Healing Treatment-Resistant Depression With Psilocybin

Psilocybin is a chemical compound most often associated with “magic mushrooms.” Despite historical stigma, researchers have begun exploring its potential medical applications. This powerful medicine may be especially helpful for clients with treatment-resistant depression (TRD).

This can be an all-consuming diagnosis, and many clients struggle to find effective depression treatment. While some people benefit from tried-and-true medications, like SSRIs and mood stabilizers, these solutions don’t work for everyone. Fortunately, doctors and scientists are actively seeking new ways to treat these clients using experimental modalities. A few options, like ketamine therapy and transcranial magnetic stimulation (TMS),¹ are becoming increasingly popular. Psychedelics are also a promising option.

Psychedelic medicine is an increasingly popular treatment² for a variety of mental health conditions, including depression, anxiety, and PTSD. And a growing body of research supports the theory that psilocybin can be extremely effective in treating TRD.

What Is Psilocybin?

Psilocybin³ is classified as a psychedelic. Substances of this kind “interact with the serotonin receptors (5-HT/5-hydroxytryptamine receptors) and their subtypes densely located within the brain. These receptors mediate emotions and moods such as anxiety and aggression, cognition, sex, learning memory, appetite along with other biological, neurological and neuropsychiatric processes.” The same receptors are also targeted by many pharmaceuticals, including antipsychotics and antidepressants.

Because of its effect on serotonin, scientists are researching psilocybin as a possible treatment for depression, anxiety,⁴ and a number of other mental health concerns. However, it faces a great deal of social stigma, since it can also be used recreationally. And any recreational substance can be misused. Despite this concern, psychedelics are comparatively safe;⁵ according to 2013 statistics, LSD and psilocybin combined “accounted for just 0.005 percent of US emergency room visits.”

Psilocybin has not always been legal in the U.S., even for purely scientific purposes. But this is starting to change. As we learn more about its medical applications, it will likely become more accessible to interested clients. As of December, 2021, it has been decriminalized in Denver, Oakland, Santa Cruz, and Detroit. California may soon take this a step further. Senate Bill 519, if passed, would decriminalize psilocybin,⁶ MDMA, and other psychedelics in the entire state.

Some experts believe this trend will continue. According to one article, despite once being “dismissed as the dangerous dalliances of the counterculture, these drugs are gaining mainstream acceptance. Several states and cities in the United States are in the process of legalizing or decriminalizing psilocybin for therapeutic or recreational purposes.”⁷

Psilocybin is not considered to be addictive.⁸ On the contrary, it may even help people recover from substance use disorders. If you think this treatment may be right for you, make sure to use it under medical supervision. Despite its apparent safety, any substance has the potential to be harmful, or to cause relapse.

The Experience of Psilocybin

The word “psychedelic,”³ first used in 1956, comes from the Greek roots “psyche (i.e., the mind or soul) and delos (i.e., to show).” This class of substances can cause visions that reveal a person’s deepest emotional experiences. Using them offers many clients valuable insight into their own mental health.

When taken in larger doses, psilocybin induces a psychedelic “trip,” in which users spend several hours going through an emotional or even spiritual journey. It’s important to undertake this type of experience in a safe and welcoming environment. Research suggests that psilocybin may be especially effective in a natural setting,⁹ where clients can spend time communing with the great outdoors.

It’s also possible to take psilocybin in smaller amounts, or microdoses. Research has “identified positive associations between microdosing and mental health,¹⁰ and…associations between microdosing and reduced severity of symptoms of depression, anxiety and stress among adults with reported mental health concerns.” These experiences can be more accessible, because they are shorter and/or less intense than larger doses. This is a good option for clients who want to improve their mental well-being, but don’t have the emotional capacity to spend several hours experiencing visions.

Mental Health Benefits of Psilocybin

Psychedelics in general, and psilocybin in particular, have a number of known mental health benefits. In one study, “the people who received psilocybin reported significantly more improvements in their general feelings and behavior¹¹ than did the members of the control group. The findings were repeated in another follow-up survey, taken 14 months after the experiment.”

Specifically, research suggests that this medicine may alleviate symptoms of depression,¹² suicidality, anxiety, obsessive compulsive disorder, and several types of substance misuse. Subjects have shown “increased ratings of positive attitudes, mood, social effects, and behavior,” even up to 14 months after receiving psilocybin.

For clients with treatment-resistant depression, this is a comparatively safe and low-impact treatment, especially because the controlled use of psilocybin can have such long-term effects. Unlike most medications—like SSRIs—it doesn’t need to be taken daily in order to be effective. This may also make it more accessible to clients who can’t easily afford a regular prescription.

What’s more, psilocybin may be just as effective as these more common treatments. More and more research supports this idea. One study “suggested that psilocybin might work as well as the common antidepressant¹³ escitalopram (Lexapro) at relieving moderate to severe depression.” Another found that microdoses of psilocybin may cause long-term changes to brain activity,¹⁴ causing “increased responses in reward-learning, attention, and decision-making circuits.”

Clients with TRD may also see benefits from this treatment that go beyond relieving their symptoms. For example, experts believe that psilocybin “increases cognitive and neural flexibility in patients with major depressive disorder.”¹⁵

Although the data is extremely promising, it’s important to remember that this is a relatively new field of study. Psilocybin is considered to be one of the safer substances available, but it is not entirely without risk.

Potential Risks of Psilocybin

This treatment has some well-known side effects. “About 90% of patients” in one clinical trial “experienced mild to moderate side effects from the psilocybin,¹⁶ including nausea, insomnia, fatigue and headache. These symptoms dissipated quickly.” It is most strongly associated with brief gastrointestinal issues. Clients usually experience these symptoms shortly after ingesting psilocybin, and find relief long before the substance wears off.

For certain clients, however, the treatment may cause more dangerous adverse effects. Because psilocybin raises blood pressure,¹⁷ “people with uncontrolled hypertension are advised to abstain.” Make sure you talk to your doctor before seeking this treatment, especially if you have a personal or family history of heart problems.

The associated psychological risks may be an even greater concern, especially for clients with certain mental health diagnoses. For example, those with “psychotic disorders such as schizophrenia (or a strong predisposition for them) are generally advised against taking the hallucinogen,” as it may have unpredictable effects, and can even worsen their condition.

And although psilocybin can be extremely helpful for treatment-resistant depression, it is absolutely imperative that these clients use it under medical supervision. This is because, in the wrong dosage, it may cause suicidality. In one clinical trial,¹³ some participants with TRD “experienced a ‘serious adverse event,’ such as suicidal behavior, intentional self-injury or suicidal ideation.” This may have been due to an incorrect dosage or inadequate medical supervision, either during or after the experience. Whatever the reason, this data illustrates that there is still much to learn about this treatment. If you decide to try it, a private rehab center that offers psilocybin treatment will ensure you do so under the supervision of an experienced clinical team and a clear plan for aftercare.

Unlike most, or possibly all, other pharmaceutical treatments, psychedelics are strongly influenced by the client’s intention. “Positive expectancy”¹⁸—or, the expectation that the treatment will help—has been shown to have an impact on psilocybin’s effectiveness. If you go into an experience with acute anxiety, trepidation, or a belief that it will go poorly, you’ll probably be proven right. On the other hand, if you’re in a positive or hopeful state, you may experience much greater benefits. It’s important to plan these experiences carefully, but also stay mindful of your own feelings in the moment as you approach treatment. If you’ve planned extremely well, and then you feel poorly when the day arrives, it’s best to postpone if at all possible.

Is Psilocybin Right for You?

Psilocybin, even more than other treatments, is an extremely personal experience. Not everyone is emotionally prepared to dive that deeply into their own subconscious. And even if it feels right for you, it may not be appropriate on any given day. The act of planning this treatment can be a powerful exercise in mindfulness, even before the substance is administered.

Under the right circumstances, though, clients find psilocybin to be immensely positive. And as we amass more data, doctors will likely find ways to make it even safer. If you decide to try this treatment, understand that there is still much to learn. In this early stage of research, it should absolutely not be your only form of treatment for any diagnosis. But with the right setting, dosage, and therapeutic team, it may be extremely helpful.

Discover Rehabs That Treat Depression

Latest studies show that psilocybin is a promising treatment for depression, however this form of therapy isn’t widely available yet. At the same time, there are several other forms of therapies and treatment programs for depression out there. To learn more about your options, browse our collection of rehabs that specialize in depression treatment.

Frequently Asked Questions About Treating Depression With Psilocybin

What is psilocybin and how does it work in depression treatment?

Psilocybin is a naturally occurring psychedelic compound found in certain mushrooms. It interacts with serotonin receptors and their subtypes in the brain, leading to altered states of consciousness. Because of its impact on serotonin, it has potential therapeutic effects in depression and anxiety treatment.

What are the potential benefits of psilocybin in treating depression?

Psilocybin-assisted therapy has shown promise in improving mood, reducing depressive symptoms, increasing emotional openness, and promoting long-term positive changes in individuals with treatment-resistant depression.

Is psilocybin treatment for depression safe and legal?

Psilocybin is a Schedule I controlled substance in many countries, but it is being researched for therapeutic purposes. Psilocybin-assisted therapy is conducted in a controlled and supervised setting to ensure safety. Ongoing studies aim to assess its efficacy and safety profiles.

December 16, 2021November 13, 2024

Finding Treatment for Bipolar Disorder

Bipolar disorder is a serious diagnosis. Without proper treatment, it can be extremely destabilizing—both for the person who has the condition, and for those around them. If you have this diagnosis, it’s vital to get the care you need. For some clients, inpatient rehab is a helpful place to start.

About 2.8% of the population has been diagnosed with bipolar disorder¹ (once called manic-depressive disorder). And 83% of those cases are classified as severe. However, these numbers do not account for cases that go undiagnosed. It’s also frequently misdiagnosed as schizophrenia or borderline personality disorder (BPD). Without a proper understanding of your condition, it’s unlikely for clients to get appropriate treatment for their mental health.

If you think this diagnosis may fit your experience, it’s important to learn more about it. Make sure you talk to a mental health professional before you pursue a particular plan of care.

Understanding Bipolar Disorder

This condition is characterized by “intense emotional states that typically occur during distinct periods of days to weeks, called mood episodes,”² according to the American Psychiatric Association. “These mood episodes are categorized as manic/hypomanic (abnormally happy or irritable mood) or depressive (sad mood). People with bipolar disorder generally have periods of neutral mood as well.”

While its exact etiology is unknown, experts believe this condition can be caused by a combination of factors. You may have a genetic predisposition to bipolar disorder,³ even if previous generations of your family were never diagnosed. It may also be related to a neurochemical imbalance. Some experts believe it can be caused or exacerbated by adverse life experiences.

The term “bipolar” may lead casual observers to believe that the associated mood swings are simple. That’s far from the truth. Mania⁴ isn’t just happiness; it can include sleeplessness, anxiety, irritability, and disproportionate anger. It can also cause impulsivity, which may lead to excessive spending, promiscuity, or substance misuse. Similarly, depressive episodes aren’t simply bouts of sadness. Symptoms mimic those of major depression, and may include fatigue, oversleeping, trouble concentrating, over- or undereating, and suicidal ideation, in addition to sadness.

Clients with bipolar disorder are also prone to a third emotional state, called hypomania. Hypomania is often characterized as a less severe version of classic mania. Clients still present with energy, impulsivity, and other signs of mania; however, their symptoms are less overwhelming. And unlike mania, “hypomania⁵ does not cause a major deficit in social or occupational functioning.” By definition, it lasts for at least four days, whereas mania lasts for at least a week.

Based on the frequency and severity of the client’s mania, hypomania, and depression, bipolar disorder may be classified in one of three ways.

Bipolar Disorder I

According to experts at Creative Care Calabasas, “bipolar I is the most severe form of the mental health condition.” To qualify for this diagnosis, clients must experience mania for at least one week. Their behavior “must represent a change from the person’s usual behavior and be clear to friends and family. Symptoms must be severe enough to cause dysfunction in work, family, or social activities and responsibilities.” Clients with this type of bipolar disorder also experience depressive episodes that may last for weeks at a time. In severe cases, hospitalization can be necessary.

Bipolar Disorder II

Bipolar II is more often associated with depressive episodes. Clients with this condition experience similar swings, but their mania is both less severe and less frequent. Some experience depressive episodes interspersed with hypomanic episodes, without ever showing symptoms of mania.

Cyclothymic Disorder

Clients with cyclothymic disorder also cycle between depression and hypomania. This condition includes less severe symptoms than other forms of bipolar. It can also take much longer to get an accurate diagnosis. Clients must experience mood swings for at least two years, without ever meeting the exact criteria for bipolar I or bipolar II.

Living With Bipolar Disorder

It’s important to remember that bipolar disorder is a medical diagnosis, and not a reflection of a person’s character. Like any other diagnosis—from diabetes to depression—it can have a huge impact on the rest of your life. Conversely, the events of your life may make your symptoms more or less severe. Clients may have difficulty navigating regular activities as a result of this condition.

Important Life Events

Trauma is linked to the development of many psychiatric conditions, including depression, anxiety, and a number of mood disorders. Bipolar is no exception. Experts agree that “childhood trauma⁶ in all its subcomponents appears to be highly associated” with this condition.

And after developing bipolar disorder, various life events may bring on severe mood swings. Both traumatic events and extremely positive experiences may be risk factors.⁷ Research has found that “bipolar patients are highly sensitive to reward, and excessive goal pursuit after goal-attainment events may be one pathway to mania. Negative life events predict depressive symptoms, as do levels of familial expressed emotion.”

Career

When even positive events can trigger your symptoms, it may be difficult to maintain an upward trajectory. For that reason, bipolar disorder interferes with some clients’ ability to work.

One study found that “Occupational disability is one of the most problematic impairments for individuals with bipolar disorder due to high rates of unemployment and work impairments. Current evidence indicates that social stressors at work⁸—such as social isolation, conflict with others, and stigmas—are common experiences for employed individuals with bipolar disorder.”

These social stressors can make or break a clients’ success in the workplace. And for people with bipolar, even more than for other clients, social support is hugely impactful throughout the healing process.

Community Building

Strong relationships are uniquely important for people with this condition. Data suggests that social support⁹ may be directly linked to the severity and frequency of clients’ symptoms.

Some rehab programs have a unique focus on the social aspect of healing. Gould Farm, for instance, is a therapeutic community that treats clients with bipolar disorder. Residents receive clinical care from a team of healthcare providers, and also participate in community efforts. This treatment model is designed to help clients “learn new skills, and others re-discover their strengths, building confidence and self-esteem.”

According to experts, “empathy and understanding from another person can make it easier to cope with bipolar disorder.¹⁰ Social interaction can also provide opportunities to challenge negative ruminative thoughts and prevent the onset of a major mood episode.” A loss of social support, on the other hand, can trigger either mania or depression.

When your diagnosis has such a great impact on so many aspects of life, it can be hard to disentangle your symptoms from your healthy emotional reactions. And remember, not all healthy reactions are positive. For example, it’s perfectly healthy to experience anxiety if you have to switch jobs. Clients with bipolar disorder may struggle to stay present with that anxiety, instead of tipping into a manic episode. This difficulty can lead to unhealthy coping mechanisms, such as substance misuse.

Bipolar and Substance Use Disorders

There is a high prevalence of substance use disorders among people with bipolar disorder.¹¹ This may be an attempt to self-medicate by regulating unstable moods, and/or response to symptomatic impulsivity.¹²

Also, experts believe there may be “a shared neurobiology between bipolar disorder and addictions.”¹³ If this is true, it would mean that people with a diagnosis of bipolar are neurologically predisposed to substance use disorders. Much more research is needed on this subject, however.

Because bipolar disorder may be related to neurochemical imbalances,¹⁴ substance use of any kind may have a direct impact on your symptoms. That’s true of both substance misuse and appropriate use of prescription medications. For this reason, it’s absolutely vital for clients to receive care from clinicians who have experience with this diagnosis.

If you have both bipolar disorder and a substance use disorder, you may benefit from rehab for co-occurring disorders. These programs address each client as a whole person, rather than treating each symptom individually. And, they may have a higher success rate. According to the experts at Skyland Trail, “research indicates that people who address multiple psychiatric diagnoses simultaneously experience better long-term outcomes than those who try to address each diagnosis separately.”

Healing From Bipolar Disorder

Bipolar disorder is a chronic condition. Once you receive this diagnosis, it will probably continue to apply for the rest of your life. That being said, bipolar can absolutely go into remission, and some clients go for long periods of time between manic, hypomanic, or depressive episodes. With appropriate care and management, you can significantly improve your quality of life.

While there are a number of ways to treat bipolar disorder, most clients benefit from a combination of therapy and medication.¹⁵ During treatment, you’ll work closely with your providers to decide which options are best for you. Certain modalities have been found to be extremely effective.

Psychotherapy

Talk therapy is a powerful way to begin healing from almost any mental health diagnosis. With this approach, you’ll develop a one-on-one relationship with a provider. Therapy sessions will take place more often during inpatient treatment—sometimes even daily. Outside of rehab, it’s quite common for clients to meet with their therapists once a week. However, your specific clinician may suggest you see each other either more or less often.

This modality allows clients to work through difficult feelings in a safe context. Therapy can work as a release valve, in which you can express extreme feelings without jeopardizing other relationships. It’s your therapist’s job to hold space for you, no matter what you think or how you feel. You can safely and ethically set aside any concern that they’ll judge you negatively for having mood swings.

Research has demonstrated that therapy is extremely important for people with this condition. Experts write that “psychotherapy, when added to medication for the treatment of bipolar disorder, consistently shows advantages over medication alone as a treatment for bipolar disorder.¹⁶ There are many different types of psychotherapy. If you attend an inpatient program, the team at your facility will help you choose which modality best suits your needs.

Cognitive Behavioral Therapy

Cognitive behavioral therapy (CBT) teaches clients how to change their own thought patterns using practical, repeatable strategies. For example, you might learn to recognize when your own thoughts are distorted or divorced from reality. In those moments, CBT skills can help you ground yourself in the present moment, and respond from a calmer place.

Data suggests that this type of therapy is especially helpful for clients with certain conditions. Specifically, it “has a positive impact on patients with bipolar disorder¹⁷ in terms of reducing depression levels, improving mania severity, decreasing relapse rates and increasing psychosocial functioning.”

Psychiatry and Medication

Medication can be hugely beneficial for people with this diagnosis. Specifically, psychiatrists often prescribe lithium, lamotrigine, or antidepressants such as Prozac. Because bipolar disorder is thought to be a neurochemical imbalance, these treatments may be necessary even if talk therapy proves helpful.

However, it’s also important to consider the relationship between bipolar and substance use disorders. Even with a prescription in hand, some clients may be tempted to fall back into unhealthy patterns. In order to avoid this, it’s absolutely vital that you stay in close communication with your mental health team about your medication use. For some clients, having access to a prescription of any kind may be a trigger. If that’s the case for you, be sure to ask your therapist about substance-free alternatives.

Finding Balance With Bipolar Disorder

With extreme emotions, introspection can be difficult. Some clients with bipolar disorder struggle to find clarity, or even to ask for help. If these symptoms resonate with your experience, know that you have the right to reach out. It’s important to get the care you need.

Because bipolar disorder touches on so many aspects of life, it can be difficult to imagine what healing would look like. Remember that, no matter how severe your symptoms may be, no emotion lasts forever. You can and will feel differently. And, with the right support, you can even feel consistently better. It is absolutely possible for clients with bipolar to live rich and meaningful lives.

To learn more about inpatient treatment for this condition, you can browse our list of rehabs specializing in bipolar disorder.

Frequently Asked Questions About Rehab for Bipolar Disorder

What are the common treatment options for bipolar disorder?

Treatment for bipolar disorder often includes a combination of medication, psychotherapy, and lifestyle adjustments. Medications like mood stabilizers are commonly prescribed, and therapies such as cognitive-behavioral therapy (CBT) and family therapy help with managing symptoms and improving overall well-being. Some people start treatment at an inpatient rehab.

How long does rehab for bipolar disorder typically last?

The duration of treatment for bipolar disorder varies depending on individual needs and response to interventions. It typically involves long-term management to stabilize mood and prevent relapse. Treatment may span several months to years, with regular follow-up appointments and adjustments to the treatment plan as necessary.

Can therapy alone be effective in treating bipolar disorder?

While therapy alone may not be sufficient for managing bipolar disorder, it plays a crucial role in the overall treatment plan. Therapy, such as cognitive behavioral therapy, helps individuals develop coping skills, improve self-awareness, and enhance relationships. Combined with medication and other interventions, therapy contributes to a comprehensive approach for bipolar disorder treatment.

November 12, 2021February 12, 2025

Finding the Right Rehab for Your Teen or Young Adult

Anyone can struggle with substance use. Whatever your age, gender, job, or relationship status, you deserve to get the care you need. However, it can sometimes be hard to know what interventions would be most helpful. This is especially true for teens with substance use disorders.

Substance use during adolescence may have long-term effects on brain chemistry.¹ For example, “cocaine exposure during adolescence may lead to miswiring in the developing brain and result in long-lasting behavioral problems, such as increased risk-taking, in adulthood.” Because of this, it’s especially important to get teens the help they need in order to begin recovery.

Young people may not always be able to recognize that they need help. And even when they do, they may not be legally or financially capable of seeking that help on their own. Whether you’re a teen or an adult caring for a teen with substance use disorder, the good news is that (specialized) treatment is widely available. Many rehabs offer programs created specifically for younger clients.

If you’re considering rehab for your teen, it’s important to understand the different options available. Depending on the client’s age and geographical location, there may be certain types of treatment that are more appropriate. This decision will also be influenced by your teen’s unique history, diagnoses, and treatment goals.

Reasons for Teen Substance Use

Research suggests that “the human brain is still maturing during the adolescent years.² The developing brain may help explain why adolescents sometimes make decisions that are risky and can lead to safety or health concerns, including unique vulnerabilities to drug abuse.”

Beyond the simple fact of their age, there are many elements that impact a young person’s likelihood to misuse substances. Among them are risk factors, which make substance use more likely, and protective factors, which guard against these behaviors.

These external influences change with a person’s age. While that’s true for all clients, these changes occur more drastically in children, adolescents, and young adults. For example, middle school students who are too harshly disciplined are at greater risk for substance use disorders. Receiving support from extended family, on the other hand, makes substance abuse less likely in this population. Slightly older adolescents are at greater risk for substance misuse³ when they lack adult supervision, and at lower risk when family members set clear expectations.

Also, teens are experiencing heightened stress⁴ in this turbulent era of history. According to one study, even teens who had not experienced early life stress—such as neglect or abuse—were prone to “increases in anxiety and depression symptoms” during 2020. In this context, young people may be at a greater risk of developing mental health conditions than they once were.

It’s impossible to guard against every single circumstance that increases the risk of teen substance misuse. However, it can be helpful to familiarize yourself with some of the most prevalent risk factors. Whether or not you’re able to protect yourself or your teen from these stressors, knowing what they are may empower you to get help when it’s needed.

Parental Substance Use

If an adolescent is close to an adult who has a substance use disorder,⁵ they may be at a higher risk for developing one themselves. For some young people, this is simply a way of enacting the same behavior they’ve seen modeled. Others may use substances in order to cope with the stress of an unstable home life.

Strained familial relationships, financial insecurity, and similar issues can be hugely impactful. However, instability refers to more than these external circumstances. These teens may also have genetic predispositions to substance use disorders, as well as other mental health diagnoses.

Co-Occurring Disorders

Certain mental health concerns, such as depression and ADHD,⁶ make teens and young adults more likely to misuse substances. In some cases, this is an attempt to self-medicate. However, it’s not always that simple.

For teens with multiple diagnoses, the root cause of substance use can easily become a question of the chicken or the egg. As their brain chemistry continues to change, due to either normal development or unhealthy habits, they may begin to develop co-occurring disorders that make substance use even more appealing.

Whatever the cause of this behavior, few teens have the resources to pull out of this cycle without external interventions. In some cases, inpatient treatment is the most effective way to begin recovery.

Choosing a Rehab for a Young Adult

If you’re a parent or guardian supporting a struggling teenager, it can be difficult to know what’s best for them. And even if you’re confident that they should go to rehab, you may or may not be legally allowed to make that decision on their behalf

In some U.S. states, a parent can unilaterally decide to send a teen to rehab. In other areas, minors’ consent is also required. This varies widely based on the client’s exact age and geographical location. It’s best to learn what your family’s options are before making any specific plans regarding residential treatment.

The client’s age will also help determine which treatment program is best for them. For example, while it may seem that children and younger teens are more likely to grow out of a difficult phase, they may actually be in greater need of interventions. According to one study, “people are most likely to begin abusing drugs during adolescence,⁷ and the longer adolescents defer experimentation, the less likely they are to develop long-term drug abuse problems.”

Many rehabs often treat a wide variety of mental health concerns, not limited to substance use disorders. Teens and young adults may also benefit from rehab if they’re struggling with eating disorders, personality disorders, or even PTSD. Each of these diagnoses requires a slightly different approach to treatment, possibly including different levels of family involvement.

Some teens are able to live at home during treatment, receiving in-person support from family and friends while they begin recovery. Others may benefit from traveling to rehab. This gives clients both physical and emotional space from the challenges of daily life. It can also teach young people to set boundaries with those who enable their substance use. While this change of scenery may seem drastic, it has the potential to be extremely helpful. Remember that there is no one right way to heal; just the right way for each individual person.

Types of Teen Rehab Programs

If and when you’re ready to choose a rehab center, it’s best to learn as much as possible about the available options. Various programs specialize in treating different conditions, and each takes a unique approach to the process of healing. Because of this, it’s best to choose a facility that is qualified to meet your teen’s unique needs.

Substance Use and Eating Disorders

Eating disorders are extremely common among adolescents. As of 2018, as many as 10% of young women suffered from an eating disorder.⁸ What’s more, a growing body of research links eating disorders with addiction.⁹ One theory even suggests that anorexia nervosa is in fact “an addiction to the body’s endogenous opioids.” A number of rehabs focus on helping clients with one or both of these diagnoses.

Gender-Specific Treatment

For some clients, having space from people of different genders can feel like a much-needed break. This gender-specific approach to recovery may be especially helpful for adolescents. Studies show that young men and women exhibit “unique patterns of substance use,”¹⁰ and may therefore benefit from distinct approaches to treatment.

Some rehabs focus on treating young women. The program at Foothills at Red Oak Recovery, on the other hand, is tailored to meet the needs of young men, as well as non-binary and gender non-conforming teens. Although it is an LGBTQ+-affirming rehab, it is probably not the right fit for cis women.

In this protected environment, clients are invited to explore their developing identities. According to staff, “Adolescence is a time of self-discovery and identity formation…If one successfully navigates the tasks during this stage of life, one emerges with a solid sense of identity. This is a sense of knowing oneself despite the chaos and pressures of the world around them and is paramount to making healthy, value-based decisions.”

Experiential Therapy

Experiential therapy can be hugely beneficial for people of all ages. In this group of modalities, you may go skiing, river rafting, or rock climbing. Some rehabs even take their clients on adventure outings, where they might hike the lip of a volcano or swim with the dolphins.

These experiences aren’t just fun excursions; they’re also ways to practice the skills learned in talk therapy in a different context. They can also encourage clients to develop new hobbies, and help to restore the connection between mind and body. The latter is especially important for teens in recovery.

By surfing, horseback riding, or just playing sports, young people can get back in touch with their bodies and learn how it feels to be physically healthy. Experts theorize that this has a lasting impact on their continued sobriety and health. According to one study, “continued physical health for rehabilitated adolescent drug addicts is crucial…since it could enhance the effectiveness of rehabilitation.”¹¹

With this in mind, some adolescent rehab programs have a special focus on physical activity. Pacific Quest, for example, is a wilderness therapy program located on Hawaii’s Big Island. Here, clients participate in outdoor programming which may include hiking, paddle boarding, swimming, sailing, and more. Participants also perform community service during their time in residence. Through this process, they are encouraged to learn how to engage with nature, their communities, and themselves in a healthy way.

Personalized Treatment

There are numerous ways to approach recovery. Although many teens benefit from highly structured rehab programs, others may require a more nuanced approach. For these clients, personalized treatment may be the best option.

Pacific Teen Treatment, for example, treats only six clients at a time. Each teen is assigned a primary, secondary, and family therapist. Their team of providers works together to carry out a highly individualized plan of care. This approach may not be appropriate for all clients—especially those who want to focus on improving their interpersonal dynamics within a larger cohort. But it can be extremely effective for families who are committed to healing their relationships with one another.

Family Therapy

Adolescent substance misuse impacts family dynamics.¹² According to one group of experts, “every chemically dependent person has a significant impact on the lives of several other people.” Because of this, it’s important for the parents, siblings, and other relatives of these clients to engage in their own healing processes.

In many cases, family therapy is a productive way to approach this. Most adolescent rehab programs offer some version of family therapy. This may include in-person sessions, video chats, or regularly scheduled phone calls.

A peek inside the calming environment at Pacific Teen Treatment in Malibu, California, where family therapy is a key area of focus.

Some facilities may limit clients’ communication with people outside of their cohort. Often, these programs restrict cell phone use during rehab. Others may prohibit calls or visits at the beginning of the program, but encourage this type of contact after some time has passed. Every rehab has its own unique guidelines, and those guidelines may vary from one client to another.

Therapy isn’t easy. This process may bring up traumatic memories and shine a light on difficult family dynamics. Even so, it is often an essential component of helping a teen recover from substance misuse.

Growing Beyond Substance Use

Substance use disorders are serious conditions. At any age, and especially for teenagers, this behavior should not be dismissed as “just a phase.” That being said, it can be temporary. It’s always possible to heal and grow beyond unhealthy habits.

A person’s adolescent years are powerfully creative. Over time, teens will inevitably learn more about themselves, defining their identities and discovering their own needs, goals, and values. It’s extremely important to connect these clients with the help they need and deserve. It’s also important to trust the process.

To see reviews, virtually tour facilities, and more, see our curated list of adolescent rehab programs.

Frequently Asked Questions About Rehab Programs for Teens

Why are teen rehabs important for addressing substance abuse and mental health in adolescents?

Teen rehabs play a crucial role in providing specialized treatment for adolescents who face substance abuse and mental health issues. Through therapy, education, and support, these programs help teens and young adults overcome challenges and develop skills for long-term recovery.

What treatment approaches are used in teen rehabs?

Teen rehabs use a variety of treatment approaches:

• evidence-based treatment, such as cognitive-behavioral therapy (CBT);
• individual and group counseling;
• experiential therapies, like adventure outings;
• family therapy;
• and more.

These approaches aim to address the unique needs of teenagers and support their physical, emotional, and psychological well-being.

How long do teens typically stay in rehab?

The duration of teen rehab programs vary depending on the severity of the issue, individual needs, and treatment plans. Most programs range from 30 to 90 days, while others extend for longer. The focus is to provide comprehensive support and equip teens with the tools for sustainable recovery.

August 1, 2021April 23, 2024

Finding Help for Treatment-Resistant Depression

Treatment-resistant depression (TRD) has the same symptoms as depression, but with a more complex recovery process. Because of its effect on energy levels, depression can interfere with your capacity to seek help. This makes TRD especially daunting for many people. It takes a great deal of determination to try new treatments, with the knowledge that just finding the right modality may take some time. As difficult as this is, it’s important to stay focused on the goal of getting well.

Whatever treatment you’re currently trying, you can always continue to learn about this condition. Knowledge is power. The more you know about treatment-resistant depression, the better equipped you’ll be to manage your symptoms and get the depression help you need.

Lifestyle Changes and Behavioral Health Treatments for TRD

Treatment-resistant depression¹ is defined as depression with symptoms that are not alleviated after trying two or more treatment options (medications) for at least six weeks each. Despite the myriad medical and behavioral options for treating depression, many people still struggle to find an effective treatment. One-third of people with major depression have TRD.²

If you think you may have treatment-resistant depression, you’re likely already familiar with the symptoms of major depression.³ While these criteria are well understood, research is beginning to explore some of their underlying causes.

Most people understand depression to be related to chemical factors in the brain. There are a number of environmental factors that may contribute to depression⁴—and it’s not just physical health. Depression has recently been associated with more frequent use of screens (cell phones, computers, etc.), and a lack of access to green space. High levels of air and noise pollution may also exacerbate symptoms. On the other hand, activities that guard against depression include confiding in other people, being part of a sports club or gym, and strangely enough, eating cereal.

These protective factors paint a clear picture: eating cereal with friends at the gym might be a valid treatment for treatment-resistant depression. In all seriousness, though, most of the activities that diminish the chances of depression include social support. That support doesn’t have to come from friends; it can also come from a one-on-one therapist, a psychiatrist, or a support group. The simple act of reaching out for help can have an immensely positive impact on TRD.

tabula rasa depression rehab — Tabula Rasa Retreat in the Alentejo Region of Portugal uses ibogaine therapy to induce a profound psychedelic state that many clients find helps them to make breakthroughs in healing their depression.

Alternative Therapies for Treatment-Resistant Depression

Holistic and alternative modalities are an increasingly popular way to treat mental health conditions. People with treatment-resistant depression might be particularly interested in these types of therapy. If traditional interventions—like SSRIs, talk therapy, and exercise—haven’t worked, you may be ready to try a radically different strategy.

Many of these depression treatments , like psychedelic-assisted therapies,⁵ are just starting to gain traction. However, they are not new. This class of medications was studied extensively from 1943-1970. The political shift of the 1970’s pushed researchers away from the subject, but now, public perception of psychedelics is starting to change. More effective treatments for TRD are very likely on the horizon.

In this new era, the stigma once associated with alternative therapy is dissipating. It’s an exciting time for anyone who wants to find new ways of treating mental health. That’s true for both clinicians and people dealing with their own diagnoses. Living with treatment-resistant depression might not be straightforward, but the number of safe and readily available treatments is steadily growing.

Ketamine Therapy for Depression

Ketamine is a psychedelic dissociative that can be helpful in treating depression,⁶ including TRD, and PTSD. It is administered in a supervised setting, rather than being prescribed for daily use. Ketamine IV treatments may be conducted individually or with small groups, and are always closely monitored by a medical team.

Ketamine therapy is intended to give you space to step back from your emotional experience, and to process your feelings from a more objective point of view. This perspective can be especially helpful in treating depression; simply taking space from your feelings can result in the immediate relief of some symptoms. Clients enter a trance state, during which they gain greater insight into their lives, often returning to full consciousness with renewed energy and a clear sense of how to move forward. The pharmaceutical aspect of ketamine therapy is often, but not always, combined with talk therapy either before or after the treatment itself. This invites clients to process the experience and set intentions for the future.

Ibogaine Treatment for Depression and Addiction

Ibogaine is a psychedelic that can be used to treat depression and addiction. According to MAPS, it is “a psychoactive alkaloid naturally occurring in the West African shrub iboga. While ibogaine is a mild stimulant in small doses, in larger doses it induces a profound psychedelic state. Historically, it has been used in healing ceremonies and initiations by members of the Bwiti religion in various parts of West Africa.” Modern-day clinicians are finding that clients with treatment-resistant depression also benefit from ibogaine therapy.⁷

Like ketamine, ibogaine is administered in a protected, controlled environment. Although more research is needed into this form of therapy, ibogaine shows promising results in observational studies.⁸ Thanks to these positive outcomes, this treatment is becoming more readily available in a number of settings, including rehab facilities.

For many clients, ibogaine therapy is a transcendent, even spiritual experience. By revisiting past experiences, they are able to reconnect with their higher selves. Álvaro de Ferranti, Founder of Tabula Rasa, explains that this treatment “heals the pain by helping the user deal with deep-seated traumas and emotional baggage. It helps them open themselves up to new possibilities, to let self-love back in, and to simply allow them to get back to self again.”

mountain springs recovery — Mountain Springs Recovery in Monument, Colorado treats depression using an evidence-based approach.

Combined Approaches to TRD Treatment

Pharmaceutical methods are just one way of treating resistant depression.⁹ Evidence supports the theory that a combined approach, including multiple modalities at once, is the most effective way to affect change. In order to achieve this, you may need to assemble a team of healthcare providers with different specialties.

Treatment-resistant depression is a mental health condition, but it can also impact your physical health, your relationships, and every other area of your life. Because of this, you can likely benefit from working with not just a psychiatrist and talk therapist, but also a personal trainer, massage therapist, or even an acupuncturist. If you want to kickstart the healing process with intensive treatment, you may want to consider inpatient treatment, or an IOP. As you try various modalities, remember that there’s no one right or simple answer. You might need to experiment with a few different combinations before finding what works best for you.

How to Know When to Try a New Treatment

When you begin treating any condition, whether it’s mental or physical, it’s important to track your symptoms carefully. For TRD, you can do this by journaling, using a mood tracker, or even making a spreadsheet to track how different behaviors affect your emotional state. Working with healthcare providers can also be extremely helpful in this process. A therapist will be able to refer to their notes, and provide objective insight into your progress over time.

If you decide to try pharmaceutical treatment for treatment-resistant depression,¹⁰ it’s absolutely essential that you follow your prescriber’s directions. Brain chemistry changes slowly, and it can be hard to know whether a new medication is working unless you give it adequate time to take effect. Research suggests that it takes at least 4 to 6 weeks on a new treatment before you start seeing results. That being said, everyone’s brain chemistry is different, and your experience may be different from this. Make sure to work closely with your provider to manage any side effects, and get their advice before stopping a medication.

When you’re working with an expert in any field, whether they’re a therapist or an interior decorator, it can take time to find the right person for you. If you’ve been seeing a therapist for some time without noticeable results, don’t be afraid to look for a new provider. That being said, don’t jump ship just because it doesn’t feel good. The work of therapy may not be easy or fun; the question is whether it’s helping you make positive, sustainable changes in the rest of your life.

Because depression often has environmental causes, it can also be helpful to see how your mood changes based on external factors. For example, do you feel worse in rainy weather, or when you don’t have time to see friends? In some cases, you can make behavioral changes to manage these symptoms, such as investing in a sun lamp or rearranging your schedule. However, you’re unlikely to stop encountering common triggers. If these external circumstances have less of an effect on your mood as you continue treatment, it’s a sign that you’re on the right track.

As Rowland Tweedie, Health and Fitness Manager of Paracelsus Recovery, sees it, “People are 360 degrees. All of us, we’ve got many aspects of our life: our health, our mental state, our physical state.” While the road to recovery may not be simple or straightforward, this process will undoubtedly teach you a great deal about yourself.

Healing From TRD is an Opportunity

As painful as treatment-resistant depression can be, it can also be an opportunity. If you’re able to cultivate an attitude of curiosity about yourself and your healing journey, the process may be far less arduous.

When you try several different types of therapy, you’ll learn about yourself from every angle. People are complex, powerful, and multifaceted. That includes you. As you get to know yourself better, you may find that recovery is a creative act. For people with TRD, it means more than finding the right pill. Instead, this is the process of building a better and more fulfilling life.

To learn more about different TRD therapies, you can connect with an inpatient rehab facility that treats depression.

Frequently Asked Questions About Treatment-Resistant Depression

How do I know when to try a new treatment for treatment-resistant depression (TRD)?

To determine when to try a new treatment for treatment-resistant depression (TRD), you can use tools like journaling, mood trackers, or spreadsheets to track how you feel day to day. Working closely with your therapist and other treatment providers can provide valuable insights into your progress and guide decisions about trying new approaches.

What alternative therapies are available for treatment-resistant depression?

Alternative therapies, including psychedelic-assisted therapies, are emerging as potential treatments for treatment-resistant depression (TRD). These therapies offer new possibilities for people whose depression hasn’t responded to traditional interventions.

How can combined approaches be effective in treating treatment-resistant depression (TRD)?

Combining multiple therapies and working with a team of healthcare providers with different specialties can be the most effective approach in treating treatment-resistant depression. This comprehensive approach addresses the multifaceted impact of TRD and can lead to better outcomes.

April 8, 2020June 17, 2025

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

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

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

Understanding Types of Treatment

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

Medical Detox: Getting Started Safely

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

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

Inpatient (Residential) Rehab

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

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

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

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

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

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

Partial Hospitalization Programs (PHP): The Middle Ground

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

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

Intensive Outpatient Programs (IOP): Flexibility Meets Structure

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

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

Sober Living: Your Recovery Community

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

Continuing Care: Growing Stronger

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

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

Virtual Treatment: Recovery at Your Fingertips

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

What to Look for in a Treatment Provider

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

All About Licensing and Accreditation

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

Here are the important ones to look for:

The Joint Commission: This is the gold standard in healthcare. When you see this seal, you know the program meets the highest quality standards.

CARF (Commission on Accreditation of Rehabilitation Facilities): This organization thoroughly reviews treatment centers to ensure quality care. Their seal means a program has met rigorous standards for treatment and safety.

Your state’s Department of Health license: This is your state’s official oversight of treatment programs. Every quality program should have this license, which shows they meet local requirements for providing safe, ethical care.

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

The People Who Will Support Your Recovery

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

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

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

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

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

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

Proven Treatment Approaches

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

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

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

Family Involvement

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

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

Open Communication

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

Understanding Costs and Coverage

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

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

Watching Out for Red Flags

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

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

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

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

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

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

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

Practical Steps to Finding the Right Provider

1. Start With a Professional Assessment

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

2. Check Your Insurance Coverage

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

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

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

3. Research Your Options

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

4. Ask the Right Questions

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

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

What should I know about health insurance?

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

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

take the next step addiction treatment help and support inline image addiction treatment options levels of care jpg 1 evgi5d

Connect With Treatment Today

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

April 26, 2019June 17, 2025

Ibogaine Treatment for Substance Use Disorders

When you first enter recovery, it can be daunting to consider the road ahead. Especially after addiction, which sometimes offers instant gratification, you may be concerned about the slow rhythm of sustainable change. Some clients find it helpful to kickstart this process using ibogaine-assisted therapy.

Ibogaine is an alternative medicine, often administered in a short-term retreat setting. While it’s not readily available in the U.S., clients can travel to treatment centers around the world to seek it out. If ibogaine is right for you, it could certainly worth the trip. This experience is extremely different from most other forms of treatment.

What Is Ibogaine?

Ibogaine is a naturally occurring psychoactive alkaloid, found in the West African iboga shrub. In small doses, it’s a mild stimulant. In large doses, it can produce a dreamlike psychoactive state. This medicine has a long history, and has historically been used in healing and initiation ceremonies by members of the Bwiti religion.

The Multidisciplinary Association for Psychedelic Studies (MAPS) is exploring ibogaine as a potential treatment for substance use disorders, especially opiate addiction. According to their experts, “People with problematic substance use have found that larger doses of ibogaine can significantly reduce withdrawal from opiates¹ and temporarily eliminate substance-related cravings.”

Experts found that ibogaine can have both psychological and physiological benefits. It’s sometimes administered at the beginning of a client’s detox process, because it “diminishes opioid withdrawal symptoms and reduces drug cravings.”² Research suggests that ibogaine and its analogs “potently promote neuronal growth,” and produce “antidepressant-like behavioural responses.” Because of this, its effects may be beneficial for clients with a variety of mental health diagnoses.

The Uses of Ibogaine

This versatile treatment is especially useful for clients at the beginning of their recovery process. According to Álvaro de Ferranti, Founder of Tabula Rasa Retreat,

“It is not necessary to detox off drugs before an ibogaine treatment, particularly heroin…Ibogaine does take away heroin withdrawals instantly.”

It’s important to note, however, that clients detoxing from alcohol or benzodiazepines should taper off before beginning this treatment. Make sure to talk to your team of providers about your medical history, in order to avoid any serious side effects.

In addition to opiates, ibogaine is “also known to arrest cravings and addictions to stimulants such as crack cocaine and meth,” Ferranti continues. “It can also help people with dual disorders, mental disorders, and people who simply want to enhance their life spiritually and find answers and come back to self-love.” In particular, research supports the use of ibogaine for certain mental health concerns.

Opioid Addiction

In the Western world, this treatment is best known for its effect on recovery from opiate addiction. It alleviates most withdrawal symptoms, making detox faster and less uncomfortable. Clients also experience long-term benefits.

In one study, conducted by MAPS, “Results showed the most improvement in drug use at one month with 50% of participants reporting no opioid use during the previous 30 days. Ibogaine was associated with substantial reductions in opioid withdrawal symptoms³ and drug use in participants and may provide a useful prototype for development of innovative pharmacotherapy of addiction.”

Cocaine and Stimulant Addiction

According to the team of providers at Iboga Quest in Mexico, “cocaine addiction appears to respond very well to ibogaine treatment⁴when coupled with proper preparation and after-care.” This finding is aligned with preliminary data from formal research.

In one retrospective study, subjects who had been treated for “cocaine dependence,⁵ almost none of whom used opioids, reported a median relapse-free interval of 5.5 months following single doses of ibogaine.” Ibogaine’s influence on the risk of relapse may be caused by its other psychological benefits.

Another study, which specifically focused on people in recovery from cocaine addiction, found that clients “patients benefited from the treatment in all the secondary outcomes, reporting decreases in craving and improvements in personal relationships, quality of life, and self-efficacy, thus supporting existing notions that treatments combining ibogaine and psychotherapy do have a therapeutic potential in the treatment of substance use disorders.”⁶

PTSD

Many people in recovery present with co-occurring disorders, meaning that they have both substance use disorders and additional mental health diagnoses. In particular, it’s quite common for clients to have PTSD. This condition has a complex relationship with substances. Some clients turn to substances in order to self-medicate its symptoms, and others develop PTSD due to experiences they have while using substances.

Ibogaine is shown to have a positive impact on PTSD patients.⁷ One study, conducted with military veterans, found that treatment “may offer a rapid and robust, and well-tolerated, treatment option for those suffering from a variety of psychiatric and cognitive symptoms,” and specifically for symptoms related to trauma.

Depression

Promising research is currently being done into ibogaine as a treatment for depression. Scientists began by creating an analog of ibogaine,⁸ intended to have similar effects. This medicine, called tabernanthalog (or TBG), “appears to relieve depression and addiction symptoms without producing hallucinations or other dangerous side effects.”

Although much more research is needed into the effects of TBG, some healthcare providers already support success using ibogaine to treat depression. According to the team at Tabula Rasa Retreat, “ibogaine can lead to an increase in serotonin levels in the brain, leading to a sense of wellbeing and possibility after a difficult period.” Their program caters to people with substance use disorders, depression, PTSD, and a wide variety of other mental health concerns.

The Experience of Ibogaine

Ibogaine is available at treatment centers around the world, although not in the U.S. Just like any other type of rehab, each of these facilities has its own distinct philosophy. Choose an environment that suits your specific needs.

Whatever the atmosphere of the facility, it’s important to carefully prepare for this experience. If you’ve been using certain substances—such as alcohol—you may need to detox prior to treatment. For others, this may not be required. Make sure to talk to your medical doctor and to the staff at your treatment center about the safest way to proceed.

Ibogaine induces a psychedelic experience. During the session itself, you may find yourself in a dreamlike state for up to 72 hours. Clients often report revisiting traumatic events from the past, and gaining new insight into their least healthy behavioral patterns.

As you slowly emerge from this state, you will likely experience immediate and significant differences. Rich, a client at Iboga Quest, had previously undergone detox, and later decided to try ibogaine after a relapse. Comparing these 2 experiences, he told interviewers, “With iboga, or ibogaine, it’s like hitting the reset button…I would say I still had symptoms, but they were significantly less—maybe 20-30% of what you’d normally have.”

Ibogaine also transformed his experience of shame. Prior to treatment, he struggled to accept himself, and was haunted by past mistakes. In an ibogaine-induced dream state, he envisioned a human body with empty spaces inside it, which he’d been trying to fill by using substances. As he explored these images, he learned the value of accepting himself just as he is.

“I always thought that acceptance was almost like admitting defeat. And [ibogaine] showed me that I didn’t have to necessarily like these aspects of myself; it wasn’t asking me to do that. But I had to accept them…these are things that happened…and even if they’re aspects of myself that were true at some point, they don’t have to remain true. And accepting them doesn’t mean that they remain true forevermore. In fact, accepting them puts you in a really great position to be able to change those aspects of yourself that you don’t like. And so that was my major teaching, really.”

The Long-Term Effects of Ibogaine

Unlike some other psychedelic medicines, ibogaine can have a lasting effect on mental health.⁹ In fact, researchers believe that it can “modify addiction-related neural circuitry through the activation of neurotrophic factor signalling.” This has important implications for its use in the long-term recovery process.

Despite its rapidly apparent benefits, however, ibogaine is not a miracle cure for substance use disorders. Experts at Tabula Rasa Retreat have defined 4 distinct phases of ibogaine treatment:¹⁰

In Phase 1, patients ingest ibogaine and experience a dreamlike state. You’ll likely spend this portion of treatment in bed, and under medical supervision.
During Phase 2, you’ll be fully conscious and aware, but may be hypersensitive and overwhelmed by recent epiphanies.
Phase 3 “begins abruptly and lasts for around 3 months. This phase is known as Temporary Freedom.” During this time, clients report decreased cravings and a lower sensitivity to triggers. It’s extremely important to remember that this, too, is just one phase of treatment. Clients should have a clear plan for aftercare in order to take advantage of this time.
Phase 4 is also known as the “Return to Earth.” At this point, clients often see an increase in their emotional sensitivity, and may be susceptible to relapse.

Researchers have determined that ibogaine “is not a cure for addiction.¹¹ Instead, it merely interrupts addiction.” There is a great vulnerability associated with Phase 4 of treatment. No matter how relieved you may feel in Phase 3, it’s extremely important to prepare for your long-term recovery. If at all possible, it’s best to make plans for aftercare before you begin treatment. This may guard against the impulse to return to your old life too quickly.

Some clients begin recovery with ibogaine, and then go on to attend a more traditional rehab program. You might also consider joining an intensive outpatient program (or IOP), meeting with a support group, or simply seeing a talk therapist who specializes in substance use disorders. However you choose to proceed, make sure you’re prepared for the next phase of the healing process.

Beginning Recovery With Ibogaine

Although more research is needed, ibogaine is a very promising treatment. Whether you’re healing from substance addiction, trauma, or another mental health diagnosis, it may be a good place to start moving forward. However, like any other medication, this medicine is not appropriate for all clients. It has some notable health risks,¹² and may cause unwanted physical side effects. Make sure you consult with a medical professional in advance, to ensure it’s a safe method for you.

Remember that while recovery can start with ibogaine, it’s just the first step in a lifelong process. It’s best to combine this medicine with other, evidence-based therapies, which may include rehab, medical care, talk therapy, or other options. Ibogaine can be a powerful element of your healing process, and may make it easier for you to move toward a healthier lifestyle. But this experience is no replacement for the slow, careful cultivation of sustainable behaviors.

If you’d like to learn more about this therapy, see rehabs offering ibogaine-assisted treatment.

Frequently Asked Questions About Ibogaine Therapy

What is ibogaine treatment for substance use disorders?

Ibogaine treatment is a unique approach to treating substance use disorders that involves the use of the iboga plant. It’s believed that ibogaine can help people heal from addiction by providing a deep psychological and spiritual experience that helps them confront its root causes.

Is ibogaine treatment safe?

While ibogaine treatment shows promise in treating addiction, it’s not without risks. It’s important to seek treatment at a licensed and reputable facility with trained medical staff who monitor patients and provide appropriate care.

What types of addiction can be treated with ibogaine?

Ibogaine treatment is used to treat a range of conditions, including addiction to opioids, alcohol, cocaine, and meth. However, it may not be suitable for everyone and should only be used under the guidance of trained medical professionals in a controlled and supervised setting.

November 15, 2018November 13, 2024

5 Ways to Help Someone Struggling With Depression

Watching someone you love struggle through depression can make you feel helpless: you want to offer support, but you feel unsure of how to help. With approximately 300 million people worldwide suffering from depression,¹ many of us will at some point be close to someone experiencing this disorder. Although it may feel exasperating at times, with a little research and the right approach, there are some steps you can take to help.

1. Learn How to Recognize the Signs of Depression

Being able to spot the signs of depression will help you distinguish between who your loved one is and how their depression makes them act. This helps you take their behavior less personally, allowing you to better protect your own well-being. And, in turn, you can more supportive to them.

Common Characteristics of Depression²

Sleeping or eating more or less than usual
Low energy
Unexplained physical pain
Loss of interest in work, school, activities, or sex
Pervasive feelings of sadness, hopelessness and guilt
Talking about suicide

2. Express Your Concern

Though it may not be comfortable to bring up, the first step to getting help is to acknowledge that there’s a problem. Severe depression can be life-threatening,³ and people lost in its fog can’t see what others see. If you’re concerned about your loved one, kindly and compassionately let them know—it could be a vital step in the right direction.

3. Listen With an Open Heart

There’s a reason depression has been called the “disease of loneliness”⁴—depressed people often get labeled as “downers” and further isolated from their would-be support circles. But just like we care for loved ones struggling with any other ailment, we can do the same for someone who is struggling with depression.

Depression can be downright debilitating. Simply offering a listening ear, bringing over a hot meal or sitting with your loved on to watch a movie are great ways to show your support. Since this illness makes it difficult to express any positive emotions like gratitude or appreciation, you may feel like your kindness goes unnoticed. But the truth is that thoughtful deeds like these can give someone strength to get through the day.

It also puts you in the best position to encourage them to get help.

4. Encouraged Your Depressed Loved One to Get Proper Care

The good news is that depression is treatable.⁵ Because it’s such a motivation killer, the role loved ones play in getting a depressed person into treatment can’t be understated. Depression that remains untreated can get worse over time, so getting your loved one into treatment is paramount. And although setting boundaries with a depressed loved one⁶ is often easier said than done, it’s also equally important to protect your own physical and mental health in the process. Leaving the counseling up to the professionals is the best course of action, especially for severe depression.

5. Look Into Depression Treatment Options

Treatment comes in many different forms, including inpatient rehab for depression, which can yield great results. This can be a good option for people whose depression is more acute, or who weren’t happy with the outcomes of previous approaches they tried. Treatment methods for depression vary, but typically consist of some combination of medication, counseling, and holistic therapies.

To learn more about what programs are available and browse centers based on location, specialization, and more, visit our collection of rehab centers specializing in depression.

Frequently Asked Questions

What are some ways to help someone struggling with depression?

You can help someone with depression by offering emotional support, listening without judgment, encouraging them to seek professional help, and promoting healthy habits like exercise and good sleep. Be sure to avoid making assumptions about their condition.

What should I do if someone I know is suicidal?

If you know someone who is experiencing suicidal thoughts, it is important to take their statements seriously and seek professional help immediately. You can encourage them to call a suicide prevention hotline and accompany them to get emergency care.

October 30, 2018November 13, 2024

Treating Depression With Ketamine and Psychedelics

spiral staircase marble steps brass banister photo cred: ludde lorentz

Both ketamine and psychedelics have emerged as popular therapeutic methods in recent years for those who have been resistant to other forms of depression treatment. While many medical professionals and people who have undergone these treatments attest to their benefits, there are still legitimate concerns being expressed about the potential risks associated with their use.

]We take a look at some factors to consider, and the science behind this approach.

How Ketamine Is Used to Treat Depression

Ketamine’s most common medical use is as an anesthetic and a sedative. But it can also be used as a fast-acting antidepressant, usually in the form of a nasal mist or IV infusion performed under medical supervision. Studies have shown that, starting within 4 hours of receiving a dose, ketamine relieved the symptoms of depression for approximately one week at a time.¹ Research further suggests that ketamine causes new connections to form in brain. Its fast-acting effectiveness and impacts on neuroplasticity have led clinicians like Gerard Sanacora, Psychiatry Specialist at Yale Medicine, to speculate on its increased use in medical research.

“It’s quite possible that we will see more medical institutions offering ketamine as a treatment,”²says Sanacora. “And the FDA recently approved the use of esketamine, which is derived from ketamine. These are all very exciting prospects.”

Is Ketamine Safe?

Currently, ketamine is only approved by the FDA as an anesthetic and pain reliever,³ not as a depression treatment. This is largely due to the fact the long-term impacts of ketamine are mostly unknown. Since it’s also used recreationally for its narcotic properties, addiction risk is a major concern. Too much ketamine can have adverse effects like dissociation, hallucinations and paranoia (known as a “K-hole”).⁴ While ketamine administered in the proper doses under professional supervision is considered safe, these concerns prevent it from becoming more mainstream.

How Psychedelics Are Used to Treat Depression

Psychedelics have a different way of treating depression. Research shows that hallucinogens like psilocybin (found in psychedelic mushrooms), LSD and ayahuasca can potentially relieve the depression symptoms after just a single dose. Successful psychedelic treatments can help people gain clarity about problems they’re experiencing, giving them the opportunity to access their subconscious and process past traumas they had previously suppressed. According to recent studies, psychedelics enhance people’s feelings of connectedness with others,⁵ their spirituality and their sense of meaning. Some studies suggest that these substances open pathways in the brain—hence the notion that psychedelics expand your mind. While this sounds promising, the science on how these drugs work to treat depression is still being studied.

Watch this TED Talk by Mark Haden, Adjunct Professor at the University of British Columbia School of Population and Public Health, to learn more about psychedelics:

Are Psychedelics Safe?

Psychedelics also pose their own set of risks. Although they’re not generally considered to carry high addiction risk, there can be unpredictable short-term effects of psychedelics.⁶ Not least of these is a “bad trip,” which can include symptoms like extreme paranoia, anxiety, and loss of psychological control. While these symptoms usually subside within a relatively short period of time, they can lead users to place themselves in dangerous situations. Generally speaking, however, when intentionally therapeutic doses of ketamine or psychedelics are administered by professionals in safe environments, the risks to your safety are quite low.

Finding the Right Rehab for Depression

If you’ve tried different treatment methods for depression and find yourself still struggling with this debilitating disorder, know that there is an abundance of treatment options out there, and some may work better for you than others. While ketamine or psychedelics may not be for you, a variety of other program offerings might be.

Visit our collection of rehabs specializing in depression treatment to explore some of the world’s best centers today. Additionally, learn more about RehabPath and get the most up-to-date company news.

Frequently Asked Questions

How can ketamine and psychedelics be used to treat depression?

Ketamine and psychedelics treat depression by influencing the brain’s chemical pathways, promoting new thought patterns and behavior. They can provide rapid relief for symptoms of depression, and may be particularly useful for people who haven’t found success with other treatments.

What is the difference between ketamine and traditional antidepressants?

Unlike traditional antidepressants which can take several weeks to start working, ketamine can provide relief from depression symptoms within hours. Ketamine targets different neurotransmitter systems in the brain compared to other antidepressants, making it a valuable treatment option for people who haven’t responded to other medications. Additionally, helps repair damaged neural pathways, leading to longer-lasting effects.

What’s the process for ketamine or psychedelic therapy for depression at a residential rehab center?

In residential rehab, you’ll undergo ketamine or psychedelic therapy under the guidance of qualified professionals. Patients are carefully screened to ensure that they’re appropriate candidates for these treatments. After an initial consultation, your care team will develop a personalized treatment plan, and you’ll receive the medication in a comfortable, private setting. The treatment is closely monitored to ensure safety and efficacy, and you may receive ongoing therapy and support to promote long-term recovery.

October 8, 2018February 5, 2025

Can You Go to Rehab for Depression?

If you’re having serious thoughts about suicide or self-harm, immediate help is available. Call the National Suicide Prevention Lifeline at 1-800-273-8255 or visit their website to chat with an emotional support counselor.

Did you know many rehabs don’t just treat addictions, but mental health and mood disorders like depression, too? In fact, many people could greatly benefit from inpatient treatment for depression.

The seriousness of depression shouldn’t be underestimated—the prolonged feelings of sorrow depression causes can hinder your ability to be an active participant in your own life and make you feel hopeless, drained and physically unwell. Depression is a life-threatening mental illness¹ and often requires professional help.

Could inpatient depression treatment be the right path for you? Following, we’ll take a look at

When to go to rehab for depression
Who benefits from inpatient depression treatment
Where to find residential treatment centers for depression

When Do You Need Inpatient Depression Treatment?

People choose to go to residential rehab for depression for a few reasons. These could have to do with the severity of their depression, feeling like they’ve exhausted other treatment options, or wanting a retreat-like atmosphere to reset.

Your primary care doctor or qualified mental health professional can help you determine if inpatient depression treatment is the right step for you. Following are some signs that it may help you consider a more in-depth approach to tackling this persistent condition.

When Depression Takes Over Your Life

Sometimes depression is manageable, but other times it’s downright unbearable. Some depression sufferers experience such profound sadness that they can’t think of anything else. This common mood disorder can weigh heavily on those who struggle with it, making it difficult to find joy or pleasure in anything. And in this context, even simple tasks like showering, cleaning the house, and grocery shopping can feel virtually impossible.

Other signs of severe depression that could be a cue to talk to a mental health provider include

Isolating yourself from friends and family
Inability to hold a steady job
Using drugs or alcohol to cope
Not leaving your house for days at a time
Dramatic weight loss or weight gain
Bouts of unexplainable sadness and crying
Hurting yourself
Thoughts or attempts at suicide

If depression interferes with your ability to function in your everyday life, you might find relief in the higher level of care and surrounding support that rehab provides.

When Other Therapies Haven’t Worked

For some people, conventional depression treatment methods just don’t do the trick. Treatment-resistant depression² occurs in about 10-30% of those who are with diagnosed major depression. This means that even after first-line approaches like antidepressants and talk therapy, they may still experience thoughts of self-harm or suicide, find it hard to function, and be likely to relapse into another depressive episode.

However, other options are available. Several alternative therapies for treatment-resistant depression³ are shown to work effectively, including:

Transcranial magnetic stimulation (rTMS)
Ketamine-assisted therapy (KAT)
Combined medication and psychotherapy

A number of inpatient rehabs are equipped with the professional staff and programming required to treat mental health and addiction comprehensively. This means they offer more opportunities to try different treatment options, including approaches that involve combining therapies.

If you’ve tried multiple medication strategies, or you’ve been in outpatient therapy for a long time without making significant progress, a more intensive option like a residential program rehab may help you make the change you’ve been looking for.

When You Need a Change of Scenery

Our surroundings have a huge impact on our mood, and environmental factors can affect the experience of depression. In fact, the WHO’s Department of Mental Health and Substance Abuse includes supportive environments in its recommendations for fostering mental health:⁴

“Mental health promotion involves actions that support people to adopt and maintain healthy lifestyles and which create supportive living conditions or environments for health,” according to their report summary Promoting Mental Health: Concepts, Emerging Evidence, Practice.

Research also suggests that spending more time in nature can have a positive effect on mood disorders.⁵ Many residential treatment facilities are located in serene, naturally beautiful areas for just this reason.

Inpatient treatment offers a chance to step away from day-to-day life, which many people find makes them more receptive to change. It can also be a good option for anyone who wants a more immersive treatment experience, even if their depression isn’t especially severe.

How Rehab Can Help Depression

Residential depression rehab allows you to commit fully to your recovery for a period of time. For those who haven’t had success with more less structured treatment options, this could mean more potential to impact your relationship with yourself, and new opportunities to see different results.

Highly Individualized Programming

High-quality rehab programs are often designed to provide you with a fully customized treatment plan. This is based on thorough assessments you receive before and during the intake, or admissions, process. These centers usually have a wide array of therapeutic methods at their disposal, from individual and group psychotherapy to experiential and holistic approaches. Your team of clinicians—comprised of some combination of medical doctors, psychologists, psychiatrists and complementary therapists—can combine different elements into a treatment plan just for you. This is good news for your outcomes, as experts agree that depression treatment is more effective with a multifaceted approach.⁶

Sharing Your Experience and Learning From Others

One of the most difficult aspects of depression is the crippling loneliness it entails. At a rehab that treats depression, you’ll be with others who have been through what you’re going through and understand how you feel. You’ll spend every day in an environment of professionals who can help you unpack how you’re feeling and learn how to manage it. Knowing you’re surrounded by people who are working with you toward your success can give you a much-needed boost of affirmation and encouragement.

Gaining Lifelong Tools

Oftentimes, depression is a chronic condition.⁷ Developing an ability to cope with it and prevent it from recurring is an invaluable asset when struggling with this disorder. Intensive depression treatment helps you build a solid toolbox of coping skills you can reach into again and again, each time you need to, well after you leave treatment. These awareness tools may help you move through depression episodes more quickly, or experience them less intensely, if they do resurface.

Depression often feels like a merry-go-round you can’t get off. Stepping away from your familiar patterns and into a treatment-focused environment can provide a welcome break from the cycle and allow you to progress in new ways. Going to treatment pulls you out of that day-to-day slump and into a structured day built around your recovery.

Taking the Next Step

If depression has prevented you from fully living your life and you’ve exhausted other avenues, then a more intense, immersive option can be a good idea. Depression rehab isn’t punishing or harsh; you can think of it as a retreat that gives you the time and space to create change. For those struggling with depression, taking the step of seeking inpatient treatment may be necessary. Check with your healthcare provider or therapist to determine if this is the right recovery path for you.

Rising above your depression starts with reaching out for help. And finding a program that meets your needs can be the most healing experience of your life.

To learn more about available programs, see our searchable list of residential depression treatment centers.

Frequently Asked Questions About Residential Depression Treatment

Can depression be treated at a rehab center?

Yes. Rehabs offer evidence-based therapies like CBT and medication to help people with depression manage symptoms and achieve long-term recovery. Additionally, many rehabs offer holistic therapies such as yoga, meditation, and massage therapy for a more comfortable treatment experience.

What’s the difference between inpatient and outpatient rehab for depression?

Inpatient rehab for depression involves living at a treatment center for a set period of time (usually from a few weeks to several months). In outpatient depression treatment, you receive treatment during the day and return home at night. Inpatient programs may be better if you have severe depression or require round-the-clock care, while outpatient treatment is good for those with milder symptoms or who have a strong support system at home.

What should I look for in a residential rehab center for depression treatment?

Look for a facility with experienced and qualified treatment teams that offer a range of evidence-based therapies to help manage symptoms and promote long-term recovery. Holistic healing approaches such as yoga, meditation, and mindfulness practices can also be helpful. You might also consider the center’s amenities, accommodations and level of personalization.

July 23, 2018February 6, 2025

Gambling Addiction: What It Is, How It’s Treated and How to Choose the Right Rehab

Gambling addiction is more common than most people realize—it’s a global problem that’s only getting worse. Last year, the World Health Organization (WHO) released a report on gambling addiction due to its “unprecedented growth.”¹ The WHO stressed the need to extend and enhance treatment for problem gambling. The good news is, while it’s undoubtedly a serious concern, this addiction is proven to be treatable. Here, we’ll outline available treatment options and what to look for in a gambling addiction treatment center if you or someone you love needs help.

When Is Gambling an Addiction?

Gambling addiction is markedly different from taking an occasional trip to the casino—the impulse to bet, play and win is too strong to control. Those suffering from gambling addiction experience a compulsive urge to bet despite the increasingly negative consequences it carries. With problem gambling, winning provides a sense of euphoria and pleasure that serves as a short-term high. When a gambling addict loses, they begin to chase their losses, trying to win back the money (and pleasure) they lost—resulting in a cycle that’s very difficult to escape.

Sign and Symptoms of Gambling Impulse-Control Disorder

If you’re addicted to gambling, you’ve likely experienced some of these symptoms:

Gambling to counteract negative emotions
Irritability or restlessness when not gambling
Efforts to be secretive about gambling
Not being able to stop, chasing losses
Obsessing about the next big win
Betting more than you can afford

If gambling causes you to lose significant time, money or relationships, this is indicative of compulsive gambling, a disorder that can significantly impact many areas of your life.

gambling and depression — Research shows problem gamblers are twice as likely to be depressed as those who don’t have a gambling problem.

Problem Gambling and Substance Abuse

Pathological gambling often coexists with other addictions or mental health concerns. In fact, one recent report states that problem gamblers are four times more likely to abuse alcohol² than those without a gambling problem. Common cross-addictions include gambling with alcoholism and gambling with cocaine addiction, which often go hand-in-hand because of the environments in which people typically gamble, like casinos and parties.

Depression, Anxiety and Pathological Gambling

Gambling impulse-control disorder is also often associated with mental health disorders like depression and anxiety. In fact, problem gamblers are twice as likely to be depressed³ as those who don’t have a gambling problem.

For those struggling with depression or anxiety, gambling can artificially mitigate negative feelings in the moment. But over time, this cycle—feeling depressed or anxious, self-medicating with gambling, eventually losing a bet which leads to even more intense negative feelings, and gambling to combat that depressed or anxious state—gets out of control, and often requires professional treatment to overcome.

Treatment Methods for Gambling Addiction

As problem gambling becomes increasingly widespread, addiction experts work to find innovative and effective treatments, as well as honing time-tested, evidence-based therapy tools. Here are some popular treatment options:

Cognitive Behavioral Therapy (CBT)

Cognitive behavioral therapy (CBT) is one of the most common and effective treatment options for process addictions like gambling. Gambling addiction functions on two levels: automatic and irrational thought patterns, and malfunctioning in the brain’s reward system. CBT works to address both.

The first goal of CBT for gambling addiction⁴ is to weaken the compulsion to gamble and give you a sense of mastery over this urge. Then, specialized clinicians help you understand, on a neurochemical level, that the long-term negative impacts of gambling far outweigh the short-term pleasure it delivers. Eventually, you’ll be able to employ the healthy strategies you learn in treatment to real-life scenarios.

Medication

In addition to CBT, counselors sometimes prescribe medications to help curb the compulsive behaviors attached to gambling impulse-control disorder. Indeed, the medication most often used to treat gambling addictions are those used to treat other compulsive disorders like obsessive compulsive disorder (OCD). Medication is most effective when used in combination with CBT.

Group Therapy

Group therapy, available both on-site at treatment centers and in the form of fellowships like Gamblers Anonymous, is a truly healing treatment option for gambling addiction. In this setting, you’ll benefit from sharing your story with others, learning you’re not alone and receiving support from those with common experiences. You’ll also have the opportunity to form lasting relationships with people who understand what you’re going through and support your recovery progress.

Holistic Therapies

Holistic modalities like meditation, yoga and massage are a great complement to conventional addiction treatments. Ideally, they should be employed alongside conventional methods like CBT. Holistic therapies encourage healing on all levels for a well-rounded outcome and accelerate your treatment progress. Meditation, for instance, creates a sense of security and mental calm that can help you open up in talk therapy.

group therapy gambling — Group therapy lets participants share their stories with others with similar experiences, reinforcing the knowledge that you’re not alone.

How to Choose a Gambling Addiction Rehab

Gambling is a complex disorder that has far-reaching effects in all aspects of your life. Dr. Marie Hartwell-Walker, a psychologist and gambling treatment expert, explains, “There is no one size fits all treatment. However, treatment always begins with recognizing the problem. The next step to reclaiming sanity and stability is to see a counselor for an evaluation and a treatment plan.” She recommends a multifaceted gambling addiction treatment approach⁵ that involves a combination of CBT, treatment for co-occurring disorders, social and family support, medication-assisted recovery and financial help.

There are plenty of available options for addressing problem gambling, with many rehabs offering robust programming that’s focused specifically on this complex disorder. As a precursor to your treatment, consider the following factors:

Who Should Assess Your Situation and Recommend Treatment Options?

You’ve probably heard of various treatment options, like inpatient, outpatient, day treatment and so forth. While inpatient rehab is more intensive and provides a more substantial removal from your triggers, outpatient rehab allows you to continue working, spending time with your family and otherwise attending to your usual responsibilities while in treatment. How do you know which one to pick? The good news is you don’t have to, nor should you. Let a professional conduct a comprehensive clinical evaluation or assessment and provide treatment recommendations accordingly. Primary care physicians can screen for gambling disorder or you can seek out a private therapist or psychiatrist to assess your situation and history. Some treatment centers offer evaluations, conducted by licensed clinicians, separately and will either recommend their services if they are a fit or refer you elsewhere.

Is the Treatment Center Specialized in Gambling Disorders?

When choosing a rehab, specialization is always an important consideration. Addiction is an insidious disorder that functions on multiple levels—mental, emotional, physical and spiritual—and it requires a laser-focused expert approach to unpack. Make sure your rehab has licensed clinicians with experience specifically treating gambling addiction and that they can customize your treatment plan to fit your needs.

Do You Want Holistic Therapy Options?

Successful gambling addiction treatment goes well beyond the initial 28 days. It’s about making changes in your thinking and lifestyle that improve your overall well-being. Choosing a rehab that offers holistic therapies as well as conventional methods ensures you have access to a more complete treatment for your body, mind and spirit. To make the most of your time in rehab, you may want access to activities that keep you relaxed, present and more receptive to treatment.

Finding High-Quality Gambling Addiction Treatment at Rehab

Many rehab centers have the ability to offer you the best in treatment, addiction experts, location and facilities. High-end rehabs also tend to have a lower staff-to-patient ratio, allowing for more attention and personalized care—all of which has a profound impact on your recovery. For more information on some the best treatment centers worldwide, visit our collection of gambling addiction treatment centers.

Frequently Asked Questions About Gambling Addiction Treatment

Can you go to rehab for gambling addiction?

Yes, you can. Treatment at rehab for gambling addiction may combine talk therapies like CBT, group therapy, holistic therapies, and medication to help curb compulsive behaviors.

What type of therapy is used for gambling addiction?

Cognitive behavioral therapy (CBT) is often used to treat gambling addiction. Usually, rehabs combine this with other treatment methods like family, group, and holistic therapies.

What’s the best treatment for gambling addiction?

There isn’t one best therapy for gambling addiction. Good-quality rehabs customize plans to clients’ needs, which often include common gambling disorder treatments:

• Psychotherapies
• Medication
• Support groups, like Gamblers Anonymous