Category: Prepare for Healing

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FAQs: Involuntary Rehab

Seeing a loved one struggle with addiction can be extremely difficult. Addiction has a huge impact on the person experiencing it. It can also affect the mental health of loved ones, and put a strain on their entire community.

You want to help as best as you can. You may have already looked into rehabs near you, but found that your loved one resisted. This isn’t uncommon. Remember that they are in a delicate place. While they may be ready to accept some help, the idea of going through treatment can seem daunting. At the same time, their behaviors can impact your mental well-being. You deserve healing too.

If your loved one is reluctant to seek treatment, you might wonder if you can do anything to get them into rehab. And the short answer is yes: there are a number of ways you can help.

General Questions

Involuntary Rehab for Different Family Members

Efficacy Rates and the Treatment Experience

General Questions

How Can You Help Someone with an Addiction Problem?

There are several ways to help someone struggling with addiction. But before you make a plan, there are some factors you should keep in mind. You can start by answering the following questions:

  • How severe is their addiction?
  • Will they need help detoxing?
  • Are they open to receiving treatment?
  • What is your relationship with them like now? Even if you were close in the past, addiction can isolate people from their loved ones.

Just offering to help can be effective. People are more likely to recover from addiction ((Bartlett, R., Brown, L., Shattell, M., Wright, T., & Lewallen, L. (2013). Harm reduction: Compassionate care of persons with addictions. Medsurg Nursing : Official Journal of the Academy of Medical-Surgical Nurses, 22(6), 349–358. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4070513/)) with the support of a loved one.

Communication is the first step. But it can be difficult to know exactly what to say or how to say it. Talking to someone about getting treatment requires compassion, empathy, and honesty. This conversation might be a painful one, and that’s okay. Stay focused on your goal of getting them the help they need.

If your loved one is at risk of harming themselves, or they refuse to get help, it may be time to stage an intervention. Sometimes, this means using the Community Reinforcement and Family Training (CRAFT) intervention model. ((An underappreciated intervention. (n.d.). Https://Www.Apa.Org. Retrieved June 30, 2022, from https://www.apa.org/monitor/2017/12/underappreciated-intervention))

In the CRAFT model, a therapist teaches you how to encourage a person to enter treatment. You’ll learn to reward your loved one’s positive behaviors without reinforcing unhealthy ones. CRAFT can also teach you to care for yourself and regain control of your life.

If they agree to get help, they may or may not benefit from residential rehab. Data shows that some people with less severe addictions respond well to talk therapy. ((Bartlett, R., Brown, L., Shattell, M., Wright, T., & Lewallen, L. (2013). Harm reduction: Compassionate care of persons with addictions. Medsurg Nursing : Official Journal of the Academy of Medical-Surgical Nurses, 22(6), 349–358. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4070513/))

If your loved one’s struggle with addiction is more severe, you may consider a treatment program. The good news is, substance use disorder can be treated. ((Early intervention, treatment, and management of substance use disorders. US Department of Health and Human Services. https://www.ncbi.nlm.nih.gov/books/NBK424859/)) And, recovery rates are higher at rehabs with comprehensive continuing care programs.

Can I Force My Loved One to Go to Rehab?

If your loved one needs treatment but has refused to get it, you may be wondering if you can force them into rehab. You can, but only in certain states.

Some form of involuntary treatment is allowed in 47 states and the District of Columbia. ((Fuller, D., & Pinals, D. (n.d.). Assisted Outpatient Treatment (AOT) Community-Based Civil Commitment. National Initiative to Improve the Court and Community Response to Mental Illness. Retrieved June 30, 2022, from https://www.ncsc.org/__data/assets/pdf_file/0026/16964/mhf2-assisted-outpatient-treatment-jan-2020.pdf)) Connecticut, Maryland and Massachusetts are currently the only states where you can’t commit a loved one to treatment. Make sure to check your area’s regulations before taking any action. The exact laws vary from state to state, and can change over time.

In many areas, a person needs to meet certain requirements to qualify for mandatory rehab. ((State Standards for Initiating Involuntary Treatment. (2020). Treatment Advocacy Center. https://www.treatmentadvocacycenter.org/storage/documents/state-standards/state-standards-for-initiating-involuntary-treatment.pdf)) These requirements also vary between U.S. states. Generally, you will need to prove that a person is in the middle of a crisis or is currently addicted to substances.

This process can also change depending on your loved one’s exact health concerns. Some states have different requirements for people with addictions and mental health issues. Others even distinguish between alcohol and drug addictions. And some even have one set of rules for current patients, and another for people who are new to treatment.

These policies can be hard to navigate. Before you start this process, make sure you know exactly which laws apply to your situation. Once you get the ball rolling, it can be hard to control what comes next. The more you plan, the more likely you are to get the best possible result.

How Does a Person Qualify for Mandatory Rehab?

A person must meet specific criteria to qualify for involuntary treatment. ((State Standards for Initiating Involuntary Treatment. (2020). Treatment Advocacy Center. https://www.treatmentadvocacycenter.org/storage/documents/state-standards/state-standards-for-initiating-involuntary-treatment.pdf)) These criteria vary by state.

Most states require proof that a person is actively using drugs or alcohol. They may also need evidence from a psychology expert that the person is a danger to themselves or others. ((Saya, A., Brugnoli, C., Piazzi, G., Liberato, D., Di Ciaccia, G., Niolu, C., & Siracusano, A. (2019). Criteria, procedures, and future prospects of involuntary treatment in psychiatry around the world: A narrative review. Frontiers in Psychiatry, 10, 271. https://doi.org/10.3389/fpsyt.2019.00271)) Additionally, many states have separate processes for evaluating those in a mental health crisis and current patients.

Usually, anyone can ask for another person to get evaluated for involuntary care. But that isn’t always the case. In California and Florida, the request needs to come from a designated professional. This might mean the member of a crisis team, a physician, or a social worker.

The first step is filing a petition for evaluation. Next, a qualified expert will perform the assessment. In some states, that expert must be associated with a treatment center. Others allow psychologists, psychiatrists, and addiction counselors to facilitate this process.

Which States Let You Send Someone to Involuntary Treatment?

Most U.S. states allow for 3 forms of involuntary rehab: ((Fuller, D., & Pinals, D. (n.d.). Assisted Outpatient Treatment (AOT) Community-Based Civil Commitment. National Initiative to Improve the Court and Community Response to Mental Illness. Retrieved June 30, 2022, from https://www.ncsc.org/__data/assets/pdf_file/0026/16964/mhf2-assisted-outpatient-treatment-jan-2020.pdf))

  • In an emergency evaluation, or psychiatric hold, someone is admitted to a hospital in crisis. In most states, they can be held for a maximum of 72 hours. During that time they’ll undergo a thorough evaluation.
  • Inpatient civil commitment is a legal intervention. This occurs after a person meets their state’s criteria for civil commitment. Then, a judge can order them to undergo inpatient treatment. Even if they do meet all local criteria, this decision is in the judge’s hands.
  • Outpatient civil commitment is also known as assisted outpatient treatment, or AOT. This is court-ordered outpatient treatment for qualifying people with mental health issues. Criteria to qualify for AOT civil commitment ((State Standards for Initiating Involuntary Treatment. (2020). Treatment Advocacy Center. https://www.treatmentadvocacycenter.org/storage/documents/state-standards/state-standards-for-initiating-involuntary-treatment.pdf)) vary by state.

If you or someone you know is suffering a mental health crisis and may be a danger to themselves or others, you should call 911.

If you call 911, you can request a Crisis Intervention Trained (CIT) officer with special training in mental health emergencies. A CIT officer may or may not be available to help, but you can always ask.

It depends, but it’s possible.
In some cases, court-ordered rehab is available as an alternative to jail time. This is only available in certain states, and the case has to meet specific criteria:

  • The charges are non-violent.
  • The defendant is eligible for parole.
  • The charge is no more serious than a 3rd-degree felony.
  • The defendant has no history of violence.
  • The defendant has no history of sexual assault.

If your loved one is in possession of certain drugs—like cannabis, in certain states—they won’t face charges. But the possession of other substances can have serious consequences. As more municipalities decriminalize drug possession, ((Oregon’s drug decriminalization may spread, despite unclear results. (n.d.). Retrieved June 30, 2022, from https://pew.org/3pYDLxY)) these rules may change rapidly.

Court-ordered rehab doesn’t necessarily protect them from criminal charges. For instance, if they fail to complete court-ordered treatment, they may face fines or even jail time.

Legal consequences can be a barrier to some kinds of treatment. But this shouldn’t stop you from asking for help. If you’re concerned about what will happen if you send a person to involuntary drug rehab, reach out to a lawyer. They’ll be able to walk you through your state’s options and advise you on what to do next.

Getting Treatment for a Family Member

Can I Send My Teen to Rehab?

You may be able to send your child to rehab depending on your location and their age.

Different states have different legal requirements for minor consent to involuntary rehab. ((Kerwin, M. E., Kirby, K. C., Speziali, D., Duggan, M., Mellitz, C., Versek, B., & McNamara, A. (2015). What can parents do? A review of state laws regarding decision making for adolescent drug abuse and mental health treatment. Journal of Child & Adolescent Substance Abuse, 24(3), 166–176. https://doi.org/10.1080/1067828X.2013.777380)) In Washington state, for example, parents can initiate treatment for teens at a behavioral health treatment facility without the minor’s consent. ((Age of consent for behavioral health treatment in Washington. (2018). Washington State Health Care Authority. https://www.hca.wa.gov/assets/program/fact-sheet-age-consent-behavioral-health-treatment.pdf)) A minor in Washington is considered someone who is 13 to 17 years old.

The consent laws for teens vary from state to state, much as they do for adults. But it might be easier to send your teen to rehab for mental health issues than for addiction. And more states give parents authority over inpatient treatment compared to outpatient care.

In some states, parents need to prove they’ve exhausted all other treatment options before sending a teen to rehab against their will.  And in most areas, parents need to prove their teen is a danger to themselves or others if they don’t get treatment.

Can I Send My Spouse to Rehab?

You can send your spouse to rehab in certain states.

Some states allow any interested persons, including a spouse, to petition for inpatient or outpatient commitment of a loved one. For example, this is the case in Mississippi, South Carolina, and Louisiana. Because specifics still vary widely depending on your location, it’s best to check your state’s regulations on involuntary commitment. ((State Standards for Initiating Involuntary Treatment. (2020). Treatment Advocacy Center. https://www.treatmentadvocacycenter.org/storage/documents/state-standards/state-standards-for-initiating-involuntary-treatment.pdf))

Some states let anyone, including a spouse, petition for someone else to get involuntary treatment. For example, this is the case in Mississippi, South Carolina, and Louisiana. However, the specific regulations vary widely depending on your location. Learn more about the local mental health treatment regulations ((State Standards for Initiating Involuntary Treatment. (2020). Treatment Advocacy Center. https://www.treatmentadvocacycenter.org/storage/documents/state-standards/state-standards-for-initiating-involuntary-treatment.pdf)) before you take action.

In some situations, you won’t have the time to do research. And by the time you’re thinking about mandatory rehab, you might already be in crisis. In many areas, anyone can request an emergency psychological evaluation for someone else. You can usually do this in response to a mental health crisis, including a crisis caused by substance use.

If you or someone you know is a danger to themselves or others, get yourself to safety and call 911.

If your spouse is putting you in physical danger, get yourself to safety FIRST. You can contact the National Domestic Violence Hotline at 1.800.799.SAFE (7233) if you need help.

Efficacy Rates and the Treatment Experience

Do Interventions Work?

Interventions may work with the help of a professional interventionist.

There aren’t many studies on the effectiveness of interventions. But limited data suggests that interventions can be successful when led by professionals. ((Nededog, J. (n.d.). Here’s why reality show “Intervention” has a higher success rate than most rehab programs. Business Insider. Retrieved June 30, 2022, from https://www.businessinsider.com/ae-intervention-success-rate-data-2015-8))

Professional interventionists often have an educational background in psychology or social work. Exact education requirements vary by state. But for the most part, these experts are trained to teach you about addiction, rehab, and recovery. Many interventionists are in recovery themselves. This gives them a unique level of empathy for both your and your loved one’s experience.

If you hire a professional to help you stage an intervention, they’ll help you prepare for days or weeks in advance. These events usually include a group of people close to the person with addiction. When you’re ready, you’ll all sit down together to discuss the impact of your loved one’s substance use. Usually, the goal is to encourage the person to seek treatment.

A strong community can impact someone’s decision to seek treatment. In a 2019 study of soldiers who decided to seek addiction treatment, ((Black, K., Britt, T., Zinzow, H., Pury, C., Cheung, J. (2019). The Role of Social Support in Treatment Seeking Among Soldiers. Occupational Health Science. 3. 10.1007/s41542-019-00044-2. Retrieved June 30, 2022, from https://www.researchgate.net/publication/334269504_The_Role_of_Social_Support_in_Treatment_Seeking_Among_Soldiers)) social support was “rated as most influential to that decision.”

Is Forced Rehab Effective?

Experts have diverse opinions on the effectiveness of forced rehab. ((Werb, D., Kamarulzaman, A., Meacham, M. C., Rafful, C., Fischer, B., Strathdee, S. A., & Wood, E. (2016). The effectiveness of compulsory drug treatment: A systematic review. The International Journal on Drug Policy, 28, 1–9. https://doi.org/10.1016/j.drugpo.2015.12.005)) Some argue that it doesn’t help people recover. Others state that forced treatment is just as effective ((Is legally mandated treatment effective? National Institute on Drug Abuse. https://nida.nih.gov/publications/principles-drug-abuse-treatment-criminal-justice-populations-research-based-guide/legally-mandated-treatment-effective)) as voluntary treatment.

According to a 2016 analysis, nearly 75% of studies find no improvement in mandatory rehab. ((Werb, D., Kamarulzaman, A., Meacham, M. C., Rafful, C., Fischer, B., Strathdee, S. A., & Wood, E. (2016). The effectiveness of compulsory drug treatment: A systematic review. The International Journal on Drug Policy, 28, 1–9. https://doi.org/10.1016/j.drugpo.2015.12.005)) But this research has some limitations. Because states have such different laws, the definition of “mandatory” is far from universal.

In states where court-ordered rehab is an alternative to jail time, some rehabs resemble detention centers. Many of these programs don’t offer evidence-based treatment. They also often lack proper detox facilities for those who may need it. In these areas, experts say we should focus on removing barriers to care. This would be a more effective solution than mandatory treatment. ((Poser, R. (n.d.). Does forced rehab work? Mother Jones. Retrieved June 30, 2022, from https://www.motherjones.com/politics/2018/06/does-forced-rehab-work/))

There are some cases of successful recovery following forced addiction treatment. According to the National Institute on Drug Abuse, outcomes for people who attend court-ordered rehab ((Is legally mandated treatment effective? National Institute on Drug Abuse. https://nida.nih.gov/publications/principles-drug-abuse-treatment-criminal-justice-populations-research-based-guide/legally-mandated-treatment-effective)) are just as effective as they are for people who seek treatment voluntarily.

How Long Does Mandatory Rehab Last?

This depends on a few factors, including your location and your loved one’s mental health status.

If someone is in the midst of a mental health crisis, they may be held for up to 72 hours during an emergency evaluation. This is also called an involuntary hold. Each state has their own set of guidelines regarding the length of an involuntary hold. ((Know the laws in your state—Treatment advocacy center. (n.d.). Retrieved June 30, 2022, from https://www.treatmentadvocacycenter.org/component/content/article/183-in-a-crisis/1596-know-the-laws-in-your-state))

During this time, an expert evaluates the person to see if they need further treatment. If so, they may be held for up to 2 weeks in most states. If they need further treatment after that time, they may attend inpatient rehab.

My Loved One Won’t Go to Rehab: How Can I Help?

Involuntary rehab is often the last resort for families who have tried all other avenues. If your loved one refuses to get help, it’s your job to care for yourself. You may need to set boundaries, or focus on your own mental health. Remember that you also deserve to heal.

There are many mutual support groups for people impacted by addiction. Most of these groups are free, open to anyone with a commitment to healing. You can find in-person groups in most areas, and online meetings are accessible from anywhere. These of the best-known groups for loved ones:

These groups follow the 12-Step model of recovery. They are peer-led, with a focus on fellowship and mutual support. If 12-Step groups aren’t right for you, you can look for other support groups in your area. And whether or not you join a group, you might benefit from seeing a 1:1 talk therapist.

If your loved one does agree to attend rehab, finding a program can be daunting – not just for them, but for your whole family. Visit our directory of addiction rehab centers to learn about treatment options, including detox services, pricing, and family therapy programs.

Reviewed by Rajnandini Rathod

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Trauma-Informed Care: Finding Support and Understanding in Rehab

Trauma often changes how you interpret the world—and it’s easy to feel that no one understands. But it’s a rather common human experience: “70% of adults in the U.S. experienced some type of traumatic event ((2013. How to Manage Trauma. National Council for Behavioral Health, pp.1-2. Retreived from https://www.thenationalcouncil.org/wp-content/uploads/2013/05/Trauma-infographic.pdf?daf=375ateTbd56)) at least once in their lives,” according to the National Council for Behavioral Health.

Given how prevalent trauma is, the need to properly address it is growing increasingly important in the behavioral health services field. Treatment providers that take a trauma-informed approach to care acknowledge that trauma exists and emphasize a treatment setting that promotes safety, fosters trust, and prevents re-traumatization.

When trauma affects your life, it might be hard to foresee a path to recovery. Receiving knowledgeable, empathetic, trauma-informed care can be the start of a new chapter in leading a happier and more productive life.

What Is Trauma-Informed Care?

Trauma-informed care (TIC) is an approach ((What is trauma-informed care? (n.d.). Retrieved February 28, 2022, from https://socialwork.buffalo.edu/social-research/institutes-centers/institute-on-trauma-and-trauma-informed-care/what-is-trauma-informed-care.html)) in the health and human services field that recognizes the role trauma plays in someone’s life. It calls for empathy and awareness of an individual’s trauma and ways to address it in order to deliver care as effectively as possible.

Clinical Instructor at Harvard Medical School Dr. Monique Tello, MD, MPH, explains: “The first step is to recognize how common trauma is and to understand that every patient may have experienced serious trauma. ((MPH, M. T., MD. (2018, October 16). Trauma-informed care: What it is, and why it’s important. Harvard Health. https://www.health.harvard.edu/blog/trauma-informed-care-what-it-is-and-why-its-important-2018101613562)) We don’t necessarily need to question people about their experiences; rather, we should just assume that they may have this history and act accordingly…Trauma-informed care is the open-mindedness and compassion that all patients deserve, because anyone can have a history that impacts their encounter with the medical system.”

For many people, trauma is a barrier to seeking addiction treatment. ((Juliana, E., 2021. Trauma Barriers to Substance Abuse Treatment Engagement Among Formerly Incarcerated Males. Walden University.)) In some cases, a patient has already received treatment in which trauma wasn’t properly addressed, causing retraumatization. The aim of TIC is to reduce these blocks and provide services in an accessible and appropriate manner.

What Does Trauma-Informed Care Involve?

6 key principles of trauma-informed care ((2014. SAMHSA’s Concept of Trauma and Guidance for a Trauma-Informed Approach. [ebook] Substance Abuse and Mental Health Services Administration. Available at: https://ncsacw.samhsa.gov/userfiles/files/SAMHSA_Trauma.pdf)) inform how treatment professionals interact with their clients:

1. Safety

Everyone in the treatment facility, including patients and staff, should feel physically and emotionally safe.

2. Trustworthiness and Transparency

Transparency is emphasized throughout the organization, with the objective of promoting and maintaining trust among staff, patients, and their family members.

3. Peer Support

The term “peers” in a trauma-informed setting refers to individuals who have lived experiences of trauma. Peers play an important role in trauma-informed care. They can help develop trust, provide a sense of safety, and empower others through their stories of shared experiences to promote recovery and healing.

4. Collaboration and Mutuality

This principle acknowledges that “one does not have to be a therapist to be therapeutic.” ((2014. SAMHSA’s Concept of Trauma and Guidance for a Trauma-Informed Approach. [ebook] Substance Abuse and Mental Health Services Administration. Available at: https://ncsacw.samhsa.gov/userfiles/files/SAMHSA_Trauma.pdf)) Everyone has an equal role to play in a trauma-informed approach, whether you’re a patient, therapist, or support staff member.

5. Empowerment, Voice, and Choice

The treatment provider honors the strength, resilience, and ability of everyone involved in promoting recovery. Empowerment throughout the organization is key. Staff are trusted to deliver their best work and clients are empowered with choice and decision-making. Staff members serve as facilitators, rather than controllers, of rehabilitation.

6. Cultural, Historical, and Gender Issues

The organization deliberately pushes past cultural prejudices and biases in order to provide culturally sensitive treatments, identify and resolve historical trauma, and maximize the healing benefits of traditional cultural relationships.

A trauma-informed care approach is not accomplished through any single particular technique or checklist. It requires constant attention, caring awareness, sensitivity, and possibly a cultural change at an organizational level.” A quality treatment provider will continually assess their trauma-informed approach and make improvements when necessary.

What Are the Advantages of a Trauma-Informed Care Program?

Trauma-informed care isn’t considered a form of therapy. Instead, it’s an approach that guides how providers deliver your care. Providers that are trauma-informed apply an empathetic understanding of trauma to all areas of treatment.
Consistently applying a trauma-informed approach offers several key benefits: ((Maul, A. and Menschner, C., 2016. Key Ingredients for Successful Trauma-Informed Care Implementation. [PDF] Center for Health Care Strategies, pp.1-12. Available at: https://www.samhsa.gov/sites/default/files/programs_campaigns/childrens_mental_health/atc-whitepaper-040616.pdf))

Establishes a Safe and Secure Environment

One of the hallmarks of trauma-informed care is providing a sense of safety throughout. You should feel physically and emotionally secure in any location in the facility. Feeling safe not only avoids retraumatization, but can help you be more present and comfortable while participating in your treatment program.

Facilitates Peer Support

People often feel isolated and alone in their struggles following a traumatic event. Trauma-informed care brings together individuals who’ve had similar experiences, creating opportunities for mutual support. This is helpful for several reasons. Seeing the positive impact of sharing your experiences with others can give you a sense of purpose. And listening to what others have gone through provides assurance that you’re not alone; others are by your side on the journey towards recovery.

Promotes Empowerment

In traditional treatment settings, clinicians may decide on a treatment with little opportunity for patient feedback. But in trauma-informed treatment, collaboration is key to patient empowerment. Rather than a doctor or therapist telling you what you should or shouldn’t do, patients have a say in their own therapy and play an active part in decision-making. This satisfies the 5th guiding principle of trauma-informed care: giving clients a voice in treatment. Feeling ownership of your treatment process can be a strong catalyst for following through and getting the most out of your time in therapy.

Avoids Retraumatization

At times, well-intentioned care providers can retraumatize trauma survivors. Forcing people to relive their traumas or pressuring them to open up can cause retraumatization. People are less likely to seek mental health and addiction treatment if they’ve experienced retraumatization. An important goal of trauma-informed care is to prevent this from happening.

How Might Treatment Providers Apply a Trauma-Informed Approach in Practice?

We’ve discussed the essential principles involved in trauma-informed care, but how might providers put these into action? Essentially, patients should feel physically and emotionally safe from the moment they arrive.

Physical Safety

Signs that a provider is taking steps to help you feel physically safe include having well-lit parking and common areas, security personnel to monitor who’s entering and exiting the building, a comfortable waiting area, minimized loud noises, and more.

Emotional Safety

Providers that practice TIC also take your feelings of emotional safety into account. They understand that going into an unfamiliar environment to receive treatment can feel intimidating, and create a sense of safety through communication. Communication follows a pattern of support and affirms a relationship of respect and partnership between you and your treatment team.

This can apply to scheduling as well. Because unexpected changes may be jarring for some, your team may aim to keep your schedule consistent and communicate any necessary changes in advance.

Mental health professionals often need to ask personal questions. In a trauma-safe context, they might explain what they’re about to ask and why it’s necessary. This same concept applies to physical exams. You should be told ahead of time why the examination is needed and what it will involve. You’re free to say “stop” at any time. This helps ensure your boundaries are respected. Your providers should always respect your humanity and treat you with compassion, and never compel you to endure something you’re not comfortable with.

Screening for Trauma

Trauma screening is a key component of trauma-informed care. Different providers have their own opinions on when to deliver a screening. But the general consensus in the behavioral health field is that trauma screening should come after you’ve built up trust with your provider. When you initially contact a treatment facility, they tend to avoid asking about specific trauma until you’ve established a connection with someone from their team.

Providers are expected to be trained in trauma screening so they can offer the appropriate follow-up care and avoid re-screening patients. Part of this training includes sensitivity to cultural and ethnic issues.

Staff are Trained in Trauma-Specific Therapies

If a provider practices trauma-informed care, their team should be trained in trauma-specific therapies. There are a wide range of therapies that address different types of trauma. Common therapies include trauma-focused cognitive-behavioral therapy (TF-CBT), eye movement desensitization and reprocessing (EMDR), and exposure therapy.

Can Triggers Be Completely Avoided?

Triggers are taken into account in trauma-informed care. A trigger is an incident that produces a strong emotional response. The reaction may seem out of proportion to your current situation, but would be a normal response to the trauma you’ve experienced.

Having triggers doesn’t mean you’re weak or overly sensitive. We all have certain natural reactions to perceived threats. These reactions can serve us well when they drive us to act with urgency at the right time. But if the reactions are involuntary and disproportionate to your current circumstances, it can disrupt your way of life. The time and effort spent on treatment at a trauma-informed rehab can help you regain a measure of control.

Everyone’s triggers are different, and sometimes they can be difficult to anticipate. For example, you may have a strong emotional reaction around the anniversary date of a traumatic experience. The scent of a certain perfume may trigger unexpected anxiety, or hearing the song that played on the radio when you were in a car accident may cause unexpected panic.

It’s unrealistic and unproductive to try to avoid all triggers. Even if you never listen to the radio at home, the song you heard during the car accident might start playing in the car next to you at a red light. Making efforts to avoid triggers is an understandable temporary strategy. But the long-term purpose of trauma-specific therapies delivered in this setting isn’t to shield you from triggers. Instead, you’ll learn how to control your emotions and cope with distressing episodes.

Trauma-Informed Care: An Opportunity for Positive Results

Many complex issues are considered in trauma-informed care, and rightfully so. Access to safe, empowering, understanding interactions with others is instrumental in the healing process.

Some people avoid getting mental health or addiction treatment because they’re concerned about being forced to endure uncomfortable situations. A trauma-informed approach to recovery can help to change the negative connotations of participating in therapy. Quality providers recognize how trauma impacts feelings and behaviors, and apply this knowledge throughout their organization with the goal of providing a better experience for you and their team. Getting the support and understanding you deserve can open the door to more positive experiences in rehab.

Browse our list of rehabs that address trauma to learn more.

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How Much Individual Treatment Do You Need in Rehab?

Recovery is an immensely personal journey, but it doesn’t have to be isolating. 1-on-1 treatment, otherwise known as individual therapy, offers the opportunity to build a unique and strong bond with your therapist or care provider. For many people, this personal connection facilitates healing in a powerful way.

Most rehab programs include a balance of one-on-one treatment, group therapy and activities, and family therapy. The goals of each are different, so one isn’t necessarily better than the other. They all have the potential to powerfully impact your treatment experience.

A core component of one-on-one treatment is the additional focus your provider has on you, allowing both of you to explore your situation in depth. Many people find this beneficial, and it might even be necessary for certain patients. Some conditions, for example, require one-on-one attention. Or if you’re a high-profile person, you may need to remain anonymous throughout treatment, which makes attending groups a challenge.

Here, we’ll guide you through the different aspects of one-on-one treatment.

Understanding One-On-One Treatment

Individual vs. Group Therapy: What’s the Difference?

Individual treatment is delivered in a different setting than group treatment, which impacts the therapeutic experience. Each modality has its own set of goals and outcomes.

Individual Therapy

In individual treatment, you attend one-on-one sessions with your therapist, counselor, or care provider. This type of environment offers some unique takeaways:

  • You are the focal point. Your provider focuses solely on you, allowing them to gain a deeper understanding of different aspects of your life.
  • You can address a wide range of topics per session. Because it’s just you and your provider, you can work through issues that may be more unique to your situation, like employment status, legal matters, and more.
  • You can make adjustments to your program. In a group setting, you may not have the opportunity to address your individual treatment plan. 1-on-1 sessions give you the space to discuss the nature and structure of your recovery program. If certain things aren’t working for you, you can talk to your provider about changing them.
  • You have greater privacy. You can work through your issues in confidentiality, but without having to go through your healing process alone.
  • You can work at a pace that’s comfortable for you. Addiction treatment involves a lot of goal-setting and skill-building work. During individual sessions, you can go through these at your own pace.

Group Therapy

Group therapy usually involves 5 or more people.1 One person leads these sessions, though a co-leader may be involved in larger groups. While some treatment facilities may have groups of 15 people or more, other rehabs have groups of around 6-8 people. Group settings offer a different dynamic from individual treatment:

  • The door opens for conversations to flow. Participants can jump in and offer feedback, creating opportunities to discover new insights.
  • You can focus on a topic that unites all participants. While conversation topics may fluctuate in individual treatment, group treatment often centers on a singular topic that involves all participants. For example, you may join a group that focuses on eating disorders or depression treatment.
  • Group treatment more closely resembles real-world situations. You’ll gain skills for being part of a community and speaking more openly with others.

What to Expect From a One-On-One Treatment Session

1. Getting to know you: Your first 1-on-1 treatment session may look different from the following ones. It’s an opportunity for you and your therapist to get to know one another. The relationship you build with your therapist is a fundamental aspect of individual treatment, so most therapists will use this chance to learn as much about you as possible. You can expect them to ask questions about your personal history, substance use history, needs, and goals. This is also a good time to address any questions or concerns you may have.

2. Laying out a treatment plan: Next, you’ll work on a treatment plan that’s suited toward your recovery goals. At centers that offer highly individualized care, like single-client rehabs, you have the option to be heavily involved in the planning process. For some people, taking such an active role in designing a treatment course might be overwhelming. If that’s the case, you can follow a predetermined plan laid out by your therapist. Once you’ve agreed to a treatment course, you’ll begin your sessions.

3. Open up in a private, safe environment: In an individual treatment session, you can discuss anything that comes up in private, without judgment. Your therapist will be there to guide you through challenging thoughts, behaviors, and feelings using various psychotherapy techniques. Goal setting and skill building are both key aspects of individual therapy. Skills you may learn include how to set healthy boundaries, or finding healthy ways to cope with emotional hardship. As you progress through your healing journey, you can expect your goals to change.

4. Doing the work outside of sessions: Your therapist will help guide you through your process. However, your readiness for change will influence what you get out of treatment. That is, the actual healing work falls on you. Oftentimes, this happens outside of therapy sessions. You’ll have time to reflect on your thoughts and behaviors while learning how to integrate lessons from therapy into your daily life. This process can help you glean further insight into your thoughts and feelings. Bringing this information into your next session allows you to dive deeper into the therapeutic process.

Common Types of Therapies Used in 1-on-1 Treatment

Most rehab programs offer a mix of psychotherapy, otherwise known as talk therapy, and experiential therapy. This helps maintain a balance between the intensity of talk therapy and the immersiveness of embodied experiences.

There are many different styles of psychotherapies and therapeutic activities. You may even want to choose a program depending on which of these they have available.

Psychotherapy

Popular types of individual therapies include cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT), and acceptance and commitment therapy (ACT).

Cognitive Behavioral Therapy (CBT)

As one of the most common types of therapies available, a majority of rehab programs offer cognitive behavioral therapy. CBT is an evidence-based treatment based on the principle that psychological issues stem from our thoughts, learned patterns, and behavior. In CBT, your therapist will take you through methodical strategies for changing your thought process, along with homework to put what you learn into practice. CBT is proven to reduce symptoms of mental health conditions2 like depression and anxiety.

Dialectical Behavioral Therapy (DBT)

DBT is a proven effective evidence-based treatment3 approach that incorporates mindfulness techniques with practical skills to help you tolerate and regulate your emotions. DBT draws from principles of Zen Buddhism and teaches you that your emotions are valid, however,you’re not your emotions. Your therapist will guide you through 4 distinct modules of DBT, often taken from the first or second edition of Dr. Linehan’s original DBT workbook:4 mindfulness, emotional regulation, interpersonal effectiveness, and distress tolerance. DBT is especially beneficial for people with certain diagnoses, including borderline personality disorder and PTSD.

Acceptance and Commitment Therapy (ACT)

Acceptance and commitment therapy5 is an approach of behavioral therapy that focuses on mindfully accepting, rather than avoiding, unhelpful or challenging situations. The underlying thought behind ACT is that all of our feelings, even the difficult ones, are a necessary part of life. Your therapist will take you through techniques to help you accept your psychological experiences (acceptance). You’ll clarify your personal goals and values. From there, your therapist will teach you the skills to build psychological flexibility, so you have the tools to act in a way that’s in line with your values (commitment).

Experiential Therapy

Popular one-on-one experiential therapies offered at rehabs include animal-assisted therapy and different forms of physical movement.

Equine Therapy

Equine therapy involves working with horses to treat trauma and suffering from addiction. At some rehabs, a health professional will work with you alone through a series of activities designed to achieve therapeutic goals. In this 1-on-1 environment, they can help you process any emotions that come up in the moment. Benefits of equine therapy6 include improved social connection and self-esteem, enhancing your trust levels, becoming more perceptive to the needs of others, and more.

Physical fitness

Several studies reveal that physical exercise improves mental health,7 so you’ll see many private rehab centers that include physical fitness in their program. Some centers offer sessions with a personal trainer, allowing you to explore your fitness needs in depth.

The team at Paracelsus Recovery in Switzerland strives to gain a comprehensive understanding of their clients’ needs when it comes to fitness.

We start with an assessment process, looking at the client’s exercise history, what they’re doing, and whether they have injuries. We assess their relationship with fitness, whether they’ve been to a gym or have worked with a trainer before, and examine their current state of health. Then, we build the program around that. It’s really important for me to gauge their fitness levels and design the right type of exercises for it.

– Rowland Tweedie, Health and Fitness Manager, Paracelsus Recovery

If you’re searching for mental health or addiction treatment, it’s a good idea to look for a program that blends individual and group therapy. This can target various aspects of your recovery for a more complete healing journey.

Is Individual or Group Therapy More Beneficial?

Because everyone’s recovery journey is so unique, most rehab centers offer a number of healing modalities to accommodate different needs. This includes both individual and group therapy. Each has different goals, and both can be valuable to your healing journey. Some clients find that a blend of the 2 modalities is a good way to gain the benefits of both.

Benefits of Individual Therapy

1. The focus is on you: In individual therapy, all the focus is on you: conversations with your therapist are tailored to your story. Your therapist will try to gain a more in-depth understanding about different aspects of your life. This type of individualized attention can help you unpack very specific issues.

2. You can form stronger bonds with your therapist: The relationship between a patient and their therapist may be stronger in individual treatment,8 which has shown to result in lower drop-out rates.

3. Individual therapy may be more effective in the short term: A meta-analysis comparing individual versus group therapy in the treatment of adults with depression showed that individual therapy can be more effective9 than group therapy in the short term. There may be higher risk factors for drop out in group therapy10 due to challenges in compiling the right group. However, findings at this stage shouldn’t discourage people who may truly benefit from group therapy.

4. Your therapist can meet you where you’re at: Not everyone is at the same stage of readiness for change in their recovery journey. With individual treatment, your therapist can meet you where you are, and you can work on your issues at a pace that matches your situation.

5. You can open up in greater privacy: In individual treatment, it’s just you and your therapist. You’re working through your issues in complete confidentiality. For some clientele, like high-profile people, this level of privacy is a requirement.

6. Certain clientele require 1-on-1 focus: Some demographics have a unique set of needs for recovery, and certain conditions require more 1-on-1 attention. Someone with a dual diagnosis may need more individualized sessions with their psychiatrist, for example. Meanwhile, people with severe social anxiety may not be able to open up in group settings.

Benefits of Group Therapy

1. You have a support network: Many people who face mental health or substance use disorders feel isolated in their struggles. Speaking about it in a group setting can help you realize you’re not alone.

2. You can gain new perspectives: Group settings allow for dynamic conversations to occur. Other people in your group may offer feedback that helps you realize aspects of your healing you weren’t previously aware of.

3. Empowerment through support: An important aspect of group therapy is the peer support it offers. You may feel empowered to support others in their healing journey, and this can inspire your own.

4. Diversity of opinions: You can hear from diverse voices in a group setting. Seeing how different people work through their struggles may offer inspiration.

5. You can open up in a social setting: In group therapy, you have the opportunity to speak about topics you may not otherwise bring up in your normal social circles. Some people find it therapeutic to open up to others, and this teaches valuable social skills that you can carry into life outside of rehab.

How Many Clinical Hours Do Rehabs Actually Offer?

Inpatient programs at psychiatric or general hospitals11 offer an average of 4.2 hours per week of contact with medical professionals and 2.5 hours of contact with nonmedical professionals.

Good-quality private residential rehabs offer even more hours with a well-rounded clinical team. Many programs tend to provide 2 or more individual sessions a week.

For example, at McLean Fernside in Princeton, Massachusetts, “patients have the opportunity to meet with psychiatry 5 days a week and may meet with a case manager 3 times a week,” according to Quinn Tremblay, Admissions Coordinator.

More clinical hours with a therapist means you can address important emotions and needs as they come up. Your therapist has more time to learn about you, allowing you both to explore your situation thoroughly.

How Much 1-on-1 Treatment Do You Actually Need?

The length and duration of 1-on-1 treatment sessions you need will depend on your situation.

Usually, therapy sessions are 1 hour or more. According to the American Psychological Association (APA), “on average 15 to 20 sessions are required for 50 percent of patients to recover12 as indicated by self-reported symptom measures.”

Some conditions may require more treatment hours than others. If you have a dual diagnosis, where substance use co-occurs with another mental health disorder, you’ll find value in specialized care. The APA suggests that longer treatment programs for co-occurring conditions can result in more effective outcomes.13 They recommend around 60 sessions for 12 to 18 months.

Individual Treatment Lets You Dive Deeper Into Your Healing Process

1-on-1 treatment allows you to build more rapport with your therapist or care provider, which can aid recovery in powerful ways. Strong therapeutic relationships are a cornerstone of successful treatment. As you spend more 1-on-1 time with your therapist, you may find yourself more comfortable opening up about intimate aspects of your life. And in 1-on-1 settings, your healthcare provider is dedicated to offering care for your distinct situation.

It’s important to remember that other modalities, like group therapy and family therapy, also provide benefits that you may not be able to get from 1-on-1 treatment. Unless you need to attend a single-client program, most rehab centers offer a balance of group therapy and individual treatment for well-rounded care.

That being said, your circumstances and rehab program requirements are unique–not everyone is comfortable opening up in group therapy, and this can hinder the recovery process.

If you’re looking for the additional focus that individual treatment provides, browse our list of rehabs that offer 1-on-1 treatment.

Frequently Asked Questions About Individual Treatment in Rehab

What is individual therapy in rehab?

Individual therapy in rehab refers to one-on-one sessions with a trained therapist. It provides personalized attention. This lets individuals explore their unique challenges, develop coping skills, and work towards recovery goals in a private and supportive environment.

How does individual therapy help in rehab?

Individual therapy in rehab offers numerous benefits:

• Explore personal issues in a focused environment
• Address any co-occurring mental health conditions
• Identify underlying causes of addiction
• Gain individualized strategies for long-term recovery 
• Promotes self-reflection and emotional healing

What can I expect during individual therapy in rehab?

During individual therapy in rehab, you can expect a safe space to discuss your experiences, emotions, and concerns. Your therapist will guide the sessions and tailor them to your needs. Expect collaborative goal-setting, skill-building exercises, and ongoing support to help you navigate challenges and work toward sustainable recovery.

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Everything You Need to Know About Rehab Costs: Insurance Coverage, Self-Pay, and Financial Assistance

Cost is a major concern for people seeking addiction and mental health help. Thankfully, getting professional help for addiction is possible even without health insurance or lots of money in the bank.

Seeking help for addiction and mental health issues pays off in the long run and can ultimately end up saving you money in total healthcare costs. The U.S. National Institute on Drug Abuse (NIDA) reports that the total savings of addiction treatment can exceed costs1 by a ratio of 12 to 1. At the same time, concerns over the cost of rehab might still prevent many people from taking the step to enroll.

This guide takes you through everything you need to know about rehab costs, paying for addiction and mental health treatment with and without insurance, and medicare coverage.

General Questions

How Much Does Addiction Treatment Cost?

It depends. There’s a huge variety of treatment options, levels of care, and therapies for alcohol or substance abuse, making it difficult to pinpoint a standard price for addiction treatment.

The most common levels of care include detox, inpatient (residential rehab), and outpatient programs. Each offers a different mix of intensiveness, clinical hours with staff, and time spent on-site, which affect total program costs.

We break down what you can expect to pay for different levels of care, including the price range for low-cost to high-end options. This information is curated from research articles and rehab centers directly.

Detox
For many people, detoxification is the first step in addiction treatment. Detox is the process of substances leaving your system. This often requires the management of withdrawal symptoms that may follow. You can detox at several different types of facilities at different price points. Keep in mind that detoxing from certain substances requires higher levels of clinical care, which influences final costs.

  • Low-cost detox programs: State-funded rehabs offer some of the lowest-cost detox programs. Some are even free, though you’re required to meet certain criteria to be eligible for these programs. Outpatient detox programs are usually priced lower than inpatient programs. On the low end, these programs cost $250 per day. On average, detox takes 3 to 7 days.
  • Private detox program costs: Detox at a private center can cost anywhere from less than $10,000 to over $75,000 per month.

Inpatient Programs (Residential Rehab)
Inpatient programs offer the highest level of care and often cost more than other program options. In an inpatient program, you live onsite at a treatment facility for an extended period and receive daily care.

  • Low-cost inpatient programs: Low-cost programs generally cost a few thousand dollars per month. Some 30-day programs start as low as $3,000.
  • Average inpatient program costs: The Center for Substance Abuse Treatment (CSAT) reports that adult inpatient program costs2 range from around $4,000 up to $13,000.
  • Luxury inpatient program costs: Most luxury addiction treatment programs cost between $25,000 to over $80,000.

Outpatient Program Costs
Outpatient programs allow you to go home each day after treatment. Most outpatient programs still offer an intensive therapy schedule, but without the complete immersion and facilities access you receive at residential rehabs.

  • Low-cost programs: Some non-methadone outpatient programs cost as little as $95 per week (adjusted for inflation), according to a CSAT report.
  • Average program costs: CSAT reported that non-methadone outpatient treatment costs2 between $1,290 to $6,450 (adjusted for inflation) per episode.
  • Luxury program costs: Intensive outpatient programs (IOP) at private rehabs are priced from $3,500 to over $10,000. Pricing varies depending on the length of the program and number of treatment sessions.

Are There Any Free Rehabs?

Nonprofit Organizations
There are nonprofit substance abuse and mental health treatment agencies in the U.S. that offer addiction treatment scholarships to individuals who can’t afford it or don’t have insurance. Usually, they offer some form of payment assistance or a sliding fee scale, which means fees are based on your ability to pay.

Government-Funded Rehab Programs
Government-funded rehab programs also offer no-cost to low-cost treatment. To be eligible for these programs, you have to meet certain criteria and will likely be asked to provide proof of citizenship, residence, income, and other personal information. To get more information about qualifying for these programs, SAMHSA’s Directory of Single State Agencies3 offers a list of local contacts who oversee government-funded rehabs in each state.

Addiction Treatment for Veterans
Veterans can enroll in free addiction treatment programs in their state,4 provided by the Department of Veteran’s Affairs (VA) Alcohol and Drug Dependence Rehabilitation Program.

What Factors Influence the Cost of Rehab?

Level of Care
Rehab programs offer varying levels of care. The most common programs include detox, inpatient programs (also known as residential rehab), intensive outpatient programs (IOPs), and partial hospitalization programs (PHPs). They differ in whether you receive around-the-clock care for an extended period at a treatment facility (inpatient/residential rehab), or go home following treatment (outpatient and PHP).

Treatment Program Length
Treatment costs often correlate with the length of your program. The longer the program, the higher the costs. Inpatient rehab programs are usually 30, 60, or 90 days.

Location
The location of a rehab can impact costs. Rehabs located in pricier cities like Malibu often come with a higher price tag. Rates are also likely to increase in more desirable settings, such as by the beach or in the mountains. If you don’t have insurance, traveling abroad for addiction treatment may be less expensive than treatment in the U.S., due to lower operation costs. Countries like Indonesia and Thailand, for example, have rehab programs at a fraction of the cost of rehabs in the U.S.

Services Offered
Added services can increase the cost of rehab. These include detox, complementary therapies, medication-assisted treatment (MAT), aftercare, and more. Some treatment centers offer these as optional “add-ons” for an extra cost.

Amenities
Types of amenities offered can impact final treatment costs. Higher-end or luxury rehabs may provide amenities like a fully equipped gym, pool, lounge area, and a business center.

How Much Does Treatment for Mental Illness Cost?

Mental health treatment costs can vary greatly. That’s because different mental health issues require different levels of care, treatment lengths, and therapies.

In an inpatient program, you live on-site at a treatment center and have access to 24/7 clinical support. Because inpatient programs offer higher levels of care, they often cost more than outpatient programs. In the U.S., inpatient programs for treating mental health issues range from $3,000 to over $80,000.

Outpatient programs allow you to go home after treatment. On average, the cost of therapy5 in an outpatient setting with a private practitioner ranges from $65 to $250 per hour.

How Much Does Sober Living Cost?

A sober living home (sometimes called a therapeutic community) is a supervised facility that residents stay in after their addiction treatment program is over, before they transition back into their daily lives. The goal is to offer a structured living environment and accountability for lasting sobriety after a formal treatment program.

Since the sober living homes industry isn’t fully regulated6 in the U.S., it’s difficult to identify a precise average price range for sober living homes around the nation.

The cost of a comfortable sober living home can be comparable to rent, plus administrative fees. Location will also influence final costs.

To give you an idea of costs, you can find a number of sober living homes at around $500 to $700 per month in pricier states like California. This can go all the way up to $10,000 and up at sober living facilities operated by luxury rehab centers. At that price point, you can expect more treatment and therapies than at traditional sober living environments.

Insurance Coverage for Addiction Treatment

Will My Insurance Cover Rehab Expenses?

Most private health insurance policies in the U.S. cover the costs of substance use disorder treatment.7 Depending on your policy, your carrier might cover some or the entire cost of treatment. Providers are likely to cover a greater portion of the costs for treatment centers that are within their network versus out-of-network centers.

Since the Affordable Care Act (ACA) was passed, there’s now even greater coverage for substance use disorder treatment. Still, several privately insured individuals don’t know whether their plan covers addiction and mental health rehab.

It may seem difficult to understand all the benefits of your insurance plan, but it’s useful to do so, to make sure you’re taking advantage of them. A good place to start is to call your insurance provider and check the details of your plan with a customer service agent. You can also get more information about insurance coverage details from a rehab center admissions specialist.

Which Alcohol and Addiction Rehabs Accept Insurance?

Since the passing of the Affordable Care Act in 2010, most rehab centers accept insurance in addition to providing multiple payment options. Your insurance provider may cover a majority of treatment costs, depending on your plan and whether the center is within their network. Insurance for addiction treatment is usually on a case-by-case basis and is influenced by several factors including the level of care you need, your policy, your medical history, and more. It’s best to check directly with your insurance carrier and someone from a rehab center’s admissions team about whether your policy covers treatment costs and to what extent.

What’s the Best Insurance for Drug Rehab?

The Affordable Care Act included substance use disorders8 and mental health services as an essential health benefit in 2014. That means today, most private health insurance policies in the U.S. cover substance use disorder treatment.

Still, because there are numerous treatment plans for different types of substance use disorders, it’s hard to point to one “best” insurance policy for addiction treatment.

One way to find out if an insurance policy is a good fit for your situation is to talk to a rehab admissions specialist to understand what type of treatment plan you may need. You can then speak to different insurance carriers to see how well their coverage policy matches your treatment needs.

Some questions to ask insurance companies include:

  • What treatment programs does this policy cover?
  • Does this insurance plan cover the full spectrum of care (detox, rehab, and aftercare)?
  • Is residential rehab covered under this plan? If so, how much is covered and how much will I need to pay out of pocket?
  • What will my deductible and copayment be?
  • How many days of treatment are covered under this plan?
  • Will my insurance cover prescribed medication?
  • Does this plan cover out-of-network treatment centers?

Can I get Into an Addiction Treatment Center Before my Insurance Policy is Active?

Yes, you can. But keep in mind that before your policy is active, health insurance providers will not cover any portion of your treatment expenses. This means you’ll likely have to pay out of pocket for any treatment received before your policy start date.

If you need to receive treatment before your policy is active, some rehabs offer their own financing options or scholarships or work with a 3rd-party lender to offer affordable loan packages. You can speak to an admissions advisor about ways to pay for treatment before your insurance policy is active.

Is Addiction a Pre-Existing Condition?

Any kind of medical illness or injury that you’ve had before your insurance policy start date is considered a pre-existing condition. However, insurers can no longer deny coverage or charge extra for pre-existing conditions. This includes coverage for mental health issues or substance use disorders.

Insurance Coverage for Mental Health Treatment

Does Insurance Cover Mental Health Treatment?

A majority of individual and small group health insurance plans cover some level of treatment for mental health and substance use disorders.

The Affordable Care Act declared that these plans must adhere to laws under the ​​Mental Health Parity and Addiction Equity Act (MHPAEA).9 An important clause in MPHAEA is that coverage for mental health services can’t be more restrictive than coverage for medical or surgical services.

If you have an employer-sponsored health insurance policy that includes mental health and substance use disorder services, which many plans do, they are subject to MPHAEA laws.

Since every individual’s mental health background and treatment path varies, it’s best to check directly with your insurance provider regarding your plan’s benefits and coverage levels.

Does Insurance Cover Eating Disorder Treatment?

Some, but not all private health insurance, covers eating disorder treatment.

If your insurance company offers coverage for eating disorder treatment, they’ve likely established a set of guidelines that will impact your level of coverage. These guidelines are usually called “level of care guidelines” or “medical necessity guidelines.”

Oftentimes, you need to meet your insurance company’s “medical necessity” requirements in order to receive coverage for inpatient programs or partial hospitalization programs specifically for eating disorder issues. Factors that play into these requirements can include your weight, vital signs, medical history, and more. Since health insurance companies can be strict about you meeting certain requirements, you should speak directly with a customer service agent about your policy and ask them about their guidelines, if they have any.

Insurance plans that do offer eating disorder benefits10 typically cover the following disorders, as listed in the DSM-5:

  • Anorexia nervosa
  • Bulimia nervosa
  • Binge eating disorder
  • Avoidant/restrictive intake disorder
  • Pica
  • Rumination disorder

Other specified and unspecified feeding or eating disorders, including:

  • Muscle dysmorphia
  • Orthorexia nervosa (ON) proposed criteria

Addiction Treatment Without Insurance

How Much Is Rehab Without Insurance?

This depends. Rehab program costs can vary greatly and are influenced by factors like the level of care you receive, program length, the location of the center, and services and amenities offered.

You can find low-cost rehab programs at around $3,500 per month. On average, inpatient rehab programs cost between $4,000 to $13,000 for a 30-day program. If you have private insurance, many plans cover treatment for mental health and substance use disorders, bringing down your out-of-pocket expenses.

For people without insurance, you can cover rehab expenses using different financing options:

  • A personal loan from the bank
  • Personal loans from family and friends
  • Financing assistance directly from a treatment center, including scholarships
  • Paying via credit card

Can I get Drug Addiction or Mental Health Help Without Insurance?

Yes, you may get substance use disorder or mental health help without insurance.
If out-of-pocket treatment costs are a concern, an admissions team member can help provide more information on choosing a health insurance plan or point you towards any financial assistance they may offer.

If you meet certain requirements like income criteria, you may qualify for free to low-cost addiction and mental health treatment.

You can also find various financing choices for treatment:

  • State-funded or nonprofit rehabs for eligible patients
  • Rehab grants and scholarships
  • Loans from a bank or family and friends
  • Payment via credit card

What Can I Do if My Insurance Doesn’t Cover Addiction Treatment?

A majority of private health insurance policies in the U.S. cover substance use disorder treatment.11 Some policies provide treatment coverage only at centers that are within their network. Before you take the steps to look for a new plan, you should check your current plan’s benefits with your insurance carrier first. It’s possible that your plan already covers a portion of substance use disorder treatment costs.

If your policy doesn’t cover addiction treatment, you can purchase a new plan. Prior to canceling your insurance plan, keep in mind that you can’t simply enroll in a new one whenever you want. In most states, open enrollment for health insurance plans runs from November 1st until December 15th,12 and coverage starts January 1st.

There are also different financing solutions available directly with an addiction treatment center or through other avenues:

  • Free or low-cost treatment for eligible individuals
  • A personal loan from the bank
  • Personal loans from family and friends
  • Financing assistance directly from a treatment center, including grants and scholarships
  • Paying via credit card

What Happens if My Insurance Stops Paying for My Addiction Treatment?

You can appeal their decision. This can happen through two formal avenues: an internal appeal conducted directly with your carrier or an external review by an independent third party.

If your insurance stops paying for your addiction treatment, you can take the following steps to make your case:

Step 1. Speak directly with a representative from your insurance provider to understand why your treatment isn’t covered. In some cases, insurance companies process claims incorrectly. The burden falls on the insured person to follow up with their provider and make sure no mistakes were made in processing their claim.

Step 2. If your health care plan denies all or parts of your claim, they’re legally required to notify you in writing within 30 days for any medical services you’ve received. In urgent care cases, they need to notify you within 72 hours.

You can request for your insurer to provide you with all the information regarding their decision. They must also provide information on the names of any Consumer Assistance Programs (CAPs)13 in your state. These programs can assist you with filing an appeal.

Step 3. Formally appeal the decision. You can do this through two channels:

  1. Internal appeal: Ask your insurance provider to conduct a full review of their decision. Make sure you fill out all forms requested by your provider to file an internal appeal. Include any items that may impact your case, like a letter from your doctor. You need to file an appeal within 180 days (6 months) of notice that your claim was denied. Most appeals are done in writing, but if your case is urgent you can do this over the phone. If your claim is still denied and you need to speed up the process, you can file for an external review.
  2. External review: You can seek an external review by an independent 3rd party. In this case, you may have as few as 60 days to file a request for an external review. With external reviews, your carrier won’t get the final say over whether to pay a claim. That means your carrier is required to accept the external reviewer’s final decision. If your case is urgent, you might be able to file an external review at the same time as your internal appeal.

Step 4. If the steps above didn’t work, you may be able to bring down treatment costs by working directly with your addiction treatment provider. Someone from your provider’s finance department can help you examine your options, for example:

  • Interest-free payment plans
  • A rehab scholarship
  • A discount for paying off your balance

What Happens if I Lose My Job and Insurance While Attending Residential Rehab?

Most group health plans are required to offer temporary insurance coverage for a limited time.

The Consolidated Omnibus Budget Reconciliation Act (COBRA)14 requires a majority of employers who provide health insurance to offer temporary continued coverage to employees who have been terminated for reasons other than gross misconduct. Most group health plans must offer continued coverage from the date of the qualifying event for a limited period of 18 to 36 months. During that time period, you have the same level of coverage that you did under your group health care plan prior to losing your job.

Who’s eligible for COBRA continued coverage?
The following qualifies individuals for COBRA continued coverage:

  • Your group health plan must be covered by COBRA
  • A qualifying event (such as employee termination) must occur
  • You must be a qualified beneficiary for that event
  • You must opt-in for COBRA within 60 days from the date you lose coverage

COBRA applies to a majority of private-sector employees with a minimum of 20 employees, state and local governments’ health plans.

Note that your employer may require you to pay for continued COBRA coverage. However, premiums can’t exceed the full cost of coverage plus a 2% administrative fee.

COBRA doesn’t apply to me. Do I have alternatives?
Yes, you do.

40 states have health insurance continuation laws that offer similar rights as COBRA, sometimes referred to as “mini-COBRA.”14 These benefits extend to businesses that have 19 or fewer employees.

On top of that, you have the right to special enrollment under the Health Insurance Portability and Accountability Act (HIPAA).16 To switch health insurance plans, individuals typically need to wait for enrollment season (this is often between November and December each year). Under HIPAA, if you lose your job, you may be eligible to enroll in other plans without waiting for enrollment season. You need to request special enrollment within 30 days of losing your job-based coverage. After that, you need to choose a plan within 60 days after losing your job-based coverage.

Medicare Coverage for Addiction and Mental Health

Does Medicare Pay for Substance Abuse Treatment?

Medicare can help cover substance abuse treatment in both inpatient and outpatient settings if you meet certain criteria:

  • Your provider declares the services are medically necessary.
  • You receive services from a Medicare-approved provider or facility.
  • Your provider sets up your plan of care.

Inpatient Coverage:
Medicare will cover inpatient substance use disorder treatment for up to 90 days per benefit period after you’ve paid your deductible and coinsurance costs.17 A benefit period begins when you’re admitted into a program and ends 60 days after you haven’t received any inpatient care.

You’ll need to pay coinsurance costs during each benefit period:

  • $1,484 deductible
  • Days 1 to 60: $0 coinsurance
  • Days 61 to 90: $371 coinsurance per day of each benefit period
  • Days 91 and beyond: You will start using your lifetime reserve days at a cost of $742 coinsurance each.

Medicare offers 60 “lifetime reserve days,” or additional days of inpatient hospital coverage during your lifetime. Once those 60 reserve days have been used up, any time you exceed 90 days of inpatient treatment in a benefit period, you’ll need to cover treatment expenses yourself for the number of days you went over during that period.

Outpatient Coverage:
Medicare Part B can help cover costs for outpatient alcohol and drug addiction treatment from a private center, hospital, outpatient department, or opioid treatment program. This can include any medications prescribed as part of your treatment plan.

Original Medicare, otherwise known as “traditional Medicare,” refers to the Medicare plan a majority of the population is enrolled in. Almost all hospitals and doctors accept Original Medicare. Original Medicare covers outpatient treatment for substance use disorders at 80% of the Medicare-approved amount. You’ll pay 20% coinsurance after meeting Medicare Plan B deductibles, only if you receive treatment from a participating provider.

Medicare Advantage, sometimes referred to as “Medicare Part C” or “Medicare Private Health Plan,” has to do with private health plans contracted by the government. If you have Medicare Advantage, you’ll need to contact your plan directly to learn more about your coverage for outpatient addiction treatment services.

Partial Hospitalization Program (PHP) Medicare Coverage:
If your doctor verifies that you need over 20 hours of therapeutic services per week, Medicare may cover a portion of your partial hospitalization program costs.18 You’ll pay a percentage of the Medicare-approved amount for PHP and coinsurance for each day of PHP services you receive in an outpatient setting.

Does Medicare Pay for Mental Health Treatment?

Yes. Medicare Part A covers inpatient treatment in a general hospital or psychiatric hospital setting. Usually, your healthcare provider will point you towards the right setting for your needs.

Once you’ve settled your deductible for each benefit period ($1,556 in 2022), Medicare will cover inpatient mental health treatment for up to 90 days per benefit period.

With Original Medicare, you’ll need to pay for the following:

  • $1,556 deductible
  • Days 1 to 60: $0 coinsurance
  • Days 61 to 90: $389 per day for each benefit period
  • Days 91 and beyond: You will start using your lifetime reserve days at a cost of $778 coinsurance each
  • Beyond lifetime reserve days: you will need to cover all costs out-of-pocket

Out-of-pocket costs stay the same whether you receive care at a general or psychiatric hospital.

Find Affordable Treatment and Start Your Path to Recovery Today

Recovery is possible regardless of your financial situation, and getting professional help could save you money in the long run while transforming your life. Search our comprehensive list of rehabs by insurance provider to find centers that accept your coverage.

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What Is Rehab? Understanding Addiction Treatment, When to Get Help, and How Long It Takes

Are you wondering whether rehab is right for you or someone you care about? Maybe you’re unsure where to start, what kind of support is available, or how recovery even works. You’re not alone.

Rehab is more than just stopping substance use — it’s about reclaiming your health, restoring your relationships, and rebuilding your life. In this guide, we break down what rehab really involves helping you move forward.

1. Will Rehab Lead to Addiction Recovery?

Rehabilitation, or “rehab,” is a structured treatment program that helps you stop using drugs or alcohol and begin building a healthier life. It’s not a one-size-fits-all solution — rehab includes various evidence-based treatments tailored to your unique needs. These may involve medical support, therapy, and skill-building tools to help you reach and maintain recovery.

Being in rehab means actively engaging in a recovery process that goes beyond stopping substance use. Effective treatment should match your unique needs1 and often combines behavioral therapy with medication, especially for opioid or alcohol use disorders. While medications can support detox and long-term recovery, detox alone is not enough. For substances like cannabis or stimulants, behavioral therapies are the primary approach. Treatment also needs to address the mental, physical, and social aspects of your life to help you build a strong foundation for lasting change.

Illustration of a woman pulling a plant shaped like a liquor bottle from the ground, revealing deep red roots, symbolizing how rehab addresses the root causes of addiction. Text reads: “Rehab treats more than addiction — it heals what’s underneath.”

2. How Does Detox Work in Addiction Treatment?

Detox, short for detoxification, is often the first step in treatment. It’s the process of clearing substances from your body2 under medical supervision. This helps you manage withdrawal symptoms safely, which can range from mild (like restlessness) to severe (such as seizures).

Medical detox may involve medication to ease withdrawal symptoms and reduce cravings. The process varies depending on the substance and your level of dependence. Detox is designed to help you discontinue use safely and comfortably, but it isn’t a standalone solution. The goal is not always immediate abstinence — for some, it’s a step toward reducing harms and regaining control. Detox should be seen as a transitional phase that opens the door to longer-term recovery, including therapy and support services.

Infographic comparing the 4 main types of addiction rehab: Detox, Inpatient, Outpatient, and Sober Living. Each type includes a description, typical length of stay, and relative cost level. Detox involves 3–14 days of medical withdrawal support; inpatient offers 24/7 live-in care for 30–90+ days; outpatient provides structured therapy while living at home; and sober living offers peer-supported housing post-treatment.

3. When to Seek Addiction Treatment

If alcohol or drug use is harming your health, well-being, relationships, or daily life, it might be time to consider treatment. Roughly 8.6% of people need treatment for drug or alcohol issues,3 but far fewer actually seek help—often due to shame or thinking the problem isn’t serious. However, delaying treatment can lead to deeper consequences. While no addiction is untreatable, early intervention is key. If you’re unsure whether you need help, consider reviewing common signs that it might be time to speak with a counselor. Other signs include:

  • You need more of the substance to feel the same effect and substance use dominates your thoughts and daily life. As priorities shift, meaningful parts of your life—like relationships and responsibilities—may be replaced by the pursuit and use of drugs or alcohol. If your world begins to revolve around the substance, it may be time to reach out for support and take the first step toward freedom.
  • You tried to stop using substances but can’t do it alone, it’s time to seek help. Addiction changes your brain, making it hard to recover without support—and that’s not your fault. Professional treatment centers offer safe detox options, including medical support if needed, along with counseling to help you build healthy coping skills and maintain recovery.
  • You experience withdrawal symptoms when you stop. Withdrawal symptoms are a common—and often difficult—part of stopping substance use. They can range from physical discomfort to intense emotional distress, depending on the substance and your level of use. These symptoms aren’t a sign of weakness; they’re a signal that your body has become dependent. The good news is, you don’t have to face them alone. With professional support, withdrawal can be managed safely and more comfortably, setting you up for a stronger start to recovery.

It’s never too early to reach out and start your recovery journey. Asking for help takes courage, and the sooner you begin, the better your chances of recovery. Support is available through helplines, healthcare providers, and treatment centers.

Infographic titled “Warning Signs You Might Need Rehab for Addiction,” featuring eight signs including: inability to stop on your own, substance use dominating thoughts, withdrawal symptoms, increasing tolerance, shifting priorities, health or safety risks, and real-life consequences. Illustration shows a man holding pills while his reflection appears shattered in a mirror.

4. Inpatient vs. Outpatient Treatment

What Is Inpatient Rehab?

Inpatient rehab — also known as residential treatment or residential rehab — means staying at a facility full-time. You live there while receiving round-the-clock care, which provides a safe, structured environment to focus on your recovery without outside distractions or triggers. This type of care typically includes individual therapy, group sessions, medical support, and holistic services.

Inpatient programs are especially effective for individuals with severe substance use issues, co-occurring mental health conditions, or those who have struggled with relapse. Treatment generally lasts between 30 and 90 days but can be extended based on personal needs. Research shows that inpatient programs often lead to better engagement and outcomes,4 particularly in complex cases.

What Is Outpatient Rehab and How Does It Vary?

Outpatient rehab lets you live at home while attending scheduled treatment sessions. This approach offers greater flexibility, allowing you to maintain responsibilities like work, school, or family care while still receiving help. It’s a good fit for people with a stable home environment and milder substance use challenges.

Levels of care vary, from standard outpatient therapy (once or twice a week) to intensive outpatient programs, which may meet multiple times per week for several hours at a time. Outpatient rehab is also often used as a step-down after inpatient treatment, helping to reinforce progress and prevent relapse. Studies suggest that for certain patients, outpatient care can be as effective as inpatient treatment when matched appropriately to the individual’s needs.

5. Addiction Treatment Options

Everyone’s path to recovery is different. That’s why treatment plans are personalized, combining therapies and services that best meet your needs. These often include behavioral therapies, medications, and support for your mental health and relationships.

Rehab Programs

Alcohol and other drugs rehab focuses on treating substance use disorder (SUD), including both the physical and psychological aspects. It often starts with detox, followed by therapy and sometimes medication like naltrexone.

Aftercare / Support Groups

Aftercare is essential for long-term recovery. These services help you stay sober and handle challenges after completing a program. Common options include sober living homes, alumni networks, and mutual-help groups like 12-step meetings.5 Continued involvement in recovery support increases your chances of staying in recovery.

Family Therapy

Addiction affects families — and family support can be key to healing. Family therapy helps improve communication, rebuild trust, and create healthier dynamics. It also helps loved ones understand addiction and support your recovery in meaningful ways.

Cognitive Behavioral Therapy (CBT)

CBT is a widely used therapy that helps you identify harmful thought patterns and replace them with healthier behaviors. It’s evidence-based and effective across a range of concerns.

Mental Health Services

Mental health disorders like depression, anxiety, or PTSD often go hand-in-hand with addiction. Treating both at the same time, called integrated care, offers better outcomes. Many treatment programs include access to psychiatrists and therapy for co-occurring conditions.

Medication-Assisted Treatment (MAT)

MAT uses medication to help manage cravings and withdrawal, paired with therapy and counseling. It’s especially helpful for opioid and alcohol use disorders. Common medications include buprenorphine, methadone, and naltrexone. SAMHSA’s guidance on medication-assisted treatment6 supports MAT as one of the most effective treatments available.

6. How Do I Pay for Addiction Treatment?

The cost of treatment can feel overwhelming, but there are many ways to make it more affordable. These include private insurance, state-funded programs, sliding scale fees, and grants or scholarships from treatment centers.

Start by contacting the rehab facility to ask about financial aid. To start your recovery process, you can use Recovery.com to find a rehab center and view photos, read reviews, check insurance details, and explore additional services. Find out more on our website.

7. How Long Is Drug and Alcohol Rehab?

There’s no single answer to how long treatment lasts. Detox may take just a few days to a couple of weeks, depending on the substance and your individual needs. Residential programs often last between 30 and 90 days, while outpatient care can continue for several months or even longer.

Research consistently shows that longer treatment durations are associated with better recovery outcomes.7 The most important factor isn’t how fast you finish, but how engaged you remain throughout the process. Committing to care for as long as needed gives you the strongest foundation for lasting change.

8. Find Hope for Recovery

Recovery is a process — and you don’t have to go through it alone. Whether you’re thinking about detox, inpatient treatment, or outpatient care, help is out there. Explore our treatment center profiles, read real recovery stories, and use our locator tool to find the right support for you. Recovery is possible — and it starts with a single step.

FAQs

 Q: What does it mean when someone is in rehab?


 A: Being in rehab means a person is receiving professional treatment for substance use or mental health issues, often involving therapy, medical support, and behavioral interventions.

Q: What does rehab mean?


 A: Rehab, short for rehabilitation, refers to structured programs that help individuals recover from addiction, regain stability, and build healthier lives.

Q: What do they do in a rehab?


 A: Rehab programs typically include individual and group therapy, medical care, detox support, life skills training, and relapse prevention planning.

Q: What does “get rehab” mean?


 A: To “get rehab” means to enter a treatment program for help with substance use, mental health conditions, or both.

Q: What is alcohol detox?


 A: Alcohol detox is the medically supervised process of clearing alcohol from the body, often the first step before starting addiction treatment.

Q: How do I pay for addiction treatment?

 A: Payment options include private insurance, Medicaid/Medicare, sliding scale fees, grants, scholarships, or financing programs offered by treatment centers.

Q: How long is drug rehab?


 A: Drug rehab varies based on need and program type, ranging from 30 to 90 days or longer for extended care.

Q: How long is drug and alcohol rehab?

 A: Combined drug and alcohol rehab programs also vary, but many last 30–90 days, with some offering ongoing outpatient care afterward.

Q: How does outpatient rehab vary?


 A: Outpatient rehab differs in intensity and structure, allowing participants to live at home while attending scheduled treatment sessions.

Q: What is residential rehab?


 A: Residential rehab involves living at a treatment facility full-time, offering 24/7 care and a structured recovery environment.

Q: What are the stages of rehabilitation?


 A: The main stages include detox, therapy and counseling, skill-building and relapse prevention, and aftercare planning.

Q: What types of therapies are offered in rehab?


 A: Rehab programs often include cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), trauma-informed therapy, family counseling, and holistic approaches.

Q: What types of programs are available in rehab?


 A: Programs include inpatient/residential treatment, partial hospitalization (PHP), intensive outpatient (IOP), and standard outpatient services.

Q: What are the different types of rehab programs?


 A: Types range from short-term detox to long-term residential treatment, outpatient therapy, sober living, and faith-based or gender-specific programs.

Q: What types of rehab programs are available?


 A: Available rehab options may include medical detox, residential treatment, outpatient care, dual diagnosis treatment, and specialized programs for teens, veterans, or professionals.

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What Happens During Withdrawal?

When you enter addiction recovery, you may or may not go through withdrawal—and you can’t always predict whether you’ll have symptoms. If you’re ready to quit drugs or alcohol, it’s a good idea to make a safety plan. And depending on your specific addiction, that plan might need to include medical detox.

What Causes Withdrawal?

Quitting any addiction can cause withdrawal. ((Alavi, Seyyed Salman, et al. “Behavioral Addiction versus Substance Addiction: Correspondence of Psychiatric and Psychological Views.” International Journal of Preventive Medicine, vol. 3, no. 4, Apr. 2012, pp. 290–94. PubMed Central, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3354400/.)) That’s true for drugs, alcohol, and even behavioral addictions like gambling. But your exact experience depends on your mental and physical health. Withdrawal doesn’t affect everyone ((Saitz, Richard. “Introduction to Alcohol Withdrawal.” Alcohol Health and Research World, vol. 22, no. 1, 1998, pp. 5–12. PubMed Central, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6761824/.)) in recovery. That’s because there are different ways you can come to rely on a substance.

Dependence

When you’re physically dependent on a drug, your body’s used to ingesting it on a regular basis. And you’ll probably experience physical effects when you stop taking it. This is what most people think of when they picture withdrawal.

But you can be dependent on non-addictive drugs, ((Szalavitz, Maia, et al. “Drug Dependence Is Not Addiction—and It Matters.” Annals of Medicine, vol. 53, no. 1, pp. 1989–92. PubMed Central, https://doi.org/10.1080/07853890.2021.1995623. Accessed 27 Dec. 2022.)) too. If you stop taking your asthma medication, you’ll probably feel immediate effects. The same is true for mental health meds, like antidepressants. Dependence doesn’t equal addiction. It’s a physical experience. But the 2 often go hand in hand.

Addiction

Many addictions include physical dependence—but not all of them. Video game addiction, for example, is behavioral. Some experts even call drug addiction a mental health issue, ((“Substance Use and Co-Occurring Mental Disorders.” National Institute of Mental Health (NIMH), https://www.nimh.nih.gov/health/topics/substance-use-and-mental-health. Accessed 27 Dec. 2022.)) rather than a physical one.

People with untreated addiction keep engaging in unhealthy behavior ((Alavi, Seyyed Salman, et al. “Behavioral Addiction versus Substance Addiction: Correspondence of Psychiatric and Psychological Views.” International Journal of Preventive Medicine, vol. 3, no. 4, Apr. 2012, pp. 290–94. PubMed Central, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3354400/.)) in spite of its adverse effects. Those effects could be physical, mental, social, or even spiritual. And for some people, quitting causes physical symptoms—even if you weren’t physically dependent on a drug.

What Are the Most Common Symptoms?

Everyone’s recovery journey is a little different. But these are a few of the most common withdrawal symptoms:

  • changes in appetite
  • nausea
  • diarrhea
  • vomiting
  • sleep disturbances, like insomnia or excessive tiredness
  • mood changes or mood swings
  • tremors
  • anxiety
  • depression

These symptoms might be more or less severe depending on your overall health. If you have any chronic conditions, make sure to ask your doctor how to manage them while you’re going through this transition. Whether or not you get formal treatment during, it’s important to make a plan for support during detox and withdrawal.

Can You Die From Withdrawal?

In short: yes, you can die from withdrawal. Certain addictions are strongly associated with physical dependence. And when you quit these drugs, you might have very serious symptoms. Talk to your doctor about medical detox if you’re quitting off any of the following:

Without proper care, withdrawal from these 3 substances can be life-threatening. And even if your physical symptoms are minimal, detoxing off any drug can reveal other health concerns.

How Long Does Withdrawal Last?

It depends on what drugs you’ve been taking, and in what quantities. And your other health issues can play a role here. For example, nicotine is an antipsychotic. ((Lyon, E. R. “A Review of the Effects of Nicotine on Schizophrenia and Antipsychotic Medications.” Psychiatric Services (Washington, D.C.), vol. 50, no. 10, Oct. 1999, pp. 1346–50. PubMed, https://doi.org/10.1176/ps.50.10.1346.)) So if you have schizophrenia and you smoke cigarettes, they can interact with your prescribed meds. For people with co-occurring disorders, withdrawal and detox are often complex.

If addiction is your only concern, it may be easier to estimate how long you’ll spend in withdrawal. The Substance Abuse and Mental Health Services Administration (SAMHSA), estimates the following withdrawal timelines ((“Protracted Withdrawal.” Substance Abuse Treatment Advisory. July 2010 Volume 9 Issue 1. https://store.samhsa.gov/sites/default/files/d7/priv/sma10-4554.pdf)) for various substances:

  • Alcohol withdrawal lasts 5-7 days.
  • Benzodiazepine withdrawal lasts 1-5 weeks.
  • Opioid withdrawal (except methadone) lasts 4-10 days.
  • Methadone withdrawal can last up to 3 weeks.
  • Stimulant withdrawal lasts 1-2 weeks.
  • Cannabis withdrawal lasts approximately 5 days.
  • Nicotine withdrawal lasts between 2-4 weeks.

These are just general guidelines—your symptoms may subside faster. And for some people, they go on much longer.

If you’re still feeling the effects of withdrawal long after these estimated timelines, talk to your care team about your options. At that point, you might need an evaluation for post-acute withdrawal syndrome (PAWS). This condition is serious, but treatable. And with your provider’s support, you can continue to move forward.

What Happens After Withdrawal?

Quitting is just one step in your journey. After you go through withdrawal, you’ll have several options. You might start therapy, or join a support group. If you attend medical detox, you might be required to go straight into residential rehab. Some facilities even combine these programs, so you won’t need to move in the middle of treatment. But there are countless ways to map out the recovery process. The important thing is choosing a path that meets your specific needs.

To start planning your recovery, learn about treatments, housing options, and insurance coverage at residential detox centers.

Reviewed by Rajnandini Rathod

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The Ultimate Guide to Choosing Treatment

Trying to find substance abuse and mental health treatment that meets your needs can be overwhelming. Why? Well, one main reason is we often don’t know where to even begin and we have misconceptions about “rehab” and recovery. When someone breaks a bone, most of us lay people have common knowledge about treatment protocol: See a doctor, get an X-ray, get a cast or sling to hold things in place to allow healing, go to follow-up appointments, and so on.

But what about when you find out a loved one has been injecting heroin? Or when you see signs in your child for something amiss—are those mood swings “normal” or does their depression and anxiety need clinical attention? Is your teenager’s drug and alcohol use experimental and they’ll grow out of it or should you not wait to find out?

Then, when you do decide to seek out treatment, you’ll find a world of options, approaches, and therapies. How do you know which one is right for you or the person you care about? Combine it with the fact that not all treatment centers are good. How can you tell which one offers quality care from the ones who are in it just for the money? You’ll also run into logistical hurdles, such as insurance, payment, and leave from work, and social hurdles like stigma.

You get the picture—it’s absolutely overwhelming and finding hope along the way to long-term recovery can seem near impossible.

It should not have to be this way! So, we created this guide because we want to support you in getting help—in a genuine, no-strings-attached way.

Getting Started: Navigating Pre-Treatment

We identified 7 steps for navigating getting into treatment. We’ll take a closer look at each one:

  • Recognize the need for help.
  • Get an assessment/evaluation (by a licensed professional).
  • Consider the recommended treatment options.
  • Find a treatment provider.
  • Call the treatment provider (and ideally, schedule a tour).
  • Set a start date.
  • Go!

The Short Version

Since we just mentioned how overwhelming finding treatment can be, here’s the most concise version of the above 7 steps. If you’d like to dig deeper, you can keep scrolling or jump to certain sections using the Table of Contents.

1. Recognize the need for help.
If you’re reading this, you or your loved one needs help. (Why? We often wait too long when it comes to mental health concerns to finally do some research about it.)

2. Get an assessment/evaluation.
Mental health and substance use assessments are best done in person with a clinician. Ask your primary care physician about psychiatrists they’d recommend or if they know of experienced licensed professional counselors in the area. You may be able to find a local treatment provider who offers stand alone assessments without having to commit to a program.

It’s important to get a clinical assessment before you decide which treatment program is best for you. Let an experienced clinician help you know which treatment option is best for your needs and ask them questions about any concerns you may have.  

3. Consider recommended options.
At the end of the assessment, the clinician will recommend treatment options based on the severity of your condition (e.g. an inpatient or outpatient program). They may also recommend treatment providers (if not, ask them for provider recommendations).

Great, now you’re much more equipped to find a treatment provider!

4. Find a treatment provider.
Take a look at the recommended providers’ websites. You can search the internet for other providers too. The SAMHSA treatment provider directory is a great resource for finding treatment providers in the US.

Here are just a few things to pay attention to:

  • Do they have Joint Commission or CARF accreditation?
  • Do they have a team webpage showing licensed clinicians?
  • Do they have pictures of their space? Does it look comfortable, safe, and clean?

5. Call (and ideally, schedule a tour).
Give the treatment provider a call. Ask them to describe what a day (or week) in their treatment program looks like. See if they accept your insurance and discuss the costs. If possible, schedule a tour and see the center in person beforehand.

6. Set a start date.
Once you have decided on which provider to partner with for your care, set a start date. This is easy—Start as soon as possible.

If you’re participating in a residential program, look on the provider’s website or ask for a packing list so you know what things to pack (or not to pack).

7. Go!
Yes, you’re here! Now you just need to stay and get the most out of your treatment program.

1. Recognize the Need for Help

Chances are that if you’re reading this guide you’ve already done this step. Lovely, that was easy! A few important notes before we move on though:

Be sure to be honest with yourself. Don’t choose recovery just because your (mom, dad, partner, sibling, or child) wants you to. Obviously, having loved ones in your corner is a good thing! But if you’re not in the ring, treatment may not be as effective.

* Loved ones, this does not necessarily mean treatment will not work if your loved one does not want it. Some recovery stories start with family basically forcing their loved one into treatment, like in the video below (TW: The video shows substance use).

We often convince ourselves that we do not need treatment for drug and alcohol abuse, addiction, and mental health disorders. A variety of reasons sway us against treatment:

  • Denial
  • Stigma associated with mental health and its treatment
  • Fear of the unknown
  • Difficulty of getting into treatment
  • Change is extremely hard

Denial

Denial is a very powerful part of mental health issues, especially drug and alcohol addiction. This is worthy of its own article. Read more about denial (specific to alcohol use) here.

Intervention

This is another topic worthy of many articles, but we’ll try to describe it briefly. Intervention is basically when you recognize your loved one needs help, but they do not (or at least, are not coming forth to admit it), and you encourage, or in some cases force, them to get help. “Intervention” is often used to describe a professional intervention by an interventionist.

Ways to Intervene

Informal, small personal question. Yes, intervention can be as simple as asking your loved one if they would like to get help. They often know they need it, but are too afraid to stop or ask or take the first steps toward getting it. Be opportunistic when you ask; that is, don’t ask when they’re high or drunk. You could lead with stating a behavior you have observed or your concern for their health. Tone and coming from a place of love, support, and willingness to help (not judgment, anger, or shaming) is very important.

Example 1

“May I ask you a personal question? … Would you like to get treatment (for the way you __drink, take pills_)?”

Example 2

“I love you and I’m concerned that drinking is having negative effects on your life. I’ve noticed that when you drink, you drink a lot and miss work the next morning. Would you like to get help?”

If they say no or blow up at you, avoid being defensive in return. A simple “Okay.” will do. Walk away if you have to, and start considering a bigger intervention.

Formal, 2+ person intervention. A variety of intervention styles exist with different levels of effectiveness. Confrontational, ARISE, systemic family, Johnson, and love-first models to name a few. Do-it-yourself intervention literature is available too, if you are hoping to save money by not hiring a professional.

This video is a family who set a few ultimatums to encourage their family member to get treatment:

However, hiring a professional interventionist is generally going to have higher chances of convincing your loved one to go to treatment. Most interventionists are in recovery themselves, which helps them understand your loved one (they’ve been in those shoes before), they have a lot of experience compared to you doing it on your own, and they are a third-party who may see and help with issues you might not have noticed since you’re deeply involved in the situation.

Questionnaires

Be Cautious About the Results

A quick word on questionnaires and quizzes that gauge if someone has a drinking, depression, etc. problem. They can be a helpful tool, but keep in mind its accuracy varies per person and per the organization behind the quiz (that is, the validity in the way they’ve designed it).

Another thing to be cautious about is these quizzes and questionnaires can be a form of denial or procrastination. In other words, don’t wait for a questionnaire result to tell you that you’ve reached the threshold for needing treatment. If you know that something is not right, or that alcohol and drug use is having a negative impact on your life, then stick with your gut. You do not have to be a full-blown addict or have deep depression to seek out treatment. The earlier you receive treatment for mental health conditions, the higher the likelihood for your long-term recovery. On the flip side, if the questionnaire result says you likely have a problem, then you likely have a problem and probably don’t need to fill out 5 more quizzes to confirm it.

You do not have to hit “rock bottom” to seek out treatment.

2. Get an Assessment (Evaluation)

Just like you would go to the doctor to assess a broken bone or a suspicious lump, you should go to a mental health professional to assess behavioral patterns that are interfering with your life.

What Is an Assessment?

A clinical assessment, or often called evaluation, takes an hour or so where the clinician gets to know you, your story, and ask questions about your medical history, substance use, and mental health. Based on the assessment, the clinician will then go over recommended treatment options with you. With their recommendations and your own personal preferences, then you are able to decide which treatment option is right for you and what type of center to start searching for.

How Much Does an Assessment Cost?

Insurance may cover the assessment or you may have to pay for it out-of-pocket. Typically, an assessment costs $100–500. If you have an flexible spending account (FSA) or health savings account (HSA), you may be able to pay for it that way. Double check to be sure it’s an eligible expense.

Where Do I Get an Assessment?

A mental health professional should conduct your assessment in person. To find one, start by asking your primary care physician about psychiatrists they’d recommend or if they know of experienced licensed professional counselors in the area. You may be able to find a local treatment provider who offers stand alone assessments—conducted by one of their licensed professional counselors—without having to commit to a program.

Why Is an Assessment Important?

An assessment helps you and treatment professionals know where you’re at and offers insight for  possible care plans that fit your situation.

Currently, it is more common for people to make treatment decisions themselves, either after researching endlessly, going with what insurance coverage dictates, or what an admissions coordinator helps them decide. We believe people should find treatment that’s right for them, but also believe appropriate experts should be involved to help support and guide you toward treatment options that best fit your needs and preferences.

Treatment providers often perform a full clinical assessment as the first step in your treatment, after you’ve already committed to a program at their facility. However, if you’ve flown across the country to attend a residential program and the assessment reveals you are not a fit for their services, then you will likely get referred out to a different center. To mitigate this, admissions teams will do their best to make sure you’re a fit before you travel and come, and often providers will conduct an over-the-phone pre-assessment.

3. Consider the Recommended Treatment Options

Now you should have some treatment options recommended by a professional based on your assessment. Let’s take a look at the main ones.

Detox

Detox is where your body is getting rid of toxins (i.e. drugs and/or alcohol). Medically-supervised detox provides safety and comfort as you go through withdrawal.

Inpatient

Inpatient, commonly called residential—and what most mean by “rehab”—provides 24/7 support in a residential setting. Programs commonly last 30, 60, or 90 days.

Partial Hospitalization Program (PHP)

A PHP, or day treatment, offers full-time treatment similar to inpatient. But the living arrangement is separate, either at home or in a sober living environment.

Outpatient

Outpatient treatment varies in intensity, from group therapy once a week to group therapy, individual counseling, and educational lectures multiple times a week.

Medication-Assisted Treatment (MAT)

Medication-assisted treatment refers to using medications in combination with counseling or therapy to help people recover from addiction.

Counseling

Counseling includes meeting with a primary therapist (or counselor), individually, as a couple, or even as a family.

Sober Living

Sober living environments provide a safe, drug-free space to live.

Support Groups

Support groups (e.g. AA) generally are free and flexible in attendance.

Detox

Detoxification, or detox, is the period of time where an individual is withdrawing from drugs and alcohol. A doctor will prescribe medications, usually on a titration (gradually less and less), to help keep symptoms as comfortable and safe as possible.

Inpatient (Residential)

Inpatient “hospitalization,” or residential treatment, is what many know as and call “rehab.” An individual resides and receives treatment at the provider’s facilities. Some providers have all the buildings on a single “campus,” while others may have houses nearby and provide transportation to the clinical portion of treatment during the week. Therapies and approaches vary per center.

Day Treatment, also called PHP

Day treatment, or sometimes called PHP (which stands for partial hospitalization program), is just that, treatment during the day full-time, but living is separate. Sometimes living could be in an individual’s own house, a sober living house, or a “structured” living environment (often owned by the same provider).

Intensive Outpatient (IOP)

Intensive outpatient treatment, or IOP for short, can be thought of as part-time treatment. Some IOP programs run cohorts, that is, an individual will be with the same group of people throughout the program. Other IOP programs will have the opposite, sometimes called rolling enrollment, where people can jump into the program at any point.

Outpatient (OP)

Although outpatient treatment is a general term that can mean varying levels of care in which you’re not living on premises, it’s also used to describe the lightest level of outpatient care. Other names for this level are “continuing care” or “aftercare”—both can be confusing since that sometimes describes any care after initial treatment.

Sober Living

Sober living is just like it sounds, a drug and alcohol free place where an individual can live. It goes by other names (some have nuanced differences):

  • Sober living environment (SLE)
  • Sober living home / house (SLH)
  • Structured living
  • Transitional living
  • Halfway house

Support Groups

The most common support, or self-help, groups are 12-Step meetings, so AA, NA, Al-Anon, etc. There are other alternatives too: SMART Recovery, Women for Sobriety, Celebrate Recovery, and LifeRing.

4. Find a Treatment Provider

This step is very important. You’ll likely be able to receive some center recommendations from the assessment. Get ready to put on a detective hat and do some research though.

First and foremost, you’ll want to make sure the treatment providers you’re choosing from have the following characteristics:

  • Reputable
  • Trustworthy
  • Accredited and/or Trustworthy Affiliations
  • Quality
  • Licensed professionals

Then, you can weigh differences in approach, amenities, location and cost.

Must-Have Characteristics

Reputable

Does the treatment center have a good reputation? What do others think of it? How can you find that out? Here are some strategies: read reviews and ask others.

Read online reviews.
The big three sources for reviews currently are Google, Facebook and Yelp. At the same time, take the reviews for what they’re worth. That is, take extra time discerning really bad and really good reviews:

  • Some providers encourage their employees, family members, and friends to leave reviews. These reviews may still follow the guidelines of the review platform, but obviously, the raving review is biased. A quick comparison of the team page and names attached to reviews may uncover employee reviews. It actually adds more credibility if the reviewer discloses they’re an employee in the review.
  • Sometimes ex-employees will rant about the provider when there were legitimate reasons for the provider firing them—also biased.
  • Providers could be delivering the best treatment in the world and still have an upset customer who leaves a scathing review. If there are multiple bad reviews of similar issues though, then there is most likely truth to the issues they raise. Ask around.You might be wondering who to ask.
  • Often primary care physicians do not know of many centers, but asking your doctor is a good place to start.
  • Ask your primary therapist (if you’re seeing one).
  • This may seem odd, but if you’re on the phone with a treatment center who appears to be trustworthy, ask them if they’ve heard of the other provider you’re curious about and what they think of them. Naturally, they will be biased toward their own services, but their answer will likely have some truth to it.
  • Attend an open AA meeting and in side, individual conversations, ask the person if they’ve ever heard of the particular treatment provider(s). (AA doesn’t allow “endorsements”, thus the emphasis on side, personal conversations.)

Trustworthy

Trustworthiness is very similar to good reputation, yet slightly different. Is the center reliable, honest, and ethical? Here are some characteristics to consider: length of operation, accreditation, and affiliations.

Length of operation
This may not always indicate trustworthiness, but generally speaking, if a provider has been around for a long time, they likely provide good services. Sometimes newer providers offer great services too, so do not necessarily avoid a provider simply because they are newer, but do look for accreditations and affiliations (or that they’re working towards getting them) to make sure they’re legitimate.

Accreditation
Accrediting bodies have set standards of excellence for operation, quality, and safety. They certify a provider when they have met requirements and help keep providers accountable to them. Unfortunately, a few providers may be accredited and not following the standards, so accreditation is not an absolute stamp of approval. However, it is certainly a good sign to see accreditation compared to providers who are not accredited.

If accredited, most providers will have an accreditation “badge” on their website. (Yes, some could dishonestly put the badge on their website, but you can double check the accreditation organization’s website to be sure the provider is indeed accredited.)

Here are the two main accrediting bodies for behavioral healthcare in the United States:

joint commission seal

Joint Commission

(formerly known as JCAHO [“jay-co”])

You can check for Joint Commission accredited providers here.

carf seal

CARF

(Commission on Accreditation of Rehabilitation Facilities)

Check for CARF accredited providers here.

Trustworthy Affiliations

Many providers will also have badges or logos of other organizations to show affiliations. Certain affiliations are more credible than others. Some providers will have state-related ones or ones related to addiction professionals.

Instead of listing them all, we want to point out 3 important affiliations (in the United States). Just like accreditations, affiliations are not necessarily an automatic stamp of approval, but they certainly help in the trust category.

NAATP logo, hexagon of triangles, purple, orange and gray, National Association of Addiction Treatment Providers

NAATP

(National Association of Addiction Treatment Providers)
NAATP (“N-double-A-T-P”) members must meet a set of standards. If interested, you can read the Code of Ethics their members must agree to.

Search the NAATP provider directory here.

TPN Hero Logo

Trusted Provider Network (TPN)

This network is geared for treatment professionals when they need to refer a client to another provider. Although it’s professional-targeted, it adds trust for clients too. TPN members must meet a code of clinical services, ethics, and professional standards.

Search for TPN providers here.

LegitScript badge example, blue circle with green bar containing site url and white box with date "LegitScript.com Monitored"

LegitScript

If any badge is a stamp of approval right now, it’s this one. Google partnered with LegitScript to better control which treatment providers are allowed to advertise (safe and legal ones!). Facebook relies on this for treatment provider ads too. If a provider is not LegitScript certified, they may still be a safe and legal. LegitScript certification started slowly rolling out in July 2018, and it’s not cheap.

LegitScript does not list a directory, but you can check a provider’s website to see if they are LegitScript certified here: https://www.legitscript.com/websites

Quality

If a treatment provider is accredited and/or has credible affiliations (see the Trustworthy section), then it most likely offers quality care since it is a key component for receiving the accreditation or certification in the first place.

What does quality care look like?
Quality care, of course, is always up for improvement, yet most can agree on certain standards of quality. After all, behavioral healthcare has come a long ways from methods of the past (such as lobotomies, confinement (although some countries still approach treatment this way), straight-jackets and the like).

Here are some standards of quality:

Evidence-Based Practices (EBP)

Evidence-based practices sounds complicated, but its meaning is literal. Practices are based on evidence. The evidence comes from best available evidence (from academic research), as well as the clinician’s own expertise, and with regard to patient values and preferences. If you do decide to research this deeper, keep in mind that academic research uses the word “intervention” to generally describe a therapy or treatment. University of Washington Alcohol and Drug Abuse Institute put together an EBP database that anyone can access here.

Licensed and Skilled Professionals

This should be a given, but licensed and skilled mental health professionals should be providing treatment services. (Of course, people need to start a career somewhere, so some clinicians may have less experience than others or may be working toward a specific certification, but they should only make up part of the clinical team.)

Integrated Care

Integrated care most often refers to general (physical) healthcare and behavioral (mental) healthcare working together.

The World Health Organization (WHO) put together a QualityRights Tool Kit which has guidelines for quality services. Some of these guidelines we may take for granted, but they are worth noting since they have been neglected before:

  • Services respect human rights (e.g. dignity, privacy, liberty).
  • Services provide an adequate standard of living. (For example, the building is in good condition. Sleeping conditions are comfortable and have sufficient privacy., etc.)

What to look for on website, brochures, etc.
Many providers will include phrases like “evidence-based” and a “multidisciplinary team” on their materials. Many will claim to treat “dual diagnosis” or “co-occurring disorders” as well. These are all good, but it’s challenging to tell if the descriptions are true.

Current industry “buzzwords:”

  • Evidence-based
  • Multidisciplinary
  • Holistic
  • Individualized
  • Personalized
  • Dual diagnosis
  • Co-occurring disorders
  • Trauma, trauma-informed care

So rather than just look for the keywords many treatment providers are using, also take a look at the following:

  • Sample schedule: A sample schedule (by day or week) helps you visualize what the program may be like and how “holistic” or “individualized” it actually is. For example, you may see that a residential program who boasts individualized care only provides 1 individual counseling session per week.
  • Photos of the space: Often stock photos make up the photos on websites and brochures because they’re the easiest to get. However, you want to see photos, or video, of the real space, both inside and outside. Do the spaces look comfortable and clean? Some treatment providers will simply take photos of the rooms empty. It’s nice to see people interacting with the spaces, but due to privacy these photos are harder to come by. Some ask patients to sign a release form to publish photos of them. Other treatment providers may stage a photo session with “models” and their own therapists.
  • Staff bios: If a program claims to be holistic, are some of the clinicians trained in alternative therapies? If a provider claims a multidisciplinary team, does the clinical team have varying disciplines? More importantly, do they work together? To tell if the staff actually collaborate to provide a multidisciplinary approach, you may have to ask the admissions person when you call (“Can you tell me more about what multidisciplinary looks like? Does the entire clinical team meet and discuss client cases?).
  • Treatment approach and therapies: Reading through the approach and therapies will also help you see if a program has evidence-based (e.g. cognitive behavioral therapy (CBT)) and/or holistic therapies (e.g. yoga, acupuncture).

Differences to Consider

Treatment Approach

A variety of treatment approaches exist. Many centers will combine multiple approaches and some will adjust the approach and therapies to meet your needs. Look for or ask about a provider’s treatment philosophy to see if it resonates with your preferences and values. Here are the most common treatment approaches:

  • 12-Step or a modified 12-Step
  • Non 12-Step
  • Holistic (alternative)
  • Evidence-based
  • Systemic
  • Faith-based (or spiritual)
  • Therapeutic community

Family Involvement

Many addiction professionals agree that substance use disorders affect the entire family, so most providers will offer a form of therapy for the family. Each provider varies. Some have a family day every week that includes time for the family to meet with the loved one’s therapist and families to meet together (sometimes called multifamily group). Others may have a family week with various therapy sessions.

Location

Perhaps the biggest question for location is does one partner with a local provider for treatment or go to a “destination” treatment center. Each has its advantages and disadvantages.

Distance

  • Some find the total break from environment beneficial to their recovery.
  • Going out of state, or even out of the country, likely adds privacy and confidentiality.

Local

  • The closer location makes it easier for family to be involved.
  • The transition into a recovery community after completing a program will be smoother.

Amenities

Accommodations, activities, and food certainly impact a treatment experience (for better or for worse). Naturally, some conditions must be met (like cleanliness and catering to dietary needs), but for the most part, amenities are “nice-to-have” not must-have.

It’s challenging to make a decision without being swayed by a provider’s amenities because they are so visual. You see a beautiful location, delicious food, a glistening pool, fun activities, and so on. The treatment itself is much harder to capture visually. Be sure to read and ask about the treatment though. Once you know a provider has a quality treatment program, then let amenities factor into your decision.

To some degree, a treatment environment should be comfortable and conducive to recovery. Consider how much your comfort level will be impacted by accommodations. If you are not comfortable, then it may dampen your treatment. (Note: the first few weeks of treatment, you may be miserable regardless of accommodations and amenities.)

A few gray areas:
A treatment provider who has a really good program, but looks like an awful place to stay—Ask yourself a few questions:

  • Why does it look like an awful place to stay?
  • Did they simply take bad pictures and it may look better in person?
  • Is there something I care about too much that is not a big deal compared to the treatment I’d receive?
  • Is there another treatment provider who has a good program and looks like a better place to stay?

A treatment provider who has amazing amenities, but a semi-quality treatment program—Ask yourself a few questions:

  • Is there something I care about too much that is not a big deal compared to the treatment I’d receive?
  • Are the amenities worth possibly needing more treatment in the future?
  • Is there another treatment provider who has a better quality program and still looks like a comfortable place to stay?

Cost

Cost, particularly insurance coverage, is an important deciding factor for many people. See if the provider accepts your insurance and what the out-of-pocket costs would be.

Many providers offer payment plans and some offer “hardship” scholarships.

5. Call the Treatment Provider (and Schedule a Tour)

Call the Treatment Provider

This step can happen simultaneously with the previous step of finding a treatment center. Calling a treatment center is the fastest way to find out more information that perhaps is not listed on their website. Although the call will be based on one interaction with one employee, that interaction can go a long way for informing your gut if you’d like services from that treatment provider.

Rather not talk on the phone? Some centers have live chat on their website or online forms that you can use to ask questions or even request that they call you. Some are also responsive over Facebook Messenger. (Eventually, you will have to talk on the phone.)

Schedule a Tour

The surest way to figure out if a treatment provider is right for you is to visit the center. Understandably, this may not work if you live very far away. However, if you’re able, definitely schedule a tour, go and see the place in person and meet some of the staff and clinical team before you agree to admit.

6. Set a Start Date

Start as soon as possible.

The thought of taking 4 weeks or more off often holds people back from treatment they need. Definitely ask the treatment professional at the end of your assessment how soon they recommend you starting treatment. At the same time, do not underestimate the urgency to get into treatment.

If you are struggling with severe substance use and/or mental health conditions, start as soon as possible—your life is at risk. If you are struggling moderately, it’s still an urgent matter. Each time you abuse substances, you continue to damage your health, jeopardize your job and possibly legal record, and harm your relationships.

7. Go!

Now, it’s just a matter of logistics for getting to the center. If it’s a residential program, look on the website for a packing list (or ask them for one). Some providers list “What to Bring” and “What NOT to Bring” on their website, while some may email expectations, rules, and so on.

Once there, stay and get the most out of your treatment program.

After the first week or so in treatment, you might be tempted to leave. One exercise you can do is write yourself a letter before going (or on the first day of treatment) about why you’re there and what your goals are for after treatment. Maybe take a selfie too. Read that letter and look at the photo; they may help support you to stay.

Note: We are not affiliated with any of the parties referenced. Duffy’s Napa Valley Rehab does advertise on one of our sites, but we included the video solely due to its quality content.

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Rehab for Depression: What Are My Treatment Options?

Most people think of rehab as a place you go to get treatment for substance use disorders. But did you know that many rehabs also treat mental health and mood disorders, like depression?

Many people seek help with mental health challenges at treatment centers every year, and may choose an inpatient, outpatient, or online format depending on their circumstances. While there’s no one formula for treating depression, choosing a rehab program that best suits your unique needs, values, and goals can help you ease distress and shift from surviving to thriving.

Depression is a serious mental health disorder that often requires professional help. If left untreated, it can worsen to a potentially unmanageable stage—and in some cases, it can be life-threatening. The Department of Health and Human Services discusses how depression increases the risk of suicide,1 with the risk being proportionate to the severity of depression.

If you’re having thoughts about suicide or self-harm, contact the National Suicide Prevention Lifeline at 800-273-TALK (800-273-8255). Trained counselors are available for a confidential chat 24 hours a day.

In this article, we’ll explore signs of depression and examine your options for treatment:

  • When to consider getting professional help
  • Types of rehab for depression
  • Common approaches to treating depression

When Is It Time to Seek Professional Help?

Depression affects over 40 million adults in the U.S.6 But sadly, it often goes undiagnosed and undertreated. Early detection and treatment of depression7 offers several benefits, including longer remission times and improved social skills.

It’s a good idea to consider getting professional help if you notice telltale signs of depression that persist for at least 2 weeks, as outlined by the U.S. National Institute of Mental Health (NIMH):2

  • Hopelessness or pessimism
  • Irritability
  • Continuous feelings of sorrow, worry, emptiness, or guilt
  • Changes in appetite or weight
  • Lost of interest and pleasure in activities you used to enjoy
    decreased energy
  • Difficulty concentrating, remembering events, or making decisions
    difficulty sleeping or oversleeping

If you feel like depression is negatively impacting your day-to-day life, you have several options for treatment. This includes inpatient (residential) rehab, intensive outpatient programs (IOPs), partial hospitalization programs (PHPs), and teletherapy. Each treatment type presents unique benefits, which we’ll explore further below.

A qualified mental health professional can also help you determine which type of treatment is most beneficial for you.

Depression and Co-Occurring Disorders

Depression and other mental health conditions frequently occur alongside substance use disorders. According to the National Alliance on Mental Illness (NAMI), substance abuse is twice as prevalent among those who suffer from mental illness.3 This situation is referred to as having “co-occurring disorders” or a “dual diagnosis.”

Mental health conditions may cause people to turn to drugs or alcohol to relieve their symptoms temporarily—and it also works the other way around. Because alcohol and drugs alter brain chemistry, people may experience new or worsened mental health symptoms as a result of substance use. In these cases, successful recovery requires simultaneously treating each condition. Thankfully, many rehab centers specialize in co-occurring disorder treatment, giving patients the opportunity to sustainably address both issues.

Types of Rehab Programs for Depression

Inpatient Rehab (Residential Rehab)

Inpatient, or residential, rehab provides 24-hour clinical care in a secure environment, making it preferable for those who require a higher level of care, perhaps due to the severity of their depression.

This treatment format offers the opportunity to fully devote yourself to getting better for a period of time. If you haven’t had success with less intensive depression treatment programs, you might benefit from the highly structured schedule and immersive environment that inpatient rehabs offer.

Following are some indicators that residential rehab for depression may be the best treatment option for you:

Your depression is resistant to treatment. Treatment-resistant depression4 is defined as depression with symptoms that persist after standard treatment with 2 or more medications. Residential settings offer around-the-clock access to a team of mental health professionals working to learn what strategies work best in relieving your depression. Many residential programs also offer the opportunity to try holistic or complementary therapies that might be just what you need to learn effective coping skills and find relief.

You need a change of environment or perspective. Inpatient rehabs allow clients to break away from possible environmental triggers and focus solely on getting well. Specialized programming can also provide opportunities to try new therapies and activities. This, in turn, can lead to a shift in perspective5 that fosters positive thinking.

You’ve had serious thoughts of, or attempts at, suicide. If you’re thinking about or have attempted suicide, it’s vital to get intensive mental health treatment immediately. Because suicidality requires a higher level of care and enhanced safety protocol, only certain rehabs admit these patients.

For more information on suicidal ideation, see our article: What to do When Someone You Love is Suicidal.

Outpatient Programs

Outpatient depression rehab options include intensive outpatient programs (IOPs) and partial hospitalization programs (PHPs). With both of these approaches, clients return home each day after treatment. These programs allow you to work around your job, school, or childcare routines while devoting a set amount of time each week to progressing towards your treatment goals.

In a partial hospitalization program, you’ll spend a significant amount of time in treatment—usually ranging from 4 to 8 hours per day, 3 to 5 days per week. This option may be used as a bridge between residential and outpatient care, and is sometimes recommended as a way to reduce the recurrence of severe symptoms. Clients in PHPs can retain important aspects of their daily routines while receiving full-time care.

Intensive outpatient programs typically involve less clinical hours than PHPs, but are more intensive than simply attending therapy sessions on your own. In an IOP, clients attend treatment on a part-time basis for about 9 to 15 hours per week, with many centers offering evening and weekend schedules that cater to working adults. IOP sessions are often based on group therapy.8

Below are some benefits of non-residential programs:

Outpatient rehab is often more cost-effective than residential. The higher cost of inpatient rehab can be a barrier for some. Since outpatient programs are often less expensive, they can provide a more accessible (but still intensive) option for those who are concerned about cost or have limited insurance coverage.

You can keep up with daily responsibilities while receiving full- or part-time depression treatment. Many people have family, work, or school obligations they simply can’t leave behind for an extended period. With PHP and IOP options, clients can receive intensive depression therapy that works with their schedule and allows them to live at home.
Sometimes, however, severe depression symptoms prevent people from being able to keep up with their daily responsibilities. For others, factors in their home life may contribute to depressive episodes. In cases like these, it may be useful to step away from your usual patterns for a period of time to focus on getting well.

Outpatient rehab could be a good option if you have a positive home environment. Studies have shown that having a strong support system positively affects your mental health.9 If your biological or chosen family, partners, friends, or others in your community can reliably support your recovery journey, it may be helpful to choose a treatment format that will allow you to stay in contact with them.

Teletherapy

Teletherapy uses remote technology as the means of communication between the therapist and the client. This can include both 1-on-1 and group therapy sessions, attended by video conferencing, phone calls, or chat.

Research shows that teletherapy is effective for many mental health concerns.10 Since COVID-19, even more rehabs now offer remote treatment options.

Could teletherapy be an effective depression treatment option for you? Let’s take a look at some of its benefits.

Teletherapy is more affordable than residential rehab. In addition to lower program costs, you may be able to save in other areas like transportation and childcare. Having more convenient, regular check-ins with your therapist may also help you manage your symptoms better and thus save money by minimizing the need for more intensive care. One study of veterans who received treatment remotely showed that regular teletherapy helped reduce their healthcare expenses11 over the course of a year.

Teletherapy can help you stay on track during COVID-19 restrictions. Life during the pandemic has proven to be an ever-changing roller coaster of spikes, mandates, and restrictions. With teletherapy, these changes don’t have to mean a disruption to your treatment progress. You can continue to attend sessions safely from the comfort of home (or any location convenient to you). This can also help protect vulnerable individuals from exposure to illness.

Teletherapy can be a viable option if your depression is not too severe. If you’re able to function well enough to carry out your day-to-day tasks, and you feel safe and supported in your home environment, remote treatment may make sense as a way to increase convenience and reduce the costs associated with in-person care.

Common Approaches to Treating Depression

In general, medication and talk therapy are the most common first-line approaches to treating depression. And while there’s much debate about which of these is most effective, according to the American Psychological Association, “there is some evidence that combining psychotherapy and medications12 may be more effective than either treatment alone.”

Each person’s experience of healing from depression is different, and you may find that one, both, or neither of these treatments works best for you. That’s why it’s important to learn about the range of treatment methods that are available, so you can start to seek professional advice and check in with yourself about what makes the most sense for your life.

Medication

Your doctor or psychiatrist may prescribe one (or eventually, several) of a variety of antidepressant medications. These typically fall into one the following categories:

Selective serotonin reuptake inhibitors (SSRIs): These are the most commonly prescribed form of antidepressant, and include Fluoxetine (Prozac), Paroxetine (Paxil), Citalopram (Celexa), Escitalopram (Lexapro), and Sertraline (Zoloft). SSRIs work by increasing serotonin levels in the brain.

Serotonin and norepinephrine reuptake inhibitors (SNRIs): These affect serotonin and norepinephrine in the brain. SNRI medications include Venlafaxine (Effexor), Desvenlafaxine (Pristiq), and Duloxetine (Cymbalta).

Atypical antidepressants, such as Mirtazapine (Remeron) and Wellbutrin (Bupropion), are sometimes prescribed when SSRIs or SNRIs haven’t been effective.

While many of these have similar effects, they each have a unique profile, and side effects may vary from brand to brand. If you want to find out whether medication is right for you, your first step is to consult with a treatment professional. A qualified clinician can work with you to prescribe, monitor and manage your medication regimen and find out what most effectively relieves your symptoms.

Talk Therapy

Talk therapy, or psychotherapy, involves talking with a mental health expert about your depression and how it affects your life. This form of treatment can be very effective in helping you reduce depression symptoms and cope with them when they occur.

Cognitive-behavioral therapy (CBT) is among the most common forms of talk therapy used in clinical settings. “Cognitive” refers to thoughts, while “behavioral” focuses on the actions arising from those thoughts. CBT is founded on the premise that inaccurate or unhelpful thought patterns cause undesirable behaviors. It seeks to transform thinking to help people see an overall improvement in how they feel.

Dialectical behavior therapy (DBT) is based on CBT, but also incorporates mindfulness techniques to help people increase their tolerance of uncomfortable emotions and gain self-acceptance. Therapy sessions focus on identifying states of mind and teaching coping skills based on meditation practice.

Interpersonal psychotherapy (IPT) is a type of psychotherapy that focuses on enhancing function within interpersonal relationships to alleviate depressive symptoms. A key idea is that psychiatric symptoms might be thought of as a response to challenges in daily connections with others.

An abundance of other talk therapies are also used in depression treatment. When you enroll in a rehab program, you’ll start with an initial assessment and set goals with your therapist for the course of your treatment. Depending on the program you attend, different therapies may be available.

Holistic and Complementary Therapies

Complementary and holistic therapies are non-traditional treatment approaches that many rehabs employ alongside standard methods like psychotherapy. These can help clients discover aspects of themselves by providing opportunities to try new ways of thinking and being. As such, they can provide important personal insight in ways talk therapy alone may not be able to.
Examples of complementary treatment methods include:

  • Mindfulness
  • Behavioral activation
  • Art therapy
  • Music therapy
  • Yoga
  • Experiential and recreational therapies

Alternative Therapies for Treatment-Resistant Depression

Several rehabs are able to provide alternative treatment options that may be helpful when conventional methods are not effective. Some people find that they’re more responsive to alternative therapies for treatment-resistant depression13 where more conventional methods have failed. These might include the following:

Lifestyle Changes

Small changes to your daily habits can have a big impact on how you feel. Along with professional treatment, research also shows that simple lifestyle changes can provide relief from depression symptoms.14 These can help you sustain remission after rehab, and may include the following:

  • Regular movement and exercise
  • Sleep hygiene
  • Mood-supporting nutrition
  • Spending time outdoors
  • Cultivating social skills and relationships

An added benefit of residential treatment is that patients spend enough time in a recovery-focused setting to set a new cadence for their daily routines. Aftercare support specialists can also help to make sure you’re maintaining these changes when you return home.

In Times of Darkness, Professional Depression Treatment Offers Hope

There is no one-size-fits-all approach to treating depression. If you’re struggling with this disorder, the good news is that you have plenty of avenues to choose from. Your primary care physician, therapist, or personal support network can be a good starting point for identifying options and deciding which will serve you best.

If you’ve decided to get help for your depression, you’ve already made an important first step. To learn more about depression rehabs and see program information, reviews, facilities, and more, search our comprehensive list of depression treatment programs.

 

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Attending Rehab for Work-Related Burnout

Burnout can affect anyone. Even if you love your work, it’s possible to get overwhelmed. And ignoring your exhaustion may just exacerbate your symptoms. If you feel yourself hitting a wall, it’s important to remember that you’re not alone. This experience is widespread enough that there are many rehab programs designed to treat work-related burnout.

This condition isn’t permanent—or at least, it doesn’t have to be. Although burnout is a collection of mental health symptoms, it is not a long-term diagnosis, like depression or anxiety. Instead, it is the result of external circumstances, combined with unsustainable work habits. It is highly treatable, but it should not be ignored.

Understanding Job Burnout

According to the World Health Organization (WHO), “Burn-out is a syndrome conceptualized as resulting from chronic workplace stress1 that has not been successfully managed.” It is characterized by exhaustion, increased cynicism or mental distance from one’s job, and a sense of ineffectiveness or lack of accomplishment. These symptoms must specifically occur in the context of work, and not describe other areas of the client’s life.

Unfortunately, this condition is on the rise. In one study, 52% of respondents reported experiencing burnout2 in 2021, up from only 43% in 2020. This may be partly due to the stress of current events, although more research is needed. Whatever the root cause, it’s clear that high levels of stress have become pervasive in the culture of the workplace.

Even if you’re not personally going through burnout, the numbers indicate that most people work with those who are. By compensating for your colleagues’ exhaustion, you may be at risk of developing the same condition. This is especially important because of the social aspects of burnout.3 The three primary symptoms of this condition, as described above, place “the individual stress experience within a social context,” which may cause it to negatively impact your relationships.

Experts have identified 6 key domains of a person’s life that are related to burnout. Stress within these areas may represent a risk factor for developing symptoms.

Workload

“Overwork is a main cause of burnout.”4 If you can’t take time off, you may experience both mental and physical symptoms of exhaustion. These can include anxiety, a lack of focus, loss of sleep, and even physical pain. Insufficient rest can also increase levels of cortisol,5 the stress hormone, which may lead to additional health issues.

When you have too much to do, it can become difficult to prioritize and deprioritize various tasks. You might spend hours color-coding a spreadsheet, but be too tired to brush your teeth. This type of inattention can cause additional problems at work, if you simply don’t have the time or energy to complete important projects. Over time, these behavioral patterns can increase your workload even further, causing you to spiral into a state of exhaustion.

Control

Healthcare professionals often assess burnout using the Maslach Burnout Inventory, a tool that asks clients to rate their emotional experience of exhaustion, cynicism, and similar criteria. Christina Maslach, creator of this scale, explains that “control problems occur when workers have insufficient authority6 over their work or are unable to shape the work environment to be consistent with their values. A sense of efficacy is unlikely to occur when workers are feeling buffeted by circumstances or powerful people within the organization.”

At first glance, it may seem that this lack of control mostly affects employees, rather than high-level executives. But this dynamic is more complex than it appears. Workers at every level have a responsibility to various people, whether those people are employers, employees, shareholders, or clientele. No matter your position, certain circumstances may make you feel like your needs are less important than the company’s. If you find that you have irreconcilable differences, it may sound appealing to simply change jobs. If you’re in a position of power, however, it’s not always that simple.

the dawn rehab burnout treatment
The Dawn Rehab in Chiang Mai, Thailand treats burnout using a combination of evidence-based cognitive behavioural therapies and Eastern holistic wellness practices.

Reward

In the context of work, the idea of reward is often linked to income. If you’re making less than you’re worth, you may be at a greater risk for burnout. But that’s just one aspect of this issue.

It’s also possible for your work to be unrewarding in and of itself. Almost no amount of money can make up for a boss who constantly berates you. And that lack of recognition can go in both directions. Many top executives spend more time-solving problems than they do receiving praise. Even if this pattern is good for the company, it can wreak havoc on your mental health.

Community

Community is an extremely important part of individual mental health.7 According to one expert, groups that “provide individuals with a sense of meaning, purpose, and belonging…have positive psychological consequences.” Without a strong workplace community, you may be at a greater risk for burnout.

When an unsupportive culture is combined with an above-average workload, you may struggle to maintain meaningful relationships. If you don’t have time to socialize outside of work, you’ll depend on your colleagues for emotional connectivity. This pattern is unsustainable at best, and can be extremely harmful. If this is a primary contributor to your experience of burnout, you may want to consider a rehab program that can help you learn to build community.

Fairness

Even as children, human beings have an innate sense of fairness.8 In adults, of course, this matures into a more complex understanding of equality. At any age, we long to be treated well, receiving the compensation and recognition we feel we’ve earned.

Our perceived sense of fairness impacts our productivity,9 and perceived injustice can lead to burnout. Research suggests that when workers feel they are being treated unfairly, they are likely to take more sick time. This is often caused by objectively unfair treatment, such as racism or sexism. However, the perception of unfairness is equally important. If you believe that you’ve been unfairly passed over for a promotion—even if your employer has good reasons for choosing someone else—you may become more cynical about your work.

Values

When a worker’s values and goals don’t align with those of the company, it “may result in lower job satisfaction4 and negatively impact mental health,” writes Jennifer Moss, author of The Burnout Epidemic: The Rise of Chronic Stress and How We Can Fix It. This misalignment can sometimes be avoided through clear communication, especially at the time a person is hired. However, that’s not always possible. Both people and companies change over time. If you’re with a company long enough to go through major life transitions—such as getting married or becoming a parent—your needs may shift significantly.

In order to find a workplace that shares your priorities, you must first be able to articulate what you value. There’s no right or wrong answer to this question, but it’s important to be ruthlessly honest with yourself. For example, imagine you’re a person who highly values creative expression, and you’re working at a company focused on robust scientific research. While both of these are laudable pursuits, you might not be happy sitting at a desk and crunching numbers. No one is at fault. But it’s your responsibility to define your needs and look for ways to meet them.

Signs and Symptoms of Burnout

When your needs aren’t being met, you’re at a high risk of burning out. And if you’re used to prioritizing others’ needs over your own, it can be hard to notice this before it becomes a problem. Unfortunately, it’s quite common for people to ignore their exhaustion until it becomes unmanageable.

According to experts at The Dawn Rehab in Chiang Mai, Thailand, you can recognize burnout by watching for the following symptoms:

  • Mental and physical exhaustion
  • Pessimism
  • Loss of interest in your job
  • Interpersonal issues in the office
  • Relationship and intimacy issues
  • Irrational irritability
  • Decreased productivity

Many workers—and especially high achievers—feel the pressure to just power through these symptoms, no matter how debilitating they may be. As tempting as it is, that strategy just isn’t effective. Even if the only goal is to do your job well, remember that you will be more effective at work if you take care of your mental health first. And what’s more, you deserve the same care and attention that you offer your colleagues and your clients.

all points north lodge burnout treatment
All Points North Lodge in Vail Valley, Colorado uses cutting-edge therapeutic technologies like hyperbaric oxygen therapy (HBOT) and deep transcranial magnetic stimulation (dTMS) to treat burnout and other mental health conditions.

Attending Rehab for Burnout

Rehab isn’t just for substance use disorders. Many programs are specifically tailored to help clients heal from job burnout. In this type of treatment, you can expect to balance your time between relaxation and more traditional therapies.

Inpatient treatment isn’t a vacation. However, treating burnout is calming and rejuvenating. During this time, you’ll take a break from work, reassess your priorities, and develop more sustainable habits to use in the future. Your program may include a number of different components.

Talk Therapy

Talk therapy helps clients reconnect with themselves. You’ll work with a provider to define your personal values and find ways to honor them in your daily life. You may also work through cynicism or resentment, and develop skills to avoid unhealthy behavioral patterns.

As you get to know yourself again, you may also learn to differentiate between regular stress and the warning signs of burnout. If your work gets out of hand in the future, this knowledge can help you recognize warning signs as early as possible.

Mindfulness

Meditation, yoga, and other mindfulness practices help you stay in the present moment. With these skills, clients are better equipped to regulate their emotions. While stress is sometimes unavoidable, you can gain some amount of control over your own response to it.

Massage Therapy

Massage isn’t just rejuvenating; it can also help strengthen the connection between body and mind. By relieving physical tension, clients may also learn to let go of emotional stress. Different types of massage therapy may be more focused on relaxation or on relieving specific areas of pain. Either way, clients often find that this modality helps them work through both physical and emotional symptoms.

Therapeutic Technologies

Some facilities offer access to cutting-edge technologies known to relieve symptoms of burnout and exhaustion. At All Points North Lodge, for example, you may engage in hyperbaric oxygen therapy (HBOT), which is known to alleviate anxiety, depression, and a host of physical conditions. Your team of experts will help you decide whether this treatment is appropriate, given your unique health needs.

Personalized Recovery From Job Burnout

Burnout may cause you to feel emotionally disconnected, both from those around you and from your own needs. Because of this, treatment is often personalized for each specific client.

By choosing between a variety of therapies, you can reconnect with your own most deeply held needs, goals, and values. At its best, this process is both therapeutic and enjoyable. This is your opportunity to decide what it means for you, specifically, to live a healthy life.

To learn more, browse our list of rehab programs that treat work-related burnout.

Frequently Asked Questions About Rehab for Job Burnout

What are the signs of burnout?

Signs of burnout are often physical, behavioral, and emotional:

• Mental and physical exhaustion
• Decreased productivity 
• Irritability
• Loss of interest in your job
• Interpersonal issues at work 
• Relationship and intimacy issues

Can you go to rehab for burnout?

Yes, you can go to rehab for burnout. Treatment programs for workplace burnout often combine conventional therapies, like talk therapy, with relaxation techniques.

How do you treat burnout?

The first step is to pause work as you reassess priorities and develop more sustainable habits. Burnout treatment at rehab often includes talk therapy, mindfulness, therapeutic technologies, massage, and more.

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Why Choose Residential Rehab? 8 Benefits to Consider

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

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

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

1. On-Site Detox Opportunities

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

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

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

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

2. A Structured Schedule

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

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

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

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

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

3. A Helpful Change of Scenery

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

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

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

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

4. An Immersive, Sober Environment

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

5. An Understanding Peer Support Network

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

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

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

6. Personalized Care

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

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

7. Incorporated Complementary Therapies

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

Following are some examples of complementary therapies:

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

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

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

Complementary therapies are important for healing.

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

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

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

8. Aftercare Provisions

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

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

Exploring Your Options for Residential Rehab

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

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

Frequently Asked Questions About Residential Rehab

What are the benefits of residential rehab?

Residential rehab offers several benefits: 

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

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

What kind of treatment plans are offered in residential rehab?

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

How does residential rehab provide 24/7 support?

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