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Yes, Massage Therapy Can Treat Addiction

Addiction affects every aspect of your being: mind, body, and spirit. As you lose yourself in drug abuse, these parts of your identity disconnect from each other. For some people, that disconnect has a major impact on physical health. 

When you can’t tell how your body feels, you can’t care for it properly. You might ignore issues great and small, from hunger to serious medical symptoms. Or, you might start feeling like drug use is the solution to every problem. But that just isn’t sustainable. 

If you choose a rehab program with massage therapy, you can get back in touch with your body during recovery. And when you feel safe inhabiting your own body, it’s much easier to make sense of your thoughts and feelings. 

How Does Massage Help With Recovery?

For most people, it’s easy to look forward to this treatment. Most types of massage feel good, both during and after the session. And you might just want to relax in between emotionally taxing talk therapy sessions. Massage lets you keep moving toward recovery, but feel like you’re taking a break. 

More importantly, massage has many benefits for people in recovery.1 It can help people in treatment for depression, anxiety, and even eating disorders. Massage can even alleviate some of the symptoms associated with PTSD, like dissociation. And of course, it can also improve your physical health.

Physical Benefits of Massage for Addiction Recovery

Massage has well-documented physical benefits for almost everyone. It can relieve muscle tension, joint pain, and more complex issues, like headaches. Massage therapists with some types of training can even treat serious chronic illnesses. But most people associate massage with pain relief. 

Pain Relief

Massage alleviates physical pain2 for a few reasons. On a mechanical level, it releases muscle tension and brings your joints into alignment. Over time, this teaches clients to maintain better body mechanics. Those healthy habits may protect you from future injuries.

On a neurochemical level, massage interrupts your nerves’ ability to process painful stimuli.3 Neutral or pleasurable touch stimulates the same nerve fibers that send pain signals. And according to the gate-control theory of pain, they can only process so much information at a time. As a result, being touched in a non-painful way can actually stop you from feeling pain. 

This can be helpful for anyone, but it’s uniquely important for people with some addictions. Chronic pain often leads to opioid addiction.4 If you have both of these issues, you’ll need to learn healthier ways to manage your pain. Massage can help with that, in every stage of recovery. 

Withdrawal

When you stop using drugs, you might go through withdrawal. Depending on your specific health history, you may even attend a medical detox program. Supervised detox is essential if you’re healing from alcohol, benzodiazepine, or opioid abuse. 

Data supports massage as a treatment for alcohol withdrawal.5 It’s no substitute for medical attention, but it can be a valuable aspect of your care plan. And in addition to its physical benefits, it may help you find emotional relief from the stress of detox.

Emotional Benefits of Massage Treatment in Rehab

There’s a fine line between physical and emotional health. In some holistic philosophies, they’re seen as one and the same. Depending where you go to rehab, you may be able to get a massage designed to treat mental health issues.

A growing body of research supports this application of massage therapy. Andy Bernay-Roman is both a massage therapist and mental health counselor. In his book, Deep Feeling, Deep Healing, he writes, “feelings are not disembodied experiences of some separate ‘mind’, but rather, are contained in a very physical biochemistry that modulates and marks every bodily event.”6 From this perspective, massage can have a direct impact on emotional well-being.

Neurochemical Effects

Addiction changes the way your brain’s reward system functions.7 The act of taking drugs releases dopamine, a neurotransmitter associated with pleasure. Over time, that dysregulates your brain chemistry. If you have a serious addiction, drug use might be the only thing that makes you feel a sense of accomplishment. 

Massage increases levels of dopamine,8 serotonin, and oxytocin. All three of these neurochemicals are related to good feelings: 

  • Dopamine makes you feel satisfied. 
  • Serotonin has an impact on happiness, which is why some people take selective serotonin reuptake inhibitors (SSRIs) to treat depression. 
  • Touch releases oxytocin,9 a chemical that encourages social bonding. 
  • Massage also decreases cortisol, which is commonly known as “the stress hormone.”

Any of these effects can improve your mental health. But for people with addiction, dopamine regulation might be the most important. Massage doesn’t only help you feel better during the stress of residential treatment. It can also play a role in the neurochemical process of recovery. 

Cravings

Massage can reduce the severity of cravings.10 That’s especially true for people with certain addictions. For example, self-massage can help you quit smoking. Some types of bodywork may even decrease opioid cravings.11 More research is needed on this subject, but the available data is promising.

Cravings can be both physical and psychological.12 But because massage affects both your body and mind, it can protect against relapse in either case. Over time, this can empower you to build a more stable life—and sense of self.

Self-Awareness Is a Form of Self-Care

Receiving a massage is a deeply personal experience. As the provider draws your attention to your own body, you may notice areas of tension or pain for the first time. And that’s not only a physical process. It can also happen on an emotional level. 

Massage improves self-awareness13 and mindfulness. Cynthia Price, Ph.D. and L.M.T., writes that “by paying attention to thoughts, feelings, sensations—our internal life—we become more aware of internal cues and thus more able to engage in self-care.” And self-care is an essential part of ongoing addiction recovery. In this process, you’ll learn how to meet your own needs in a sustainable way. That often means letting go of things you want—or things you’re craving—to make room for better habits. 

Self-care is hard work, but it can also be comforting. The American Massage Therapy Association (AMTA) reports that “all addictions are about self-soothing.” So are most types of massage.14 Bodywork helps people in recovery unwind in a safe way. And “giving them a pathway with which they can connect to their bodies can be enormously empowering,” AMTA experts explain. This is especially helpful if you’re healing from trauma.

Trauma-Informed Massage

Addiction is usually related to trauma. Some people start taking drugs to self-medicate PTSD. And no matter what led to your drug use, addiction also causes trauma.15 These experiences can leave you with both physical and mental health concerns. 

Massage can treat the symptoms of trauma.16 It relieves pain, depression, anxiety, and irritability. It can also mitigate more complex issues, like dissociation and isolation.

Dissociation

When you dissociate, you may feel disconnected from yourself or your surroundings. This survival strategy is usually a symptom of trauma. If it’s not safe to be in your own body, your mind creates a sense of distance. During a traumatic event, this is adaptive. But in response to a trigger, it can range from being inconvenient to putting you in real danger. Dissociating while you’re watching a movie might be frustrating. But dissociating while you’re driving a car is a serious problem. 

Massage reduces dissociative symptoms17 in clients with a history of trauma. This treatment helps you reconnect with your body, on your own terms. You can also practice setting boundaries that feel right to you. That skill keeps you safe in your own body, and it empowers you to build healthier relationships.

Interpersonal Skills

Touch is a form of communication. Even if you don’t speak, you’ll communicate with your massage therapist throughout every session. You might tense up if they use too much pressure, or wiggle your fingers if your hand falls asleep. They’ll even notice when the rhythm of your breathing changes. And that will inform how they communicate with you. 

Massage teaches you how to connect with another person in a structured way. Treatment is interpersonal, but not social. You’ll learn to describe your boundaries clearly, and answer questions about yourself. And if you forget to say something, you’ll be able to mention it during the massage. There’s plenty of space for you to make mistakes, correct them, and try again in your next session. 

Trauma can make you feel like you don’t have control over your own life. When you have an addiction, that might even be true. During rehab, massage can show you how it feels to have authority over your own body. You have the right to set clear boundaries. And in any modality of massage, you can trust that your therapist will respect them, and act in your best interest.

Types of Massage Therapy

Most cultures have developed their own styles of massage therapy. And many of these are now popular worldwide. But if you’d like to get a certain type of massage during recovery, make sure to ask whether it’s available at your rehab.

Swedish Massage

This is one of the most common forms of massage in the Western world. When you go to a day spa in the U.S., for example, you can assume it offers Swedish massage unless otherwise specified.

Swedish massage uses long, gentle strokes to relax the body.18 It may also include some invigorating movements, like kneading or tapping. Many massage therapists have training in both Swedish massage and other modalities. They may even combine different approaches during a session. For example, many deep tissue massages begin with Swedish techniques. These lighter strokes function as a warm-up before the therapist applies deeper pressure.

Deep Tissue Massage

Deep tissue massage is very popular, even though it’s not a formalized treatment modality. These sessions are less relaxing, and more focused on solving specific problems. If you have acute pain, or chronic pain caused by a muscle injury, this approach might be a good fit for you. 

Thai Massage

Thai massage is very different from most Western techniques.19 This form of bodywork is more active than Swedish massage, for example. Both the practitioner and the client are fully clothed throughout the session. Your provider will use their hands, feet, knees, and elbows to perform various stretches and compressions. 

Thai massage is ideal for people who want to improve their mobility. It can also be relaxing, but it’s unlikely that you’ll fall asleep during a session. The providers at Jintara Wellness Center and Rehab, in Chiang Mai, offer massage as one aspect of holistic recovery.20 Treatments are designed to improve your physical fitness and energy levels. You can expect to move around during these sessions, instead of lying still on a table.

Ayurvedic Massage

Ayurvedic massage originated in India, and is available at many rehabs there. At Abhasa Rehabilitation Center – Coimbatore, for example, this style of massage is an important part of recovery. Sessions include the use of special oils and herbs, tailored to meet each client’s needs. This combination of physical touch and aromatherapy activates your “sensory and olfactory organs21 through sweet and subtle fragrances, thus rejuvenating the mind, body, and spirit.”

This type of bodywork is an aspect of Ayurvedic medicine. You may receive massage in combination with other therapies, as part of a larger care plan. Whether you’re getting holistic Ayurvedic treatment or not, make sure to talk to your healthcare team before an Ayurvedic massage. It may have wide-ranging benefits–but it may not be the right treatment for you. It depends on your personal health history.

Should You Get a Massage?

Massage is hugely beneficial for most clients. But this treatment shouldn’t be taken lightly. It has a significant impact on your physical and mental health, and even your body chemistry. This can be an issue for people with certain health issues, including addiction. Make sure to talk to your care team before getting any type of bodywork. 

Massage therapists are trained to recognize both local and absolute contraindications.22 In layman’s terms, a contraindication is a reason not to give someone a massage. With a local contraindication, like a papercut, the therapist will skip that body part. An absolute contraindication means the person shouldn’t get treatment at all. 

These standards may be different in various traditions of bodywork. One issue may be an absolute contraindication in Thai massage, but treatable in the Ayurvedic style. And some of these concerns might surprise you. For example, most Western styles include the following contraindications:

Local Contraindications

  • open wounds of any kind, including burns and severe rashes
  • warts23
  • varicose veins

Absolute Contraindications

Some of these conditions might not seem serious. Many people even schedule massages because of them. For example, if you have a mild cold, bodywork might sound comforting. It’s your therapist’s job to protect your health by setting clear boundaries. To help them do that, you should give them as much information about your own health as possible. That way, they can make decisions that keep both of you safe.

Massage and Drug Use

Massage is absolutely contraindicated while you’re under the influence of drugs or alcohol.22 These providers are highly trained, but they’re not doctors. If you have a bad reaction to a drug during the session, they might not know how to help. 

Drug use also interferes with your ability to communicate. During the intake conversation, you might forget to share important information. And during the massage itself, you may respond differently than you would while sober. But nonverbal communication is an essential part of massage. If the therapist can’t understand what your body is telling them, they can’t properly treat you. 

It’s especially dangerous to get a massage when you’ve been drinking.26 Because treatment increases circulation, it amplifies the effects of alcohol. This can increase your risk of alcohol poisoning. And in addition, alcohol acts as a pain reliever. This makes it even more dangerous to get bodywork.

Taking painkillers of any kind can interfere with a massage.27 This still applies when you take them as prescribed, or use mild medications like Advil. Because these drugs dull your senses, you might not know if the therapist is using too much pressure. As a result, they might accidentally injure you. But if you’re taking painkillers as directed, you might still be able to get a gentle massage. Tell your therapist in advance, so they can decide whether it’s safe.

Get Back in Touch With Yourself

Through massage, you can get to know yourself again. Reconnecting with your body will give you new insight into your own needs. And that insight empowers you to build a life you love. 
Connect with a rehab that offers massage therapy to learn more about the styles of body work they offer, other available treatments, pricing, and more.

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Holistic Detox in California

Detoxing from substance misuse can be challenging and even dangerous. To do so successfully, most people need professional care. And because recovery looks different for everyone, that care might include medical treatment, talk therapy, or holistic healing. You can find all of these modalities at detox centers in California.

The Golden State is known for its natural beauty, amazing weather, and focus on holistic health. Many California luxury rehabs also cater to elite clients. Both detox and long-term recovery programs in this area can offer support to meet your unique needs.

Recovery Begins With Detox

Alcohol and drug detox1 is the process of interrupting the physical or psychological dependence on substances. It will almost certainly be physically uncomfortable, and it may also have greater risks. Detoxing from certain substances, like alcohol and opiates, can be dangerous without proper medical supervision.

As you progress through the various stages of detox, you may experience symptoms such as anxiety, difficulty sleeping, tremors, and intensified cravings. Because of these concerns, it’s best to begin this process in a detox facility with trained staff on hand. Many private residential treatment centers employ medical doctors, nurses, psychiatrists, and talk therapists. This team of experts is there to keep you safe and comfortable throughout the process.

During inpatient detox, you may have access to several therapeutic modalities. For example, you may be prescribed non-addictive medications to help alleviate symptoms of withdrawal. You might also speak with a talk therapist, or even connect with fellow clients. Gratitude Lodge, for example, has a strong focus on community care. According to their team,

“Detoxification can be the most difficult part of early recovery, which is why we offer personalized care, group therapy support and an encouraging environment.”2

Most luxury rehabs offset the discomfort of detox with extremely comfortable surroundings. You will likely have a private room, a TV, and even access to wifi while in detox. Some programs actively encourage clients to stay in touch with friends and family during their stay, getting support from loved ones at every stage of healing.

Who Is a Candidate for Detox?

Anyone ready to stop misusing substances is a candidate for detox. No matter which substance you’ve been using, whether you have a physical dependence on it, or how severe your substance use disorder is, detox can be a helpful place to start. That being said, it’s not necessary for everyone. Some clients may be able to safely detox without close medical supervision, depending on their specific history of substance use.

There are many different ways to approach detox, and some of them can be inappropriate or even unsafe for certain clients. When you’re ready to begin this process, start by learning more about the various programs available.

Medical Detox for Physical Dependence

Certain substances are more likely to cause physical dependence,3 which occurs “when a person requires one or more drugs to function. Abruptly stopping the substance may cause physical symptoms of withdrawal.” If you’re physically dependent on a substance, it’s extremely important that you stop using it under close medical supervision.

Detoxing from alcohol, opioids, or benzodiazepines can be especially dangerous to attempt on your own. If you struggle with any of these substances, it’s best to begin recovery by consulting with a medical professional. Depending on your specific health history, you may be given certain medications to help with detox.4 It’s absolutely vital that these medications be prescribed by an expert who is well-acquainted with your health history.

Because withdrawal from alcohol, opioids, and benzodiazepines can have such challenging side effects, some programs focus on helping clients heal from using these specific substances. AToN Center, in San Diego, is one such detox center. They offer a 3-to-1 ratio of staff to clients,5 ensuring that every resident gets the attention they need and deserve. After detox, clients may decide to enter their longer inpatient program, which treats a greater diversity of conditions.

aton center
Located in San Diego, AToN Center’s residential grounds are designed to promote comfort throughout the detox and recovery process.

It’s important to remember that detox, like the rest of recovery, is an extremely personal process. Although you may be temporarily focused on your physical symptoms, you can also expect to go through a series of extreme emotions. Because of this, it’s important to find a program that also offers support for mental health.

Holistic Detox for Psychological Dependence

The physical symptoms of detox can be overwhelming, and even dangerous. But the emotional aspect of healing is just as important. Some substances, like crack cocaine, have minimal physical withdrawal symptoms.6 Despite this, the cessation of any illicit substance can have an extreme and immediate impact on brain chemistry and mental health.

Detox may be an appropriate way to begin recovery, even for clients without physical dependence on substances. Although certain programs, like AToN, only treat physical withdrawal, other rehab centers are open to anyone with a substance use disorder.

And even if you have no physical withdrawal symptoms, you may still face some serious risks. Many clients experience severe mental health symptoms during detox,7 such as depression, suicidal ideation, anxiety, and more. When you begin recovery, it’s absolutely vital to get the care you need, especially at first, while your brain chemistry is changing quickly. You don’t have to do it alone or in isolation. On the contrary, you can choose to have this experience in a beautiful, inspiring setting.

Attending a Detox Program in California

Rehab programs in California tend to offer holistic detox, with a focus on sustainable health and wellness. Many of these treatment facilities offer personalized treatment, which honors the unique goals of each individual client. Because of this, California’s detox centers offer a wide variety of services.

Medical Care in a Natural Setting

Many people entering recovery have more than one diagnosis. You may have a co-occurring mental health diagnosis, a chronic physical illness, or a condition that developed in response to substance misuse, like a nutritional imbalance. And any of these conditions may require medication that impacts the process of detox.

It’s absolutely possible to recover from more than one condition at a time, but doing so requires expert medical care, tailored to meet your needs. At Monarch Shores, for example, clients work with an on-staff doctor who “will design an individually tailored medication regimen that reduces any discomfort or pain, any gastrointestinal issues, reduces or completely eliminates tremors and shakes, allows you to sleep, reduces anxiety, and improves cognitive functioning.”8

monarch shores house 1 outdoor sand
Clients can soak up the views of Southern California’s beautiful coastline while detoxing at Monarch Shores in San Juan Capistrano.

And in beautiful, temperate California, this medical attention doesn’t have to be isolating. Even if you spend most of your detox inside the facility, you can enjoy a view of the surrounding landscape. And when you’re ready, you may be able to spend some time exploring or simply relaxing in the fresh air. For many clients, communing with nature is an extremely important part of holistic healing.

Drug-Free Detox

Some clients may prefer to detox in an even more natural way, without using any medication. This strategy may be a good fit for people without co-occurring disorders, who want to have a more spiritual experience of recovery.

This type of holistic healing can do more than help you detox; it can also teach you healthy, sustainable habits for self-care. At The Holistic Sanctuary, in Baja California, clients follow a personalized treatment plan that may include massage, Reiki, yoga, nutrition counseling, and other similar modalities. Clients receive no medications, although they may have access to alternative treatments such as ibogaine therapy.

Drug-free detox is not appropriate for everyone. If you’ve been using alcohol, opiates, or benzodiazepines, this can be extremely dangerous. The same is true for people with additional diagnoses that require daily medication, including physical and mental health concerns. If you’re interested in this type of healing, be sure to get approval from a medical doctor in advance.

Whatever medications you do—or don’t—use during detox, remember that physical healing is just one facet of recovery. Some California rehabs offer complementary therapies that are designed to treat physical, mental, and behavioral health.

Complementary Therapies

Sometimes the detox process offers more than just medical attention. Detox programs here may combine medication-assisted treatment with psychotherapy and holistic approaches like massage or music therapy to ease withdrawal symptoms and improve the detox experience.

Certain experiential therapies may be too physically strenuous for clients in detox. Your healthcare team will be on hand to help you decide which activities will best support your recovery process. In early detox, you may benefit most from relaxing with a good book, listening to music, or just sleeping. Following this, many clients benefit from talk therapy, nutrition counseling, and similar modes of healing.

Detox Is Just the First Step

Detox is an effective way to begin recovery, but it’s only the beginning. There are some dangerous myths about addiction treatment,9 including the idea that detoxification “cures” substance use disorders. On the contrary, although it ​​can be successful in cleansing the person of drugs and withdrawal symptoms, detoxification does not address the underlying disorder, and thus is not adequate treatment.” One study in particular found that patients who followed detox with formal inpatient treatment had “significantly better” outcomes.10

Some clients choose a long-term rehab facility before they even enter detox. Otherwise, you may be able to plan your next steps during this initial stage of recovery. At most luxury rehabs, your providers will help you plan for the future, ensuring your continuity of care after detox.11

Life After Detox

Your experience of detox can set the tone for the rest of your recovery process. Although it only lasts a short time, you may have experiences that inform some important long-term decisions. Because of this, it’s important to choose a detox program that aligns with your values.

There’s no right or wrong way to go about recovery. Although it’s not necessary for everyone, detox can be helpful for anyone. If you’d like to begin this process in an environment that focuses on holistic health, one of California’s programs might be a good fit.

To learn more about this process, you can browse our list of detox programs in California.

Frequently Asked Questions About California Detox Centers

What types of services are offered at California luxury detox centers?

California luxury detox centers offer a wide variety of services, including medical treatment, talk therapy, and holistic healing modalities. These centers provide personalized care to meet individual needs, offering support for both detox and long-term recovery.

Is medical supervision necessary during detox at California luxury detox centers?

Yes, medical supervision is crucial during detox, especially when coming off of substances like alcohol and opiates. These substances can have dangerous withdrawal symptoms, and detoxing without proper medical supervision can be risky. Detox centers employ trained staff, including medical doctors, nurses, psychiatrists, and therapists, to ensure clients’ safety and comfort throughout the process.

What are the benefits of holistic detox at California luxury detox centers?

Holistic detox combines medical care with a focus on sustainable health and wellness. These centers offer personalized treatment, honoring each client’s unique goals. Clients receive expert medical care in a natural setting, where they can enjoy beautiful surroundings and commune with nature. Holistic detox also provides an opportunity to learn healthy, sustainable habits for self-care and may include complementary therapies like massage, yoga, and nutrition counseling.

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Personalized Rehab Programs in South Africa

Recovery from substance misuse is an extremely personal process. Healing isn’t just a way of stopping unhealthy behaviors. It’s also the process of building a rich, fulfilling life in a more sustainable way. Because of this, many facilities aim to meet the unique needs of each of their clients. If you’d like to receive highly personalized treatment, you might consider attending a destination rehab in South Africa.

This country is a popular destination for many reasons. It not only has great historical and archeological significance; it’s also a beautiful place to explore. The diverse climate is home to 8 different biomes, including forests, deserts, and savanna. Clients who want to begin healing in a beautiful and natural setting are often drawn to South Africa.

Exploring South Africa

South Africa is located on the southern tip of Africa, bordering Namibia, Botswana, Zimbabwe, Mozambique, and Swaziland. It entirely surrounds the country of Lesotho. Because of its position on the continent, South Africa has nearly 2,000 miles of coastline.

The country is also home to eight world heritage sites, including the Cradle of Humankind,1 which is “one of the world’s most important fossil sites.” In fact, South Africa “boasts 40% of all hominid [fossil] finds on Earth.” The awe-inspiring history, temperate climate, and rich culture make this area a powerful place to begin healing.

Recovering From Substance Misuse in Nature

Connecting with nature can be great for people in recovery.2 Outdoor adventures can improve patients’ mental health, increasing “self-efficacy, mindfulness and subjective well-being.”

This is especially important for clients with substance use disorders. According to a 2018 study, more time spent in natural environments “may be associated with lower cravings”3 for illicit or dangerous substances. And because of South Africa’s rich and diverse landscape, it’s easy for clients to reap the benefits associated with exploring the natural world.

However, inpatient treatment in an isolated, rural location isn’t a good fit for everyone. In South Africa, you can attend rehab in a more populous area while still spending time outside.

Cape Town

Cape Town is one of South Africa’s more famous cities. “Although it is a major political and economic center, its reputation still rests on its beautiful situation between mountain and sea, its cosmopolitan population, and the liberal outlook of many of its citizens.”4 It’s nestled between Table Mountain and Table Bay, in the country’s Western Cape province.

Although Cape Town is a major city, residents can easily visit the surrounding area. At The Living House, for example,

“The majestic visage of Cape Town’s famous Table Mountain looms overhead, its beauty an excellent way to ground oneself during even the most troubling of times on the road to recovery. All life’s problems can be dwarfed by such awe-inspiring nature.”5

The Living House garden view
Views of Cape Town’s beautiful Table Mountain from The Living House’s lush gardens

Cape Town has a temperate, Mediterranean climate. “The average high temperature is 70° F (21° C), in January and February, and the average low is 55° F (13° C), in July.”6 This beautiful weather makes it easy to enjoy time outside. For some clients, this may include going on off-site adventures during rehab.

Safari

Whether your rehab facility is located in Cape Town, another South African city, or a more rural area, you may have the opportunity to go on a safari. On these excursions, clients can see some of the world’s most stunning creatures up close.

Don’t think of this as a break from therapy; think of it as an opportunity to connect with the natural world in a brand-new way, says Giles Fourie, Director and Co-Owner of White River Manor:

“To have a safari as a part of your therapy process is very special. The company we use and the people who take our clients out really understand it from a therapeutic perspective. It’s not just about going to sit in a vehicle and view animals, it’s about really understanding our experience in nature and how we’re all a part of this world we live in. It’s also about, you know, the importance of preserving what we have and the heritage of South Africa, which is completely unique.”

Africa safari White River Manor
Rehabs in South Africa, like White River Manor, immerse their clients in the beauty of their country through guided safari tours and other excursions.

A number of South African rehabs invite clients to go on safari, including White River Manor and Harmony Clinic Rehab Hospital. And in programs, these excursions are the primary focus of treatment. At Rebirth Wellness Safari, for example, clients experience “daily safaris, boat excursions and even tracking with the San people.” This is a place for you to “truly break free and rediscover the roots of your human experience.”

As exciting and inspiring as safari can be, they’re not the right fit for everyone. Fortunately, South African rehabs offer many different types of excursions and adventure outings.

Seaside Activities

Data suggests that proximity to the coast can improve health and well-being.7 Because of this, spending time at the beach during recovery can be deeply healing. The team at Compass Treatment Centre understands this and offers seaside therapy as part of their inpatient program.

In various programs, you may be able to go surfing, kite surfing, kayaking, or bungee jumping along the South African coast. These outings are not appropriate for all clients, and your eligibility for certain activities will depend on your physical health. Some programs, like Oasis Recovery Centre, also offer less physically strenuous seaside experiences, like whale watching.

Hiking

There are countless ways to observe the beauty of the landscape. Many programs take their clients on nature hikes, and offer varying levels of physical difficulty. In South Africa, it’s easy to access lush natural areas and observe creatures you might not encounter anywhere else in the world. You might be able to interact with elephants, monkeys, wildcats, and more.

oasis recovery centre ziplining
Zip-lining is one of the experiential therapies offered at Oasis Recovery Centre in Plettenberg Bay, South Africa.

These outings can certainly be fun, but they also serve a greater purpose. You’ll be guided through these excursions by a team of experts, likely including at least one therapist. And if you encounter triggers, or have a strong emotional reaction, a provider will be on hand to help you process that response. Experiential therapy can help you understand not only the world around you, but also the important role you play within it. This is an extremely personal process, and it looks different for every individual client.

Individualized Therapy in South Africa Rehabs

Bespoke rehab programs can be highly effective for some clients. This type of individualized care ensures that you’ll get exactly the type of treatment that works best for you. You may be able to choose between therapeutic modalities, recreational activities, and other options. In some facilities, clients even decide whether they’d like to stay in touch with friends and family during rehab.

This high level of personalization isn’t right for everyone. Some clients benefit from more structure, or from participating in the same programming as others in their cohort. But for those who want an extremely specific and unique experience of recovery, South Africa might be the right place to attend rehab.

Jeanine Fourie, Therapeutic Director and Co-Owner of White River Manor, prides herself on offering a bespoke treatment program for each client:

“It’s important for us to individualize each person’s treatment, from who the assigned therapist is to what treatments they would like. We have quite a few clients not wanting to attend groups, or wanting to see this as more of a wellness program. We’re happy to individualize their treatment program. I make sure that each client is paired with a fitting team.”

How Long Are South African Rehab Programs?

This personalization can impact every aspect of treatment, including length of stay. For example, at The Foundation Clinic, inpatient treatment lasts at least 21 days, but clients may stay on-site for up to 12 months. Your length of stay will be determined by your unique needs at various stages of treatment.

At other facilities, like Compass Treatment Centre, clients typically stay from 3 to 6 months or more. During this time, clients not only engage in clinical therapy and adventure outings; they also learn valuable life skills. You’ll be encouraged to practice healthy habits, and “take an active part in their recovery process.” Over time, residents develop a sense of responsibility for their own health, making it easier to transition out of rehab at the appropriate time.

Rustenburg Addiction Care
The therapeutic surroundings at Rustenburg Addiction Care in Western Cape, South Africa

According to the team at Rustenburg Addiction Care, a life skill is “any skill which enables an individual to interact meaningfully and successfully within their environment.” Under this broad definition, you may learn to eat healthily, maintain a daily schedule, regulate your emotions, and more. Your team of providers will help you decide which exact skills to focus on. By developing these important tools, you can approach the future in a practical, sustainable way.

Planning Your Trip

South Africa has 6 international airports. No matter where you’re coming from, you should be able to make travel arrangements that get you close to your desired destination. Most rehabs will also help you arrange transport from the airport to the residential facility. It’s very important to communicate with your admissions team while you plan your trip, so the local staff can provide you with any necessary updates about travel restrictions and regulations.

If planning around these logistics feels like too great a barrier, South Africa may not be the right place for you to start your healing journey. In that case, you can work with a local team of providers to make a care plan for the interim, or find more accessible options.

Journey Toward Recovery in South Africa

For some clients, the act of choosing a rehab center is the first step in recovery. During this process, you can start considering what your own, most deeply held values are. These values will inform what you need from a residential program.

And whatever your values are, remember that you have the right to live a life that honors them. You have the right to heal and grow. If you’d like to start that process while connecting with the natural world, and receiving highly personalized care, a South African rehab might be a good place to start.

To learn more about programs in the area including treatment specializations, amenities, reviews, and more, browse our list of luxury rehabs in South Africa.

Frequently Asked Questions About South Africa Luxury Rehabs

What are the benefits of attending a luxury rehab program in South Africa?

South Africa rehabs offer several benefits, including personalized treatment, beautiful natural surroundings, and diverse recreational activities. Clients can experience highly individualized care, explore the country’s stunning landscapes, and engage in activities like safaris and hiking. South Africa provides a unique and enriching environment for healing and recovery.

How long do South African rehab programs typically last?

The length of South African rehab programs can vary depending on individual needs. Some programs, such as The Foundation Clinic, offer inpatient treatment for a minimum of 21 days but allow stays of up to 12 months. Other facilities, like Compass Treatment Centre, usually have a stay duration of 3 to 6 months or more. The length of stay is determined by the client’s specific requirements and progress throughout the treatment process.

How do I plan my trip to a rehab center in South Africa?

South Africa has multiple international airports, and most luxury rehabs can assist with transport arrangements from the airport to the facility. If you’re in active addiction, it can also help to have a sober companion accompany you on your travels. Working closely with the admissions team will ensure a smooth transition to your chosen rehab center.

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Healing Treatment-Resistant Depression With Psilocybin

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

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

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

What Is Psilocybin?

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

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

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

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

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

The Experience of Psilocybin

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

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

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

Mental Health Benefits of Psilocybin

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

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

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

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

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

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

Potential Risks of Psilocybin

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

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

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

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

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

Is Psilocybin Right for You?

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

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

Discover Rehabs That Treat Depression

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

Frequently Asked Questions About Treating Depression With Psilocybin

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

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

What are the potential benefits of psilocybin in treating depression?

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

Is psilocybin treatment for depression safe and legal?

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

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Mindfulness as a Tool for Recovery From Substance Use Disorders

Mindfulness is more than a buzzword. It’s also a powerful way to approach both physical and mental health. This collection of techniques can help ground you in the present moment, gently navigating even the most difficult thoughts and feelings. Because of its holistic nature, many clients choose to approach recovery using mindfulness practices.

Although it’s become quite popular in the past few years, mindfulness is an ancient practice. With roots in both spirituality and medicine, it may be helpful for those with a wide variety of interests. It is both versatile and deeply personal to each client. Perhaps because of this flexibility, more and more healthcare providers are finding ways to integrate mindfulness into rehab programs around the world.

What Is Mindfulness?

According to experts, “mindfulness1 means maintaining a moment-by-moment awareness of our thoughts, feelings, bodily sensations, and surrounding environment, through a gentle, nurturing lens.” Clients learn to accept their internal emotional experiences, as well as their external circumstances, without judgment. By focusing on the present moment, you can avoid getting overwhelmed by painful memories or anxiety about the future.

This philosophy has a long and storied history, originating in Buddhism2 and Hinduism. Some experts believe that mindfulness also has roots in Islam, Judaism, and Christianity.3 Wherever these practices began, we can be sure that it was popularized in part “through the work of Jon Kabat-Zinn and his Mindfulness-Based Stress Reduction (MBSR) program, which he launched at the University of Massachusetts Medical School in 1979.”

Since that time, western medicine has used the principles of mindfulness to treat a wide variety of conditions, from chronic pain to PTSD. While these techniques depend on focus and awareness, that’s only the beginning. Igor Grossman, professor of social psychology at the University of Waterloo, explains that “scientific understanding of mindfulness4 goes beyond mere stress-relief and requires a willingness to engage with stressors…It is, in fact, the engagement with stressors that ultimately results in stress relief. More specifically, mindfulness includes two main dimensions: awareness and acceptance.”

Mindfulness means different things for different people. And it can be applied in various ways to achieve certain goals. For example, the techniques that help reduce acute cravings might not be effective in managing generalized anxiety. It’s also important to note that some of these practices are inappropriate for certain clients, and may even be detrimental. Make sure you speak with your providers before delving too deeply into any one of these strategies.

Mindfulness Techniques

Many people—whether or not they are in recovery—strive to become more mindful during daily life. This is a laudable goal, but it’s not as easy as it sounds. You may get better results from focusing on a regular practice that helps you hone your skills. Over time, you can start learning to apply those skills in other situations. When you’re just starting to practice mindfulness, there are many different techniques to choose from.

Meditation

There are countless ways to meditate. You might use an app, listen to guided meditations, watch videos, or simply learn to sit in silence. With some experimentation, you may find that some of these strategies are a better fit for you than others. Remember that meditation is itself a tool. There is no wrong way to go about it, as long as you stay focused on the process.

Siam Rehab mindfulness
Residents at Siam Rehab in Chiang Rai, Thailand, are taught mindfulness techniques daily.

According to a therapist at Siam Rehab, everyone in recovery from substance use disorders “strives for inner peace. There are many ways to inner peace, but one thing that helps is meditation. We teach it every day.” This practice has the greatest benefits when performed daily. One study found that after 8 weeks of daily meditation,5 subjects exhibited “decreased negative mood states including decreases in mood disturbance, anxiety, and fatigue scores,” as well as enhanced attention and memory. These findings were not apparent in subjects who meditated daily for only 4 weeks.

This practice may also have powerful long-term health benefits. Preliminary research suggests that meditation may slow the brain’s aging process,6 simultaneously improving attention, memory, executive function, and even creativity. Some studies have also found that meditation can significantly reduce chronic pain.7 This may be especially helpful for clients in recovery from opioid misuse. Learning how to simply be present in each moment may help you make peace with even the most overwhelming emotions.

Mindful Breathing

Meditation isn’t appropriate for everyone. Some clients may have physical or mental health concerns that make it difficult for them to sit in silence. But everyone breathes. By simply focusing on your breath, even without changing its rhythm, you can ground yourself in your present physical experience.

If you’d like to deepen your relationship with your breath, there are countless styles of mindful breathing. Make sure to talk to your therapist before choosing a particular technique, as some of these may have unforeseen effects. When performed appropriately, these breathing practices can hugely benefit emotion regulation.8

Body Awareness

Centering yourself in your body can be extremely grounding. There are many ways to accomplish this. When you’re new to meditation, you might learn how to do a simple body scan,9 in which you bring your awareness to each part of your body, accepting how you feel in the moment. Some versions of this practice then ask you to release any unnecessary tension. As you relax, you may find that you also gain a greater awareness of your emotional state.

Some clients may prefer to engage in mindful movement, rather than sitting still. This could be as simple as doing a single stretch, or going for a mindful walk. During that practice, you might focus on the five senses: the sensation of your feet on the ground, the color of the leaves, the sounds coming from nearby or far away, and so on.

Yoga

Yoga is an ancient practice, designed to promote both physical and mental health. Preliminary research suggests that this type of movement may have specific benefits for people in recovery from substance misuse. This is especially true for clients who are healing from the use of alcohol or opiates, and those at risk of relapse.

According to experts, “The practice of yoga may be especially effective in the management of chronic pain for individuals who abuse alcohol or opiates10 because it focuses on psychological and physical characteristics.” This holistic approach can be helpful during any stage of recovery. If you’re able to begin doing yoga during rehab, you may be better equipped to withstand cravings after you complete inpatient treatment.

Oro House Recovery yoga outdoors
Yoga and other mindfulness therapies are integral parts of the addiction treatment program at Oro House Recovery in Malibu, California.

Because yoga approaches the mind and body holistically, it may help you begin to make peace with your own emotional experience. One study on the effectiveness of yoga in addiction treatment11 found that “the skills, insights, and self-awareness learned through yoga and mindfulness practice can target multiple psychological, neural, physiological, and behavioral processes.” By making these broad behavioral changes, you can develop the skills you’ll need to navigate life after rehab.

Benefits and Limitations of Mindfulness

Data shows that “mindfulness-based interventions12 are effective for treatment of both psychological and physical symptoms.” Specifically, mindfulness techniques have been shown to reduce stress.12 And since stress is linked to addiction,13 this “may prove beneficial in reducing cravings and promoting abstinence” during recovery from substance use disorders.

In addition to their holistic effects, these practices can significantly improve the symptoms of several different mental health concerns. “Structural and functional brain changes have been demonstrated in the brains of people with a long-term traditional meditation practice.”14 Due to these changes, clients experienced relief from anxiety, depression, and physical pain.

However, it’s important to note that general mindfulness may not be appropriate for all clients. Specifically, some meditation techniques may be triggering,15 to clients with PTSD. According to Dr. Willoughby Britton, associate professor at Brown University, “meditation can lead people to some dark places, triggering trauma or leaving people feeling disoriented.” Because of this, it’s very important to work closely with your therapist when you first begin these practices.

The Effect of Mindfulness on Recovery

Research suggests that these practices can be especially helpful for people in recovery from substance use disorders. In fact, meditation may be even more effective than other interventions at preventing relapse.16 They have noticeable neurological effects, and “may increase functional connectivity” between the areas of the brain that are involved in cravings and substance use. Ultimately, mindfulness17 has been shown to make substance misuse less reflexive, giving clients more control over their own behavior.

While the effects are more pronounced after long-term use, mindful meditation can be beneficial even after “a brief single training session,” finds a study on mindfulness for recovery from opioid addiction.18 People in recovery find that mindfulness benefits their psychological health:19 they experience a greater sense of well-being, decreased emotional reactivity, and greater equanimity when they engage in these techniques. With this sense of calm, it becomes far easier to make long-lasting changes.

Some rehab facilities have a specific focus on mindfulness as a tool for behavioral health. At Flatirons Recovery, for example, practitioners believe that the greater awareness of oneself and habitual patterns gained from mindfulness can empower clients in recovery to make sustainable changes.

Flatirons Recovery
Flatirons Recovery offers mindfulness-based addiction treatment among a serene setting in Lafayette, Colorado.

Making Meaning With Mindfulness

During recovery, part of the work is to imagine and then create a life you find meaningful. By incorporating mindfulness into your daily practice, you may become increasingly aware of your own emotional reactions to the world around you. Gently accepting these feelings can help you get in touch with your deepest needs, empowering you to make important changes.

These strategies can not only help during recovery; they may also improve your life in the long term. Even after you complete rehab, you continue implementing healthy habits to manage ongoing stress and avoid relapse.

Although mindfulness can be extremely beneficial, it’s important to proceed with caution. These techniques aren’t right for every client, and they won’t be appropriate for every situation you encounter. Make sure to engage in meditation, yoga, and similar work under the guidance of a therapist.

You can learn more about programs that incorporate this practice into recovery by browsing our list of luxury rehabs offering mindfulness here.

Frequently Asked Questions About Mindfulness for Addiction Recovery

How does mindfulness help in addiction recovery?

Mindfulness promotes self-awareness, reduces cravings, promotes calm, and cultivates coping skills, enhancing the recovery process.

What are the techniques and practices of mindfulness in addiction recovery?

Mindfulness techniques include meditation, breathing exercises, body scans, yoga, and mindful awareness of thoughts and emotions.

Can mindfulness be combined with other addiction treatment approaches?

Yes, mindfulness can complement other treatment modalities, such as therapy, support groups, and holistic therapies, for a comprehensive recovery approach.

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Attending Rehab for Work-Related Burnout

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

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

Understanding Job Burnout

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

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

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

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

Workload

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

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

Control

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

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

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

Reward

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

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

Community

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

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

Fairness

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

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

Values

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

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

Signs and Symptoms of Burnout

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

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

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

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

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

Attending Rehab for Burnout

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

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

Talk Therapy

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

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

Mindfulness

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

Massage Therapy

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

Therapeutic Technologies

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

Personalized Recovery From Job Burnout

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

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

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

Frequently Asked Questions About Rehab for Job Burnout

What are the signs of burnout?

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

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

Can you go to rehab for burnout?

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

How do you treat burnout?

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

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Finding Treatment for Bipolar Disorder

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

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

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

Understanding Bipolar Disorder

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

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

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

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

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

Bipolar Disorder I

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

Bipolar Disorder II

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

Cyclothymic Disorder

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

Living With Bipolar Disorder

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

Important Life Events

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

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

Career

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

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

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

Community Building

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

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

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

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

Bipolar and Substance Use Disorders

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

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

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

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

Healing From Bipolar Disorder

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

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

Psychotherapy

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

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

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

Cognitive Behavioral Therapy

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

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

Psychiatry and Medication

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

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

Finding Balance With Bipolar Disorder

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

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

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

Frequently Asked Questions About Rehab for Bipolar Disorder

What are the common treatment options for bipolar disorder?

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

How long does rehab for bipolar disorder typically last?

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

Can therapy alone be effective in treating bipolar disorder?

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

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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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What Happens When You Arrive at Rehab?

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

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

Traveling to Rehab

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

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

Arriving at Rehab

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

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

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

Restricted Items

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

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

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

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

Health and Wellness

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

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

Initial Assessment

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

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

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

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

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

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

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

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

Creating a Treatment Plan

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

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

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

Talk Therapy

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

Psychiatry

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

Group Therapy

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

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

Experiential Therapies

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

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

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

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

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

Complementary Therapies

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

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

Medical Treatment

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

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

Rehab Can Be a New Beginning

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

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

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Frequently Asked Questions About What Happens When You Get to Rehab

What happens when you arrive at rehab?

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

What should I pack for rehab?

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

What support can I expect upon arrival at rehab?

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

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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 luxury 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.