How Alcohol Rehab Works and What to Expect in Treatment
- Mitchell Curtis
- Jun 22, 2023
- 4 min read
Updated: May 2
What is alcohol rehabilitation treatment?
Alcohol rehabilitation treatment is a structured programme designed to help individuals stop drinking and begin a new life in sobriety. Offered in an inpatient setting, the treatment combines medical support, counselling, group therapy, and a 12-step-based approach to address the physical, mental, emotional, and social aspects of alcohol use disorder (AUD).
During rehab, medical professionals closely monitor the detox process to ensure it’s safe and comfortable, as alcohol withdrawal can be life-threatening (learn more about delirium tremens). Along with medically assisted detox, the 12-step programme provides a supportive, community-based environment to guide individuals through their recovery. Rehab offers a safe space for emotional healing and equips individuals with the tools needed for long-term sobriety.
Why professional help is necessary and the life-threatening risks of treating alcohol withdrawal at home
Alcohol withdrawal can be dangerous and life-threatening, with symptoms ranging from anxiety and tremors to severe complications like seizures and delirium tremens (DTs). Medical supervision is crucial during withdrawal to ensure safety and comfort. Attempting withdrawal at home without professional support increases the risk of serious health issues. In an inpatient rehab setting, medical professionals monitor the process and provide necessary treatments, minimising risks and ensuring a safer recovery.
What is the detox process for alcohol?
Alcohol detox, or detoxification, is the first step in treating alcohol use disorder (AUD), where alcohol is fully removed from the body. Withdrawal symptoms usually begin to subside within 1–2 weeks, though it may take longer depending on the severity of the patient’s AUD. The detox process is closely monitored by medical professionals to manage symptoms and ensure safety. Detox helps stabilise the body, preparing the individual for the next phase of treatment, including therapy and counselling.
Symptoms of alcohol withdrawal
The alcohol detox phase can involve withdrawal symptoms that range from mild to life-threatening. Often, the duration and severity of the patient’s alcohol use disorder (AUD) will influence the intensity of the symptoms experienced.
Minor symptoms of alcohol detox may include: | More severe alcohol detox withdrawal symptoms can include: |
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Delirium tremens, a potentially life-threatening effect of alcohol withdrawal, occurs in fewer than 5% of cases, typically within 2 to 5 days after the last drink. Given the seriousness of withdrawal symptoms, detox should be carried out under medical supervision, particularly for individuals with existing health conditions. Medical professionals closely monitor vital signs and administer medication to reduce discomfort and maintain safety throughout the recovery process.
What to Expect During Alcohol Rehab Treatment
The treatment plan
During alcohol rehab, patients can expect a combination of medical treatment, therapy, support, and a 12-step-based program. Treatment may include individual counseling, group therapy, and educational sessions aimed at addressing the root causes of addiction and developing coping strategies. The rehab environment is supportive and structured to ensure the best chance for long-term success.
A rewarding sense of belonging and connection
Along with all the benefits mentioned above, one of the most rewarding parts of inpatient rehab is the sense of community, which plays a big role in the healing journey. If you're curious about what it's like at WellVale, feel free to explore our facility, activities, meals, and exercise programmes on our website.
Average Duration of Alcohol Rehab Programs in South Africa
The duration of alcohol rehab programmes in South Africa typically ranges from 21 to 90 days. Medical aid usually covers 21 days, and due to affordability, most individuals opt for this option, though the success rates are lower. It should be noted that if detox takes one to two weeks, there is limited time left for other aspects of recovery.
The length of treatment also depends on the severity of the alcoholism, the individual's progress, and the type of rehab programme chosen. Some patients may require longer stays to ensure they receive the necessary support for full recovery.
Why Longer Alcohol Rehab Programs Offer Better Success Rates
Longer alcohol rehab programmes, typically 90 days or more, offer a more thorough and effective path to recovery than shorter stays. They allow time for full detox, deeper emotional healing, and completion of all 12 steps, helping individuals build strong coping strategies and reduce the risk of relapse.
Extended Treatment Supports Brain Healing
· Allows time for the prefrontal cortex to recover, improving decision-making and rational thinking.
· Supports cognitive and emotional stabilization after prolonged alcohol use.
Addresses Co-Occurring Disorders
· Provides time to identify and treat mental health conditions alongside addiction.
· Encourages integrated care for lasting recovery
Builds Readiness for Life After Rehab
· Helps establish a stable daily routine.
· Fosters a strong support network for ongoing sobriety.
· Reinforces healthy habits and coping strategies
The importance of seeking help early
Seeking help early in the addiction process is crucial for successful recovery. The sooner a person enters rehab, the easier it is to address the physical and psychological impacts of alcohol addiction. Early intervention minimises health risks, reduces withdrawal severity, and increases the likelihood of lasting sobriety. Read our article to learn how to recognise the early signs of alcoholism.
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