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This article explores what happens in rehab, what to expect, what a typical daily routine looks like and the length of different addiction treatment programs.
The First Step: Intake & Assessment
When you arrive at a rehab center, one of the first things that will happen is an intake and initial assessment by a member of the treatment team.
What happens in rehab may look different from place to place, but it will most likely include the following:
- Medical history
- Mental health evaluation to diagnose co-occurring mental health disorders such as depression and anxiety
- Substance use history to determine the severity of addiction
- Physical exam and, at times, toxicology tests
- Paperwork such as signing consent forms, verifying insurance coverage, outlining financial options and discussing treatment goals
- A tour of the facility and introductions to their treatment team
- Evaluation of social supports, living situations and potential legal issues that may impact treatment
A thorough intake and assessment help the care team to build your individualized treatment plan that meets your specific needs.
Medical Detox
Detox is often the first step in the rehab treatment process. Detox is the process of removing addictive substances from the body.
During the detox process, you will likely experience withdrawal symptoms that can be unpleasant and sometimes life-threatening. Withdrawal symptoms differ and depend largely on the substance being abused.
A medical detox provides 24/7 professional support, ensuring your withdrawal symptoms are carefully monitored and managed for your safety and comfort.
In general, many people in withdrawal will experience similar symptoms including:
- Anxiety
- Muscle aches
- Insomnia
- Sweating
- Abdominal pain
- Nausea
- Headaches
In addition to close monitoring and support, you may be offered medications to help ease withdrawal symptoms and curb cravings.
Some of the most commonly used medications include methadone, buprenorphine, naltrexone, certain benzodiazepines, medications to prevent vomiting and diarrhea and non-narcotic pain relievers.
Therapy and Counseling in Rehab
After detox, inpatient treatment shifts the focus from physical stabilization to the deeper work of recovery, addressing the mental, emotional and behavioral aspects of addiction.
Inpatient programs integrate evidence-based approaches to help you recognize and change negative thinking and behaviors, and may include trauma-informed care if past trauma plays a role in addiction.
Individual Therapy
Individual therapy is an important component of a comprehensive rehab program.
Most use a mix of behavioral approaches including:
- Cognitive-behavioral therapy
- Motivational interviewing
- Contingency management
These therapies help you uncover the patterns of thinking that lead to certain behaviors, explore ways to change destructive behaviors and learn new coping skills.
Group Therapy
In addition to individual therapy, most rehab programs will utilize group therapy or peer support groups as another component of your treatment plan. These could be therapy groups led by a professional counselor or peer groups such as 12-Step groups.
This type of intervention allows you to hear stories from others in recovery and provides a sense of community and acceptance.
Family Therapy
Many people are also encouraged to participate in family therapy during rehab. These sessions give loved ones the opportunity to join you in your recovery journey in a supportive, structured environment.
Moreover, family therapy can help repair strained or damaged relationships, improve communication and give those closest to you a better understanding of addiction and how to support your ongoing recovery.
A Typical Day in Rehab
Each facility will have a different routine, but there are some typical aspects of a daily schedule in rehab. Days are very structured from morning to night.
Each facility may have its own routine, but most rehab programs follow a similar daily schedule. Days are highly organized from morning through evening, providing consistency, stability and a clear sense of purpose throughout treatment.
Morning routines
You will likely wake up around 7 am, eat breakfast and take medications if needed. Some may offer morning activities such as mindfulness practices or exercise to help you start the day.
Therapy sessions
Throughout the day, you will be scheduled for various therapeutic sessions, including individual, group and family sessions. You may also be offered holistic therapies such as art, music, yoga, meditation, massage or acupuncture.
Educational programs
Many rehabs also include educational workshops throughout the day. A key purpose is learning how addiction affects the brain and body, the whys behind cravings and triggers, how tolerance and dependence develop, and how to plan for a future in sobriety.
What Happens In Rehab: The Length of Recovery
The length of rehab depends on many factors. This includes:
- Substance being used
- Substance use history (dose and length of time using)
- Co-occurring conditions (such as anxiety or depression)
- Physical health status
- Motivation and history of relapse
For detox, your stay may last from 3-10 days while medical staff make sure you are stable, your withdrawal symptoms subside and you are ready to focus on the next step in your recovery journey.
A short-term inpatient rehab program typically lasts around 30 days, while longer programs can range from 60 to 90 days.
What Happens After Rehab
After rehab, your focus shifts to maintaining your recovery in everyday life. This phase in your recovery is often referred to as aftercare.
The main focus of aftercare is on preventing relapse. Some individuals will live in a sober living home for a period of time. This type of environment provides added structure and accountability while you adjust to independent living without substance use.
Others may be ready to go back home and continue their treatment plan in outpatient treatment or counseling. During this phase, you can continue to practice the skills you learned during rehab and build skills that help you to maintain your sobriety.
Ongoing support, such as 12-step groups, not only helps you to maintain sobriety but also offers a space where you can develop relationships that are so important for long-term recovery.
What Happens in Rehab: FAQs
What Do People Do in Rehab All Day?
Days in rehab follow a structured routine that often includes individual therapy, peer support groups, educational workshops, free time and recreational activities.
How Long Does Rehab Last?
Your length of stay will vary depending on your specific needs. Short-term residential stays can last up to 30 days, while longer treatment programs typically last from 60 to 90 days.
Is Rehab Like a Hospital?
Not all rehabs resemble a hospital-like setting; some offer more luxurious accommodations with a home-like feel.
Can You Have Your Phone in Rehab?
Some rehabs allow you to use personal devices, such as a cell phone or computer, while others prohibit any personal electronics. It is important to discuss any questions you may have before you begin a program, as they can differ greatly from one to another.
Does Rehab Actually Work?
Yes, rehab is very effective in helping people recover from alcohol or substance use disorder.
Research consistently shows that people who complete treatment and stay involved in recovery supports have a lower risk of relapse, improved physical and mental health and a better quality of life.
