful situations.

Although mindfulness is something of a buzzword these days, it’s also an effective tactic for coping with stress. This and other emotion regulation techniques taught in rehab can help you focus on the issue at hand, instead of getting lost in a series of overwhelming reactions.

Unexamined Trauma

Don Lavender, Program Director of Camino Recovery in southern Spain, explains the impact of unresolved trauma on relapse:

“The biggest contributor to relapse is stress, and the biggest contributor to stress is unaddressed or unresolved trauma.”

Trauma can result from any number of things, and no two people have the same experience. One person might develop PTSD from a car accident, while another walks away with no lasting psychological effects. Ongoing trauma, such as an abusive relationship or a toxic living situation, can result in complex PTSD (CPTSD), which has slightly different symptoms than PTSD.

With either of these conditions, it’s quite common to develop triggers. A trigger is an experience that evokes feelings of the original trauma, which are often disproportionate to the present moment. For example, open flames might trigger a person with PTSD from a house fire. When they see a burning candle, they may feel a sense of fear and urgency or even rush to put out the flame. In life, this isn’t always an appropriate response. That’s why, in healing from PTSD and CPTSD, clients are encouraged to pinpoint their triggers and develop more effective coping mechanisms.

Substance abuse is a common response to triggers5 like these. When you feel frightened or hurt, substances can short-circuit your emotional state. However, mind-altering substances are just tools, and each one of them has a specific effect. And when substances are the only tool you have available, it makes sense that you would try to use them to fix emotional problems. That’s why rehab is designed to give you more tools, so you can always use the right one for the task at hand.

michaels house relapse prevention
Patients at Michael’s House in Palm Springs, California discuss relapse prevention strategies in group therapy.

How to Plan Ahead

Rehab is designed to give you the resources you need to not only guard against relapse, but to deal with it when it happens. Many people have concerns about transitioning out of rehab and back into their regular lives. It’s important to remember that rehab is not a vacation; it’s more like a class. You won’t be expected to go back to your old routine when you finish the program. In fact, your experience in rehab will help you decide how to change that routine in order to prioritize your long-term health.

By the time you decide to go to rehab, you probably already know that your habits need to change. Your team of healthcare providers understands this, and they want to help. The process of planning for your reentry into the wider world begins the moment you enter the program, says Rowland Tweedie, the Health and Fitness manager at Paracelsus Recovery:

“Often I tell clients their job, in that initial period after the treatment, is them: it’s their health, it’s their wellbeing. We should plan that…It’s important to have local support in place.”

Planning for life after rehab is different for everyone, and your providers will help you come up with strategies that fit your needs. Some clients find it helpful to create an emotional first aid kit, in which they write down strategies to employ in the future. It can be difficult to think clearly during times of extreme stress, and this is one way to remind your future self of the tools you have available. For example, an emotional first aid kit might include the following:

  • The phone number of your therapist or sponsor
  • A list of activities you enjoy, like cooking or exercising
  • A list of distress tolerance skills you learned in therapy, such as listening to a song you love, lighting a scented candle, or holding an ice cube in your hand
  • A comfort object, like a soft pillow or a worry stone, that you can pick up and hold in the moment
  • A mantra you can repeat to yourself during meditation

Rehab is a valuable opportunity to learn from experts, and many programs include educational components. You might learn about the root causes of addiction, including biological predispositions, risk factors in your upbringing, and co-morbid diagnoses. Many rehab centers offer skills coaching, equipping you with healthy habits intended to improve your quality of life. You might learn how to exercise properly, how to cook, or even how to paint. Craving management classes provide strategies for working through any urges you experience in the future.

This type of learning is extremely important, and you’ll ideally come away from it with many useful coping strategies. However, finishing rehab doesn’t mean you’re simply “fixed.” When you exit the program, you’ll begin a whole new learning process. The environment of a rehab facility is very different from the wider world, and it will take you time to reacclimate. There will be times when you’re overwhelmed and unsure of how to react to a new situation. Each of these moments is an opportunity to put your new skills into practice.

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Immersion Recovery Center in Florida helps patients prevent relapse via stepped-down treatment like sober living and outpatient care.

Life After Rehab

By the time you leave rehab, you’ll have a very specific plan in place for aftercare. Although the transition may be jarring, your team will work with you to make it as seamless as possible. Most clients make plans for continuing care, which may be ongoing or may just see them through the transitional period. These services may be offered by your original treatment facility, or you may work with a different provider after you complete the program. Certain types of care may be covered by insurance, but that’s not universally true.

If you traveled to a destination rehab center, you can still find providers that will be locally available when you return home. This may take a little more effort on your part, but it’s important to at least begin the process before you finish the program. You’ll want to have ground support as soon as you arrive, so that your new team can help you process the move to a new place. At this point, you’ll also be navigating brand new big changes. You may need to restructure your relationships, move to a new home, or change careers. It’s far easier to do this with a team standing by to support you in person.

Continuing care refers to any type of support that sustains your ongoing recovery. Components of continuing care may include the following:

  • Individual therapy
  • Psychiatry
  • Group therapy
  • Support groups (12-Step programs, harm reduction meet-ups, etc.)
  • Work with a nutritionist
  • Personal training and exercise
  • Massage therapy or acupuncture
  • Family support (family of origin or chosen family)
  • Community support (friends and loved ones)
  • Recreational groups (hiking groups, sports teams, fan clubs, knitting circles, etc.)

Any or all of these types of care may be appropriate for you. And remember that healing can be fun! Joy and passion are essential components of recovery. Taking pride in your accomplishments—whether a big presentation at work or a doodle of your cat’s face—allows you to find meaning in your daily life. It’s also important that you find healthy and sustainable ways to unwind. As you transition out of your old lifestyle, it can be difficult to imagine having fun without using substances. But don’t be afraid to try new things. There are countless ways to enjoy yourself, and you may be surprised to find you have much more fun when your head is clear.

Responding to Relapse

Relapses happen. Even when you have new skills, a strong support network, and the very best of intentions, this is a risk that you’ll face during recovery. Remember that relapse is not a sign of weakness, and it doesn’t have to be a failure. As Dr. Christine Merzeder, Senior Clinical Coordinator at Paracelsus Recovery, explains:

“When [you] relapse, there’s no moral issue with that. We say, ‘Okay, back to square one.’ If you relapse, phone us, come back to us. We give you advice on what to do. Don’t panic.”

If you do relapse, start by reaching out to a trusted healthcare provider. This could be someone you see regularly, like a local therapist or psychiatrist, or you can call the facility where you started treatment. Don’t isolate yourself or get lost in feelings of shame. There is a strong link between shame and addiction,6 and hiding your struggles often amplifies them.

Remember that this is a relapse. That means you’ve been here before, and you’ve gotten help before. You already have the tools you need to start or restart the healing process. You are living proof that change is possible. Some rehabs offer programs specifically for people who have relapsed after treatment. Depending on where you go, you may be able to return to the same place for a shorter stay. If that’s not available to you, you might also consider an Intensive Outpatient Program (IOP) in your area. In an IOP, you would continue to live at home, attending regular therapy sessions and workshops at a local treatment center.

Healing is a holistic process. If you’re considering rehab as an option, you probably already understand that substance abuse can have an impact on every area of your life. This might include your job, your family, your social life, and even your physical health. The goal of rehab is not just to heal your mind; it also aims to empower you to make big changes to the structures around you. You’ll have to reexamine the way you relate to the world, and take steps to make your life more sustainable. Don’t be daunted by this process. With every positive change, you’ll build momentum. This is true even during setbacks. If you relapse, remind yourself how far you’ve already come.

Lasting change is a long, slow process. The Stages of Change model7 lays out the many steps that go into this process, from precontemplation to ongoing maintenance. Most notably, this model includes relapse as a distinct possibility. Alex Lickerman, M.D., writes:

“Never let a few days, or even weeks, of falling back into bad habits discourage you from fighting to reestablish the good habits you want. Always remember: No one was born with habits. They were all learned, and can all, therefore, be unlearned.”

Relapse is just one step in a lifelong journey. It may feel like a step backward, but it’s also an opportunity to learn more about yourself. Pain of any kind—be it emotional, physical, or spiritual—is just information. When you touch a hot stove, you learn not to do it again. The lessons of relapse are more complex. You may learn that a particular relationship is causing you harm, or that you need to pay more attention to your sleep schedule. Any information about yourself is valuable. This learning process empowers you to build a life aligned with your values.

Remember: the path to healing isn’t linear. Whether you’re recovering from a broken ankle or emotional trauma, setbacks are to be expected. If you can, let these experiences motivate you. Listen to yourself, understand your needs, and focus on doing the next right thing.

If you’re in need of support, many rehabs offer programs that can help. Search for a facility based on your criteria and speak directly with an admissions advisor about the best course of action for you.

Frequently Asked Questions About Relapse

What are the causes of relapse?

Many factors can contribute to relapse, including stress, boredom, negative emotions, and peer pressure. Be aware of your own triggers and to have a plan in place for coping with them.

What can I do to prevent relapse?

There are a number of things you can do to prevent relapse. These include attending regular therapy and support groups, learning healthy coping strategies, avoiding triggers, taking prescribed medication (if necessary), and leaning into your support network.

What should I do if I relapse?

If you relapse, talk to your therapist or sponsor. They can help you understand what happened and develop a plan to prevent relapse in the future. Remember: relapse is a common part of recovery and it does not mean you’ve failed. An addiction treatment center, addiction-specialized therapist, or supportive loved one can help you recommit to your recovery and get back on track to your goals.
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Luxury Rehab: The Benefits of Comfort in the Recovery Journey

When you think of rehab for drug or alcohol addiction, “luxury” might not be the first word that comes to your mind. But there are many paths to healing from addictions and other behavioral or mental health conditions. And for some, a comfortable or even upscale setting can provide the ideal conditions for getting the most out of treatment.

You may already be thinking of seeking treatment at a luxury rehab center. Or perhaps you’re wondering if you can really get the help you need from a luxury rehab that looks, from the outside, like a vacation getaway.

When it comes to getting life-changing (or even life-saving) treatment, it’s important to follow your instincts. If you’re feeling drawn to a particular type of treatment, getting as much unbiased information as possible is essential to making an educated, confident decision about your care.

What Makes a Rehab Center “Luxury?”

The fact of the matter is, any rehab center can call itself “luxury” because there aren’t any internationally standardized requirements for this claim. When a drug or alcohol treatment center identifies as luxury, though, this usually means that it’s an upscale, residential treatment facility.

So, the first step to finding the right luxury rehab center for you is to define what you’re thinking of when you think of luxury. Are you looking for elegant facilities and extra amenities? Or does luxury mean the best medical staff and a wide variety of therapies?

In general, luxury rehabs do include at least some combination of these:

Desirable Location

Oftentimes the setting is remote yet sophisticated, similar to an exotic vacation destination. Luxury rehab centers are available all around the world. Depending on the location, getting there may involve domestic or international travel.

Special High-End Amenities

Facilities might boast swimming pools, hot tubs, saunas, exercise facilities, hyperbaric oxygen chambers, a library or business center, and more. These amenities would most likely be of the same standard, or quite similar to, what you would experience while staying at a 4- or 5-star hotel.

Complementary Therapies

Though many treatment programs today offer complementary therapies, luxury centers might provide even more specialized options like equine therapy, adventure therapy, spa treatments, acupuncture, massage therapy, and more.

On-Site Detox Services

Detox, when required, is often done at a hospital or a specialized detox center before admission to a residential rehab center. Luxury rehabs may have designated detox facilities on their premises with the medical staff and equipment necessary to safely oversee the process.

This discrepancy in the definition of “luxury,” and how it can mean different things at different facilities, is why RehabPath has benchmarks for listing centers on our site. Our searchable collection of rehabs only includes those that, regardless of cost, meet our treatment provider criteria:

Why People Seek Treatment at Luxury Rehabs

Treatment at a luxury rehab center might be a good fit for certain clientele, more so than budget or retreat-style centers. For example, if someone’s used to certain living standards, has specific medical needs, or is looking for exclusive qualities in a treatment program, then luxury rehab might better facilitate the recovery process for such clients.

Some patients seek treatment at a luxury addiction or mental health rehab for other reasons:

Discomfort Could Distract From Treatment

Sometimes a drastic change in environment has the opposite effect of providing a healing space for recovery. If the setting causes discomfort, whether minute or extreme, physical or mental, some people might not be as receptive to implementing the changes necessary for lasting recovery. According to Giles Fourie, Director and Co-Owner at White River Manor,

“The more structure and the more barriers you put in place, sometimes, the more closed off people become. So offering people a place of comfort, a place where there is a great service, I think gives them the better opportunity to immediately open up and engage.”

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Personal bedrooms are decorated for privacy and comfort at White River Manor in South Africa.

Residential Rehab Is Intensive

The industry standard for treatment at a residential treatment center is about 30 days. And during that time, you’ll face a lot of draining emotional challenges. While beneficial and necessary, these heightened emotional states tend to take a physical and emotional toll. According to Dr. Frederick Goggans, McLean Hospital‘s Medical Director,

“(Luxury rehabs) create an environment where it’s comfortable to be a resident for the length of time that’s involved to do this kind of work. It’s an environment where you’re sleeping well, you’re paying attention to nutrition, making healthier choices, getting daily exercise and building all that into a lifestyle change.”

The comfortable setting and conveniences most luxury rehabs offer helps your body and mind relax and be more prepared for and open to intensive treatment. Resting in these comforts during downtime can actually speed your recovery between treatments and help you integrate what you learn in your sessions.

Clients Receive One-on-One Care

Most luxury rehab centers have a higher staff-to-client ratio, because their higher admittance fees afford them the additional costs of hiring more staff. And more people on staff means each client is more likely to receive higher levels of one-on-one care.

This individualized care may mean the difference between success or failure for some clients. As one study reports, humans “differ from each other at every discernible level. This implies that it would be a miracle if standardized treatment strategies would work for everyone at every stage1 and that patients with the same diagnosis would respond in the same way.”

With this in mind, it’s possible that extra attention and time spent on individual client’s treatment plans could promote better recovery progress.

Budget Treatment Options May Not Have Previously Worked

It’s not uncommon for people seeking treatment to already have experience with different substance or alcohol use disorder programs and facilities. Many people try a variety of therapies or different styles of centers on their journey to find healing.

For some, luxury rehab might offer the pieces that were missing from getting successful treatment results at budget addiction rehab centers. Features like serene, remote environments and guided recreational activities, may help your treatment have better, longer-lasting impacts.

Restrictive Centers Don’t Accommodate Different Lifestyle Needs

Whether you’re a business owner, a celebrity, or a caregiver, sometimes there are obligations and responsibilities that make putting your life on pause for the duration of inpatient treatment impractical.

“One of the main things that deters people from coming to treatment is that they have full-time jobs or children. So it’s difficult to step away and seek treatment,” says Douglass Weiss, President and Chief Customer Officer at Gallus Detox Centers. Which is exactly why some luxury rehabs allow for computer use, cell phone use and even full family stays.

Now that we’ve explored some of the reasons why people seek luxury addiction treatment, let’s examine some benefits that luxury rehab can provide.

Potential Benefits of Attending Rehab at a Luxury Center

No matter what kind of program you attend, you’ll likely get some positive benefits from receiving treatment. Luxury rehabs simply offer additional, or different kinds of, benefits that may help you take that next step to finding lasting recovery.

1. Comfortable Treatment Experience

Many times people suffering from addiction or mental illnesses are in a constant state of stress. Their bodies are flooded with the stress hormone cortisol, and because of this, their fight-flight-or-freeze mode is constantly triggered. One of the most important aspects of rehab is that it provides a safe space for your body to relax and begin to heal.

Ameet Braich, Clinical Director of Camino Recovery, explains:

“Suffering, in any form, really doesn’t have a place in treatment. If somebody needs to get well, they can do it in nice, comfortable surroundings. It only aids the healing process. Being in a peaceful environment where you really get time to reflect and look inward lends itself to a therapeutic process.”

Comfortable surroundings can go a long way in creating a safe space, which helps reduce the body’s stress levels and may increase the therapeutic value of your time in treatment. When you’re in a relaxed, positive physical and mental state, your brain is more likely to retain new information2 and form healthier habits.

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The tranquil grounds of Camino Recovery in Vélez-Málaga, Spain

2. Nutritious, Gourmet Meals

Nutrition is a fundamental part of healing from addiction. Many people in recovery have vitamin deficiencies3 due to the depletion caused by prolonged substance use. Nutrient-dense meals provide your body with physical energy and strength to support you during treatment.

Rowland Tweedie, Health and Fitness Manager at Paracelsus Recovery explains the importance of healthy eating in recovery:

“Nutrition is vitally important for all of us, because every time we eat food, it’s information for the body. Having the right type of nutrition helps us to have vitality and energy, and helps with all the systems in the body.”

There are several studies proving that healthy, individualized changes in nutrition can reduce the symptoms of depression, anxiety, and stress.4 Not only that, but some scientists even believe that the gut microbiome is an “important and modifiable mediator of substance-seeking behavior.”

In other words, gut-focused nutrition therapy can reduce some people’s risk of relapse. As Tweedie says, “If we eat the right types of food, we feel and think differently. Nutrition is the foundation of health, really.”

3. Maximum Privacy

Addiction affects people from all walks of life—from celebrities and CEOs to teachers and full-time employees. Clients may not want their personal or professional associates to know they’re receiving treatment. So when a high-profile person, a busy executive, or a wealthy family member needs treatment, privacy concerns may be what prevents them from getting the help they need.

In addition to already being located in remote settings, many luxury rehab centers address these concerns by offering the utmost security and discretion for their guests. Gallus Detox Centers’ Marketing and Outreach Director Laura Herrmann says,

We’re very discreet. We try to keep ourselves as professional as possible so that when people are coming in, it’s not recognizable as a medical detox.

Some facilities also offer ultra-exclusive programs for those who can’t mingle with other clients for privacy reasons. Examples include having private accommodations where staff come to you to do sessions, or even attending a completely individualized program where the entire staff serves one client at a time.

4. Wider Variety

At most luxury rehabs, not only are you more likely to receive one-on-one attention, but you’re also more likely to have a wider variety of therapies, counselors, food, and activities to choose from. Although higher costs don’t always equal better quality of care, clients seeking the highest quality of treatment available might be more likely to find what they’re looking for at a luxury rehab.

And, again, if you’ve already tried many different types of treatments or programs, having a wider range of options may make all the difference for you. For example, some studies on addiction have reported that music therapy can reduce substance cravings,5 as it increases your perceived control. So if you’re looking for more personalized treatment options, a luxury rehab might offer more choices.

Oro house recovery sound therapy
Sound baths are one of the many complementary therapies offered at Oro House Recovery in Malibu, California.

5. Flexibility With Technology Privileges

You don’t have to necessarily put the rest of your life on hold to get treatment. Maybe you need to stay connected to the “outside world” for work purposes, to maintain your image, or for family emergencies.

Jan Gerber, Paracelsus Recovery‘s CEO, clarifies:

“Often in treatment, you have to switch off your phone, or even sometimes give up your phone. You can’t open your laptop whilst you’re in treatment, and that’s why people who can’t do that simply wouldn’t go to treatment.”

If absolutely necessary, many luxury rehabs can “do justice to your reality,” as Gerber puts it, and accommodate your need to have internet access and use of your cell phone or laptop. Some even offer executive rehab programs specifically for clients who need more flexibility to be able to work during treatment.

Of course, it’s important to keep in mind that you might still be able to get some of these benefits at other “levels” or types of addiction rehabs. If you’re still wondering whether luxury rehab is right for you, there’s some evidence that further supports the effectiveness of luxury rehab.

Effectiveness of Treatment at a Luxury Rehab Center

Some people might question the effectiveness of getting treatment for a serious problem at an upscale facility, surrounded by a tranquil environment and high-end amenities. That’s understandable, considering these settings can look a lot like vacation destinations. So, what proof is there that receiving treatment for substance use disorders or mental health conditions in a luxury environment  is more effective?

Choosing Your Own Treatment Is an Important Factor

To begin with, some studies show that “clients who were involved in shared decision making, were able to choose a treatment modality, or received their preferred treatment had greater treatment satisfaction, higher retention and completion rates, and better outcomes.” In other words, having a role in choosing where you get treatment can actually increase your chances of success.6

Obviously, this idea is applicable to choosing any type of treatment, whether luxury or not. But, if you’re used to a certain kind of lifestyle and specific types of treatment centers are more desirable to you, there’s a chance you may have better success with recovery in those programs you’re attracted to.

Reducing Stress Helps Your Brain Retain New Information

Even if your initial thinking isn’t to seek treatment at a luxury facility, some experts say that a comfortable setting helps you get the most from treatment. Giles Fourie notes,

“What we’ve experienced having been in the addiction field for over a decade is that a lot of programs are punitive and restrictive. What people do ultimately is conform to the program rather than transform. And we believe that this setting, where we’re offering our clients the comforts they would have at home, really opens them up and ultimately enhances their recovery process and their restoration.”

One reason a comfortable environment, or even a “luxurious” setting, may enhance recovery is because of how it helps our bodies relax, which in turn reduces cortisol levels and improves brain function. Scientific studies have proven that “stress is a potent modulator of brain structure, brain function, and cognition.” So, whether a person experiences short-term, acute stress or long-term, chronic stress, depending on the person,” experiencing excessive stress can be highly detrimental to memory function.”7

If you’re in a stressful environment, there’s a possibility that your memory function will be negatively impaired. This in turn could negatively impact how much of your treatment you retain and are able to access in the future during situations when you need it the most. Again, what’s stressful differs from person to person, so it’s important to know what kind of surroundings will most likely work best for you.

Finding the Best Treatment for You

Ultimately, treatment for addiction and mental health disorders is a highly personal decision. What works for someone else may or may not work for you. That’s why it’s so important to consider all aspects of a treatment program before committing the time, money, and energy required to get help at a residential rehab.

No matter what kind of treatment or facility you’re looking for, remember: despite what a center might claim to be, it’s important to do your own research and make sure the “luxury” you’re signing up for is the type of luxury you’re expecting.

If luxury rehab sounds like an avenue you’d like to explore, you can find treatment centers in nearly every corner of the world. You can also find luxury rehabs within a wide range of costs—many of which take insurance—making this a surprisingly realistic treatment option.

Frequently Asked Questions About Luxury Rehab

What is luxury rehab?

Luxury rehab refers to a treatment program that provides high-end amenities and accommodations in addition to evidence-based therapies for addiction and mental health conditions.

What are the benefits of luxury rehab?

Upscale residential rehabs often provide a comfortable and supportive environment, access to world-class amenities and facilities, individualized treatment plans, and a focus on holistic healing for the mind, body, and spirit.

Who can benefit from luxury rehab?

Anyone struggling with addiction or mental health issues can benefit from luxury rehab, but it may be especially helpful for those who want a more comfortable and private recovery experience, or those who have tried traditional rehab without success.

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Colorado Rehabs: A Beautiful Backdrop for Creating Life Change

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Rehab is an opportunity for all-around healing. Although you will receive clinical care during your stay, that care is just one aspect of the experience. You’ll also get to connect with people at a similar point in their lives, develop healthy new habits, and redefine your own wants, needs, and goals. In order to do this effectively, it’s important to choose the right environment for you.

Rehabs in Colorado offer a unique combination of opportunities to do just that. Your time at a residential rehab center can be full of rich and inspiring new experiences. This diverse landscape is beautiful during every season, and especially appealing to more adventurous people. Many centers offer experiential therapies based in nature, encouraging their guests to go hiking, skiing, rafting, rock climbing, or even horseback riding. The cultural focus on healthy living and outdoor exploration invites clients to heal through interaction with the world around them. 

We paid a visit to Colorado to find out what makes treatment there so special. Hear from experts at All Points North Lodge and Gallus Detox Center about how this special setting promotes recovery.

Colorado’s Revitalizing Landscape

To call the Colorado landscape “diverse” would be an understatement. This state has eight distinct regions, appealing to people from all walks of life who enjoy exploring the great outdoors. You can go snowboarding in the Rocky Mountains, soak in the Colorado Hot Springs, hike the Manitou Incline, or just enjoy the temperate weather and majestic views. Some facilities even invite clients to spend time outside during their regular therapy sessions.

Most of these activities can be either solo or group experiences, while more extreme sports may require a professional guide. Whether you want to push yourself to new heights or just commune with the natural world, outdoor sports can be a great opportunity for emotional catharsis. Experts agree that exercise has a positive impact on mental health.1 Some also hypothesize that the social component of sporting activities plays a role in this, which can be very helpful for people in recovery. Rehab is a place to start healing yourself, and to begin thinking about how you can heal in the context of your family and community. 

These external events let you learn about your internal experience in a broader context, and not just in the privacy of therapy. As Dr. Ryan Drzewiecki, Director of Clinical Operations at All Points North Lodge, explains, “it puts you in your place in the world.” 

Because of the state’s cultural focus on alternative medicine, many medical professionals in the area are especially qualified to help clients decide which treatments will work best for them. For example, you may choose to go through a medical detox program before arriving at a rehab facility, or you might decide to stay in a sober living environment after the first stage of treatment. By staying in close communication with your treatment team, you can choose your own adventure, both literally and figuratively. 

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Views of the Vail Valley and New York Mountain Range surround All Points North Lodge in Edwards, Colorado.

Experiential Therapy: Learning by Doing

Colorado rehab centers tend to take a holistic approach to healing. Many programs place a strong focus on experiential therapy, in which therapy techniques are delivered via hands-on processes. In the right context, activities like canoeing, kayaking, hiking, snowshoeing, and whitewater rafting can serve as transformative experiences. Dr. Drzewiecki explains:

“The experiential philosophy says that the way you do one thing is the way you do everything, or at least there’s something to learn from the way that you experience everything. So we periodically pause during activities and say, ‘What’s going on for you right now? What are you noticing?’ And we’re able to use that as a therapeutic opportunity to look at what’s happening.” 

These outings also provide opportunities for clients to unplug and process the hard work they’re doing in their sessions. Temporarily stepping outside of the conventional therapy box can spark new insights into your treatment experience. 

Physical activity is certainly an important part of treatment in this region, but it’s just one facet of a much larger perspective. For example, some clients choose to begin recovery before they even arrive at a rehab center. Medical detox is a way to safely move past physiological dependence on substances prior to attending a longer program. 

Before Residential Rehab: Private Detox in the Heart of the Rockies

The Gallus Detox Center in Colorado is a highly regarded destination for medical detox, visited by people from across the U.S. Like any medical detox program, a team of doctors and nurses closely monitors patient progress—but the Gallus Method provides an especially high standard of care. 

So why do people come to Colorado for medical detox? Douglass Weiss, President and Chief Customer Officer at Gallus Detox Centers, says the state itself is a draw:

“First of all, Colorado is a destination in and of itself. We find that substance use patients like the outdoors. They may want to go skiing or kayaking or hiking after they’ve done detox. Denver is easy to reach if you’re coming in for destination care, which a lot of our patients do. And the outdoor activity component complements the recovery journey very nicely.”

Residents at the Gallus Center are treated by physicians who specialize in addiction. They use cutting-edge equipment to monitor every aspect of each patient’s progress, from cardiac telemetry to video monitoring of every room. This practice ensures safety during every phase of treatment. And because detox is only the first step in a long-term recovery journey, in addition to daily doctor visits, patients also work with counselors and partnered rehab facilities to plan how they’ll proceed after their discharge. 

Advanced Therapy Technologies for Specialized Care

Some Colorado rehabs offer a unique opportunity to try innovative treatment technologies, like All Points North Lodge’s float tank and hyperbaric oxygen chamber. President Jerry Vaccarro says these enhance clients’ treatment experience:

“One of the things here at APN that we focus on is that we like to see ourselves as innovative and embracing technology. We have a hyperbaric oxygen chamber which is used in a lot of areas of medicine as an indicated intervention. We’re now performing an investigation of it to see whether it has an impact, and we believe it does, in behavioral health conditions. For example, it looks to be effective when people have PTSD, traumatic brain injury, and other conditions of that nature.” 

Sandstone
Sandstone Care in Colorado Springs, Colorado.

Traveling to Colorado for Treatment

As a popular tourist destination, Colorado is extremely accessible by plane. All major airlines fly into the Denver International Airport, including international flights. And if you’re traveling to a facility far from Denver, there are 12 more commercial airports to choose from. Some rehab centers also offer free transport to and from the airport. If you’re attending treatment in the winter, it’s important to take the weather into account when making your travel plans, as flights or roads may be affected by snowfall. 

When you travel to a rehab center, you’ll need to account for your safety throughout the trip: it’s inadvisable for clients to travel alone. To help with this, rehabs’ admissions teams can often assist you in the planning process. Heather Charlet, the Director of Admissions at Gallus Detox Centers, explains that their facility has “a white-glove car service that goes to the airport, picks [clients] up and brings them straight to us. So we can help with all the aspects of planning to get them here safely.”

Colorado offers a pleasant balance between rural and urban life. While its mountain slopes, hot springs, and remote wilderness areas are the epitome of natural beauty, they are still easily accessible. Both Denver and Boulder boast vibrant metropolitan areas, and numerous smaller towns pepper the countryside. Visitors can choose to be high in the mountains, near major-city conveniences, or anywhere in between.

At most rehabs, core programming takes place at the facility itself. However, the world around you can still have a great influence on your experience. This region is most compelling for people who appreciate vast open spaces and plenty of time outdoors. The landscape is an ever-present component of life in Colorado. 

Could Your Next Chapter Start in Colorado?

Traveling is a powerful way to mark a major change in your life. New scenery may help you gain a fresh perspective on your most deeply ingrained patterns. This is certainly not the right choice for everyone; some people may find travel to be too stressful at a time when life feels unmanageable. Remember that this is your journey. Recovery is, among many other things, the process of relearning how to trust your own judgment. The simple act of choosing the right facility for your needs can be very empowering. 

Whether or not you decide to travel, this is a time to start making changes. If you’d like the next chapter of your life to focus on holistic health and physical activity, Colorado has a great deal to offer. Outdoor adventures can allow you to learn new skills, take pride in your accomplishments, and most importantly, have fun in the process. 

Colorado boasts a selection of top-tier rehab facilities that also accept Medicaid and other state insurance options, providing accessible and quality care to those seeking recovery.

To explore treatment options in this state, see our collection of rehabs in Colorado.

Frequently Asked Questions About Rehabs in Colorado

What makes rehabs in Colorado unique?

Rehabs in Colorado offer a unique combination of clinical care in a beautiful natural environment. Clients can connect with others, develop healthy habits, and redefine their goals. Colorado’s diverse landscape allows for outdoor experiential therapies like hiking, skiing, rafting, and more. This focus on healthy living and outdoor exploration enhances the healing process.

Why should I consider a rehab in Colorado?

Colorado’s revitalizing landscape and cultural focus on alternative medicine make it an ideal choice for rehab. The state’s diverse regions offer various outdoor activities, from snowboarding in the Rocky Mountains to soaking in hot springs. Outdoor sports and exploration contribute to emotional catharsis and positive mental health. Moreover, Colorado has qualified medical professionals who can guide you in choosing the best treatments for your needs.

How does experiential therapy play a role in Colorado rehabs?

Colorado rehab centers emphasize experiential therapy, delivering hands-on processes for holistic healing. Activities like canoeing, hiking, and snowshoeing serve as transformative experiences. These outings provide opportunities to unplug, gain new insights, and complement conventional therapy. Experiential therapy in Colorado encourages self-reflection and personal growth, promoting a comprehensive recovery journey.

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Should I Get Help for My Drinking? Signs of High-Functioning Alcoholism

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When we think of “alcoholism,” the first thing that comes to mind probably isn’t an accurate reflection of how alcohol addiction really works. Unfortunately, stigmas and media portrayals of alcoholism leave us all with the impression that an “alcoholic” is someone who acts belligerently, who’s lost everything and whose life is in shambles.

But the reality is far more nuanced than that. Many “alcoholics” are people who seem to have it completely together and privately struggle with alcohol addiction. And many of these people may not even realize that their level of drinking is a problem—until something gives.

Because high-functioning alcoholism is so easy to ignore, it often takes an event like a health scare, an accident, or simply an accumulation of harmful patterns to realize it’s a problem. And once this happens, you might begin to see that what you once considered harmless behavior actually impacted your life far more than you thought.

If you’re starting to question your drinking, you may be wondering if it’s really a problem, if it requires treatment, and what the right course of action is to address it.

We look at warning signs, drinking guidelines, and treatment options for problem drinking.

What Qualifies as “Alcoholism,” or an Alcohol Use Disorder?

The National Institute on Alcohol Abuse and Alcoholism (NIAAA), part of the U.S. National Institutes of Health, researches alcohol-related problems. According to its definition of alcohol use disorder (AUD),1 “AUD is a medical condition characterized by an impaired ability to stop or control alcohol use despite adverse social, occupational, or health consequences.” This can happen at mild, moderate, or severe levels.

Clinicians use the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) to diagnose alcohol use disorders. Signs they may look for include

  • drinking more, or for a longer period of time, than you plan to;
  • trying to stop drinking, but being unable to;
  • spending a substantial amount of time drinking or being hungover;
  • experiencing withdrawal symptoms like sleeplessness, racing heart, or sweating when you stop drinking;
  • engaging in high-risk behavior, like driving, having unprotected sex, or otherwise putting yourself in danger, while intoxicated; and
  • feeling increased anxiety or depression as a result of your drinking.

These are just some of the many symptoms associated with problem drinking, but one or more of the above are likely to appear on your radar if you’ve developed an issue with alcohol. It’s important to get an assessment by a qualified clinician to paint an accurate picture of what’s going on, and as a first step to creating a treatment plan.

Guidelines for “Moderate” Drinking

Many alcohol ads say “drink responsibly,”2 but what does that even mean?

While alcohol may not yet have caused dramatic consequences in your life, you may still be wondering just how bad drinking heavily, or every day, is for your health.

Drinking guidelines vary by country. In the U.S., the Centers for Disease Control and Prevention (CDC) sets dietary guidelines for alcohol,3 outlining what it considers “moderate” drinking.

Consuming alcohol at any level increases health risks. These may be caused by incidents that happen while impaired, or by conditions like heart disease and certain types of cancers that develop over time, says the CDC:

“The risk of these harms increases with the amount of alcohol you drink. For some conditions, like some cancers, the risk increases even at very low levels of alcohol consumption (less than 1 drink).”

So while there’s no safe level of drinking, public health agencies acknowledge that drinking less is better than drinking more. The 2020-2025 Dietary Guidelines for Americans sets the limit for moderate drinking6 at 2 drinks or less in a day for men, or 1 drink or less in a day for women.

Signs of High-Functioning Alcohol Addiction

It can be tricky to see this type of alcohol use disorder for what it is, especially when you’re in the midst of it. Here are some signs to watch out for.

Denial

People who struggle with high-functioning alcohol addiction may still manage to excel at work and maintain partnerships and families. This is no coincidence: many high achievers use alcohol to relieve the pressures of their professional lives. In fact, high stress levels and mental health conditions like anxiety are risk factors for alcohol use disorders.7

It’s easy for functional alcoholics8 to convince themselves that they’re doing fine, because fewer concrete consequences point to an alcohol problem and they haven’t “hit rock bottom” yet. And because they have a hard time seeing their behavior as problematic, they’re less likely to get help. But this doesn’t mean they’re not vulnerable to the same consequences as those who are more obviously struggling with alcohol addiction.

A functional alcoholic, says Dr. Robert Huebner of the NIAAA, “isn’t doing fine.” That’s because “[no one] can drink heavily and maintain major responsibilities over long periods of time. If someone drinks heavily, it is going to catch up with them.”

Increasing Tolerance

Increasing your tolerance may make you feel like you’re managing alcohol better, but the reality is that this results in increased drinking—and the greater risks that come along with it. The risks of consuming more than 14 drinks a week5 include nervous system and cognitive impairment, liver disease, stroke, and cancer. Drinking at this level is also known to worsen mental health conditions.

Here are some other signs to watch out for:

  • Needing a drink to wind down after work or feel comfortable in social settings
  • Using meals as a reason to start drinking
  • Getting more drunk than you intend to
  • Calling in sick to work due to hangovers
  • Losing friendships or partnerships due to alcohol-related conflicts
  • Hiding how much you’re drinking
  • Joking about having a drinking problem
  • Blacking out more easily

Problem drinking varies from person to person, but the bottom line is that alcohol becomes a problem when it results in unwanted outcomes in your life. If this is the case for you, following are some options for addressing it.

Treatment Options for Alcohol Use Disorder

According to the NIAAA, “The good news is that no matter how severe the problem may seem, evidence-based treatment with behavioral therapies, mutual-support groups, and/or medications can help people with AUD achieve and maintain recovery.”4

Your primary care provider or another qualified mental health professional is a good starting point for creating a treatment plan. Your path to recovery might include one or several of the following options:

Residential Alcohol Rehab

Residential, or inpatient, treatment, often known as “rehab,” entails living on-site at a treatment facility while attending daily therapy. Most residential rehabs offer group and individual sessions, as well as complementary therapies and activities. This intensive option gives you the opportunity to step away from your daily environment and focus entirely on creating life changes.

Outpatient Treatment

Outpatient treatment involves a regular schedule of therapy that may still be intensive, but allows you to continue working and living at home while attending treatment. This may be a good option for people who are still functional enough to manage their triggers and therapeutic challenges along with their daily responsibilities, but prefer a structured program that encourages significant progress.

Virtual Therapy

A great option for those who find in-person treatment cost-prohibitive or physically inaccessible, virtual therapy allows you to attend sessions via video conferencing or over the phone. These may take place with an individual therapist or within the context of a web-based alcohol treatment program.

Support Groups

Support groups like AA, as well as non-12-Step groups like SMART Recovery and other substance-free social groups, are also available online and in-person. Regardless of which treatment option you choose, finding a sober community is an important part of maintaining long-term sobriety. Relating to others with shared experiences is also a powerful way to break through denial.

To learn more about alcohol treatment programs that could be a good fit for you, explore our collection of independently evaluated alcohol treatment centers here.

Frequently Asked Questions About High-Functioning Alcohol Addiction

What qualifies as “alcoholism” or an alcohol use disorder?

Alcohol use disorder (AUD) entails impaired control over alcohol consumption despite adverse consequences in social, occupational, or health areas. Signs of alcohol addiction include excessive drinking, unsuccessful attempts to quit, spending significant time on drinking-related activities, withdrawal symptoms, engaging in high-risk behavior while drunk, and increased anxiety or depression related to drinking.

What are the guidelines for “moderate” drinking?

While there’s no truly safe level of alcohol consumption, moderate drinking is considered less harmful. The CDC suggests moderate drinking means no more than 2 drinks per day for men and 1 drink per day for women. However, consuming any amount of alcohol carries health risks and can lead to adverse outcomes like increased risk of accidents, heart disease, certain cancers, and worsened mental health conditions.

What are the treatment options for high-functioning alcoholism?

If you’re worried about your drinking, the good news is that effective treatment options are available. Evidence-based treatments, including behavioral therapies, mutual-support groups, and medications, can help people with alcohol addiction achieve and maintain recovery. Consider reaching out to your primary care provider or a qualified mental health professional to create a personalized treatment plan. Treatment options may include residential alcohol rehab, outpatient treatment programs, virtual therapy, and maintenance via support groups like Alcoholics Anonymous (AA) or SMART Recovery. Finding a supportive community can play a crucial role in long-term sobriety and breaking through denial.

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Anxiety Treatment Options Explained: Virtual, Outpatient, and Residential Care

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As someone intimately familiar with anxiety, you already know there’s no simple explanation for what causes your anxiety or even why you feel anxious some days and not others. Everyday life is full of different triggers. On top of that, today many of us are also facing the additional stressors of the COVID-19 pandemic: sheltering in place, living in isolation, worrying about income and job security, balancing working and schooling from home. The list could go on.

It’s not surprising, then, that throughout 2020, the amount of mental health cases, including anxiety, has been on the rise. One U.S. nonprofit, Mental Health America (MHA), reported that, of the 1.5 million people they screened, the number of people with moderate to severe symptoms of depression and anxiety1 steadily increased throughout the past year.

“As the pandemic relentlessly persists, we are seeing the highest levels of anxiety and depression reported since the pandemic2 hit the U.S. in March,” said Paul Gionfriddo, president and CEO of MHA. “This is a troubling trend being fueled by loneliness and isolation.”

No matter why you’re feeling anxious, remember: You’re not alone. Many different types of treatment options and therapies are still available to help you cope with, manage and move beyond your anxiety.

Virtual Therapy or Telehealth

This past year, the availability of telehealth appointments, or audio/visual calls with a therapist or health professional, has skyrocketed. Although the tech to accommodate virtual appointments has been around for more than a decade, the lockdowns and social distancing requirements brought on by COVID propelled many companies to start offering telehealth as a viable choice for receiving treatment.

In fact, Amwell’s 2020 Physician and Consumer survey found that, of those surveyed, the percentage of physicians who offered telehealth nearly quadrupled3 from 22% to 80% between 2019 and 2020. And the number of consumers who took advantage of virtual care grew from 8% in 2019 to 22% in 2020. The medical industry in general has rapidly pivoted this past year to accommodate the needs of patients who have restricted in-person appointment availability and options, no matter what the reasons. It’s clear from the surge in use that telehealth is likely here to stay.

Online Anxiety Rehab Programs

Similarly to the medical industry, today many treatment centers around the world have recognized the need and demand for more online therapy and rehab programs. These virtual outpatient programs offer flexible, ongoing support and treatment from the privacy of your own home. Online anxiety programs can include virtual clinics, online support groups, and one-on-one counseling sessions.

Many centers in our directory offer online and telehealth treatment options to help you find the care you need without having to overcome any physical or location logistical challenges.

Inpatient Anxiety Treatment

Even though online treatment is a great solution for many people, if you have a severe form of anxiety, inpatient rehab centers offer both a more intensive level of care and a more immersive treatment experience. Seeking inpatient treatment during the pandemic can still be a viable option. Many anxiety treatment centers have remained open, fully operating with all of the necessary, state-required COVID-19 safety precautions in place.

RehabPath’s up-to-date list of open treatment centers with COVID-19 measures in place can help you find access to in-person treatment from some of the best rehabs around the world.

More Information on Healing from Anxiety

Types of Therapies for Anxiety

Part of the fear that comes with seeking treatment is the fear of the unknown: What’s actually going to happen when I get help for my anxiety? And that fear only makes your anxiety worse! So, understanding the types of therapies your counselor or rehab center may use can help you overcome that fear and reduce your anxiety around actually getting help.

Therapists use many different types of therapies to treat anxiety:

  • Cognitive Behavioral Therapy (CBT):4 This is a form of talk therapy that focuses on equipping you with strategies to understand and change your thinking and behavioral patterns. CBT is the most commonly used therapy to treat anxiety.
  • Mindfulness-Based Cognitive Therapy (MBCT):5 The goal of MBCT is to help you better understand your mind and your moods by combining cognitive therapy practices with meditative, mindfulness practices.
  • Experiential Therapy: Going beyond talk therapy, this approach recreates real experiences to help you understand your inner thoughts and better process your emotions. Examples of some of the methods used in experiential therapy include art therapy, music therapy, equine therapy, and psychodrama.
  • Stress Management: One common root cause of anxiety is chronic stress. This type of therapy will help you identify areas or events in your life adding to your stress, and therefore, anxiety levels.

These therapies can also be used to treat other mental illnesses, like depression and OCD. If your anxiety co-occurs with other mental illnesses, these therapies may be an effective treatment option for your co-occurring mental health issues as well.

Learn Techniques for Managing Anxiety

One of the most impactful effects of getting treatment for anxiety is learning techniques for managing your anxiety that you can rely on and use for the rest of your life. No matter how you get treatment for your anxiety, your therapist will likely equip you with the skills to manage your anxiety at home and to prevent your anxiety from reaching a critical point. Plus, the support you receive from a therapist and/or a program for overcoming your anxiety can continue—with aftercare options and ongoing therapy, your path to healing can be as short or as long as you need it to be.

Find the Best Rehab for Your Anxiety

No matter what your current living, work and relationship circumstances are, you don’t have to suffer through your anxiety. You can get help. There are many local, national and international treatment options and types of therapy available. You can explore our collection of treatment centers by location, treatment approach, or therapy type to find the one that’s best for you.

Frequently Asked Questions About Going to Rehab for Anxiety

Can you go to rehab for anxiety?

Yes, many rehabs treat anxiety. Treatment options include online and inpatient anxiety rehab programs.

How long should you stay in rehab for anxiety?

The length of stay in rehab for anxiety varies widely based on your unique symptoms. Most rehabs offer 30-90 day programs.

What types of therapy help with anxiety?

These therapies are commonly used to treat anxiety:

• Cognitive behavioral therapy (CBT)
• Mindfulness-based Cognitive therapy (MBCT)
• Experiential therapy
• Stress management

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An Ultimate Guide to Single Client Rehabs

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There’s a new treatment option growing in popularity: single client addiction centers. These innovative, highly confidential—therefore ideally suited for high profile business people, celebrities, and politicians—luxury rehab centers treat one person only in an exclusive environment.

A client stays at these centers—The Bay in Australia, Paracelsus in Switzerland, The Cottage in the UK, Kusnacht in Switzerland—and is alone except for the team of professionals treating them.

There are significant differences between single client and multi-client centers. Single-client rehabs often have the following:

Complete client-focus: There is no one else at the center, the client receives a dedicated service.

No group therapy: Often, these clients do not wish to expose themselves and have an urgent need for confidentiality—some may be public figures.

A team of dedicated professionals: An entire team will deliver a tailor-made recovery program for their clients. In these single client centers, there is no such thing as a one-for-all program. Each client receives their own bespoke recovery based on their individual and unique needs.

Integrative approach to healing: Most single-client rehabs believe that addictions do not have one cause, but a complex combination of emotional, mental health, medical, physical and spiritual issues. Their approach tends to be multi-disciplinary.

Privacy: Accommodation is private and luxurious, helping clients relax.

Confidentiality: The client’s recovery is paramount and their personal journeys are held in absolute confidence.

Unique services: These centers deliver all sorts of extra services like cars for client outings, therapists to accompany their meals if they wish, and internet facilities for family and business meetings.

Aftercare: Single-client centers help with the transition back into everyday life with personalized aftercare support.

Four of the Best “One Client at a Time” Centers Around the World

One of the criteria that we look for when listing a center on Recovery.com is the staff-to-client ratio, and most of the rehabs on our site have a great ratio. The most private, individualized care you can receive is found in centers that treat one client at a time.

1.The Bay, Byron Bay, Australia

The Bay in Byron Bay

The Bay programs are run in lovely private houses near the beach or hinterland amid tropical flora. It was founded in 2005 by a group of psychotherapists who wanted to treat addiction in a different way. “We believed that the addiction was being treated but not the underlying trauma and mental health issues,” says psychotherapist and founder, John Dass. “We wanted to address this so we created The Bay.”

Why did you want it to be a single client center? “We didn’t want clients to have to deal with other people because that can be a disruption to recovery. The idea was that the client would come to us and be able to have a totally private recovery experience and one that was dedicated to their personal recovery. Being private means that our international clients could relax more; and relaxation is a key to healing.”

Why is The Bay different? “Many rehabs do “one-to-one” therapy sessions, but in the context of having a group of clients staying in one facility, or attending on a daily/weekly basis. We have a range of highly qualified psychotherapists, nutritionists, doctors, nurses who all come to the client. There is a team of up to 20 professionals who dedicate themselves to one client.

Because of my multi-disciplinary background, we have created a holistic environment, which is truly unique at The Bay. Clients have said that it is more like a retreat than a rehab. We use meditation, yoga, qi gong, mindfulness, acupuncture and massage with one-to-one psychotherapy which produces an intentionally “emotionally warm” structure for our clients. The atmosphere is openhearted and welcoming. Warmth, nurture and nourishment are very important at The Bay.”

Why is it vital to recognize and treat the trauma behind the addiction? “If we only treated the addiction and its symptoms, we would be failing our clients. We know that most addictions have underlying reasons—often from childhood trauma—for being there. By creating a safe space in the psychotherapeutic context, we encourage clients to resolve past traumas, thus enabling a deeper recovery. It might be the first time that clients start to understand where their alcoholism, food or drug addiction comes from so we also use compassion-focused therapy in order that they feel fully seen, heard and understood in a tender, non-judgmental way. I think we’re the only Rehab in the world to provide this heart-centered approach. Clients often get in touch with a lot of shame—they feel they have let down their family and colleagues—and we find ways for them to let go of it.”

Why is one-to-one therapy so important? “Many clients don’t feel comfortable around group therapy. We design the programs for them specifically so that they trust the process. Many clients are well-known or high profile and our gentle but engaging regime helps them to gain this trust. They want confidential therapy and that’s what they get.”

Can a client keep on working? “Yes, there is plenty of room at the house for the clients who often come from the business world to keep on working. We don’t take their mobiles or computers, we just ask that they are ready to work with our therapists when they arrive. We recognize that it’s important to many of our clients to keep working.”

2. Paracelsus Recovery, Zurich, Switzerland

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Paracelsus was founded in its current form in 2012 as a family business. It is located on the scenic lakefront of Zurich. They focus on the luxury aspects of their services as well as the single client core philosophy. “Our international team of highly qualified therapists, doctors, nurses, counselors and other professionals focus on the recovery of only one client at a time. Our team works with our clients eight to twelve hours a day, not weekly or monthly as is the case with most other addiction therapy providers,” says chairman, Jan Gerber MSc.

What makes Paracelsus different? “We have recognized the importance of a balanced bio-chemistry of the brain and body for recovery from addiction. We don’t only address the addiction itself, but we identify and treat the underlying reasons for the client’s addiction. We treat the entire person—body, mind and soul. We call it the 360 degree approach.

We also provide an unparalleled high-end all-round service during the treatment program from limousines, a chef, a butler and a 24 hour a day concierge service. We give 7 star service.”

Who are your clients? “Our clients are looking for the best treatment available. They are also looking for 100 percent confidentiality. That’s what we give. We also guarantee that they will never come across another client. We have treated heads of states so it’s very important to guarantee this confidentiality and privacy.”

How do you work as a team? “We assign a team around this client, pull information together and work together very much in a collaborative way until the client leaves,” says clinical coordinator, Dr Christine Merzeder, PhD.

How does the treatment work with psychotherapy? “The client arrives and I find this exciting because I know I have the opportunity to facilitate change. I am here 24 hours a day, 7 days a week. I am getting to know the client so that I can work in the best way with them. Sometimes if they would like, we eat together. It all supports the process,” states psychotherapist, Louis Fitzmaurice.

How does the bespoke program work? “Clients don’t adhere to a program that is already in place, they have their own program. We provide an interdisciplinary program that includes nutrition but also yoga, personal training etc,” says Dr Thilo Beck, the medical doctor.

How long can a client expect to be with you? “Normally they would stay for 4 to 8 weeks but it depends on the individual. We also provide comprehensive after-care in that they might come back for weekends or the psychotherapists visits them,” says Gerber.

What does Luxury Rehab mean to you? “It’s not about spoiling someone because they have an expensive lifestyle. You can’t judge someone because they have a lot of money or are very successful. They are vulnerable like everyone else, and they need support,” says Gerber.

3. The Cottage, Surrey, UK

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The Cottage is part of Life Works, one of the Priory Group’s leading centers network and is located in the charming Surrey countryside with easy access to Heathrow and Gatwick airports. The Cottage is the only single client addiction center in the UK. They treat addictions and a wide range of mental health issues. They are the exception in this small group in that they do offer group therapy and 12 Steps, if the client would like them. “Our high end, bespoke treatment caters for clients who might be suffering from drug and alcohol addictions, eating disorders, prescription drug addiction, depression, gambling addiction and more,” Stephen Clarke, the hospital director.

What makes The Cottage’s approach different? “We believe that addiction and behavioural health issues require an in-depth and sophisticated approach that treats the physical, mental, social and spiritual elements of each person. Therefore our treatment program looks at us as a whole person, beyond, just their addiction and offers a person-centered approach to treatment. This vastly increases the chance of sustained recovery and enjoying a good quality of life.”

What is your core treatment philosophy? “We offer a range of treatment programs to help our clients with their recovery process. Our therapies are based on scientific evidence and research. We offer specialist programs for eating disorders, we offer CBT, sex addiction specialists, a mood disorder program, one to one psychotherapy, psychiatric care, group therapy. We also offer all the complementary therapies. We are comprehensive in what we have on offer.”

How does your team work together? “Our experienced team work with the clients to ensure they have maximum input into how their program is designed. Their entire stay will be organized by your own personal Program Coordinator who is available to support the client and tailor their treatment program according to their needs. Five star treatment begins before they even arrive with our private car and chauffeur service available to pick them up from anywhere in the UK if necessary.”

Why do you offer single client occupancy? “Our facility caters to clients looking for the most discreet and exclusive environment to relax, unwind and deal with their recovery. We only take one client at a time to ensure everyone we treat has the best possible care.”

4. The Kusnacht Practice, Zurich, Switzerland

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The Kusnacht Practice opened in 2007 and is located on the beautiful shores of Lake Zurich. It prides itself on being one of the most exclusive and expensive Rehabs in the world. Both George Michael and John Galliano are said to have been treated there. Each client has his or her own villa—there are seven villas—with a butler, maid and chauffeur. “We make a home for our clients,” says owner and CEO Eduardo Greghi.

What makes the Kusnacht Practice different? “The level of luxury. This all-inclusive service, as if in a hotel, is characteristic of 5-star psychiatry and it includes 70 permanent employees and 90 freelancers, from a yoga teacher to an acupuncturist.

The clinical team here has a rich heritage of developing innovative methods of looking beyond the surface issues in order to identify the true underlying causes. We find these forms of compulsive behavior are usually associated with biochemical or neurochemical imbalances. We have developed our own Bio R methodology to deal with these imbalances.”

Why single client? “We prefer to treat clients individually rather than in a therapy group, as this enables us to tailor a unique care plan to the personal requirements of each individual. Clients stay at our exclusive luxury residences. We provide clinical excellence in luxurious surroundings.”

Do you include family members in the recovery process? “Many people who seek treatment at The Kusnacht Practice may be experiencing emotional pain or may have suffered trauma, which can also be distressing for family and friends.

Although not mandatory, in most cases we strongly recommend that family and close friends take part in our treatment program. This helps each party to truly understand what is causing their family member’s disorder and their part in the healing process. A thorough preparation for a healthier and happier life after treatment and during our continuing care for the whole family system is an important part of the lasting treatment success.”

What types of therapy are used? “We offer a wide range of innovative and science-based therapies and procedures delivered by qualified medical professionals, along with counseling, complementary treatments and 12 Steps spiritual programs. This may include biomolecular restoration, clinical hypnotherapy, psychotherapy/cognitive therapies, EMDR, Family Systems Therapy, Mindfulness work, Neurofeedback, Positive psychology, repetitive Transcranial Magnetic Stimulation and more.”

Finding Recovery That’s Tailored to You 

Addiction can make us feel misunderstood. In that vulnerable state, feeling seen is so important. That’s what single-client rehabs do for their patients. By understanding and catering to the individual needs of their clients, these rehabs create a comfortable and nurturing environment for recovery. 

Search our collection of luxury rehab centers to learn more about single-client rehabs, their accommodations, pricing, amenities, and more.

Frequently Asked Questions About Single-Client Rehabs

Are there rehabs that treat just one person?

Single-client rehabs treat just one patient at a time. Their clients include executives, celebrities, and high-profile people who want an ultra-bespoke, confidential rehab experience.

What’s the most private rehab?

Single-client rehabs are as private as they get. They offer personalized treatment, an entire team dedicated to your care, secluded and luxurious accommodation, and complete confidentiality.

Are single-client rehabs effective?

They can be—personalization improves treatment outcomes. Single-client rehabs address each client’s unique situation, including trauma or concerns that stem from addiction. They tailor therapies to clients and adjust treatment as needed, according to your progress.

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Starting Recovery Right: How to Find Mental Health and Addiction Treatment

Reaching out for help takes courage—and you’ve already shown that by being here. Whether you’re dealing with addiction, mental health concerns, or both, we know how overwhelming it can feel to find the right care. But you don’t have to figure this out alone. We’ll walk you through your options so you can feel empowered to make the choices that feel right for you.

A quick note about us: Recovery.com is an independent organization that helps people find quality care. We don’t own any treatment centers or take payments to recommend them. Our mission is simple: To give you honest, straightforward information so you can make the best choices for your recovery.

Understanding Types of Treatment

Recovery programs offer different levels of care to match your needs. Here’s what you need to know about each option:

Medical Detox: Getting Started Safely

If you’ve been using alcohol, opioids, or benzos regularly, starting with medical detox isn’t just helpful—it’s crucial for your safety. Detox is a safe landing pad where caring medical staff help ease you through those first challenging days. Many treatment centers offer detox onsite, or they can connect you with trusted detox centers nearby.

Have questions about the detox process? Our detox FAQ covers everything you need to know about starting treatment safely.

Inpatient (Residential) Rehab

This is what most people think of as “rehab”—you live at a treatment center while focusing completely on your recovery. It’s like pressing pause on daily life so you can concentrate on healing, with 24/7 support from qualified healthcare professionals. Inpatient programs usually run 30-90 days, and you can stay longer if needed.

Want to learn more about what residential treatment is really like? See our detailed guide to what happens in residential rehab.

Infographic titled Questions to Ask Yourself When Choosing a Level of Care. It features six questions in speech bubbles about medical support, structure, accountability, stability at home, balancing recovery with responsibilities, and ongoing support. A silhouette of a thoughtful person appears on the right.

What is the best way to find mental health and addiction treatment?

It often takes a few tries to find someone who really gets you. I always recommend starting with therapist directories, and don’t underestimate the power of asking trusted friends, family, or other healthcare providers for referrals. Look for someone who feels attuned to your needs. It’s okay if you don’t click with the first person; fit matters, and it’s worth finding someone who truly feels like a good match.

– Amanda Stretcher, MA, LPC-S | Crescent Counseling

Partial Hospitalization Programs (PHP): The Middle Ground 

Want intensive support but need to sleep in your own bed? Day treatment might be right for you. You’ll spend your days in treatment (usually 30-40 hours weekly) but head home each evening. It’s ideal if you have a stable home life or you’re stepping down from residential care but want to keep that strong support system.

Infographic titled Understanding the Main Levels of Care, outlining seven addiction treatment options: medical detox, inpatient treatment, partial hospitalization, intensive outpatient, sober living, continuing care, and virtual treatment. Each level includes typical timelines, settings, and support details. A note at the bottom highlights that moving between levels is normal.

Intensive Outpatient Programs (IOP): Flexibility Meets Structure

IOPs are great when you need to balance recovery with real life. You’ll attend treatment 3-5 days a week for a few hours each day, getting solid support while maintaining your daily routine. Many people choose this option when they have work or family commitments they can’t step away from.

Not sure whether you need day treatment or intensive outpatient? Our guide breaks down the key differences between PHPs and IOPs.

Sober Living: Your Recovery Community

Think of sober living as your home base for recovery after completing primary care treatment. You’ll live with others who get what you’re going through, in a substance-free environment that supports your new life. It’s perfect when you want that extra layer of support or need a fresh start.

Continuing Care: Growing Stronger

As you move forward, your needs will change—and that’s totally normal. Your care team will help you build a plan that grows with you, whether that’s regular therapy check-ins, medication support, or practical help with life skills.

Wondering what happens after rehab? Our guide to continuing care explains how to build lasting support for your recovery journey.

Virtual Treatment: Recovery at Your Fingertips

While online health services aren’t for everyone (especially if you need detox or round-the-clock support), they are making care more accessible than ever. If transportation is tough or you need extra scheduling flexibility, virtual options might be just what you’re looking for.

What to Look for in a Treatment Provider

When you’re looking at treatment programs, it helps to know what sets the great ones apart from the rest. Let’s start with one of the most important things to check—their credentials.

All About Licensing and Accreditation 

Accreditation is a stamp of approval from organizations that check healthcare providers for quality and safety. Good programs will have their credentials proudly on display and be happy to talk about them. Not sure about a program’s credentials? You can always double-check them through your state’s licensing board or the Joint Commission’s website.

Here are the important ones to look for:

  • The Joint Commission: This is the gold standard in healthcare. When you see this seal, you know the program meets the highest quality standards.
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  • Your state’s Department of Health license: This is your state’s official oversight of treatment programs. Every quality program should have this license, which shows they meet local requirements for providing safe, ethical care.

Want to verify a program’s credentials? Just ask! Ethical admissions teams will be happy to provide any information you need to feel comfortable moving forward.

The People Who Will Support Your Recovery

The heart of any great treatment program is its team. You want people who bring both expertise and compassion to your care. Quality programs have a mix of professionals—from psychiatrists and therapists to counselors and nurses—all working together to support you. Many programs also include team members who’ve been through recovery themselves, bringing both professional knowledge and personal understanding to your care.

Here’s who you’ll meet on your care team:

  • Medical team (doctors, nurse practitioners, physician assistants, etc.): These professionals hold current state medical licenses and specialize in addiction medicine and mental health care. They’re there to keep you safe and comfortable and care for any medical conditions, especially when you’re first starting recovery as a new patient.
  • Therapists and counselors: Your therapists will have state licenses (look for credentials like LMFT, LCSW, or LPC) and experience helping people through recovery. They’re the ones who will work with you one-on-one and in groups to build your recovery skills.
  • Holistic practitioners: Many programs employ wellness professionals who support your whole-person healing through practices like meditation, yoga, art therapy, or nutrition counseling. They work alongside your core clinicians to support your overall well-being.

Don’t hesitate to ask about the team’s experience and credentials—quality programs are proud of their staff and happy to tell you about their qualifications.

Learn what credentials to look for in a quality treatment team in our guide to understanding rehab staff qualifications.

Infographic titled Red Flags to Watch for in a Treatment Provider, listing warning signs such as enrollment pressure, unclear schedules, false promises, hidden costs, shady kickbacks, lack of success stories, and unverified credentials. Each red flag is illustrated with a symbolic icon on a flag background.

Proven Treatment Approaches

The best programs use approaches that science has shown actually help people heal. These aren’t just trendy techniques—they’re proven methods that have helped many people build strong, lasting recovery. 

You’ll work with therapists trained in evidence-based interventions like CBT (cognitive behavioral therapy), which helps you change unhelpful thought patterns and behaviors. Other proven methods like DBT (dialectical behavior therapy) teach you how to manage emotions and stay present, while ACT (acceptance and commitment therapy) helps you build a meaningful life in recovery. These practical tools give you real skills for lasting change.

Want to learn more about what makes these approaches so effective? Check out our guide to evidence-based addiction treatment methods.

Family Involvement

Quality programs understand that addiction affects the whole family. They’ll typically include your loved ones in the recovery process through family therapy sessions, educational programs about addiction, and support for rebuilding relationships. Many also provide resources to help family members with their own healing journey—because recovery is stronger when families heal together.

Get the details on how family therapy works in treatment in our guide to understanding family programs in rehab.

Open Communication

Good treatment programs prioritize clear, honest communication. The staff should take time to explain things clearly, answer your questions thoughtfully, and include you in treatment decisions. They understand that keeping you informed and involved is crucial to your recovery success.

Understanding Costs and Coverage

A trustworthy treatment center will be completely open about the financial side of care. They should explain all costs upfront, help you understand what your insurance plan will cover, and be clear about any additional expenses you might face. Good programs will also walk you through payment options and help you verify your health insurance coverage before you commit. There shouldn’t be any surprise fees or hidden costs along the way.

Get the full details on pricing, insurance coverage, and payment options in our guide to understanding rehab costs.

Watching Out for Red Flags

While there are plenty of reputable treatment programs out there, it’s important to trust your gut if something feels off. Be cautious if a program:

  • Pressures you to enroll right away using aggressive sales tactics
  • Gets vague when you ask about daily schedules or treatment details
  • Makes promises that sound too good to be true, like guaranteeing success
  • Isn’t clear about costs or adds surprise fees
  • Offers kickbacks or referral fees for signing up (this is actually illegal!)
  • Can’t share any success stories or references from past clients
  • Doesn’t have proper licenses and accreditations 

The right treatment center will respect your need to gather information and think things through. They know this is a big decision that shouldn’t be rushed—after all, it’s about your health and recovery.

Sadly, treatment scams are out there—but we can help you spot them. Learn more in our guide to avoiding common rehab scams and unethical practices.

How do I find the right treatment provider for what I need?

Finding the right mental health provider starts with checking your insurance network so you can access care without financial stress. From there, read provider bios carefully—look for someone who specializes in your specific concerns and whose approach resonates with you. If something in their bio feels relatable or comforting, that’s a good sign. And remember, finding a therapist is like finding the right pair of shoes—you might have to try a few on before you find the perfect fit.

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

Practical Steps to Finding the Right Provider

1. Start With a Professional Assessment

Many treatment centers offer free, confidential assessments over the phone to help you understand what level of care might work best for you. Their admissions team will ask about your situation and walk you through your options. You can also talk with your primary care provider (PCP), therapist, or local mental health professional to get their recommendations. The goal is to make sure you find care that fits your needs—you don’t have to commit to anything during these initial conversations.

2. Check Your Insurance Coverage

Most treatment centers have insurance specialists who will check your benefits for free—just call and give them your insurance information. They’ll work directly with your insurance company to find out exactly what’s covered, including how many days of treatment they’ll pay for and what your out-of-pocket costs might be. 

You can also call your insurance provider yourself to learn about your mental health and substance use benefits. Either way, make sure to ask about in-network treatment centers (which usually cost less) and get clear on things like deductibles, out-of-network costs, and co-pays. Don’t worry if this feels overwhelming—that’s why admissions teams are there to help you figure it all out.

Learn more in our complete guide to using insurance (including Medicare) to pay for rehab treatment.

3. Research Your Options

Take some time to explore different types of providers that interest you. Use our treatment finder to get detailed information about each program, including costs, photos, virtual tours, and what day-to-day life is like there. You can also read online reviews about other people’s experiences (keeping in mind that everyone’s journey is different). Many centers welcome in-person visits, too. 

4. Ask the Right Questions

When you talk with treatment centers, don’t be shy about asking questions—the right program will welcome them. Ask what a typical day looks like, what kinds of therapy they offer, and how they’ll help with both substance abuse and mental health conditions. It’s also good to learn about how they include family in treatment and what kind of support they offer after you complete the program. Remember, you’re looking for a place that feels right for you, and these conversations help you get a sense of how they’ll support your recovery.

Make the most of your first conversation with treatment centers using our guide on what to ask when calling rehab admissions teams.

What should I know about health insurance?

When searching for a mental health or addiction treatment provider, understanding your health insurance coverage is crucial to ensure you receive the care you need when you need it without unexpected costs. General considerations may include being knowledgeable of coverage verification, your in- versus out-of-network providers, prior authorization requirements, co-pays, deductibles, co-insurance, out-of-pocket maximums, duration of coverage, treatment types, medications, and anything else specific to your situation. Although your provider’s website may have much of this information readily available, particularly if you explore your personal account, it is recommended to reach out directly should you warrant further clarity. It is especially important to ensure that everything is authorized prior to engaging in treatment, as any issues here may lead to unexpected costs that can add up significantly.

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

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Connect With Treatment Today

Recovery is a process that can profoundly change your life for the better. You deserve support in becoming your happiest, healthiest self—and help is available whenever you’re ready to take that next step. Find treatment options near you today.

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Treating Addiction and Mental Health Disorders During COVID-19

While coronavirus presents some major challenges to treatment providers, the work you are doing is more important than ever.

Treatment centers across the globe fight a daily war against a disease that is all too fatal. CEO’s, administrators, clinicians, medical and nursing staff, and support staff including housekeeping and maintenance personnel all see the pain and suffering of not just the individual but also the families involved. The death rate is also serious regardless of the attention or lack of attention this disease receives.

From 1999 through 2017, the CDC shows more than 702,000 people died from a drug overdose in the U.S. alone. An average of 130 Americans die each day from a drug overdose. We lost more than 70,000 people in 2017 and between March 2018 and February 2019, we lost another 69,029 individuals.

As we all navigate our lives, our work and our personal journeys through the COVID-19 Pandemic, I would encourage you to keep some of these figures in mind. Many treatment centers that you will find on RehabPath’s sites around the world are equipped and prepared to fight addiction. They deal with an enemy that still exists and will continue to exist long after our current crisis, and, in fact, may be exacerbated by these difficult times. They have been called to serve those that suffer and nothing will stop them from their calling.

Increased Number of People Seeking Treatment

While we’re seeing a lower volume of search traffic globally at the moment, we’re starting to see an increase in people seeking help based on the new circumstances they find themselves in. Some have time off during this Global Crisis and they see it as an opening to reach out for help. Here is a recent (anonymized & generalized) example of an inquiry a center in California recently received:

“I am reaching a breaking point and I really really need some time to myself to heal with the help of professionals. Due to coronavirus I have 5+ weeks off of class and would really like to use this time to fully work on myself. Please let me know if you have any availabilities for a 3-4 week stay beginning in the next week or two.”

Based on inquiries and annual cycles we have studied, we believe that many, many more people will be seeking help as an effect of the COVID-19 virus.

An Opportunity for Intervention and Encouragement Toward Recovery

Treatment providers often have an opportunity to save lives through intervention. Sometimes that intervention takes place formally through a Certified Interventionist and oftentimes, intervention takes place through an informal process such as an interaction with the legal system, a family that can’t “help” any longer, an employer that sees a need, and sometimes people just get tired of being sick and tired. 

For example, we always see a spike after the holidays when people gather with their families and less formal interventions take place. 

In essence, COVID-19 is an “intervention” or opportunity for those to get treatment. We  understand that with bars and restaurants closing there most likely will be a greater need for detox services. Isolation also causes many people to have a moment of clarity and hopefully they will reach out for help. Anxiety is prevalent in the world that we live in and has only increased as this virus has spread.

Helping People Connect With Treatment

At RehabPath, we’re grateful and honored that we can help people connect with treatment providers worldwide. It’s wonderful to know firsthand that treatment providers are there to serve those that suffer from alcoholism, drug addiction, anxiety and other mental health issues, regardless of what is going on in the world. We understand that this disease we fight daily is a disease of isolation and treatment providers understand that better than anyone. They provide a strength-based community to serve those that suffer from addiction. These are times people who are struggling need us helpers even more.

To each one of our clients and treatment providers on our sites, we want to say Thank You for showing up through all that goes on in this world; you make a difference every day. Be prepared for the spike you may see, and most importantly—Stay Healthy and Stay Well!

About Robb

Robb leads RehabPath’s business development efforts and specifically focuses on helping treatment centers reach people more effectively. Before joining RehabPath, he has held various roles with addiction treatment providers, and considers this field his calling. Of most relevance to many of our clients, he spent approximately 4 years as the Director of Operations and Business Development with Duffys Napa Valley Rehab in Calistoga, California. Robb is also one of the most genuine and caring people you could meet!

RehabPath provides independent resources with no ties or affiliations with treatment companies or particular methods. We have one primary goal: to help families and individuals worldwide find hope and help from addiction.

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Alcohol Withdrawal

Safety Note: Alcohol withdrawal can be life-threatening. Seek medical support and supervision to withdraw safely from alcohol.

Alcohol alters the chemicals in the body to produce its effects, such as relaxation and euphoria. Our bodies are designed to maintain balance, or homeostasis or equilibrium. These two facts will help you understand why alcohol withdrawal happens. 

What is alcohol withdrawal?

Alcohol withdrawal describes the set of symptoms a person experiences when they stop drinking alcohol after they have been drinking regularly, often heavily or for extensive periods of time. Alcohol withdrawal symptoms are normal, but can be life-threatening, so it’s important to seek medical support. 

Over time of regular use, the brain and body adapts to alcohol being in the system and depends on it for maintaining balance (also known as homeostasis or equilibrium). When someone stops drinking, it takes time for the body to change back to normal levels. Withdrawal symptoms happen during this transition of regaining homeostasis.  

Alcohol Withdrawal Symptoms

Alcohol withdrawal symptoms manifest in physical and psychological ways. Symptoms occur when, for example, the brain has become dependent on the release of dopamine from alcohol consumption and the person has not consumed alcohol in at least 6-8 hours.

Alcohol Withdrawal symptoms include, but are not limited to the following:

Physical symptomsPsychological symptoms
Disorientation
Fast heart rate
Headache
Loss of appetite
Nausea or vomiting
Shakiness
Sweating
Tremors 
Seizures
Delirium Tremens		Anxiety
Agitation
Depression
Irritability
Nervousness
Restlessness

Alcohol Withdrawal versus Hangover

Alcohol withdrawal and a hangover from drinking alcohol are separate things. Alcohol withdrawal symptoms occur when alcohol is not being consumed, while a hangover occurs when too much alcohol is consumed during one drinking period.

Hangover Symptoms

  • Decreased concentration
  • Decreased sleep
  • Dehydration
  • Fatigue
  • Headache
  • Increased appetite
  • Increased pulse
  • Irritability
  • Muscle aches
  • Nausea
  • Sensitivity to light and sound
  • Weakness

Here is a quiz that can help distinguish if you might be having alcohol withdrawal symptoms verses a hangover from alcohol.

Alcohol Withdrawal Timeline

Alcohol withdrawal symptoms that occur after the last drink are usually divided into 3 stages: Mild, Moderate, and Severe. All the stages are serious and should have supervision with a mental health professional. Not everyone will experience severe withdrawal symptoms, but grand mal seizures and delirium tremens can happen, particularly for those who drank for long periods of time and heavily.

Stage 1 – MildStage 2 – ModerateStage 3 – Severe
Occurs 6-8 hours after the last drinkOccurs 12-48 hours after the last drinkOccurs 48-72 hours after the last drink
Craving for alcohol
Dilated pupils
Headaches
Loss of appetite
Minor hand tremors
Nausea
Unclear thinking
Vomiting		Breathing difficulties
Hallucinations
Increased blood pressure
Irregular heartbeat
Mental confusion
Seizures		Agitation
Disorientation
Excessive sweating
Fever
Hallucinations
Rapid heartbeat
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Withdrawal

We often joke about going through withdrawal from a specific person, food, or TV show. While withdrawal describes something being removed or taken away, it also specifically refers to a set of symptoms a person can experience upon stopping an addictive substance or behavior, such as drugs, alcohol, and gambling. 

What is drug / alcohol withdrawal?

Drug and alcohol withdrawal occurs when a person stops using drugs or drinking after a period of regular use. 

Withdrawal is one of the diagnostic criteria for a substance or alcohol use disorder since it is a sign that a person has become physically and/or psychologically dependent. Withdrawal is often what keeps a person trapped in addiction because one of the quickest ways to relieve withdrawal is to use or drink again. Many will continue drugs and alcohol not for the positive, pleasurable effects, but for avoiding the negative effects of withdrawal.

A person does not necessarily have to be an “addict” or “alcoholic” to experience withdrawal and not everyone will experience withdrawal symptoms. 

Common Withdrawal Symptoms

Symptoms can be both physical and psychological. Symptoms and intensity of symptoms vary from person to person. Age, how long someone has been using drugs or alcohol, how much and how frequently, and more are factors for withdrawal.

  • Nausea
  • Vomiting
  • Sleep Disturbances (e.g. insomnia)
  • Agitation, irritability
  • Anxiety
  • Depression
  • Discomfort (malaise)
  • Muscle aches

Why is withdrawal so uncomfortable?

Withdrawal is so uncomfortable because the body adapts to the drug being present and it takes time for the body to readjust when the drug is no longer present. Withdrawal symptoms typically are the exact opposite of symptoms felt from the drug. For example, if a drug relaxes your system, you may feel anxiety and irritability upon stopping the drug.

Can you die from withdrawal?

The short answer is yes, you can die from withdrawal. However, most substances produce uncomfortable, non life-threatening symptoms. Alcohol and benzodiazepines are substances that can be very dangerous to stop “cold turkey” or abruptly, so it’s important to be under medical supervision for alcohol and benzodiazepine detox.

Resources

https://www.who.int/substance_abuse/terminology/withdrawal/en/