Tag: Sober Living

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Sober Living: 7 Ways It Supports Long-Term Addiction Recovery

sober living and recovery.jpg

Sober living environments (SLEs)1 provide group housing for individuals recovering from substance use disorders.

These living spaces, also known as sober living homes, halfway houses, or recovery residences, create a structured and supportive atmosphere that helps residents’ transition back into everyday life after completing rehabilitation programs.

Sober living homes are designed to help individuals maintain sobriety by addressing the people, places, and things in their environment. These homes provide a structured setting1 that promotes accountability, peer support, and essential life skills. Below are seven key features that make sober living effective:

Infographic titled Typical Rules in Sober Living Environments, listing common expectations such as staying substance-free, following curfew, attending house meetings, respecting others, contributing to chores, participating in random drug tests, and attending therapy or counseling. Each rule is paired with a corresponding icon.

1. Substance-Free Environment

Residents must remain abstinent from drugs and alcohol while living in a sober home. This rule allows individuals to recover in a safe space free from triggers. Eliminating access to substances makes relapse more difficult, giving residents the opportunity to focus on their sobriety and coping strategies. Oftentimes, depending on the type of sober living, drug testing may be a part of accountability and maintaining a drug-free environment.

2. House Rules and Accountability

A lack of accountability is a common trait in addiction. Sober living homes enforce specific house rules, such as curfews, mandatory house meetings, and assigned chores, to instill discipline and responsibility. House managers oversee rule enforcement, ensuring everyone stays on track and remains accountable to themselves and their housemates. This can also include monitoring of activities and schedules, support systems, and even testing for drug use.

3. Support System and Peer Encouragement

Residents benefit from a built-in community of individuals2 who are also in recovery. Living with peers who share similar struggles fosters mutual support, encouragement, and accountability. This social reinforcement helps combat feelings of isolation and strengthens one’s commitment to sobriety. Some sober living homes require 12-step meetings or other types of peer support or social support.

How does sober living support long-term, sustained recovery?

Recovery housing can solidify someone’s journey in their recovery either post-treatment or while someone is attending treatment in an outpatient setting. Recovery housing ideally provides support, structure, community, accountability, and responsibility. Although many people choose not to go into recovery housing and can maintain successful recovery, the relationships and foundation that recovery housing can provide can be invaluable as a contribution to long-term success.

Tanya Kraege LCSW, CSAC, CCAR RC, WI CPS | Ventus Rex
Illustration of a person building a heart-shaped brick wall, symbolizing healing and self-reconstruction in recovery. Text emphasizes that sober living is about building a life where substances are no longer needed. The design uses soft purple and coral tones.

4. Structured Daily Routine

Sober living environments3 emphasize the importance of structure. Residents follow daily routines that may include attending therapy sessions, support groups, exercising, and completing household chores. Establishing a consistent schedule helps individuals develop positive habits and reduce the time spent thinking about substance use. One of the main benefits of sober living is having structure as a next step after more formalized treatment or recovery programs.

5. Transition Assistance and Life Skills Training

Sober living homes often provide life skills training to help residents reintegrate into society. Programs may include budgeting, job searching, cooking, and relationship-building skills. These resources equip individuals with the tools needed to maintain independence and sustain long-term recovery. Depending on the level of care provided in the home, there may be additional options available for life skills or other educational opportunities.

6. Connection to Recovery Resources

Many sober living homes offer access to additional support services, such as therapy, job placement programs, and educational opportunities. These resources help residents continue their recovery journey beyond the sober living environment, ensuring they have the tools to maintain sobriety in everyday life.

7. Affordable Housing Options

Sober living costs vary depending on location, services, and amenities. Monthly expenses typically range from $300 to $2,000. Many homes operate on a sliding scale or offer financial assistance for those in need, making sober living an accessible option for individuals from different financial backgrounds. Some homes are credentialed and some operate like the Oxford House4 model.

Infographic showing a line graph comparing relapse risk over two years for people in recovery with and without sober living. The graph indicates significantly lower relapse rates for those attending sober living. Supporting text highlights that over half of people who attend sober living never relapse, while more than half relapse without it. A key icon appears in the top right.

Optimizing the Recovery Experience

Addiction impacts all aspects of a person’s life, requiring a holistic approach to recovery. For individuals with severe substance use disorders or co-occurring mental health conditions, sober living can provide a stable and supportive environment while they continue treatment. Programs such as cognitive behavioral therapy (CBT) and dialectical behavioral therapy (DBT) can help address both addiction and underlying mental health issues, improving overall well-being. 

Here are some additional types of recovery support services along a path to sobriety and wellness.

How does sober living differ from traditional rehab?

Sober living offers a structured, substance-free environment where individuals can gradually transition back into daily life, often with fewer restrictions than traditional rehab. Traditional rehab, on the other hand, is typically more intensive with structured treatment programs, licensed therapy, other behavioral services, and medical supervision.

Andrew J. Schreier, ICS, CSAC, LPC, ICGC-II, BACC

Treatment Programs: A Path to Sobriety

Addiction treatment programs provide structured support to help individuals achieve long-term recovery. These programs vary in intensity and approach but generally include the following components:

  • Assessment and Evaluation: Before beginning treatment, individuals undergo a comprehensive assessment to determine the severity of their addiction, identify co-occurring mental health disorders, and develop a personalized treatment plan.
  • Detoxification: Detox is a critical first step in recovery. Medically supervised detox programs help individuals safely withdraw from substances while managing withdrawal symptoms. This step is especially important for individuals detoxing from opioids, benzodiazepines, or alcohol, as withdrawal can be life-threatening.
  • Inpatient Treatment: Inpatient programs provide 24/7 care in a structured environment. Treatment typically includes individual therapy, group counseling, behavioral therapy, and holistic approaches. This immersive setting allows individuals to focus entirely on their recovery.
  • Outpatient Treatment: Outpatient programs offer flexibility for individuals who can maintain independent living while attending scheduled therapy and support sessions. This option is ideal for those with a stable home environment and strong support system.
  • Aftercare Planning: Long-term recovery requires ongoing effort. Aftercare planning includes continued therapy, support groups, and recovery resources to help individuals transition back into daily life while maintaining sobriety.
  • Support Groups: Participation in 12-step programs, such as Alcoholics Anonymous (AA) or Narcotics Anonymous (NA), provides peer support, accountability, and encouragement from others who understand the challenges of addiction.

Bridging the Gap: Integrating Sober Living with Treatment

Sober living homes serve as a vital link between inpatient treatment and full independence. By combining structured treatment with sober living, individuals receive comprehensive support that enhances their recovery journey. This approach fosters long-term sobriety, equipping individuals with the tools and resources needed to reintegrate successfully into society.

If you or a loved one are seeking the best sober living environment, consider researching reputable options to find the right fit for your recovery needs.

If you or a loved one are seeking the best sober living environment, please consider one of the following that come highly recommended:

If you or a loved one are seeking the best sober living environment, consider ARC Stone Lodge in Louisa, Kentucky, which provides a structured, supportive setting for recovery. The Southeast Addiction Center, with locations in Georgia and Tennessee, offers comprehensive addiction treatment alongside sober living options. The Pennsylvania Recovery Center in Phoenixville, Pennsylvania, is another highly regarded facility for those in need of a supportive transition.

For young men seeking specialized sober living, Sandstone Care Young Men’s Sober Living in Maryland provides tailored support. The Massachusetts Center for Addiction in Weymouth, Massachusetts, also offers structured sober living programs designed for long-term recovery. Additionally, Lantana Recovery Connecticut in New Milford provides a supportive recovery-focused community for individuals seeking a sober lifestyle.

For a broader list of recommended sober living homes that match individual recovery needs, check out the comprehensive sober living directory for more options.

This version integrates the recommended facilities smoothly within the text while keeping it natural and informative. Let me know if you need any further tweaks!

Frequently Asked Questions

Q: What is the meaning of sober living?


A: Sober living refers to a structured, substance-free environment that supports individuals in recovery from addiction. It provides a safe space where residents can rebuild their lives and develop the skills needed for long-term sobriety.

Q: What do you do in sober living?


A: In a sober living home, residents follow house rules, attend recovery meetings, engage in therapy or counseling, complete household chores, and develop essential life skills to maintain independence and sobriety.

Q: How long do most people stay in sober living?


A: The length of stay varies based on individual needs, but most residents stay between 90 days and a year. Some may stay longer if they require extended support before transitioning to independent living.

Q: What does it mean to live a sober life?


A: Living a sober life means abstaining from drugs and alcohol while actively engaging in healthy behaviors, relationships, and coping strategies. It involves maintaining mental, physical, and emotional well-being without substance use.

Q: What is a sober living home?


A: A sober living home is a residential facility that provides a drug- and alcohol-free environment for individuals in recovery. It offers structure, accountability, and peer support to help residents transition from rehab to independent living.

Q: What are sober living house rules?


A: Sober living homes enforce house rules such as maintaining sobriety, attending meetings, adhering to curfews, completing assigned chores, and participating in house meetings. These rules help create a structured and supportive environment.

Q: What is a halfway house?


A: A halfway house is a transitional residence for individuals recovering from addiction or leaving incarceration. It provides temporary housing with structured programs, support services, and supervision to help residents reintegrate into society.

Q: Are you covered for addiction treatment?


A: Insurance coverage for addiction treatment, including sober living, varies by provider and policy. It’s essential to check with your insurance company to determine coverage for treatment, therapy, or transitional housing programs.

Q: Does the sober living home you are considering provide access to mental health resources and community support?


A: Many sober living homes offer access to therapy, counseling, peer support groups, job assistance, and other mental health resources. It’s important to research a home’s available services to ensure they align with your recovery needs.

Q: What are halfway house rules?


A: Halfway houses typically have structured rules, including mandatory sobriety, curfews, participation in treatment programs, job search requirements, and adherence to behavioral guidelines. These rules help residents transition back into society successfully.

Q: How does sober living support recovery from addiction?


A: Sober living homes provide a stable, substance-free environment where residents receive peer support, structure, and access to recovery resources. This setting helps individuals build coping skills, accountability, and a strong foundation for lasting sobriety.

Q: How does sober living differ from traditional rehab?


A: Unlike inpatient rehab, which offers intensive treatment in a clinical setting, sober living provides a less restrictive, transitional environment where residents can practice independent living while still receiving recovery support.

Q: How does sober living help in addiction recovery?


A: Sober living homes foster long-term recovery by reinforcing healthy routines, peer support, and access to therapy and life skills training. They help individuals build resilience, stability, and self-sufficiency after rehab.

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From Wall Street to AA Meetings: An Executive’s Path to Healing, and How He Uses It to Help Others

Trey Laird is a man in long-term recovery, a CEO and founder, and a member of our advisory board at Recovery.com. He founded The Lighthouse Sober Living and The Lighthouse Recovery Coaching 365 Program, both of which cater to men and women needing support and a safe, comfortable environment in early recovery. 

As one of our advisory board members, Trey plays a key guiding role with lived experience in recovery and the treatment space. Listen to his episode and hear from other guests here!

Trey headshot

A Successful Start

Trey Laird initially worked as an equities trader on Wall Street. He’d graduated from Dartmouth College and began his career quickly, despite spending much of college steadily consuming alcohol and cocaine. Trey then found success in forming and maintaining positive relationships with his Wall Street clients—usually strengthened by drinks or parties after work. Describing his focus with clients, he says,

“It was building relationships…. One of my key positive attributes is I’m generally curious about other people and generally curious about what makes them tick. And today it’s super helpful because that may unlock a door to helping them recover.”

After graduating and beginning his career on Wall Street, Trey married and started a family. Then, at 32, a surgery left him with prescribed pain medications, which turned into a daily habit, and then into an addiction. 

Realizing The Need for Help

Trey eventually took prescription pain pills throughout the day and drank at night, going to bars where he wouldn’t be recognized. He began seeking solitude to drink or use substances, which went far out of his usual character as an extrovert. Trey says, 

“Being somebody that liked to be around a lot of people going to someone that, you know, wanted to not be around those people, was a big warning flag for me.”

Trey soon realized his drinking and substance use kept him from being the husband and father he wanted to be. He recognized his need for help and started looking for treatment options close to him.

Entering The Treatment Space

Trey sought treatment without knowing how it worked or what going to rehab really meant. But he went anyway, mentally prepared to stop his drug use. Trey initially planned to keep drinking after treatment, then was required to stop after he joined a 90-day outpatient program. At his wife’s request, Trey moved into his own place. He began going to 12-Step meetings in treatment and during his outpatient program, where he committed himself to at least make it through the 90 days. 

The meetings and the supportive community he found in Alcoholics Anonymous (AA) took him by surprise. It was not the cult-like setting he expected, rather, men with stories like his living in recovery. By the end of the 90-day program, his mentality surrounding treatment and substance use radically changed. Trey says,

“And it got to the point where I was like, what would the benefit be of having a beer again?” … “I like what I’m feeling. And more, maybe more importantly, I like the people that I’m around.”

Overcoming Challenges With The Support of a Sober Community

Trey’s path to recovery was strewn with formidable obstacles. During the financial crisis 2008, America’s economy teetered on the brink, presenting an unprecedented challenge. As a Wall Street trader, Trey found himself in the eye of the storm. Yet, his sober community became his anchor, providing unwavering support. 

Trey’s personal life also faced challenges. His wife filed for divorce. The stakes were heightened as the conditions of the divorce mandated that Trey pass a drug-free test to maintain visitation rights with his children. This requirement added another layer of pressure and was a crucial motivator in his steadfast commitment to sobriety.

“Going through that time period and meeting these men who just showed me how to live a life, no matter what, stuck with me. That’s what launched me into my recovery.”

He also adds, 

“The opportunity to interface with a live recovery community was essential.”

Accomplishments and Plans for The Future

New leadership at the company Trey worked for inspired him to leave the finance world and provide other men like him with the recovery community he found so vital. He wanted to offer a link between intensive treatment and home, and so in 2016, he opened The Lighthouse Sober Living. The luxury setting catered to men at first, opening homes for women later. Trey also remarried and has since added more children to his family.

The Lighthouse uniquely offers a sober living space for men like Trey, who have monetary means and have become comfortable in more professional settings. This, and the expectation to ‘man up,’ can make it even more impactful when clients instead embrace vulnerability. 

Since opening The Lighthouse, Trey has also begun a recovery coaching program, The Lighthouse Recovery Coaching 365 Program. Graduates of their sober living program attend the 365 program for 3-6 months, gaining professional recovery coaching and family coaching.

Trey aims to open more sober living homes for men and women and strengthen his local recovery community, extending the gift of support (and recovery) to as many people as he can. We’re excited to have him on our advisory board and call him a friend!


Listen to Trey’s podcast episode here, where our hosts Dr. Malasri Chaudhery-Malgeri and Cliff McDonald discuss Trey’s journey and all he’s accomplished—personally and professionally. Don’t miss it!

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Mastering Relapse Prevention Planning: Your Guide to Sustained Recovery

Addiction recovery is a journey that extends beyond initial treatment, involving continuous commitment and proactive planning. Relapse prevention planning helps maintain long-term recovery by identifying potential triggers and creating actionable responses. This approach strengthens recovery for substance use disorders, behavioral addictions, mental health concerns, and other conditions. 

Our comprehensive guide outlines relapse prevention planning’s key components and practical steps for creating and implementing an effective plan.

Understanding Relapse Prevention

Relapse prevention planning helps people in recovery avoid relapse—which means using substances after a period of abstaining or reverting to unhealthy habits and thought patterns in mental disorders. Relapse prevention is a critical component in managing conditions1 like major depressive disorder, anorexia nervosa, substance use disorders, and other medical conditions. 

Relapse doesn’t always occur overnight. There are complex signs and precursory emotional, mental, and physical phases2. Emotional relapse begins with anxiety, anger, or isolation. Mental relapse involves cravings, minimizing consequences of the past, bargaining, lying, and planning a relapse. Then, the physical relapse happens: drinking again, refusing to eat, lapsing into a severe depressive state, etc. 

Not everyone in recovery will relapse, but it is often a part of the recovery process3—and that’s okay. Relapse prevention can help you address these obstacles and keep you on the right track.

Relapse prevention planning aims to recognize and address these signals before they escalate to the physical stage. It utilizes a cognitive behavioral approach to prevent a relapse and provide appropriate skills on what to do if a relapse does occur. Relapse prevention is usually a combination of education, coping strategy development, trigger identification, building support networks, and lifestyle changes. Each plan is tailored to meet personal needs.

The Components of a Relapse Prevention Plan

An effective relapse prevention plan covers multiple life facets. Essential components of a relapse prevention4 include:

  • Identifying triggers: Internal and external cues can be emotional (such as stress or anger), physical (such as fatigue), or environmental (such as certain social situations or locations). Recognizing these helps in strategizing how to manage or avoid them.
  • Coping skills: Effective coping strategies can help you deal with triggers before they cause a relapse. These strategies could include skills like deep breathing, mindfulness, or other stress management techniques. Additionally, you’ll learn skills to refuse offers of drugs or alcohol and strategies to escape high-risk situations.
  • Enhancing self-efficacy: Throughout relapse prevention planning, you are encouraged to make choices and contribute ideas to your recovery actively. Your care team may emphasize that recovery is not about willpower but rather skills acquisition. Empowerment from professionals can help you take charge of your future and well-being, fostering sustainable recovery. 
  • Psychoeducation: Understanding the nature of addiction, mental health disorders, and relapse, including its biological, psychological, and social aspects, helps in managing it effectively. 
  • Healthy routine: Maintaining daily healthy routines supports overall well-being and reduces the likelihood of relapse. You’ll find balance in regular exercise, a nutritious diet, adequate sleep, and engaging in healthy, sober hobbies. 
  • Support systems: You and your therapist will create a plan to build a support network that includes friends, family, clinical professionals, and support groups. This network provides emotional support, accountability, and a safety net in times of crisis.
  • Emergency plan: If you feel close to relapsing, your care team can help you create a detailed emergency plan. This plan will outline who to contact, where to go for help, and what steps to follow to stay safe.

Recovery is an ongoing process, so having the right tools can help you manage addiction or mental health conditions. Sustainable healing is built by small, everyday efforts.

Building Your Personal Relapse Prevention Plan

Creating a tailored relapse prevention plan involves a detailed, personalized approach. 

Reflect on Your Recovery Goals

You’ll want to begin planning by writing about 3 key recovery components: 

  1. Reflect on your recovery history. In treatment, what worked and what didn’t work? If you’ve relapsed before, what led to it? What were your triggers before you got treatment? Learn from mistakes of the past to make a realistic relapse prevention plan.
  2. Write down personal, relationship, and employment goals to highlight situations you want to be in and people you want to be around. 
  3. Identify your triggers—all the people, places, and things that could cause stress. Developing coping strategies for each trigger can empower you to live life without fear.

Coping Skill Development

There may be times when you experience uncomfortable feelings and situations; however, with the right tools, you can navigate through these moments. You may practice coping techniques such as breathing exercises, regulating emotions through journaling, saying “no” to situations that do not serve your recovery, and exercise. This can help you walk into any situation with confidence. 

Continuing Therapeutic Care

Attending outpatient care or talk therapy sessions can help you navigate foreign situations and continue skill-building. During individual therapy sessions, you’ll likely engage in various therapeutic methods like dialectical behavior therapy (DBT) and acceptance and commitment therapy (ACT). 

You may also participate in support groups like Alcoholics Anonymous (AA) / Narcotics Anonymous (NA) and SMART Recovery. Peer support from those with similar experiences can maintain motivation in recovery5. Those healing from mental health concerns can find community in National Alliance on Mental Health (NAMI) support groups.

Structured Routine

Creating a daily routine that promotes physical and mental health, including regular exercise, balanced nutrition, and sufficient sleep, can bolster sustainable recovery6. A scheduling system, such as time blocking in a calendar, can help you avoid idle time that might lead to thoughts or behaviors associated with relapse.

Support Systems

Creating a support network with strong relationships is a foundational aspect of long-lasting recovery. Social support in recovery can reduce stress, increase self-efficacy, and motivate sobriety or remission7. Your relapse prevention plan can detail how you will connect with loved ones who supported you through the treatment process. You may make new friends through sober activities and groups. Try your best to plan regular get-togethers with friends and family, as avoiding isolation and bolstering these relationships can make recovery easier. 

“The opposite of addiction is connection.” –  Johann Hari

Emergency Plan and Contacts

In case of emergency, have a clear plan with proactive steps, such as calling a specific person, attending a support group meeting, or going to a safe place. You can keep a list of emergency contacts, including supportive friends, family, and healthcare providers.

Implementing Your Plan

A relapse prevention plan can be broken down into small, manageable steps. You can begin each day with a consistent morning routine that includes healthy, pro-recovery activities such as meditation, reading, exercising, or journaling. This sets a proactive, positive tone for the day and reinforces your commitment to recovery.

You can keep a daily planner and include time slots for activities that support your recovery, such as therapy sessions, support group meetings, or time with friends and family. Planning helps manage stress and avoids the chaos that can lead to relapse. Your planner can also help you track exercise, meals, and sleep.

Stay connected with your support network through regular check-ins via phone calls, texts, or in-person meetings. These connections provide strength and accountability, crucial for everyday recovery maintenance.

At the end of each day, spend time reflecting. Assess what went well and identify any challenges you encountered. Use this reflection to adapt your plan and prepare for the next day.

Monitoring Progress and Making Adjustments

All progress should be tracked and celebrated. You can have regular check-ins with yourself and your care team to ensure you’re engaging in activities that suit your current recovery needs. What may have worked in the beginning of your recovery might not serve you years down the road. Try writing answers each month for questions such as:

  1. What were your main goals when you created your relapse prevention plan? How well do you feel these goals are being met?
  2. In what ways have you changed since leaving primary treatment? Consider your habits, thought patterns, emotional responses, and relationships.
  3. What are the most significant challenges you’ve faced during your recovery process, and how have you addressed them? How has your relapse prevention plan supported you in these challenges?
  4. What new coping strategies or skills have you learned through your relapse prevention plan? How effectively are you able to apply these in real-life situations?
  5. In what areas do you feel you still need to grow or improve? How can your relapse prevention plan or other resources assist you in these areas?

Common Challenges and How to Overcome Them

Relapse prevention planning aims to provide useful tools for navigating difficult moments in recovery. Anticipating potential obstacles and feeling confident in your ability to manage them can help you move through life optimistically. 

Often, those in recovery may feel overwhelmed at social gatherings, holidays, or certain places because they trigger cravings or old behaviors. One of the best ways to manage this is by simply choosing not to attend the event; however, this is not always possible. You can plan ahead by bringing a supportive friend, having an exit strategy, and preparing responses to offers of substances.

Uncomfortable emotions, such as stress and loneliness, are a part of life, and implementing skills from your relapse prevention plan can help mitigate the impact of these feelings. You may find engaging in mindfulness and relaxation exercises like meditation and box breathing helpful. Consistent exercise can help reduce negative emotions8 and the chance of relapse. Keeping in touch with supportive friends and family can help ensure you always have a shoulder to lean on.

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Sometimes, it’s challenging to explain to new friends why you choose to abstain from drugs and alcohol. This can happen with long-time friends and family members, as well. If this person ignores your reasoning and continues to pressure you, this may signify that they do not care for your well-being as much as you do. It can be hard to distance yourself from others but know that there are people who will support your recovery efforts. And a true loved one will only want you to engage in activities that benefit your health.  

Communicating Boundaries to Your Support Network

Setting and communicating boundaries in recovery is important for your relationships and a practice of self-love. Without boundaries, you may say “yes” to things you don’t want to, avoid necessary conversations, and be consumed by others’ negative feelings. Prioritizing your boundaries ensures that you’re aligned with what’s best for your well-being.

Before communicating with others, take time to understand your own needs and boundaries. What specific support do you need? What behaviors or situations are helpful or harmful to your recovery? Being clear about these will help you articulate them more effectively to others.

Clarity is an act of kindness, so be honest and straightforward in these conversations with your loved ones. You can frame the conversation around “I” statements to express your feelings and needs without blaming others. For example, say “I feel overwhelmed when we talk about drinking at parties, and I need us to focus on other topics,” instead of accusing or blaming them. 

Stay consistent with your boundaries; this will help others respect them. Be sure to let loved ones know that you appreciate their trust. You can also encourage an open dialogue by asking for their thoughts and feelings about your recovery process. This can strengthen the relationship and make them feel involved and valued in your journey.

Ongoing Recovery and Maintenance

Maintaining recovery motivation is possible through small, concerted everyday efforts. It’s often easier to break down long-term goals into more manageable chunks, such as committing to a weekly support meeting and exercising 5x weekly. A recovery journal can document your thoughts, feelings, challenges, and successes. Reviewing your journal can visualize how far you’ve come and remind you why you started this journey.

A structured daily routine with adequate rest, proper nutrition, and movement can provide stability and reduce uncertainty. This can help manage stress and avoid situations where one might be tempted to relapse.

You can also learn new skills or hobbies to occupy your time, build self-esteem, and provide a sense of accomplishment. These new activities can serve as positive outlets for stress and boredom.

A day of sobriety is a day worth being celebrated! The effort to choose your health and well-being every day is a great feat, so continue to reflect and pride yourself on your hard work.

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How to Navigate Mental Health and Addiction After Treatment

Recovery is an ongoing journey, and intensive treatment arms you with essential tools. After treatment, continuing to use these tools and learn new ones can sustain lasting recovery. Aftercare planning can give you resources for success.

Aftercare, also called continuing care, can reduce relapse rates, help you stay sober, and enable you to lead a healthy, fulfilling life1. You and your care team will create an aftercare plan detailing treatment options, support groups, and lifestyle habits to follow post-residential care. Your aftercare plan will be tailored to your unique needs, ensuring personalized recovery. 

Transitioning Out of Treatment

Completing intensive treatment is a milestone to celebrate; however, transitioning back to daily life after addiction or mental health treatment comes with a unique set of changes and manageable challenges. These obstacles can be broad and vary from person to person, but understanding them can help you navigate this phase more effectively. 

One of the most significant difficulties in this transition is applying lessons learned in treatment to your daily tasks. Without proper guidance, it may be difficult to maintain these skills when you’re no longer in a trigger-free environment. Other challenges include rebuilding relationships, finding a safe home environment, and financial stability2—fortunately, the skills you learn and practice in aftercare can address all of these.

Aftercare services are a vital part of a successful transition2 and allow you to continuously practice coping techniques and stay connected in recovery. Although your recovery is your responsibility, multiple avenues of support can assist your journey.

Types of Post-Treatment Support

Each of these support options plays a vital role in addressing different aspects of recovery and relapse prevention. 

  1. Outpatient care: These programs allow you to live at home while attending treatment sessions. Programs can vary in intensity and frequency, from daily sessions to meeting twice a week. Outpatient programs usually include evidence-based therapies such as cognitive behavioral therapy (CBT) and psychoeducation.
  1. Sober living: Sober living provides a substance-free, supportive living environment for those transitioning out of residential treatment. Residents typically follow house rules, complete chores, and continue in outpatient care, therapy, and support groups while living there.
  1. Talk therapy: Weekly psychotherapy with a therapist can be helpful to continue skill building and work through stressors. During individual therapy sessions, you’ll likely engage in various therapeutic methods like dialectical behavior therapy (DBT) and acceptance and commitment therapy (ACT).
  1. 12-Step support groups: Programs like Alcoholics Anonymous (AA) and Narcotics Anonymous (NA) offer ongoing support through in-person and virtual meetings and a structured program of recovery steps. These groups provide a sense of community and mutual support from peers who are also in recovery.
  1. Non-12-Step support groups: Alternatives to 12-step programs, such as SMART Recovery, offer a non-religious approach to recovery and focus on self-empowerment and self-reliance. Peer support from those with similar experiences can maintain motivation in recovery3. Those healing from mental health concerns can find community in National Alliance on Mental Health (NAMI) support groups.
  1. Alumni Program: Your treatment center may provide an alumni program where you can bond with peers through in-person or virtual alumni meetings, sober events, or group trips. The program might include follow up check-ins and therapy sessions with a counselor, as well.
  1. Medication management: For some people, especially those recovering from opioid addiction, medication-assisted treatment (MAT) can be an effective component of post-treatment support4. Medications like methadone, buprenorphine, and naltrexone can help manage cravings and withdrawal symptoms under medical supervision. Medication management for antidepressants, antipsychotics, and more can assist recovery for those with mental health concerns.
  1. Holistic and wellness programs: Activities such as yoga, mind–body therapies, acupuncture, and meditation can be an effective way to manage addiction and mental health symptoms5. Combining holistic modalities with evidence-based therapies can provide a well-rounded approach to care and an alternative way to heal. Additionally, proper exercise and nutritional counseling can support overall well-being and stress management in recovery6.

Building a Supportive Environment

Creating a support network with strong relationships is a foundational aspect of long-lasting recovery. Social support in recovery can reduce stress, increase self-efficacy, and motivate sobriety or remission7. When you return home, you’ll want to connect with loved ones who supported you through the treatment process. Let them know how much their help and encouragement means to your recovery. Try your best to plan regular get togethers with friends and family, as avoiding isolation and bolstering these relationships can make recovery easier.

You may want to revisit relationships that were strained by your condition(s). This is an opportunity to practice the communication skills learned in treatment and show your growth, empathy, and patience. 

Your social circle should fully support your recovery efforts, contributing to a healthy home environment. You can also adjust other factors in your life that create a supportive living space, including removing triggers (such as substances), decluttering your home, practicing mindfulness, prioritizing sleep, and building a routine with meal times, exercise, and hobbies.  

Coping Strategies and Relapse Prevention

Recovery is something you actively engage in for the rest of your life. There may be times when you experience uncomfortable feelings and situations; however, with the right tools, you can navigate through uneasy moments. 

Triggers can look like stress from work, relationships, finances, and certain establishments. It may be smart to avoid bars or similar environments to prevent attending a high-risk situation. Recognizing these triggers and planning how to manage them can prevent relapse.

During treatment and after, you’ll practice using coping techniques, which can look like breathing exercises, regulating emotions through journaling, and saying “no” to situations that do not serve your recovery. It’s important to mindfully use coping skills in both uncomfortable situations and relaxed environments—that way, when a time arises when you need to use the skill, you’ve practiced it in low-stress times and feel comfortable using it.

You and your care team can create a personalized relapse prevention plan. This plan addresses potential triggers, outlines coping strategies, and identifies supportive resources, making it a cornerstone of successful long-term recovery.

Monitoring Progress and Adjustments

Although recovery is alinear, all healthy progress should be tracked and celebrated. To ensure that you’re engaging in activities that suit your current recovery needs, you can have regular check-ins with your healthcare providers. What may have worked in the beginning of your treatment experience might not serve you years down the road. You might find journaling about your 1 month, 1 year, and 5 year goals helpful. You can also write answers to questions such as:

  1. What were your main goals when you started the aftercare program? How well do you feel these goals are being met?
  2. In what ways have you changed since beginning your aftercare program? Consider habits, thought patterns, emotional responses, and relationships.
  3. What are the most significant challenges you’ve faced during your recovery process, and how have you addressed them? How has your aftercare program supported you in these challenges?
  4. What new coping strategies or skills have you learned through your aftercare program? How effectively are you able to apply these in real-life situations?
  5. In what areas do you feel you still need to grow or improve? How can your aftercare program or other resources assist you in these areas?

Staying flexible yet focused on your end goals can help you feel more fulfilled in your recovery. Every milestone, whether achieving 1 year of sobriety or simply having a good day, should be celebrated. Honoring your efforts can help you stay motivated and recognize how far you have come in your recovery journey. 

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What is Hangover Anxiety?: Why Drinking Causes ‘Hangxiety’

Hangover anxiety, or hangxiety, isn’t a diagnosis, but rather how you feel after a night of drinking alcohol. A hangover has physical symptoms like nausea and a headache, but you can have mental effects as well.

Drinking responsibly likely won’t lead to these negative feelings; however, if you’re consistently drinking a lot and feeling hangover anxiety, then it may be time to look for help. Getting treatment for alcohol addiction can help you get a handle on your drinking, so you don’t have to wake up with worry the next morning. 

Hangover Anxiety or ‘Hangxiety’

75% of those who get a hangover have some impairment in their normal functioning1, like difficulty concentrating. On top of that, roughly 22% of drinkers also experience psychological effects like anxiety and depression after a night out. This is what we call hangxiety.

What Does Hangover Anxiety Feel Like?

When you start drinking, alcohol drives a surge of endorphins in the brain2, which feels good at first. Then, after this rush, there’s a decrease in blood alcohol concentration (BAC) which leads to a form of withdrawal. This is what we commonly refer to as a hangover.

This withdrawal affects you physically and mentally, including provoking anxiety and depression symptoms. Hangover anxiety can look different for everyone, but these are some common symptoms:

  • Restlessness
  • Anxiousness
  • Ruminating on yesterday’s events
  • Heart racing
  • Feeling guilt
  • Difficulty concentrating

What Causes Hangover Anxiety?

After your endorphins drop, your brain can quite literally feel exhausted the next day. Your body uses a lot of energy trying to maintain homeostasis after being affected by the alcohol. And cortisol, the stress hormone, releases after drinking3, making you feel even more anxious. 

These factors can also exacerbate hangnxiety symptoms:

1. Social Anxiety

You might use alcohol as a “social lubricant” if you experience social anxiety. This can cause you to drink more than you should. Though for those few intoxicated hours you may feel less anxious, these feelings return as the alcohol wears off. And if you have a hangover from excessive alcohol consumption, your anxiety can skyrocket. Alcohol will enhance whatever emotional state you’re in, so if you’re anxious, it’s going to come back in full swing.

2. Water intake

Alcohol is a diuretic, so drinking it makes you dehydrated. This can contribute to hangover anxiety because low water intake, which happens while drinking, is associated with detrimental effects on mood4. The more hydrated you are, the better chance you have of being in a good mood.

3. Sleep

Alcohol causes poor sleep quality5 because it messes with your rapid eye movement (REM) cycle. This, in turn, negatively affects your mood because getting proper sleep is vital for good mood and functioning. 

4. Emotional dysregulation

Emotional dysregulation is a common symptom in disorders like anxiety and depression. It’s also associated with intense cravings, higher alcohol consumption, and is commonly experienced during hangovers6. Lowered emotional competence during a hangover can lead to negative mood and thoughts, or, what you may feel during hangxiety. This can also contribute to regretful drinking behaviors.

5. Repetitive negative thinking (RNT)

Repetitive negative thinking (RNT) is negative thought patterns that are recurring, unproductive, and common in disorders like anxiety and depression. It’s also a part of emotional dysregulation. These patterns of thinking are associated with prolonged negative emotional states6, so this can exacerbate symptoms when you experience hangover anxiety. 

How to Cope with Hangxiety

The best way to avoid hangxiety is to avoid drinking, especially in excess. Doctors recommend drinking a minimal amount of alcohol because excessive alcohol consumption can lead to various health problems such as liver damage, heart disease, and certain types of cancer.

However, if you do decide to drink, there are a number of ways you can cope with your hangover anxiety and make this experience manageable:

However, drinking responsibly, or being abstinent, can help you avoid these feelings all together.  

How to Have Fun Without Alcohol

Life can be just as fun, if not better, without alcohol. You’ll feel healthier and more energized, which can help you do more outdoor activities like hiking or kayaking. You’ll also save a lot of money from not buying drinks, which you can spend on new experiences like travel or exploring the area you live in.

You can also talk with your therapist and dig into the real reasons why you’re drinking alcohol. Why are you having this drink? And why do you feel like you need to drink so much? This can reveal deeper issues that you can work through together. 

When to Seek Professional Help for Your Drinking and Anxiety

Taking a step back and assessing the role that alcohol plays in your life, especially if you have pre-existing anxiety or depression, is crucial. If you’re using alcohol as a crutch, and as a coping mechanism to suppress difficult feelings, then it may be time to reach out for help.

Mental Health Treatment Options

Alcohol is a depressant, so it can aggravate your existing conditions. If you drink to escape your anxiety or depression, treating the root cause of your disorder can help mediate this issue.

Attending an outpatient program can teach you skills to help you replace your drinking with healthy coping techniques. You’ll explore how drinking has been a way to hide from uncomfortable feelings, and then you’ll learn how to face those hard emotions. You’ll likely practice different talk therapies like cognitive behavioral therapy (CBT) to learn new positive ways of thinking. 

Virtual treatment for anxiety and depression can be a great way to learn these tools with more flexibility. You can prioritize healing and see how it fits into your life.

Alcohol Addiction Treatment Options

Detox with a licensed professional may be the first step in your sobriety journey. Safely ridding your body of alcohol can help you feel clear minded and ready to tackle treatment. Different levels of residential or outpatient care can help you replace your unhealthy coping mechanism, drinking, with positive habits.

A great option post-treatment is sober living homes. These programs are less structured than residential rehab, and provide a comfortable place for you to focus on your recovery. While living here, you’ll likely attend an outpatient program, go to work or school, and grow with other companions in recovery. 

Life Without Worry in the Morning

Drinking socially and safely is perfectly acceptable, but if heavy drinking and hangxiety is a normal thing that you’re getting addicted to as a coping mechanism, then it’s time to get help. Life can feel so much more fulfilling without hiding behind alcohol. Embrace your true self and find freedom through rehabs for alcohol addiction.

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Mutual Support in Therapeutic Communities

Substance misuse can be extremely isolating. For some clients, rehab is a good time to break out of old patterns and start rebuilding interpersonal relationships. And, as valuable as talk therapies are, there are some skills you can only learn by engaging in mutual support. If your goal is to focus on those skills, you might benefit from joining a therapeutic community.

While many of these programs take place within rehab facilities, they take a unique approach to the healing process. Residents receive some level of professional care, which may include talk therapy, medical supervision, and various other programs. In addition to this, clients actively cultivate a community of mutual emotional support.

What Is a Therapeutic Community?

Therapeutic communities, or TCs, are “a form of long-term residential treatment for substance use disorders.”1 Originally—starting as early as the 1950’s—most of these organizations were run entirely by residents, who provided support to each other during recovery. This model uses “the peer community as the agent of recovery,”2 with an emphasis on healthy relationships between members.

In some of these earlier programs, members were prohibited from using medications of any kind, even to help with detox. Over time, and as public opinion has shifted, many facilities have adopted a more modern approach. Today, it’s quite common for TCs to be connected with more traditional rehab facilities. This allows clients to benefit from recent medical advances, while still connecting deeply with one other. If you attend one of these programs, you will also be asked to take on greater responsibilities than you would be in a more traditional rehab program.

Collective Responsibility

In a therapeutic community, clients are often expected to participate in group activities, engage directly with one another, and even perform daily chores. These activities are intended to help you cultivate life skills and build healthy relationships. By behaving as an important part of a larger collective, you may become more confident in your own personal strengths.

As psychiatrist Penelope Campling explains, this philosophy is founded on the ideas of self-empowerment and collective responsibility. She writes, “therapeutic communities3 are deliberately structured in a way that encourages personal responsibility and avoids unhelpful dependency on professionals. Patients are seen as bringing strengths and creative energy into the therapeutic setting, and the peer group is seen as all-important in establishing a strong therapeutic alliance.”

TCs conceive of the “community as [the] method“4 or mechanism of healing. In this model, clients are not only accountable for their own recovery; they also assume a certain level of responsibility for each others’ healing processes. There is “an emphasis on social learning5 and mutual self-help…This aid to others is seen as an important part of changing oneself.”

Length of Stay in a Therapeutic Community

These programs often last longer than other forms of treatment, and your length of stay will likely be determined by your unique needs. At Start2Stop, a facility in London, offers a Secondary Care Programme for those who have completed 28-day inpatient treatment. “Everyone is different and the length of stay will depend upon individual circumstances,” says the provider. However, most clients stay on-site for approximately three months.

Research suggests that it is especially important for clients to prioritize aftercare following their stay in a TC. According to one study on therapeutic communities’ effectiveness,6 both “length of stay in treatment and participation in subsequent aftercare were consistent predictors of recovery status.” This may be related to the well-documented importance of community for mental health.7 After you learn to engage with fellow residents in a TC, it may be difficult to return to a less communal setting.

Group Activities

While therapeutic communities share a particular approach, various TCs have slightly different philosophies regarding recovery. For instance, some of these programs are founded in the 12 Steps of A.A. or N.A. Others may host only teens, or offer gender-specific treatment. No matter who is part of your cohort, you can expect to participate in focused group activities.

It’s quite common for clients to engage in group therapy or support groups during their stay. You may also join in group outings or even shared meals. These experiences help residents cultivate a sense of community by both offering and receiving emotional support from peers. When this exchange occurs outside of traditional talk therapy, clients can practice interpersonal skills in a variety of contexts. This may help you prepare for life after rehab, when you’ll start interacting with people who aren’t necessarily in recovery.

A growing body of evidence suggests mutual support between clients with substance use disorders8 is hugely beneficial. Experts have found that these relationships “fill a gap that often exists in both formal and informal treatment for individuals with SUD by focusing on recovery first and by helping to rebuild and redefine the individual’s community and life.”

You are more than your illness. Simply watching a movie with a friend, going on a hike, or talking about a good book can help you remember that. And during your time in residence at a TC, you may have more and more opportunities to engage in these activities.

Stages of Recovery

Many therapeutic communities employ a “hierarchical model of care”.9 In this dynamic, clients gain more privileges as they work through predefined stages of recovery. These privileges often include access to the outside world, such as receiving an allowance, using a laptop, or going off-site. For example, you might be allowed to spend a night away from the facility after being in the program for a certain period of time.

Because of this philosophy, TCs may be a good fit for people with responsibilities they can’t set down for months at a time. In particular, students and employed professionals may be able to keep up with school and work during treatment. Some clients might need to do this remotely, while others may be allowed to leave the facility during the day.

Unlike other rehab models, therapeutic communities actively encourage clients to reintegrate with the outside world10 before completing treatment. According to the National Institutes of Health, “as program participants progress through the stages of recovery, they assume greater personal and social responsibilities in the community. The goal is for a TC participant to leave the program not only drug-free but also employed or in school or training. It is not uncommon for program participants to progress in their recovery to take on leadership and staff roles within the TC.”

This flexibility should not be confused with a lack of structure. On the contrary, clients enjoy certain freedoms precisely because they remain accountable to themselves, each other, and their healthcare providers. At every stage of recovery, you’ll be expected to follow certain house rules.

Common Regulations in Therapeutic Communities

Life in a TC strikes a delicate balance. On the one hand, you’ll slowly gain privileges that aren’t available in other rehab programs. And on the other hand, you’ll be expected to take on responsibilities that are rarely associated with inpatient treatment. These two components work in concert to empower clients. The daily practice of caring for yourself and others, while watching the impact of your behavior in real time, can have a huge impact on the recovery process.

Sobriety

Most therapeutic communities have a zero-tolerance policy for substance use. You may undergo regular tests to confirm your sobriety. This practice is especially important for clients who spend significant time off-site. By gathering data about your health, your clinicians can monitor your progress and make adjustments as needed.

If you do test positive for substances during your stay, you may have to leave the program permanently. While this may sound extreme, it’s in line with the philosophy of community accountability. In a TC, even more than in some other programs, your behavior has a drastic impact on the health of other residents. This strategy not only discourages substance misuse; it also protects clients from engaging in enabling behavior.

Household Chores

Living in a community means being partially responsible for the well-being of the whole group. With this in mind, most TCs require residents to take care of their own living spaces. These activities aren’t simply utilitarian; they’re also an exercise in interpersonal dynamics. A task as simple as sweeping the floor can become an act of caring for your cohort.

Each program has its own unique expectations of clients. At MARR, a TC in Georgia, clients “complete chores, buy groceries together, have dinner at the dining room table every night, and navigate day-to-day activities. This sense of community has proven to be a huge factor in the recovery process. It lets clients know they’re not alone while challenging their old habits at the same time.”

This practice teaches valuable life skills, helps clients develop healthier habits, and fosters strong relationships. It may also have a long-lasting positive effect on the psychological aspect of healing. Data suggests that life skills training11 and related activities may be an important preventive measure for those in recovery from substance use disorders.

Curfew

TCs have a strong focus on building healthy habits into your daily routine. Because of this, you can expect to follow a clearly defined schedule during your time there. Although it will likely include much more free time than a traditional rehab, you’ll still have to abide by a curfew. This curfew may change over time, as you progress through the stages of recovery. And even if you’re able to spend the occasional night off-site, you’ll still likely need to return at a predetermined time. Much like regular drug testing, this practice helps clinicians gather data about your recovery process—specifically your ability to keep your commitments and respect healthy boundaries.

Does Scientific Data Support Healing in a Therapeutic Community?

Significant research supports the idea that clients benefit from building community during recovery. Connecting with your peers not only gives you access to support; it also positions you to help the people around you. By empathizing with the people in your cohort, you may gain new insights into your own recovery process. As you develop mutual compassion and respect, you may also gain new confidence in your own role in the group.

However, much research is needed into the efficacy of TCs.12 Despite their lengthy history, there is little scientific data regarding their clients’ long-term recovery. One commonly cited study from the 1980s found that “nearly 30% of addicts treated in TCs maintain maximally favorable outcomes, while another 30% show significant improvement over their pretreatment status.” Because our clinical understanding of substance use has progressed so much since then, those findings may or may not reflect present-day outcomes.

More recently, a 2016 study found that “peer-led recovery support services13 may be a helpful addition to traditional professional services. More research is needed to make definitive recommendations.” However, it’s important to note that this is an analysis of specific peer-led services which may or may not be available in every therapeutic community. Based on related information, it’s very likely that TCs continue to have a positive long-term effect on recovery. But—just like any healing modality—treatment in a therapeutic community may be best when combined with traditional modalities, such as talk therapy and medical care.

Is a Therapeutic Community Right for You?

There’s no doubt that therapeutic communities offer a unique approach to recovery. This type of environment might be a good fit for clients who want to focus on improving their interpersonal relationships and developing life skills. And because residents may gain off-site privileges during their stay, this model may be especially appealing to people with certain commitments, such as work, school, or family responsibilities.

However, some clients may find that the lifestyle of a TC is incompatible with their own needs. For example, highly visible people—especially high-level executives and those with celebrity status—may require greater discretion. Others may need specialized medical care that isn’t available in this environment. And if you feel that you would benefit from more structure, or a greater level of protection from the outside world, you might consider attending a more traditional rehab program.

It’s also possible to take a combined approach, and attend a TC after completing detox or another inpatient treatment program. And, at any rehab, you can find ways to participate in a community both during and after the program. Even individual treatment programs may allow you to connect with loved ones during your stay. Whatever modality feels right for you, remember that healing your relationships is an important part of recovery.

To learn more about this approach, explore our list of therapeutic communities.

Frequently Asked Questions About Therapeutic Communities in Addiction Treatment

What is a therapeutic community in addiction treatment?

A therapeutic community in addiction treatment is a supportive environment where individuals in recovery live together, fostering personal growth through peer support, self-help, and shared responsibility.

What are the benefits of a therapeutic community in addiction treatment?

Therapeutic communities in addiction treatment provide a sense of belonging, support, and accountability, helping people develop life skills, coping strategies, and form healthy relationships.

How does a therapeutic community in addiction treatment promote recovery?

Therapeutic communities promote recovery by offering a structured environment for building healthy relationships, encouraging self-reflection, personal growth, and the development of healthier behaviors and coping mechanisms.

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Building Community in Rehab

Substance use disorders can be extremely isolating. These conditions are often related to difficult relationships with family, friends, or colleagues. In some cases, challenging relationships encourage unhealthy behavior. On the other hand, even the healthiest of dynamics can be undermined by untreated mental health concerns. In both cases, many people find that building community is an important part of recovery. This process can begin during residential rehab.

When you first enter inpatient treatment, you may be struggling with the idea of community. During your time there, you can work on your interpersonal skills and begin to define or redefine what social support means to you. Different facilities take various approaches to this aspect of healing. You may be getting to know a cohort of your peers, staying in touch with far-away loved ones, attending groups, or all of the above. Whatever therapeutic modalities you use, you’ll likely learn how to relate to the people around you in a healthier way.

The Impact of Substance Use Disorders on Relationships

Your illness is not your fault. It’s all too easy to blame yourself for factors outside of your control, including genetic predispositions and traumatic life experiences. No matter what, you are not to blame for simply having a substance use disorder. That being said, you can choose to change your behavior in ways that will make your relationships more sustainable. It can be very challenging to make those changes. But, with appropriate support, it is possible.

There is a complex association between social support and substance use disorders. For some clients, substance misuse feels like a solution to social isolation.1 On the other hand, previously healthy relationships may deteriorate when a person develops a substance use disorder. This often results in unsustainable social dynamics and interpersonal strife. Depending on how your community is structured, these difficulties may play out in a number of ways.

Family Dynamics

All Points North Lodge
All Points North Lodge in Vail Valley, Colorado, offers different forms of family therapy including virtual options.

Research has established that substance use disorders strongly impact immediate family members.2 Spouses and children, in particular, may experience psychological effects. This can result in codependent relationships, in which one partner tries to support a person with a substance use disorder, but unintentionally enables them instead.

If your family is struggling with issues like these, it’s important to focus on how you can heal, both individually and as a group. Family therapy may be especially beneficial here. Reconnecting with your loved ones may have a direct impact on the outcome of treatment. Research has found that “family support in the intervention process3…contributes to a higher rate of recovery success among addicts.”

Substance-Based Relationships

According to one study, “individuals with a substance use disorder (SUD) often have fewer social support network resources than those without SUDs4…these findings suggest that, to reach and maintain abstinence, it is important to maintain positive relationships and to engage self-agency to protect oneself from the influences of negative relationships.”

When you first begin healing—and especially if you start by attending inpatient rehab—you’ll probably take a break from certain relationships. And if there are people in your life who actively interfere with your recovery, your break from them might be permanent. One expert writes that even “thinking about people, places, and things associated with past [substance] use” may be associated with relapse.

As beneficial as it can be to let go of toxic dynamics, it can also be painful. Residential rehab can provide a buffer during this process. If you attend an inpatient program, you’ll be surrounded by trained professionals who have experience helping clients navigate this type of grief. In some programs, you’ll also be able to build relationships with the other people in your cohort.

Finding Comfort in Peer Support

The Hope House Scottsdale
The Hope House Scottsdale in Scottsdale, Arizona takes in just 10 clients at a time.

At most residential rehab facilities, you’ll be in recovery alongside a group of your peers. Some rehabs have an especially strong focus on these relationships. The Hope House Scottsdale, for example, hosts no more than ten clients at a time. Brenna Gonzales, Clinical Director, describes this environment as “a tight-knit community.” These settings give you more time with your providers and may foster stronger relationships between clients themselves. And there are numerous ways to build relationships during inpatient treatment.

Group Therapy

In a group therapy setting, you’ll have the opportunity to talk about your emotional experience in a protected environment. Some modalities encourage clients to speak directly to each other, offering insight and support during the session. And even if you’re instructed not to discuss much of your personal history during therapy—as is true in dialectical behavior therapy—you may still develop an emotional connection to the people around you.

Support Groups

Although more research is needed, “peer support groups included in addiction treatment5 show much promise in potentially reducing substance use.” Some programs include 12-Step groups, such as A.A. or N.A. Others offer non-12-Step support groups that serve a similar purpose, with a slightly different philosophy. Most of these groups are designed to help you connect with those who have similar life experiences. You may find that the people in your group can offer insights you simply wouldn’t reach in more traditional talk therapy.

Experiential Therapy

Sierra by the Sea interior
Sierra by the Sea in Newport Beach, California offers experiential therapies unique to their beachside location.

In experiential therapy, clients engage in a wide variety of activities, from skiing to visiting museums. Along with other therapeutic benefits, these experiences allow you to practice interpersonal skills in a new setting. For example, if you and your cohort go through a ropes course together, you may learn valuable lessons about communication, trust, and how to take risks in a healthy way.

Healing Past Relationships

Not every rehab will connect you with a cohort. Some facilities offer individual treatment, serving only one person at a time. This can be very important for well-known clients, who may require high levels of discretion in order to effectively begin healing. However, healing in private does not mean healing in isolation. These programs are extremely personalized, with treatment plans tailored to meet the unique needs of each individual client. Sometimes, that means staying in touch with your family, loved ones, and even your colleagues during treatment.

Family Therapy

Many rehab centers offer family therapy. “Family” may be defined in many ways, including people such as parents, children, partners, dear friends, and chosen family members. If this modality is right for you, you may participate in regular sessions, either in person or online. Some facilities also offer support groups that are only for family members, helping them heal from adverse experiences related to a loved one’s substance use disorder.

Family therapy isn’t right for everyone. Some clients may even decide to cut ties with family members to focus on recovery. There is no right or wrong way to approach this; only the way that works best for you. It’s important to remember that you get to decide who is part of your community. And if your family is included in that, they may be a valuable source of support both during and after rehab.

Forming a Sober Support Network

Recovery doesn’t end when you leave rehab. At this stage, you’ll find yourself in a new environment, and therefore, within a new community. This community may be made up of your family and old friends, or it may be something you haven’t experienced before.

For example, before returning home, you may choose to spend time in a therapeutic (or sober living) community. These programs provide less structure than inpatient rehab, while still supporting a healthy lifestyle for people with substance use disorders. These environments can be helpful for people who do not have strong support networks to return to. As one expert writes about the value of community in recovery,6 “Individuals with substance abuse problems who are living in a collaborative housing setting will have their addiction treated more effectively than [those] not residing in a community-based facility.”

If and when you do return home, community will continue to be important. You may find support from 12-Step or similar support groups, which will allow you to connect with peers in your area. Many rehab programs also have strong alumni programs, through which you can stay connected with your cohort.

And as important as these programs are, they aren’t everything. After rehab, you’ll also start to create a life that feels rich and meaningful, without relying on substance use. You may engage in new hobbies, meet people with similar interests, and find healthy ways to have fun. This may sound frivolous, but in fact, it is an absolutely essential part of recovery. Research has shown that “increasing recovery-supportive social connections can have a profound benefit for achieving and maintaining abstinence.”7

The Effect of Community Support on Long-Term Recovery

When considering the importance of community for people recovering from substance use disorders, many researchers refer to a study conducted in the early 1980s, commonly known as “Rat Park.”8

In his study, researcher Brian Alexander began by giving rats free access to water laced with opiates. He found that when given a choice between plain water and drugged water, solitary rats would continue drinking the opiate solution until they overdosed. Another group of rats was placed in an enclosure he called Rat Park. As it was later described by journalist Johann Hari, this environment was “basically heaven for rats. They’ve got loads of cheese, they’ve got loads of colored balls, they’ve got loads of tunnels. Crucially, they’ve got loads of friends.” Faced with the same choice between drugged and pure water, none of the subjects in Rat Park overdosed.

This research paints a clear picture. When a subject’s needs for food, enrichment, and— perhaps most importantly—community are met, then they’re able to create healthier habits. In light of this, it is absolutely essential for people with substance use disorders to build strong support networks.9

The Rat Park experiment is not without flaws.10 Some experts critique it as an oversimplification. And indeed, this theory of substance misuse focuses only on the idea of a subject’s current environment. It ignores genetics, life history, and the effects of long-term stress, all of which can contribute to a person’s mental health. However, more robust research continues to support one of its findings: that strong communities can help guard against substance misuse.

One study, conducted in 2021, analyzed several social factors as potential risk and protective factors for substance misuse.11 Researchers found that “those with a greater number of close friends had more strengths and fewer barriers” to addiction recovery. This suggests that one’s relationships, and not just one’s environment, support the process of healing.

Recovering Your Relationship With the World Around You

Much like the process of recovery, building community takes time. Many clients enter rehab with much to learn about how to engage in healthy relationships. You may need to practice setting boundaries, expressing your needs, or navigating group dynamics. And as much progress as you might make during rehab, you’ll find yourself learning a whole new set of skills after treatment.

Remember that a strong community is more than a checkbox. It is a complex, living, breathing, changing group of people, all of whom relate to each other in unique ways. And as you reconsider your relationship with substances, you may also redefine what you need in your relationships with other people. Your support network might look very different after rehab than it did earlier in your life. And for some people, that can be extremely healthy.

To learn more about the ways different facilities foster community, browse our list of rehab centers.

Frequently Asked Questions About Building Community in Rehab

Why is building community important in the rehab process?

Building community in rehab fosters support, connection, and a sense of belonging. It creates a safe environment for patients to share experiences, offer encouragement, and learn from each other. Strong interpersonal relationships help support the healing process.

What are the benefits of peer support in rehab?

Peer support in rehab offers several benefits:

• Fosters mutual understanding and empathy
• Enhances motivation and accountability 
• Creates a sense of shared journey  
• Provides inspiration 
• Reduces feelings of isolation
• Increases the likelihood of long-term recovery

How is community built in rehab?

Community is built in rehab through various activities including group therapy, support groups, experiential therapy, outings, and shared responsibilities. These activities promote social interaction, communication, and collaboration. They foster a supportive environment for people to share and learn from one another.

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Life After Rehab: How to Plan for Aftercare

While rehab is a place to begin recovery, it’s only the first step in a long journey. During your program, you’ll start learning how to build a better life. This carefully curated environment may include individual and group therapy, recreational activities, and medical treatment. Most rehab programs are designed to temporarily protect you from external stressors, including work and family obligations. Without those concerns, you can dig deep into healing, developing sustainable tools to use in the future.

Think of your time in rehab as an intensive retreat. This is a crash course. It isn’t meant to be temporary. The goal is not to stay in rehab forever, but instead to learn new skills that you can put to use after leaving the program. And, best of all, you don’t have to do it alone. There are many resources available to people transitioning out of residential rehab.

Post-Treatment Challenges

It’s natural to be concerned about your transition out of rehab and back into the wider world. Without the structure of the program, you can expect to encounter both new and established triggers on a more frequent basis. You may also be returning to difficult circumstances. For example, you and your therapist might discover that work stress prior to rehab was interfering with your mental health. If that’s true, you may be planning to change jobs soon after you return home. Situations like this one can be stressful even in the best of times. 

Every person’s experience of rehab is different, but recent graduates tend to have a few common concerns. Before you finish the program, it can be helpful to plan around how you’ll navigate the following:

Relationships and Community

Many people go to rehab when they realize they need more care than they’re getting from their loved ones. Because of this, it’s common for alumni to return home to difficult dynamics. You have to let go of unhealthy relationships in order to prioritize your own healing process. Without the structure of your program and the in-person support of your recovery peers, it can be hard to maintain those boundaries. 

Healing takes time. That’s true for the body, the mind, and also for relationships. Many programs offer family therapy, so your loved ones can begin healing even before you return home. This work not only affects your familial dynamic; it can also have a positive impact on your and your loved ones’ other relationships.  Ryan Soave, the Director of Program Development at All Points North Lodge, says “…often when we do family work, the families get better. We also find that they get better in their lives outside of the family.

However, family therapy is just one part of rehab. They may have attended weekly sessions, but you’ll have gone through a much more intensive program. You may find that you have more tools for emotion regulation than the people around you. Be patient with them, and with yourself, as you learn how to relate to each other during this new stage of your process. 

Relapse

From the moment you arrive at rehab, you’ll begin preparing for the possibility of relapse. Healing isn’t always a linear process, and this is an area of concern for many people in recovery. As such, your team of providers can help you plan ahead. Jan Gerber, CEO of Paracelsus Recovery, offers a clear description of this issue. “There’s a term called ‘post-treatment crash,’” Gerber says, “which is a quite familiar term to everybody working in addiction treatment. No matter how successful and intensive the treatment has been, without the proper care and company after leaving treatment, there are risks for relapse.”

Leaving rehab is stressful. And if substance use has been your primary way of coping with stress up to this point, you may have the urge to fall back into old patterns during this transition. Instead of engaging in unhealthy behavior, it’s important to stay focused on yourself and your goals. Having a clear and specific plan for aftercare can make that much easier. Even before you return home, you can start researching aftercare options to support you in life after rehab. 

aspenridge recovery iop
AspenRidge Recovery in Lakewood, Colorado provides a comfortable sober living environment for clients attending their intensive outpatient program (IOP).

Individual Therapy

Individual therapy is an essential component of recovery. In most rehab facilities, this is a major focus of the program; clients often have daily one-on-one sessions, in addition to group sessions and other activities. Individual therapy is one of the most effective ways to heal from any mental health issue, including substance use. It’s highly recommended for people in recovery to continue individual therapy even after transitioning out of inpatient care. 

Therapy offers a private, confidential space where you can explore your emotional experience. Because your emotional life changes over time, this isn’t a quick process. It takes time to process your past, learn to navigate the present, and plan for the future. Many people attend therapy for years, or throughout their lives. Like rehab, therapy is a tool to kickstart the healing process. However, therapy is also important for the maintenance of your mental health regardless of where you are in your recovery journey.

You may or may not be able to continue seeing the same therapist you saw during rehab after you leave the program. Most therapists are only licensed to practice in certain locations. Because of this, people who travel to attend rehab will almost certainly need to find a new therapist once they leave. Some therapists are able to offer telehealth services, or sessions on a remote basis. If you’d like to continue seeing the same provider after you return home, make sure to check with them before you leave to find out if that’s possible. 

Finding the right therapist for you can be a long and even arduous process. The therapist-client dynamic works best when your provider has an intuitive sense of your needs, goals, and values. What’s more, not every therapist has experience in treating addiction. If you have additional concerns, you may need a provider who has other competencies as well. For example, a therapist who specializes in working with teenagers might not be a good fit for someone in their 40’s. Remember that you’re allowed to shop around. You can research a provider’s credentials before reaching out, and you can ask to have an initial trial session before committing to a longer process. It’s ideal to begin looking for a therapist before you leave rehab. 

Intensive Outpatient Programs and Partial Hospitalization Programs

Intensive outpatient programs (IOPs) and partial hospitalization programs (PHPs) are one step down from residential treatment. These programs allow you to live off-site—usually either at home or in a sober living environment—while undergoing intensive therapy at a hospital or rehab center. An IOP or PHP might be right for you if you need significant support during the transition out of rehab. 

Intensive Outpatient Programs (IOPs)

If you participate in an IOP, you will live at home, on your own, or in a sober living environment, but you will attend the clinical program several days a week. Each of these programs is unique, but most of them include 10 or more hours of group and individual therapy per week. The Substance Abuse and Mental Health Services Administration (SAMHSA) lays out specific guidelines for IOPs,1 stating that “IOP services may incorporate other in-house treatment and peer services, encourage clients’ attendance at mutual-support groups, and collaborate with local community providers to secure needed services (e.g., medication-assisted treatment, psychological assessments, vocational rehabilitation services, and trauma-specific treatment).”

IOPs offer a gentle transition out of rehab. AspenRidge Recovery, a facility in Colorado, describes this type of program as “a safe and accountable way [for clients] to test their skills in real-world situations while still having a supportive team to rely upon.” You’ll continue to have a team of healthcare providers at your fingertips, as well as access to a cohort of people who are also in recovery. Your time on-site is intended to help you process the experiences you have outside of rehab and in between therapy sessions. 

Partial Hospitalization Programs (PHPs)

PHPs are similar to IOPs, but clients spend more time in the program. If you attend a PHP, you’ll spend the majority of each day in treatment, and only go home at night. This is a good option for people who need to be closely monitored by healthcare providers, but have some responsibilities they can’t simply put on pause, like family or schoolwork. You can attend a PHP after rehab, or choose this type of program instead of 24/7 treatment.

Pillars Recovery, a rehab in California, recommends PHPs to clients who can’t afford inpatient rehab. They also offer clients the option of staying in a sober living environment during the program. Depending on your insurance, one of these options may be more accessible than a more traditional stay at a rehab facility. 

Sober Living Environments

A sober living environment hosts residents who are adjusting to the rhythm of life without substance use. They are safe environments with clear rules and regulations, but far less structured than inpatient rehab programs. While you may choose to attend therapy during your time there, those sessions would likely take place off-site and through a different program. The goal of your stay in a sober living environment is to transition out of intensive treatment into a more flexible schedule. 

Many sober living environments will only admit clients who have already completed a residential treatment program. Some, however, are available to people recovering from a number of concerns, and not only from substance use.

Unlike inpatient rehab, sober living offers you the opportunity to socialize and set your own schedule. You may have access to planned outings, a library of relevant materials, and other activities, such as yoga and meditation. You’ll likely be required to attend regular meetings, such as 12-step meetings, that support your new lifestyle. 

Some kinds of healing can only be accomplished alone or in therapy. Other kinds of healing can only be achieved in a community. As you transition out of inpatient treatment, it’s important to take the skills you developed in rehab and put them into practice in your daily life.

pillars recovery iop
Pillars Recovery in Newport Beach, California offers an intensive outpatient program (IOP) and day treatment (PHP) for clients wanting to step down to transitional living for a structured, healthy lifestyle post-rehab.

Support Groups

Support groups are a valuable resource for people in recovery, both during and after therapy. These settings allow you to learn from other people with similar life experiences, and gain insights you might not have access to in individual therapy. Catherine Ulrich Milliken, Program Director of McLean Borden Cottage, explains that attending groups is “an important part of recovery, and the evidence shows that it’s a good, helpful component. It’s another way to be connected to a community. It’s another place of accountability. It’s another place for support. It’s the roof on the house of sobriety – making sure people engage in a spiritual component.”

Various support groups are available in most areas. Most aftercare programs—such as IOPs and PHPs—will provide facilitated sessions on-site. However, most of these groups are easily accessible to anyone. 

If you’re living independently, don’t be afraid to try out a few groups before you decide which one(s) you’d like to attend regularly. The specific people in your group have a huge impact on the experience. You may find that you really connect with the people who attend a certain meeting on Wednesday nights, but you don’t have much in common with the people who go to the same group on Fridays. Rehab alumni often find it helpful to attend more than one group; some people even go to at least one session every day after leaving inpatient treatment. These groups are offered in a wide variety of styles, giving you the freedom to choose which philosophy works best for you.

12-Step Groups

In 12-Step support groups, participants follow 12 clearly defined steps toward recovery. These steps were originally defined by Alcoholics Anonymous, and over time, numerous similar groups have branched off. All over the world, it’s now possible to find local chapters of Alcoholics Anonymous, Narcotics Anonymous, Cocaine Anonymous, Pills Anonymous, Codependents Anonymous, Sex Addicts Anonymous, Workaholics Anonymous, and more. While these different groups use slight variations on the original 12 Steps, they all share a similar philosophy. 

Most 12-Step meetings open with a reading or a prayer. After that, members may be invited to share their stories, or to engage in a group conversation. Every group’s format is a little different, based on the specific needs and goals of the participants and facilitators. 

Sponsorship is an important component of the 12-Step program. A sponsor is someone who has been attending the group for some time, who feels ready to volunteer to work closely with newer members. When you form a relationship with a sponsor, you’ll connect with them outside of group meetings, possibly through regular conversations or other activities. This allows you to learn from their experience, strategize ways to achieve your own goals, and stay on track as you continue to heal. Depending on your specific sponsor, you may even be able to call them at a moment’s notice when you’re having a hard time. 

12-Step groups have a strong focus on faith. While all are welcome, much of the literature references a higher power, and sometimes even a Christian God. These groups are a good fit for people who want to develop a spiritual practice, and they may be less effective for those who don’t. Alcoholics Anonymous, Narcotics Anonymous, and other 12-Step groups are some of the best-known support groups for people in recovery, but they’re far from the only options. 

Other Support Groups

If the 12 Steps aren’t right for you, there are many other established support groups you can join. For example, SMART Recovery groups focus on self-empowerment and behavioral health. Their 4-Point Program2 encourages members to prioritize the following goals: 

  • Building and maintaining the motivation to change
  • Coping with urges to use
  • <anaging thoughts, feelings, and behaviors in an effective way
  • Living a balanced, positive, and healthy life

Groups are led by trained facilitators, who may or may not have personal histories of substance use. This abstinence-oriented program is founded in science rather than faith. 

LifeRing Secular Recovery is another secular group, with a similar focus on personal growth. They espouse the 3S philosophy, “Sobriety, Secularity, and Self-Help.” Members give and receive support from each other in each meeting, but unlike 12-Step programs, do not engage in sponsorship. Instead, this organization teaches that “you know what’s needed in your life3 and what has to be abandoned. You know what triggers cravings and what provides healthy and strengthening pleasure. You know the path you want to be on and you are the only person who can figure out how best to get there.” Participants are encouraged to make their own choices, and to creatively build a life that makes them happy.

Social Interest Groups

As important as it is to see a therapist and connect with your peers, there’s more to healing than processing complex emotions. Recovery is also an opportunity for joy. As you begin to live a more sustainable life, you’ll naturally find healthier ways of relating to the world. 

After completing inpatient treatment, many people find joy in taking up new hobbies and learning new skills. Joining a special interest group can support that process. You may even want to continue working on something you started during rehab. For example, if you loved your time in art therapy, you might enroll in a painting class. Pursuing these activities can keep you grounded as you go forward, and may even remind you of positive experiences you had during treatment. 

There are meet-up and affinity groups for almost any interest you might have. You can join a knitting circle, take a philosophy class, or start playing softball. It can be especially helpful to connect with people in person, instead of only engaging through social media. Forming relationships with people who share your interests but not necessarily your struggles can also be a helpful reminder that you are a complex, multi-faceted person. There’s far more to you than just your challenges. 

Just as there are lessons you can learn in group therapy that would never come up in a one-on-one session, there are also valuable experiences you can only have outside of therapy. In an affinity group, you can learn about social dynamics and problem solving in entirely new contexts. You can also create new memories, develop a sense of accomplishment, and find ways to have fun without substances! These are the experiences that make life in recovery meaningful. 

Charting a Course After Treatment

Recovery is the process of creating a life you don’t need to escape. Rehab can give you the tools to begin that process, but it’s up to you to follow through after you leave treatment. Maintaining your health isn’t just about giving up destructive habits; it’s about replacing them with positive ones. 

The map is not the territory. During rehab, you’ll start to define what kind of life you want. After primary treatment, you can begin actively moving toward that life. This process can sometimes be messy and surprising, but it can also be highly rewarding. 

No matter what, you don’t have to do it alone. All of these strategies—individual and group therapy, support groups, and social groups—invite you to connect with people who want to see you succeed. Making those connections is the first step toward a better life after rehab.

It’s not too early to start planning what you’ll do after rehab. Learn more about your aftercare options here. 

Frequently Asked Questions About Rehab Continuing Care

What can I expect after leaving rehab?

After leaving rehab, you can expect to face new and existing triggers in the wider world. It’s important to plan around navigating relationships, maintaining boundaries, and addressing post-treatment challenges. This is especially true if you’re returning to difficult circumstances. Remember to get sufficient support in place before leaving treatment, and be patient with yourself and others as you adapt to this new stage of your recovery journey.

Should I continue individual therapy after leaving rehab?

Yes, individual therapy is highly recommended even after transitioning out of inpatient care. It provides a private space to explore your emotional experience and continue your healing journey. Therapy helps with emotional processing, navigating the present, and planning for the future. Finding the right therapist may take time, so it’s ideal to start looking for one before you leave rehab.

What continuing options are available after completing residential rehab?

After completing residential rehab, most patients use some combination of stepped-down care options. These include intensive outpatient treatment programs (IOPs), sober living, support groups, and virtual therapy. These provide ongoing support, structure, and community as you transition from residential rehab to daily life.

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

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

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

Understanding Types of Treatment

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

Medical Detox: Getting Started Safely

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

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

Inpatient (Residential) Rehab

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

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

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

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

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

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

Partial Hospitalization Programs (PHP): The Middle Ground 

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

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

Intensive Outpatient Programs (IOP): Flexibility Meets Structure

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

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

Sober Living: Your Recovery Community

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

Continuing Care: Growing Stronger

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

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

Virtual Treatment: Recovery at Your Fingertips

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

What to Look for in a Treatment Provider

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

All About Licensing and Accreditation 

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

Here are the important ones to look for:

  • The Joint Commission: This is the gold standard in healthcare. When you see this seal, you know the program meets the highest quality standards.
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  • Your state’s Department of Health license: This is your state’s official oversight of treatment programs. Every quality program should have this license, which shows they meet local requirements for providing safe, ethical care.

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

The People Who Will Support Your Recovery

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

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

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

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

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

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

Proven Treatment Approaches

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

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

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

Family Involvement

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

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

Open Communication

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

Understanding Costs and Coverage

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

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

Watching Out for Red Flags

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

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

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

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

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

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

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

Practical Steps to Finding the Right Provider

1. Start With a Professional Assessment

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

2. Check Your Insurance Coverage

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

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

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

3. Research Your Options

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

4. Ask the Right Questions

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

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

What should I know about health insurance?

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

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

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Connect With Treatment Today

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