Ibogaine-assisted treatment

March 23, 2022July 3, 2023

More People Are Considering Rehab in Portugal: Here’s Why

Residential rehab lets you step away from your daily environment and fully focus on recovery. While everyone’s healing journey is unique, many people find that a change in their surroundings facilitates healing in impactful ways. For some, traveling abroad for rehab can be profound.

Traveling can change your mindset: immersion in a new culture may promote positive thinking and foster a sense of connection to others. Often, luxury rehabs abroad are located in tranquil environments designed to relieve tension and cultivate calm. And certain destinations offer special therapeutic activities that you might not find back home.

Steeped in rich history and famous for its fresh seafood, a relaxed approach to life, and pastel-colored buildings ornate with bright Azulejos tiles, Portugal is quickly becoming a sought-after rehab destination.

It’s not just the landscape and culture that draws people to addiction treatment in the country. Here, you can find unique therapeutic approaches, including ibogaine treatment. Influenced by their warm culture, many centers have a home-like atmosphere supported by inviting staff. This level of comfort is especially important if you’re tentative about going abroad for treatment.

We explore some top reasons why addiction treatment in Portugal is gaining traction.

1. A Temperate Climate and Tranquil Landscapes

Temperate Climate

Portugal has mild weather, which can be a welcome change for people living in colder or hotter climates. Winter temperatures stay at around 16 °C (or 61 °F). Come summer, the region enjoys warmth and sun without the sweltering heat. Some cities, like Lisbon and Porto, have 11 hours of sun during the summer months.

Temperate climates can be good for your mental health.¹ Research on temperature and self-reported mental health conducted in the U.S. revealed that humans are most comfortable in 16 to 21° C (or 60 to 70 °F), and the probability of self-reported mental health struggles increases in both colder and warmer temperatures.

Beautiful, Therapeutic Landscapes

Voted the top country to visit² by Condé Nast Traveller’s Readers’ Choice Awards 2021, Portugal’s natural landscape is nothing short of stunning. Stretches of mesmerizing coastline border the country’s west. Inland, you’ll find striking mountains in the north, peaceful rolling hills to the south, and charming cobblestone towns that dot the areas in between.

According to a study published in the American Medical Association’s JAMA Network Open Journal, this abundance of nature can aid addiction recovery³ in several ways:

it restores cognitive capacity;
it boosts recovery from psychosocial stress;
and it can enhance optimism.

As society grows more distanced from nature,⁴ we’re increasingly disconnected from its therapeutic benefits. Rehab can provide an opportunity to restore this important link. A Health Place journal study found that exposure to natural environments may even reduce cravings.⁵

Many private rehabs in Portugal emphasize connection to nature by making the most of the country’s tranquil greenscapes. In the historic town of Quinta das Lapas, Dianova Addiction Recovery Centre sits on a 10-acre property surrounded by countryside. Residents live in a Portuguese-style home with lush baroque gardens nearby. The center takes a multidisciplinary approach to addiction recovery and highlights the importance of outdoor activities and their green surroundings.

2. Rich History and Warm Culture

Portugal is culturally vibrant, brimming with rich history. From Arabic-influenced Moorish castles to gothic-style monuments, each of its cobbled-street cities is picturesque in its own right.

Many rehabs in Portugal make use of their proximity to culturally significant locations. Dianova Addiction Recovery Centre offers guided tours of UNESCO World Heritage sites, like the breathtaking baroque and neoclassical palaces found in Quinta das Lapas.

Quinta das lapas — Dianova Addiction Recovery Centre is located in the historic, charming town of Quinta das Lapas.

If exploring new sites sounds inspiring, the good news is that it can also be good for you. Travel delivers mental health benefits⁷ which can support your recovery process. Psychologist, researcher, and author Dr. Todd B. Kashdan explains how travel can strengthen skills like emotional regulation: “exposure to foreign travel [is] linked to a greater ability to direct attention and energy, which helps us function effectively in diverse situations and display appropriate verbal and nonverbal signals of emotion… you become tolerant and even accepting of your own discomfort and more confident in your ability to navigate ambiguous situations.”

Attending rehab in another country can also foster deeper human connection⁶ and feelings of wholeness. It opens you up to new ways of communication. Portuguese culture is known as easygoing and friendly. This translates to what you’ll find at rehabs there, and many centers emphasize their cozy, home-like atmosphere.

Heritage Counseling Clinic, in the historic town of Sintra, has made the client-staff connection an integral part of their treatment program. “Everything was designed so that the relation between patients and staff can flow naturally, ensuring that [you] can experience rapid integration.”

Tabula Rasa Retreat, which offers ibogaine treatment in Portugal’s Alentejo region, highlights their family-style environment and supportive team as a core component of their holistic approach.

3. A Menu of Treatment Options

Several luxury rehabs in Portugal have holistic addiction treatment programs. These programs include a balance of psychotherapy, holistic therapies, experiential therapies, and more. We explore common therapies offered at centers in Portugal, plus treatment that isn’t yet available in the U.S.

Psychotherapy

Cognitive Behavioral Therapy (CBT)
CBT is one of the most common forms of evidence-based psychotherapy. It’s based on the idea that our thoughts, emotions, behavior, and physiology are interconnected. By changing our thought patterns, we have the power to change our emotions and behavior. Several empirical studies point to the efficacy of CBT,⁸ with some psychologists calling it the “gold standard of the psychotherapy field,” as published in the Front Psychology journal. Many rehabs offer CBT to help treat addiction and mental health issues like treatment-resistant depression and anxiety.

Group Therapy
Group therapy is led by 1 therapist – or a co-leader for bigger groups – and usually involves 5 or more participants, depending on the rehab’s intake numbers. This type of therapy allows for dynamic conversations and moments of reflection. The support network it offers often empowers people through their healing process. Simply knowing others are going through similar struggles can help you feel understood, activating parts of the brain associated with reward and social connection. These feelings could be amplified during group therapy abroad, when you see that people from different cultures share your struggle.

Family Therapy
Family is foundational to Portugal’s social structure. Several rehabs in the country offer family therapy. With the rise of telehealth for addiction treatment, it’s now more common for rehabs abroad to provide virtual sessions so family back home can participate. For some people, family inclusion is an important part of recovery. Family therapy can give you a better understanding of your unique family dynamics and interpersonal relationships. Substance abuse often impacts an entire family system – this form of psychotherapy is intended to help everyone involved heal. This can result in stronger family resilience and ties. The interpersonal skills you learn in family therapy can also be applied to other relationships in your life.

Holistic Therapies

Physical Activity
The significance of physical exercise for addiction treatment⁹ has been well documented: collective studies show that exercise can “reduce compulsive patterns of drug intake in clinical and at-risk populations.” You’ll often see some form of exercise included in most private rehab programs. With Portugal’s temperate weather and sunny summers, many rehab facilities offer outdoor physical activities when possible. Heritage Counseling Clinic’s program includes outdoor yoga and chi-kung. Meanwhile, Casa da Oliveira holds water activities in their outdoor pool during summer.

Art therapy
It’s not always easy to put your feelings into words. This is where art therapy can help. Art therapy offers several documented benefits for addiction recovery:¹⁰

Decreased denial
Lessened shame
A communication outlet
Less opposition to addiction treatment

When psychotherapy and art therapy are combined,¹⁰ they can work to promote each other’s goals.

Ibogaine Treatment

Ibogaine-assisted therapy is a type of alternative treatment usually delivered in a short-term residential facility. It involves administering ibogaine, a naturally occurring psychoactive alkaloid extracted from the iboga shrub native to West Africa. In small doses, it acts as a mild stimulant. In larger doses, ibogaine induces a dream-like state. This experience, when overseen by treatment professionals, serves as a potentially effective therapy for substance use disorder or other mental health diagnoses, like depression.

Research on ibogaine-assisted therapy for addiction treatment has been promising. The Multidisciplinary Association for Psychedelic Studies (MAPS) observed the long-term effectiveness of ibogaine¹¹ and found that “a single ibogaine treatment reduced opioid withdrawal symptoms and achieved opioid cessation or reduced use across the one year study.”

Ibogaine has also been shown to reduce drug cravings¹² for people suffering from opioid and cocaine addiction.

While ibogaine-assisted therapy isn’t yet available in the U.S., you can travel abroad for treatment. Countries like Mexico and Portugal have addiction treatment centers with ibogaine therapy. Tabula Rasa Retreat in the Alentejo Region of Portugal offers this therapy as part of their holistic approach to treatment. There, ibogaine therapy is administered in a monitored, safe environment by experienced medical professionals and is supported with complementary therapies like breathwork, massage, meditation, and more.

tabula rasa retreat slide 2 — Tabula Rasa Retreat in Portugal’s Alentejo area offers ibogaine treatment in a charming, safe home-like environment.

4. An Abundance of Activities

Portugal’s temperate weather allows for outdoor experiential therapies and activities year-round, like equine therapy, rappelling, and sightseeing. Experiential activities teach you new skills and can show you it’s possible to find joy in other interests. You may even discover lasting hobbies in the process.

Equine therapy
Equine-assisted therapy involves therapeutic work with horses, led by a professional guide or therapist, to help treat addiction and mental health disorders. It’s offered at several treatment centers in Portugal including Tabula Rasa Retreat in the Alentejo Region, Heritage Counseling Clinic in Sintra, and Dianova Addiction Recovery Centre in Monte Redondo.

Rappelling
Portugal’s unique landscape is dotted with mesmerizing, tall cliffs, lending itself well to activities like rappelling. Rappelling is a form of therapeutic climbing (TC) where you descend the face of a rock in a harness with a fastened rope to help guide you down. Some mental health benefits of therapeutic climbing¹³ (TC) include reduced symptoms of depression and improved psychological well-being. At Heritage Counseling Clinic, rappelling is combined with a unique cultural experience: the rappel site offers views of some of Portugal’s most well-known heritage castles.

Sightseeing
Standing among century-old structures and heritage sites is linked with mental wellness,¹⁴ including improved mood and a deeper sense of citizenship among groups of people that share commonalities. The good news is, there’s no shortage of sightseeing in history-rich Portugal. At some rehabs, like Dianova Addiction Recovery Centre, you’re taken on guided tours of UNESCO Heritage palaces. For many people, addiction is isolating. These kinds of cultural experiences may foster a deeper sense of connection with the world, and other people, around you.

Sintra Portugal — Portugal is home to stunning heritage sites, like the famous Palacio Nacional da Pena in Sintra.

5. Accessible and Easy to Get Around

Portugal has 3 international airports in Lisbon, Faro, and Porto, and 4 smaller airports for domestic travel. A majority of U.S. airports have flights to Lisbon, with direct flights from some of the U.S.’s biggest international airports. Almost every major European city offers direct flights to Lisbon too.

Many rehabs offer airport pick-up services once you’ve landed in Portugal. While getting around the country is easy, with a well-functioning metro system and rideshare apps like Uber, it may be too overwhelming to navigate travel in the midst of early recovery. It’s recommended to speak with your rehab’s admissions team and arrange to have someone guide you to the center once you’ve landed.

Embark On Your Recovery Journey in Portugal

Attending rehab in a different country can help you gain a new perspective on life. This can be incredibly impactful to someone’s recovery journey. It shows you a different way of living, which may help you feel more connected to others and the world around you. With so much history and heritage, Portugal isn’t just an awe-inspiring place to find recovery: it can help inspire powerful connections and feelings of wholeness.

To learn more about addiction and mental health treatment in the country, browse our list of luxury rehabs in Portugal.

Frequently Asked Questions About Rehab in Portugal

How much does luxury rehab in Portugal typically cost?

Luxury rehab in Portugal typically costs under $10,000 up to $25,000 for a 30-day program without insurance. Cost can vary depending on factors like the duration of the program, level of personalized care, and amenities offered. It’s best to contact the individual luxury rehab centers in Portugal for accurate pricing information tailored to your needs.

What amenities can I expect at a luxury rehab in Portugal?

Luxury rehabs in Portugal offer a range of amenities:

• Luxurious, private accommodations
• Gourmet dining
• Spa and wellness facilities
• Pool
• Recreational activities

What types of therapies are available at luxury rehabs in Portugal?

Luxury rehabs in Portugal provide a combination of evidence-based and holistic therapies. These may include individual counseling, group therapy, adventure outings, equine therapy, rappelling, historical site visits, and more.

October 22, 2021June 22, 2023

Natural Wellness at Mexico Rehabs

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

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

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

Mexico Is More Than a Tropical Paradise

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

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

Experiential Therapies in Mexico Rehabs

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

Sports by the Sea

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

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

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

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

Equine Therapy

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

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

Hiking

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

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

Ibogaine Therapy in Mexico

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

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

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

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

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

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

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

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

Holistic Treatment in Mexico

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

Natural Detox

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

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

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

Mindfulness Practices

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

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

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

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

Healthy Eating

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

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

Life-Long Aftercare

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

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

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

Traveling to Rehab in Mexico

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

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

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

Mexico’s Rehabs Make Recovery Meaningful

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

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

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

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

Frequently Asked Questions About Rehab In Mexico

What are the benefits of luxury rehab in Mexico?

Luxury rehabs in Mexico offer several benefits:

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

How much does luxury rehab in Mexico cost?

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

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

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

August 1, 2021June 8, 2023

Finding Help for Treatment-Resistant Depression

Treatment-resistant depression (TRD) has the same symptoms as depression, but with a more complex recovery process. Because of its effect on energy levels, depression can interfere with your capacity to seek help. This makes TRD especially daunting for many people. It takes a great deal of determination to try new treatments, with the knowledge that just finding the right modality may take some time. As difficult as this is, it’s important to stay focused on the goal of getting well.

Whatever treatment you’re currently trying, you can always continue to learn about this condition. Knowledge is power. The more you know about treatment-resistant depression, the better equipped you’ll be to manage your symptoms and get the depression help you need.

Lifestyle Changes and Behavioral Health Treatments for TRD

Treatment-resistant depression¹ is defined as depression with symptoms that are not alleviated after trying two or more treatment options (medications) for at least six weeks each. Despite the myriad medical and behavioral options for treating depression, many people still struggle to find an effective treatment. One-third of people with major depression have TRD.²

If you think you may have treatment-resistant depression, you’re likely already familiar with the symptoms of major depression.³ While these criteria are well understood, research is beginning to explore some of their underlying causes.

Most people understand depression to be related to chemical factors in the brain. There are a number of environmental factors that may contribute to depression⁴—and it’s not just physical health. Depression has recently been associated with more frequent use of screens (cell phones, computers, etc.), and a lack of access to green space. High levels of air and noise pollution may also exacerbate symptoms. On the other hand, activities that guard against depression include confiding in other people, being part of a sports club or gym, and strangely enough, eating cereal.

These protective factors paint a clear picture: eating cereal with friends at the gym might be a valid treatment for treatment-resistant depression. In all seriousness, though, most of the activities that diminish the chances of depression include social support. That support doesn’t have to come from friends; it can also come from a one-on-one therapist, a psychiatrist, or a support group. The simple act of reaching out for help can have an immensely positive impact on TRD.

tabula rasa depression rehab — Tabula Rasa Retreat in the Alentejo Region of Portugal uses ibogaine therapy to induce a profound psychedelic state that many clients find helps them to make breakthroughs in healing their depression.

Alternative Therapies for Treatment-Resistant Depression

Holistic and alternative modalities are an increasingly popular way to treat mental health conditions. People with treatment-resistant depression might be particularly interested in these types of therapy. If traditional interventions—like SSRIs, talk therapy, and exercise—haven’t worked, you may be ready to try a radically different strategy.

Many of these depression treatments , like psychedelic-assisted therapies,⁵ are just starting to gain traction. However, they are not new. This class of medications was studied extensively from 1943-1970. The political shift of the 1970’s pushed researchers away from the subject, but now, public perception of psychedelics is starting to change. More effective treatments for TRD are very likely on the horizon.

In this new era, the stigma once associated with alternative therapy is dissipating. It’s an exciting time for anyone who wants to find new ways of treating mental health. That’s true for both clinicians and people dealing with their own diagnoses. Living with treatment-resistant depression might not be straightforward, but the number of safe and readily available treatments is steadily growing.

Ketamine Therapy for Depression

Ketamine is a psychedelic dissociative that can be helpful in treating depression,⁶ including TRD, and PTSD. It is administered in a supervised setting, rather than being prescribed for daily use. Ketamine IV treatments may be conducted individually or with small groups, and are always closely monitored by a medical team.

Ketamine therapy is intended to give you space to step back from your emotional experience, and to process your feelings from a more objective point of view. This perspective can be especially helpful in treating depression; simply taking space from your feelings can result in the immediate relief of some symptoms. Clients enter a trance state, during which they gain greater insight into their lives, often returning to full consciousness with renewed energy and a clear sense of how to move forward. The pharmaceutical aspect of ketamine therapy is often, but not always, combined with talk therapy either before or after the treatment itself. This invites clients to process the experience and set intentions for the future.

Ibogaine Treatment for Depression and Addiction

Ibogaine is a psychedelic that can be used to treat depression and addiction. According to MAPS, it is “a psychoactive alkaloid naturally occurring in the West African shrub iboga. While ibogaine is a mild stimulant in small doses, in larger doses it induces a profound psychedelic state. Historically, it has been used in healing ceremonies and initiations by members of the Bwiti religion in various parts of West Africa.” Modern-day clinicians are finding that clients with treatment-resistant depression also benefit from ibogaine therapy.⁷

Like ketamine, ibogaine is administered in a protected, controlled environment. Although more research is needed into this form of therapy, ibogaine shows promising results in observational studies.⁸ Thanks to these positive outcomes, this treatment is becoming more readily available in a number of settings, including rehab facilities.

For many clients, ibogaine therapy is a transcendent, even spiritual experience. By revisiting past experiences, they are able to reconnect with their higher selves. Álvaro de Ferranti, Founder of Tabula Rasa, explains that this treatment “heals the pain by helping the user deal with deep-seated traumas and emotional baggage. It helps them open themselves up to new possibilities, to let self-love back in, and to simply allow them to get back to self again.”

mountain springs recovery — Mountain Springs Recovery in Monument, Colorado treats depression using an evidence-based approach.

Combined Approaches to TRD Treatment

Pharmaceutical methods are just one way of treating resistant depression.⁹ Evidence supports the theory that a combined approach, including multiple modalities at once, is the most effective way to affect change. In order to achieve this, you may need to assemble a team of healthcare providers with different specialties.

Treatment-resistant depression is a mental health condition, but it can also impact your physical health, your relationships, and every other area of your life. Because of this, you can likely benefit from working with not just a psychiatrist and talk therapist, but also a personal trainer, massage therapist, or even an acupuncturist. If you want to kickstart the healing process with intensive treatment, you may want to consider inpatient treatment, or an IOP. As you try various modalities, remember that there’s no one right or simple answer. You might need to experiment with a few different combinations before finding what works best for you.

How to Know When to Try a New Treatment

When you begin treating any condition, whether it’s mental or physical, it’s important to track your symptoms carefully. For TRD, you can do this by journaling, using a mood tracker, or even making a spreadsheet to track how different behaviors affect your emotional state. Working with healthcare providers can also be extremely helpful in this process. A therapist will be able to refer to their notes, and provide objective insight into your progress over time.

If you decide to try pharmaceutical treatment for treatment-resistant depression,¹⁰ it’s absolutely essential that you follow your prescriber’s directions. Brain chemistry changes slowly, and it can be hard to know whether a new medication is working unless you give it adequate time to take effect. Research suggests that it takes at least 4 to 6 weeks on a new treatment before you start seeing results. That being said, everyone’s brain chemistry is different, and your experience may be different from this. Make sure to work closely with your provider to manage any side effects, and get their advice before stopping a medication.

When you’re working with an expert in any field, whether they’re a therapist or an interior decorator, it can take time to find the right person for you. If you’ve been seeing a therapist for some time without noticeable results, don’t be afraid to look for a new provider. That being said, don’t jump ship just because it doesn’t feel good. The work of therapy may not be easy or fun; the question is whether it’s helping you make positive, sustainable changes in the rest of your life.

Because depression often has environmental causes, it can also be helpful to see how your mood changes based on external factors. For example, do you feel worse in rainy weather, or when you don’t have time to see friends? In some cases, you can make behavioral changes to manage these symptoms, such as investing in a sun lamp or rearranging your schedule. However, you’re unlikely to stop encountering common triggers. If these external circumstances have less of an effect on your mood as you continue treatment, it’s a sign that you’re on the right track.

As Rowland Tweedie, Health and Fitness Manager of Paracelsus Recovery, sees it, “People are 360 degrees. All of us, we’ve got many aspects of our life: our health, our mental state, our physical state.” While the road to recovery may not be simple or straightforward, this process will undoubtedly teach you a great deal about yourself.

Healing From TRD is an Opportunity

As painful as treatment-resistant depression can be, it can also be an opportunity. If you’re able to cultivate an attitude of curiosity about yourself and your healing journey, the process may be far less arduous.

When you try several different types of therapy, you’ll learn about yourself from every angle. People are complex, powerful, and multifaceted. That includes you. As you get to know yourself better, you may find that recovery is a creative act. For people with TRD, it means more than finding the right pill. Instead, this is the process of building a better and more fulfilling life.

To learn more about different TRD therapies, you can connect with an inpatient rehab facility that treats depression.

Frequently Asked Questions About Treatment-Resistant Depression

How do I know when to try a new treatment for treatment-resistant depression (TRD)?

To determine when to try a new treatment for treatment-resistant depression (TRD), you can use tools like journaling, mood trackers, or spreadsheets to track how you feel day to day. Working closely with your therapist and other treatment providers can provide valuable insights into your progress and guide decisions about trying new approaches.

What alternative therapies are available for treatment-resistant depression?

Alternative therapies, including psychedelic-assisted therapies, are emerging as potential treatments for treatment-resistant depression (TRD). These therapies offer new possibilities for people whose depression hasn’t responded to traditional interventions.

How can combined approaches be effective in treating treatment-resistant depression (TRD)?

Combining multiple therapies and working with a team of healthcare providers with different specialties can be the most effective approach in treating treatment-resistant depression. This comprehensive approach addresses the multifaceted impact of TRD and can lead to better outcomes.

June 7, 2019May 8, 2023

Top 5 Benefits to Going Abroad for Mental Health Treatment

“Environmental factors may increase a person’s risk of addiction, including a chaotic home environment and abuse, parent’s drug use and attitude toward drugs, peer influences, community attitudes toward drugs, and poor academic achievement.”¹
The National Institute on Drug Abuse

There’s no arguing that environmental factors play a large role in facilitating addiction, substance abuse and depression. From a person’s family life and personal relationships to their economic stature and career, there are many “realities” that factor into why addiction is such a prevalent problem.

And it is a prevalent problem.

In 2017, over 70,200 people died from drug overdoses in the United States, and 19.7 million people across the country battled substance abuse.² The 2021 UNODC World Drug Report revealed an estimated 36 million people worldwide struggle with drug us disorders³ while the World Health Organization Global Status Report on Alcohol and Health (2018), estimates 283 million people struggle with alcohol use disorders (AUD) worldwide.⁴

When it comes to recovery, then, our everyday surroundings might not be the best place for it. In fact, a complete disconnect is arguably the healthiest way to recharge and reset.

Here are five reasons why going abroad for mental health treatment is a smart choice.

1. Disconnect from “Normality”

Oprah Winfrey once said:

“Surround yourself with those who only lift you higher.”

Taking yourself out of your normal routine and everyday surroundings can provide a fresh, new beginning for recovery. Chances are, in your current situation, you are surrounded by many “reasons” to drink or use, whether your friends encourage it or the tension with your family makes you feel the need to numb.

Going abroad to a rehab treatment center means you can disconnect from current enablers and negative people in your life, and remove the notion of peer pressure, judgement and snarky comments.

Here, you can begin to regain control over your choices and can consciously choose to improve and get better on your own terms, without fear of what others might think.

2. Get Specific and Expert Treatment

When it comes to rehabilitation, there are a plethora of treatment options available across the globe, and different countries often have their own unique treatment approaches to help heal a variety of addictions.

In Portugal, for example, several rehab centers offer ibogaine treatment to help recovering opioid addicts. But, ibogaine treatment is controversial. Although the U.S. government has declared opioid addiction an epidemic across the country, they’ve banned the use of ibogaine treatment as a viable recovery solution. For opioid addicts, then, ibogaine-assisted treatment only exists abroad.

Further, doctors and clinicians often specialize in particular areas and gain a reputation worth noting. To get the best treatment from these experts, it might require visiting a rehab center somewhere other than at home.

3. Gain a New Perspective

Oftentimes, what’s needed to jumpstart recovery is a new perspective.⁵ While family and friends often enable us to abuse drug and alcohol, so too can the way we see the world. When it comes to substance abuse, it’s common for our perspective to be negativity skewed, and negativity facilitates more negativity.

Perhaps you’re not earning enough money and you’re frustrated, for example. Perhaps your family takes you for granted. It might even be something as little as someone not saying thank you when you do something nice.

Whatever it is, new experiences, new cultures and observing a new way of living life can help us shift our perspective on everyday activities and experiences, and consequently, it can help us climb out of negativity. In Spain, for example, good weather, delicious food and a slower pace of life can help us breathe, heal and ultimately, overcome our addictions.

4. Save Yourself a Little Money

It’s often the case that rehab centers abroad are less expensive than rehab centers at home (depending on where you call home, of course).

If you’re from Britain, your sterling will get you a lot further if you attend rehab in Thailand, and you won’t be sacrificing on the quality of care. Accessibility to a rehab facility because of one’s economic viability can be a big barrier to attending rehab. It might be more cost-effective to travel abroad for recovery. Plus, you get to see a little of the world, which can only do you good.

5. Gain Privacy

Admitting addiction and seeking help is courageous. Sometimes you may want to participate in drug and alcohol treatment with complete privacy and discretion, perhaps even keeping it from people close to you (and your employer). Although staying local for treatment has its own set of advantages, going to rehab abroad can allow a person more privacy. You don’t have to disclose your reason for travel and you’re less likely to bump into those you know.

Experience Something New

Going abroad for rehab has many personal benefits attached to it. From altering our perspective and removing ourselves from unhealthy environments to getting specialist treatment at an affordable price, there are many reasons why a different country can aid in recovery.

But while these reasons have weight, there’s one overarching reason to attend rehab abroad, and that’s to simply experience something new. A new place, a new culture and a fresh take on life can jump-start the next chapter of life for many, and these personal learnings are arguably as important as the treatment program itself. These new paths we seek can help us heal.

Discover our collection of luxury rehabs around the globe. Filter by price, treatment approach, and more, and view key information about each center, including reviews, to find what you’re looking for.

Frequently Asked Questions About Rehab Abroad

Why do people travel abroad for rehab?

Going to rehab abroad is appealing for a few reasons:

• Removal from daily triggers
• Access to specific therapies, such as ibogaine treatment
• An extra layer of privacy
• Affordable treatment
• New experiences and perspectives

What are the benefits of a destination rehab?

Affordable luxury programs, greater privacy, exciting cultural experiences, exposure to a different way of life, and unique, specialized treatment draw people to rehab abroad.

Is it cheaper to go to rehab in another country?

Some regions offer more affordable addiction treatment than others. For example, luxury rehabs in Asia cost between $3,000 to $15,000 per month while a 30-day luxury rehab program in the U.S. falls between $25,000 and $50,000.

April 26, 2019April 11, 2023

Ibogaine Treatment for Substance Use Disorders

When you first enter recovery, it can be daunting to consider the road ahead. Especially after addiction, which sometimes offers instant gratification, you may be concerned about the slow rhythm of sustainable change. Some clients find it helpful to kickstart this process using ibogaine-assisted therapy.

Ibogaine is an alternative medicine, often administered in a short-term retreat setting. While it’s not readily available in the U.S., clients can travel to treatment centers around the world to seek it out. If ibogaine is right for you, it could certainly worth the trip. This experience is extremely different from most other forms of treatment.

What Is Ibogaine?

Ibogaine is a naturally occurring psychoactive alkaloid, found in the West African iboga shrub. In small doses, it’s a mild stimulant. In large doses, it can produce a dreamlike psychoactive state. This medicine has a long history, and has historically been used in healing and initiation ceremonies by members of the Bwiti religion.

The Multidisciplinary Association for Psychedelic Studies (MAPS) is exploring ibogaine as a potential treatment for substance use disorders, especially opiate addiction. According to their experts, “People with problematic substance use have found that larger doses of ibogaine can significantly reduce withdrawal from opiates¹ and temporarily eliminate substance-related cravings.”

Experts found that ibogaine can have both psychological and physiological benefits. It’s sometimes administered at the beginning of a client’s detox process, because it “diminishes opioid withdrawal symptoms and reduces drug cravings.”² Research suggests that ibogaine and its analogs “potently promote neuronal growth,” and produce “antidepressant-like behavioural responses.” Because of this, its effects may be beneficial for clients with a variety of mental health diagnoses.

The Uses of Ibogaine

This versatile treatment is especially useful for clients at the beginning of their recovery process. According to Álvaro de Ferranti, Founder of Tabula Rasa Retreat,

“It is not necessary to detox off drugs before an ibogaine treatment, particularly heroin…Ibogaine does take away heroin withdrawals instantly.”

It’s important to note, however, that clients detoxing from alcohol or benzodiazepines should taper off before beginning this treatment. Make sure to talk to your team of providers about your medical history, in order to avoid any serious side effects.

In addition to opiates, ibogaine is “also known to arrest cravings and addictions to stimulants such as crack cocaine and meth,” Ferranti continues. “It can also help people with dual disorders, mental disorders, and people who simply want to enhance their life spiritually and find answers and come back to self-love.” In particular, research supports the use of ibogaine for certain mental health concerns.

Opioid Addiction

In the Western world, this treatment is best known for its effect on recovery from opiate addiction. It alleviates most withdrawal symptoms, making detox faster and less uncomfortable. Clients also experience long-term benefits.

In one study, conducted by MAPS, “Results showed the most improvement in drug use at one month with 50% of participants reporting no opioid use during the previous 30 days. Ibogaine was associated with substantial reductions in opioid withdrawal symptoms³ and drug use in participants and may provide a useful prototype for development of innovative pharmacotherapy of addiction.”

Cocaine and Stimulant Addiction

According to the team of providers at Iboga Quest in Mexico, “cocaine addiction appears to respond very well to ibogaine treatment⁴when coupled with proper preparation and after-care.” This finding is aligned with preliminary data from formal research.

In one retrospective study, subjects who had been treated for “cocaine dependence,⁵ almost none of whom used opioids, reported a median relapse-free interval of 5.5 months following single doses of ibogaine.” Ibogaine’s influence on the risk of relapse may be caused by its other psychological benefits.

Another study, which specifically focused on people in recovery from cocaine addiction, found that clients “patients benefited from the treatment in all the secondary outcomes, reporting decreases in craving and improvements in personal relationships, quality of life, and self-efficacy, thus supporting existing notions that treatments combining ibogaine and psychotherapy do have a therapeutic potential in the treatment of substance use disorders.”⁶

PTSD

Many people in recovery present with co-occurring disorders, meaning that they have both substance use disorders and additional mental health diagnoses. In particular, it’s quite common for clients to have PTSD. This condition has a complex relationship with substances. Some clients turn to substances in order to self-medicate its symptoms, and others develop PTSD due to experiences they have while using substances.

Ibogaine is shown to have a positive impact on PTSD patients.⁷ One study, conducted with military veterans, found that treatment “may offer a rapid and robust, and well-tolerated, treatment option for those suffering from a variety of psychiatric and cognitive symptoms,” and specifically for symptoms related to trauma.

Depression

Promising research is currently being done into ibogaine as a treatment for depression. Scientists began by creating an analog of ibogaine,⁸ intended to have similar effects. This medicine, called tabernanthalog (or TBG), “appears to relieve depression and addiction symptoms without producing hallucinations or other dangerous side effects.”

Although much more research is needed into the effects of TBG, some healthcare providers already support success using ibogaine to treat depression. According to the team at Tabula Rasa Retreat, “ibogaine can lead to an increase in serotonin levels in the brain, leading to a sense of wellbeing and possibility after a difficult period.” Their program caters to people with substance use disorders, depression, PTSD, and a wide variety of other mental health concerns.

The Experience of Ibogaine

Ibogaine is available at treatment centers around the world, although not in the U.S. Just like any other type of rehab, each of these facilities has its own distinct philosophy. Choose an environment that suits your specific needs.

Whatever the atmosphere of the facility, it’s important to carefully prepare for this experience. If you’ve been using certain substances—such as alcohol—you may need to detox prior to treatment. For others, this may not be required. Make sure to talk to your medical doctor and to the staff at your treatment center about the safest way to proceed.

Ibogaine induces a psychedelic experience. During the session itself, you may find yourself in a dreamlike state for up to 72 hours. Clients often report revisiting traumatic events from the past, and gaining new insight into their least healthy behavioral patterns.

As you slowly emerge from this state, you will likely experience immediate and significant differences. Rich, a client at Iboga Quest, had previously undergone detox, and later decided to try ibogaine after a relapse. Comparing these 2 experiences, he told interviewers, “With iboga, or ibogaine, it’s like hitting the reset button…I would say I still had symptoms, but they were significantly less—maybe 20-30% of what you’d normally have.”

Ibogaine also transformed his experience of shame. Prior to treatment, he struggled to accept himself, and was haunted by past mistakes. In an ibogaine-induced dream state, he envisioned a human body with empty spaces inside it, which he’d been trying to fill by using substances. As he explored these images, he learned the value of accepting himself just as he is.

“I always thought that acceptance was almost like admitting defeat. And [ibogaine] showed me that I didn’t have to necessarily like these aspects of myself; it wasn’t asking me to do that. But I had to accept them…these are things that happened…and even if they’re aspects of myself that were true at some point, they don’t have to remain true. And accepting them doesn’t mean that they remain true forevermore. In fact, accepting them puts you in a really great position to be able to change those aspects of yourself that you don’t like. And so that was my major teaching, really.”

The Long-Term Effects of Ibogaine

Unlike some other psychedelic medicines, ibogaine can have a lasting effect on mental health.⁹ In fact, researchers believe that it can “modify addiction-related neural circuitry through the activation of neurotrophic factor signalling.” This has important implications for its use in the long-term recovery process.

Despite its rapidly apparent benefits, however, ibogaine is not a miracle cure for substance use disorders. Experts at Tabula Rasa Retreat have defined 4 distinct phases of ibogaine treatment:¹⁰

In Phase 1, patients ingest ibogaine and experience a dreamlike state. You’ll likely spend this portion of treatment in bed, and under medical supervision.
During Phase 2, you’ll be fully conscious and aware, but may be hypersensitive and overwhelmed by recent epiphanies.
Phase 3 “begins abruptly and lasts for around 3 months. This phase is known as Temporary Freedom.” During this time, clients report decreased cravings and a lower sensitivity to triggers. It’s extremely important to remember that this, too, is just one phase of treatment. Clients should have a clear plan for aftercare in order to take advantage of this time.
Phase 4 is also known as the “Return to Earth.” At this point, clients often see an increase in their emotional sensitivity, and may be susceptible to relapse.

Researchers have determined that ibogaine “is not a cure for addiction.¹¹ Instead, it merely interrupts addiction.” There is a great vulnerability associated with Phase 4 of treatment. No matter how relieved you may feel in Phase 3, it’s extremely important to prepare for your long-term recovery. If at all possible, it’s best to make plans for aftercare before you begin treatment. This may guard against the impulse to return to your old life too quickly.

Some clients begin recovery with ibogaine, and then go on to attend a more traditional rehab program. You might also consider joining an intensive outpatient program (or IOP), meeting with a support group, or simply seeing a talk therapist who specializes in substance use disorders. However you choose to proceed, make sure you’re prepared for the next phase of the healing process.

Beginning Recovery With Ibogaine

Although more research is needed, ibogaine is a very promising treatment. Whether you’re healing from substance addiction, trauma, or another mental health diagnosis, it may be a good place to start moving forward. However, like any other medication, this medicine is not appropriate for all clients. It has some notable health risks,¹² and may cause unwanted physical side effects. Make sure you consult with a medical professional in advance, to ensure it’s a safe method for you.

Remember that while recovery can start with ibogaine, it’s just the first step in a lifelong process. It’s best to combine this medicine with other, evidence-based therapies, which may include rehab, medical care, talk therapy, or other options. Ibogaine can be a powerful element of your healing process, and may make it easier for you to move toward a healthier lifestyle. But this experience is no replacement for the slow, careful cultivation of sustainable behaviors.

If you’d like to learn more about this therapy, see luxury rehabs offering ibogaine-assisted treatment.

Frequently Asked Questions About Ibogaine Therapy

What is ibogaine treatment for substance use disorders?

Ibogaine treatment is a unique approach to treating substance use disorders that involves the use of the iboga plant. It’s believed that ibogaine can help people heal from addiction by providing a deep psychological and spiritual experience that helps them confront its root causes.

Is ibogaine treatment safe?

While ibogaine treatment shows promise in treating addiction, it’s not without risks. It’s important to seek treatment at a licensed and reputable facility with trained medical staff who monitor patients and provide appropriate care.

What types of addiction can be treated with ibogaine?

Ibogaine treatment is used to treat a range of conditions, including addiction to opioids, alcohol, cocaine, and meth. However, it may not be suitable for everyone and should only be used under the guidance of trained medical professionals in a controlled and supervised setting.