Tag: Drug Addiction

Posted on

Are High Achievers More Susceptible to Addiction?

They may star in Hollywood films or run Fortune 500 companies, but many of the world’s most successful people also have a secret: they struggle with a unique set of challenges that often lead them to require treatment for substance abuse.

Take Zac Efron. This Hollywood star, famous for his lead role in the High School Musical series, was on top of his game in the mid-2000s. He was on the cover of magazines, and the idol of millions of teenagers around the world. But as he shifted into adult roles, he also became part of a much more intense party scene—one that would eventually pull him away from his career. He soon found himself treating his anxiety and loneliness with substances.1 He reflects on that time:

“You spend a lot of time in your house going crazy. You know, pretty soon you need a social lubricant…It was getting to the point where I was caring less about the work and waiting for the weekend…But then when Monday and Tuesday were too difficult to get through, then I was like, ‘Oh, this is bad.’”

Efron pulled himself out of his substance abuse in 2013, when he sold his house in the Hollywood Hills and checked into a rehab program for cocaine and alcohol addiction. But Efron isn’t the only star who has battled substance abuse. Hundreds of CEOs, athletes, artists, and celebrities struggle with addiction. But why?

As it turns out, many of the same traits that make people high achievers, like risk-taking, a strong drive for success, and dedication to their work, also are traits that make them more likely to abuse drugs and alcohol. High achievement and substance abuse2 often go hand in hand—and neuroscientists and psychologists can help us uncover why.

The Science Behind Substance Abuse

To understand what drives CEOs, celebrities, artists, and other high achievers to substance abuse, we need to understand what neurological factors lead to substance abuse in the first place.

Addiction researcher and neuroscience professor David Linden, PhD, explains why the character traits that make someone a good CEO also make them a “good addict.” Simply put, the same brain chemicals that encourage us to achieve also push us toward substance abuse and other forms of addiction. Linden writes in his book The Compass of Pleasure: How Our Brains Make Fatty Foods, Orgasm, Exercise, Marijuana, Generosity, Vodka, Learning, and Gambling Feel So Good:3

“The pleasure derived from success, and in particular from risky or novel business ventures, is borne of the very same brain pathways that make substance use so irresistible to some. It’s all about pleasure-seeking and reward.”

But contrary to popular belief, people who struggle with substance abuse and addictive behavior don’t have a heightened desire for these substances. Instead, Linden’s research shows, many people with a history of substance abuse have “dampened” dopamine receptors. Dopamine is the chemical in our brains that allows us to feel pleasure—which means that to get the same rush of positive feelings, a person with dampened dopamine receptors needs to partake in significantly more of an activity or substance than the average person.

What does this have to do with achievement? The connection, Linden argues, is actually quite simple. Certain activities like drinking alcohol, eating fatty foods, and exercising give us a dopamine hit—and so does achieving a goal. When you set and achieve a goal for yourself, your brain releases dopamine, and you get a rush. So, the same mechanism that makes certain people more likely to crave substances like alcohol or drugs is also more likely to push them to work harder to achieve their goals.

“My strong, strong suspicion,” says Linden, “is that what makes some people more likely to rise to the top is the same thing that makes them more likely to be addicts.”

Anxiety, Trauma, and Alcoholism

Though dopamine receptors are responsible in part for substance abuse, they aren’t the only factor that can impact a person’s likelihood to struggle with addiction. While approximately half of someone’s addictive tendencies are thought to be genetic,4 the rest is based on factors having to do with life circumstances.

Constance Scharff, PhD, who works as an addiction researcher with Cliffside Malibu treatment center and co-authored the book Ending Addiction for Good5 reports that high achievers who struggle with addiction are also likely to have experienced a major stressor or trauma in their early lives that shape their behavior.

“There’s something, usually an early experience, that fuels that kind of drive, and oftentimes it’s the same thing that drives addiction. The vast majority didn’t have some sort of basic needs met as children, so they’re driven very, very hard to succeed. But the pain that goes with that is also what they’re self-medicating for.”

– Constance Scharff, Addiction Researcher, Cliffside Malibu

cliffside malibu
Set near the coast, Cliffside Malibu offers a co-occurring disorder treatment program that includes evidence-based treatment and holistic medicine.

The rate of co-occurring disorders with substance abuse is very high—which is why more treatment centers are offering treatment for anxiety, depression, eating disorders, and other diagnoses. One study from 2010 showed that exposure to traumatic experiences as a child was linked to higher rates of substance use disorder (SUD),6 and many participants were living with both SUD and post-traumatic stress disorder (PTSD). A similar study on anxiety and substance use disorders7 shows that rates of SUD in patients with anxiety occur at a higher than average rate, suggesting that there is a correlation between the two conditions.

Scharff and her team agree that exposure to adverse childhood experiences,8 also called ACEs, can increase the likelihood that a person will struggle with substance abuse later in their life. And ACEs can also lead to other traits, like perfectionism, that are associated with high achievement. As such, learning how to identify these behaviors, process childhood traumas, and cope with triggers is a pivotal part of treatment for many high achievers who struggle with addiction.

Substance Abuse and Everyday Stressors

There’s one final reason why many high achievers may be prone to addiction: the stress they experience in their daily lives.

Imagine, for a minute, what it’s like to run a global enterprise, or play in a Super Bowl Game. Not only are millions of people expecting you to succeed—your entire life is also often in the public eye. Even for people who aren’t navigating childhood trauma, the pressure to perform at a board meeting or on a movie set, along with the social pressures of being in the limelight, can be overwhelming. Facing anxiety and burnout, many high achievers self-medicate to cope.

Aton center san diego
AToN Center in San Diego, California specializes in helping high achievers who face anxiety and burnout heal from substance abuse.

Studies show that turning to potentially unhealthy coping mechanisms is surprisingly common among successful people. In the recent Executive Wellbeing Index from Bupa Global, 60% of executives who reported struggling with mental health issues during the pandemic said they turned to potentially unhealthy coping mechanisms, like alcohol or substances, to self-medicate9 those issues. Nearly 40% of those respondents said they used over-the-counter drugs and/or alcohol to treat their anxiety, depression, fatigue, or mood swings.

It’s also important to remember that though self-medication and stress is part of daily life for many high achievers, during the pandemic many people lost access to their old, healthier coping mechanisms. In the write-up on their survey, Bupa Global notes: “Many of the mechanisms people typically use to cope with such stress and anxieties such as seeing friends and family, going to the gym, going on holiday and even going to work have been diminished, and replaced for other, more addictive substitutes such as increased alcohol consumption, self-medication, substance abuse, and gambling.” In the absence of other outlets, people often turn to substance abuse.

Even for people who don’t typically struggle with anxiety or depression, periods of stress can lead to self-medication, which can devolve into a more serious substance use problem. Treating mental health struggles as they arise can help all people, including high-achievers, stay ahead of that spiral.

Celebrity Success Stories

For many celebrities, CEOs, and other highly successful people, a combination of childhood trauma, anxiety and stress from a demanding job or lifestyle, and genetics can lead to struggles with substance abuse. But those struggles don’t always end in pain and suffering. In fact, many celebrities with household names have overcome their substance abuse problems by seeking treatment.

Oprah Winfrey, talk show host, author, producer, and much more, was addicted to crack cocaine10 in her early 20s. She started using while in an unhealthy relationship and soon became addicted. In an episode where she interviewed recovering addicts, Oprah shocked her audience when she said to guest Kim Davis: “​​I did your drug.” Oprah sought treatment for her addiction and has since become one of the most influential women in the world.

Business mogul Steve Madden also struggled with addiction11 in the past. This high achiever, who started his shoe company from the trunk of his car, was tried in 2002 for money laundering and fraud. In a documentary from 2017, Madden admitted that he struggled with substance abuse since he dropped out of college, and his lawyers explained in court that his crimes were the direct result of his addiction. Madden spent 41 months in prison and was forced to resign from his role as CEO. Since then, however, Madden has returned12 as creative and design chief of the company he started back in 1990. The company did $1.5 billion in sales last year and now owns a dozen other well-known brands.

There are dozens of stories just like these. For many high achievers, especially those in the public eye, finding treatment can be challenging. But, it’s not impossible. A number of rehab centers specialize in co-occurring disorders, like Solice in Marbella, Spain, which offers a holistic approach to recovery and treats co-occurring disorders like anxiety and depression. Other facilities, like AToN Center in San Diego, specialize in helping executives and professionals heal from substance abuse. These centers and many more offer discreet, personalized treatment that takes into consideration the needs of high-performing individuals.

Solice Spain
Solice in Marbella, Spain offers a holistic approach to recovery and extra privacy for executives who are concerned about confidentiality.

True Achievement: Healing Addiction and Underlying Trauma

As many people know, high achievement can be a double-edged sword. While it comes with motivation, hard work, creative thinking, and often, success, it also can also lead you down a path toward substance abuse and other addictive behaviors.

For many high achievers, substance abuse isn’t the problem—it’s simply a way to cope. Treating the underlying causes that can lead to addictive behavior, and learning about how your body handles substances, can be an invaluable way to find healing. The more you know about yourself, the more easily you can break old patterns, and discover a more successful, motivated, and capable version of yourself.

It’s important to remember that struggling with mental health is a normal part of life—particularly for certain groups of people. For many survivors of childhood trauma, those with a family history of substance abuse, and people in positions of power, treating mental health is part and parcel of living a successful life. Though it can be hard for high achievers to admit their own flaws, it’s okay to recognize that your brain has a unique way of navigating the world. And it’s entirely okay to ask for help when you need it.

You can start your healing journey and reduce your symptoms of anxiety and other co-occurring disorders at a treatment center near you.

Frequently Asked Questions About Addiction Among High Achievers

Why do high achievers struggle with addiction?

High achievers often face intense daily pressure, stress, and a need for perfection, which can contribute to using substances as a coping mechanism.

What are the signs of addiction in high achievers?

Signs of addiction among high achievers include increased excessive workload, declining performance, mood swings, hiding substance use, and neglecting personal well-being.

How can rehab help high achievers with addiction?

Recovery.com provides tailored treatment programs that include individual therapy, group therapy, holistic treatments, and support networks specifically designed for high achievers’ needs.
Posted on

Why Choose Residential Rehab? 8 Benefits to Consider

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

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

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

1. On-Site Detox Opportunities

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

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

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

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

2. A Structured Schedule

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

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

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

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

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

3. A Helpful Change of Scenery

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

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

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

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

4. An Immersive, Sober Environment

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

5. An Understanding Peer Support Network

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

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

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

6. Personalized Care

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

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

7. Incorporated Complementary Therapies

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

Following are some examples of complementary therapies:

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

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

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

Complementary therapies are important for healing.

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

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

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

8. Aftercare Provisions

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

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

Exploring Your Options for Residential Rehab

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

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

Frequently Asked Questions About Residential Rehab

What are the benefits of residential rehab?

Residential rehab offers several benefits: 

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

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

What kind of treatment plans are offered in residential rehab?

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

How does residential rehab provide 24/7 support?

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

Posted on

What Happens When You Arrive at Rehab?

When you first begin rehab, you’re at the start of a big transition. It’s often helpful to know what to expect when you arrive at a residential facility. Although every rehab center has a slightly different process, there are certain things you can reasonably expect.

Above all, try to remember that the staff at your rehab facility is on your side. Their job is to help you navigate the healing process as seamlessly as possible. As daunting as recovery can be, your providers will be on hand to guide you through every step.

Traveling to Rehab

After you choose a rehab center, you’ll start making travel plans. If you’re attending rehab locally, this might be as simple as packing a bag and getting into a car. On the other hand, if you’ve chosen a destination rehab, you may need to book plane tickets, schedule a ride from the airport, and make sure your passport is up to date. These logistics may sound overwhelming; remember that you are not alone. Your program’s admissions team can answer your questions and help you decide between various options.

Many rehab centers offer their clients free transportation to and from the airport. If at all possible, it’s best to avoid traveling alone. This ensures that you’ll have emotional support throughout the process, and that you’ll arrive at the facility at the time you planned.

Arriving at Rehab

When you arrive at the rehab center, you’re beginning a new chapter of your life. As soon as you enter into the care of the program, you’ll have round-the-clock care from a team of experts.

For many people in recovery, this is a starkly different environment from the one they’ve most recently experienced. As positive as it is to have support, the adjustment period can be uncomfortable. That’s normal. It doesn’t mean that you’re doing it wrong, or that rehab isn’t for you. Do your best to be patient with yourself as you get used to your new surroundings.

One of the biggest differences between life before rehab and life in an inpatient program is the level of supervision. You can expect your providers to set clear boundaries around what is and isn’t allowed at the facility. These guidelines will be implemented from the moment you arrive on site.

Restricted Items

When you check in, someone on staff will perform a bag check. During this process, they’ll inspect your luggage, going through your belongings to see what you’ve brought with you.

Each facility has its own rules about which items are and are not allowed in the program. Sierra by the Sea, for instance, has a dress code. Clients are instructed to pack “casual, comfortable clothing that fits appropriately (no large, baggy clothing or any clothing that exposes your midriff or underwear).” Many rehabs also regulate their clients’ use of personal electronics during rehab. And you almost certainly won’t be allowed to bring weapons or substances of any kind.

Sierra by the Sea interior
Located in sunny Newport Beach, California, Sierra by the Sea requests clients to pack casual and comfortable clothing.

If you bring an item that’s not permitted, it will either be sent home with family members, or stored until you leave the program. Substances will likely be disposed of. Because this process may feel invasive to some clients, it’s best to emotionally prepare yourself in advance. Remember that you’ve come to rehab in order to get help from experts. And when you first arrive, your providers may have a better sense than you do about which boundaries are appropriate.

Health and Wellness

In this post-2020 world, you can expect to take a COVID test when you first arrive at rehab. If you test positive, different facilities may have different rules about how to proceed. As we continue to research the virus, and as more treatments and preventative measures become available, these rules may change quickly. If you have concerns about your program’s COVID protocols, make sure to find out more from the admissions team before you arrive.

You may also be asked to take a drug test, upon arrival and/or at regular intervals throughout the program. Your facility may enact certain protocols if you test positive for substances at any point in your stay. However, because rehab is tailored to meet the needs of people with substance use disorders, you can talk openly with your team about what will happen if this occurs. The more information you have, the better equipped you will be to navigate residential treatment.

Initial Assessment

During your initial assessment, you’ll talk to at least one provider about your personal history, including symptoms related to your physical and mental health. Some programs perform these assessments over the phone, before you even arrive at rehab. Others wait until you can speak to your team in person. You may even do both. This is especially likely for people who attend medical detox before rehab, and have already begun the process of recovery.

An assessment is an in-depth exploration of your personal experience with substance use. According to Alex Spritzer, Family Addiction and Psychiatric Nurse Practitioner at The Hope House Scottsdale, practitioners learn as much as they can about each client, looking at “social factors such as where the client existed in their illness. Were they at home? Were they far away from their family?”

“We consider their barriers to recovery, which could include fractured relationships, homelessness, joblessness and other social factors that promote continued use. And through a systematic process, we seek to reduce those barriers to recovery.”

– Alex Spritzer, Family Addiction and Psychiatric Nurse Practitioner, The Hope House Scottsdale

Clients may fill out paperwork, including a number of questionnaires. This information may help the psychiatric team diagnose co-occurring disorders, such as depression and anxiety, or just get a better understanding of your emotional experience.

the orchard on the brazos
Your initial assessment with the clinical staff at The Orchard on the Brazos is held on their property in Wallis, Texas, or via telephone before you arrive.

“​​After completing the initial paperwork” at rehabs like The Orchard on the Brazos, “you will have a one-on-one meeting with a member of our clinical staff. This meeting will allow our doctors to assess your unique substance abuse patterns, as well as your medical and mental health history.”

This comprehensive process is intended to give your team all the information they need for the next step: developing a treatment plan.

Creating a Treatment Plan

Every person’s needs for recovery are unique. With this in mind, you’ll work with your treatment providers to design a plan that meets your specific needs.

Rehabs with personalized treatment take this to the next level, giving each client a great deal of control over their own experience. At these facilities, you might get to set your own schedule or choose between various therapeutic modalities.

Other rehabs have a much more structured approach to healing. Nevertheless, no recovery experience is one-size-fits-all. Even if you attend a program with a stricter framework, your providers are there to help you heal, in whichever way will be most effective. With that in mind, your treatment plan is likely to include several different components, such as:

Talk Therapy

During individual therapy, you’ll have regular one-on-one conversations with a provider. This relationship may serve as an emotional anchor throughout your time in rehab. You’ll have the opportunity to learn new strategies for managing your mental health, process what happened in your life before rehab, and integrate insights from your other experiences in the program.

Psychiatry

Some clients work with a psychiatrist during rehab. This provider will prescribe you psychiatric medications intended to help you manage your mental health. In some cases, these are only intended to help you stabilize during and immediately after detox. Other clients find that ongoing medication is an important part of their continued recovery.

Group Therapy

In group therapy, you’ll connect with the other people in your cohort. This process invites you to practice building healthy interpersonal relationships. It also encourages clients to provide each other with mutual emotional support. You may find that connecting with your peers gives you insight into your own experience that would be harder to glean from individual therapy alone.

Some clients attend focused group therapy using a specific therapeutic modality, such as DBT. You may benefit from support groups, including 12-Step programs like Alcoholics Anonymous.

Experiential Therapies

Many rehabs offer some form of experiential therapy, in which clients engage in activities that help them process emotions from a new perspective. For example, you might take a dance class, go on a safari, or do a ropes course. These experiences have the potential to be both fun and meaningful.

kruger
One of the more unique experiences offered atWhite River Manor in Mpumalanga, South Africa includes a wildlife safari.

Jeanine Fourie, Therapeutic Director and Co-Owner of White River Manor explains that this rehab offers “quite a wide selection of activities. We feel that it’s important for people to find themselves. This fits into the therapeutic program.”

“Sometimes people can overcome their fear only in a practical setting, whether it’s ziplining, or bungee jumping. Sometimes that’s an important component: just learning how to have fun without being high or needing any external source of comfort.”

– Jeanine Fourie, Therapeutic Director and Co-Owner, White River Manor

Complementary Therapies

Many rehabs offer holistic modalities, such as massage, yoga, and even acupuncture. These therapies are designed to help you stay present in your body as you become reacquainted with your own needs, and learn how to meet them in a sustainable way.

Strengthening the mind-body connection may help you learn how to work through triggers whenever they arise. Simply taking a deep breath, stretching, or coming back into your body can be extremely powerful. These therapies can also have a positive impact on your physical health.

Medical Treatment

It’s quite common for clients to work with a medical team during their time in rehab. Even if you don’t have pre-existing physical health conditions, recovery can be hard on your system. As you learn or relearn how to stay in tune with your body, you may benefit from certain prescription medications, especially if you choose to undergo medical detox.

There’s more to health than treating illness. For example, even if you’re perfectly physically fit, it can be helpful to work with a nutritionist. These strategies are designed to help you build healthy habits that will support you during and after residential treatment.

Rehab Can Be a New Beginning

When you first arrive at rehab, it’s easy to be overwhelmed. You’re going through a major life transition, and there’s a lot to take in. During this time, be as gentle with yourself as you can. It may take you some time to acclimate to your surroundings.

Once you settle into residential treatment, you’ll start to find a rhythm. Your internal experience may continue to change quickly, due to insights gleaned in therapy, physical recovery, or a combination of the two. Rehab itself, however, is intended to be a stable environment in which you can do this important work.

Browse our list of rehab facilities and filter by price, location, amenities, and more.

Frequently Asked Questions About What Happens When You Get to Rehab

What happens when you arrive at rehab?

When you arrive at rehab, you’ll undergo an intake process including assessments, paperwork, and orientation. You’ll get to know the center’s rules, meet your treatment team and other staff, and receive a treatment plan. This process sets the foundation for your recovery journey.

What should I pack for rehab?

You should pack essentials for rehab, including comfortable clothes, toiletries, and key documents, such as medical records. It’s important to check with the center beforehand on what to bring and what to leave behind. For example, some rehabs allow cell phones while others don’t.

What support can I expect upon arrival at rehab?

You can expect rehab staff to provide a supportive environment and guide you through the intake process. Luxury rehabs tend to be more hands-on. You can expect one-on-one meetings with clinical staff, where they get to know your unique background.

Posted on

Detoxification: Frequently Asked Questions

Detoxification is the first step in addiction treatment for many people. We’re here to help you learn more about what it entails, what it feels like, and whether or not you can detox at home.

Understanding Detox

How Does Detox Work?

Detoxing is the process of allowing substances to leave your system and managing withdrawal symptoms that may follow. Your substance use history will affect your detox experience and determine whether or not you need medication-assisted treatment.

A few hours after you stop using substances, your body begins to recalibrate as they leave your system. During this adjustment period, you may develop withdrawal symptoms, which occur in stages:1 early, peak, and late.

Early stage: Generally 6 to 12 hours–or even up to 30 hours after you’ve stopped using–mild withdrawal symptoms like anxiety or difficulty sleeping may occur.

Peak stage: At the peak stage, symptoms are at their worst and can include vomiting, tremors and chills. This usually occurs 72 hours after you’ve stopped using opiates or 24 to 48 hours after you’ve stopped drinking. Because of the discomfort, relapse is likely during this stage. It’s important to have a strong support system around you, along with medical supervision.

Late stage: At this stage, your body is starting to get used to the absence of substances. Any withdrawal symptoms you may have had will start to die down.

Why supervised detox? Remember that the purpose of a supervised detox is to minimize the severity of withdrawal symptoms and ensure you’re safely clearing your body of substances.

When Is Detox Required?

Whether or not you need detox depends on your history of substance use, including factors such as the type of substance used as well as the duration and level of use.

Withdrawal from certain substances, such as benzodiazepines or alcohol, can be life-threatening. That, combined with the physiological effects of frequent exposure to substances,2 means it’s recommended to receive a medical evaluation from a medical professional before attempting to detox.

You may want to consider getting an evaluation for detox if you notice the following signs of substance or alcohol abuse, as outlined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5):

  • Cravings for substances
  • Using more substances than you plan to
  • Inability to cut down or stop substance use
  • Taking substances for longer than intended
  • Trouble maintaining relationships due to substance use
  • Continuing to use substances, even when it negatively impacts your life

Can I Detox From Drugs at Home?

For your safety, it’s never recommended to detox from drugs at home without supervision.

Not all substance detoxification is lethal. However, withdrawal from certain substances, such as alcohol withdrawal, can potentially be life-threatening.3 More serious symptoms include hallucinations, seizures, and delirium tremens.

It’s always safest to detox under the supervision of specialized, experienced medical professionals.

You don’t always have to go through detox at a hospital or rehab facility. If you have a strong support system at home and your condition doesn’t require hospitalization, you may be able to opt for outpatient detox.4

How Long Do I Need to Detox For?

How Long Does Detox Typically Last in Rehab?

The duration of the detoxification process in rehab depends on your substance use background and the substance you’re detoxing from. On average, detox takes 3 to 7 days.

The time it takes to detox from commonly used substances varies:

  • Alcohol: 5 to 7 days
  • Benzodiazepines: One day to several months until treatment is introduced
  • Opiates: Up to 7 days (however, it’s possible to develop post-acute withdrawal symptoms5 that last weeks, months, or even years)
  • Cocaine: Up to 7 days
  • Heroin: 5 to 7 days

Detoxing From Different Substances

Alcohol

Do I Need to Detox From Alcohol?

Whether or not you need to detox from alcohol depends on how long and how much you’ve been drinking.

The media often portrays people who are addicted to alcohol as living disarrayed lives. The truth is, addiction can affect anyone—many people suffer from high-functioning alcoholism. If you notice signs of alcohol addiction, you may consider getting an evaluation for detox:

  • drinking more, or for a longer, than intended;
  • trying to stop drinking, but being unable to;
  • spending a lot of time drinking or dealing with the aftereffects of drinking;
  • continued drinking even when it negatively interferes with work or relationships;
  • and more.

Alcohol detox carries a high risk for potentially life-threatening withdrawal symptoms, like delirium tremens (DT).6 It’s safest to detox from alcohol under medical supervision.

If you plan to attend rehab, most residential facilities require you to be substance-free for a certain period of time before starting treatment. You can find out whether or not you’ll need to detox from alcohol during the admissions process. You have several options for detox, including on-site detox at certain rehabs.

Can I Safely Detox From Alcohol at Home?

No. Complications from alcohol withdrawal7 can pose severe to life-threatening side effects. It’s never recommended to detox from alcohol at home.

Side effects like delirium tremens (DT) can lead to chronic memory disorders or life-threatening seizures. DT side effects often don’t show up until 2 to 3 days after you’ve last ingested alcohol.

Even if you don’t experience life-threatening side effects, because of the extreme discomfort of withdrawal, you’re more likely to relapse if you try to detox from alcohol at home8 in comparison to detoxing under medical supervision.

How Long Does It Take To Detox From Alcohol?

It usually takes about 5 to 7 days to detox from alcohol.

What Does Alcohol Detox Feel Like?

Most people experience varying levels of discomfort when detoxing from alcohol. As alcohol leaves your system, you can experience mild to severe alcohol withdrawal symptoms:9

  • Sleep disturbances, like insomnia
  • Nausea
  • Vomiting
  • Sweating
  • Irritability
  • Tremors
  • Headaches
  • Anxiety
  • Visual and auditory disturbances
  • Cardiovascular complications, like rapid heart rate
  • Muscle pain and stiffness

The discomfort alcohol withdrawal causes can lead people to relapse, especially if they try to detox alone at home.

When you detox under medical supervision, clinical staff help monitor your condition, soothe your symptoms, and offer round-the-clock support. Detoxing under medical supervision enhances both your safety and comfort.

Benzodiazepines

Can I Detox From Benzodiazepines at Home?

You should never try to detox from benzodiazepines, or “benzos,” alone at home.

Unsupervised withdrawal from benzodiazepines can result in life-threatening side effects.10 Because of the potential severity of these withdrawals, the U.S. Food and Drug Administration recommends “patients taking benzodiazepines should not suddenly stop taking them11 without first discussing a plan with your health care professional for slowly decreasing the dose and frequency.”

It’s also not recommended to quit cold turkey following long-term use; a large number of people have reported negative and long-lasting side effects of benzo withdrawal.12

How Long Does It Take To Detox From Benzodiazepines?

It takes one day to several months (until treatment is introduced) to detox from benzodiazepines. Withdrawal symptoms such as anxiety, vomiting, and nausea peak within the first 14 days after you last ingested benzodiazepines.

What Does Benzodiazepines Detox Feel Like?

Detoxing from benzodiazepines can present a wide range of uncomfortable side effects. Because detoxing from benzos can be so uncomfortable, one of the goals of medically supervised detox is to help soothe patients’ discomfort while ensuring their safety.

Some of the most commonly prescribed benzodiazepines13 include Valium, Xanax, Halcion, Ativan, and Klonopin. They have similar withdrawal symptoms, however, Xanax may cause more severe symptoms.

When you detox from benzodiazepines after your body has become physiologically dependent on them, you may experience mild to severe withdrawal symptoms:

  • Headaches
  • Increased anxiety
  • Sweating
  • Racing heartbeat
  • Insomnia
  • Muscle spasms
  • Nausea or vomiting
  • Restlessness
  • Hand tremors
  • Aches and pains

Benzos withdrawal symptoms occur in stages and depend on your history of substance use.

Stage 1: You may first notice short-lived symptoms such as anxiety and insomnia within 1 to 4 days of benzos discontinuation.14

Stage 2: Peak withdrawal symptoms occur in the second stage, which many people describe as the most difficult phase to overcome. This usually lasts 10 to 14 days.

Stage 3: An estimated 10 to 25% of people who use benzodiazepines for an extended period of time experience post-acute withdrawal symptoms,15 or PAWS. During this stage, you’ll notice a return of anxiety and other withdrawal symptoms until you begin to address them with some form of professional addiction treatment.

Opioids

What Does It Feel Like to Detox From Opioids?

Detoxing from opioids can present highly uncomfortable psychological and physical effects16 depending on your past substance use and severity of dependence. These symptoms can arise whether you’re detoxing from medically prescribed pain relievers like oxycodone, hydrocodone, and codeine, or illicit opiates, such as heroin.

During detox, as substances leave your system, you’ll begin to experience withdrawal symptoms. The extent of these symptoms depends on your substance use history, severity of use, and whether you’re detoxing from immediate-release opioids17 (such as morphine) or extended-release opioids18 (such as methadone), as defined by the CDC.

Opioid withdrawal symptoms19 are often uncomfortable. They can include anxiety, rapid heart rate, muscle pain, runny or watery eyes, nausea and vomiting, insomnia, and more.

Opiate withdrawal can be lethal.20 It’s always recommended to detox under the guidance of an addiction-specialized healthcare professional.

With short-acting opioids, withdrawals typically begin 8 to 24 hours after your last use. With long-acting opioids, withdrawal symptoms can onset 12 to 48 hours after the last use.

How to Detox From Opioids

While usually not life-threatening, opiate withdrawal can be lethal. Therefore, you should always detox from opiates under the guidance of a qualified healthcare professional.

Whether you detox at a hospital, private detox center, or on-site at a residential rehab facility, you should have healthcare workers available to you 24 hours a day.

If you were using short-acting opioids, withdrawal symptoms will onset 8 to 24 hours after your last use. For long-acting opioids, withdrawal symptoms present themselves 12 to 48 hours after last use.

Mild opioid withdrawal management:
If you have mild withdrawal symptoms, treatment providers will ensure you consume 2 to 3 liters of water a day, along with vitamin B and C supplements to replenish lost fluids. They will also observe and monitor your symptoms 3 to 4 times a day using a Short Opioids Withdrawal Scale (SOWS).21

Moderate to severe opioid withdrawal management:
Clinicians will follow the same management techniques as with mild withdrawal cases. However, they may also use medication to minimize the severity of symptoms.

It should be noted that while detox is the first step in addiction treatment, it should be followed up with an addiction treatment program to create lasting changes to addictive behaviors.

How Long Does Opioid Detox Take?

It may take up to 7 days for opioids to fully leave your body. However, withdrawal symptoms may last longer than that.

For immediate-release opioids, withdrawal symptoms can last 4 to 10 days. For extended-release opioids, withdrawal symptoms can last 10 to 20 days

Depending on your opioid use background, it’s possible to develop post-acute withdrawal symptoms (PAWS).22 These can last weeks, months, or even years after you’ve last taken opiates. Some of these symptoms include memory issues, irritability, and depressed moods.

There is treatment for PAWS, which can be administered over the period of time you’re experiencing symptoms. Aftercare is critical to addiction treatment. If you’ve completed a treatment program, your aftercare counselor or therapist can help you identify PAWS symptoms and recommend a treatment plan. Or, you can search for rehabs that offer detox programs and speak to an intake specialist about PAWS treatment.

Cocaine

How long does it take to detox from cocaine?

It takes up to 7 days to detox from cocaine. Cocaine withdrawal symptoms are generally more psychological than physical and can include agitation, depression, anxiety, and other effects on your mood.

Where can I Detox?

You can detox at several different types of facilities. While it should be noted that not all at-home detox is lethal, detoxing from certain substances can pose life-threatening risks. It’s always recommended to detox under the guidance of a healthcare professional.

You can undergo substance abuse detox at several types of facilities:

  • Hospitals
  • Residential rehabs (not all inpatient rehabs offer on-site detox)
  • Private detox centers

How Long Do Withdrawal Symptoms Last?

On average, it takes 3 to 7 days for substances to leave your system. However, withdrawal symptoms can persist even after you’re substance-free.

Alcohol withdrawal timeline: Withdrawal symptoms from alcohol typically begin about 6 hours after you’ve last ingested a drink. They can last up to 72 hours after your last drink. In more severe yet rare cases, moderate withdrawal symptoms, such as alcohol hallucinosis, can last for up to a month.23

Benzodiazepines withdrawal timeline: Withdrawal symptoms from benzodiazepines usually last 10 to 14 days. However, some people can develop post-acute withdrawal symptoms (PAWS), which is a return of withdrawal symptoms several months after last use.

Opioid withdrawal timeline: For immediate-release opioids, withdrawal symptoms can last 4 to 10 days. For extended-release opioids, withdrawal symptoms can last 10 to 20 days. Depending on your substance use history, it’s also possible to develop PAWS from opioids. These symptoms may last weeks, months, or even years after you’ve last taken opioids.

Cocaine withdrawal timeline: Withdrawal usually begins 90 minutes following the last dose. Cocaine withdrawal symptoms,24 such as irritability and cravings, can last up to 10 weeks depending on your level of dependency.

Detox Costs

How Much Does Detox Cost?

The cost of detox This depends on the substance you’re detoxing from, the level of care, the length of treatment, and the detox facility.

In the U.S., the cost of detox at a private rehab can range from less than $10,000 to over $75,000 per month. Since the Affordable Care Act (ACA), most of these private rehab centers accept insurance.

To learn more about your options for detox treatment, browse through our list of detox centers.

Posted on

Elite Recovery: How Social Status Affects Substance Use Disorders

Substance use disorders can affect people from all walks of life. And despite certain cultural stereotypes, elite clients may be especially vulnerable. Because people with high status face a specific set of stressors, they also have unique needs during recovery. If you’re a person who faces these unique challenges, it may be helpful to seek out a rehab that caters to luxury clientele.

These programs are specifically designed to provide support for people who are accustomed to a certain standard of living. What’s more, the staff at these facilities are highly qualified to help people of your demographic. By working with people who can intuitively understand your personal history, your current experience, and your goals for the future, you may have a much easier time approaching recovery.

Luxury rehabs are there to help you live your best life. In this type of treatment, you won’t be asked to give up the amenities you rely on, and you won’t be pressured to make changes that might jeopardize your future. Instead, your team will help you learn to navigate ongoing stress and triggers, without giving up the most meaningful parts of your life.

Stress and Socioeconomic Status

Every person has their own experience of stress. Elite social status doesn’t protect you from this. It may actually increase your stress levels, and as a result, make you more vulnerable to certain mental health conditions.

One expert writes, “Stress is a well-known risk factor in the development of addiction1 and in addiction relapse vulnerability.” Even the most affluent lifestyles may come with unique difficulties. As you consider attending rehab, you might benefit from reflecting on which areas of your life are the most challenging, in spite of their potential rewards.

The Weight of Reputation

People with high social status also tend to have high visibility. Whether your position comes from your family, your career, or any other source, it can feel as though you’re being scrutinized by the public. Your actions may reflect on the people around you, including your loved ones, colleagues, and employees. If you have celebrity status, your behavior may even have a direct impact on the lives of your fanbase.

When your behavior has such far-reaching consequences, it’s natural to feel pressure to perform. And because of the stigma surrounding substance use disorders,2 well-known figures may delay admitting that they need help. However, new research suggests that the public acknowledgment of mental health conditions can “serve as a powerful method of communication to increase awareness of mental health3 and normalize psychiatric illnesses.

Great Responsibility

Some elite clients have a great deal of responsibility. This is often true of high-level executives, who may be responsible for the success of their colleagues, shareholders, and employees. Others may have responsibilities to their family, or even to the public.

When people are depending on you, you may be concerned about letting them down. And if you have a substance use disorder, you may struggle with associated guilt and shame about your condition. But you’re only human. If you had a physical illness, seeking treatment would be seen as reasonable and responsible. Although it may not feel this way, the same is true of mental health diagnoses. Asking for help is not a failure.

Orenda at Futures
Orenda at Futures in Tequesta, Florida, has a comprehensive treatment program for high-level executives, complete with plush amenities.

Affluence and Mental Health

Although it can bring people great security and pleasure, material success does not protect your mental health.4 In fact, your annual income may be directly related to your experience of stress. In a 2018 study, “researchers found that people who earn between $51,000 and $75,000 generally feel the least stressed. By contrast, of those who make an income of $200,000 or more, nearly 70 percent said they feel stressed.”

And stress is just one component of mental health. Additionally, affluent people “are at a higher risk for depression.”5 For some clients—but certainly not all—this can be related to your attitude about your finances.

Managing wealth requires a great deal of emotional energy. And when you’re responsible for protecting yourself, your family, or your legacy, that may be unavoidable. However, it’s important to remember that your finances are just one aspect of your life. You are more than your external circumstances. It’s easy for elite clients to lose track of this, and as a result, become disconnected from the activities that make them feel most fulfilled.

Substance Misuse Among Luxury Clients

Perhaps due to these unique and isolating stressors, substance use disorders are common among high-powered clients. As one expert writes, “While money itself doesn’t cause addiction or substance abuse, wealth has been linked with a higher susceptibility to addiction problems.”6

In addition, numerous studies have found that in particular, the children of wealthy parents are extremely vulnerable to substance use disorders.7 In fact, teens of high socioeconomic status are significantly more likely to use alcohol and drugs than those with less privilege.

The stereotypical image of a substance user as destitute couldn’t be further from the truth. While it’s true that people with this diagnosis may come from any social class, substance misuse is likely on the rise among the elite. Reporting for Forbes, Alice Walton writes, “The prevalence of substance abuse in the CEO circle8 is hard to gauge because it is so clandestine—these are not the people who are checking themselves into rehab, they’re the people who [are] staying out of it and continuing to function. A recent study from the National Institute on Alcohol Abuse and Alcoholism found that about 20% of alcoholics are high functioning and well-educated. Prescription medication addiction is rising in many circles, the C-suite among them.”

However, this demographic also experiences unique barriers to treatment. Walton goes on to explain that some elite clients may be less trusting, and therefore resistant to receiving care. What’s more, many high-powered clients are high-functioning substance users. If you’re used to performing under pressure, you may be able to keep up appearances for a long time, despite overwhelming emotional turmoil. “There’s often the if it ain’t broke, don’t fix it mentality.”

It can be difficult to internalize the idea that you don’t need to lose everything before you admit you need treatment. This can be especially hard for clients who enjoy an especially high standard of living. If you’re accustomed to a certain lifestyle, it can be difficult to imagine giving it up, even temporarily.

Many elite clients may delay seeking help because they’re unable to step away from pressing responsibilities. And others have trouble considering inpatient treatment because they’re concerned about leaving certain amenities behind. Fortunately, some rehab programs are designed specifically for these clients. You may be able to benefit from inpatient treatment without losing access to the healthy parts of a lifestyle you love.

Luxury Rehabs for High-Powered Clients

There are luxury rehab programs all over the world. These upscale facilities are capable of offering treatment to elite clients, without interrupting their access to important amenities. You may even be able to attend a bespoke rehab facility that will tailor the program to suit your exact standards.

Mercui Recovery interior
Stays at Mercui Recovery combine privacy and comfort with luxury.

Personalized Treatment

Many rehabs offer individualized treatment. These programs may be personalized in a number of ways, giving clients a great deal of control over their own recovery processes. For example, you may be able to decide what type of therapy you participate in, how much access you have to technology, and how long you spend in residence.

Clients at Mercui Recovery, for example, are housed in “private luxury accommodations in a natural wilderness environment.” This rehab boasts five-star service, offering clinical therapy, business coaching, massage, and infrared sauna therapy, among many other modalities. By serving only one client at a time, they offer the utmost discretion and highly personalized care.

Executive Treatment

High-level executives may have difficulty leaving work to attend rehab. To accommodate their needs, some programs allow you to work remotely while you’re in residence. Orenda at Futures, for instance, provides executive clients with a private workspace during their stay.

The team at this facility recognizes that this hard-working demographic has a unique set of needs, goals, and barriers to treatment. Clients have the freedom to work during rehab, while still receiving care of the highest quality.

Luxury Amenities

Recovery is hard work, but parts of it can be enjoyable! Remember: rehab is an opportunity for you to reset. Finding activities you can healthily enjoy is a very important part of the healing process.

Luxury rehabs offer a wide variety of amenities. White River Manor, in South Africa, offers spa services, one-on-one personal training, and Pilates. At Sierra Tucson, you can engage in equine therapy, acupuncture, yoga, and more. Many programs also invite clients on adventure outings. You might go on a safari, swim with the dolphins, or explore the rim of a volcano.

White River Manor spa
White River Manor in South Africa caters to their clientele with a host of luxury amenities, including spa services.

Some therapeutic modalities—such as mindfulness and meditation—are commonly found at holistic rehabs. This approach is designed to treat every aspect of a client’s health as a whole, and may focus on strengthening the mind-body connection.

Healing is hard work. However, one of rehab’s main goals is to help you create a life you love, even without the use of illicit substances. At the right facility, you won’t be denied access to the activities you find most meaningful and fulfilling. On the contrary, you’ll be encouraged to learn new skills, and develop healthier habits as a result.

Living a Life You Love, Sustainably

When you complete inpatient treatment, you may ultimately decide to return home. This is not a necessity, of course. And you may first spend time in a transitional facility, such as a sober living environment. But for elite clients, especially those who continue working during rehab, it’s often the appropriate choice.

Returning to your previous environment may mean that your stress levels increase. Although that can be challenging, it’s not necessarily a barrier to recovery. From the moment you arrive at rehab, your team will begin to help you strategize ways to avoid or cope with relapse. Some programs, like Orenda at Futures, may also offer you in-person support for social functions that may be triggering.

Perhaps most importantly, remember that a life without substance use can still be fun. For some clients, it proves to be even more fun and more meaningful than life before rehab. The goal of healing is not to deny yourself life’s many pleasures. Instead, you’ll learn how to live your life to the fullest, in a much more sustainable way.

Recovery on Your Own Terms

Everyone deserves care. No matter how affluent you are, how much pressure you’re under, or how many responsibilities you have, that includes you. First and foremost, you are responsible for yourself. And by getting help, you’ll be in a far better position to support the people who rely on you.

For many elite clients, rehab feels out of reach. It can be hard to imagine letting go of certain behaviors, spending time out of the office, or stepping back from social engagements. However, recovery doesn’t mean giving up the best parts of your life. It means letting go of unhealthy patterns, to make room for something even better.

To learn more about programs tailored to high-powered clients, you can browse our list of luxury rehabs here.

Frequently Asked Questions About Luxury Rehab Programs

What is a luxury rehab and what does it offer?

Luxury rehab refers to high-end treatment centers that provide exclusive amenities, personalized care, and a luxurious environment for individuals seeking recovery. They offer upscale accommodations, gourmet meals, individual treatment, and tailored services to ensure a comfortable and comprehensive rehab experience.

How does luxury rehab differ from traditional rehab?

Luxury rehabs differ from traditional rehab by offering a higher level of comfort, privacy, and personalized care. They provide upscale accommodations, additional amenities, gourmet dining, and treatment tailored to meet the unique needs of their clientele.

What types of personalized services are offered at a luxury rehab?

Luxury rehabs provide a range of personalized services to cater to individual needs. Following a tailored plan, treatment may include one-on-one therapy sessions, holistic therapies such as spa treatments, gourmet dining, and various recreational activities. These personalized services enhance the overall experience and contribute to the effectiveness of the treatment program.
Posted on

Involuntary Rehab: Frequently Asked Questions

Addiction is a serious problem that can have a devastating impact on individuals and families. If you have a loved one who is struggling, you may be wondering if there is anything you can do to get them help, or whether or not you can send them to treatment if they’re unwilling to go on their own.

Involuntary rehab is a process by which a person can be placed in treatment against their will. This is typically only done in cases where the person is a danger to themselves or others, or where they are unable to make rational decisions about their own care.

We answer some common questions about involuntary addiction treatment:

Can I Force My Loved One to Go to Rehab?

Yes, but only in certain locations.

Currently, the District of Columbia and 47 states allow involuntary addiction treatment.1 That number may change over time, so it’s important to stay up to date with your state’s local regulations.

It’s important to note that your state may or may not make a legal distinction between treating a person for alcohol addiction, drug addiction, and mental health. This distinction is usually intended to protect criminal court proceedings, and to prevent defendants from claiming insanity due to substance use.

Most states have two distinct processes by which a person is evaluated for involuntary care; one that applies to current patients, and another that applies to anyone in the midst of a mental health crisis. In many states, anyone can request that a person in crisis be evaluated by a court to see if they meet the criteria for involuntary mental health and/or addiction treatment.2 However, this is not always the case. Florida, for example, requires evaluation by an authority, such as a law enforcement officer, clinical social worker, or physician.

Can I Send My Spouse to Rehab?

Yes, but only in certain locations.

In many states, anyone can call for an emergency mental health evaluation of a person experiencing a mental health crisis. This includes crises that are caused by substance use. If your spouse is a habitual substance user, but is not in crisis, you may have fewer available options. Make sure to check the specific regulations in your state3 to find out which options are available to you.

If you are in physical danger due to your spouse, get yourself to safety before you help them find medical care. If you need help, you can contact the National Domestic Violence Hotline ((National domestic violence hotline. (n.d.). The Hotline. Retrieved October 12, 2021, from https://www.thehotline.org/)) at 1.800.799.SAFE (7233).

Can I Send My Teen to Rehab?

Possibly, depending on your location and your child’s exact age.

Every U.S. state has slightly different rules governing a minor’s autonomy when it comes to medical care.4 Some of these laws are vague, and subject to interpretation by local authorities. You may be able to make some decisions on your teen’s behalf, while they have more control over others. For example, in Delaware, parental consent is required for a minor to receive inpatient treatment for substance use, but either a parent or a minor aged 14 and up may legally consent to outpatient treatment.

How Does a Person Qualify for Mandatory Rehab?

A person must meet certain criteria before they are legally required to attend rehab.5 These criteria vary based on your location. They may or may not be the same as the criteria for mandated mental health treatment for other conditions.

It’s important to note that there may be different criteria for a person in crisis than for a person with ongoing but less severe symptoms. In a crisis situation, the person may be held briefly before either being released or sent to residential treatment. Often, this means that they will be held for 72 hours in a mental health center, during which time they will be evaluated to see if further treatment is needed.

Is Forced Rehab Effective?

Expert opinions vary. Most seem to believe that successful recovery due to forced rehab is rare, but possible.

A 2016 study found that “mandated treatment of drug dependence conflicts with drug users’ human rights6 and is not effective in treating addiction.” In many cases, mandatory rehab is offered as an alternative to jail. As a result, some rehab centers resemble correctional facilities.7 If a person decides to go to rehab, on the other hand, they may have more say in choosing their own program.

It’s important to note that a person’s motivation to heal greatly impacts their recovery from addiction.8 Certain models of healing, including 12-Step programs like Alcoholics Anonymous,9 emphasize the value in admitting that you have a problem and deciding to make a change. Forced rehab bypasses this step. If someone hasn’t committed to recovery, rehab can be more difficult and less effective.10

In some cases, however, people who are forced into rehab ultimately do recover,11 and even express gratitude for their loved one’s decisions. Reporters of these cases emphasize that these stories are the exception, not the rule.

Some experts disagree with this assessment, even stating that “patients who entered residential treatment with moderate to high legal pressure were significantly more likely to stay in treatment 90 days or more compared to those with low legal pressure.”12 However, there is little publicly available data to support this claim.

Do Interventions Work?

Yes, if you get help from a professional interventionist.

To stage an intervention, you’ll start by gathering a group of people who care about someone struggling with substance use. Ultimately, you’ll all sit down with that person face to face, explain how their substance use has affected your lives, and encourage them to get professional help.

Unfortunately, there is little research regarding the effectiveness of interventions. This is likely because many people plan these meetings on their own, without assistance from a professional. Because emotions will be running high at every stage of the process—from the moment you begin planning to the end of the intervention itself—it’s extremely important to have an experienced, impartial perspective to guide you and your loved one toward the goal.

Professional interventionists are often recovered substance users themselves. As a result, these experts are able to see the conversation from both sides, advocating for both your and your loved one’s best interests. They may also be trained in nonviolent communication, connected to local and national resources, and able to answer complex questions about rehab and recovery.

Anecdotal evidence suggests that there may be a high success rate for interventions conducted by professionals.13 The presence of a third party in the room can also defuse potentially volatile situations.

Will My Loved One Face Legal Consequences if They Go to Forced Rehab?

It’s possible. However, the answer to this question is rapidly changing.

In many states, court-ordered rehab can be offered as an alternative to jail time.14 This does not necessarily protect your loved one from accruing a criminal record. It also depends on a substance user’s exact circumstances. Possession of some substances, including dangerous substances, is perfectly legal and does not represent a risk of legal charges. Possession of other substances may result in criminal charges, but only in certain amounts. Some are highly illegal, and are grounds for felony charges in any amount.

These regulations vary widely from state to state. And as more and more municipalities begin decriminalizing substance use,15 you can expect the rules to change significantly in the near future. If you’re concerned about the legal consequences of forcing your loved one into rehab, it’s best to check with a lawyer or other expert to learn more about your options.

How Long Does Mandatory Rehab Last?

It depends on your area, and on the results of your loved one’s professional evaluation.

When a person in crisis goes to a mental health facility involuntarily,16 they’ll likely be held for 72 hours. However, this varies based on the laws in your area. During or after that emergency hold, they’ll usually be evaluated to see whether further treatment is required. If it is, they may be held for about two weeks. Following that initial period of treatment, they may be released to an outpatient program, or admitted to a residential facility.

Every person’s experience is different, and options vary based on each patient’s insurance, location, and physical and mental health. If possible, it’s best to stay in close communication with the person’s team of healthcare providers. This allows you to make decisions with or on behalf of your loved one as the situation develops.

What if My Loved One Won’t Go to Rehab?

If your loved one won’t go to rehab, you still have options. And you are not alone.

Substance misuse can have a huge impact not only on the person who participates in it, but also on their family and community. It’s important to recognize the effects of their behavior on your own mental health and well-being. Thankfully, there are many resources available for people who love someone struggling with addiction.

Al-Anon is a support group for people with a loved one who struggles with substance use.17 Alateen is a similar group, specifically for young people and teenagers. CoDA, or Codependents Anonymous, is a support group for people who struggle with codependency, which is often exacerbated by relationships with substance users.18 All of these are 12-Step groups, modeled after Alcoholics Anonymous, and designed to help you build a healthier, more sustainable life.

If you’re not interested in joining a group, you may consider seeing a therapist who specializes in treating partners of people with substance use disorders. Or you may just pick up a book about this relationship dynamic. Whatever you decide, remember that your mental health is important, too. Whether or not your loved one ultimately gets the help they need, you also deserve to heal.

Discover your addiction treatment options by visiting our searchable list of rehabs. Take virtual tours, read reviews, learn about insurance coverage, and more.

Posted on

How to Avoid Scams and Find a Legitimate Treatment Center

Rehab should feel like a safe space, where you’re supported, listened to and your recovery comes first. Many addiction treatment centers do place your recovery at the forefront. These quality rehab centers employ experienced professionals, offer a robust treatment program and apply a variety of therapies to help you find a life free from addiction. While success rates of different approaches and programs vary, the positive news is, long-term studies have found that treatment works.1

At the same time, there are a few rehab industry players who don’t have patients’ best interests at heart. From the Florida shuffle2 to fake hotlines, different exploitative practices have been brought to light in recent years. It’s important to be wary of these malpractices to protect yourself from drug rehab scams, which unfortunately exist.

Certain markers can help you determine whether an addiction treatment center is using unethical marketing practices or is taking part in questionable schemes. On the other hand, there are also signs that indicate a rehab center is legitimate and reputable. Learn how to identify both the red flags and the green lights.

Watch Out for Common Addiction Treatment Center Scams

If you’re struggling with addiction or mental health issues, choosing to get help is a big, courageous step to take. During your search, you deserve to receive unbiased information that will help you make an educated decision regarding your recovery. Unfortunately, not all rehab recommendations are unbiased and some treatment centers engage in unethical marketing practices.

Patient Brokering: What Is It and How to Spot It

Patient brokering is when someone receives a commission to actively recruit and refer patients to a specific treatment facility.

How Does Online Patient Brokering Work?
A fake website or online ad includes a hotline that directs your call to a call center. A call center agent (not a treatment provider or dedicated admissions specialist) receives compensation for each referral they place. Treatment centers involved in these kickback schemes will place a bid for patients and agents will refer patients to the highest bidding center.

In short, call center agents pose as caregivers and sell leads to the highest bidding rehab.

Does Patient Brokering Only Exist Online?
It’s not just call center agents who receive commissions for referring patients. There have been instances of therapists and doctors receiving a cut for referring someone to a specific treatment facility.3

Is Patient Brokering Legal?
In the United States, the Anti-Kickback Statute prohibited referrals from any source to federal-supported healthcare programs, including Medicare, Medicaid, and TRICARE.

Since the Eliminating Kickbacks in Recovery Act4 was passed in 2018, it’s now “a crime to knowingly and willfully solicit, receive, pay, or offer payment for referrals to a recovery home or clinical treatment facility”, according to congress.gov. This means that referring patients to an addiction treatment facility in exchange for a referral fee is illegal nationwide in the United States. Penalties can include a fine of up to $200,000 and imprisonment for up to 10 years.

In the United Kingdom, patient brokering violates the 7 Principles of Public Life,5 a set of principles applied to anyone who delivers public services, including those in the healthcare sector. On top of that, The General Medical Council (GMC) prohibits doctors from receiving referral payments.

How to Protect Yourself Against Addiction Treatment Scams

In 2017, Google pulled an AdWords purge and announced that they would stop accepting ads from rehabs centers. This was huge news—many fraudulent treatment centers relied on Google Ads.6

While Google’s announcement marks a step in the right direction, you can also proactively protect yourself against addiction treatment scams:

  • Watch out for free helplines. A website may appear to provide unbiased information about treatment centers but then require you to call a hotline. Oftentimes, these hotlines are a source of referral fees, meaning agents receive compensation for placing someone in a specific facility.
  • Ask the rehab center for specific information. During your initial call with a rehab, see if their admissions team can answer specific questions about the center and their program. If you’re unsure what to ask, we’ve detailed questions to ask when calling a residential treatment center. Be wary if their answers are vague or if they don’t specify details about their program. You can also be upfront and ask the treatment center about their stance on referral fees.
  • Be upfront with your therapist or doctor. If your therapist or doctor recommended a treatment facility to you, you can politely ask them if they’ve received any benefits or compensation for the recommendation. Feel free to respectfully voice your concerns about the referral process.

Look for These Signs of a Legitimate Addiction Treatment Center

While it’s unfortunate that a few bad apples exist in the rehab industry, there are a number of good addiction treatment centers that have your best interest at heart. Below are some telling signs that a treatment center is more likely to be legitimate.

They Have a Positive Reputation

There are many ways to check a rehab center’s reputation. You can start by asking around. See if your primary care physician or psychiatrist has an opinion on a program you’re interested in. If you’re calling different centers, you can check if the center you’re looking at is in good standing with other treatment facilities. Read their online reviews, both on their own website and on Google.

They Have Valid Accreditations and Affiliations

Two national organizations accredit treatment providers in the U.S. These are the Joint Commission7 and Commission on Accreditation of Rehabilitation Facilities (CARF).8 Check to see if a rehab’s website displays these accreditation logos. You should also check directly with the accrediting body.

It’s usually a positive sign if a rehab is a member of the National Association of Addiction Treatment Providers (NAATP). NAATP’s code of ethics9 prohibits referral payments.

They Employ Qualified Staff

Rehabs in the U.S. are required to employ addiction treatment professionals who meet certain licensing or credential requirements, depending on the state. You should look through a treatment center’s team webpage to see if they employ licensed clinicians. Our deep-dive on the qualifications of rehab employees can help you pinpoint what job titles or credentials to look for.

They Offer Specific Details About Their Program

Usually, reputable rehab centers are happy to answer specific questions about their center or program. They’ll give you a sample schedule so you can see what a day, or week, in their treatment program looks like. They have detailed information regarding the admissions process. They’re transparent about costs and have no qualms about discussing insurance coverage.

Start Your Search for a Reputable Rehab

The decision to ask for help for substance use issues is brave—it’s one that marks the beginning of a transformative life journey. In your search for a rehab, you deserve to receive unbiased information in order to make a knowledgeable decision about treatment. By being aware of industry malpractices, you can take steps to protect yourself from rehab scams. If you look for rehabs using an unbiased platform, you’re more likely to find reputable treatment centers with programs that could be a good fit for you.

Start your search by browsing our collection of rehab centers. Each center listed on our site meets specific quality criteria.

Note: Recovery.com financially supports the site through sponsors, who pay for placements which are clearly marked throughout the site. We do not and have never accepted a fee for referring someone to a particular center.

Frequently Asked Questions About Rehab Scams

What is patient brokering?

Patient brokering is when someone gets compensated for referring patients to a rehab. Rehabs involved in illegal kickback schemes pay third parties to refer patients to their center.

Is patient brokering illegal?

Yes. In the United States, it’s illegal to refer patients to an addiction treatment center in exchange for a referral fee.

How do I check if a rehab is legit?

Signs of a legitimate rehab include:

• A positive reputation online and in the medical field 
• Accreditations, for example from the Joint Commission 
• A qualified treatment team
• Admissions staff with detailed program knowledge

Posted on

Attending Rehab as a High-Level Executive

Addiction can affect anyone, even high-level executives. According to a 2012 study conducted by the Substance Abuse and Mental Health Services Administration (SAMHSA), people who worked in management had the third highest rate of illicit drug use1 of any surveyed profession. This issue is invisible to many people, which makes it even harder for executives to seek the addiction recovery help they need. 

Executives face unique stressors. With so many people depending on you, including employees, loved ones, and colleagues, it can be hard to recognize the signs of abuse. You may be so focused on your lengthy to-do list that you simply don’t have time to consider your own well-being. And even if you do recognize that you have a problem, it can be even harder to get help. Many executives feel like they don’t have the time or freedom to step away from work in order to begin recovery. 

As difficult as this process may appear, there are options available. Some rehab centers offer treatment plans tailored to meet the unique needs of high achievers, without isolating you from your responsibilities.

Understanding Addiction Among Executives

According to popular perception, high achievers have it easy. That just isn’t true. In order to maintain your lifestyle, you may face extreme pressures coming from many different directions, including the workplace, home, and social situations. In these circles, it’s often important to maintain appearances. Because of this, many executives have no way of knowing how common it is for people like them to struggle with substance use and mental health. Everyone’s experience is unique, but a few concerns in particular are extremely common among this demographic.

Anxiety

With great power comes great responsibility, and with great responsibility comes a great risk of anxiety. If you’ve ever lost sleep over a board meeting, had to stop and catch your breath on your way to a gala, or spent hours replaying a sound bite from your last business lunch, this might be something to consider. According to experts, “Studies indicate that approx. 10–40% of alcoholics have a panic-related anxiety disorder,2 and about 10–20% of anxiety disorder patients abuse alcohol or other drugs.”

Perfectionism

When an entire team of people relies on you, you may feel that you need to be the best of the best. As Louise Stanger, LCSW, writes “People in powerful positions are associated with strength, confidence, and a rock solid moral compass. Unfortunately, our society still views addiction as a weakness or moral failure, which sharply contradicts the key qualities of successful individuals. Add in public visibility and it can be difficult for an influential CEO or celebrity to seek help3 in an honest and open way.”

When you feel like you can’t ask for help, it’s natural to develop coping mechanisms that replace community support. You may even feel like substance abuse is what’s helping you to succeed. In reality, though, addiction is far more likely to hold you back. Research suggests that there may be a connection between perfectionism and substance misuse.4

However, there’s a way to make perfectionism work for you. Positive perfectionism is the attitude of striving to achieve high goals “while maintaining the ability to be satisfied with one’s performance.” Striking this balance may help you recover from substance misuse. 

If you’re a high achiever, there are likely aspects of your life and your personality that you don’t want to lose, even temporarily. Going to rehab can help you reintegrate the aspects of life that you find fulfilling, while stepping away from that which doesn’t serve you.

Unique Amenities at Executive Rehab Facilities

When selecting a rehab, high achievers have a very specific set of needs. There are a number of luxury rehab programs that are tailored to meet those needs, helping you heal in a way that won’t undermine your lifestyle. 

Discretion

mercui confidentiality
Mercui Recovery offers life and business coaching as part of their personalized treatment program at their centers in Malibu, Aspen, and Costa Palma, Mexico.

Luxury rehabs offer the utmost discretion. Some even serve only one client at a time. 

Mercui Recovery, a facility with locations in Malibu, Aspen, and Costa Palma, Mexico, is one of these. The program offers each guest treatment from several different schools of thought. You may do yoga and meditate, or participate in specialized therapies such as DBT or CBT. Most notably, Mercui Recovery also offers life and business coaching. Clients are not expected to simply step away from their entire life in order to focus on recovery. Instead, clinicians take a holistic approach, helping you heal every aspect of your life. This highly personalized program ensures that your specific concerns will be addressed during treatment.

Bespoke Treatment

white river manor suite
White River Manor in Mpumalanga, South Africa has an on-site business center that makes it easy for executive clients to work remotely during their stay.

Personalized addiction treatment means more than just connecting with the right therapist. Jan Gerber, CEO of Paracelsus Recovery, explains that “every person is very different, and this one-size-fits-all approach to treatment, mental health, and addiction rarely works well. Everybody has a different background: culturally, in terms of their family values, political views, hobbies, what gives meaning to their lives, and their lack of purpose in their lives. We can only help somebody recover from all these factors that have fueled an addiction if you individually attend to all these underlying reasons. And you can only do that when you individually tailor a treatment so that every client gets exactly what they need.”

Paracelsus is just one of many rehab facilities that work with each guest to create a unique treatment program. If you participate in this type of treatment, you’ll be able to choose from a wide variety of options, from art therapy to rock climbing. White River Manor, in South Africa, even takes guests on safari. 

Contrary to popular belief, rehab doesn’t need to be an isolating experience. Guests can continue to have adventures, learn about themselves in new contexts, and connect with the wider world. 

Stay Connected During Recovery

orenda at futures
Orenda at Futures in Tequesta, Florida connects clients with sober companions to support their return to work after rehab.

Rehab is a protected environment. In some programs, this means that guests have no phone or internet access, in order to focus on themselves instead of the people in their lives. However, this isn’t universally true. It can be especially important for executives to stay connected during their time in rehab. This makes rehab much more accessible to people who can’t take time off work.

Giles Fourie, Director and Co-Owner of White River Manor, says “A lot of business executives, business owners and professionals come through our program. And that’s because we offer our clients the ability to be able to use their phones, to work from the luxury of their rooms or the business center, and keep whatever they need to keep going at their office still running.” The healthcare providers at these facilities have a deep understanding of the stressors that may contribute to your emotional experience. As a result, they’re well-positioned to help you navigate the first stages of recovery.

If you continue to work while you’re in rehab, you may be preparing to return to the office as soon as you complete residential treatment. In that case, you may need to plan for social support in addition to therapeutic care. Some rehabs programs, like Orenda at Futures offer you access to a sober companion who can accompany you to business meetings and social engagements. Having someone there to support you in person can help ease the transition back into daily life after rehab. This external reminder of your new goals and healthy habits can remind you to strike a more sustainable balance, even as life returns to a faster pace.

Making Recovery Work for You

High-powered professionals often prioritize work over their own health. As laudable as this is, it can be unsustainable. Remember: you are the only person who can define what success means to you. It’s possible to achieve your goals while still living a healthy life. 

Rehab facilities that work with executives understand this delicate balance. These programs won’t ask you to walk away from your responsibilities entirely. Instead, they’ll teach you how to maintain a positive relationship with your personal definition of accomplishment. Recovery is not just a way to set down unhealthy patterns. It’s also a way to find balance in your busy life.

To learn more about programs that can help you restore your sense of peace, see our collection of rehabs serving executives.

Frequently Asked Questions About Rehab for Executives

What should I expect from a rehab program for executives?

Executive rehab programs offer personalized treatment plans that take your unique needs and work responsibilities into account. They may have flexible technology use policies and offer greater privacy, such as private accommodation and one-on-one therapy if group therapy isn’t an option for you.

How can I maintain my privacy while attending rehab as a CEO?

CEOs can maintain their privacy during rehab by enrolling in an executive program. These tend to prioritize confidentiality, with bespoke treatment plans and luxurious, single accommodation. Some don’t require group therapy for utmost privacy.

How do I manage my work responsibilities during rehab?

Many executive rehab programs let you stay connected to work during treatment. They may have more flexible technology policies, a business center, and even a sober companion who accompanies you to business meetings and social engagements.

Posted on

Trauma-Informed Care: How Rehab Can Support Post-Traumatic Growth 

Trauma can be an isolating experience. When you go through something so painful that it changes you, it’s natural to feel like no one else can understand your new reality. You may have trouble connecting with the people around you, or no longer enjoy activities you once found meaningful. No matter how hard it is at first, remember: this is not the end of your story. You can always create a new beginning.

By going to rehab, you can get help from experts in trauma, PTSD, and CPTSD. The simple fact that these experts exist is proof that trauma is extremely common. You may feel isolated, but you’re certainly not alone. Depending on your program, you can also spend time in rehab building community with people who have life experiences like your own.

Diagnosis After Trauma: PTSD and CPTSD

This process can teach you a great deal about your own perspective. There are countless kinds of trauma, and everyone’s response to it is unique. For the most part, however, people whose mental health has been severely impacted by trauma are diagnosed with PTSD and/or CPTSD. 

PTSD

Post-Traumatic Stress Disorder1 (PTSD) normally develops in response to trauma that occurred in a discrete, specific amount of time. It’s often diagnosed in veterans and survivors of sexual assault. This condition is characterized by many symptoms, including but not limited to the following: 

  • recurring, involuntary, and intrusive memories of the traumatic event
  • flashbacks and/or dissociation
  • avoidance of reminders of the traumatic event
  • dissociative amnesia
  • persistent negative beliefs and/or self-blame
  • feelings of alienation

PTSD can be overwhelming. You may have the sense that one moment, or one brief period of time, permanently changed your emotional capacity. And that might even be true. But it doesn’t mean you’ll always be in pain. 

paracelsus confidentiality
Paracelsus Recovery in Zurich, Switzerland takes developmental trauma into account when addressing mental health and addiction issues.

CPTSD

Complex Post-Traumatic Stress Disorder2 (Complex PTSD or CPTSD) is similar but not identical to PTSD. This describes people who have experienced prolonged trauma, such as long-term domestic abuse or long-term childhood trauma. While many veterans who served only one tour have PTSD, those who spent years in active service, and especially those who were detained in Prisoner of War camps, may in fact have CPTSD. The term may also apply to people who grew up in violent neighborhoods or spent time in prison. 

CPTSD is not yet officially classified as a diagnosis by the DSM-V (the American Psychiatric Association’s manual for assessing and diagnosing mental health conditions). However, many clinicians use it as a framework for discussing their clients’ experience. The term has been in use since at least 1988, when Dr. Judith Hartman of Harvard University suggested that the symptoms of long-term trauma may require a different kind of treatment than those of PTSD. She referred to a number of specific symptoms: 

  • self-destructive behavior, such as impulsivity and substance misuse
  • emotional difficulties, including rage, depression, and panic
  • chaotic personal relationships
  • dissociation and personality changes

Although CPTSD is not yet classified as a medical diagnosis, a growing number of healthcare providers use the concept as a therapeutic tool. It may very well be included in a future version of the DSM. Even now, many people in recovery identify with the term. Like any diagnosis, this is not only meant as a way of explaining ineffective or damaging behavior. Instead, it can help you define your experience in order to chart a path away from destructive patterns. 

What Is Trauma-Informed Care?

“Trauma-informed care“3 refers to a variety of healthcare practices that take into account the unique experiences of people with a history of trauma. Providers may be experts in treating PTSD and CPTSD, and they may offer special accommodations for certain clients. For example, when a survivor of assault sees a massage therapist who offers trauma-informed care, the therapist might make it a point to ask for verbal consent before touching any new area of their body. The provider’s goal is to treat the client with respect, making sure they feel as safe as possible throughout the healing process. 

Trauma-informed care takes the client’s past, present, and future into account. It’s not productive or even possible to ignore the original traumatic event while trying to move forward. Jan Garber, the CEO of Paracelsus Recovery, explains:

“When we’re looking at trauma, we often look at family of origin to understand how people were shaped and how that then informs how they react in life and how they relate to others.”

He adds, “If someone’s coming to us, most of the time they’ve identified a set of symptoms that’s saying, ‘Hey, stuff in life isn’t well, or it’s not working the way it could.’ So that’s the smoke, and where there’s smoke, there’s fire. So we want to really look at where that fire is and how the fire started.”

Looking at the root cause of trauma is not about assigning blame. It’s unlikely that you caused your own trauma, and it’s certainly not true that you’re responsible for other people’s behavior. You did not make this mess; or at least, you didn’t make it alone. Whatever or whomever the source of your pain may be, though, healing is your responsibility. That can feel very daunting, especially for people who experienced childhood trauma. Remember that you are not the first person to feel this way. There is a great deal of research that can guide you through PTSD and CPTSD, and your healthcare providers are there to help you navigate it.

mclean fernside
McLean Fernside in Princeton, Massachusetts recognizes clients’ need for trauma treatment as an essential part of recovery.

Learning From Triggers

Trauma-informed care is sensitive to triggers. This word has been co opted and even denigrated in recent years, so it’s important to define it in this context. 

A trigger is an inciting event that elicits a strong emotional reaction which may be disproportionate to the present moment, but is a reasonable response to the past trauma you’ve experienced.

It is not true that being triggered means you are weak, or fragile, or maladjusted. On the contrary, triggers exist for good reason. The extreme emotional reactions they cause used to serve you well. With time, effort, and therapy, many people can overcome these disproportionate reactions. 

Triggers are unique to everyone. Some are very common; for example, many survivors of physical violence have trouble looking at gorey images. However, they can also be hard to predict. A bouncy pop song might be triggering if it was playing when you got in a terrible car accident. If you struggle with your family of origin, you may be triggered by a funny sitcom about a happy family.

Simply avoiding triggers is both impractical and ineffective. Even if you never play the radio in your home, that same bouncy pop song might come on the speakers while you’re at a grocery store. Isolating yourself from situations in which you might be triggered can prevent you from living the life you want. The long-term goal of trauma-informed care is not to protect you from triggers—although that may be a useful short-term strategy. You will instead learn how to regulate your emotions and tolerate difficult situations.

The first step toward building habits is to acknowledge your current patterns. From there, you can decide which of them are still helpful. The skills that got you to this point served an important purpose, but they may not be the skills you need to build a better life. 

Trauma, Addiction, and Mental Health

When you experience trauma, it’s natural to develop coping mechanisms that are appropriate to use in emergencies. These strategies are very important; they are designed to help you survive and ultimately escape. But life isn’t always an emergency. Some of these habits can become harmful if you keep using them after the danger has passed. For example, a person who grew up in a violent home might have learned to mistrust their family members. That skill was probably a very important defense mechanism during their childhood. In adulthood, however, that same skill has the potential to damage a romantic partnership. 

If you’re living in an unsafe situation, it’s normal to want to escape. If physical escape is not an option, you may turn to other means of escape, such as substance use. Researchers have found “that there is high comorbidity between PTSD with substance abuse disorders4 and other mental disorders.” Because of this well-understood connection, many rehab centers are well-equipped to offer trauma-informed care. 

“Even if the person doesn’t define for themselves that they have trauma history, we assume that they do,” says Dr. Monika Kolodziej, Program Director of McLean Fernside. She describes their trauma-informed approach:

“What that means is being very respectful of space. It means being a clear communicator. It means not overstepping boundaries. And it means introducing the possibility that treatment for trauma might be an important part of their recovery. So in addition to being sensitive and interacting with the person in a way that’s respectful, that doesn’t overstep boundaries or is not aggressive or confrontational, it also means providing treatment and skills.”

PTSD and CPTSD can also co-exist with or even cause other diagnoses, such as anxiety and depression. Scholars have also suggested a link between CPTSD and Borderline Personality Disorder (BPD);5 some even suggest that we stop differentiating between these two conditions.6 If you’re living through ongoing trauma, and develop an additional mental health issue as a result, it can be even harder to get out of danger. And once you do arrive at a safer place, these conditions can complicate the healing process. 

Trauma-informed care takes these many complexities into account. Rehab is a place to not only move past substance use, but also learn to cope with the underlying cause that led you to use substances in the first place.

Camino Recovery exterior pool
Camino Recovery in Vélez-Málaga, Spain uses EMDR to help clients reduce the impact of traumatic memories.

Trauma-Informed Behavioral Health Services

Rehab is designed to be a safe, protected environment in which you can begin healing from trauma. You’ll have access to experts who can help you process your past experiences and learn new skills to use in the future. Without the added responsibilities of work, school, or caring for your family, you’re free to focus on yourself. This dynamic is especially important for people with a history of domestic violence, and anyone whose trauma has caused them to struggle with interpersonal dynamics. 

PTSD and CPTSD can be extremely isolating, both during and after the original trauma. That isolation can even be a key indicator of whether or not you’ll develop one of these conditions in the first place. For instance, if a person gets in a car accident and then has to wait for hours before an ambulance arrives, that waiting period might be just as emotionally damaging as the accident itself. After that traumatic event, it could also be hard for them to explain why they’re triggered by sitting quietly at the side of a road.

Rehab offers clients the opportunity to inhabit a safe and protected environment, without isolating them from care. By connecting with your cohort and your team of providers, you can learn how it feels to simultaneously exist in a private space and benefit from community support. 

Various rehab facilities offer different types of therapy for people with a history of trauma. Behavioral therapy is a particularly effective treatment. This approach provides clients with very specific tactics for navigating difficult situations, coping with triggers and urges, and living in accordance with their personal values. Some common styles of therapy for healing from trauma7 include cognitive-behavioral therapy (CBT), exposure therapy, and eye movement desensitization and reprocessing (EMDR). 

Each of these kinds of therapy looks at trauma from a slightly different vantage point, and it’s important to choose the one that’s right for you. EMDR, for example, aims to restructure the way memories are stored in the brain. Meena Lavender, Family Therapist and EMDR Practitioner at Camino Recovery, explains:

“If you had a filing system in your brain, it would house traumas in different sections of your brain. What EMDR does is access it one by one and processes that to eliminate the emotional charge it has.”

EMDR is just one example of trauma-informed care that simultaneously treats the mind and the body. This holistic approach can be helpful for clients who experience physical symptoms as a result of their emotional experience. In some cases, these symptoms can be extreme: panic attacks can be mistaken for heart attacks, and dissociative episodes can put a person at risk of physical harm. Ryan Soave, Director of Program Development at All Points North Lodge, states: 

“We hold trauma in our body, and stress is really the symptom of trauma. we can start working some of that stress out of the body, utilizing things like yoga, breath work, meditation, massage, the sensory deprivation tank, exercise and other types of functional movement, then when that stress is released from the body, it makes it easier to deal with the stressors that are going to come on a daily basis.”

The Ball, the Box, and the Button: A Metaphor for Healing

Imagine that, at the moment you originally experienced trauma, someone handed you a box. Inside it, you find a bouncy ball and a big red button, which is mounted on one of the sides. Whenever the ball hits the button, you’re reminded of your painful experience. That may mean you get triggered, feel anxious, and/or have the urge to engage in destructive behavior. 

At first, the ball and the box are almost the same size. The ball is constantly pressing down on the button, and you spend most of your time feeling the effects of what you’ve been through. This acute phase of healing from trauma can be very overwhelming. Without effective tools to regulate your emotions, it’s unfortunately easy to fall back on unhealthy coping mechanisms.

Over time, though, you learn. You grow. The box gets bigger, and the ball has room to bounce around. It spends less and less time pressing on the button. Your feelings may still be intense every time the button gets pushed, but you’ll have some space to breathe in between those moments. You’ll develop skills to manage your own reactions, and be better prepared for the next time the ball hits. 

This metaphor was originally developed to describe grief. And the process of healing from trauma is not unlike the process of grieving.8 Often, though, what you’re grieving is a version of yourself. As painful as that is, there is a well-charted path forward. 

Trauma-informed care offers people the space they need to get to know themselves again. This is your opportunity to redefine yourself, your life, and your values. Healing is a-linear, and there will always be good days and bad days. This process is intended to help you navigate them both. 

To learn more about your options for care, see our collection of residential rehabs offering trauma treatment here. 

Frequently Asked Questions About Trauma-Informed Care in Rehab

What is trauma-informed care in rehab?

Trauma-informed care in rehab is an approach to treatment that recognizes the impact of past traumatic experiences on an individual’s mental, physical, and emotional health. It focuses on creating a safe and supportive environment for healing and recovery.

What are the key principles of trauma-informed care in rehab?

The key principles of trauma-informed care in rehab include safety, trustworthiness, choice, collaboration, empowerment, and cultural sensitivity. These principles inform every aspect of treatment, from the initial assessment to ongoing support after leaving rehab.

What are the benefits of trauma-informed care in rehab?

Trauma-informed care in rehab benefits individuals by taking their experiences and trauma into account to provide a safe and supportive environment for recovery. This can foster a sense of empowerment and autonomy, which may lead to improved mental health outcomes.

Posted on

How to Request Time Off Work for Rehab: 5 Steps to Protect Your Job

It’s common to feel uncomfortable about asking your employer for time off to attend rehab. Many people struggle to bring the subject up with their workplace. But if this prevents you from getting treatment you need, it could harm your health and job security. 

One trap people often fall into is imagining worst-case scenarios. This stops many from requesting time off for treatment. It helps to remember that catastrophizing doesn’t paint an accurate picture of reality. If you need time off to focus on your mental health, most employers will understand.

With the right approach and information, you can focus on what matters most—your well-being—while also protecting your livelihood.

Disclaimer: This article is for general informational purposes only and should not be construed as legal advice, nor should it be substituted for legal counsel on any subject matter. Workplaces vary in how they handle these situations. If you’re unclear on how to move forward, speaking with a Human Resources professional or attorney may be a good next step.

timeline request leave for rehab fmla infographic

Understanding your legal rights is the first step in protecting your job while seeking treatment. For many U.S. employees, 2 main federal laws may provide important protections.

The Family and Medical Leave Act (FMLA)1 allows eligible employees to take up to 12 weeks of unpaid leave for inpatient addiction treatment. During this time, your health benefits continue, and your employer must hold your job or an equivalent position.

The Americans with Disabilities Act (ADA)2 requires employers to make reasonable accommodations for employees with substance use disorders in many cases. These might include modified schedules for outpatient programs or protection from discrimination.

These protections typically apply only to those seeking treatment, not those currently using substances. Not all workplaces are covered by these laws, and employer ethics vary widely—some offer supportive programs while others create challenging environments for returning employees.

Your Employer Might Be More Receptive Than You Expect

If you’re still on the fence about seeking treatment, keep these points in mind:

  • Most workplaces agree that employee well-being is essential. Research shows that focusing on your mental health benefits your workplace,3 too.
  • Public stigma around mental health and addiction is decreasing. We talk more openly about these issues than ever before, and public opinion is generally supportive of treatment.
  • You may be protected by employment laws. In many cases, laws are designed to protect your job while you seek drug or alcohol addiction treatment. Understanding your rights can give you confidence when discussing time off with your employer.

Many companies also offer Employee Assistance Programs (EAPs) that provide confidential counseling, treatment referrals, and sometimes even cover part of your treatment costs—all while adding another layer of workplace protection.

what not to tell employer rehab leave

Step 2: Get to Know the Family and Medical Leave Act (FMLA)

Think of the Family and Medical Leave Act (FMLA) as a safety net. It helps you balance your job and health needs by giving you time off for important medical reasons—including addiction treatment.

This law has been around since 1993 and has helped millions of people get treatment without losing their jobs.

How FMLA Helps If You Need Addiction Treatment

FMLA can protect your job while you get help for addiction. It can also protect family members who need time off to care for someone in treatment.

Per the U.S. Department of Labor, f you’re dealing with drug addiction (which counts as a serious health condition under this law), you can take up to 12 weeks of unpaid time off4 in a one-year period. When you come back, your job (or one just like it) should be waiting for you.

But there’s an important catch: FMLA only covers time off for actual treatment. It doesn’t protect you if you miss work because you’re using substances. The law protects people getting help, not people who are still in active drug use.

Before you count on FMLA protection, talk to someone in HR about your company’s policies. Some workplaces have their own rules about drug and alcohol rehab that might affect your FMLA coverage.

Do You Qualify for FMLA?

Not everyone can use this program. Qualifying means you need to meet these 4 FMLA criteria:5

  1. You work for a covered employer (we’ll explain this next)
  2. You’ve worked there for at least 12 months total (doesn’t have to be all at once)
  3. You’ve worked at least 1,250 hours in the past year (about 24 hours weekly)
  4. Your workplace has 50+ employees within 75 miles

FMLA covers these types of employers:4

  • Companies with 50 or more employees
  • All public and private schools
  • Government agencies at any level

Your workplace should tell you if they’re covered by FMLA. Look in your employee handbook or new-hire paperwork to find this information. When in doubt, ask HR.

rehab job health warning responsibility illustration

Step 3: Learn How to Use FMLA for Rehab

Following the proper FMLA process helps protect your rights. While each employer has their own workplace policy, the process generally looks like this:

  1. Find out what information your workplace requires.

Most employers want to know how long you’ll be in treatment. The admissions staff at your treatment center can help you determine your length of stay, which might include detox (typically 5-7 days) followed by residential or outpatient treatment.

Your employer might require a fitness-for-duty certification6 confirming you’re able to return to work after FMLA leave. They should tell you this, and provide a list of essential job duties, before you leave.

  1. File an FMLA leave request.

For planned treatment, give your employer at least 30 days’ notice.

If this is your first time using FMLA leave, you don’t need to specifically mention “FMLA” as long as you provide enough information about your need for medical leave.

  1. Wait for your employer’s response.

Your employer must tell you the status of your FMLA leave within 5 business days.

Documentation and Privacy

These privacy protections7 are also important to know:

  • You don’t need to give your employer your medical records unless specifically requested.
  • Any contact between your employer and healthcare provider must follow HIPAA privacy rules.
  • Your direct supervisor cannot contact your healthcare provider.

Timeline Considerations

Timing matters when requesting FMLA leave:8

  • Provide 30 days’ notice when treatment is planned in advance.
  • For urgent treatment needs, notify your employer as soon as possible.
  • Your employer must notify you of FMLA eligibility within 5 business days.
  • Medical certification, if required, is typically due within 15 calendar days.

Remember that addiction treatment timelines sometimes change based on your progress. If your treatment extends beyond your original estimate, let your employer know as soon as possible.

Step 4: Understand ADA Protections

The Americans with Disabilities Act prohibits discrimination against people with disabilities in all areas of public life, including employment.

Alcoholism and addiction that meet certain medical conditions are considered disabilities under ADA.9

How ADA Protects You During Treatment

If you qualify for ADA protection, your employer must make reasonable accommodations10 as you seek addiction treatment. This includes accommodating a schedule that allows you to attend treatment.

Once you request time off to attend a rehabilitation program, your employer must keep this information completely confidential. You’re also protected from discrimination in future hiring processes.

Your state may provide additional protection against being fired for attending addiction treatment. Check with your HR department about state-specific protections.

Just like with FMLA, ADA doesn’t protect you if you’re currently using substances.

Step 5: Approach Your Employer Effectively

It’s best to talk to your employer about your need for treatment as soon as possible. While this may seem scary, remember that seeking treatment is far less likely to hurt your career than the negative impact untreated substance use can have on your job performance.

You might imagine worst-case scenarios about talking to your boss, but don’t let fear stop you from getting help. Many employers are understanding, especially when you’re actively seeking help.

Public attitudes about addiction treatment have improved significantly. According to research comparing data from 1990–2003, stigma around mental health treatment has decreased, while public support for seeking treatment has increased.11

What to Say to Your Employer

Before talking with your employer, prepare the necessary information:

  1. Check if your company is covered by FMLA and learn about their policies.
  2. Know approximately how long you’ll be in treatment. Your treatment facility can help you estimate this.
  3. Understand your employee rights before going into the conversation.

When approaching your employer, be direct and professional. You can share details about your addiction if you’re comfortable doing so, but it’s not required. Focus on your commitment to treatment and returning as a healthy, productive employee.

Schedule a private meeting in a confidential setting. If you’re uncomfortable talking with your direct supervisor, consider going to HR instead.

Get all agreements in writing. After discussing your leave, follow up with an email summarizing what was discussed. Ask HR to confirm your job-protected leave dates and return expectations in writing, too.

Complete required paperwork promptly. Submit any FMLA forms or medical certification on time to ensure your leave is properly protected.

Set clear boundaries about contact during treatment. Many treatment programs restrict phone and email access, especially early in treatment. Regardless of your rehab program’s policy on devices, it’s essential to protect your healing process. 

Preparing for Your Return

Before leaving for treatment, tie up loose ends at work:

  • Brief colleagues who will cover your responsibilities
  • Create documentation of current projects
  • Set up an out-of-office message that simply states you’re on leave
  • Discuss with HR how your return to work will be handled

Remember that your employer should keep your medical information confidential. Only those who need to know about your sick leave should be informed.

You Can Do This: Take Care of You While Protecting Your Job

Taking steps to protect your job while seeking treatment helps safeguard both your health and your career. 

Ready to start your recovery journey? Search for a rehab center that fits your needs and speak to an admissions advisor directly today.

FAQs

Q: Can the FMLA be used for rehab?

A: Yes, FMLA can be used for addiction treatment if you meet eligibility requirements. FMLA does not cover absences due to substance use itself.

Q: How much time can you take off work for mental health?

A: Under FMLA, eligible employees can take up to 12 weeks of unpaid leave in a 12-month period for serious health conditions, including mental health issues that require continuing treatment.

Q: Should I tell my employer I’m in recovery?

A: This is a personal decision. You’re not required to disclose your recovery status. Consider your workplace culture and your relationship with your supervisor before sharing this information.

Q: Is drug rehab covered by FMLA?

A: Yes, substance abuse treatment can qualify for FMLA leave if you’re receiving care from a healthcare provider. The treatment must be provided by a healthcare professional.

Q: How does ADA protect you as you seek addiction treatment?

A: The ADA may protect employees with substance use disorders who are not currently using illegal drugs. It prohibits discrimination and requires reasonable accommodations for treatment.

Q: How do I request leave from work to attend rehab?

A: Schedule a private meeting with your supervisor or HR, clearly state your need for medical leave, provide necessary documentation, and follow your company’s leave request procedures.

Q: How do I request time off work for rehab without losing my job?

A: Know your rights under FMLA and ADA, follow your company’s procedures for requesting leave, provide required documentation, and get all agreements in writing.