Category: Prepare for Healing

Challenges are a natural part of any growth process—but that’s not all there is to it. Healing can also be punctuated by small wins, big triumphs, exciting breakthroughs, and deep connections.

At the end of the day, the self-knowledge, empowerment, and resources you gain are immeasurably rewarding.

Here are 8 ways to find joy in the journey of addiction recovery.

1. Changing Your Relationship With Fear

This may not exactly sound joyous, but the payoff is nothing short of life-changing.

So much of addiction and maladaptive behavior comes from avoidance. ((“Maladaptive Behavior: Causes, Connection to Anxiety, and Treatment.” Healthline, 18 Mar. 2020, https://www.healthline.com/health/maladaptive-behavior.)) As humans, we avoid the things we’re scared of: our past traumas, our emotional pain, and our deepest insecurities. Substances are an easy way to check out of feelings we’d rather not deal with—and sometimes, with very valid reason. Maybe we’re not emotionally ready, we don’t have adequate support in place, or we can’t afford the disruption in our lives. Avoiding is a coping strategy ((https://www.verywellmind.com/avoidance-coping-and-stress-4137836#:~:text=Avoidance%20coping%20involves%20trying%20to,reduce%20the%20stress%20it%20causes.)) that’s designed to help us survive. But the problem is that it works until it doesn’t. And some coping strategies have serious consequences for our health.

True healing requires the deep, vulnerable work of facing our fears. While it’s not easy, doing so in a therapeutic environment means you’ll be surrounded by professionals who guide you through the process, and peers who are doing the same thing right alongside you. Taking on this brave task taps you into your personal fortitude and shows you what you’re really capable of. As you get used to facing life’s challenges head-on, they’ll start to feel more like normal ebbs and flows and less like full-on crises.

2. Getting to Know Yourself Better

The healing journey is a deep dive inward. Parts of it may be uncomfortable—but growth requires us to move beyond our comfort zones.

The upside of recognizing our pain (and the need to do something about it) is that it can serve as an entry point onto a path of self-discovery. As Rumi famously said, “The wound is the place where the Light enters you.” ((https://www.goodreads.com/quotes/103315-the-wound-is-the-place-where-the-light-enters-you)) Being utterly honest with yourself is an illuminating process. You’ll discover strengths you didn’t know you had.

Knowing yourself puts you in control of your own life. It increases your self-acceptance, self-trust, emotional intelligence, and ability to have healthy relationships. “I argue that we are in an inescapable relationship with ourselves ((https://www.researchgate.net/publication/329216347_Knowing_Yourself_and_Being_Worth_Knowing)) that requires both self-love and self-respect,” says Jordan MacKenzie, Faculty Fellow at the NYU Center for Bioethics. “Self-love gives us a noninstrumental reason to know ourselves, while self-respect demands that we take this reason seriously.”

One way to honor this relationship is to reconnect with your physical self.

3. Coming Back Into Your Body

A common response to trauma is dissociation—that is, mentally and spiritually disconnecting from ourselves when physical escape isn’t possible. Dissociation is the body’s natural way of protecting us. But when we do this habitually, it becomes our default state. By numbing ourselves to negative emotions, we also numb ourselves to positive ones, diminishing our ability to feel fully engaged with life.

Movement- and touch-based therapies are helpful for reconnecting with the body in a safe and guided way. Many rehabs offer these as part of a holistic treatment program:

• trauma release exercises (TRE)
• massage therapy and bodywork
• trauma-sensitive yoga
• somatic experiencing (SE)
• Reiki

It’s especially important for physical and sexual assault survivors to do this in a trauma-informed setting. And while it may be challenging, it can also be one of the most transformative, and ultimately enjoyable, aspects of the healing process.

By grounding into our bodies and staying present with ourselves, others, and the world around us, we experience more of what life has to offer.

4. Practicing New Ways of Doing Things

Changing long-held patterns means dealing with life in ways that don’t rely on old coping mechanisms—and that can feel awkward at first. Thankfully, rehab is a great place to practice. Whether it’s letting yourself cry instead of looking for a distraction, or talking through a problem with a recovery peer instead of stewing in resentment, you’ll get to try new approaches until you find what works for you. And, you’ll have encouragement from counselors and support staff along the way.

By the end of your stay, you’ll be empowered with new knowledge of how to navigate relationships that you can take with you into the real world and continue to build on.

5. Setting Healthy Boundaries

“We get our needs met by communicating them. And that can be really hard,” says Nedra Glover Tawwab, therapist and author of Set Boundaries, Find Peace.

Boundary-setting sounds easy, but in reality, it’s an advanced skill. Insecure attachment (a result of childhood trauma) tells us that if we upset our loved ones, they might leave. And that makes it hard to state a need or preference when you’re unsure how the other person will take it.

“Boundaries are statements that make you feel safe and comfortable in your relationships,” ((https://www.vox.com/even-better/23310442/vox-conversations-boundaries-nedra-glover-tawwab-even-better)) says Tawwab. And, contrary to what our fears tell us, they help to preserve them. Learning to tolerate the discomfort that often follows these statements takes time. With practice, you’ll see how boundaries set a healthier tone for your relationships and create the space necessary for you to meet your needs. This grows your sense of ownership over your life—and what’s more rewarding than that?

6. Discovering Therapies That Resonate With You

Residential rehab gives you a chance to try healing modalities that you may not have otherwise. You may find that you relate to the philosophy behind DBT, that acupuncture reduces your cravings, or that the path of yoga aligns with your recovery journey. Hopefully, you’ll walk away from rehab with resources for ongoing therapy, which can lead to a beneficial relationship with a new therapist.

Many rehabs include complementary therapies as part of their treatment program, even if it’s clinically based. Often, patients choose to continue with therapies or activities they find helpful, adding to their fulfillment in life after rehab.

7. Knowing Where to Turn When Things Get Rough

Being healed doesn’t mean hardship stops happening. It means you get better at dealing with it.

In addition to treating your symptoms, rehab also provides a training ground for life. Most residential programs have a 28-day minimum because this allows enough time to establish a rhythm in a new, healthy routine. Much of your time in treatment is spent building a toolkit of healthy outlets, coping strategies, and connections you can turn to when you need them. These can include exercises for self-soothing, processing, or releasing emotions; connections for professional care; sober community; and restored relationships with your loved ones.

8. Learning Self-Love

Addiction is a form of self-harm, and is often fueled by negative self-talk. ((https://www.verywellmind.com/negative-self-talk-and-how-it-affects-us-4161304)) The healing process teaches us now to recognize when we’re telling ourselves a story, ask whether that story is accurate, and replace it with a more helpful belief. Especially when we have less than nurturing childhoods, we get the message that self-criticism will help us achieve the change we desire. But what if all it achieves is turning us against ourselves?

“We are often at war with our difficult emotions—judging and hating ourselves for our fear, anger, clinging or shame,” says meditation teacher Tara Brach. But “our continued evolution, healing and freedom depends on learning how to embrace what we have pushed away. ((Lavery, Shannon. “Loving Ourselves into Healing – Part 1.” Tara Brach, 16 Dec. 2021, https://www.tarabrach.com/loving-ourselves-healing-i/.))

We deserve love, even when we’re not exactly where we want to be. The journey toward healing is a lifelong process—and approaching it with acceptance and self-compassion helps us find joy in it all.

Longtime yogi Richard Rosen challenges the idea that we have to punish ourselves in pursuit of progress: “But must the process of ending sorrow be sorrowful itself?…What about the idea that our effort toward happiness can itself make us happy?” ((“The Joy Is in the Journey.” Yoga Journal, 28 Aug. 2007, https://www.yogajournal.com/yoga-101/philosophy/joy-journey/.))

Reclaiming Your Happiness in Recovery

We may never fully “arrive,” but things can get better and easier along the way, and we can learn to enjoy the ride.

Rehab can be a great place to start. An immersive environment gives you space to do this vulnerable work in a safe, supported way, with all the necessary tools at your fingertips.

Browse our searchable directory of residential rehabs to learn more about their programs, facilities, and staff, and reach out to centers directly.

Reviewed by Rajnandini Rathod

Addiction can affect anyone, from high-profile CEOs to teens. In spite of this, there’s a stigma attached to admitting you have a problem. And unfortunately, that stigma prevents some people from getting help.

If you’re considering rehab, it makes sense to think about how it will impact your reputation. But that doesn’t have to get in the way of treatment. Wherever you go to rehab for addiction, there are ways to maintain confidentiality. When you trust that the details of your recovery will be private, you can focus all your energy on healing.

Why Does Privacy Matter?

Privacy isn’t always a priority. Depending on your lifestyle, you may not mind having people know you’re going to rehab. And because community support is so important for recovery, ((Dobkin, P. L., Civita, M. D., Paraherakis, A., & Gill, K. (2002). The role of functional social support in treatment retention and outcomes among outpatient adult substance abusers: Social support and treatment outcome. Addiction, 97(3), 347–356. https://doi.org/10.1046/j.1360-0443.2002.00083.x)) this can work in your favor. But going public isn’t right for everyone. There are several reasons you might choose to keep your circle small.

High-profile patients, like politicians, might not want the stress of managing their image. Parents may be concerned that their recovery will impact their children’s relationships. Whether you’re thinking of your family, your job, your future, or all 3, you have the right to decide who knows your story. And there are clinical standards in place to ensure that.

Legal Standards for Confidentiality

In the U.S., healthcare providers must adhere to certain laws that govern patient privacy. When it comes to addiction rehab, 2 important regulations are the Health Insurance Portability and Accountability Act (HIPAA) ((How does HIPAA interact with the federal confidentiality rules for substance use disorder treatment information in an emergency situation—Which rules should be followed? [Text]. (2018, January 4). HHS.Gov. https://www.hhs.gov/hipaa/for-professionals/faq/3005/how-does-hipaa-interact-federal-confidentiality-rules-substance-use-disorder-treatment-information-in-emergency/index.html
)) and Title 42 of the Code of Federal Regulations, Part 2 (42 CFR Part 2). ((Confidentiality of substance use disorder patient records. (2017, January 18). Federal Register. https://www.federalregister.gov/documents/2017/01/18/2017-00719/confidentiality-of-substance-use-disorder-patient-records))

HIPAA

HIPAA is a federal law.  According to the U.S. Department of Health and Human Services, “The Standards for Privacy of Individually Identifiable Health Information (“Privacy Rule”) establishes, for the first time, a set of national standards for the protection of certain health information. The U.S. Department of Health and Human Services (“HHS”) issued the Privacy Rule to implement the requirement of the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”).”

Sometimes it’s important to share this sensitive information. For instance, you might be seeing both a therapist and a psychiatrist. And if they can talk to each other about your mental health, you can get more comprehensive support. But you get to decide. If you so choose, you can authorize providers to share your private medical data. ((Health insurance portability and accountability act of 1996 (Hipaa) | cdc. (2022, June 28). https://www.cdc.gov/phlp/publications/topic/hipaa.html))
In most cases, your healthcare providers cannot share your information with your employer, ((Employers and health information in the workplace [Text]. (2008, November 19). HHS.Gov. https://www.hhs.gov/hipaa/for-individuals/employers-health-information-workplace/index.html)) or with your friends and family. ((Family members and friends. (2008, November 19). HHS.Gov. https://www.hhs.gov/hipaa/for-individuals/family-members-friends/index.html)) However, if a judge issues a court order to disclose your medical records, ((Court orders and subpoenas. (2008, November 19). HHS.Gov. https://www.hhs.gov/hipaa/for-individuals/court-orders-subpoenas/index.html)) they may have no choice. If you’re attending rehab involuntarily, you should talk to your lawyer and your healthcare team about how that may affect you.

42 CFR Part 2

While HIPAA governs how all medical data is shared, 42 CFR Part 2 governs only addiction treatment. ((Disclosure of Substance Use Disorder Patient Records: Does Part 2 Apply to Me? (n.d.). SAMHSA. https://www.samhsa.gov/sites/default/files/does-part2-apply.pdf)) This federal law prevents some rehab centers from sharing identifying information about their patients. This is so people in recovery won’t be treated unfairly in other legal cases, such as employment, child custody, or divorce.

It’s important to note that 42 CFR Part 2 only applies to federally assisted recovery programs. ((42 cfr part 2—Confidentiality of substance use disorder patient records. (n.d.). Retrieved October 24, 2022, from https://www.ecfr.gov/current/title-42/chapter-I/subchapter-A/part-2)) This can include programs that are run by the government, receive federal funding, or meet certain other criteria. You can ask your admissions team if your rehab center is legally bound by this regulation.

Whether or not a center adheres to 42 CFR Part 2, it may still emphasize confidentiality. And some programs go above and beyond federal regulations. You can even choose a type of treatment based on what level of privacy feels safest to you.

Privacy in Different Types of Addiction Treatment

There are many ways to approach addiction recovery. Whether you’re looking for residential treatment or an intensive outpatient program (IOP), most centers offer some level of confidentiality. Here’s what you can expect from different types of rehab.

Residential Treatment

From a privacy perspective, residential treatment has several advantages. With physical distance from your community, you won’t have to worry about prying eyes. Even if you attend rehab nearby, you can choose a program in a discreet location. Many rehabs are located rurally, so you can enjoy the healing benefits of nature, and trust that no one you know will just happen by.

If you travel for addiction treatment, you’ll gain an extra level of confidentiality. You might also benefit from the change of scenery. And if anyone asks where you’ve been, you can honestly tell them about the place you visited—while omitting any mention of your recovery.

Residential rehab does have some drawbacks. Most of these programs treat several patients at once. So if you’re a public figure, the other residents might recognize you. And if you go on any outings, you may interact with people who aren’t bound by privacy laws.

Outpatient Treatment

In outpatient rehab, you’ll live on your own while you attend treatment. Often, patients keep living at home—but you can still travel for rehab if you prefer. These programs have more flexible scheduling than residential ones.

Depending on your program, you may need to take time away from work to focus on recovery. But that’s not always the case. Intensive outpatient programs (IOPs) have a lower time commitment than residential rehab. ((For people in treatment, who engages with recovery residences, and does it boost retention? (2022, March 24). Recovery Research Institute. https://www.recoveryanswers.org/research-post/deeper-dive-recovery-residence-participants-who-more-likely-use-them-how-affect-engagement-outpatient-care/)) These programs usually include about 10 weekly treatment hours. That gives you the freedom to keep working part time, going to school, or seeing your friends. Keeping these commitments helps you keep up appearances—and keep your recovery private.

Much like residential rehab, outpatient treatment normally takes place in a group setting. For some patients, this is a benefit. You can start building a sober community right away, instead of waiting to get home from your travels. But if confidentiality is your top priority, these connections can be an issue. If you’re concerned about attending rehab with a group, there are other options to consider.

1:1 Rehab Facilities

Some centers offer the ultimate type of confidential care: personalized rehab for 1 patient at a time. These programs cater to high-profile patients, who require absolute privacy. You may find yourself in a beautiful, remote location for the duration of your stay.

The goal of 1:1 addiction rehab to meet each patient’s unique needs. From your schedule to your meal plan, every aspect of 1:1 treatment will be personalized. And with no other patients to attend to, the staff will be entirely focused on your recovery.

This type of treatment might not be accessible to everyone. Many of these programs take only private insurance, and some of them don’t take insurance at all. And what’s more, this level of confidentiality can be isolating. And there are other ways to get complete—or near-complete—privacy during rehab.

Recover in a Virtual IOP

As telehealth grows more popular, some centers now offer virtual rehab. Usually, patients can design their own treatment schedule. This lets you work around professional and personal commitments. And best of all, it lets you start recovery in the comfort and privacy of your own home.

These programs strike a balance between connection and confidentiality. You’ll stay in touch with local friends and family, who can offer daily emotional support. But you’ll also have daily access to a team of experts in addiction treatment. And there will be no need to explain why you left home for several weeks.

Virtual treatment isn’t right for everyone. By the time you start rehab, there might already be a strain on your relationships. If that’s the case, you may need privacy from even your family during initial treatment. Or, you might need more emotional support than they can offer while you’re living at home. If you’re not sure which option is best for you, ask the admissions team at your rehab to help you make a plan.

The Confidential Care You Deserve

When it comes to addiction recovery, not everyone requires total privacy. But if you do, it can be a major barrier to treatment. Asking for help is hard enough on its own, without the added concern of unwanted attention.

You have every right to get the treatment you need. You can distance yourself from the general public, but stay connected to people who can help. The important thing is to find the balance that best meets your needs.

Browse our searchable list of rehabs to learn more about their privacy policies, locations, insurance coverage, and more. Also, explore the latest RehabPath News for updates about our company.

Reviewed by Rajnandini Rathod

When you decide to go to rehab, you might not have a lot of time to prepare. This is likely an emotionally fraught process, but there are still ways to set yourself up for success. If you can take care of obligations at home before you leave, you won’t have to worry about anything but your recovery while you’re in treatment.

When you’re planning to start an inpatient rehab program, here’s how to prepare for recovery.

Learn More About Rehab

For many people, uncertainty causes a great deal of anxiety. So if you’re feeling nervous about treatment, or if you haven’t chosen your program yet, it’s a good idea to do some research about how the process works.

Find the right treatment program for you. Every person’s path to recovery is unique. And if this is your first time seriously considering rehab, you might not even know your options or where to look.

Learn more about what you can expect in rehab, from arrival to detox and withdrawal and beyond.

Take Care of Obligations to Your Loved Ones

If you have loved ones who rely on you, like children, dependent adults, or animals, it’s important to make a plan for them before you leave. When you know they’re being cared for, you can focus entirely on your own healing. And with non-dependent loved ones, it’s still helpful to let them know you’re going into treatment. That way they can process their own feelings, and prepare to support you after you come home. This is one way to set your relationship up for success after treatment.

• Tell your loved ones that you’re going to rehab. If it’s difficult for you to talk about, tell just one person that you trust. Then, you can ask them to tell anyone else you’d like to keep informed.

• Offer resources to your support system. If you can empower them to learn more about your addiction or mental health issues, they’ll have more tools to support your recovery.

• Make a care plan for dependents. Know who will take care of them, where they need to go, and how they’ll get there.

• Prepare your home for your sober return, if you’re planning on coming back after rehab. Throw away any drugs or alcohol, drug paraphernalia, and perishable food. Arrange for someone to collect your mail, water your plants, and so on. Turn on your security system if you have one. Do some light cleaning if you feel up to it.

Inform Your Workplace

Aside from your loved ones, it’s also important to let your workplace know that you will be gone.

• Request time off, if you plan on returning to the same job when you come back. If you work in a place where the Family and Medical Leave Act (FMLA) applies, you may be entitled to up to 12 weeks of unpaid leave. Check in your employee handbook to see if this applies to you.
  • Disclaimer: this post is for general informational purposes only, and should not be construed as legal advice. Do not substitute this information for legal counsel. Speak with a lawyer about your specific rights before taking action.
• You may have special considerations depending on your occupation. If you’re an athlete, executive, or attorney, read more about the different factors that might affect your rehab experience.

Manage Your Financial and Legal Obligations

You may or may not have access to your phone or computer during rehab. And even if you do, you might not have the time or energy to check your email during rehab. If at all possible, it’s best to handle any time-sensitive financial and legal responsibilities before you start treatment.

1. Set-up automatic payments for things like your phone, electricity, water, utilities, and credit card bills.
2. Contact your legal representative if you have any ongoing legal cases, to make sure they know you’ll be in rehab. If you’re attending rehab because of a court order, you may have to complete paperwork to document the process.
3. Talk to your insurance provider to find out if they’ll cover the cost of rehab.

Pack for Residential Treatment

There’s a lot to consider when you’re packing for rehab. Make sure to account for the length of the program, its location, and any special activities, like swimming or yoga. This packing list is an excellent place to start.

1. Call your treatment center to ask for specific recommendations.
2. Leave the following items at home:
   • All drugs and alcohol (including non-approved prescription medications and opened non-prescription medications)
   • Pornography
   • Weapons of any kind
   • Mouthwash, perfumes, or colognes that contain alcohol
   • Nail polish or nail polish remover
   • Outside food or drinks

Practice Self-Care Throughout Addiction Recovery

Preparing for rehab can be a lot of work. But it’s also an opportunity. You can spend this time centering yourself, and processing how you feel about recovery. Use these skills to meet your emotional needs, even as you take care of practical logistics.

1. Use relaxation strategies like breath work or mindful meditation, if you feel anxious about starting treatment.
2. Stay present. Once you start treatment, you’ll have plenty of time to plan for the future. And you’ll have professional support while you do. For now, though, thinking too far ahead can be counterproductive. Try your best to stay present. Recovery is an opportunity to create a better life for yourself. Use a journal or other techniques to help you focus on what’s happening right here, right now.
3. Stay safe. This can be a stressful time, especially if you’re used to using drugs, alcohol, or self-harming behaviors to cope. But you don’t have to go through it alone. You might want to stay with a friend until your program starts, or ask someone to drive you to rehab. And once you arrive at treatment, you’ll have the support you need.
4. Get professional advice before you stop taking drugs. You might feel so motivated to begin recovery that you want to quit cold turkey. However, suddenly quitting some drugs, like opioids or benzos, can be extremely dangerous. If you have questions about how to stay safe, talk to a doctor or your rehab center before taking any action.

Prepare Yourself Now to Find Success in Rehab

The time between deciding to go to rehab and actually entering your treatment program comes with a mix of emotions–excitement, anxiety, and more. If you can take time to prepare for rehab, you’ll set the tone for the rest of your recovery. But it’s okay if you let some things go. Give yourself some grace. You’re going through big changes, and you deserve patience and compassion—even from yourself.

Learn what to expect from a rehab program, such as their pricing, therapies, specialties, and more.

Reviewed by Rajnandini Rathod

Your time in rehab should be focused on getting well. And in many treatment centers, it will be. Reputable rehab facilities are designed to help patients as they enter recovery. And after you complete the program, you’ll be ready for whatever comes next.

Unfortunately, many rehab centers take advantage of people. They’re more focused on making money than on helping you heal. Some even commit insurance fraud, lie about their services, and employ unqualified staff.

There’s good news, though. If you know what to look for, you can spot and avoid several common scams. Here’s how to protect yourself, and get the help you need as you begin recovery.

Scam #1: Patient Brokering

Patient brokering is, unfortunately, a common practice in the addiction treatment industry. This is when a 3rd party gets paid for helping a rehab find new patients. Also known as “body brokering,” ((California man accused of ‘body brokering’ – receiving illegal kickbacks from sober living homes. (2021, March 31). The Mercury News. https://www.ocregister.com/2021/03/31/o-c-man-accused-of-receiving-illegal-kickbacks-from-sober-living-homes)) this scam is like a commission model—but the patient is the product being sold. This practice has been illegal since 2018.

The process often starts with a phone call from a recruiter. Once they have you on the line, they might recommend a disreputable rehab facility in another state, ((Avoiding addiction treatment scams | Mass.gov. (n.d.). Retrieved from https://www.mass.gov/service-details/avoiding-addiction-treatment-scams)) or try to sign you up for a program right away. They might even offer perks if you sign up, or say they’ll cover the cost of travel.

Recruiters don’t always call you. Sometimes, they wait for you to call them. A lot of online ads have numbers for “treatment centers” that actually go to call centers. And if you call in, the agent will just connect you to the highest bidder. From there, they’ll try to sign you up for their program immediately, whether or not it’s a good fit.

If you run into patient brokering online or by getting a spam phone call, it’s pretty easy to avoid. But it can also happen in other ways. Even doctors and therapists can get kickbacks for referring patients to rehab. That’s why it’s important to do your own research.

How to Avoid a Patient Brokering Scam

• Be wary of free hotlines. Helplines on ads might lead you to a predatory call center. Instead, call the number on the treatment center’s website.
• Ask specific questions when you’re shopping rehabs. They should be able to tell you everything you need to know about their program. Vague responses are red flags. You can also ask what they think about referral fees.
• Discuss patient brokering with your doctor or therapist. Politely ask if they’ll receive any benefits for referring you to a specific treatment center.
• Be wary of strangers who want to sign you up for a specific rehab. An investigation by the Orange County Register found several ways brokers take advantage of people who need treatment. ((How some Southern California drug rehab centers exploit addiction. (2017, May 21). Orange County Register. https://www.ocregister.com/2017/05/21/how-some-southern-california-drug-rehab-centers-exploit-addiction/)) Specifically, they “troll Alcoholics Anonymous meetings, homeless camps and drug courts to find people they can send to rehab—for kickbacks from the centers. Often, when they have a prospect, brokers will call several rehab centers and seek competitive bids. Highest bidder gets the business.” They may also text or call you.

Scam #2: Insurance Fraud

Once you’re in treatment, some of these unethical rehabs try to commit insurance fraud. ((Addiction treatment facility owner convicted in $58 million health care fraud scheme. (2022, April 13). https://www.justice.gov/opa/pr/addiction-treatment-facility-owner-convicted-58-million-health-care-fraud-scheme)) They might inflate the bill to your insurance company, or add unnecessary steps to your treatment plan. Some order daily drug testing even when it’s clear that you’re sober. And if your insurance refuses to pay, you might have a bigger problem. For example, you could get kicked out of rehab—a process called “curbing.”

Be wary of any rehab center that enrolls patients in a new insurance policy. ((Desperate for addiction treatment, patients are pawns in lucrative insurance fraud scheme. (2017, July 7). STAT. https://www.statnews.com/2017/07/07/opioid-insurance-fraud/)) This might seem like a good deal—and they might even offer you free treatment. But these centers often lie about your address so it looks like you live in a different state. They’ll also pick plans with larger reimbursements, so they can make even more money. And when the insurance company finds out the truth, you might be liable.

How to Avoid Insurance Scams

• Ask the admissions team questions about how they handle insurance. Legitimate rehab facilities will be transparent about costs and insurance coverage.
• Refuse to let anyone cover your insurance costs or change your policy for you. If something sounds too good to be true, it probably is. Outrageous offers of free treatment are a sign that something’s wrong.

Scam #3: Incorrect Information About Addiction Treatment

Some treatment centers make claims that simply aren’t true. These might appear as testimonials or interviews. In one case, an Indiana center offered a man free addiction treatment in exchange for singing their praises of one center in a YouTube video. In a follow up interview, he said the rehab program didn’t work for him ((Harper, J. (2019, August 22). Addiction clinics market unproven infusion treatments to desperate patients. NPR. https://www.npr.org/sections/health-shots/2019/08/22/741115178/addiction-clinics-market-unproven-infusion-treatments-to-desperate-patients))—and that he started drinking again soon after it ended.

The unfortunate reality is that unscrupulous rehabs may lie ((Lopez, G. (2019, October 9). Looking for drug rehab? Ask facilities these 11 questions first. Vox. https://www.vox.com/science-and-health/2019/10/9/20887787/drug-rehab-addiction-treatment-facilities-inpatient-outpatient)) about any of the following important subjects:

• Accreditation status. Organizations may not actually have the accreditations and licenses they claim to. And they might lie about this even if they’re not breaking any laws. For instance, California doesn’t require business owners to have a valid medical license or degree to open a rehab. ((How some Southern California drug rehab centers exploit addiction. (2017, May 21). Orange County Register. https://www.ocregister.com/2017/05/21/how-some-southern-california-drug-rehab-centers-exploit-addiction/))
• Staff credentials. It’s important to double-check that employees actually have the medical licenses and qualifications they say they do. If you’ll be receiving medical attention during rehab, there should be MDs and nurses on staff. Rehabs employ mental health professionals ranging from counselors to psychiatrists, with varying degrees of education and experience.
• Amenities and services. On their websites, centers list resources they’ll provide. But once you arrive, these services might not be available.
• Conditions treated. In order to attract more clients, some facilities say they treat more conditions than they actually do.

How to Avoid Rehab Programs That List Inaccurate Services

• Learn about their reputation. Ask people you trust, like your doctor, to tell you about the program. Read reviews on Google, not only testimonials from the center’s website. Search for their name online to find out about any history of scandal.
• Make sure they have valid accreditations. Check the facility’s website to see if they have accreditation logos from the Joint Commission or Commission on Accreditation of Rehabilitation Facilities (CARF). These 2 organizations authorize treatment facilities in the U.S. Check if they’re members of the National Association of Addiction Treatment Providers (NAATP). This is another good sign, since the NAATP’s code of ethics doesn’t allow referral payments.
• Confirm that they have qualified staff. View the facility’s employees on their website, and check their staff’s qualifications against each state’s requirements.
• Ask specific questions. Ask the admissions team which conditions they treat, and what amenities they offer. They should be ready with detailed answers about their services, fees, and insurance coverage.

Scam #4: Offering Free Things in Exchange for Treatment

Some addiction treatment centers entice patients to enroll with money, ((Lopez, G. (2020, March 2). She wanted addiction treatment. She ended up in the relapse capital of America. Vox. https://www.vox.com/policy-and-politics/2020/3/2/21156327/florida-shuffle-drug-rehab-addiction-treatment-bri-jaynes)) gifts, free flights, or other amenities. They’ll use these prizes to convince patients to start treatment, stay in rehab, or move to their facility.

How to Avoid This Scam and Find Recovery

• Don’t accept compensation or gifts to attend treatment. Legitimate rehab facilities may offer helpful amenities, like rides from the airport to treatment. But they won’t ever offer you money or gifts.

Look for Rehabs With Green Flags

When you’re researching different centers, you can also look for good things. These green flags can indicate that a rehab is trustworthy.

• They offer individualized treatment. Experts say that above all, the best treatment facilities offer personalized treatment plans. ((Lopez, G. (2019, October 9). Looking for drug rehab? Ask facilities these 11 questions first. Vox. https://www.vox.com/science-and-health/2019/10/9/20887787/drug-rehab-addiction-treatment-facilities-inpatient-outpatient)) Each patient is unique, and not everyone responds to rehab in the same way. When providers really care about recovery, they’ll make sure your program works for you—not the other way around.
• They help you plan for aftercare. Recovery doesn’t end when you complete rehab. For most people, it’s a lifelong process. But good treatment centers help you plan for what comes next. Some offer aftercare programs, and others connect you with outside providers.
• They discuss other options, like outpatient care. If your insurance won’t cover inpatient rehab, outpatient treatment might be more affordable. Good providers will help you choose the option that’s best for you—and not just their bottom line.
• They’re honest about recovery rates. Most addiction treatment works 50-60% of the time. ((Lopez, G. (2019, October 9). Looking for drug rehab? Ask facilities these 11 questions first. Vox. https://www.vox.com/science-and-health/2019/10/9/20887787/drug-rehab-addiction-treatment-facilities-inpatient-outpatient)) If a center claims that patients have a 100% recovery rate, they might be lying. Or, this might be a sign that they lose touch with alumni.

Start Your Search for a Reputable Rehab

There are plenty of facilities that put you first, and genuinely want to help you heal. You deserve that level of care. Don’t settle for a rehab that offers anything less.

Compare addiction and mental health treatment centers and reach out directly to their staff for answers to your questions about pricing, insurance, specializations, and more.

Reviewed by Rajnandini Rathod

When you’re ready to get treatment for addiction, you might not know where to start. But you don’t have to reinvent the wheel. Experts have clearly defined the different stages of recovery. Understanding them can help you plan for what comes next.

Some or all of these steps may resonate with you. However, everyone’s healing process is unique. At a qualified addiction treatment center, you’ll get expert support in every stage of recovery.

1. Pre-treatment (early intervention): In this phase, you’re just starting to plan for recovery. This is a good time to talk to the admissions team at a rehab center. If possible, you should also get assessed by a medical doctor.
2. Early recovery and inpatient rehab: This stage begins when you enter longer-term treatment. You’ve successfully detoxed, and you’re ready to focus on your mental health. Some people attend residential rehab during this period.
3. Outpatient and stepped-down addiction treatment: Stepped-down treatment can be helpful after OR instead of residential rehab. Depending on your goals, this can be a short or long-term part of recovery.
4. Aftercare and ongoing recovery: After initial treatment, most people benefit from ongoing care. There are countless ways to get support throughout your ongoing recovery.

Pre-Treatment (Early Intervention)

By the time you decide to enter recovery, you might have to move quickly. But even in an emergency, you can find a treatment program that meets your needs.

Finding the Right Program

First, learn about how to choose a rehab. This should help you understand your options, and start matching them up with your specific goals. For instance, if you’re a trauma survivor, you can look for a program that offers trauma-informed care.

Make a list of centers you think might be a good fit. Then, it’s time to reach out. Talk to their admissions teams and get answers to your most pressing questions. If you’re not sure what to ask, you can start here:

• What is your treatment philosophy (holistic, 12-Step, evidence-based, etc.)?
• Will my insurance cover rehab?
• When is the earliest I can start your program?
• Do I need to detox before I arrive?
• Do you provide medical care on-site?
• What types of psychotherapy do you offer?
• Which complementary therapies do you have?
• Will I be able to stay in touch with my family during treatment?
• How long does treatment usually last? Is it different from person to person?
• What types of aftercare are available for alumni?

If you’re seriously considering a certain program, you’ll probably have a lot more questions. You have the right to ask all of them. Get the information you need to make an informed decision about what you’ll do next.

Detox

During detox, you’ll stop using drugs and let them leave your system completely.
Some people go through this at home, and others attend medical detox programs. Either way, it’s important to get a medical assessment before you start the process.

Talk to your doctor about your drug or alcohol use. Make sure to tell them how much you’ve been taking, and how often. This will help them determine whether you’re physically or psychologically dependent on any given substance. Either issue can be very serious, but they may require different forms of treatment. This information can help you either prepare for medical detox, or plan for other treatment.

If you’re in recovery from alcohol, opiates, or benzodiazepines, it’s vital to get medical care during detox. Stopping use of these substances can cause very serious side effects. With proper treatment, you can avoid life-threatening complications.

Early Recovery and Inpatient Rehab

After detox, many people attend residential rehab. While this isn’t necessary for everyone, it can be a powerful experience. By taking time away from your daily life, you can focus all your energy on this phase of recovery.

You’ll likely benefit from inpatient treatment if you need a high level of structure. Patients abide by certain rules and follow a clear schedule, working toward specific recovery goals. You’ll also engage in several types of treatment. Every rehab has its own approach, but most will offer at least some of the following modalities.

Psychotherapy

In traditional talk therapy, you’ll meet with a therapist 1:1 on a regular basis. During rehab, you might see them every day or a few times a week. These sessions let you process your feelings, your past experiences, and your own reactions to the treatment process. You might also learn practical skills, like what to do when you have cravings.

This is just one kind of treatment. In addition to 1:1 counseling, you may benefit from a more specialized kind of talk therapy. It’s important to note that the following modalities are no substitute for regular talk therapy. But as supplemental treatments, they can be extremely helpful.

• Cognitive behavioral therapy (CBT)
• Dialectical behavior therapy (DBT)
• Motivational interviewing (MI)
• Psychodynamic therapy
• Eye Movement Desensitization and Reprocessing (EMDR)

In these therapies, you can develop coping skills, work through past trauma, and reframe your own feelings. Some, like EMDR, also help you reconnect with your body in a healthy way.

Physical Recovery

Addiction can cause physical health problems.¹ In early recovery, you may need help to stabilize. This could mean working with a team of doctors and nurses. If you don’t need as much support, you might work with a nutritionist or spend time in your rehab’s gym.

If you’re healing from an addiction to prescribed drugs, you may need more specialized care. And there are non-addictive medications that can treat most underlying conditions. To learn about your options, ask your treatment team about treatment for co-occurring disorders.

Community Support

Most rehab centers offer group sessions of some kind. There are many types of community support, but these groups normally fit into 1 of 2 categories:

• Group therapy sessions are led by a trained counselor. You might spend time processing your feelings, go through a set curriculum, or both. Either way, these groups let you connect with people who share your experience of addiction.
• Peer-led support groups are more focused on interpersonal relationships, and less on clinical work. In 12-Step groups, like AA, long-term members can become sponsors, supporting new arrivals in recovery. There are also many non-12-Step groups, which may appeal to a wider variety of people.

If you’re used to relying on drugs in social situations, groups can be overwhelming. These meetings let you practice your interpersonal skills in a safe and supported setting. Recovery doesn’t just mean stopping drug use; it’s also a chance to get to know yourself again. Connecting with other people can help you understand your own needs and values.

Complementary Therapies

Healing is hard work—but it can also be inspiring. In fact, doing things you enjoy is a vital part of recovery. Alternative therapies can help you connect with your spirituality, learn a new skill, or just take time to process your feelings. Depending on your program, you might have access to some of these modalities:

• Holistic treatments, like sound healing or mindful meditation, help you ground into the present moment. This type of therapy is meant to heal the mind, body, and spirit.
• Experiential therapy is an umbrella term that can include many activities. Art therapy, sports, and equine therapy all fall into this category. These treatments let you practice the skills you’ve learned in therapy, in a real world setting.

Inpatient rehab isn’t right for everyone. And fortunately, it’s just one of many options. You can also get treatment in a less intensive program. Some clients even do both, starting with rehab and moving on to an outpatient setting.

Outpatient and Stepped-Down Addiction Treatment

For some people, less intensive treatment formats are much more accessible. You might not be able to take time off work or away from family to stay in a rehab center. Or, your insurance might not cover inpatient services. Don’t let these concerns stop you from getting the help you need.

Partial Hospitalization Programs (PHPs)

You can think of a PHP as part-time rehab. You’ll spend most of your waking hours in the treatment center. In that time you’ll go to therapy and get medical care, just as you would in a residential program. Patients return home to sleep, and have some time to themselves each day. This is a good option for people who need a lot of support, but can’t easily step away from their other commitments.

Intensive Outpatient Programs (IOPs)

IOPs are much like PHPs, but with a less demanding schedule. You’ll likely attend about 10 hours of treatment each week. This can include 1:1 therapy, support groups, and more.

IOPs aren’t just an alternative to inpatient treatment. These programs can also help you transition out of rehab and back into your daily life. You’ll have time and space to get back out in the world, but you’ll also have plenty of expert support.

Sober Living Environments

Most sober living environments aren’t treatment centers; they’re communities. Residents must follow certain rules to stay in good standing. For example, you may have a curfew, take regular drug tests, and do chores around the house. You’ll probably also be required to attend therapy, support groups, or both.

Some of these programs are peer-run, and others are led by healthcare professionals. They may be a good fit for people who aren’t ready to return home after rehab, but don’t need the structure of an IOP. Sober living can also affect the outcome of your recovery process. According to one study, staying in a sober living environment can lower your risk of relapsing in the future.²

Aftercare and Ongoing Recovery

Recovery doesn’t just end when you finish rehab. There’s no clear finish line. Over time, your needs will certainly change—but it’s hard to predict how, or when, that will happen.
Before you leave treatment, make sure you have a clear plan for aftercare. To get started, consider some of these options:

Regular Therapy Sessions

You probably won’t be able to keep seeing the same therapist after rehab. Instead, you’ll need to look for a new provider once you return home, or switch to outpatient treatment. Some residential programs can help you find a therapist even before you leave the center.

Ongoing treatment will help you acclimate to life after rehab. As you encounter new triggers, your therapist will help you stay grounded. Many people think of talk therapy as a lifeline, and keep going long after they start recovery.

Support Groups

Addiction recovery support groups are very accessible. Most of them are free of charge and open to new members. You can find in-person meetings around the world, or join online sessions from afar. This can be very helpful if you get triggered late at night, and need immediate support. There might be an early-morning meeting in another time zone, just a click away.

If you attend the same group on a regular basis, you can build community with like-minded people. Together, you might just find ways to have fun without drugs or alcohol.

Building Your Support Network

Social support is an invaluable part of healing. With strong relationships, you can do more than recover from past trauma. You can move forward to build a life you love.

From book clubs to softball teams, there are countless ways to meet people. You can even join an online community! Strong relationships can help keep you accountable during recovery, and give you something consistent to look forward to.

With the right support, you can successfully navigate every stage of addiction treatment. Connect with a rehab center to take the first step in your recovery journey.