Understanding Family Roles in Addiction: How to Break the Cycle

One person’s drug use can affect their whole community. That includes family, friends, colleagues, and anyone close to you. Whether you or someone you love is in treatment for addiction, understanding family roles in addiction can help you heal.

Addiction and Family Systems

Addiction always has a context. Most people turn to drugs and alcohol as coping mechanisms. You might be dealing with mental health symptoms, trauma, or just the stress of daily life. Any of these issues—including addiction itself—can relate to your family dynamic. 

To heal a dysfunctional family system, it might help to think about family roles. Family therapist Sharon Wegscheider-Cruse introduced this framework in her 1989 book Another Chance: Hope and Health for the Alcoholic Family. In it, she describes common ways that family members interact when one person has addiction. 

This model isn’t universal, and it might not describe your experience perfectly. But learning about these different roles can give you insight into your own behavior. That newfound understanding can empower you to communicate your needs, set clear boundaries, and build stronger relationships within your family.

The 6 Family Roles

Wegscheider-Cruse describes 6 different family roles that support addiction.1 Each one has specific emotions, needs, and patterns of behavior. 

The Person With Addiction

The person actively using drugs or drinking is at the center of this dynamic. Even if you feel isolated, your addiction can influence everyone around you. That doesn’t mean you’re responsible for everything that happens in your family. Sometimes, it’s just the opposite.

Successful addiction treatment addresses the underlying cause of your behavior. For example, your addiction might stem from childhood trauma. Your family may be the cause of that trauma or they may have survived it alongside you—or both. Sometimes, you’ll need to let go of these relationships to move forward. In other cases, rebuilding them can be vital to your recovery.

The Caretaker

The caretaker, or enabler, tries to protect their loved one with addiction. Because addiction and codependency go hand in hand, that can be counterproductive. It might feel like you’re keeping them safe. But in reality, you’re shielding them from the consequences of their own actions. And that makes it harder for them to realize they need help.

Enabling someone with addiction also puts the caretaker in harm’s way. You can find yourself bearing the brunt of someone else’s behavior. For example, imagine your loved one can’t pay their bills because they’re spending too much money on drugs. By lending them money, you risk your own financial security. 

The Hero

This person, often the oldest child, sets out to save the family’s reputation. They put on a brave face and work hard to achieve their goals. To outsiders, they appear stable and successful. While that’s sometimes accurate, it’s not always the hero’s primary goal. 

The hero feels responsible for their family’s safety and security. They may experience parentification,2 in which a child takes on the role of a parent. Sometimes that means caring for their siblings or earning money at a young age. Heroes might also provide emotional support to adults in the family. People in this role tend to feel overwhelmed, anxious, and depressed.

The Mascot

The mascot is like a class clown. This person tries to distract their family from the impacts of addiction. They use humor and kindness to keep everyone happy. In the short term, their behavior lightens the mood. But in the long term, it can lead to serious problems.

As a child, the mascot resolves conflict with jokes or distractions. As an adult, this can prevent them from building strong relationships. They may not know how to face communication issues or power struggles. And if humor is their primary coping mechanism, other people might not take them seriously. 

The Lost Child

Caught up in the whirlwind of addiction, family members ignore the lost child. This person might be “the quiet one,” or seem like they live in their own world. Perhaps they love reading, video games, or another kind of escapism. Without the emotional support they need, they look for other ways to cope.

The lost child is isolated, often feeling sad and lonely. Many develop an intense fear of abandonment. Data suggests lost children might be more vulnerable to personality disorders,3 especially avoidant personality disorder. 

The Scapegoat

Like the mascot, the scapegoat distracts their family from the person with addiction. But instead of using humor, they act out. This person might start using drugs themselves, or spending time with friends who do. They also take unnecessary risks, requiring other family members to solve their problems. 

This behavior can interfere with a child or teen’s social development. Scapegoats are at higher risk for educational, interpersonal and even legal problems as they get older. 

Finding Help for Families

These Family roles in substance abuse describe patterns of behavior, not permanent parts of your identity. Think of them as a tool for recovery, and not a way of justifying harmful dynamics. Understanding your relationships can help you improve them. 

Most rehabs offer some form of family therapy. Depending on your program, this could mean anything from virtual sessions to an intensive family program. Treatment can help each person understand their family role in the context of addiction recovery. 

Family therapy is available for families of every structure. You can look for a program that treats teens and their parents, married couples, or entire chosen families. Some providers have even more specific areas of expertise. For example, you can easily find a rehab program for LGBTQ+ clients.

Family involvement also empowers each person to heal on their own. In addition to group sessions, family members with and without addiction can benefit from individual therapy. This treatment offers you a safe, private space to explore your own feelings. You can also learn practical ways to improve your behavior, both for your family’s sake and your own. 


Search our list of luxury rehabs to find programs with family therapy, treatment for loved ones, and other types of specialized care.

7 Essential Coping Skills For Drug and Alcohol Use

Finding healthy coping skills for drug and alcohol use can feel overwhelming, especially when you’re already preoccupied with other stressors. Sometimes addictions form because they seem like means to deal with uncomfortable situations and feelings. And, as a result, substance use has the potential to turn into a coping mechanism; however, it’s a harmful one. 

Learning the tools to navigate recovery, and applying them, can be extremely rewarding. Through therapies, groups, and moments in between, you can apply the skills that reinforce sobriety. Building a long lasting recovery toolkit can help you on your journey. Exploring programs that include individual, group, and family therapies can also be beneficial to jumpstarting that journey and serve as the foundation to continued healing.

What are Coping Skills?

Coping skills are instruments and methods that we use to work through stressful situations. These can look different for everyone.

Adopting healthy coping strategies can help you regulate your emotions and behaviors, helping you live a more positive lifestyle. There is a wide range of opportunities, or pearls, if you will, that you can gift yourself to make the possibilities a reality. It’s all about finding what works best for you and your recovery journey. Here are 7 “pearls” for you to consider. 

7 Essential Coping Strategies: The “Pearls”

1.Talk Therapy 

One of the most important ways you can cope with and heal your addiction is by seeking professional help. Talking regularly with a therapist can help you develop healthier, more effective habits. Your therapist will help you in an objective, non-judgemental way. And you can talk about a variety of topics to get to the root cause of your substance use. 

Aside from how your addiction is physically affecting you, you can also explore its emotional impact. Ultimately, your explorations will help you understand how to incorporate and value the new tools you acquire.

2.Mindfulness

Mindfulness can be a powerful way to work through addiction. This practice can reduce cravings and help your sobriety journey. The goal of mindfulness is to increase awareness of yourself and your surroundings. In doing so, you enable yourself to be the observer of your own thoughts and behaviors, and you then have the opportunity to move past negative patterns. As you’re going through recovery, you can use mindfulness to reflect on your progress and give yourself more grace.

Different meditation and mindfulness apps are a good starting point for your mindfulness journey. They can guide you through meditations, focus on different areas of growth, and are easily accessible to practice on your own time. 

3. Fitness

Exercise creates positive structure and routines, which can help you stay on track with other sobriety aspirations. And the endorphins we release when we work out can boost overall mood and motivation.

Exercise can help you physically, mentally, and spiritually. It’s important to nurture the lifelong relationship that you have with your mind and body. And keeping fit can lower your chances of relapse

There are a variety of fitness apps that help you reach your goals. Some offer virtual classes, while others track your progress. Whatever your needs are, there are tools out there to help you on your journey.

4. Practice Gratitude

Finding gratitude through your recovery process is extremely empowering. Focusing on the positive and where you want your life to go will help you stay in line with your goals. Practicing gratitude also allows you to seek out healthy experiences and relationships instead of resorting back to old ways. And gratitude helps you develop a personal arsenal of strengths needed to live a sober and happy life. 

5. Support Groups

Emotional support can be part of the framework for healthy sobriety. Surrounding yourself with others who support your recovery, and those in recovery themselves, can help reinforce your goals and maintain morale. Identifying with and feeling accepted by a group can give us a greater purpose

Different support groups like AA allow you and others in similar situations to come together. You’ll dive into addiction topics and open up about feelings that are often universally experienced. 

6. Connecting with Loved Ones

Outside of groups, having supportive loved ones in your life makes all the difference. Psychoeducation for loved ones, family therapy and/or couples counseling are great options for finding common ground and working through the pervasive aspects of addiction alongside the important people in your life. Your loved ones will learn more about addiction, what you’re experiencing, and how to work through issues together. 

7. Accountability Partner

While it’s important to be self-reliant, having someone support you along your journey can be a gamechanger. Oftentimes, your accountability partner is someone from a support group that you’re a part of, like AA. 

You should first decide what your goals, expectations, and boundaries are for your recovery. Communicating clearly and honestly is important throughout this process. You’ll focus on moving forward together, and they can also encourage and reinforce self compassion and morale. Sometimes, others can have tips that open your perspective and scope for your own rehab journey.

How Do They Help?

Healthy coping mechanisms can help reduce cravings for drugs and alcohol. They can also prevent relapse by teaching you how to identify warning signs. 

Beyond the physical cravings, healthy coping skills benefit all areas of your life. You’ll discover a new positive life perspective, improve communication skills, and follow through with new goals. Professionals at Gateway Foundation describe even more benefits learned from healthy coping mechanisms:

  • Manage strong impulses and emotions
  • Increase confidence
  • Better resilience
  • Improve overall health and wellness

Building Skills to Last a Lifetime 

A strong foundation for your future is built day by day. By setting realistic goals and timelines, you can create an action plan

Creating your game plan can be easy. First, identify your inner narrative. Acknowledge your hurdles, and then shift the energy you would have used on the hurdles towards reinforcing the positive. In taking this mindful approach, you can be more aware of how your thoughts impact your actions. Finally, be your own best friend. Give yourself kindness and grace as you carve out your journey.

Once you lay that groundwork, there are many ways you can sustain the skills that you learn. Here are some ideas: 

  • Start a new hobby that feels fulfilling and reinforces your new lifestyle.
  • Maintain healthy relationships, in and outside the recovery community. 
  • Write your own narrative. Reflect on why sobriety is important to you, what challenges you have overcome, and what wins you have embraced. You can go back and read your story on days that are harder than others to remind yourself of how far you have come.

While life can be full of stressors as you navigate through your rehabilitative journey, the skill toolkit you build can be with you every step of the way. You can explore programs that help you build and enhance your coping skills, so you find a lifetime of happiness.

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Love the Outdoors? Consider Rehab in Canada

Canada’s beautiful landscape has seemingly endless mountains, lakes, beaches, and forests. As such, many addiction treatment centers in Canada offer outdoor activities like kayaking, snowshoeing, and fishing. The tranquil scenery lets you begin recovery in peaceful solitude.

Canadian luxury rehab centers place a focus on holistic, individualized treatment, although 12-Step programs are also available. Social support plays a central role in many programs, through peer-to-peer relationships and family therapy. There’s also a strong focus on aftercare, helping clients transition back into daily life after treatment.

Canada’s Awe-Inspiring Landscape

There’s no shortage of beautiful natural areas in Canada.1 The country is home to vast mountain ranges like the well-known Canadian Rockies, and an abundance of lakes, rivers, beaches, and more. These areas offer exciting views of local wildlife and countless opportunities for recreation. Canada’s coastline stretches far and wide, giving visitors plenty of space for reflection by the seaside.

Many of Canada’s rehab centers are located in natural settings. Victoria Wellness sits on Rice Lake’s picturesque shoreline, only steps from the lake. Their program includes onsite activities like kayaking, paddle boarding, and fishing. In your free time, you can make your way along the winding path in the labyrinth. The rock-lined trail guides you to the center, and is meant to help facilitate mindfulness through walking meditation.

Cedars at Cobble Hill spreads out across 65 acres of land in the middle of one of British Columbia’s beautiful forests. Tall trees surround the log cabin-like buildings, and trails pepper the forest for clients to explore at their leisure.

Addiction Treatment in the City

You might choose to attend a rehab facility in a larger city if you want to stay close to home, or just prefer urban environments. But even the large cities in Canada aren’t far from nature. For example, Andy’s House in Montréal is only minutes from the St. Lawrence River.

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Nestled in a quiet neighborhood, Andy’s House is steps away from one of Montreal’s largest rivers.

Montréal also has a thriving movie scene, and has been the set for several major films—including The Notebook and The Life of Pi. Perhaps this is why Andy’s House offers cinema therapy. During this unique form of treatment, clients watch movies whose characters’ experiences are similar to their own. These films can help you confront your own issues in a safe and supportive environment.

Although Toronto is the largest city in Canada,2 it still has plentiful green spaces. There are more than 1,600 parks in the city, making up almost 20,000 acres of land. Bellwood Health Services is steps from the lush and green Sunnywood Park. The secluded location amidst beautiful views of tall trees, green grass, and snaking pathways makes it hard to believe you’re still in a busy city. If you decide to attend a rehab center in Toronto, you’ll be close to both an urban environment and plenty of natural ones.

The Bright Side of Cold Winters

If you’re considering rehab in any of these areas, remember to consider Canada’s climate.3 The country experiences all 4 seasons, and the farther north you go, the longer the winters are. Most parts of the country experience temperatures below freezing for the majority of winter. There’s a reason Canada’s nickname is “The Great White North!”

However, the cold season does have its perks—like snow sports! Several centers offer fun winter activities, like snowshoeing, skiing, and snowboarding. The short, quiet days of the time of year can also provide a much-needed respite from the world at large. You can watch the snow falling outside your window, or go for brisk winter walks to soak up the peace that this season can offer.

If cold winter days still don’t appeal to you, it may be better to attend rehab in a warmer climate. This is especially true if you prefer to participate in activities like swimming and biking, which may be harder to find in Canada.

Canada Rehab Centers Foster a Spirit of Adventure

Canada’s highly accessible outdoor activities make it a great destination for adventure seekers. And it’s not just fun—adventurous activities are also good for your mental health,4 especially when done in natural environments. According to research, these activities have several benefits:

  • improved resilience and self-efficacy
  • Increased confidence after completing challenges
  • connectedness to nature
  • physical fitness
  • opportunities practice emotion regulation

Numerous Canadian rehabs offer adventure outings and sports. At Valiant Recovery, for example, you can play golf, complete a ropes course, go ziplining, and more. They also offer rooftop therapy sessions, so clients can bask in the sunshine to release the stress of working through emotional traumas. Seabridge Foundation is just minutes from the coast in the beautiful Annapolis Valley of Nova Scotia. Among other outdoor adventures, they take clients whale watching, white water rafting, and skydiving.

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Activities offered at Valiant Recovery in Kelowna, British Columbia, make the most of the outdoors.

Building Community During Recovery

Community is extremely important during the healing process. In his now-famous TED Talk, journalist Johann Hari says that “the opposite of addiction is connection.”5 While Hari isn’t a medical professional, he’s definitely right about one thing: the people you surround yourself with can have a huge impact on your recovery.

The Social Model Program

The “social model” is an approach that emphasizes the importance of peer support in residential rehab.6 While many centers offer group therapy and support groups, it’s less common for peer support to be the primary focus of residential rehab. The social model aims to bridge that gap. It prioritizes interpersonal relationships over individual treatment plans. Most social model recovery programs are founded on the same basic principles:

  • Residents both give and receive mutual support, relying on each other and not just trained caregivers.
  • A positive environment promotes abstinence from drug use.
  • 12-Step or non-12-Step support groups provide a framework for the healing process.
  • Residents can learn from each other’s knowledge and experience of recovery.

The Last Door, a rehab center for youth and adult males ages 13-30, utilizes the social model approach. In this program, expert providers “guide but do not drive the management process.” This empowers clients to define what healing means for themselves. Peers play a crucial role in each other’s learning, healing, and rehabilitation processes. Clients can also participate in the community through volunteerism and social outings. This focus on interpersonal skills not only helps you build new relationships; it can also help repair existing ones.

Healing Family Dynamics in Rehab

You’re probably not the only person in your family who can benefit from therapy. Addiction can be difficult for loved ones, too, including parents, children, and partners. Family therapy teaches you how to handle conflicts in a healthy way. It can also help participants process trauma in a safe environment. Family members learn how to support each other and move forward with more sustainable, happier relationships. In many rehab programs, friends and chosen family can partake in this form of treatment.

Sue knew something was different about her husband, but wasn’t sure what was causing his drastic change in behavior. Even after she learned about his cocaine addiction, it was a long and emotionally taxing 3 years before he agreed to seek help. Fortunately for both Sue and her husband, the Last Door offers programs for loved ones affected by addiction.

“I lost a part of who I was during that time,” Sue says. But through a family group that she attended with her husband, and a support group just for partners, Sue found herself again. She acknowledges that both groups were instrumental in her personal healing process, and that of her marriage. “I was able to heal, and he was able to heal,” she says. “You can move on and live life past addiction. That’s one really important lesson that we’ve learned.”

In family therapy, you and your loved ones can begin to repair your relationships—with each other, and with yourselves.

Canada Treatment Centers Focus on Aftercare

For most people, the healing process continues after rehab. Aftercare, also called continuing care, is an extremely important part of recovery.7 Research suggests that longer periods of aftercare result in a higher likelihood of abstinence from drug use, and sustained positive effects from treatment.

Many rehabs in Canada place an emphasis on continuing care, and provide ample resources for alumni. Aurora Recovery Centre in Manitoba helps each resident create a personalized strategy for continuing care at home.

Some clients aren’t ready to go home right after treatment. If you need more support, Aurora Recovery Centre also offers stepped-down care following residential rehab. You can stay on their property in transitional housing, or move off-site to one of their partner sober living homes. These settings can help you slowly reacclimate to life outside rehab.

Aurora Recovery
Aurora Recovery Centre’s transitional housing is located on their vast property near the shores of Lake Winnipeg.

In our increasingly technological world, online aftercare is getting more and more popular. When you finish rehab at iRecover Addiction Treatment Centers, you’ll get a tablet that comes pre-loaded with program content. Clients keep the device after finishing rehab, and can attend any of the 4 online, live 12-Step meetings that happen each day. You can also use your tablet to stay in touch with fellow participants after the program ends.

How to Get to Canada

Traveling to and within Canada is simple. From the U.S., you can just drive across the border, or fly into one of Canada’s many airports. Because Canada is so large—by area, it’s the second biggest country in the world—you may prefer to fly, even if you already live there.

To make travel less stressful, most treatment facilities offer transportation directly to and from the airport. However, it’s important to check with your rehab’s admissions team before making any plans. They can help you choose the best way to get to their facility.

Canada’s Rehab Centers Utilize the Power of Nature to Aid in Healing

In Canada’s treatment centers, you’re never far from peaceful natural settings. That’s true whether you choose a rehab deep in the forest or in the middle of a bustling city. With an emphasis on building community and robust aftercare, addiction treatment here can be the right fit for a great many people.

Ready to take that first step? See pricing and insurance information, center photos, reviews, and more and connect directly with rehabs via our directory of luxury rehabs in Canada.

Spain’s Relaxed Pace Sets the Stage for Recovery

Spain is known for its warm weather and rich culture, full of history and art. You’ll find everything in this temperate climate, from peaceful countryside to picturesque mountain and seaside views. If you’re looking for a holistic approach to treatment with a beautiful backdrop, you may want to attend a rehab facility in Spain.

Spain Offers a Warm Climate and Beautiful Views

There’s a reason that Spain is the 2nd most visited country in the world1—or rather, there are several. People flock to Spain for its bright sunshine, mild climate, and beautiful landscape.

The Healing Power of Sunshine

Spain is known for its beautiful weather2 and abundance of sunshine, and is a destination of choice for many Europeans wishing to escape the colder months. Spain’s official slogan is: “Where the sunshine follows you through every season,” which makes sense, since the country receives about 3,000 hours of sunshine each year. It’s home to Alicante, the sunniest city in all of Europe,3 which gets about 349 hours of sun each month. Málaga comes in 4th place, with an average of 345 hours of sun per month, and several other Spanish cities make the top 30 list.

This beautiful weather isn’t just pleasant—it can also directly impact your recovery. Serotonin, a neurochemical best known for influencing happiness, is affected by your exposure to sunlight. A large body of evidence demonstrates the positive effects of good weather on mental health, including one study that found sunshine increased serotonin production4 in a sample group of men.

Spain’s relatively mild climate is warm year-round, although it’s generally colder and wetter the higher in elevation you climb and the further north you go. You may want to be mindful of this when choosing a treatment center in the best location for you.

Panoramic Views of the Sea, Mountains, and Countryside

This country is surrounded by the Mediterranean Sea on its eastern side, and the North Atlantic on the western side. Spain’s vast landscape5 is composed of several mountain ranges spread throughout the country, and its cliffsides offer unparalleled views of the gold-sand beaches below. Throughout the country, you’ll find small cobblestone villages and serene, peaceful landscapes dotted with orange, lemon, and olive groves.

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Spain’s serene and varied landscape promotes a deeper sense of connection to nature for many.

Clients at Camino Recovery, located in Vélez-Málaga on the southern coast, will live in a cortijo, a traditional rural farmhouse commonly found in that region. These historic Spanish homes are often surrounded by acres of land, and the Camino Recovery residence is no exception. The Sierra de Tejeda mountain range creates a beautiful backdrop, and clients are invited to explore the trails around the area and in the nearby Almijara and Alhama Natural Parks each Sunday.

The Mediterranean coast offers stunning views of the cliffs from The Bridge Marbella. You can take in the landscape from the tranquil outdoor seating areas, or from your room in this center’s Spanish villa.

At Ibiza Calm you can visit stunning neighboring beaches, namely Benirrás Beach with its amazing sunsets. The center’s main building is a 500-year-old Ibizan farmhouse surrounded by 8 private acres and lined with citrus orchards, and you can enjoy the stunning scenery during daily walks in the countryside.

These facilities aren’t set in natural areas by chance. Numerous studies have found that nature is an extremely important factor in a healing space.6 Research shows that the presence of gardens—and even just views of them—can reduce stress.

Vibrant Spanish Culture

Spain is chock-full of unique museums and art made by world-renowned artists like Picasso, Dalí, and Gaudí, set in historic towns and villages full of classic Spanish fare like tapas, or appetizers, and paella, a popular rice dish. Spain also has the 4th largest number of UNESCO World Heritage sites7 in the world, with famous cultural landmarks like the Sagrada Familia in Barcelona and the Alhambra in Granada.

Some rehab facilities, like Camino Recovery, organize trips to nearby cultural attractions, like the Picasso Museum in Málaga, the birthplace of this famous artist. You can also explore the nearby pueblos blancos, or white villages, of Frigiliana and Comares, which are known for their cobblestone streets, beautiful views, and whitewashed homes and buildings.

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Some rehabs in Spain include trips to historic sites as part of their program.

Solice in Marbella also encourages clients to explore the nearby cultural attractions, like the city’s old town. Clients are also welcome to try local food and tapas, stroll along the promenade, and visit other nearby historic towns like San Pedro.

Accessibility & Ease of Travel

There are over 40 international airports in Spain,8 which makes flying to your location of choice much easier. Most U.S. airports have flights to at least 1 Spanish destination, and many larger U.S. airports operate flights to more than 1 location. Once you arrive, it’s simple to take another flight within Spain to your final destination, if necessary.

Many treatment centers offer an airport pickup service. Although Spain has an extensive public transportation system, it might be difficult to navigate on your own in a foreign country. Make sure to talk to your facility’s administration office to determine the best way to reach your rehab center.

Remember that while many people prefer to travel for inpatient rehab, this isn’t the right choice for everyone. If you would be more comfortable staying closer to home, there are plenty of rehab facilities around the world—some of which are likely in your area. Wherever you choose to begin recovery, it’s important to find a program that suits your unique needs.

Treatment in Spain’s Rehabs Is Tailored to You

Many rehab centers realize that treatment is not one-size-fits-all, and often needs to be specific to the client’s needs. In addition, several centers in Spain favor a one-on-one treatment approach, which is perfect for those who value their privacy. Although anyone can benefit from individualized care, people with a dual diagnosis, executive professionals, and high-profile clients may find it especially helpful.

Secluded properties can give you much-needed space to focus on healing without distractions, in addition to providing a safe environment to heal. This, coupled with personalized care, can help you put emphasis on your recovery process. Treatment centers like THE BALANCE Luxury Rehab and Istana Jiwa Ibiza treat 1 client at a time in their own, private residence. Istana Jiwa Ibiza’s villas are scattered around the island of Ibiza, and are unbranded with no observable connection to the center. This makes them a great option for those who would prefer an extra layer of confidentiality in recovery. At both centers, treatment programs are tailored to each client with a private team of specialists. There are no group activities or shared facilities.

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THE BALANCE Luxury Rehab offers an ultra-private experience on its secluded grounds in Mallorca, Spain.

Some treatment centers, like Phoenix Programmes S.L., also offer stepped-down care options. Clients at this center can choose from online and daytime-only programs, or stay in their in-house sober living program. They realize that not all clients are able to, or want to, attend an inpatient rehab facility, and try to offer programs that will work for anyone’s schedule. In addition, they create a personalized treatment plan for each client.

Unique Activities and Therapies

Family and equestrian culture have strong roots in Spain, and some rehab centers focus on these aspects in their treatment plans. Because of their proximity to the ocean, some facilities offer unique therapies like surf and dolphin therapy, as well as a variety of other beach activities.

Equine Therapy

Spain has a strong equestrian culture,9 and 1 region even has a horse named after it: the Andalusian horse. Although equine therapy is not unique to Spain, horses are a big part of their history and traditions.

Camino Recovery’s program director Don Lavender pioneered equine-assisted psychotherapy (EAP), and has used it in his work since the 1990’s.

“Through interactions between the horse and the client, a therapist can help the client work through issues, often more effectively than talk therapy.”

Camino Recovery

Seaside Activities

Outdoor activities aren’t just a way to have fun; they can also be an important part of recovery. Studies show that exercising outside has positive effects on your health,10 both mentally and physically. These activities don’t just invite you to let off steam; they may also help you develop new skills and build confidence.

With this in mind, THE BALANCE Luxury Rehab encourages clients to attend unique outdoor therapies, like surf and dolphin therapy. Adolescent participants in one study reported that spending time in these “blue spaces,”11 or “environments characterized by the presence of water bodies” produced feelings of calmness and tranquility. In addition, they also offer more traditional outdoor activities like beach walks, yoga, horseback riding, fishing, and more.

Family Therapy

Family is an important component of Spanish culture, so it makes sense that so many treatment centers focus on family dynamics and include them in the rehabilitation process. And studies show that healthy close relationships contribute to your healing process.12 Relationships like these, such as those with family, are associated with improved health and well-being.

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Family members are invited to Camino Recovery‘s property in Vélez-Málaga, Spain as part of their family program.

Camino Recovery understands the positive impact that family support can have during and after a client’s recovery. They invite family members to attend a 4-5 day family program, during which the family discusses their own issues and learns about healthy relationships and coping mechanisms in group therapy sessions. Family members are also encouraged to learn more at educational lectures.

Depending on your specific relationship with your family of origin, this type of therapy may or may not be a good fit. Whether or not you invite them to participate in this aspect of your recovery, you can still use your time in rehab to hone your interpersonal skills, either in therapy or with other members of your cohort.

Starting Your Recovery in Spain

Traveling somewhere new can help you gain perspective on life at home. At a luxury rehab in Spain, that perspective might be informed by the majesty of nature. The culture’s focus on the arts might inspire you to create a life you love, using the tools you learn in a program tailored to support your needs and goals.

Learn more about all that rehabs here have to offer, including amenities, activities, specialized programming, and more, in our searchable directory of Spain luxury rehabs.


Frequently Asked Questions About Rehab in Spain

What are the benefits of luxury rehab in Spain for addiction treatment?

Luxury rehab in Spain offers serene scenes, warm weather, and is surrounded by historic sites. Centers feature upscale amenities, personalized treatment plans, and a range of unique therapies, from equine therapy to seaside activities. Some ultra-luxury rehabs treat one client at a time.

What types of addiction are treated in luxury rehab facilities in Spain?

Luxury rehabs in Spain provide comprehensive treatment for various mental health and addiction concerns, including drug addiction, alcohol addiction, gambling addiction, depression, anxiety, and more.

What amenities and services can I expect in a luxury rehab in Spain?

Luxury rehab in Spain offers several amenities and services: 

• Luxurious accommodations
• Private rooms 
• Gourmet meals
Spa services
• Pool
Fitness facilities
Beach access
• Business lounge

Building Community in Rehab

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

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

The Impact of Substance Use Disorders on Relationships

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

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

Family Dynamics

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

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

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

Substance-Based Relationships

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

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

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

Finding Comfort in Peer Support

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

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

Group Therapy

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

Support Groups

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

Experiential Therapy

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

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

Healing Past Relationships

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

Family Therapy

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

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

Forming a Sober Support Network

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

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

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

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

The Effect of Community Support on Long-Term Recovery

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

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

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

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

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

Recovering Your Relationship With the World Around You

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

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

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


Frequently Asked Questions About Building Community in Rehab

Why is building community important in the rehab process?

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

What are the benefits of peer support in rehab?

Peer support in rehab offers several benefits:

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

How is community built in rehab?

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

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
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.

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

Timberline Knolls
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.

Foothills at Red Oak
Foothills at Red Oak in Ellenboro, North Carolina has specialized programs for young men, non-binary and gender non-conforming teens.

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.

Pacific Teen Treatment
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.

Building Confidence With Strengths-Based Addiction Treatment

Strengths-based treatment empowers clients to direct their own recovery process. This is a departure from many therapeutic modalities, where the focus tends to be on the negative. You analyze unhealthy habits, come to terms with past mistakes, and talk about the problems you’d like to “fix.” This perspective can be very beneficial for some, but it’s not for everyone. The strengths model offers an alternative.

This type of therapy is used to tackle the same issues, but from a more positive perspective. Rather than focusing on their flaws, clients build confidence by growing the skills that serve them best. Strengths-based counseling places an emphasis on the coping mechanisms that got you through difficulties, rather than dwelling on the choices that caused them. 

The goal is for you to view yourself with compassion and respect, cultivating a more positive outlook toward your life and the world around you. This reminds you that no matter how hard things were before, you had the skills to get here. You are capable of great things. And you can use your current strengths to develop an even better toolkit for mental health, with skills that will empower you to build a meaningful life. 

Strengths-based therapy is both a philosophical perspective and a practical approach to the healing process. In order to understand what happens in this form of treatment, it’s important to know about its underlying ideology.

The Philosophy of Strengths-Based Treatment

This approach is fundamentally different from the more widely used model of medical care. In most medical treatments, for any condition from substance use to cancer, the focus is on treating the “bad” symptoms. If your neck hurts, you might take aspirin. If you twist your ankle, you might wear an ankle brace. This can also be applied to more complex issues: if you have depression, you might see a therapist, or start taking antidepressants. In any of these examples, the primary goal of treatment is to stop you from hurting. This model is a negative feedback loop,1 in which a change in a negative stimulus (such as spraining your ankle), is regulated by making a change in the opposite direction (such as wearing an ankle brace). These simple solutions often work well, but they are not always appropriate for healing complex mental illnesses, such as substance use disorders.

The strengths-based approach, on the other hand, is a positive feedback loop. This type of treatment has similar goals to traditional medical care, but it reaches them by using a very different strategy. Instead of treating negative symptoms, the therapist encourages the client to focus on the positive. You’ll catalogue your own strengths, and learn how your skills have helped you navigate past life experiences. By understanding your own best qualities, you’ll become better equipped to use healthy coping mechanisms in the future. This empowers clients to make choices more intentionally, and to build fulfilling, sustainable lives. 

The Medical Model of Care: Fixing Problems

In the case of mental health, negative feedback loops can influence the way clients view themselves and their prospects of recovery. “Traditionally, the mental health arena is highly influenced by the medical model where severe mental illnesses are considered chronic with irreversible neuropathological brain changes and information-processing deficits,” says Huiting Xie, Senior Staff Nurse at the Buangkok View Institute of Mental Health in Singapore in an article on strengths-based approaches for mental health recovery.2 As a result, “Mental health recovery seems like an impossible dream.” The very model we use to determine a course of treatment can sometimes make it difficult for clients to heal.

This common perspective can severely damage the self-esteem of people with mental health diagnoses, which may impede recovery. In fact, research has found that “24% of the people with schizophrenia scored low on self-esteem2 on the Rosenberg self-esteem scale.” This also applies to people with substance use disorders, whether or not they have additional diagnoses. Therapy is intended to cultivate mental health, and not to increase feelings of guilt. Although it’s important to take responsibility for your mistakes, low self-esteem can lead to shame spirals.

This pattern can also cause clients to perform badly in relationships with other people. This results in a lack of community support. Isolation is unhealthy for most people, but especially for those with substance use disorders, who benefit from having a level of public accountability. Strong relationships also help people in recovery build meaningful lives, making plans they can look forward to that don’t include unhealthy behaviors. A lack of community can also make relapse far more likely.

Although the traditional medical model is a very effective way to treat certain disorders, it’s not the only way. For some clients, especially those with mental illness and substance use disorders, it can even be counterproductive. It’s easy to separate one’s identity from physical conditions—you are not your carpal tunnel syndrome. It’s much harder to draw those distinctions when your illness affects your emotions or your behavior. This paradigm can give clients the impression that, just by being themselves, they are a problem that needs to be fixed or isolated from the world. That idea is extremely harmful. Strengths-based treatment can be a lifeline for clients who are engaged in this way of thinking.

Strengths-Based Treatment: Promoting Confidence

Strengths-based therapy has many of the same goals as other treatment modalities. However, those goals are achieved through a very different process. Instead of emphasizing “bad” behaviors, therapists encourage clients to lean into their more positive traits. No matter how hard someone’s life has been, all of us have strengths that have helped us get to this point. In most cases, clients who are starting therapy have made the decision to change. That fact alone is a reason to take pride in yourself.

In strengths-based talk therapy, the therapist guides the client through the process of assessing their own best qualities. Many forms of addiction treatment emphasize “pathology, focusing on problems and failures in people with mental illnesses; the strengths-based approach2 allows practitioners to acknowledge that every individual has a unique set of strengths and abilities that [they] can rely on to overcome problems.” By acknowledging these strengths, the therapist not only encourages the client to do the same; they also provide tangible, memorable evidence they are worthy of praise and respect.

Strengths-based treatment may be helpful for people with a wide variety of diagnoses, including substance use disorders. Research is being done on its efficacy in treating a number of demographics. Like any form of therapy, however, it may not be appropriate for all clients. In some cases, strengths-based therapy is a valuable component of healing, but should be used in combination with other therapeutic modalities. 

It’s important to be realistic about recovery of any kind. False hope can be harmful, especially to people who are emotionally triggered by severe disappointment. However, overt pessimism can be equally damaging. The strengths model deals in practical hope. By taking a clear-eyed look at your most positive qualities, you can ground yourself in reality and begin to build a more sustainable life. This therapy has many of the same goals as other treatment modalities; however, those goals are achieved through a very different process.

Strengths-Based Treatment in Practice

The actual process of strengths-based recovery may look and feel different from other types of talk therapy. Because the goal is to empower the client, and not to “fix” them or their problems, therapists use a distinct set of techniques and conversation styles. Clients are encouraged to assess and celebrate their own unique strengths, rather than conforming to a set of values that may or may not resonate with them.

Assessment

In the first stage of strengths-based treatment,3 “case managers engage clients in a process that is the antithesis of most assessments.” Some practitioners don’t even read the client’s complete medical record until after their first meeting. Instead, they meet you in the present moment, listening to your perspective before learning about other healthcare providers’ opinions. This allows them to approach you as a whole person, making space for you to have your own thoughts and feelings about the healing process. 

This approach is intended to empower the client. When you’re in the driver’s seat, you learn how it feels to make decisions about your own life. You can begin to build confidence not only by talking about your strengths, but by amassing evidence that you’re capable of making sustainable choices. If you begin this process during your time at an inpatient rehab program, the risks are somewhat mitigated. You can trust that your talk therapist and other healthcare providers will provide feedback if you begin to fall into unhealthy patterns. 

After meeting with you and hearing about your experience, the therapist will support you in deciding what your treatment will look like. Unlike many other modalities, clients in strengths-based therapy define their own treatment goals, and decide which services will be used to achieve those goals. You’ll begin by going through a questionnaire to assess your strengths. For some clients, this is their first time consciously considering their own best qualities. This strengths-based assessment3 focuses on your ability to “accomplish a task, use a skill, and have or fulfill a goal in nine life domains,” including life skills, finance, leisure, relationships, living arrangements, occupation/education, health, internal resources, and recovery.

According to experts, by inviting a client to take such an active role in their own recovery, the strengths-based approach can significantly decrease their denial.3 In the act of considering which services will be most effective for them, clients must take an honest look at their own goals, needs, and preferences. By doing this, they begin to come to terms with their current emotional state. They accept their own problems, and immediately link those problems to possible solutions. This process can be less jarring and painful than more traditional therapies, in which the client begins treatment by extensively describing the difficult issues at hand.

Identifying Your Strengths

After the initial intake process, clients go through various strengths-based assessment worksheets4 to help them identify their strengths and skills. This process invites you to take an objective look at your own life experiences and behavioral patterns. For example, one worksheet asks the client to reflect not only on strengths they see in themselves, but on strengths the therapist heard and reflected back to them. Then, the client goes on to list situations in which those strengths were apparent. Every therapeutic process is unique, so your therapist may or may not give you this exact assignment.

Most people in recovery have more strengths than they initially think. They may also have developed coping mechanisms that once felt like negative attributes, which can help them build more sustainable lives. It’s common for people with substance use disorders to find themselves in dangerous or even life-threatening situations, in which they must make split-second decisions. If you were once in a dangerous situation, and made a decision that minimized harm to yourself or someone else, you used a skill to do so. That’s something to be proud of. Going to rehab and engaging in therapy will hopefully help you avoid such difficult dynamics in the future, but you can find ways to use that same skill in situations with lower stakes.

Rehab is an opportunity to develop healthy coping mechanisms. In some forms of treatment, therapists assume that clients are starting from scratch, and unlearning all their current habits to make room for new ones. The strengths model takes the opposite approach. With this type of treatment, you begin by acknowledging and honoring the fact that you already have positive coping mechanisms. Your therapist guides you through the process of honing these skills, and learning to apply them in a healthy and sustainable way.

Self-Empowerment Through Strengths-Based Treatment

The positive philosophy of strengths-based treatment5 has an impact on every aspect of therapy, including interpersonal dynamics. This process is most effective when the therapist and client view themselves as collaborators. Instead of enacting the power dynamic seen in so many therapeutic relationships, the therapist and client interact as equals, honoring each other’s contributions to the conversation.

Over time, this dynamic teaches the client how to build relationships that are based on mutual respect. This practical experience also allows you to create memories of healthy interactions, amassing evidence of your own strengths and skills.

Working as a team, the therapist and client begin to explore skills that have “been historically successful in the client’s life.”5 Clients practice viewing themselves in a more positive light, developing confidence and self-compassion. Experts note that this process reveals clients’ inherent resilience. “In most cases, it is not necessary to teach clients new skills, thoughts or emotional reactions. Instead, therapists can help clients identify the strengths they already possess and build a model of resilience from these existing strengths,” according to Christine A. Padesky and Kathleen A. Mooney, creators of the four-step Strengths-Based cognitive–behavioural therapy (CBT)6 model. “Rather than focus on areas in which the person is not resilient, we advocate in-depth exploration of areas in the person’s life in which they exhibit sustained activity and that are not linked to problem areas.”

It’s important to recognize that behavioral patterns do not exist in a vacuum. Strengths-based therapy also includes an assessment of the client’s external environment and family structure. In many types of therapy, this assessment would be focused on assigning responsibility or even blame to the people in your life, locating the root of your biggest problems. The strengths model, unsurprisingly, has a somewhat different goal. The therapist and client use this information to identify opportunities for the client to seek out external support.

Strengths-Based Treatment in Community

You are not alone in your experiences. Strengths-based recovery practice7 recognizes that community is “an oasis of potential resources,” and a very important component of healing. This applies to your existing community—family, friends, colleagues, etc.—and also to the new community you’ll build during therapy. This community may come from group therapy, support groups, 12-Step programs, family and friends, and other people in your rehab program.

Group Therapy

After arriving at inpatient rehab, clients may or may not get to choose which groups they attend. Of course, your choice of rehab facility may be partially based on which groups are offered. However, you may find that your preferences change after you begin inpatient treatment. Strengths-based treatment gives clients a great deal of control over which types of therapy they engage in. You’ll be empowered to make your own decisions, just as you are in every other aspect of this approach. 

Experts note that typically, “the treatment program determines the types of groups clients will attend, the information to be presented, and the perspectives to be used to evaluate the client’s success or failure in treatment. In opposition to that approach, case managers who implement a strengths-based approach will attempt to ensure that clients are in control of their own treatment.”3

By having so much say in what your treatment looks like, you’ll have the opportunity to learn about your own needs. This is an absolutely essential part of healing. The more you know about yourself, the better equipped you’ll be to adopt healthy patterns of behavior. If you can really meet your needs, and do so in a sustainable way, you can start to alleviate self-destructive desires. 

You’ll also gain valuable experience in meeting your needs on your own terms. When this process begins in a safe environment like inpatient rehab, you have the freedom to make mistakes and through trial and error. Your actions always have consequences, but any negative effects can be moderated by on-site therapists and medical professionals. 

Family Therapy

The principles of strengths-based therapy can also be applied to families. Whether you choose to attend family therapy, or simply discuss your family dynamics in a one-to-one session, this philosophy helps many clients identify ways to heal their relationships. The strengths model encourages clients to approach family members from a place of respect, honoring each person’s contributions.

As Elsie Jones-Smith, of the American Board of Professional Psychology, writes, “The SBT (strengths-based therapy) philosophy toward working with families8 deals with the unique knowledge, competencies, capabilities, and resources of individual family members as well as the family as a whole. Strengths may involve relationships and connection among immediate family members, extended family members, friends, and members of a given community. These strengths can also be found in the family’s unique beliefs, cultural and ethnic heritage, or socioeconomic background.”

This process of honoring each family member’s unique knowledge and history is not intended to ignore problems. It goes almost without saying that family dynamics can contribute to mental illness and substance use disorders. However, it’s not often productive to dwell on wrongdoing. This model avoids placing blame on any individual person or family unit. Instead, it refocuses on the individual and collective skills of the people involved.

By considering the strengths of your family members, and of your family unit as a whole, you may discover new ways to reconnect with the people closest to you. It’s okay to ask for help, and it can be very healthy to seek advice from those you trust. You may find that the people in your life have strengths that are very different from your own. Perhaps you’re great at listening, but your sibling is better at articulating difficult emotions. The two of you could learn a great deal from each other. Strengths-based family therapy might help you do this in a focused way, allowing each of you to feel like an expert while you both practice working as a team. 

Participating in a team of any kind can build individual confidence.9 This includes family systems. One study asserts that teamwork “has the ability to enable the members of the team to have a higher level of emotional security, self-confidence and the ability to plan and decide with others positively.” Strengths-based family therapy not only improves group dynamics; it can also empower individual family members in other areas of their lives. This is especially important for people in recovery from substance use. In order to heal your relationships, you must understand your own needs and goals and have a clear sense of what makes your life meaningful.

Holistic Strengths-Based Treatment

The strengths model is intended to treat the whole client, in the wider context of their life and community. Rather than just treating your symptoms, this approach is intended to improve every aspect of life, including self-image, patterns of behavior, and interpersonal dynamics. Although clients are asked to evaluate their personal histories, the focus is on the future.

In order to identify goals, you’ll begin by defining your personal values. For example, if you value adventure and travel, buying a house may not be an appropriate objective. On the other hand, if you value stability more highly, it may be time to let go of dreams of a traveling lifestyle. There’s no one right way to live, but it is possible to find the best possible path for yourself.

Assessing and exercising your strengths can help you understand what a meaningful life looks like for you. You’re also likely to find that even your most difficult past experiences are valuable lessons. No matter where you’ve been, what you’ve done, or whether you regret your past choices, you can be sure that you’ve learned and grown along the way. 

Elsie Jones-Smith writes, “Strengths-based therapy10 adheres to the belief that even the most challenging life stories that clients bring to therapy contain examples of their exercise of strengths in their struggle with adversity. For instance, the addict’s or substance abuser’s maladaptive responses may also contain within them the seeds of a struggle for health.” Those seeds contain valuable information about what you valued, even in the darkest times of your life. To extend the metaphor–by planting and watering them, you can develop even better coping mechanisms, nourishing the life you’ve always wanted.

Experts note that people with substance use disorders3 “frequently become adept at making decisions in crisis, with very short-range goals in mind. Although this type of decision-making ability is a strength, recovery and sobriety will also call for the ability to plan and carry out longer-range goals.” When you first begin therapy, it can be difficult to see how your own best qualities came through in the difficult situations you previously encountered. Once you start to recognize your own strengths, you can start to plan for a better future. It’s important for people in recovery to learn how to think about their lives in the long term. And in many cases, this is a new experience.

The Hero’s Journey

Strengths-based therapy positions the client as the hero of their own personal narrative.11 In their book on this approach, John J. Murphy and Jacqueline A. Sparks write “Clients are often portrayed as dysfunctional, passive, and acted upon by the expert counselor’s intervention. Drawing from decades of research that paint a very different picture, SBT acknowledges and honors heroic elements of clients’ lives throughout the course of counseling. These elements include clients’ creativity, wisdom, resilience, and other strengths that contribute to effective therapeutic outcomes.”

The hero’s journey,12 famously defined by Joseph Campbell, is well understood as a literary concept. This detailed framework can be divided into three steps: the departure, the initiation, and the return. In the departure, a person acknowledges a problem that needs their attention, and decides to make changes. During the initiation, they confront the difficult emotions that haunt them, and the decisions that led them this far. Finally, in the return phase, they begin to rebuild their life based on recent revelations.

It’s easy to see how this process relates to that of addiction and recovery. In the case of addiction, the departure occurs when you decide to change your life. This initiation might occur in detox, rehab, or other forms of therapy. The return is the ongoing process of recovery.

Academic researchers are now applying this framework directly to mental health, especially in the context of trauma. In the article “Trauma Recovery: A Heroic Journey,”13 scholars describe how the process of healing from a traumatic experience, such as substance abuse, fits into this paradigm. They conclude that in many cases, “trauma survivors are the living narrative of such heroic tales,” and that “recognizing survivors in this way empowers them to continue to fight bravely for the ability to change their own story.” 

In strengths-based therapy, as in the hero’s journey, clients take an active role in their own lives. This process encourages you to develop compassion for your own struggles, and to look forward to a brighter future of your own design. For example, at the New England Recovery Center, clients engage in a “client-centered, strengths-based approach” intended to “motivate them for active participation. Cognitive-behavioral treatment provides clients the necessary tools for achieving and sustaining recovery. Concepts and skills learned during the initial stages of addiction treatment are continuously emphasized and practiced on a daily basis.”

Developing the Strength to Change

In strengths-based therapy, the client is positioned as an expert. The therapist trusts you to make your own decisions and to implement your skills. By learning how it feels to be trusted, you’ll begin to trust yourself, either again or for the first time. 

When you trust yourself to make good decisions, you’re far better equipped to navigate difficult situations. Strength-based therapy offers you the emotional space you need to build healthier coping mechanisms, and to use them even when you encounter triggers.  This strategy is a powerful way to build confidence and start working toward a better life. 

If this type of therapy feels right for you, you can learn more about the luxury rehabs that offer strengths-based treatment here.

More Than a Business: The Unique Benefits of a Family-Owned Rehab

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Written by Ben Camp, CEO of RehabPath

Over the past few years, I’ve had the chance to visit a number (the current count is 19, I believe) of the luxury rehabs listed on our site.

I’ve enjoyed meeting the teams behind each one, but have come to particularly appreciate and recognize the unique benefit of family-owned and operated centers. Here are a few of the reasons that dynamic can be so special.

Financial Independence

There’s certainly nothing inherently wrong with institutional investors, but a key benefit communicated to me when visiting these centers is that without an institutional investor to answer to, family-owned rehabs find they are freer to make decisions that put client needs over profit when necessary.

Don Lavender (Programme Director) and his wife Meena (Family Therapist & EMDR Practitioner) run Camino Recovery in Malaga, Spain. Don and Meena spent many years working for institutional treatment centers in the US and UK, and Don was happy to share the benefits of operating a family-owned center.

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Don (right) and Meena (front, 2nd from left) and their team at Camino Recovery.

“Meena and I wanted to do this on our own. Even though we’ve been approached a number of times, we haven’t gone with or worked with investors. Because when you have to pay more attention to the bottom line than paying attention to the welfare of the client, sometimes a good business decision can turn out to be a poor clinical decision.”

Jan Gerber, Managing Director of Paracelsus Recovery in Switzerland, who runs the company with his mom, the Clinical Coordinator, and dad, the Medical Director puts it this way, “I have a very strong belief that institutional money, institutional investments, and mental health don’t work together. Because when it comes to mental health treatment, be it addiction treatment, eating disorders, depression, or anything else, there is no objective decision. Does a person need more psychotherapy or less psychotherapy? More of that treatment or less of that treatment? It needs to be a clinical decision where the budget and financial side is completely cut off.”

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Jan (center) and his mother Dr. Christine Merzeder (center right) meeting with their team.

Intimate Atmosphere

For the most part, family-run treatment centers tend to be smaller, more intimate environments. Of the four I mention in this post, Camino is the largest with a maximum of 8 clients, which is well below the norm for residential treatment centers.

Dr. David Nesenoff, of Tikvah Lake Recovery in Florida, provides an extremely personalized treatment experience with treatment taking place entirely in his home.

“Even though Tikvah Lake Recovery is a 15,000 square foot mansion on a 200-acre private lake, this is our home. My wife Nancy and I live here. There are no signs outside and if one were to poke their head in they would see a peaceful home with a few guests visiting. Our clients are considered guests in our home and they are treated as such. Discussions around our table can be anything from talking about the unbelievable food in front of us or about our day or just some fun stuff hosts and guests usually talk about around the family table. Our clinical director becomes part of the family as well as he often joins us around the lunch table and he and his staff are on-site working with our guests one-on-one every day.”


Dr. Nesenoff welcomes potential clients into his home in the short clip above.

David and his son Adam, who operate the center together, believe that the size of the facility (the program is limited to a maximum of 6 people) and the home-like atmosphere are key factors to their guests’ success.

Ameet Braich, Clinical Director of Camino Recovery (and the son of Meena Lavender) also sees great benefit in a more intimate setting. “We’ve all come from years in the field, working in larger institutions and have found that working in a clinical environment is detrimental to the therapeutic process. Having a small, intimate space where people can really get honest and open up about their issues, really works well in this setting.”

Addiction Is a Family Problem

My first exposure to a family-owned and operated treatment center was Duffy’s Napa Valley. From its founding in 1967 until it was acquired in 2015, Duffy’s operated as a family-run business, and frequently described themselves as “A family business for a family problem.” That slogan resonated with me, and I think its a key component to why family-owned centers are so special.

Addiction is a problem that affects the entire family and can also be a byproduct of problems within the family. So “it is natural for the solutions to these struggles and barriers to be learned within a family environment,” says Nesenoff.

Clients at a family-operated program get the chance to see family dynamics in action, which in itself can be helpful. Don says, “We’re imperfect just like every family. But when we mess up or make mistakes, we acknowledge it. And, in a way, it gives the clients the permission to learn.”

As a key part of their program, Camino invites the families of their clients to join them on site for a 5-day workshop, where according to Don, they teach them about the “disease concept and codependency” as well as a focus on enablement.

He doesn’t doubt that there is a connection between Camino’s family ownership and the effectiveness of their family program. “Camino is a family-owned and family-run business. … We pay attention to families seriously, not only our own family but the family systems of others. … Family is important. It is of value. And when people leave us, they return to family.”

A Dream Come True

“It’s a dream come true.” This is how Debby Berry, co-founder of Kembali Recovery described starting and running a treatment center with her son Clayton.

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Clayton and Debby show us a nearby waterfall for our Bali Destinations episode.

As anyone who runs a family business knows, it has its challenges. But more often than not, the benefits are worth the effort, and felt not only throughout the organization but by the clients and their families in desperate need of help.

When considering treatment options, you should always investigate the quality of the program. Search our collection of rehabs and find key information such as licensing, accreditations, and pricing at a glance. Whenever possible, consult a trusted medical or mental health professional before a final decision is made.


Frequently Asked Questions About Family-Run Rehabs

What are the benefits of a family-run rehab?

Family-run rehabs may have more flexibility and tend to prioritize clinical care over profits. Most treat a few patients at a time in an intimate, home-like setting. This comfortable atmosphere helps patients open up in therapy.

What is the difference between a family-owned rehab and state-funded rehab?

The cost of treatment without insurance is a key difference between family-owned and state-funded rehabs. State-funded rehabs offer low- to no-cost treatment for uninsured people. However, it often takes longer to enter state programs compared to family-owned rehabs.

Do family-run rehabs have better family programs?

Family-run rehabs tend to pay special attention to their family program. Patients also get to see healthy family dynamics in action and can apply these to their own lives.