Mastering the Gray Rock Method: A Guide to Detaching From Toxic Interactions

The emotional toll of toxic relationships can be immense. Interactions that routinely go poorly and violate your personal boundaries leave you feeling drained. 

That’s where the gray rock method comes in.

Think of a gray rock: dull, uninteresting, and unfazed. The gray rock method equips you to become just that—emotionally unresponsive—to someone’s negativity. 

This method isn’t about confrontation or revenge. It’s a strategic way to set boundaries and protect yourself from emotional abuse. If you’re constantly walking on eggshells around someone who doesn’t engage well, this method can be a lifeline. It allows you to minimize the harm and emotional exhaustion these interactions cause. 

Here’s how the gray rock method works, why some people choose to use it, and how you can apply it to your life.

Understanding Toxic Relationships

Toxic patterns are common in relationships with narcissists and other cluster B personalities.1 Narcissists have an inflated sense of self-importance, lack empathy, and thrive on manipulating others. All of these traits make for predictably poor interactions. 

“If you have ongoing exposure to controlling people,2 it’s a virtual certainty that you’re going to experience blurry boundaries,” says clinical therapist and narcissism expert Dr. Les Carter. 

But not all difficult interactions warrant the gray rock method. There’s a difference between the all-consuming conflicts that chronically occur in relationships with emotionally immature people and the smaller problems that naturally occur in “normal” relationships.

Note: Gray rock is often used for relationships involving narcissistic abuse. While the term is often used casually, narcissism is defined3 as “a personality disorder with the following characteristics:

  • A long-standing pattern of grandiose self-importance and an exaggerated sense of talent and achievements
  • Fantasies of unlimited sex, power, brilliance, or beauty
  • An exhibitionistic need for attention and admiration
  • Either cool indifference or feelings of rage, humiliation, or emptiness as a response to criticism, indifference, or defeat
  • Various interpersonal disturbances, such as feeling entitled to special favors, taking advantage of others, and inability to empathize with the feelings of others”

Signs of a Toxic Relationship 

Red flags that signal a toxic relationship are easy to overlook, especially if you haven’t learned to identify them, or if your childhood experiences tell you they’re normal. So how can you tell the difference between normal relationship conflict and emotional abuse? Start by asking yourself if you’re experiencing the following: 

  • A one-sided power dynamic: You feel belittled, manipulated, or criticized.
  • Walking on eggshells: You constantly dread their next episode and perform in ways you think will gain their approval.
  • Emotional manipulation: They use shame and guilt trips to control your behavior.
  • Energy drain: Interactions leave you feeling depleted and emotionally exhausted.
  • Disrespect: They chronically disrespect your humanity and personal boundaries.
  • Lack of empathy: They show little to no concern for your feelings or emotional well-being.
  • Isolating behavior: They try to control who you see, effectively limiting your social circle.
  • Rage: They have unpredictable outbursts or anger issues.
  • Gaslighting: They deny or twist reality to make you question your perception.
  • Pathological lying: They lie compulsively and without reason.

Gray rock doesn’t apply to healthy relationships, which benefit from working through problems using clear communication. It’s a coping strategy for people who need to minimize the damage that toxic relationships cause. 

Why People Choose to Use Gray Rock 

Narcissists lack empathy.4 They struggle to see things from your perspective and have little regard for your emotional well-being. As such, they use manipulative tactics like shaming, gaslighting, or outright lies to get what they want. As a result, you’re left feeling drained, unheard, and questioning your sanity.

Because of this, many people choose to go no-contact with narcissists,5 especially when leaving an abusive partner. But no-contact isn’t always possible—and isn’t always the best solution. Sometimes you need to maintain relationships with emotionally immature people (for example, to co-parent a child with an ex). Other times, stopping contact altogether involves more emotional labor than simply keeping it to a minimum.

Implementing the Gray Rock Method

Gray rocking is a way of protecting your energy by giving people who intend to manipulate you nothing to work with. This means not sharing inner thoughts and feelings. “Narcissists are data collectors,”6 says Dr. Carter. “The more you share your thoughts, they’re just collecting data to use against you later on.” 

The goal of gray rock is to put yourself in the most neutral position possible. By becoming emotionally unresponsive, you decrease narcissists’ interest in you as a target. Here are some ways you can use it: 

  • Minimize emotional reactions.  Avoid expressing strong emotions like anger, frustration, or sadness. This might feel unnatural at first, but remember, you’re aiming to be a dull rock, not a juicy target.
  • Limit conversation. Respond to questions with short, bland, factual answers. Avoid elaborate explanations or justifications. Opt for one-word answers like “okay,” “sure,” or “fine” when possible.
  • Maintain a neutral demeanor. Keep your body language neutral. Avoid making eye contact, crossing your arms, or fidgeting excessively. A calm and unbothered exterior further discourages engagement.
  • Keep it brief. Keep verbal exchanges as short as possible.
  • Don’t share your opinions or expand on ideas. Reveal the least amount of information possible about yourself.
  • Don’t make attempts to correct their thinking. If they start antagonizing you, don’t argue back. End the interaction.  

Gray rock also extends to digital communication.

  • Keep texts and emails short and to the point.
  • Don’t answer calls or messages until you feel emotionally ready. 
  • Mute, block, or use do-not-disturb mode as necessary. 

Examples: Using Gray Rock in Conversation 

When you know you’re stepping into a challenging interaction, it helps to have a plan. Here are some ideas: 

Replies 

Give bland, non-committal responses without expanding further on ideas. You can also use one-word replies like “okay,” “sure,” and “interesting,” in a neutral tone. 

Neutral Topics 

Likewise, it can be useful to have some topics in your back pocket in case you need to steer the conversation away from sensitive subjects. These might include: 

  • The weather: “I heard it’s supposed to rain tomorrow.” 
  • Non-controversial current events: “Did you hear about the [positive news story]?”
  • Your surroundings: “This coffee shop has a nice atmosphere.”
  • Food: “Have you tried that new Italian place downtown?” 

Redirecting the Conversation 

You can also (cautiously) steer the conversation away from things you’d rather not talk about using phrases like these: 

  • “I haven’t thought much about that lately.” (followed by a safe topic)
  • “That’s interesting, but I actually need to get going.” (if appropriate)

Keeping the Focus on Them

One Redditor, nospaceforyou, says to avoid disclosing too much personal information to a narcissist,7 “keep him talking about himself,” using questions like: 

  • “What have you been up to?
  • Are you still doing [insert hobby]?
  • Have you seen [insert movie]? I’m trying to decide whether or not to go. What do you think?
  • Have you had lunch/dinner yet?
  • How is [insert one of their friends] doing these days? Do you still talk?
  • Do you have plans to go anywhere this summer?”

The key is to keep responses brief, factual, and non-judgmental. Avoid getting drawn into emotional discussions or sharing personal details that could spark further conversation. Remember, your safety comes first. If the situation escalates or feels unsafe, remove yourself from the interaction.

With all of these techniques, proceed with caution. Your relationship dynamic is unique, and you know best what will escalate or deescalate a situation. 

Is Gray Rocking Narcissistic Behavior? 

Stonewalling8 (giving you the silent treatment, ghosting, or shutting down) is a common narcissistic tactic. So what’s the difference between this and gray rock? The answer is: the motive.

“There’s a difference between selfishness and self-preservation,” says Dr. Carter. Stonewalling is a narcissistic person’s way of punishing you for not going along with their agenda. Gray rocking, on the other hand, is not used for manipulation.

Boundaries and Self-Care

Boundaries keep us safe and set the standard for how we want to be treated. By using the gray rock technique, you’re placing a clear limit on how much emotional energy you’re willing to invest. But it’s not a solution in and of itself. It should be used alongside other self-care strategies to protect your emotional well-being.

If boundary setting has been difficult for you in the past, there’s no need to feel bad about it. In fact, many empathetic people struggle with setting boundaries. The good news is that boundary setting is a skill that can be learned.

As you navigate this relationship, prioritize activities that replenish your emotional energy. Keep doing the daily routines that make you feel well, and surround yourself with supportive people. Rest more if you need to and do things that nourish your spirit, like spending time in nature. 

Have Your Own Back 

It’s normal to feel a little guilty when setting boundaries—especially if you’ve been conditioned to believe that standing up for yourself is wrong. But deciding to put a stop to the emotional depletion you’ve experienced is a huge act of self-love. It’s also a brave acceptance of the situation for what it is. It’s your way of saying that the other person can think and act however they want, and you’re no longer invested in trying to make it different. Your job is not to internalize their opinions, but to live your life and be true to yourself.

“Some people just cannot engage well,” says Dr. Carter. “Gray rock is a way of practicing self-care and self-respect, and is a reasonable way to engage with someone who does not participate well.”

Note: Gray rock is a temporary strategy for managing difficult people. It doesn’t address the root cause of the toxicity. Toxic relationships give us a lot to unpack, and therapy can help us process, heal, and learn from what happened. 

Challenges and Considerations

Emotional detachment can feel awkward, especially if you’re used to expressing yourself openly. Suppressing your natural reactions might make you feel like you’re being fake. One Redditor, indulgent_taurus, says gray rock itself can be emotionally tiring:9

“Due to my fawn response, I’ve never felt comfortable saying ‘no’ or setting boundaries around certain topics…I’m grateful for the grey rock technique. BUT, it’s also exhausting. It’s hard for me to give those bland, boring answers without sounding defensive or angry…my hypervigilance is on overdrive when I’m in her presence.”

“I had every right to step away from people who had hurt me deeply.”

The decision to minimize contact with someone you were close to is never easy—especially if that person is a family member. Sara D, a child abuse survivor, describes her experience: 

“I know other child abuse survivors and I know of no one, myself included, who made the decision to go no or low contact or grey rock lightly—no one. My very personal decisions to limit contact with my abuser and my enabler and, at another point, to have no contact whatsoever with the both of them certainly weighed heavily on me. Those decisions were some of the most painful and difficult yet also most impactful of my life!… They came with costs—to everyone involved. But those decisions felt necessary, and right; they were self-preserving decisions. And I had every right to step away from people who had hurt me deeply, who had betrayed my trust early and often and shown no remorse and taken no accountability.”

Gray rock doesn’t solve all your problems—the idea is that it costs you less than engaging in conflict.

Risks of Using Gray Rock

Gray rock is growing in popularity, but as of yet, not much research has been done on this technique. It also carries some potential risks: 

  • Escalation: Narcissists crave attention, and if they’re not getting the reaction they seek through their usual tactics, they might respond by escalating their behavior.
  • Feeling emotionally drained: While the goal is to be emotionally neutral, constantly suppressing your true feelings can be draining. It’s important to have healthy outlets for your emotions outside of this dynamic.
  • Inadvertently enabling: In some cases, a narcissist may misinterpret your lack of response as permission to continue their bad behavior. It’s important to maintain clear boundaries, even if you’re not engaging emotionally.

Adjusting Expectations

It’s hard to acknowledge, but it’s just not possible to have healthy, fair relationships with certain people. With gray rock, we let go of the expectation that our exchanges are going to be rewarding, or that we can change their behavior. Instead, we adjust our behavior to best handle the situation at hand. 

Alternatives and Support

In some situations, it’s better to walk away completely. If you feel unsafe, talk to a trained support specialist about making an exit plan. 

  • National Domestic Violence Hotline: 1-800-799-7233
  • Crisis Text Hotline: text Home to 741741
  • Love Is Respect: 866-331-9474

Dealing with the fallout from a toxic relationship can be overwhelming. Don’t hesitate to reach out for help. Therapy and support groups provide a safe space to express yourself and connect with others who understand what you’re going through.

Take Charge of Your Interaction and Protect Your Well-Being

You deserve to feel safe and respected. You get to decide what’s in your best interest and how much emotional energy you want to spend. The gray rock method is just one tool you can use to maintain your personal boundaries. 

Even when using gray rock, managing these interactions takes an emotional toll. Be kind to yourself as you progress through your healing journey, and don’t hesitate to reach out for help when you need it. 

Navigating Therapy: 11 Tips for Finding the Right Therapist

Finding the right therapist opens a myriad of available treatment types, session formats, and positive therapeutic relationships in your area. It’s the first step on what could be an effective healing journey.

Finding a therapist that fits your needs isn’t always a streamlined process, but it can be. Keep these 11 tips in mind as you start your search to feel empowered in your decision. 

#1: Self-Reflect 

Reflect on your needs and what your goals are in therapy. Do you need help with depressive symptoms? Are you looking to gain coping tools for stress? Or do you know you simply need someone to talk to? 

Take a few moments to identify and write down what you need from therapy. Depending on what you find, it can make your process simpler. For example, if you can identify you need help healing from trauma, you can narrow your search down to therapists who specialize in trauma care.

#2: Determine Therapeutic Approach

Evidence-based therapeutic approaches include cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT), eye movement desensitization and reprocessing (EMDR), acceptance and commitment therapy (ACT), and many more.  

Some therapists may also specialize in holistic approaches, like somatic experiencing and mindfulness-based CBT to better connect your mind and body. Therapists may also specialize in individual therapy or only offer group therapy.

Different approaches may match better with your personality and treatment goals. You can discuss your options with your primary care provider or a prospective therapist to learn more about what resonates with you.

#3: Consider Specializations

Therapists may specialize in certain forms of therapy or techniques. For instance, a therapist may specialize in EMDR or internal family systems (IFS) therapy. Therapists may earn specialized credentials or training to perform these types of therapy, or they may dedicate their career to a particular therapeutic approach and gain specialized experience over time.

You can look at a therapist’s bio to learn more about their experience and what they’ve specialized in. Ask them what their specialties are too. They may also have a badge of accreditation included on their profile. 

#4: Research Credentials

Licensed therapists will have any of the following licensure:

  • LCSW: Licensed Clinical Social Worker
  • LMFT: Licensed Marriage and Family Therapist
  • LPC: Licensed Professional Counselor
  • LMHC: Licensed Mental Health Counselor
  • LLP: Limited Licensed Practitioner (Psychologist)
  • LP: Licensed Psychologist 

Therapists need a master’s degree in psychology or counseling and pass a licensure exam. Licensed psychologists have their doctoral degree (PhD or PsyD) in psychology and pass a licensure exam. 

#5: Seek Recommendations

Ask your primary care physician for their recommendations on a therapist and the therapy approach that may meet your needs. You can also ask family and friends for their recommendations, which can be especially helpful for finding local support.

You can also check online platforms like the American Psychological Association, Yelp, and Google for reviews and summaries of what individual therapists offer. 

#6: Assess Compatibility

Researching a therapist may clue you into your compatibility. Or, you can assess your compatibility during your first session. If you don’t feel comfortable with your therapist, it’s important to find someone else. Having a positive therapeutic relationship can increase the benefits of therapy1 and help you heal. 

Keep in mind that you don’t have to stick with one therapist. You can stop at any time and look for a stronger connection elsewhere. 

If you’re compatible with your therapist, you’ll feel like you’re being heard and validated. You’ll feel comfortable speaking and sharing intimate details of your life or situation. You’ll also feel like your words or feelings won’t be judged, which can help you open up freely and experience more benefits. 

#7: Inquire About Therapeutic Approach

Ask your therapist about the approaches they use to hear it described in their own words. In an initial consultation or session, you can learn more about their approaches and why they’ve chosen to provide them. You can also ask about their treatment philosophy to learn more about why they do what they do, and if their motivations align with yours. 

If you have any questions about their approach, you can ask them in this session or in online communications with the therapist.

#8: Evaluate Communication Style

Everyone communicates differently, including therapists. Some may speak more bluntly and directly. Others may prioritize gentleness and will communicate more indirectly. 

You’ll typically discover your therapist’s communication style in your first session. If your communication styles align, you’re more likely to develop a positive therapeutic relationship. 

#9: Consider Logistics

To make therapy a practical endeavor, their office should be easily accessible and their services affordable. You can ask your therapist right away if they offer online sessions; their profile or webpage will typically mention this too. If you have to drive an hour to their office, it may be more difficult to commit to going. Expensive sessions can also deter consistent attendance.

Many therapists accept insurance to keep costs manageable. Consult with your insurance provider and their office to see if your plan will cover costs of treatment. In some cases, your plan will only require a small flat rate for each session.

Some therapists offer therapy online for greater accessibility. If you’re comfortable attending online, virtual sessions can offer flexibility and make treatment possible for those in rural areas or with disabilities.

#10: Trust Your Instincts

You may find a therapist with all the skills and qualifications you feel you need. They could have decades of experience and a fancy office. But that doesn’t mean they’ll be the right fit for you—if anything feels off, trust your instincts and look elsewhere. 

Pursue therapists you form a genuine connection with. You’ll likely notice this right away, or at least within your first 2 sessions. You’ll intuitively feel comfortable with them and open to sharing.

#11: Stay Open to Exploration

You have as many chances as you need to find a therapist you connect with—it’s not something you have to get right in your first try. You can adjust your expectations by remaining open to the idea of trying new therapists. The first one may not be the right fit, and that’s okay. Keep trying.

Pursuing a stronger therapeutic relationship or a different therapeutic approach can benefit your healing and potential for growth. You can continue self-reflection as you attend therapy to ensure your therapist meets your needs and you’re both achieving set goals.  


More intensive care options, like residential rehabs, offer individual therapy as well. You can browse behavioral health centers with individualized care and see prices, insurance options, and reviews.

Choosing the Right Rehab as a Celebrity

We hear it all the time: “celebrities are just like everyone else.” And in many ways, that’s true. But you might have some unique concerns when it comes to rehab. For example, privacy, flexibility, and maintaining your lifestyle might be especially high priorities. In a luxury rehab center, you can start addiction and mental health recovery without sacrificing your other needs. 

Why Is Addiction So Common in Celebrities?

Addiction doesn’t discriminate. Whether or not you’re famous, you might develop an addiction for a variety of reasons. But certain aspects of fame contribute to higher rates of addiction among affluent people:1

  • Easier access to drugs and alcohol
  • Isolation from trustworthy support systems
  • Trauma from abuse and neglect, especially during childhood fame
  • Pressure from demanding professions

Like anyone else, some celebrities may also have a genetic predisposition to addiction.2 This risk is further increased when combined with a stressful lifestyle. 

Unique Challenges of Recovery for Celebrities

If fame plays a role in developing addiction, it also affects how you access treatment. Many celebrities have ongoing contractual obligations like games, tours, or interviews. So if you take time off work for treatment, you might face career and financial penalties. And those commitments don’t end after rehab. Many of them even come with an expectation to drink or use drugs with your colleagues and fans.

High achievers also face significant financial pressures. You might be supporting a large staff, artistic collaborators, and loved ones. So if you stop working, they could feel immediate effects. And fame doesn’t always bring financial success. High-profile activists, politicians, and artists can’t always afford rehab centers with the strict privacy they need. 

For this demographic, public opinion has a major impact on the recovery process. And unwanted media attention can interfere with healing. Because of this, confidentiality is a major concern for high-profile clients—as it should be. You have the right to recover on your own terms. That’s why most rehabs have privacy policies that keep celebrities safe from prying eyes. 

What Do Celebrity Rehabs Offer?

Celebrity rehabs understand the unique ways that fame affects addiction and recovery. There are a few key ways rehabs approach treatment for high-profile patients. 

Confidentiality

For most celebrities, privacy is essential for recovery. That way, you can focus on yourself and the changes you want to make, without distractions. With this in mind, celebrity rehabs have strict privacy policies. 

For the utmost confidentiality, some rehabs treat only one client at a time, and some centers cater specifically to celebrities. They take a personalized approach to recovery, tailoring treatment to meet your unique needs. 

Location can also play a role in keeping your recovery private. Swiss rehabs, for example, take anonymity to the next level. Jan Gerber, CEO of Paracelsus Recovery in Zurich, explains: 

“In terms of confidentiality, that’s basically the second name of Switzerland. It’s the banking secrecy, the whole discretion. The Swiss mindset is, in a way, non-sensational. We get clients who are celebrity, A-list Hollywood actors, who go to the local Starbucks. Of course they’re recognized, but it’s not in the news, the local tabloids don’t write about it, and they’re not harassed for autographs either.”

Flexibility

With success comes responsibility. If a team of employees depend on you, you might not be able to take time off work for recovery. Or you might need to attend social functions, or stay in touch with your family. At many elite rehabs, you can keep these commitments during your stay. 

Some centers have more relaxed device use policies, so you can stay connected throughout treatment. Others even allow you to work remotely. As long as these activities don’t interfere with your progress, you can continue taking care of business while you heal.   

Gerber describes how the clinicians at Paracelsus Recovery accommodate each patient’s individual needs:

“We’ve had people with regular scheduled TV appearances, such as entertainers who have had to be in front of the camera once a week in a different country. We could accommodate that. We have people who run companies, or family business empires. They have to have work calls every day. We have to accommodate that.”

tikvah lake recovery pool
Tikvah Lake Recovery provides clients with a sober companion to join them at special events.

Joyful Recreation

If you’re successful in your chosen field, you may be accustomed to a certain lifestyle. Rehab doesn’t have to interrupt that. In fact, learning to enjoy yourself without drug use is an important part of recovery.3 

At White River Manor in South Africa, for instance, patients can go bungee jumping, whitewater rafting, or even on safari. Director Co-Owner Giles Fourie describes the therapeutic value of these activities:  

“There’s great therapy in that. It’s also just about having fun. There’s great value in our clients experiencing what it is to have fun outside of addiction, outside of the substances that they believed they needed in order to experience joy in their lives.” 

And these experiences don’t just bring joy to your time in treatment. They can also set you up for long-term success. 

Comprehensive Aftercare

When you leave inpatient treatment, you’ll probably return to the same world you left behind. Even if you’re sober, you might need to keep attending high-profile events where drugs and alcohol play a role. And you’ll still face the same pressures you did before entering treatment. 

That’s why many celebrity rehabs offer comprehensive aftercare. You can return to the center for a follow-up stay, or meet with your therapist remotely. Some rehabs, like Tikvah Lake Recovery, even offer sober companions to join you at special events. Their presence can help you work through triggers and avoid relapse. 

What Rehabs Do Celebrities Go To?

Recovery is unique for everyone—even high-profile clients. While many celebrity rehabs are lavish retreats, that’s not universally true. 

As extravagant as this sounds, not all celebrity rehabs are expensive. And most of them accept insurance since the adoption of the Affordable Care Act. Treatment in some parts of the world, like Thailand, is particularly accessible. Whatever your budget is, you can likely find a luxury rehab that fits your lifestyle.

the hills rehab chiang mai property
The Hills Rehab Chiang Mai and other rehabs in Thailand offer luxury amenities at an affordable price point.

Bespoke Luxury Rehabs

When you’re used to a high standard of living, leaving it behind can interfere with healing. But if luxury amenities are a priority for you, many rehabs can meet your needs. You might have a private chef, personal trainer, and house staff assigned to you during your stay. And you can stay in a 5-star room, private suite, or even an entire villa. Many luxury rehabs also offer a 24/7 concierge service. You’ll have somebody there to act as a liaison between you, the staff, and your loved ones throughout treatment. And they can also be an important source of emotional support outside of your treatment team. 

In rehabs like Orenda at Futures, this approach is central to recovery. Their team believes “freeing patients to concentrate fully on therapy produces better outcomes.” To that end, their team is dedicated to meeting each client’s unique needs. They’re always available to answer your questions and make your stay as comfortable as possible. 

Holistic Rehabs

Holistic rehabs treat addiction using a variety of evidence-based and alternative therapies:

These types of rehabs treat the whole person, addressing your physical, mental, and spiritual wellness. At Alta Mira Recovery in California, expert staff “address neurobiological, psychological, social, physical and spiritual aspects of addiction” with therapies ranging from cognitive behavioral therapy (CBT) to equine therapy.4

Celebrity Rehabs: Joyful and Private Places to Heal

When you find fame, it’s all too easy to lose yourself in the process. In treatment, you can get to know yourself again without the pressure of public opinion. And you won’t have to choose between career success and recovery. Celebrity rehabs show you how to keep the best parts of your lifestyle, and let go of the behaviors that aren’t serving you.

Search our collection of luxury rehabs to learn more about their locations, approaches, and special considerations.

Celebrity Rehab Centers: 9 Luxury Treatment Options for Privacy and Comfort

Addiction and mental health problems can affect anyone, even the rich and famous. But if you’re used to a high standard of living, you might worry about giving up comfort during inpatient treatment. Celebrity rehab centers offer the perfect solution. These luxury facilities provide top-notch health care while maintaining the comforts you enjoy in daily life.

What Makes Celebrity Rehabs Special?

Celebrity rehabs combine effective treatment with luxury experiences. At these centers, you might go whale watching, take a sunset yacht ride, or enjoy skydiving adventures. Many look like high-end resorts or tropical getaways from the outside. But inside, they offer much more than a fancy vacation.

These facilities maintain strict privacy measures to protect their famous clients. Most have security teams, private rooms, and confidentiality agreements for all staff. Some centers don’t even have map listings, to keep their location secret from the public and media.

The best celebrity rehabs focus on both comfort and effective treatment. They employ highly qualified therapists, doctors, and support staff. Many offer personalized treatment plans tailored to your unique needs.

Celebrity Rehab Centers Around the World

You can find celebrity rehabs around the globe, with a wide variety of treatments and amenities. Whether you prefer the tropics, a mountain retreat, or a private island oasis, there’s most likely a treatment facility that meets your needs. 

luxury holistic rehab exclusive hawaii facility

1. Exclusive Hawaii Rehab

This oceanside center prioritizes privacy with a gated residence hidden from the road. A security team guards the property 24/7. The center treats a maximum of 7 clients at once, offering 3 room options: shared, private with shared bathroom, or private with en suite.

Exclusive Hawaii Rehab offers naturopathic and holistic therapies for drug addiction and mental health. They provide nutritional counseling, IV therapies, and traditional Hawaiian Ho’oponopono sessions. Clients can keep up with work during recovery, with access to phones, laptops, and dedicated workspaces.

When you’re not in therapy, you can feed manta rays, take cooking classes, visit waterfalls, or simply relax on the beach.

southern california celebrity rehab passages malibu

2. Passages Malibu

Located on the sunny coast of Los Angeles County, Passages Malibu focuses heavily on individual therapy. Clients receive 60-80 hours of one-on-one therapy each month. Famous past clients include Mel Gibson, Andy Dick, and Stephen Baldwin.

Passages doesn’t use 12-Step methods. Instead, they see substance use disorder as a treatable condition with root causes that can be addressed. Their holistic approach includes hypnotherapy, acupuncture, and massage alongside traditional talk therapy.

The center offers shared or private rooms with access to lounge areas and multiple pools. On-site chefs prepare nutritious meals customized to your dietary needs.

luxury celebrity rehab cirque lodge utah

3. Cirque Lodge

In the pristine nature of Utah, Cirque Lodge provides substance abuse and co-occurring disorder recovery in a lodge-style setting. Famous clients have included Cara Delevigne, Demi Moore, Lindsay Lohan, and Kirsten Dunst.

Cirque Lodge incorporates the 12 Steps along with other evidence-based therapies. They also offer unique experiential treatments like equine therapy. Clients enjoy private bedrooms with en suite bathrooms in a cozy environment.

The campus provides plenty of opportunities to enjoy nature, with stunning views and outdoor activities in the sunny Utah weather.

luxury celebrity treatment neoviva lucerne lakeside swiss

4. NEOVIVA

This Swiss rehab center operates discreetly within a hotel on Lake Lucerne. With no signage or staff uniforms, clients look just like any other hotel guest. Treatment sessions take place in a private section away from other guests.

NEOVIVA maintains a 1:3 staff-to-client ratio and treats just 5 clients at a time. Each private room overlooks the lake. Clients have access to all hotel amenities, including a sauna, restaurant, and outdoor pool. You can even bring your pet.

Their holistic approach includes wellness treatments like yoga, breath work, and Qigong. Weekend activities might include forest hikes, trips to nearby villages, and time at the famous lake.

aton center celebrity rehab san diego

5. AToN Center

Located on 10 acres in San Diego, AToN Center provides privacy and luxury. They offer both 12-Step and non-12-Step approaches. Their treatment combines evidence-based, holistic, and trauma-informed therapies.

Clients receive 4 hours of therapy daily, including 3 hours of group therapy and 1 hour of individual therapy sessions. Family therapy is available weekly. The center doesn’t restrict access to devices as long as they don’t interfere with treatment.

Holistic treatment options include weekly acupuncture, massage, personal training, yoga, and hypnotherapy. Clients can also enjoy hiking, painting classes, meditation, and Reiki energy healing.

luxury rehab retreat istana bespoke health ibiza

6. Istana Bespoke Health 

Istana takes privacy to the extreme by treating just one client at a time. They have locations in Ibiza, Bali, and Barbados, each offering a private villa for recovery. Family members can join if the treatment team agrees it would be helpful.

The program offers completely customized treatment using evidence-based approaches like cognitive behavioral therapy (CBT). Privacy measures include unmarked villas, private airport pickups, and staff trained in confidentiality.

Each client receives support from a butler, personal chef, and life coach, among others. Free-time activities include island tours, cooking classes, music making, and dance lessons.

clinic les alpes exclusive celebrity addiction treatment center

7. Clinic Les Alpes

A luxury chalet in the Swiss mountains, Clinic Les Alpes treats addiction, mental health disorders, eating disorders, burnout, and more. Their world-renowned practitioners create personalized treatment plans using advanced testing and assessments.

Clients enjoy private bedrooms and amenities like a sauna, swimming pool, mountain views, and a gym. Every aspect of treatment is tailored to individual needs, including nutritional care.

The stunning Alpine setting provides a peaceful backdrop for recovery, away from the pressures of public life.

private celebrity rehab center raindrum byron bay pool villa

8. Raindrum

Raindrum offers ultra-private mental health and addiction treatment in various settings. Clients choose between several private residences, either on the beach or in the countryside. All therapy takes place one-on-one, including talk therapy and personal training.

This center treats addiction along with co-occurring conditions like burnout, depression, and anxiety. They offer experiential therapies like surf therapy, equine therapy, dance, and photography, as well as creative options like art therapy, pottery, and language learning.

Treatment is completely individualized, with staff coming to your residence rather than meeting in a clinical setting. A full support team includes housekeepers and a personal chef.

exclusive celebrity rehab facility sanctuary vancouver island bc

9. The Sanctuary Vancouver Island

This bespoke center offers high-end treatment for various needs. Beyond addiction and mental health, they focus on chronic pain management, post-operative care, and weight stabilizing.

The Sanctuary Vancouver Island combines evidence-based and alternative treatments, such as CBT with transcranial magnetic stimulation (TMS). More than 100 on-call specialists support your recovery process, from chiropractors to psychiatrists.

Clients stay in private residences on Vancouver Island near the shore, in the forest, or somewhere in between. Between sessions, you can enjoy meals from your personal chef, go whale watching, or explore by seaplane.

Finding Recovery as a Celebrity

Getting help for addiction doesn’t have to mean giving up luxury or privacy. These exclusive drug rehab centers prove you can heal while maintaining comfort and discretion. 

The most effective addiction treatment centers combine evidence-based therapies with holistic approaches tailored to your needs. They maintain strict confidentiality via security measures, unmarked facilities, and staff training. And after treatment, you’ll take valuable coping skills with you, whether you’re heading back to the spotlight or to your private life.

Ready to start your journey back to well-being? Visit our collection of luxury treatment centers to find the perfect match for your needs and lifestyle.


FAQs

Q: How effective are celebrity rehab centers in treating addiction?

A: Celebrity rehab centers can be highly effective when they combine luxury with evidence-based treatments. They typically employ qualified professionals and maintain low client-to-staff ratios. Success rates vary by individual, but many clients find the personalized approach and comfortable environment help them engage better in treatment.

Q: What can I expect at a luxury rehab center?

A: Expect private accommodations, gourmet meals, and amenities like pools and spas. Treatment usually includes a combination of individual therapy, support groups, and holistic options like massage or acupuncture. Many centers allow access to phones and laptops, with recreational activities available. Low staff-to-client ratios ensure personalized care.

Q: How do I find the best celebrity alcohol rehab center?

A: Consider your needs, budget, and preferred location. Look for centers specializing in alcohol addiction with experienced, licensed staff and evidence-based approaches. Ask about detox if needed. Read reviews and ask questions about outpatient program options, privacy policies, and aftercare planning.

Q: How much does it cost to stay at a celebrity rehab center?

A: Mental health or substance abuse treatment costs at luxury rehabs typically range from $30,000 to $100,000+ per month, depending on the center and services provided.

How Much Individual Treatment Do You Need in Rehab?

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

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

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

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

Understanding One-On-One Treatment

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

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

Individual Therapy

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

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

Group Therapy

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

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

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

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

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

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

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

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

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

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

Psychotherapy

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

Cognitive Behavioral Therapy (CBT)

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

Dialectical Behavioral Therapy (DBT)

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

Acceptance and Commitment Therapy (ACT)

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

Experiential Therapy

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

Equine Therapy

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

Physical fitness

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

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

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

– Rowland Tweedie, Health and Fitness Manager, Paracelsus Recovery

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

Is Individual or Group Therapy More Beneficial?

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

Benefits of Individual Therapy

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

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

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

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

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

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

Benefits of Group Therapy

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

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

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

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

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

How Many Clinical Hours Do Rehabs Actually Offer?

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

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

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

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

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

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

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

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

Individual Treatment Lets You Dive Deeper Into Your Healing Process

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

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

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

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


Frequently Asked Questions About Individual Treatment in Rehab

What is individual therapy in rehab?

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

How does individual therapy help in rehab?

Individual therapy in rehab offers numerous benefits:

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

What can I expect during individual therapy in rehab?

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

Experts Weigh In on Individualized Care

Recovery is an extremely personal process. Each person’s needs are different, whether you’re healing from a broken leg or a substance use disorder. With that in mind, many rehabs offer individualized treatment.

As Jan Gerber, CEO of Paracelsus Recovery, explains:

“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.”

Most rehab facilities offer some aspects of individualized care, such as one-on-one talk therapy. However, some programs take this approach much further. Certain residential rehab centers offer every individual client a completely bespoke experience, tailored to meet their exact needs.

What Is Individualized Rehab?

If you choose to attend an individualized rehab program, the treatment process may begin even before you arrive. You’ll begin by going through a detailed intake process, in which providers get to know you. Dr. Christine Merzeder, Senior Clinical Coordinator at Paracelsus Recovery, says,

“We start with an interview on the telephone or people write their own history of how they think their situation is. Then we work our way through the medical file. There’s no routine – it’s always something very, very different. Every client is a very individual case.”

Paracelsus individualized care
Paracelsus Recovery goes to great lengths to offer individualized care to each client.

Once your team is familiar with your personal needs and priorities, they’ll collaborate with you to create a treatment protocol that fits your values, needs, and goals. For example, some clients may benefit from 12-Step programs, such as Alcoholics Anonymous. Others might prefer to focus on one-to-one therapy. At White River Manor, for example, groups are not mandatory. Jeanine Fourie, Therapeutic Director and Co-Owner of the facility, firmly believes:

“Each client is here for their own treatment, and their own journey of recovery…it’s important for us that they feel that they get what they need out of their time with us. We accommodate what each client specifically needs.”

These bespoke programs offer benefits that may be hard to find in more structured rehabs. Notably, clients are more active in the process of choosing which therapies they’ll engage in. This allows you to practice making healthy choices in a safe context, surrounded by treatment providers who can provide structure as needed.

Who Is a Candidate for Individualized Care?

Individualized care isn’t for everyone. If you’d prefer to recover in a more structured and predictable environment, you may prefer a different style of treatment. However, certain demographics are more likely to benefit from a highly personalized approach.

Dual Diagnosis

Many people with substance use concerns present with co-occurring disorders. And clients with co-occurring conditions often find great value in programs tailored to meet their unique needs. For example, if you’re in recovery from both substance use and PTSD, you may require a very different treatment plan than a person recovering from both substance use and treatment-resistant depression.

The Hope House Scottsdale, for example, offers individualized care to treat dual diagnoses. According to their philosophy, “There isn’t one way to treat mental health problems.” This program utilizes a variety of treatment options—such as biofeedback, EMDR, family therapy, CBT, DBT, and group therapy—to treat clients with substance use disorders and additional mental health concerns.

Executive Clients

Like any other demographic, high-level executives are sometimes subject to substance use disorders. However, high-achieving people often have a unique set of needs during recovery. You may be unable to step away from work or family commitments to get the help you need. You may also be accustomed to a certain standard of living, and concerned about spending time without necessary amenities.

A number of rehab facilities offer executive treatment programs, which are specifically designed to address these concerns.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 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.”

This approach makes recovery accessible for clients with demanding schedules. Individualized care is often a good solution for people who need to balance their health with their responsibilities, instead of sacrificing one for the other.

White River Manor lobby
A peek into White River Manor in South Africa.

High-Profile Clients

Individualized care programs tend to have a strong emphasis on discretion, which may be important to high-profile clients. Safe from prying eyes, you’ll be able to focus entirely on your own healing process.

It’s important to note that while these environments are protected, they don’t have to be isolating. Clients are often encouraged to continue the activities that make them feel the most grounded and capable. For example, Orenda at Futures is home to an addiction and mental health treatment program specifically designed for athletes. In residence here, clients continue to train throughout the recovery process.

Recovery in Private, But Not Alone

Research suggests a link between social isolation and substance abuse.1 And many clients benefit from honing their interpersonal skills during rehab. Individualized care often offers a greater degree of privacy, but doesn’t have to be isolating.

Of course, your specific rehab program will determine how you connect with the people around you. In some facilities, you’ll go through recovery with a small cohort of peers. Soberman’s Estate, for example, hosts a maximum of 10 people at a time. This format allows clients to find common ground and build relationships with each other. You’ll also be able to practice social skills in a safe, supervised context, which may alleviate concerns about falling back into unhealthy patterns.

Dr. Thomas Gazda of Soberman’s Estate is very focused on providing individualized care to each of his clients:

“When I sit down with a patient, I want to know more about them. I want to know about their background. What are their passions in life? What passions have they lost during their addiction? Have they become bored or distracted by something? What are they getting away from? Those things kind of come out…It’s very individualized.”

Clients are able to receive a high level of personal attention, as well as observe their peers in recovery. For many people, this is an effective way to balance their need for a specific type of treatment with the universal need for community.

Other programs take individualized care a step further, treating only one client at a time. Mercui Recovery is one such rehab center. Clients are hosted in a remote wilderness location, far from the hustle and bustle of urban life. Each person’s experience is unique, and “every client service is customized for the individual, every time.” This experience would likely not be a good fit for people who want to focus on peer-to-peer support during rehab. However, this unfettered access to your clinical team gives clients the time to create a comprehensive aftercare plan before completing the program. That plan may include a network of family and loved ones, local support groups, continued therapy, and medical care.

Mercui Recovery
A look at one of Mercui Recovery’s properties.

For many clients, the experience of individualized care is “the first time in their life that they pool all their medical information together,” says Dr. Christine Merzeder, Senior Clinical Coordinator of Paracelsus Recovery.

“With one client at a time, the knowledge base and communication base are very efficient. It’s a lot of being alert and not missing any information, and there’s no standard clinical path you can develop for that because every case is individual…it’s efficient, it’s fast, it involves the client and their family. And when they leave they get a written summary with all the findings and recommendations.”

In some highly individualized programs, you’ll be able to stay in touch with your friends, family, and possibly even your colleagues. This is most often true of rehabs that treat only one person at a time, and those that cater to high-achieving professionals. This strategy allows you to connect with people from afar, and then process your recent interactions with them during therapy. Even without on-site peer support, you’ll be able to practice interpersonal relationships. By engaging with the people who matter the most, you can learn not only about general social skills, but about how those skills can have the greatest possible impact within your own community.

Choosing an Individualized Care Program

Although individualized care aims to meet your unique needs, not every program will offer the exact mix of programming and amenities that’s right for you. It’s important to find a rehab center whose treatment philosophy aligns with yours. In the right context, you’ll be surrounded by providers with expertise that applies to your experience, and able to engage in activities that support your personal healing process. There are many different therapeutic modalities to choose from, and individualized therapy invites you to do just that.

Experiential Therapy

Experiential therapy is a way to process your emotions from a brand-new perspective. Rehab programs around the world offer a wide variety of activities that you may find engaging or inspiring. For example, if you want a fully embodied, adventurous experience, several rehab centers in Orange County invite clients to go surfing. At The ‘Ohana, in Hawaii, you can swim with the dolphins. Activities like these invite you to examine your behavioral habits in a greater context, and not just in a private room with a talk therapist.

The Ohana Hawaii
The ‘Ohana in Hawaii

Holistic Treatment

There are countless ways to approach healing. It’s quite common for individualized treatment programs to offer holistic care, with the intention to heal the body as well as the mind. You may have the opportunity to receive massage, reiki, acupuncture, or similar treatment modalities. These techniques encourage clients to learn about mindfulness, come into the present moment, and accept themselves just as they are.

Outpatient Care

Recovery is important, but it’s not always convenient. But you don’t have to delay your own healing process. Many clients choose to attend intensive outpatient programs (IOPs), which may be more feasible than residential treatment.

For example, Evolve Treatment Centers has several locations in California, treating adolescents from 12 to 17 years of age. This program allows them to continue living at home and going to school, while still engaging in treatment that’s tailored to meet their needs. Because of this flexibility, clients can get the help they need without interrupting this important chapter of their lives.

Bespoke Treatment Puts You Back in the Driver’s Seat

People of many demographics can benefit from individualized treatment programs. Alex Spritzer, Family Addiction and Psychiatric Nurse Practitioner at The Hope House Scottsdale, says,

“For example, a middle-aged mom of two children going through a separation is going to have very unique needs…versus someone who might per se not have a family, not be married, might be a single male, youthful, 18 years old. Considering where the person exists before the disease process, their home environment is really essential to their recovery.” In the context of individualized treatment, healthcare providers seek to honor each client’s experience, providing the best possible care for that particular person, at that particular time in their life.

However, bespoke care isn’t right for everyone. For some clients, it may be overwhelming or counterproductive to take such an active role in designing their own treatment course. Individualized treatment is founded on the idea that your unique needs are important. If what you need is a predefined structure, it’s important to respect that.

Rehab is, among other things, a way to regain control of your own life. When you begin treatment by working with a team to assess and understand what your life entails, you will almost certainly learn a great deal about your needs, goals, and values. This process mirrors the process of recovery itself.

If you think bespoke treatment may be right for you, learn more about rehabs offering individualized care here.


Frequently Asked Questions About Individualized Addiction Treatment

What is individualized care in rehab?

Individualized care is a type of treatment that is tailored to the needs of each individual. This can involve a number of factors, such as the individual’s substance use history, mental health history, and personal goals.

What are some of the different types of individualized care available in rehab?

Types of individualized treatments available in rehab include: one-on-one therapy (where you discuss your individual needs and goals with a therapist), experiential therapy (to help you process emotions from a new perspective), and holistic treatments (like massage, Reiki, and acupuncture).

What are the benefits of individualized care in rehab?

Individualized care in rehab can help you get the most out of treatment by addressing your specific needs. Your therapists and treatment team will consider your substance use history, your mental health, and personal goals when creating a treatment plan for you. This attention to detail can help you stay on track and motivated during recovery.

Should You Choose a Small or Large Rehab Center?

A rehab center’s size influences your treatment experience in big ways. It impacts important factors like facilities, level of personalized attention, types of therapies offered and more.

When it comes to rehab size, one isn’t necessarily better than the other. What will work for you depends on your needs and preferences. Some people need intimate settings to open up and are more comfortable at a boutique rehab. Others require specific programs or therapies that larger treatment centers tend to offer.

To help you determine which type of center could work for you or your family member, we examine the benefits and differences between small and large rehab centers.

What Classifies as a Small Rehab Center?

While there’s no official definition of what constitutes a small rehab center, they tend to have the following:

  • An intake limit of 10 to 15 people
  • A 1:1 (or better) ratio of staff to patients
  • Many have an intimate home-like setting with a limited number of bedrooms
  • Some small rehab centers are family-run

How a Small Rehab Center Can Be Beneficial to Your Recovery

You Receive More Individualized Attention

At smaller rehab centers, multiple staff service one person at a time. Some even have a 3:1 staff to patient ratio, like The Sanctuary at Sedona in Arizona which has around 30 staff members serving 10 clients. 

Centers with a high staff-to-patient ratio have a greater capacity to offer individualized attention. You usually have more time with clinical staff compared to the average inpatient setting, which gives you around 4.2 hours of contact per week with medical professionals.1

As Quinn Tremblay, Admissions Coordinator at McLean Fernside in Princeton, Massachusetts describes:

“Our staff-to-patient ratio allows us to provide higher amounts of individualized sessions with case managers and psychiatrists. Patients can meet with psychiatry 5 days a week and with a case manager 3 times a week. With that, more processing and evaluation can be done with each patient.”

Meeting often with the clinical team gives you more opportunities to engage in important dialogue. You can discuss matters like what therapies work for you and what doesn’t. Open, frequent dialogue helps people feel heard by their clinician, which is therapeutic2 in and of itself. According to a study from McGill University Health Centre, a listening doctor can offer patients “relief from the stress and anxiety that can be induced and exacerbated by illness.” 

Camino Recovery team
A family-run center in Southern Spain, the team at Camino Recovery brings personalized attention to the fore.

And since clinical staff at small rehabs often service fewer people at once, they have more time to map out your bespoke treatment plan. 

You’re unlikely to fall through the cracks, as Don Lavender, Program Director at Camino Recovery explains:

“When you’re working with 7 or 8 clients maximum, they don’t get lost in the shuffle because there is no shuffle. And because it’s so small and the clinical crew is rather large with a lot of expertise in the clinical mix, treatment is truly bespoke.”

Programs Are More Flexible

Inpatient rehabs with lower intakes may offer more program flexibility. With fewer people to treat at a time, they don’t have to be as stringent with bureaucracy because it’s easier to oversee everyone. And as the clinical team builds a more personal relationship with you, they are more likely to keep track of your requests.

Dr. Thomas Gazda, Medical Doctor at Soberman’s Estate talks about how flexibility is a welcome change for some of their patients:

“We can be more flexible with a smaller number of intakes, which suits a lot of our patients. Many have been through rehab before and found it onerous or too regimented. It didn’t suit them as individuals and they were alienated in the process. Many of those patients come here and it’s a breath of fresh air because we try to be as flexible as possible with them.” 

In rehab programs where you meet with staff more often, you might be able to adjust your treatment plan as necessary. Soberman’s Estate, for example, holds a staff meeting each week with the medical director, clinical director, and nursing team. Clients are invited to sit at the table, discuss their treatment goals and make adjustments to their plan if needed.

You Have More Access to Staff Members

Staff at smaller rehabs often have higher availability to meet with patients outside of regularly scheduled sessions. In these instances, you can pull someone aside when you need questions answered or simply want to talk.

For many people, building a connection with the center staff makes them feel supported and more at home. It creates a sense of belonging. This level of staff-patient relationship, where two or more people intend for healing to occur, is a key component of an optimal healing environment,3 or as defined in the Global Advances in Health and Medicine journal, a healthcare system “that is designed to stimulate and support the inherent healing capacity of patients, families, and their care providers.” In short, it supports a patient’s recovery.

At some small treatment centers, the founders and other senior staff members are hands-on in day-to-day operations. You’ll often see this at family-run rehabs. Founders will get to know each client personally and oftentimes give a deeper, more personal story about the center’s origins. Access to senior staff can promote a sense of trust and help people feel more comfortable at the center. 

“(Co-owner) Jeanine and I live on the property. We feel it’s important that we’re available to our clients. We’re always at hand, should our clients need us. We’re very proud of it. We’re here every day because this is where we want to be and this is what we want to do.”

Giles Fourie, Director and Co-Owner at White River Manor in South Africa comments says core team members are always on hand to help clients:

You Can Be Part of a Tight-Knit Community

The intimacy of small treatment centers creates opportunities to build close relationships with others. Whether you choose a residential or inpatient rehab, you have a full schedule and spend lots of time with others in the program. You get to know the others on a deeper level, especially with a smaller group of people.

Alex Spritzer, Family Addiction and Psychiatric Nurse Practitioner at The Hope House Scottsdale, talks about the importance of this camaraderie:

“Small groups allow you to know people on a bigger level and learn details about their lives and the circumstances that they came from, which makes a lot of difference. Intimate settings promote trust, and trust promotes healing.”

The Hope House group therapy
With an intake limit of 15 people, group settings at The Hope House Scottsdale are intimate.

Group Sizes Are Smaller

If you have social anxiety, large group settings can be daunting. This might cause you to withdraw or avoid participating in activities, which hampers the recovery process. Smaller rehab centers can provide a more comfortable environment with less intimidating group sizes.

Group therapy is a powerful tool for treating substance abuse4 and may even be as helpful as individual therapy. Participating in group therapy has several rewarding benefits, including decreased isolation. If you can’t open up because a group size is too large or intimidating, this can be a barrier to treatment. It may prevent you from going deeper in your recovery journey.

If you have severe social anxiety, some boutique rehab centers are flexible–you may not be required to participate in group activities at all.

With an intake limit of just 15 people, White River Manor can accommodate the needs of clients with social anxiety. “None of our groups are compulsory. Each client is on their own recovery journey. It’s important they get what they need out of their time with us, so we accommodate each client’s specific needs,” states Jeanine Fourie, the center’s Therapeutic Director and Co-owner.

Keep in mind that participating in group activities has many therapeutic effects5 that are beneficial to recovery. If you are able to join group therapy and activities, it can enhance your healing process significantly.

What Constitutes a Large Rehab Center?

There’s no industry standard for what classifies as a large treatment center. They tend to have more than 30 beds, with some that intake over 100 people. Oftentimes, these centers are located on larger grounds with lots of room for guests to roam and more facilities. They usually have a big clinical team to keep a favorable staff-to-patient ratio.

Larger rehab centers are often thought of as overly clinical or sterile. But this stereotype doesn’t paint an accurate picture of the larger treatment landscape. Bigger addiction treatment centers can offer many benefits to your recovery.

What Are the Benefits of a Large Rehab Center?

Better and More Specialized Facilities

Large rehab centers can often invest in better and more specialized facilities. Since they tend to be located on bigger grounds, they may have more room for these facilities compared to smaller centers.

Spotlight on: Sierra Tucson

One of the larger rehabs in Arizona is Sierra Tucson, set on a 160-acre property. They have the facilities to assist clients through the full spectrum of care, from on-site medical detox to outpatient programs.

The option to stay with one treatment center throughout the recovery journey is beneficial for people who feel uncomfortable with a lot of environmental change, or for those who want to work with certain doctors and therapists throughout their treatment experience.

“We manage various levels of care. When individuals need medically-supported detox, we can do that on-site in our inpatient unit. Afterward, they can transition seamlessly to the residential setting and further to our partial hospitalization and intensive outpatient programs,” says Dr. Jasleen Chhatwal, Chief Medical Officer at Sierra Tucson.

On top of that, Sierra Tucson has a number of specialized facilities to support different types of therapies, like experiential therapy and equine therapy.

Sierra Tucson equine therapy
Sierra Tucson in Arizona offers equine therapy directly on their campus.

Fitness amenities here include a pool, sports court, fully-equipped gym, climbing wall and a ropes course. They have unique onsite facilities to support the spirituality component of their program, including a labyrinth and Kiva arena. Their center even houses an equine area with stables and an arena.

The lack of certain amenities or facilities can be a hindrance to healing. If equine therapy played a necessary role in someone’s recovery journey, but it wasn’t available anywhere, this would be more than frustrating. Larger rehab centers tend to house facilities that are very important to some people’s recovery journey.

Spotlight on: All Points North

All Points North Lodge in Vail Valley, Colorado is set on a verdant campus with a 77-square foot main lodge. They’ve invested in cutting-edge facilities to support specialized therapies and treatments.

On top of an on-campus indoor pool, spa center, boxing arena, game room, and golf courses, this rehab houses state-of-the-art equipment tailored for certain therapies.

All Points North recently introduced a hyperbaric oxygen chamber to their campus. This equipment helps feed the body with the right levels of oxygen to quickly heal itself when faced with different injuries and illnesses. Hyperbaric oxygen therapy (HBOT) is now a part of their athletic program and promotes healing for athletes with concussions. But they also introduce other clients to this specialized treatment.

“We have a lot of patients that come from other parts of the country and we can give them a chance to let their bodies oxygenate. It helps them feel better quickly and really assists in treatment,” says Lana Seiler, All Points North’s Associate Director of Clinical Operations.

One of their clients who received HBOT reported, “the facility here goes to depths that most hyperbaric therapy doesn’t go. My experience was almost immediate, where my fog of war disappeared.”

If you need more specific facilities for treatment, it can be difficult to find them at a smaller rehab center. For those in situations with unique treatment needs, for example, an athlete who has had multiple concussions, it can be a huge relief to find a program with specialized equipment.

Specialized Programs and Therapies

If you’re looking for specialized programs or therapies, you’re more likely to find them at a large rehab center. These programs can get pretty specific and can accommodate the unique needs of their clientele.

For example, Hanley Center At Origins is an 80-bed center in Florida with a Center for Older Adult Recovery. This program is specifically designed for older men and women and includes medically supervised detox that addresses the medical concerns unique to someone’s age.

Meanwhile, All Points North has specialized therapies that can be difficult to find otherwise, such as hyperbaric oxygen therapy and Deep Transcranial Magnetic Stimulation (Deep TMS) for depression. Both of these therapies require special equipment operated by experienced professionals. They’re offered as a part of All Points North’s athletics program, a unique recovery program designed for current and retired athletes, created by professional athletes.

All Points North Lodge
All Points North Lodge houses state-of-the-art facilities and equipment.

Smaller, Targeted Client Groups

Some centers with large intake numbers give you the option to break out into smaller, more targeted groups. Not only does this give you a level of safety and comfort as you go into your sessions, you can open up about trauma in your specific groups knowing others have likely been in your shoes.

Below are examples of specific programs found at different large rehab centers:

LGBTQ+ Recovery

United Recovery Project in Hollywood, Florida is a 31- to 50-bed treatment center with an LGTBQ+ program. They address the treatment needs of patients in the community and focus on providing a safe environment for LGBTQ+ individuals to open up. Their staff are specifically trained in cultural sensitivity and issues affecting the LGBTQ+ community.

Veterans’ Recovery

Sierra Tucson in Tucson, Arizona offers a Red, White and Blue Program for members of the military and first responders. The program is designed to help people feel comfortable sharing their experiences with others who have also been through the line of duty. The clinical team includes former military members and first responders.

Breaking up into smaller, more focused groups helps people feel more comfortable expressing themselves and can improve therapeutic outcomes. One of the keys to successful group therapy6 is to identify common bonds between clients. According to ​​Martyn Whittingham, Ph.D., an Ohio counseling psychologist and president of APA’s Div. 49 (Society of Group Psychology and Group Psychotherapy), “discovering commonalities is crucial to building group cohesion.”

On top of that, a study on behavior change7 published in the Health and Well-Being journal found that homogeneous groups were better at instigating behavioral changes compared to heterogeneous groups.

Large Treatment Centers Mirror the Real World

An important aspect of the recovery journey is the ability to take what you’ve learned during your time in rehab and apply it to your daily life.

Larger treatment centers offer an environment that better mimics the real world. This gives you the opportunity to put the work you’ve done in therapy into practice. You also learn how to be a part of a larger community.

“A larger facility mirrors being in a larger community as a whole: you can find your people and learn how to deal with others. You can make your way in the treatment center in a way that mirrors how you need to make your way in the world. Successful treatment usually involves reconnecting and learning how to function in a social society,” says Dr. Ryan Drzewiecki, Director of Clinical Operations at All Points North Lodge.

Greater Network of Resources

Larger facilities often have a healthy network of resources to support your recovery. Some even have the capacity to team up with industry leaders.

Take Axis Sports Medicine, for example. They employ the highest number of advanced certified physical therapists in the state of Colorado. All Points North Lodge teamed up with them to offer top-level physical therapy to clients.

If you’re looking to connect with specific leading resources, like a top teletherapist in your area, larger treatment centers may be able to help you. They tend to have a more robust network to pull from.

Find a Treatment Center That Fits You

Both small and large rehab centers offer their own set of benefits. One isn’t necessarily better than the other. Recovery is unique for each person, so the criteria that you’re looking for may differ from someone else’s.f

The good news is, you have plenty of options to choose from. Browse our extensive collection of rehabs to find a treatment center that fits your needs.


Frequently Asked Questions About Small vs. Large Rehabs

Should I choose a small or large rehab center?

The choice between a small and large rehab center depends on your needs and preferences. Small centers offer personalized attention and intimate settings, while large centers may have better facilities and more specialized programs. Consider what’s most important to you in your recovery journey.

What are the benefits of treatment at a small rehab center?

Smaller rehabs tend to offer more individualized attention, flexible programs, and greater access to staff members. With smaller group sizes, you can build close relationships with fellow participants. The intimate setting promotes trust, which is essential for healing and recovery.

What are the benefits of treatment at a large rehab center?

Larger rehabs can provide better, more specialized facilities and offer a wider range of programs and therapies. Large rehabs create an environment that more closely mirrors the real world, giving you a chance to practice the skills you learn in treatment. They may also have more resources to support your ongoing recovery.

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.

What to Expect While You’re in Rehab

Rehab is a place for you to build a sustainable life. In order to do that, you’ll develop healthy daily habits, learn to cope with cravings, and set goals. This is not a simple process. In order to create a better future, you first need to understand what led you to this point. By working through your emotional experience of your life so far, you’ll learn more about yourself and your own values. And when you truly understand yourself, you open the door to a life that can support your unique version of health.

Most rehab programs are designed to give you a type of structure you may have been missing up until now. You’ll likely have a full agenda, waking up early for a full day of activities and going to bed soon after you finish them. This schedule strikes a delicate balance. The intensive process keeps you focused on the work at hand, with little time to get too distracted by the cravings and triggers you came to get a break from. You will, however, have some opportunities for downtime to process the hard emotional work you’re doing in therapy. How intensive this journey is varies from program to program.

Because everyone is different, each rehab center offers a number of different healing modalities, ranging from individual therapy to recreational group outings. The process may feel more accessible if you have a sense of what to expect in advance.

A Typical Day in Rehab

Your time in rehab will be carefully curated by a team of healthcare providers. In addition to receiving medical care, you’ll spend time with the other residents, attending one-on-one therapy, and processing your experiences. Here’s what a typical schedule might look like: 

7am – 8am Yoga 

8am – 9am Breakfast 

9am – 10:30am Individual therapy 

10:30am – 12pm Group therapy 

12pm – 1pm Lunch 

1pm – 1:45pm Medical aspects or energy work

1:45pm – 3:30pm Trauma therapy

3:30pm – 4:30pm Recreation therapy

4:30pm – 5:30pm Meditation

6:30pm – 7:30pm Group Activity or Speaker

7:30pm – 10pm  Free Time & Homework

10pm Bedtime

You won’t have the same schedule every day, but it’s likely that each day will be tightly structured. Most facilities have time set aside for visiting hours, family therapy, and experiential therapies or outings such as skiing and rock climbing. Some rehabs offer even more flexibility. For example, at All Points North Lodge , a luxury rehab in Colorado, clients sometimes go on nature walks with their therapists during individual sessions. 

As you can see, most centers maintain a balance between time alone, one-on-one sessions with a provider, and group experiences. Every one of these dynamics is an important part of healing. Because rehab is a place to reconnect with yourself, it’s valuable to learn how to be alone. Talking through your feelings with a trusted guide in a private setting will help keep you on track throughout that process. Social dynamics offer group support, and encourage clients to hone their interpersonal skills. Many clients even find the simple act of sharing meals with their rehab community gives them a helpful sense of camaraderie and support. 

paracelsus bedroom
Paracelsus Recovery in Zurich, Switzerland.

Personalized Programming at Bespoke Treatment Centers

Some residential rehabs serve only one client at a time, offering a completely bespoke experience tailored to meet their needs. Other rehabs take a holistic approach, treating a few clients at a time using a highly individualized approach. For instance, the team at Paracelsus Recovery works very closely with each person in their care to come up with a plan perfectly suited to their recovery goals. Louis Fitzmaurice, a therapist at Paracelsus, says: 

“Everything that goes on in the therapeutic environment that we exist in has been created for and directed at our client. It’s designed. It’s tailor-made for our client, everything that goes on. That’s the food, the complementary therapy, the psychotherapy, the psychiatry. That’s me, the live-in therapist. That’s the physical work. Everything that goes on in the environment is focused on our client and is for the best outcome for our client.”

This careful scheduling offers clients the structure they were likely missing before rehab. It also ensures that you’ll have the chance to benefit from a number of different healing modalities. 

Emotional Exploration in Individual Therapy

Individual therapy is a safe, private space for you to express yourself without being concerned about the listener’s reaction. Your therapist’s job is not to fix you, but to help you do the hard work of healing. 

This is not a fast or easy process, but in the end, it’s worth the effort. By developing the skills to navigate whatever life throws at you, you can come to rely on yourself and go forward with confidence. Ryan Soave, Director of Program Development at All Points North Lodge, says that “With therapy in general, the goal is not to reach some place where nothing affects you and you’re happy 100% of the time. It’s really about building the capacity to experience difficult emotions, to experience hardship. We’re going to experience pain – it’s part of life. In fact, we can’t have joy without pain. The more we can build the capacity to experience the full amount of pain, the more capacity we have to experience joy in life.”

During individual therapy, you’ll get to process anything that’s coming up for you. You might feel called to talk about your life before rehab, your daily experience of the program, or your concerns about the future. This is also a place to discuss practical skills like how to manage cravings, how to define your goals, and how to set healthy boundaries in your relationships. Bear in mind, however, that one-on-one therapy is just a starting point. It’s your responsibility to take what you learn in this context and apply it to the rest of your life. 

There are many different styles of one-on-one therapy. Depending on where you go to rehab, you may have access to some or all of these; you may even want to choose a program based on which types of therapy they offer. Some popular styles of therapy offered at rehab are Cognitive Behavioral Therapy (CBT),1 Eye Movement Desensitization and Reprocessing (EMDR),2 and Acceptance and Commitment Therapy (ACT).3

As productive as individual therapy is, it’s not a simple solution to all your problems. In fact, much of the work of therapy happens between sessions. This allows you to reflect on your observations, put what you’ve learned into practice, and gain new insights into your patterns. When you return for your next session, you’ll be ready to delve even deeper into your treatment process. As you integrate the lessons of therapy into your daily experience, you’ll develop a greater understanding of yourself. Eventually, you’ll start to define what you want your life to look like after rehab.

Group Therapy and Social Dynamics

Group therapy is another way to prepare yourself for life after rehab. This is an opportunity to connect with people at a similar point in their path. By building community with the other clients in your program, you’ll realize through sharing your experiences that you’re not alone. As valuable as it is to work with a therapist, there are some lessons that you can only learn from peers. As Lana Seiler, Associate Director of Clinical Operations at All Points North Lodge, says, “We’re social creatures by nature, so it’s a very different feel working one-on-one with someone versus working in a small group and in their community.”

If you attend a program for a specialized cohort—such as a men’s group, a women’s group, or a group for older adults—group therapy may allow you to speak in shorthand. If you’re the parent of adult children, for example, there are parts of your life that a childless 23-year-old might not understand without explanation. On the other hand, that same person can probably teach you a great deal about what it’s like to be a young adult relating to her parents in this era of history. There is no right or wrong group of people with whom to undergo group therapy, but it’s important to find the right group for you

For many people in rehab, interpersonal skills are an area of growth. Group therapy is a safe, gentle way to learn or relearn how to build healthy relationships. Openly describing past and present experiences can help clients work against shame. “Group therapy is important for a variety of reasons. Firstly, addiction and substance use bring around a lot of isolation, shame and secrecy over time. People often feel very alone. So an important vehicle for change is to have support and encouragement from others,” says Dr. Monika Kolodziej, Program Director of McLean Fernside. This dynamic helps clients cultivate a sense of self-acceptance, which is essential in order to move forward from substance use. 

Substance use can easily damage your relationships with family, partners, colleagues, and friends. As such, group therapy is a safe place to practice skills that will serve you well when you return to your community after rehab. The act of building relationships in this context provides a certain level of accountability, which may have been lacking in your life before rehab. When you see how the people around you approach their treatment, you may be inspired to commit to your own process even more fully. Data shows that group therapy can improve clients’ engagement with recovery.4 

all points north online aftercare
All Points North Lodge in Edwards, Colorado

Finding Joy in Complementary Therapies

Recovery is hard work; there’s no way around that. However, recommitting to yourself and your wellness means building a better life. In support of that goal, there are many therapies that focus on relaxation and fun. Inpatient rehabs often offer complementary therapies, giving you time and space to process the more demanding aspects of treatment.

Bodywork: Healing the Body to Heal the Mind

Some rehabs invite clients to receive bodywork such as massage, acupuncture, and other spa services. These experiences have a dual purpose. On a therapeutic level, they help your body heal from the negative impacts of substance use. They’re also an opportunity for you to relax and enjoy yourself. Some of these modalities have a component of mindfulness, which can contribute to your emotional recovery.

Recreational Therapy: Emotional Processing Through Self-Expression

Depending on where you go to rehab, you may have the opportunity to participate in recreational therapy. Arts and crafts, film, and psychodrama—to name just a few—offer a different way of relating to yourself and expressing your emotions. Veronique De Buck​, Evolutionary Art Therapist at Camino Recovery, explains: 

“By working with art, you can reconnect with your resources, your potential, your talents and all the beautiful things you have inside of you. Sometimes people can’t put their trauma into words. So it helps to feel, to contact their heart, to feel the emotions and to put those emotions on paper.”

Adventure Therapy: Exploring Your Inner and Outer Worlds in Tandem

Some rehabs are known for their adventure therapy programs. These experiences vary widely from location to location. In California, you might hike a beautiful mountain trail. Some Florida rehabs offer beach activities from surfing to wave running. At White River Manor in South Africa, you can even go on safari. These activities are a fun and exciting way to learn about your own reactions to life in different contexts. According to Ryan Soave, these experiences are more than just a break from the intensity of therapy:

“Fun and play are super important to getting well. It actually allows people to access creative states, which we want people to be in. In behavioral health, it’s about inventing a new way of relating with oneself and others and the world around them. So being able to get out and have fun can really help their process.”

Through these experiences, you’ll develop more sustainable ways of relating to the world. And having positive memories to draw from can make the next chapter of your life feel more accessible.

People are complex, multifaceted beings. Rehab is designed to treat every aspect of self. The demanding work of individual and group therapy encourages you to delve into your reasons for being in rehab in the first place. By balancing this work with enjoyable low-stakes activities, you’ll be reminded of how much the world has to offer you. As challenging as recovery can be, it’s the first step in moving towards a life you love.

Browse our collection of treatment centers to learn more about the experience of rehab. 


Frequently Asked Questions About What Happens in Rehab

What is a typical daily schedule like in rehab?

A typical day in rehab is highly structured from morning until late evening. Schedules usually include individual and group therapy, complementary therapies like yoga, other recovery activities, and downtime.

How long does rehab typically last?

The length of stay in rehab varies depending on individual needs, but most programs last between 30 and 90 days. Some programs are shorter or longer stays depending on the severity of addiction and the individual’s needs.

What kind of therapies are offered in rehab?

Rehab programs offer a range of therapies, such as cognitive behavioral therapy (CBT) and acceptance and commitment therapy (ACT). These different styles of therapy may be delivered in a one-on-one or group setting. Luxury rehabs tend to offer complementary therapies like yoga or art therapy.

An Ultimate Guide to Single Client Rehabs

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

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

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

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

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

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

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

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

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

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

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

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

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

1.The Bay, Byron Bay, Australia

The Bay in Byron Bay

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

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

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

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

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

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

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

2. Paracelsus Recovery, Zurich, Switzerland

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

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

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

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

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

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

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

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

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

3. The Cottage, Surrey, UK

the cottage surrey

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

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

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

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

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

4. The Kusnacht Practice, Zurich, Switzerland

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

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

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

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

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

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

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

Finding Recovery That’s Tailored to You 

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

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


Frequently Asked Questions About Single-Client Rehabs

Are there rehabs that treat just one person?

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

What’s the most private rehab?

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

Are single-client rehabs effective?

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