Hannah Friedman - Luxury Rehab

November 13, 2021June 23, 2023

Elite Recovery: How Social Status Affects Substance Use Disorders

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

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

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

Stress and Socioeconomic Status

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

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

The Weight of Reputation

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

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

Great Responsibility

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

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

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

Affluence and Mental Health

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

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

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

Substance Misuse Among Luxury Clients

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

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

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

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

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

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

Luxury Rehabs for High-Powered Clients

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

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

Personalized Treatment

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

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

Executive Treatment

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

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

Luxury Amenities

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

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

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

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

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

Living a Life You Love, Sustainably

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

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

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

Recovery on Your Own Terms

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

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

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

Frequently Asked Questions About Luxury Rehab Programs

What is a luxury rehab and what does it offer?

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

How does luxury rehab differ from traditional rehab?

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

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

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

November 13, 2021June 23, 2023

Going to Family Therapy in Rehab

Substance use disorders don’t develop in a vacuum. They often develop due to genetics, trauma, or social pressures. Any of these factors may be caused by difficult family dynamics. Because of this, many people in rehab benefit from attending family therapy in rehab.

“Family” is a complex idea. For some people, it means only their family of origin, such as parents and siblings. Others use the term to refer to their spouses and children. Many people also have chosen families, which may include friends, collaborators, and even more complex relationships. And whomever you consider to be your family, you can be sure that your group dynamic is unique.

Depending on each specific family’s interpersonal relationships, commitment to healing, and availability, this type of therapy may or may not be a good fit. However, many people in recovery find it to be extremely beneficial.

Who Benefits From Family Therapy

When you first enter treatment, it may be difficult to disentangle your own behaviors from the behaviors of those around you. Many people benefit from traveling to rehab, putting both physical and emotional space between themselves and their loved ones while they begin recovery. Over time, you’ll likely reach a nuanced understanding of what caused your past behaviors. Through this process, many people with substance use disorders learn how to be accountable for their own behavior, without blaming themselves for the actions of those around them.

No matter what led you to misuse substances, it can be extremely helpful to examine the external and interpersonal circumstances of your life. This process empowers clients to make sustainable changes, with the goal of living a healthy lifestyle even when faced with challenging situations. By focusing on yourself, and staying in your lane, you can consistently make choices that support your own values.

The Person in Recovery

For many clients, family therapy is an essential component of recovery. As you learn more about the dynamics that enabled your past behavior, you’ll become better equipped to create more sustainable interpersonal relationships. This process can also help you come to terms with past traumas, such as growing up with an alcoholic parent, especially if those traumas were either shared with or caused by family members.

“Family work helps people achieve and maintain long-term emotional resolve and resilience.”
– Ameet Braich, Clinical Director, Camino Recovery

Camino Recovery exterior pool — Set on a lush campus in Vélez-Málaga, Spain, Camino Recovery‘s robust family program runs 4 to 5 days.

Significant data supports the idea that healthy family dynamics can help you commit to long-term recovery. Specifically, “Involving family members in substance use disorder (SUD) treatment¹ can positively affect client engagement, retention, and outcomes. Positive social/family support is related to long-term abstinence and recovery, whereas negative social/family support (e.g., interpersonal conflict, social pressure to use) is related to increased risk for relapse”.

This modality not only helps clients do inner, emotional work; it can also be the first step in building a support network to help you navigate life after rehab. That network may ultimately include your family, friends, loved ones, and even work colleagues. Family therapy can help you bolster your closest relationships, giving you a strong base from which to cultivate a wider community.

One study on the effects of family therapy in addiction treatment² found that “Family therapy enhanced family resilience, structure, and strong ties; the program improved problem-solving skills, coping skills, and family resiliency levels” of people with substance use disorders. Although this particular research focused on adolescents in recovery, the same theory may apply to adults in recovery. And these same skills may also improve the lives of the other people in your family.

Family of Origin

In most families, members play multiple roles at once. You might be a parent, a grandchild, and a spouse, all at the same time. These dynamics are always complex, even in the easiest and healthiest of circumstances. Family therapy is not only intended to help you heal; it’s also designed to help the people around you heal, and to heal the ways in which you relate to each other.

“Family members assume certain roles, which often relate to…cultural attitudes, family beliefs, gender, and overall family functioning. Some roles develop in response to stress or the underfunctioning of a family member.” When you attend rehab and begin recovery, the roles of your family members may begin to shift. Although this process can be extremely healthy, it can also be stressful and confusing. For example, if your spouse has learned to care for you in a certain way, you may no longer benefit from that specific kind of care. Family therapy creates a safe space in which you and your loved ones can process these changing relationships.

Loved Ones and Chosen Family

Not everyone considers their family of origin to be their family. And not everyone should. If your relationships with your original family were particularly traumatic or harmful, it can be healthy to surround yourself with people of your own choosing. Many rehab centers define this word much more broadly, inviting clients to focus only on loving and supportive relationships.

“‘Family’ means a group of two or more people with close and enduring emotional ties. Using this definition, each person in treatment for a behavioral health disorder has a unique set of family members. Therapists don’t decide who should be in family therapy. Instead, they ask, ‘Who is most important to you?’” By answering this question, clients can start to regain agency in their own lives. You have both the ability and the right to choose which relationships are healthy for you. Even before your loved ones start attending therapy, defining “family” for yourself may help you understand your core values and your deepest needs. “It is up to clients to identify whom they would like to include in family counseling.”³

Some rehab centers have a special focus on providing therapy for chosen families. In the LGBTQ+ affirming program at Caron Ocean Drive, for example, some clients may be estranged from their families of origin. The team at this rehab strongly believes that “family members, including people you identify as your family of choice, should be part of the treatment process. If you are dealing with rejection from your family because of your sexuality, our therapists can provide counseling for you and any family members you wish to include.”

Caron Ocean Drive OurCampus Grounds — Caron Ocean Drive in Boca Raton, Florida offers a warm, nurturing environment for family therapy.

However you define family, it’s likely that you can find a rehab program that can support you and your loved ones. Some rehab centers—especially those that offer personalized treatment—may work with you to create a specialized program that meets your exact needs, making family therapy as accessible as possible.

Making Family Therapy Accessible

Even if family therapy is the right fit for you, as an individual, it may or may not be accessible for your loved ones. This is especially true for clients who attend destination rehabs. When you’re located in a different city or country from your family, you may need certain accommodations in order to schedule group conversations. Fortunately, in this technological era, there are many options available.

Phone Calls

If family therapy sessions aren’t the right fit for you or your loved ones, you may still benefit from staying in touch. Some rehabs allow clients to use cell phones and other electronics to contact far-away family members.

Every program has its own regulations. In some facilities, you may have free access to your personal cell phone or computer throughout treatment. Others may allow you to schedule phone calls in advance. You may also be required to spend some time in therapy before you’re allowed to reach out to family, or to begin focused family therapy.

Virtual Family Therapy Sessions

Thanks to the growing popularity and accessibility of online medicine, you may be able to try family therapy even if your loved ones are far away. There are a number of HIPAA-compliant telehealth platforms⁴ that allow clients to safely meet with therapists, trusting that their conversations will remain private and protected.

Research suggests that virtual therapy may be just as effective as in-person therapy.⁵ David Mohr, Ph.D., director of the Center for Behavioral Intervention Technologies at Northwestern University’s Feinberg School of Medicine, asserts that “telehealth is essentially just as effective as face-to-face psychotherapy—and retention rates are higher.” However, since the popularity of this format has grown so quickly, there is still much we don’t know about its efficacy.

Some programs also offer telehealth options that are only available to families, in addition to family therapy with the client. All Points North Lodge, for example, hosts weekly virtual support groups for people with a loved one in recovery.

All Points North Lodge theater room — Known for their cutting-edge facilities, All Points North Lodge in Vail Valley, Colorado, includes telehealth options specifically for families.

In-Person Family Therapy

If you attend rehab locally, you and your family may prefer to attend therapy together in person. This is an important option for people whose loved ones may not be comfortable using technology to discuss personal information, and those whose families include small children.

Many programs offer various versions of this modality, ranging from regular meetings to occasional visits. Aurora Recovery Centre offers a wide variety of robust programming for families, which people can attend either with a loved one in recovery or on their own. While these programs are therapeutic, they also share practical skills, teaching attendees “how family and community systems are affected by substance use disorder.” PROMIS London takes a different approach, hosting a family week during which your loved ones come together as a group for several days in a row.

Benefits of Family Therapy

Because every family is unique, every family is affected by substance use disorders⁶ in a slightly different way. These conditions can easily influence “breakdown in the ways in which family members get along, communicate, and bond with each other. A family is a system consisting of different ‘parts’ (the family members), so a change in one part can cause changes throughout the system.”

Family therapy is intended to heal not just the involved individuals, but the whole system. This process may teach you and your loved ones how to better support each other through hardships, encourage each other to use healthy coping mechanisms, and engage in activities you all find meaningful. Rehab is, among other things, a time for you to get to know yourself again. And you may find that you’ve changed. Family therapy invites your loved ones to get to know you again, too.

“Although family counseling may temporarily shake up the family system and activate intense feelings, these feelings are a normal part of counseling.” This process isn’t easy. However, for many clients, it is an extremely important part of recovery.

Aurora Recovery Centre invites family members to their verdant campus in Manitoba, Canada.

Limitations of Family Therapy

There is no one-size-fits-all solution to healing from a substance use disorder. As helpful as family therapy can be, it may also be detrimental to certain clients. For example, some clients find that attending rehab—and especially traveling to rehab—is a helpful way to distance themselves from toxic interpersonal dynamics. In these cases, it may be better to take a break from communicating with loved ones until after you complete residential treatment.

In other cases, family therapy may be detrimental to a client’s loved ones. According to experts, “certain family members should not be included in SUD treatment and services. Such situations include when intimate partner violence has occurred, when child abuse or neglect has occurred, when individuals are currently withdrawing from substances, when clients with SUDs are also struggling with psychosis or are suicidal, and when clients have significant cognitive problems (like severe learning or memory problems).”

And even if you and your healthcare providers agree that family therapy would be beneficial for all involved, it may not be a realistic option. Your family may even be resistant to treatment,⁷ refusing to join you in the process of recovery. If this is the case, it’s best to focus on your own healing, and rely on your clinicians to provide you with more direct support. You may also benefit from attending support groups, and connecting with other members of your cohort.

Your Family and You

Family therapy is a way of healing not just your psyche, but also your relationships. By improving your communication skills, you’ll learn how to navigate stressful situations without losing much-needed interpersonal support.

It’s important to remember, though, that you are not your relationships. Working on your family dynamics can be extremely helpful. But regardless of their mental health, and regardless of their approval of your behavior, you have the right to be well. Whether or not you decide to attend family therapy, rehab is an opportunity for you to focus on your own personal healing process.

To learn more, view our collection of luxury rehabs offering family programming.

Frequently Asked Questions About Family Therapy in Rehab

What is the role of family therapy in rehab?

Family therapy plays a vital role in addressing the impact of addiction on the family system. It promotes healing, communication, and understanding among family members. This process can teach members how to better support each other, building a foundation for lasting recovery.

How does family therapy benefit the addiction recovery process?

Family therapy benefits the addiction recovery process by fostering a supportive and healthy family environment. It helps identify and address enabling behaviors, improves communication skills, rebuilds trust, and provides a strong foundation for sustained sobriety and emotional well-being.

Who participates in family therapy sessions during rehab?

Family therapy sessions in rehab typically involve the person in treatment and their family members. This can include parents, siblings, spouses, and chosen family. The goal is to address dynamics within the family system and strengthen relationships for long-term recovery.

November 12, 2021June 23, 2023

Finding the Right Rehab for Your Teen or Young Adult

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

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

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

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

Reasons for Teen Substance Use

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

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

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

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

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

Parental Substance Use

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

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

Co-Occurring Disorders

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

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

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

Choosing a Rehab for a Young Adult

Several rehabs offer specialized adolescent programs. Set in Lemont, Illinois, Timberline Knolls has a program for young women with co-occuring disorders.

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

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

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

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

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

Types of Teen Rehab Programs

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

Substance Use and Eating Disorders

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

Gender-Specific Treatment

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

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

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

Experiential Therapy

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

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

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

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

Personalized Treatment

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

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

Family Therapy

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

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

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

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

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

Growing Beyond Substance Use

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

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

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

Frequently Asked Questions About Rehab Programs for Teens

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

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

What treatment approaches are used in teen rehabs?

Teen rehabs use a variety of treatment approaches:

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

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

How long do teens typically stay in rehab?

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

October 31, 2021June 23, 2023

Plugging Into Rehab: A Closer Look at Tech Usage Policies

During inpatient rehab, clients step away from the hustle and bustle of their daily lives. This can give you much-needed space from issues like complex relationships, work stress, and social pressure. Some facilities enforce this by limiting your access to the outside world. In many programs, clients are not allowed to use their phones or computers during the course of addiction treatment. However, that’s not universally true.

Everyone’s experience of recovery is unique. For some people, stepping away from friends and family is a vital component of healing. In other cases, that level of isolation can be a barrier to treatment. Many high-powered executives, for example, simply can’t take that much time away from their responsibilities.

Fortunately, there are a wide variety of treatment approaches to choose from. You can find a program that prohibits device use entirely, limits it, or allows you to stay connected throughout your stay. However you decide to engage with—or disengage from—technology during rehab, it’s important to understand the pros and cons of each option.

The Psychological Impact of Cell Phone and Computer Use

Whether or not you have a mental health condition, such as a substance use disorder, technology may have an impact on your emotional state. A significant body of research has linked screen use to the brain’s release of dopamine,¹ a neurochemical that plays a role in motivation, pleasure, and rewards. This may be of particular interest to current and former substance users, especially those who have used cocaine, who often experience dopamine imbalances.²

Potential Pros of Tech Use

In certain situations, technology—and especially social media—may help people feel connected. When used in an intentional way, this collection of tools may help alleviate loneliness. “Research reveals social media is most effective in tackling loneliness³ when it is used to enhance existing relationships, or forge new meaningful connections.” However, it can be difficult to set clear boundaries around your phone use. And when overused, technology can have a negative impact on mental health.

Potential Cons of Tech Use

Research suggests that too much screen time can cause sleep disturbances,⁴ and may also be correlated with depression.⁵ Some believe that overuse of technology may cause cell phone addiction.⁶ While this is not yet classified as a mental health diagnosis, more experts are considering it a serious condition.

However, this is a relatively new field of study. Smartphones have only been on the market since 2007. Technology is changing quickly, as is its importance in the larger culture. It may be a long time before experts understand the long-term psychological effects of modern-day connectivity.

As we continue to learn about the impact of cell phones and computers, it’s best to proceed with caution. This is extremely important for people in recovery, and especially those in medical detox, whose brain chemistry may be rapidly changing. When you’re deciding between rehab programs, you can always talk to your admissions team to determine the best option for you.

Reasons to Limit Technology Use During Rehab

Many rehab centers completely prohibit clients’ use of personal devices, including cell phones and computers. Others restrict access to technology, setting clear boundaries to limit clients’ screen time. There are a number of benefits to this approach.

Minimizing Distractions

Using technology can direct your energy away from the healing process. Whether you’re reading the news, scrolling social media, or talking to loved ones, you’re still receiving uncurated information about the outside world. Your innate response to these narratives is an expenditure of your emotional energy, which may be limited in the first stages of recovery.

“One goal of rehab is to take a person out of their normal environment. These days, we have so many distractions at our fingertips: our cell phones, laptop, computers, television.”
– Dr. Thomas Gazda, Medical Doctor at Soberman’s Estate

For some clients, these distractions make recovery much more difficult. You might be exposed to triggers, confronted with peer pressure, or just overstimulated.

sobermans estate pool — Soberman’s Estate in Cave Creek, Arizona, is located in the breathtaking Sonoran Desert, free from technological distractions.

Rehab is hard work, even when all of your energy is focused on healing. For many clients, it’s better to eliminate these types of distractions, and instead stick to a clearly defined recovery program.

Time Management

In rehab, you’ll likely follow a very structured schedule. These programs are designed by experts to help you make the most of your time in rehab.

Having access to technology may not only prove distracting during sessions, especially if you have your phone with you; it may also interfere with your limited free time. Your carefully scheduled breaks are intended to help you process the hard work of therapy. Clients often find that time spent thinking about therapy sessions on their own terms can result in important breakthroughs. If you use that time to talk to distant friends, or to provide emotional support to other people in your life, you’re likely to miss out on many of the benefits of your program.

Reexamining Relationships

Substance misuse can have a serious impact on interpersonal relationships.⁷ For that reason, some clients may benefit from taking space from their families, friends, and colleagues, during rehab. This can give you time to process your recent interactions with loved ones, reevaluating your role in your personal community. If your goal is to heal those relationships, this can also give your loved ones time to step back and process their own emotions.

Many clients also have substance-based relationships. These might include dynamics with people who have enabled or even encouraged you to use substances, or people who have untreated substance use disorders themselves. When you decide to begin healing, it can be very difficult to engage in healthy interactions with these people. By stepping away, you can take time to objectively consider whether it’s healthy for you to continue being in touch with them.

Taking a break from your immediate community can also give you time to reconsider any role you may have played in toxic dynamics. During rehab, you can discuss your past behavior in therapy, and practice building healthier relationships with your cohort. Because these are likely to be new relationships, you’ll be under far less pressure. Accidentally offending a person you’ve known for a month will have a smaller impact on your life than getting into a fight with a sibling, for example.

spark to recovery dbt — Spark to Recovery in Los Angeles, California includes dialectical behavior therapy as part of their treatment program.

Some therapies, like dialectical behavior therapy (DBT), have a particular focus on healing interpersonal dynamics. If this is a high priority for you, you can talk to the admissions teams at a few facilities in order to find the right program. Remember, though, that healing your relationships may or may not mean staying in communication with loved ones while you’re at rehab.

Reasons to Use Technology During Rehab

Certain facilities allow or even encourage clients to use their cell phones and computers during rehab. This varies from one program to another, and it can also vary among clients. If you attend a rehab that offers personalized treatment, you can likely work with your team of providers to decide how much screen time is healthy for you.

Dr. Gazda says, “People are complicated individuals. We really want to tailor our program to each individual patient and we live by that…Some of our patients can use their cell phones or have free time at points because they need it.” In these cases, technology use is also intended to achieve a particular goal, or to serve the needs of specific demographics.

Executive Treatment

Many luxury rehabs offer executive treatment programs, which cater to the unique needs of high-achieving professionals. People in these roles may find it difficult to take time off to attend rehab. When faced with the choice between keeping work commitments and going to rehab, many people choose to delay recovery.

However, at some of these facilities, you don’t have to choose. At Gallus Detox Centers, for example, professionals may stay connected to work throughout treatment. Your providers will “allow patients full access to their electronics. So if you’re the CEO of a company, you can set up your office for however long you’re with us,” says Douglass Weiss, President and Chief Customer Officer.

There are many ways to approach treatment. Many luxury rehabs strive to be as accessible as possible to their clients, including those with pressing responsibilities. If the use of electronics is what makes rehab an option for you, you can certainly find a program that supports your needs.

Cultivating a Support Network

Experts agree that social support is a very important part of recovery.⁸ “To reach or maintain abstinence, it is crucial to maintain positive relationships,” one study claims. By staying connected to their long-term community during treatment, some clients may be able to strengthen relationships and prepare for life after rehab.

With that in mind, some rehabs allow every client to use personal electronics. The team of providers at Monarch Shores, for example, firmly believes that having the ability to stay in close contact with loved ones is a valuable way to “help you make it through the recovery process, and eventually have an easier time reconnecting with society.”

monarch shores outdoor deck — Overlooking the beautiful Pacific Ocean, Monarch Shores serves executives and allows clients to use electronics during treatment.

Programs like this one may be a good fit for those who are interested in healing family dynamics. Certain programs have a special focus on this goal, and even provide in-person family therapy.

Family Therapy in Rehab

While many clients benefit from attending family therapy during rehab, this is certainly not true for everyone. You might not decide whether this modality is right for you until after you begin an inpatient program.

If you and your family do decide to go to therapy together, there are a number of options available. Various programs offer family visits, regular phone calls, and in-person and remote sessions. Bear in mind that, no matter which therapies feel right for you, your family members’ needs must also be taken into consideration.

Technology as a Tool for Recovery

It can be difficult to accept that, in order to live a healthy life, you may have let go of certain relationships. This can include relationships that are very important to you. But your health has to come first.

In order to assess which relationships are most supportive, which need time to heal, and which are no longer serving you, it can be extremely helpful to take space from everyone in your life. And for some clients, physical space with remote contact is sufficient. Others may need to set stricter boundaries, temporarily ceasing all communication with loved ones outside the program.

Ideally, your time in rehab will help you learn how to build and maintain positive relationships. That’s true for everyone, whether or not you use electronics during your time there. However, the primary purpose of treatment is for you to begin recovery. As you begin to define what a healthy lifestyle means for yourself, you’ll develop the tools to build a community that supports your growth.

To learn more about programs that offer various levels of access to personal electronics, browse our list of luxury rehabs.

Frequently Asked Questions About Technology Rules In Rehab

Can you use technology during rehab?

Whether or not you can use technology during rehab depends on the center and treatment program. Some rehabs allow limited technology use for clients to stay connected to work or loved ones. Executive programs may allow internet access, for example. Other rehabs may restrict tech use to create a focused and immersive environment.

What are the benefits of limiting technology use during rehab?

Limiting technology use during rehab has several benefits:

• It promotes a focused, distraction-free environment.
• Individuals may fully engage in therapy and reflection.
• It encourages social interaction within the rehab community.
• It reduces potential triggers associated with excessive technology use.

What are the benefits of using technology during rehab?

Using technology during rehab has several benefits. Professionals may need to keep up with work during treatment. Executive programs often have flexible technology policies to cater to their client’s unique needs. Flexible technology policies also let clients connect with loved ones back home and may facilitate remote family therapy.

October 31, 2021June 22, 2023

Finding Balance Through Dialectical Behavior Therapy (DBT)

The goal of rehab isn’t just to feel better. It’s also to live a more sustainable life. Dialectical behavior therapy (DBT) is designed to teach clients practical skills that will help them make healthier choices in the long term. By taking action to build a life that meets your needs, you can create an environment that supports your mental health.

Some diagnoses, like depression and anxiety, may have a greater impact on your internal emotional state than on your external life. Substance use disorders, on the other hand, are sometimes categorized as behavioral disorders.¹ This means that they have a direct impact on a person’s actions. Because of this, behavioral therapies like DBT can be extremely effective for people in recovery from substance use.

What Is DBT?

Dialectical behavior therapy was first developed by Marsha Linehan in her efforts to treat clients diagnosed with borderline personality disorder (BPD). She drew from the principles of Zen Buddhism, using mindfulness techniques to help clients practice navigating difficult emotions.²

Because it’s designed to treat people with strong and sometimes volatile feelings, DBT focuses on practical skills. Group sessions may look less like therapy and more like classes. Rather than encouraging clients to delve even deeper into their already overwhelming emotions, the facilitator guides them through a textbook, leads discussions about the subject matter, and even assigns homework. Because it takes place in a group, clients also benefit from community support.

In addition to this experience, it’s common for each client in a DBT group to be assigned their own individual therapist. Typically, you’ll meet with your group every day and have private sessions with your therapist at least once a week. Unlike many other forms of therapy, you may also receive a direct phone number for your therapist and be allowed to call them to ask for support between sessions. Not every DBT group follows this format, however. Depending on your specific program, you may meet less often, you may not be invited to call your provider directly, or you may even be responsible for finding your own one-on-one therapist.

Group work, with its clearly defined subject matter, is at the heart of any DBT experience. This approach is designed to teach clients a specific set of tools that will empower them to navigate challenges effectively. By methodically studying these practical strategies, clients aim to develop the skills they need to live balanced and meaningful lives.

The Philosophy Behind DBT

A dialectic is a discourse, or a discussion. Dialectical behavior therapy recognizes that at times, we are at odds with ourselves. With that in mind, it invites clients to honor their own complex and sometimes conflicting emotions. When you simply accept your feelings for what they are, you may find it easier to tolerate life’s difficult circumstances.

DBT teaches that all of your emotions are valid, even when they’re overwhelming or disproportionate to the situation at hand. That being said, you are not your feelings. And you don’t need to let them control you.

Instead, clients learn to accept their emotional experiences in a mindful way. To achieve this, facilitators talk about 3 ways that clients can approach whatever is happening in their own minds.

Emotion Mind

When you’re overwhelmed by your feelings, a DBT facilitator might say that you’re “in emotion mind.” This is a natural experience, shared by people with and without mental health diagnoses of any kind. However, problems can arise when you consistently let yourself act on extreme emotions without considering the consequences.

For example, imagine you’ve just finished a hard day at work. You’re feeling anxious and frustrated. If you stay in emotion mind, you might spend the evening engaging in self-destructive behavior. This could mean misusing a substance, taking your feelings out on a loved one, or just lying in bed instead of going about your evening. There are times when emotionally driven behavior is warranted. In certain circumstances, it can even be healthy. However, some clients find that their lives are dictated by whatever they’re feeling in a given moment. Dialectical behavior therapy aims to interrupt these patterns.

Reasonable Mind

If emotion mind is at one end of a spectrum, reasonable mind is at the other. This perspective is so starkly rational that it may cause you to invalidate your own emotional experience. When you’re “in reasonable mind,” you may act in a way that appears effective, without considering the impact it will have on you in the long term.

Consider the same example—you’re feeling anxious and frustrated after work. If you’re deep in reasonable mind, you might decide to open your computer and keep working until 3 a.m., so that you can solve the problem before you return to the office the next day. Alternatively, you might decide to compartmentalize it, completely ignoring your own emotional reaction.

Either of these responses may sound like an effective way to handle the issue. And in the short term, that might even be true. If you’re in recovery from a substance use disorder, for example, working until the wee hours might be healthier than allowing yourself to relapse. However, this behavior can easily have negative long-term consequences. It’s unsustainable to work until 3 am every night. And what’s more, it might not actually resolve the issues you’re having at work. By avoiding or compartmentalizing your own emotional response, you risk compounding the problem.

Wise Mind

Wise mind in DBT is the happy medium between emotion mind and reasonable mind.³ From this perspective, you can honor and validate your feelings, while looking for practical solutions. After you make space to process your experience, you can take action in a careful and intentional way.

Following a difficult work day, a person in wise mind might call a friend and ask for support, or write in their journal about what happened. You could also find a healthy way to care for yourself, such as eating your favorite meal, taking a long bath, or watching a movie. After you’ve had some time to unwind, you might set aside a finite period of time to think of ways that you can make the next day a little easier. If the issue persists to the point where you have daily anxiety about work, you’re likely to notice it before it becomes completely unsustainable. In that case, you may consider strategizing with your colleagues about how to change a dynamic that isn’t working, or even looking for a new job.

One of the main goals of DBT is for clients to become more adept at accessing wise mind. By approaching life from this balanced perspective, you may be better equipped to make healthy choices that meet your own needs in a sustainable way. Before you begin therapy, this may sound like a vague and ethereal concept. However, Dialectical Behavior Therapy is grounded in practical skills. Clients in these programs learn extremely specific strategies in the effort to achieve this goal.

The 4 Modules of Dialectical Behavior Therapy

In the classroom-like setting of a DBT group, clients learn very specific subject matter. While there are several texts on the topic, most facilitators work from the first or second edition of Dr. Linehan’s original DBT workbook.⁴ As your therapist guides you through it, you’ll cover four distinct modules.

Note: Although these textbooks are readily available, clients are advised against beginning this work on their own. Even with proper supervision, this therapy can be very challenging and even triggering. If you’d like to begin going through Dr. Linehan’s assignments in depth, it’s very important that you do so in the context of a DBT group.

Mindfulness

Mindfulness teaches you to be present in the moment, accepting reality as it is. As simple as this sounds, it can be a powerful practice with wide-reaching impacts. Research has found that mindfulness techniques can reduce stress,⁵ and may even alleviate some symptoms of depression and anxiety. During this module, DBT clients may practice meditation, breathing exercises, and other strategies that help them stay connected to their emotional experience.

Emotion Regulation

Some people are more emotionally sensitive than others. That’s neither good nor bad. In some circumstances, it can be an extremely positive thing, allowing you to feel joy or excitement more deeply than others might. In difficult situations, however, it can make you more vulnerable to emotional distress. This may lead to unhealthy coping mechanisms, which can be especially dangerous for people healing from substance use disorders.

People with a history of substance use sometimes also struggle with emotion regulation⁶ caused by neurochemical imbalances. These symptoms may or may not be alleviated by medical detox. Even after your body begins to heal, you might find that your emotional experience is different than it was before you began recovery.

Learning to regulate your emotions can help you navigate the natural ups and downs of life, without getting lost in any one experience. This can be extremely important as you work through your triggers and develop healthier responses to various stimuli.

Interpersonal Effectiveness

Any mental health diagnosis can have an impact on your relationships. This is extremely common for people with substance use disorders. As you begin recovery, you will likely start the hard work of healing those relationships, while also building new ones that support a more sustainable lifestyle.

The skills you learn in this module will help you strike a balance in your interactions with other people. You’ll find ways to interrupt unhealthy dynamics by asking for what you need, setting clear boundaries, and stepping away when that’s the best possible choice. In a healthy relationship, people don’t compete to see whose needs are more important. DBT offers practical communication strategies that empower you to respect yourself and the people around you at the same time.

Distress Tolerance

We all encounter hardship. Life can get better, and it can get easier, but it will never be perfect. Even when you make the best possible choices, you may still encounter difficult circumstances that are outside of your control. Distress tolerance teaches you to approach these situations mindfully, without engaging in self-destructive behavior.

These tactics can be especially helpful for people who are healing from trauma. By centering yourself in your body, you can sometimes interrupt intrusive thoughts and flashbacks. DBT at Futures Mental Health Program, for example, is designed to help clients through stressful experiences. This treatment approach “focuses on the mind, body, and ability to utilize skills during challenging times.” These strategies can be helpful not only for people with substance use disorders, but for those healing from a wide variety of other diagnoses.

Who Can Benefit From Dialectical Behavior Therapy?

While DBT isn’t right for everyone, it can help clients with many different emotional experiences. Research has found that it’s especially beneficial for people with certain diagnoses.

Borderline Personality Disorder (BPD)

This treatment approach was originally developed for people with Borderline Personality Disorder (BPD). While it has been adapted for use with many additional diagnoses, its subject matter is particularly relevant to this population.

BPD is a highly stigmatized diagnosis, and it can be difficult to find the help you need and deserve. Even the act of researching your symptoms can sometimes be counterproductive, due to an overabundance of misinformation. It’s important to choose your sources wisely, and connect with professionals who specialize in working with people like you.

It’s also important to note that BPD is strongly associated with PTSD and complex PTSD (c-PTSD).⁷ Even now, researchers sometimes struggle to distinguish between the two diagnoses. One study found that “over 71% of those with BPD had trauma.”⁸ Despite the associated stigma, you are not to blame for your emotional experience. That’s true of any diagnosis. DBT acknowledges those with BPD as whole people, with unique needs, goals, and values. You, like everyone, have the right to heal.

PTSD and Complex PTSD (c-PTSD)

Perhaps because of its similarities to borderline personality disorder, DBT is also a very effective treatment for PTSD.⁹ Clients who attend rehab to heal from trauma, or to heal from co-occurring disorders, may benefit from this type of treatment.

Mindfulness, in particular, can be an extremely effective way to work through dissociative episodes. Learning to accept and regulate emotions may also help clients navigate triggers and either avoid or safely weather flashbacks.

Dr. Monika Kolodziej, Program Director of McLean Fernside, says,

“One of the first steps to recovery from trauma is to be safe today. So teaching skills related to mindfulness, interpersonal communication, self-care, [and] having a good routine every day is a form of trauma-informed treatment.”

Substance Use Disorders

Substance use disorders are often related to trauma. In some cases, clients turn to substance use due to pre-existing PTSD; in other cases, the act of substance use causes clients to experience new trauma. As Dr. Kolodziej explains:

“Providing trauma-informed care is very important. And what that means is being sensitive to the possibility that someone who comes in for treatment for substance use issues also has a trauma history.
We know that from many years of research, and by virtue of knowing what severe substance use entails.”

Because of these similarities, clients in recovery from substance use may similarly benefit from DBT to clients with PTSD.

Even if you don’t have a history of trauma, substance use may cause neurochemical imbalances,¹⁰ effectively dysregulating your reward system. This can have a drastic impact on your behavior and your ability to tolerate extreme emotions. Whatever your past experience has been, your time in rehab is an opportunity to learn or relearn healthy coping mechanisms. By practicing these skills in a protected environment, you may become better equipped to use them after you complete an inpatient program.

Suicidal Tendencies

Clients with a wide variety of mental health concerns may experience suicidal tendencies. According to one study, it’s more effective to treat suicidality with a combination of medical therapy and DBT¹¹ than it is to use medical therapy alone. While more research is needed, this suggests that DBT may be helpful for people with other diagnoses as well.

Because this type of therapy teaches clients practical skills they can use long after completing rehab, it may be especially helpful for people with chronic conditions, such as treatment-resistant depression.

Dialectical Behavior Therapy for Ongoing Mental Health

If DBT works well for you, it can become a part of your daily life even after you complete a rehab program. It’s not uncommon for clients to return to DBT groups more than once, going over the curriculum from a fresh perspective. And whether or not you join a group a second time, there are many published resources—such as flashcards, workbooks, and textbooks—that you can simply keep on hand as reference materials.

Dialectical behavior therapy isn’t the right type of therapy for everyone. And even if it does meet some of your needs, it’s not a substitute for other forms of treatment, like medical detox. Joining a group is helpful for many people, but not all groups pair their clients with individual therapists. As productive as this approach can be, you’re likely to get the most benefit from doing DBT in combination with other modalities.

Remember that dialectical behavior therapy, like recovery itself, is a learning process. This is a set of long-term, practical strategies that can help you respond to a long-term emotional experience. It may take some time for you to see the benefits of DBT in your daily life. Fortunately, its lessons in mindfulness may help you learn to trust the process.

If you think this type of treatment might be the right fit for you, you can visit our list of rehabs that offer dialectical behavior therapy.

Frequently Asked Questions About Dialectical Behavior Therapy (DBT)

Who can benefit from DBT?

Dialectical behavior therapy can benefit people with various emotional challenges, including those with borderline personality disorder (BPD), PTSD, complex PTSD (c-PTSD), substance use disorders, and suicidal tendencies. It provides practical strategies for emotional regulation, coping with trauma, improving relationships, and managing mental health conditions.

Can DBT help people with substance use disorders?

Yes, DBT can be highly beneficial for people recovering from addiction. DBT addresses the behavioral aspects of addiction by teaching practical skills to manage cravings, cope with stressors, regulate emotions, and improve interpersonal effectiveness. By learning the skills and strategies taught in DBT, people in recovery can enhance their chances of maintaining sobriety and building a more balanced and fulfilling life.

What are the 4 modules of DBT?

The 4 modules of DBT are mindfulness, emotion regulation, interpersonal effectiveness, and distress tolerance. Each module focuses on specific skills to help people become more present, regulate their emotions, improve relationships, and cope with stress.

October 27, 2021June 22, 2023

How Long Is Rehab for Drug and Alcohol Addiction?

The short answer is: it depends on your recovery goals. If you’re going through withdrawal, for instance, you may need short-term medical care. And after detox, most people go on to attend a 30-day rehab program. But many patients need more time in treatment—and that’s okay. As you compare different rehab programs, it’s important to think about how long your program will last.

What Determines How Long Rehab Lasts?

Several factors affect how long you’ll spend in rehab. Your care team will evaluate your needs based on a number of criteria.

How Severe Is Your Addiction?

Everyone’s experience of addiction is a little different. That includes the frequency and intensity of your drug use and your timeline for starting recovery. You could enter rehab with serious health issues due to years of untreated alcohol addiction. Or you might start treatment for meth addiction after taking it only a few times, already aware that you need help. Patients with more severe physical and mental health symptoms typically need more time in residential rehab.

Do You Have Co-Occurring Disorders?

If you’re healing from co-occurring disorders, you may benefit from a longer stay. This gives your brain chemistry time to adjust—first to life without drug use, and then to any medications your care team prescribes. You may also need extra time to find the right types of treatment.

Are You Healing From Trauma?

Addiction and trauma often go hand in hand. Either one of these experiences can lead to the other. If you’re healing from both, your recovery journey might not be a linear experience. Some clients take a long time to unearth traumatic memories, and need expert care throughout that process. You could also find that after a short stay in rehab, returning home is the best way to continue your recovery.

What Type of Treatment Do You Need?

There are many different ways to heal from drug addiction. In more traditional rehabs, you might start with detox and then go on to residential care. But some providers take a different approach. For example, ibogaine therapy is an alternative treatment that lasts just a few days. After you complete this type of therapy, you can return home, join an outpatient program, or go to residential rehab.

Other centers don’t adhere to a set timeline at all. In a luxury rehab with individualized care, a team of experts will design a treatment plan just for you. Sometimes this means the length of the program itself can change to meet your needs.

How Do You Respond to Treatment?

When you’re just starting recovery, you can only plan so far in advance. Your needs will almost certainly change over time. Along the way, you and your care team might decide you need more or less time in rehab than you originally planned. It’s important to remain flexible throughout your recovery journey. By taking adequate time to heal, you can set yourself up for long-term success.

The Length of Stay in Addiction Rehab

Although you can’t predict every aspect of your recovery, it’s still a good idea to think ahead. Talk to your doctor, therapist, or a rehab’s admissions team before you choose an addiction treatment program. They can recommend an initial length of stay, even if that changes in the future.

Short-Term Medical Detox

Medical detox can keep you safe during withdrawal. Depending on your health history, you may or may not need inpatient care at this stage. However, medical treatment is essential for people detoxing from alcohol, benzodiazepines, or opioids. Quitting these substances has serious physical side effects. In some cases, withdrawal can even be fatal.¹

Most detox programs last 1-2 weeks. During that time, your care team will keep you as comfortable as possible. You might see a doctor, nurses, psychiatrist, talk therapist, or other specialists. Some luxury programs also offer complementary treatments like massage therapy.

Inpatient detox is just one step in your healing journey. Many programs require patients to plan for longer-term care before they start withdrawal. Then when you finish detox, you’ll go directly to rehab.

30-Day Rehab Programs

For most patients, this is an average rehab stay. A 30-day program gives you plenty of time to get used to your new environment and focus on the hard work of recovery. But because it’s only a month, you won’t need to make long-term arrangements before you leave home.

This time frame works well for people who need brief but specialized care so they can plug back into their lives. It’s an especially good fit for clients with a strong support network. You can turn inward while you start treatment, and reconnect with loved ones in the next stage of recovery.

A 30-day program can also help you keep your recovery private. High-profile clients might have a hard time explaining a long time out of the spotlight.

60-Day Rehab Programs

If you have a more complex diagnosis, you might benefit from a longer stay in rehab. These programs can work well for people with multiple addictions. They can also help you recommit to recovery after relapse.

Patients with co-occurring disorders may also need more time in treatment. It takes up to 6 weeks for most psychiatric medications to take full effect.² If you start new meds when you arrive in rehab, it’s a good idea to stay until you know they’re working well. Otherwise, you might need to adjust your dosage as soon as you get home. Of course, this timeline depends on finding the right prescription shortly after arriving at rehab. Treatment sometimes takes more trial and error than that.

90-Day Rehab Programs

These programs are a good fit for people who need highly specialized care. You’ll have time to find the right medications, try several different types of therapy, and get to know yourself again. In some rehabs, you can also spend this time building community with your peers.

If you want to start treatment by attending a 90-day program, you’ll probably need to make certain arrangements in advance. For example, you might need to take time off work or hire a house sitter. And if you’re hoping to pay for treatment with insurance, check to see if it will cover this type of care.

6-Month, 1-Year, and 2-Year Rehab Programs

An extended stay in rehab does more than kick-start your recovery. It offers you a whole new foundation. You’ll have time to reinvent yourself in a completely different context, without the pressure of the life you’re used to.

When you attend a long-term program, you can expect things back home to change while you’re away. You may lose touch with certain people, or return to find they’ve changed as much as you have. That can be overwhelming—but it can also aid in your recovery. If you want to reenvision your life from a brand new perspective, this type of rehab can help you get started.

Sober Living Environments

Sober living centers serve a different purpose than short-term treatment facilities. While these programs offer some structure, they rarely include clinical care. You may or may not attend therapy, or even have access to on-site staff. But you’ll still need to follow certain rules.

Most sober living environments require residents to pass regular drug tests. You’ll probably also join in mandatory activities, like support group meetings or shared meals. Residents can usually leave the house alone, but you might have to adhere to a curfew.

With these structures in place, sober living centers encourage you to take control of your own life. You’ll probably get a job or go to school outside the house. You may need to pay rent or maintain a certain GPA to stay in the program. Some of these environments will limit the time you can live there, but others allow you to stay on indefinitely.

Trust the Process

Healing is unpredictable. You might be able to choose how long you spend in rehab—but you can’t decide how long it will take to heal. Some clients need to extend their stay, and some return to treatment more than once. By staying present with yourself and your changing needs, you can make the best possible choices about your recovery.

Search our list of luxury rehabs to find detox programs, sober living environments, and everything in between.

Frequently Asked Questions About Length of Stay in Drug and Alcohol Rehab

What factors determine how long rehab lasts?

The duration of rehab depends on several factors, including the severity of addiction, underlying trauma, and the presence of co-occurring disorders. People with more severe physical and mental health symptoms typically require longer stays in residential rehab.

What are the different types of rehab programs and their durations?

Rehab programs vary in length based on individual needs. Short-term medical detox typically lasts 1-2 weeks, while 30-day residential programs are common for those who need brief but intensive care. Complex diagnoses or co-occurring disorders may require longer stays of 60-90 days. Extended rehab programs of 6 months, 1 year, or 2 years offer a more comprehensive foundation for recovery. Sober living environments provide structure to support your transition back to daily life.

October 22, 2021June 22, 2023

Natural Wellness at Mexico Rehabs

During rehab, you’ll have the opportunity to take a step back from unhealthy habits. By creating space between yourself and your daily life, you can gain a new perspective. If you go to rehab in Mexico, that distance can be both physical and philosophical.

Many of Mexico’s luxury rehab centers take a holistic approach to healing. During your stay, you won’t just attend talk therapy; you might also change your eating habits, get physical exercise, or take up meditation. These programs may even offer medical treatments that aren’t available in most areas, such as ibogaine therapy.

When you consider the area’s vibrant culture and beautiful landscape, it’s easy to see why so many facilities emphasize healthy lifestyles. Luxury rehabs in Mexico take full advantage of these resources, offering clients the opportunity to explore the countryside during treatment.

Mexico Is More Than a Tropical Paradise

Many people think of Mexico as having a tropical climate.¹ And indeed, more than half of the country is located south of the Tropic of Cancer. As a result, the weather in that area is temperate, varying little from one season to the next. However, depending on your elevation, the average daily temperature may be as high as 77 degrees Fahrenheit (25 degrees Celsius) or as low as 59 degrees Fahrenheit (15 degrees Celsius). North of the tropics, in regions like Baja California and the Sonoran desert, temperatures vary more widely throughout the year.

The country has some highly populous areas, like Mexico City, as well as many rural destinations. While some rehab centers are close to downtown districts—and may even take their clients on shopping trips—most are located in remote areas. This gives clients the opportunity to retreat from the hustle and bustle of urban life, and to commune with the natural world. In these programs, clients are often invited to explore the surrounding landscape, using experiential therapy as one mode of healing.

Experiential Therapies in Mexico Rehabs

Mexico is “one of the world’s more biologically diverse countries”,² encompassing vast deserts, tropical rainforests, mangrove swamps, and alpine ecosystems.” Its beautiful beaches are also popular travel destinations. In some programs, clients can visit these areas during treatment. While these experiences can be fun, they’re also important components of healing. Experiential therapy is known to have many benefits for people in recovery from substance use disorders.

Sports by the Sea

Depending on which program you attend, you may have access to a wide variety of seaside activities. At Twilight Recovery Center, for example, clients may go scuba diving. These experiences allow you to commune with nature while also getting exercise.

Mexico scuba diving — Mexico offers a variety of seaside activities, like snorkeling and scuba diving.

Substantial research supports the idea that exercise can benefit people in recovery from substance use disorders.³ While they may be physically challenging, these experiences are both safe and closely supervised. They also give you the opportunity to develop or improve a skill, build relationships with your cohort, and observe your own emotional responses in a new context.

For people who prefer not to engage in sports, there are many other ways to enjoy the beach. In some seasons, you may be able to go whale watching or witness the release of sea turtles. Some rehabs also take clients on fishing trips and boating tours. These experiences may be more accessible for some clients, depending on their physical condition.

Equine Therapy

Some Mexican rehab facilities, like Hacienda del Lago, invite clients to go horseback riding, or simply spend time among horses. A growing body of research has found that equine therapy has great benefits for people in recovery from substance use.⁴

This experience is “more than just a break from treatment.” It also lets you practice building relationships, without the pressure of connecting with other people. Many clients report that horses mirror their own behavior and emotions. This has important implications for people who are learning, or relearning, how to regulate difficult feelings in new contexts.

Hiking

Many rehab programs take their clients on regular excursions to visit naturally beautiful areas. Clients at Rē Precision Health, for example, may get the chance to explore waterfalls, beaches, and even the jungle.

Practitioners at this facility strongly believe in the healing effects of nature. This view is supported by a growing body of research, which demonstrates “significant associations between nature experiences and positive mental health outcomes”⁵ Like so many of the therapies available at Mexico’s rehabs, this holistic experience allows you to engage both body and mind.

Ibogaine Therapy in Mexico

In addition to experiential therapies, some rehabs in Mexico offer access to certain pharmaceutical treatments that are hard to find in other countries. In particular, ibogaine is an increasingly popular treatment for several mental health concerns, including substance use disorders.

clear sky recovery pool — Clear Sky Recovery in Cancun, Mexico.

This natural medicine, extracted from the African iboga shrub, “has great potential,” according to experts. “Small studies have suggested it can dramatically reduce drug cravings and withdrawal symptoms.”⁶ However, ibogaine is difficult to access in the United States. If you’re located in the U.S., and you’d like to use it to aid with recovery, you may have to travel abroad.

It’s especially easy to find ibogaine treatment in Mexico. Some rehab centers, like Iboga Quest, specialize in this type of therapy. Although the program is centered around ibogaine, it is offered in combination with well-known Western techniques. During the treatment process, clients are closely monitored by a medical team throughout the experience.

Clear Sky Recovery is another program offering this type of treatment. According to their team, the experience of ibogaine treatment may last for up to 24 hours, or sometimes even longer. During that time, the client enters a dreamlike state, and has the opportunity to relive core memories and gain new insight into their own psyche.

Ibogaine can be extremely effective for many clients. However, it “is not a miracle cure,” cautions Álvaro de Ferranti, Founder of Tabula Rasa Retreat in Portugal. “It is, however, an incredibly effective detox tool and an addiction interrupter.”

“The beauty of ibogaine is that it allows someone to resolve issues deep down.”
– Álvaro de Ferranti, Founder of Tabula Rasa Retreat

With or without the use of ibogaine, many treatment programs take a similarly holistic approach to wellness. For example, you might talk about core memories in therapy, or access a dreamlike state through mindful meditation. There are countless natural ways to delve deep into your emotional experience. And these techniques are easy to find in Mexico’s rehab centers.

Holistic Treatment in Mexico

Holistic recovery may incorporate a variety of therapeutic techniques. Sometimes these methods are offered alongside evidence-based strategies. Some 12-Step programs even utilize holistic strategies alongside groups like A.A. and N.A. In other rehab centers, clients only engage in these natural methods instead of using more clinical strategies.

Natural Detox

Narconon Latin America, which is founded on the principles of Scientology, guides clients through an entirely drug-free detox process. This may be a good fit for clients who want to engage in total abstinence as part of recovery.

However, it’s important to note that this type of detox may not be physically safe for all clients. Make sure you check with your doctor before undergoing this type of treatment, to make sure it doesn’t represent a significant risk. Some clients may need to use prescription medications in order to stay healthy during detox and recovery.

If this detox style isn’t right for you, there are many other ways to use natural and holistic methods during recovery.

Mindfulness Practices

Several rehabs in Mexico teach mindfulness techniques, such as yoga, breathwork, and meditation. These activities may be integrated into your daily schedule, or they may be electives.

yoga mindfulness — Mindfulness practices, such as yoga, are often incorporated into treatment programs at rehabs in Mexico.

Mindfulness empowers you to stay present in each moment. As this technique grows increasingly popular, some are starting to dismiss it as being too trendy. However, mindfulness is an ancient practice whose efficacy is supported by modern science.⁷

These skills are known to improve attention, compassion, and resilience to stress. They are especially useful for people in recovery. Connecting to your current—and ever-changing—emotional state may help you consistently make healthy choices. This skill may become a lifelong practice that you continue long after completing in-patient treatment.

Healthy Eating

Daily habits have a huge impact on your mental health. With that in mind, several Mexico rehabs focus on physical health and good nutrition. Some locations, like Moffitt Wellness Retreat, serve gourmet meals and natural, fresh-pressed juices, inviting you to enjoy the healthy pleasures life has to offer.

It’s extremely common for people with substance use disorders to experience nutrient deficiencies. However, “there is no special nutritional assessment or guidance” for people in recovery. To support your unique dietary needs, your team may help you develop a customized nutrition program,⁸ which will dictate your diet during residential treatment.

Life-Long Aftercare

Oceanica Treatment Center, in Sinaloa, Mexico, is a resort-like rehab that offers highly personalized treatment. Their program is tailored to meet your changing needs during every step of the recovery process—even after you finish inpatient treatment.

Most luxury rehabs help clients plan for aftercare, and some offer even more extensive aftercare services. Oceanica Treatment Center goes above and beyond. “Once clients finish the residential phase, weekly monitoring is provided via telephone. Monitoring includes contact with family members (if the client allows) and provides support during the recovery process. The aftercare program also has weekly therapeutic groups that are in person or virtual. This aftercare process lasts 6 months, but Oceanica maintains relationships with the graduates for a lifetime through virtual communication or in-person alumni get-togethers.”

Recovery is a lifelong process, and like any healing journey, it comes with ups and downs. This approach ensures that you’ll always have the support you need, even after you leave residential rehab.

Traveling to Rehab in Mexico

If you’ll be traveling internationally to attend rehab in Mexico, make sure you talk to your rehab program’s admissions team before planning the details of your trip. Regulations vary from country to country, and may also be based on your country of citizenship. Since 2020, travelers have been subject to even greater restrictions, which may continue to change significantly over short periods of time. It’s important to research local and federal regulations in advance. Note that different airlines also have their own safety protocols; make sure to choose one that meets your specific needs.

If you’re a U.S. citizen flying into Mexico, you’ll need a valid U.S. passport book; passport cards may not be accepted. If you’re traveling by car, you may need a special vehicle permit. This is subject to change depending on where you cross the border. You’ll also need to obtain a tourist visa if you plan to stay in the country for more than 180 days. Although this exceeds the length of most rehab programs, it may impact your plans for aftercare.

For people who are just beginning detox and recovery, it’s important to streamline the travel process as much as possible. In order to minimize these logistics, most rehab facilities offer transportation to and from the nearest airport. It’s best to work with the staff at your rehab facility to plan the details of your trip. Remember that even before you arrive at rehab, you’re allowed to ask for the help you need.

Mexico’s Rehabs Make Recovery Meaningful

The act of traveling to rehab empowers clients to gain a new perspective on their daily lives. Physical distance not only separates you from potentially difficult situations; it can also give you much-needed emotional space. In that space, you can learn more about your own needs, goals, and values in a brand-new context.

In Mexico, residential treatment will also teach you how to live well, naturally. Your time there may focus less on medical treatment and more on the skills you need to navigate the world without substance use. These techniques are intended to be sustainable, accessible, and tailored to support a lifestyle you love.

As powerful as holistic healing can be, it’s not the right strategy for everyone. Some clients may need more medical support during detox and recovery. Others may benefit from highly clinical therapies, such as cognitive behavioral therapy (CBT). If you have reason to think you’d benefit from this type of approach, holistic therapy may be ineffective, or even counterproductive.

You have nothing to prove by choosing one rehab facility over another. This is a time to focus on your own mental health, above almost anything else. No matter how much a certain philosophy appeals to you on paper, it may or may not actually be the appropriate way for you to approach healing. If natural wellness sounds like the best possible way for you to begin recovery, a rehab in Mexico is likely to be a good fit.

Frequently Asked Questions About Rehab In Mexico

What are the benefits of luxury rehab in Mexico?

Luxury rehabs in Mexico offer several benefits:

• Personalized treatment plans
• Unique therapies including ibogaine therapy
• Experiential therapies
• World-class facilities
• Serene environments
• Experienced medical staff

How much does luxury rehab in Mexico cost?

The cost of luxury rehab in Mexico depends on factors such as treatment duration, level of treatment, amenities, and more. Some rehabs cost under $10,000 for a 30-day program. A majority of Mexico luxury rehabs cost between $10,000 to $25,000. These offer upscale amenities, luxurious accommodations, and highly specialized treatment.

What types of addiction treatment are available in luxury rehabs in Mexico?

Addiction treatment in Mexico covers the full spectrum of care. You can find detoxification programs, residential rehabs, outpatient programs, intensive outpatient programs (IOPs), and sober living. Many programs offer a range of treatments, including individual and group therapy, holistic approaches, complementary therapies like equine therapy, 12-step programs, family counseling, and aftercare planning to promote long-term recovery.

October 20, 2021June 20, 2023

Does CBD Help or Harm Sobriety?

The process of recovery is different for every person. For some, it includes the use of CBD. However, this is a controversial topic. Many believe that the use of any psychoactive substance, including prescribed medication, interferes with sobriety. And if you’re deciding whether or not CBD will play a role in your recovery journey, it’s important to remember that recovery isn’t about following universal rules. It’s a way to build a life that feels healthy for you.

CBD, or cannabidiol, is one of hundreds of active ingredients in cannabis. It’s readily—and legally—available in many areas. As more and more U.S. states legalize marijuana use,¹ for medical and/or recreational purposes, CBD will likely become even more accessible.

Some areas have also decriminalized marijuana,² with or without officially making it legal. According to the National Conference of State Legislatures, “This generally means certain small, personal-consumption amounts are a civil or local infraction, not a state crime (or are the lowest misdemeanor with no possibility of jail time).” This speaks to a cultural shift in perspective.

Cannabis is becoming more socially acceptable and more accessible over time.³ As this trend continues, more researchers are studying its potential medical applications. Some of this research centers around the use of cannabis to treat mental health.⁴ Some evidence suggests that CBD, in particular, may be beneficial for people in recovery from substance use.

What Is CBD?

CBD is a cannabinoid.⁵ That is, it’s a chemical substance that interacts with the human body’s cannabinoid receptors. Cannabis plants are believed to produce between 80-100 different cannabinoids. You may be more familiar with THC, which is the most prevalent cannabinoid we know of, and which produces a “high.” CBD is “the second most prevalent active ingredient in cannabis.”⁶

The Chemistry of CBD

There is much research to be done on all cannabinoids, including THC and CBD. However, these two chemicals are the best-known, and most-researched, cannabinoids to date.

Many experts describe a simple difference between these two compounds: THC is psychoactive, and CBD is not.⁷ However, this may be an oversimplification. According to one source, “A chemical is considered psychoactive when it acts primarily on the central nervous system and alters brain function, resulting in temporary changes in perception, mood, consciousness or behavior.” Despite this distinction, it remains true that CBD, unlike THC, is not intoxicating.

There is a clear reason for this: CBD and THC have different neurochemical effects.⁸ Both CBD and THC act on the brain’s cannabinoid type 1 (CB1) receptors. Even without the feeling of intoxication, CBD has a noticeable impact on brain chemistry and may be able to treat both physical and emotional symptoms.

The Experience of CBD

Research suggests that CBD may help treat anxiety,⁹ insomnia, chronic pain, inflammatory conditions, and symptoms associated with substance use disorders. Some people use it to help with acute symptoms, such as panic attacks and pain flare-ups. Others take it daily, to manage chronic conditions.

CBD is available in several forms. Tinctures can be added to food or taken sublingually, delivering the cannabinoid directly to the bloodstream. Vape oils and high-CBD plant strains can be inhaled, taking effect more quickly but lasting for a shorter time. Lotions and salves are used topically, for a greater impact on localized physical pain.

The effects of CBD can last for a matter of hours,¹⁰ depending on the dosage and your metabolism. In some cases, it can cause mild side effects like nausea, dizziness, and fatigue.

Medical Applications of CBD

Because it’s a relatively new subject of study, experts still have much to learn about the benefits and risks of CBD. To date, it’s believed to have a variety of medical applications.

Reportedly, more than 60% of CBD users find that it alleviates anxiety.¹¹ In 2018, a purified version of the chemical was approved as a treatment for rare pediatric seizure disorders. It also regulates the perception of pain.¹² Because of this, it may help treat conditions like fibromyalgia, chronic back pain, and rheumatoid arthritis.

There is some controversy about cannabis as a treatment for mental health conditions. However, preliminary research suggests that CBD may have antidepressant and antipsychotic qualities. And experts agree that CBD for addiction treatment is a promising area of study.¹³

CBD and Substance Use Disorders

A steadily growing body of research suggests that CBD may alleviate many of the symptoms associated with substance use disorders. According to one study, “the fact that patients with substance use disorders often present with various psychiatric and medical symptoms that are reduced by CBD—symptoms such as anxiety, mood symptoms, insomnia, and pain”¹⁴ suggests that this cannabinoid may help people in various stages of detox and recovery.

CBD is an especially promising option for people healing from opiate use. This is because certain cannabinoid receptors are co-localized with opioid receptors in the brain. As a result, CBD can have a direct impact on these receptors, which may help during withdrawal and detox.

Also, many people who overuse opiates do so because they experience physical pain. Because pain relief is one effect of CBD, the cannabinoid may decrease the underlying symptoms that lead to substance use.

Studies show that CBD may also be helpful for people recovering from cocaine and methamphetamines.¹⁵ Specifically, it has been shown to reverse “toxicity and seizures induced by cocaine, behavioural sensitization induced by amphetamines, [and the] motivation to self-administer cocaine.”

Beyond its application for recovery from these specific substances, CBD may help to alleviate cravings and other withdrawal symptoms. According to one study, CBD can even help people quit smoking.¹⁶

While there are other medical treatments to aid in this process, CBD may be an even safer option, because it has a low risk of chemical dependency. “According to a report from the World Health Organization, ‘In humans, CBD exhibits no effects indicative of any abuse or dependence potential¹⁷…To date, there is no evidence of public health-related problems associated with the use of pure CBD.’”

Am I Still Sober if I Use CBD?

Although CBD is not believed to be habit-forming, it is still a substance. And people in recovery need to be mindful of how they use all medications. Because of this, it may or may not be appropriate for a person in recovery to use CBD.

One important part of recovery is learning to define what health means specifically for you. And your definitions of health and sobriety may change over time. As you approach these issues, it’s extremely important to stay true to yourself, and be honest with your mental healthcare team. You might also connect with a community that defines sobriety in a particular way, which may impact how you view your own recovery process.

Total Abstinence

For some people, sobriety means total abstinence from all psychoactive substances,¹⁸ including prescribed psychiatric medication. This strict boundary may even impact the way you approach your physical health. For example, some people in recovery from opiate use refuse narcotic medications at all costs, even when they have surgery.

There is nothing inherently right or wrong about this perspective. It has become common enough that most doctors can accommodate their patients’ needs without the use of these medications. It’s not an easy path, but for many people, it’s the right one.

Harm Reduction

Not everyone commits to total abstinence. And not everyone should. Some serious mental health conditions make prescription medications an absolute necessity. For example, people with bipolar disorder may experience debilitating depression if they abstain from mood stabilizers. At the end of the day, sobriety is meant to be a path toward health, not away from it.

Even Alcoholics Anonymous takes a nuanced approach to the idea of abstinence.¹⁹ They recommend that members who require medication continue to take it, but only if they can stay accountable to themselves, their communities, and their medical teams. It’s possible to use substances safely if you’re doing so under appropriate supervision.

As cannabis use becomes more and more culturally acceptable, we are likely to learn more about the medical applications of CBD, especially as relates to recovery from substance use disorders. Because of this, it may become more widely used by people who still consider themselves to be sober.

The Risks of CBD

Despite promising research, there are still some risks associated with CBD use. Although it’s not believed to be habit-forming, it is still a cannabinoid. And many CBD products include trace amounts of THC, which can sometimes be addictive. Studies suggest that 9% of people who smoke cannabis develop a dependence on it.²⁰ For those without substance use disorders, that may be an acceptable risk. For some people in recovery, it may be too dangerous.

If you plan to use CBD in response to a substance use disorder, proceed carefully. Make sure to talk to your treatment providers about its potential risks and benefits, and find out if it can interact with any of your other medications.

Whether or not CBD is right for you, it’s important to be fully honest with yourself, your support network, and your healthcare providers about your experience. For example, if you decide to use cannabis in response to acute panic attacks, and then find yourself using it daily, this may be a warning sign. As with any other substance, it’s best to be mindful of the emotions you associate with its use. Like many other substances, it’s possible to use CBD appropriately. It’s also possible to misuse it, or to overuse it.

Finding Balance, With or Without CBD

As cannabis use becomes less stigmatized, people are starting to question whether or not it interferes with sobriety. There’s no clear answer to this. However, the same is true for most substances. If you’re recovering from cocaine use, can you still safely drink? If you’re recovering from opiate use, should you take Prozac? These questions are complicated, and the answers may vary from person to person. During rehab and recovery, you’ll likely start to define where the line is for you.

As you think about your personal history of substance use, you’ll start to distinguish between healthy and problematic behaviors. Are there ways you’ve used substances in the past that felt sustainable? In the process of recovery, are you still capable of approaching medication in that way? If you can incorporate CBD into a genuinely healthy lifestyle, it has many benefits. However, if you’re concerned about using it unsustainably, it may not be worth the risk.

With or without the aid of CBD, there are many ways to begin recovery. Learn more about private rehab programs here.

Frequently Asked Questions About Using CBD in Recovery

Is it possible to use CBD while maintaining sobriety?

The definition of sobriety varies according to different recovery philosophies. Some people choose total abstinence from all psychoactive substances, including CBD. Others may take a harm reduction approach, considering the potential benefits of CBD for managing symptoms. It’s important to communicate openly with your healthcare team and determine what aligns with your recovery goals and personal definition of sobriety. Remember, recovery is a journey of self-discovery and finding the balance that works for you.

Are there risks associated with using CBD in recovery?

While CBD is not believed to be habit-forming, it’s still a cannabinoid and may contain trace amounts of THC. It’s essential to discuss CBD use with your treatment providers, as it may interact with other medications. Honesty with yourself, your support network, and healthcare providers is crucial in monitoring your CBD use and recognizing any warning signs of misuse or overuse.

Can CBD help with cravings and withdrawal symptoms during recovery?

CBD shows promise for alleviating addiction-related symptoms, including cravings and withdrawal, due to its impact on cannabinoid receptors in the brain. It’s shown positive effects in helping people recover from opioid, cocaine, and methamphetamine use. While CBD isn’t a standalone solution, it may be worth exploring as part of a comprehensive treatment plan. Consult with your healthcare provider to determine if CBD is a suitable option for you.

October 20, 2021June 20, 2023

Involuntary Rehab: Frequently Asked Questions

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

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

We answer some common questions about involuntary addiction treatment:

Can I Force My Loved One to Go to Rehab?

Yes, but only in certain locations.

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

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

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

Can I Send My Spouse to Rehab?

Yes, but only in certain locations.

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

If you are in physical danger due to your spouse, get yourself to safety before you help them find medical care. If you need help, you can contact the National Domestic Violence Hotline¹ at 1.800.799.SAFE (7233).

Can I Send My Teen to Rehab?

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

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

How Does a Person Qualify for Mandatory Rehab?

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

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

Is Forced Rehab Effective?

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

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

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

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

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

Do Interventions Work?

Yes, if you get help from a professional interventionist.

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

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

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

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

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

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

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

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

How Long Does Mandatory Rehab Last?

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

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

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

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

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

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

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

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

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

National domestic violence hotline. (n.d.). The Hotline. Retrieved October 12, 2021, from https://www.thehotline.org/ [↩]

October 15, 2021June 19, 2023

Finding the Right Treatment for Co-Occurring Disorders

You are more than your diagnosis. That’s true no matter what, whether you have a substance use disorder or cancer. And the goal of rehab isn’t just to treat your illness; it’s to help you heal every aspect of yourself. For some clients, that means finding a treatment program that specializes in co-occurring disorders.

Having a co-occurring disorder, or a dual diagnosis, just means that you’ve been diagnosed with more than one condition. In the context of rehab, the term is generally used for clients with multiple mental health concerns. For example, you may have a substance use disorder as well as anxiety, depression, PTSD, bipolar disorder, personality disorders, or schizophrenia. This is not an exhaustive list. Approximately 50% of people with substance use disorders have dual diagnoses.¹

It’s technically true that anyone with more than one condition has a dual diagnosis. For example, a client might have both depression and diabetes. However, when a rehab facility offers a dual diagnosis treatment program, it’s safe to assume that they’re referring to conditions that relate to mental health. Substance use disorders and other mental health conditions generally have complex, multifaceted relationships. As such, people with multiple diagnoses can benefit from specialized forms of treatment.

Risk Factors for Co-Occurring Disorders

Substance use disorders are often related to certain mental health diagnoses.² It’s important to remember that every person’s experience is unique, and these correlations aren’t necessarily causative. However, there are some well-documented risk factors that can make someone more likely to experience these co-occurring conditions.

Mental Health Concerns Can Make Substance Misuse More Likely

Mental health conditions, including substance use disorders, tend to run in families. Experts believe this is due to a combination of genetic and environmental factors. Studies have found that “as much as half of a person’s risk of becoming addicted to nicotine, alcohol, or other drugs depends on his or her genetic makeup.”³ However, life experiences also play a major role. Your diet, stress levels, physical activity, and any history of trauma can also contribute to substance misuse. According to experts, “that old saying ‘nature or nurture’ might be better phrased ‘nature and nurture’ because research shows that a person’s health is the result of dynamic interactions between genes and the environment.” Environmental conditions can also play a role in the development of mental illness.⁴

Research has clearly linked substance use disorders with mental health. According to the Substance Abuse and Mental Health Services Administration (SAMHSA), “People with mental illness are more likely to experience a substance use disorder⁵ than those not affected by a mental illness.” However, it’s not simply the case that mental health diagnoses can cause substance misuse. The reverse can also be true.

The Impact of Substance Use Disorders on Mental Health

Substance misuse changes brain chemistry. Active substance use has a short-term impact on a person’s mental and emotional state, but it doesn’t end there. Long-term drug use can also “lead to both short- and long-term changes in the brain,⁶ which can lead to mental health issues.” This can contribute to the development, or progression, of mental health conditions.

It’s not unusual for people to develop substance use disorders in response to mental or physical pain.⁷ And research has found that “people with a mental disorder, such as anxiety, depression, or post-traumatic stress disorder (PTSD), may use drugs or alcohol as a form of self-medication. However, although some drugs may temporarily help with some symptoms of mental disorders, they may make the symptoms worse over time. Additionally, brain changes in people with mental disorders may enhance the rewarding effects of substances, making it more likely they will continue to use the substance.”

This has a synergistic effect: emotional pain leads to substance misuse, which in turn increases emotional pain. As a result, many people find themselves caught in a cycle of unsustainable behavior, in which their attempts to self-soothe only amplify their distress.

Substance misuse, like many other mental health conditions, can become an all-consuming experience if it’s left untreated. Ultimately, it affects your mental health, your behavior, your relationships, and every other aspect of your life. In the midst of this crisis state, it can be difficult to even imagine life without these coping mechanisms. And this entire cycle is often accelerated for those with co-occurring disorders.

Breaking the Cycle

When you have a mental health diagnosis—whether or not it’s been officially diagnosed—it can be a struggle to find healthy coping mechanisms. Illicit substances can temporarily relieve the symptoms of mental illness, and unfortunately, they can also be more readily available than more appropriate prescription medications.

Many people find it difficult to admit that they have a problem, either with substance misuse or mental health in general. If you’re not ready to seek help, it’s unlikely that you’ll receive adequate medical care. However, you may be able to access illicit substances in a less formal way, without consulting a medical provider. Unfortunately, this accessibility is only possible due to a lack of expert oversight. Self-medicating can only get you so far.

Even with the best of intentions—for example, the conscious goal of self-medicating—substance misuse can impair your judgment. This makes it difficult to know whether your behavior has become problematic. “When an individual develops a mental illness, associated changes in brain activity may increase the vulnerability for problematic use of substances⁸ by enhancing their rewarding effects, reducing awareness of their negative effects, or alleviating the unpleasant symptoms of the mental disorder or the side effects of the medication used to treat it.”

futures recovery pool — You can receive professional help for co-occurring disorders at rehabs that offer these types of treatment programs, such as Futures Recovery Healthcare in Florida.

Substance Use Disorders and Trauma

Regardless of your reasons for substance misuse, unhealthy behaviors can cause further trauma. In fact, some clients report developing PTSD in response to their substance use. This can even be true for people who never experienced severe trauma before developing a substance use disorder.

Victoria Abadi, Addiction Therapist, writes, ” When a person is using a substance or behaviour addictively they often experience more trauma.⁹ This trauma may be caused by putting themselves in dangerous situations, behaving in a way that doesn’t reflect their moral compass, or feeling psychologically unstable due to the cocktail of chemicals and experiences.”

In addition, substance misuse often hurts relationships, including those with friends, family, and even work colleagues. If your relationships are damaged as a result of your behavior, you may experience the trauma of losing touch with a person you care about or rely on. This becomes a vicious cycle, and gives many people more reasons to continue engaging in unhealthy behavior.

As painful as this pattern can be, there is always hope for healing. Many people struggle with trauma as the cause or result of substance misuse. And many medical providers have experience in helping clients move forward. Alex Spritzer, Family Addiction and Psychiatric Nurse Practitioner at The Hope House Scottsdale, is one such therapist:

“I believe that at the heart of many addictions is a trauma base. From that trauma base, there’s other psychiatric symptoms present. That might include anxiety, insomnia, a racing mind, or mood swings–these are often psychiatric symptoms people look to abate when they’re using substances. In the dual diagnosis process, figuring out the reasons why people use [substances] is very important.”

The Hope House Scottsdale in Scottsdale, Arizona.

Finding the Right Type of Treatment for You

By their very nature, dual diagnoses are highly complex¹⁰ and unique to every client. And it can be difficult to “disentangle [their] overlapping symptoms.” For that reason, personalized treatment can be very helpful for people healing from multiple conditions.

Signs and Symptoms of Co-Occurring Disorders

Prior to rehab, many people aren’t even aware that they have co-occurring mental health conditions. It can be especially complicated to find out whether this applies to you, because the symptoms of some mental health concerns can be caused by “[physical] illness, medications, or substance abuse.”¹¹ However, certain warning signs may indicate the presence of multiple mental health concerns.

The team at White River Manor notes that “those living with co-occurring disorders will find daily functioning difficult, if not impossible. While symptoms are often complex and can vary in severity, there are some common signs of dual diagnosis. According to their treatment team, these include

Social withdrawal: isolating from friends, family, and those who offer support
Sudden changes in behaviour (including engaging in risky or violent behaviours)
Changes in appetite and sleep patterns (including insomnia or excessive sleep)
Inability to concentrate and confused thinking
Intense or prolonged feelings of despair, hopelessness, and worthlessness
Anxiety issues that can only be relieved by certain behaviours or rituals
Difficulty staying in employment or meeting other responsibilities
Trouble maintaining relationships because of erratic behaviour or mood swings
Dramatic shifts in moods or energy levels and an inability to control emotions
Use of drugs and alcohol as coping mechanisms for any of the above, despite the dangers.”

If these symptoms describe your experience, you may want to consider a rehab program that specializes in co-occurring disorder treatment. Before choosing one facility over another, talk to the admissions team to learn more about what types of treatment they offer.

Questions to Ask Your Provider About Co-Occurring Disorder Treatment

Because treatment of co-occurring disorders is so individualized, it’s important that you find a clinical team that can support you, specifically. Ideally, your clinical team will have experience treating not only substance use disorders, but every diagnosis that applies to you. For example, a rehab facility that specializes in treating clinical depression may or may not have the right resources for a client with ADHD. To find the right program, you may have to take an active role in advocating for yourself during the admissions process. Here are some questions you can ask the admissions team at a rehab center to see whether they can provide the support you need:

How do you evaluate clients for dual diagnoses?
If I complete detox at your facility, will I be reevaluated for co-occurring disorders before beginning inpatient treatment?
Which specific mental health concerns do you treat most often?
Which mental health diagnoses does your staff specialize in treating?
What experiences does your team have in treating my specific diagnoses?
What types of therapy do you offer for various co-occurring disorders?
Do you create individualized treatment plans for each client? If so, how involved is the client in co-designing their treatment plan?
For clients with dual diagnoses, how do you integrate different types of therapy to address each person’s unique needs?
Do you prescribe psychiatric medication for clients with dual diagnoses?
How do you manage medications for clients detoxing from substance misuse?
How do you help clients with co-occurring disorders plan for ongoing mental health care after residential rehab?

Diagnosing Co-Occurring Disorders

The first step in healing, as always, is to go through a thorough evaluation process to determine the best course of treatment. For people with multiple mental health concerns, this process can be complex.

Remember that there’s no one-size-fits-all solution for healing. Although you may consult with your medical team before you arrive at rehab, your treatment plan will likely change over time. This is especially true for people who undergo medical detox before starting a rehab program. Once you complete detox and stabilize your physical health, your emotional state may change significantly, making reevaluation necessary.

Even if it takes time to find your diagnosis (or diagnoses), it’s important that you stay focused on the present moment, and fully committed to the process of healing. Rehab can be challenging. It’s normal to get tired, or to feel daunted by the task at hand. However, your own dedication to personal growth is absolutely vital. Experts agree that “the patient’s acceptance of a problem and his or her willingness to engage in treatment are important predictors of clinical outcomes.”¹²

Effective Treatment for Co-Occurring Disorders

In the right rehab program, your commitment to healing will be met by a similar commitment from your treatment providers. Because dual diagnosis treatment requires a multifaceted approach, it’s important to work with a team that can address every aspect of your health.

Co-Occurring Disorders Benefit from Holistic Healing

At Futures Recovery Healthcare, for example, providers stay in close communication with each other about each patient’s progress:

“The integration of patient care — and many other supportive services — can greatly improve long-term patient outcomes. Integrated care is the process of coordinating the efforts of each member of a patient’s care team to enhance individual and systemic outcomes. All members of a patient’s care team collaborate on a regular basis to share information about a patient with the sole purpose of ensuring that health goals are being met, identifying any new conditions or needs, and adding therapies deemed important.”

In many cases, the symptoms of substance use disorders can be easy to identify. However, the symptoms of co-occurring conditions can be much more complex. This can make it harder to define what healing means for you. If you have bipolar disorder, for example, it’s unlikely that the condition will ever simply disappear. However, there’s always hope. During rehab, you can learn to manage your symptoms in a healthy and sustainable way.

Managing Chronic Conditions

Current research holds that many mental health conditions are, at least in part, caused by biological factors. For example, studies have found that bipolar disorder may be the result of a neurochemical imbalance.¹³ Other mental health conditions, such as PTSD, are influenced by life experiences and environmental conditions.¹⁴ There is still much research to be done about the etiology of these diagnoses.

Whatever the cause, many mental health concerns are chronic conditions.¹⁵ It’s possible to manage them using therapy and medication, but it’s counterproductive to assume that someday all your symptoms will simply disappear without ongoing medical treatment. If you’re feeling daunted by this idea, compare your diagnosis to a physical illness. It’s perfectly appropriate for a person with a heart condition to take prescribed medication every day. Ongoing mental health treatment is equally important, and in many cases, equally accessible.

People with any mental health diagnosis can benefit from learning healthy coping mechanisms. If you also have a substance use disorder, those same coping mechanisms can help you manage cravings and keep your physical health in order. During rehab, you’ll learn these skills. After residential treatment, you’ll start putting them into practice in more complex situations.

As you prepare for life after rehab, you’ll not only hone your coping skills; you’ll also start building a support network that can help keep you on track. Dr. Monika Kolodziej, Program Director at McLean Fernside, explains:

“We know that people must learn skills to help them operate in the world and deal with depression, deal with anxiety, as they are also staying away from substances. And we know from studies that groups are an important vehicle.”

You Are More Than Your Diagnosis

It’s extremely important to find a diagnosis that accurately describes your symptoms. Doing this empowers you to get the help you need, which may include talk therapy, prescription medications, support groups, and appropriate health insurance. However, you are not your illness. You are a whole person, with needs and goals and values that transcend any difficulties you may face.

As you pursue dual diagnosis treatment, remember that rehab is not the end goal of healing. Instead, it is the first chapter of a new story. By learning more about your own emotional experience, you’ll be able to move forward in a healthier and more joyful way.

If you have, or believe you may have, a dual diagnosis, learn more about rehab centers that treat co-occurring disorders here.

Frequently Asked Questions About Co-Occurring Disorder Treatment

What are co-occurring disorders?

Co-occurring disorders, also known as dual diagnoses, refer to the presence of multiple mental health conditions. In the context of rehab, it commonly refers to patients with substance use disorders and other mental health concerns such as anxiety, depression, PTSD, bipolar disorder, personality disorders, or schizophrenia.

What are the risk factors for co-occurring disorders?

Co-occurring disorders can be caused by a combination of genetic and environmental factors. Mental health conditions, including substance use disorders, tend to run in families. Life experiences, diet, stress levels, physical activity, and history of trauma can also contribute to substance abuse and the development of mental illness.

How can I manage my co-occurring disorder after completing residential rehab?

Managing a co-occurring disorder requires ongoing care and support. It’s important to continue therapy, take prescribed medications as directed, and develop healthy coping skills. Building a support network and participating in support groups can also help in maintaining recovery. Remember that co-occurring disorders are chronic conditions, but with the right treatment and self-care, you can lead a fulfilling life beyond rehab.