5 Stages of Treatment Substance Abuse Treatment: Group Therapy NCBI Bookshelf

Talking therapies, such as CBT, help you to see how your thoughts and feelings affect your behaviour. You’ll also be given a keyworker, who will support you throughout your treatment. They may offer you treatment at the practice or refer you to your local drug service. They can discuss your problems with you and get you into treatment.

What are the 5 stages of change in recovery?

What Are the Five Stages of Change? The five stages of addiction recovery are precontemplation, contemplation, preparation, action and maintenance.

And desire to actively starting down the road to becoming drug-free. Stage 3 is where many addicts decide to visit a rehab center to explore the possibility or even take the leap and enter a rehab program. While the individual may not be making any direct recovery effort at this point such as entering a rehab program, it is still important for them to better understand the power of their addiction. This allows them to realize that they need outside help to overcome their addiction, and that the opportunities for a safe recovery do indeed exist. After you have completed Ohio drug rehab with Lumiere Healing Centers, the next stage, maintaining abstinence, will begin. Although rehab is over, you will still receive support from our trained professionals.

Stage 1: Initiation

Once you choose to quit using drugs, you will begin the process of recovery. It will be of interest to you to know exactly how long this cycle will last.


The abstinence stage is characterized as improving physical and emotional self-care. Those in recovery are in a hurry to skip the goals of this stage and move onto what they believe are the real issues. However, lacking self-care is what led to the addiction in the first place, so continuing this behavior will lead back to substance abuse.

Condition of Clients in Middle-Stage Treatment

In early-stage treatment, strong challenges to a client’s fragile mental and emotional condition can be very harmful. Out of touch with unmedicated feelings, clients already are susceptible to wild emotional fluctuations and are prone to unpredictable responses. In this frightening time, counselors need to ensure that the client has a sense of safety. This chapter describes the characteristics of the early, middle, and late stages of treatment. Each stage differs in the condition of clients, effective therapeutic strategies, and optimal leadership characteristics.

In terms of their substance use disorder recovery needs, therefore, young people may need greater attention to developing skills that help them access recovery support. There are many circumstances that motivate people to admit that their drug and alcohol use has become a problem and then find the willingness to seek help. For some, however, even in the face of dire consequences, there is a tendency to remain in denial about the magnitude of their addiction. Other people may become aware of a problem, but find it difficult to take the necessary steps to seek help and enter into recovery. Then, there are those who are able to identify the need for a change and are ready and able to take the necessary steps to find and maintain support.

Treatment Programs

We offer evidence-based programs that can be catered to the individual. We also provide support for the loved ones of the individual receiving treatment. For many, the action stage is both physically and mentally taxing — and individuals at this stage face a risk of alcohol relapse. The action stage typically lasts from three to six months and sometimes as long as 18 months, but it does not mark the end of the recovery process. Our center provides a network of treatment programs that help our patients transition smoothly through each phase of recovery. We treat addiction to all types of psychoactive substances, including alcohol, opioids, heroin, benzodiazepines, cocaine, and meth. Douglas Anglin, substance use disorder recovery is not a “one-size-fits-all” proposition.

  • You’ll also be given a keyworker, who will support you throughout your treatment.
  • Support networks that can provide feedback and structure are especially helpful at this stage.
  • In times of crisis, “an individual’s attachment system opens up” and the therapist has a chance to change the client’s internal dynamics (Flores 2001, p. 72).
  • Once people in the contemplation stage shift away from just thinking about their alcohol problem and begin focusing on a solution, they’ll move toward stage three of recovery.
  • Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles.

Choosing to enter treatment or begin any kind of substance abuse recovery program can be scary, but it is an important step in changing one’s life. The alcohol and drug addiction recovery process can look different for each person and is based on the level of care determined for a person, so treatment is often tailored to the individual.4 Program lengths vary. You may choose a 28- or 30-day, 60-day or 90-day inpatient drug rehab stay or an outpatient rehab program, and you might like to opt for specialized treatment options. If you or a loved one is ready to take action and start the drug and alcohol recovery process, you’ve already started the stages of change and may be looking for treatment options. Treatment varies depending on the type of substance, the presence of co-occurring mental disorders and other personal factors. It’s important to explore your options and choose treatment that addresses your individual needs. Understanding the five stages of addiction recovery can be useful for addicted people and their family members.

Condition of Clients in Late-Stage Treatment

They usually resent suggestions that they should seek help or http://navelseed.ru/?page=186 their behavior. As noted, these stages can be skipped or encountered more than once. Some addicts will never reach acceptance and will continue to succumb to the adverse effects of addiction until they die. Interestingly, anger is often directed internally at the addict or alcoholic herself or at others who try to intervene, rather than the substance or the people who are supplying the substance. The 5 stages of grief include denial, anger, bargaining, depression, and acceptance. As an industry professional JourneyPure has become one of my most trusted resources.

When you reach out for help from a professional alcohol and drug rehab program, you begin the first stage of your recovery, treatment initiation. When patients first stop using drugs, they can experience various physical and emotional symptoms, including restlessness or sleeplessness, as well as depression, anxiety, and other mental health conditions. Certain treatment medications and devices reduce these symptoms, which makes it easier to stop the drug use. As the substance abuse problem fades into the background, significant underlying issues often emerge, such as poor self-image, relationship problems, the experience of shame, or past trauma. For example, an unusually high percentage of substance and alcohol abuse occurs among men and women who have survived sexual or emotional abuse.

Stage One: Precontemplation

The group http://zabygrom.com/laytreatalunas/ has the delicate task of exposing the motives behind the outward compliance. If you or a loved one needs help with substance abuse, Recovery at the Crossroads can help you along every step of the way. It can also be helpful for the addicted person themselves to gain self-understanding using this model.

It’s great that you or someone you love is ready to be on the journey to overcoming addiction. Treatment and recovery help to stop the progressively worsening symptoms of addiction to support your goals of improving your health, relationships and other aspects of life. Motivational enhancement therapy uses strategies to make the most of people’s readiness to change their behavior and enter treatment. Additionally, medications are used to help people detoxify from drugs, although detoxification is not the same as treatment and is not sufficient to help a person recover.

Stages of Recovery

The result is that different group members may achieve and be at different stages of recovery at the same time in the lifecycle of the group. The group leader, therefore, should use interventions that take the group as a whole into account. It is possible for your loved one to move between stages two and three multiple times. They may try addiction recovery on their own without a treatment center. This can work, but not everyone is successful in doing it on their own. This is the stage before your loved one enters a substance abuse treatment program. They are not ready to enter a program yet because they are struggling to admit that they have something that needs to be treated.

Not all loved ones or caregivers understand the key stages of recovery someone has to go through to overcome their addiction. If you want to support your loved one on their journey to recovery, it helps to know the basics of what they will be going through. As a result, the person using the substance may increase the dosage or frequency of use to try to recapture the original result. Then, over time, tolerance to this new dosage occurs, and the person increases again, creating a progression into heavy substance abuse. This is the stage in which drug and alcohol use really becomes an issue that lessens the user’s control. During the problem and risk-taking use stage, the user’s life becomes affected by their use. This could mean relationship problems, employment issues, financial struggles, and more.


Inpatient drug and alcohol rehab allows you to focus on your recovery without distractions and removes you from environments that may have been contributing to your drug use. In the repair stage, risks to recovery include poor self-care and not attending self-help groups. Establishing a support system while also supporting and believing in oneself is crucial to this stage of recovery.

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