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Inpatient Rehab

Residential rehab, also known as inpatient rehab, is the most intensive form of addiction treatment on ASAM’s continuum of care. 

Some people with mild addictions respond favorably to treatment in an outpatient setting. For most moderate and severe alcohol use disorders or substance use disorders, treatment at an inpatient rehabilitation center is the optimum route to recovery without relapse. 

Table of Contents

What is Inpatient Rehab?

Anyone looking to engage with addiction treatment has a choice between inpatient rehabs and outpatient rehabs.

Inpatient rehab involves a residential treatment program lasting from 30 days to 90 days or longer. You remain at the inpatient rehabilitation facility for the duration of treatment. The ideal duration of inpatient treatment for substance abuse will depend on the severity of your addiction and any co-occurring disorders (addictions with co-occurring mental health conditions).

Residential treatment for addiction provides a highly structured environment free of triggers and temptations where you can focus on unchaining yourself from addiction among peers undergoing similar experiences.

Inpatient drug rehab or alcohol rehab often involves family counseling and therapy. This can help you to repair relationships damaged by your active addiction under controlled conditions. 

Once you complete your rehab inpatient, you can either step down to an outpatient program or transition directly back into sober living.

Article at a Glance:

What to Expect at an Inpatient Drug Rehab

Residential drug treatment and alcohol treatment unfolds along similar lines. Whether you are addicted to alcohol, prescription medications, or illicit drugs, inpatient rehab allows you to attack both the physical and psychological components of addiction under close supervision. 

In most cases, residential rehab begins with a medical detox. Detox or detoxification is a process where all the toxins and toxic by-products of the addictive substance are purged from your system. 

When you stop using an addictive substance, this often triggers adverse withdrawal symptoms and intense cravings for the substance. A medically-managed detox provides you with around-the-clock clinical and emotional care. Your treatment team may prescribe medications to streamline the withdrawal process. 

In addition to making detox safer and more comfortable, the risk of any complications is minimized. If anything does go wrong, you are already in the best place for immediate treatment. 

Detoxification typically takes from 5 to 10 days. Now you are no longer physically dependent on an addictive substance, you are ready to segue directly into the main phase of treatment.

Treatment Options

According to National Institute on Drug Abuse (NIDA), addiction is a chronic and relapsing brain disorder characterized by the compulsive acquisition and consumption of addictive substances despite demonstrably adverse consequences. Chronic substance abuse can cause structural and functional changes to the brain.

During treatment at an inpatient rehab, you’ll have access to medication-assisted treatment (MAT), psychotherapy, and counseling. Before we highlight what these therapies involve, how about treatment for addictions co-occurring with mental health disorders?

Dual Diagnosis Therapy

If you have a substance use disorder and a mental health disorder simultaneously, this is a dual diagnosis or co-occurring disorder. 

With dual diagnosis, the addiction could be to any of the following substances: 

  • Alcohol
  • Marijuana
  • Cocaine
  • Heroin
  • Meth
  • Prescription medications like opioids or benzos) 

Some of them most diagnosed mental health conditions in the context of dual diagnosis are as follows: 

  • Depression
  • Anxiety
  • Bipolar disorder
  • Post-traumatic stress disorder (PTSD)
  • Schizophrenia

With a dual diagnosis, either the addiction or mental health issue may develop first. All co-occurring disorders are unique, and the success of treatment is contingent on a precise diagnosis.

Research shows that integrated treatment for dual diagnosis is consistently superior to treating each condition in isolation. Mental health conditions and addiction are closely intertwined, one condition often feeding the other.

In residential rehab for dual diagnosis, you’ll typically detox before engaging with medication-assisted treatment, behavioral therapy – more on this directly below – and counseling.

Medication-Assisted Treatment

Medication-assisted treatment (MAT) is a form of therapy involving the prescription of FDA-approved drugs with the aim of streamlining withdrawal from alcohol or drugs. MAT alleviates both the physical symptoms associated with withdrawal and the mental symptoms manifested in the form of cravings. 

For the treatment of opioid use disorder, the FDA approves the following medications: 

  • Methadone
  • Buprenorphine
  • Naltrexone 

For the treatment of alcohol use disorder, the FDA approves the following medications: 

Additionally, your treatment team may draw from any of the following medications: 

  • For withdrawal from opioids: Methadone, buprenorphine, naltrexone.
  • For withdrawal from alcohol: Disulfiram, acamprosate, naltrexone.
  • To mitigate cravings: Vivitrol.
  • To treat the symptoms of anxiety: Benzodiazepines.
  • To improve sleep: Ambien, other sleep aids.
  • For blood pressure regulation: Clonidine.
  • To treat seizures: Diazepam.

While MAT is proven effective for the treatment of addictions, this form of therapy is always optimized when delivered in combination with behavioral interventions like counseling and psychotherapy. 

Psychotherapy is the clinical term for talk therapy. The most common forms of psychotherapy for the treatment of addictions and mental health issues are:

  • Cognitive behavioral therapy (CBT): Your therapist will help you identify the people, places, and things that trigger you to use drink or drugs. You will then discover how to use healthier coping mechanisms, enabling you to cope with life’s stressors without resorting to addictive substances.
  • Dialectical behavior therapy (DBT): Originally used to treat the symptoms of borderline personality disorder (BPD), DBT is now used to treat a variety of conditions. You will strengthen your coping skills and ability to tolerate distress through sessions with your therapist and homework assignments.

Rational emotive behavior therapy (REBT): Through this form of psychotherapy, you learn how to replace negative and self-defeating thoughts with healthier, more rational thoughts with a view to reducing harmful behaviors like substance abuse.

Holistic Treatment

All inpatient rehabs will offer the evidence-based treatments outlined above. Through a personalized array of MAT, psychotherapy, and counseling, you’ll attack the physical and psychological aspects of addiction. 

Most decent residential treatment centers will also provide access to a range of holistic therapies along conventional treatments. 

Holistic therapies are based on the premise that the systems in your body should be considered as a whole entity rather than a batch of separate and unconnected systems. The practice of holistic therapy stems from holism (also known as Gestalt psychology) holds that the whole is greater than the sum of its parts. 

When the various systems in your body are all working together harmoniously, this will strengthen your health and wellbeing. When applied to the treatment of addiction and mental health disorders, holistic inpatient rehab treats your whole body instead of focusing purely on the troublesome symptoms triggered by substance abuse. 

This small study shows that treatment outcomes are improved through a holistic and multi-dimensional approach to therapy. 

Some of the most common forms of holistic treatment include: 

  • Meditation
  • Guided meditation
  • Mindfulness
  • Yoga
  • Experiential adventure therapy
  • Acupuncture
  • Eye movement desensitization and reprocessing (EMDR)
  • Aromatherapy
  • Hiking
  • Surfing
  • Tai chi
  • Art therapy
  • Music therapy
  • Biochemical restoration
  • Hypnosis
  • Herbal therapy
  • Animal-assisted therapy
  • Massage
  • Nutritional therapy
  • Sound therapy

There are three goals central to holistic treatment at residential rehab: 

  1. Repairing the damage
  2. Strengthening overall health
  3. Maintaining optimum health 

What can you expect from a typical day at an inpatient rehab facility?

Daily Life at a Residential Rehab

While everyone has a different experience of residential rehab, most treatment centers offer programs operating similarly. Here’s how a standard day might pan out at an inpatient facility.

Morning

One core goal of all inpatient rehab programs is to help you establish healthy routines to replace the lack of structure inherent in active addiction. 

Expect to rise early in residential rehab. Getting up and going to bed at the same time will promote better sleep at a time when sleep patterns are commonly disrupted. 

You will start the day by eating a nutritious breakfast in a communal setting, fueling yourself for the day ahead. 

Many inpatient treatment centers offer holistic treatment like mindfulness and meditation after breakfast, allowing you to prepare your body and mind for therapy. 

Often, the mornings in residential rehab round out with group counseling or therapy sessions. A therapist will lead discussions on topics related to recovery and addiction. While group therapy lacks the personal attention of individual therapy, you can draw from the support of peers tackling similar issues. You will also be exposed to a wide range of viewpoints. 

A balanced lunch with your peers will set you up for the remainder of the day’s therapy.

Afternoon

Afternoons in an inpatient rehab center will involve more group sessions as well as individual therapy. One-to-one sessions allow you to work closely with a therapist to explore the specifics of your substance use disorder and any co-occurring mental health disorder. 

Through psychotherapies like CBT, you’ll learn to cope more robustly in the face of stressors rather than using addictive substances to self-medicate. 

Most individual counseling sessions are followed by some downtime for reflection. You can then expect to hone the skills you have been learning in a group counseling setting. During the afternoon at inpatient rehab, you can engage with holistic and therapeutic activities. 

You may get some preparation or homework from your counseling and therapy sessions.

Evening

You will eat a balanced and nutritious dinner before spending some time journaling or preparing for the following day’s therapy. 

There may be an evening group session, as well as peer-support group meetings. 

An early bedtime will maximize your chance of feeling rested for more of the same as you push through your inpatient rehab program.

How Long Are Inpatient Rehab Programs?

Inpatient rehab is available in the following forms: 

  • 30-day inpatient rehab
  • 60-day inpatient rehab
  • 90-day inpatient rehab
  • Long-term intensive residential rehab 

You may start a 30-day program and determine that you require a lengthier stay. Look for a rehab center offering flexible programming so you can get the right level of care for your needs throughout your recovery. 

When you complete an inpatient program, you should have a relapse prevention plan and aftercare strategy in place, bolstering your chances of sustained recovery without relapse. 

Call Our California Inpatient Rehab Today

If you feel you would benefit from treatment in an inpatient rehab center, you now know exactly what to expect. 

When you are ready to move beyond the restrictions of active addiction, we’re here to help you every step of the way at California Detox. Our Laguna Beach treatment facility will take you from detox through addiction treatment and into sober living. 

Take the first vital step by reaching out to admissions. Call 949.567.8790 today.

FAQs

Inpatient treatment refers to a model of care in which the client lives in the facility they are receiving treatment from. While this can apply to a number of different types of treatment, when it comes to inpatient rehab, clients are going through therapy sessions,  holistic treatment, medication-assisted treatment, and more all from a facility where they are monitored 24/7 by a clinical care team.

Inpatient rehab, and rehab in general, has a wide range in terms of pricing. With most facilities falling somewhere between $5,000 to $30,000. That said, many treatment centers, including California Detox, happily partners with insurance organizations to make treatment as affordable as possible to all clients.

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