The treatments and therapies offered in inpatient rehab depend on the facility and the length of stay. Long-term residential programs will likely offer a wider variety of options than those that are focused solely on stabilization through medical detox.
Detox Services
Detoxification (detox) helps your body rid itself of the addictive substance and is often the first step in treating a substance use disorder. When you stop using a substance your body is dependent on, you may experience uncomfortable and sometimes even dangerous withdrawal symptoms.
Detox services let healthcare providers monitor you during those first few days when symptoms may be the most intense. They’ll check your vitals, watch for potential complications such as seizures and keep you as comfortable as possible. Detox may be part of a specific inpatient program, or you may need to complete detox at another facility before being transferred to the inpatient rehab.
Medication-Assisted Treatment
Medication-assisted treatment (MAT) uses U.S. Food and Drug Administration (FDA) approved medication alongside counseling to treat addiction. MAT is approved for opioid and alcohol use disorders. It helps treat addiction by relieving withdrawal symptoms and psychological cravings. Only certain medications are approved for treating substance use disorders, including buprenorphine, methadone and naltrexone.
Addiction Therapy
Addiction therapy is a part of most inpatient treatment programs. Therapy can address issues with your behavioral health, mental health disorders and coping mechanisms that contribute to addiction.
Common addiction therapy types include:
- Cognitive Behavioral Therapy (CBT): CBT is a goal-oriented talk therapy that helps you analyze your thoughts and emotions to understand how they affect your actions.
- Dialectical Behavior Therapy (DBT): DBT helps you acknowledge realities in your life and behaviors and learn ways to change these patterns and behaviors, such as through radical acceptance and distress tolerance.
- Motivational Interviewing: Motivational interviewing is a type of therapy that helps increase your motivation to change your life and treat your addiction. It’s often one of the first types of therapy used in substance use treatment.
- Contingency Management: Contingency management reinforces positive behavioral change by providing motivational incentives.
- Matrix Model: The Matrix Model is a formal, multi-component program that includes support groups, family therapy, individual counseling and education groups over 16 weeks.
Group Therapy
Group therapy focuses on the shared experience and provides the opportunity to learn from others who are also pursuing recovery. Many people find group therapy to be helpful because it provides a sense of camaraderie and peer support.
There are several kinds of group therapy, including support groups and 12-step groups, and they can be for all kinds of substance use or trauma. Common topics for support groups include:
- Women’s issues
- Emotional abuse
- Intimate partner violence
- Anger management
- Mental health disorders
Twelve-step programs, such as Narcotics Anonymous (NA) or Alcoholics Anonymous (AA), are common in inpatient treatment and follow a specific set of steps to support long-term recovery.
Dual-Diagnosis Treatment
Having a mental health disorder makes someone more than twice as likely to have a substance use disorder. When a mental health disorder and a substance use disorder need to be treated at the same time, it’s called dual-diagnosis treatment.
Common dual diagnoses include anxiety, depression, post-traumatic stress disorder (PTSD), attention-deficit/hyperactivity disorder, eating disorders and bipolar disorder. Treatments used during an inpatient dual-diagnosis program are tailored to the individual but may include:
- Behavioral therapy
- Individual counseling
- Psychoeducation
- Medication management
- Peer support groups
Addiction and mental health are often closely related, with mental health symptoms often triggering substance use and vice versa. Counseling can help a person work through the triggers and situations in their life that may have led to addiction and substance abuse behaviors. The goal of counseling is to find long-term strategies to manage these triggers and situations without substances.
Alternative Therapies
Many inpatient rehab centers also offer alternative therapies as part of their programming to provide a holistic treatment strategy. These may include:
- Yoga
- Art therapy
- Music therapy
- Mindfulness and meditation
- Tai chi
- Reiki
- Acupuncture
- Chiropractic care
- Adventure therapy
- Equine therapy
Alternative therapies are never a substitute for evidence-based care, but they can complement traditional substance use treatment and support holistic well-being.
Relapse Prevention
A major part of substance use treatment is acknowledging that addiction doesn’t have a cure, and long-term recovery requires ongoing treatment and a commitment to sobriety. Relapse prevention helps you learn new skills and tools to prevent relapse, including:
- Healthy coping mechanisms
- How to identify your triggers
- What the warning signs of a relapse look like
- Where to reach out for support
- How to build a support system
- How to cope with stressors that can lead to substance abuse
Aftercare Planning
Aftercare planning involves working with your care team to identify and coordinate what services and supports you need to help you transition to day-to-day life and prevent relapse. Aftercare planning may include:
- Entering a step-down program like a partial hospitalization program (PHP) or intensive outpatient program (IOP). These programs are less intensive than a standard inpatient program but still provide structure and support during recovery.
- Participating in a 12-step group, such as Narcotics Anonymous or Alcoholics Anonymous. These programs can help you build community and prevent relapse.
- Living in a sober living home or transitional housing. These facilities help ease the transition to everyday life through continued daily structure and peer support.