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The Rehab Dilemma (1/3): Why Residential Addiction Treatment May Not Be Right for Everyone

  • Writer: Maya Goldberg
    Maya Goldberg
  • Dec 18, 2024
  • 2 min read

Updated: Mar 16

Why Residential Addiction Treatment May Not Be Right for Everyone (Part I) | Goldberg Recovery Counseling
Post-Rehab Anti-Climax: Recovery Euphoria vs. Real Life

Introduction: Residential Rehab is Not Always the Right Fit for Everyone


Residential addiction treatment is often viewed as the go-to solution for those struggling with substance-related or other addictive disorders. In countries like the Netherlands, where inpatient treatment is fully covered by insurance, it might seem like the ideal option. However, residential rehab isn’t always the best starting point for long-term recovery, nor is it the right strategy for everyone. For many individuals a more adaptable approach, one that’s designed to fit into their everyday life — such as a combination of online therapy and a mutual-support network — can offer better results, especially for those dealing with dual diagnosis, internationals on the go, or professionals with high-powered work life.


The Reality of Post-Rehab Recovery: No Quick Fix


One common misconception is that residential treatment can provide a “fix” for addiction. Clients often enter these programs expecting that after several weeks or months of intensive therapy, they will be “cured” of their addiction. But substance-related and addictive disorders frequently entail a lifelong vulnerability, and even after completing a residential program, individuals need ongoing care and support to avoid an endless cycle to recovery and relapse. Without a well-structured follow-up plan, many clients find themselves overwhelmed when they return to environments that triggered their substance use in the first place. This misplaced expectation of a one-off solution can lead to disillusionment, making the hard work of maintaining recovery even more challenging once they leave the facility.


The Anti-Climax Problem: Recovery Euphoria vs. Real Life


During residential treatment, clients are removed from the daily stressors that contribute to their addiction. In this highly controlled environment, they may experience a period of “recovery euphoria” — a temporary sense of confidence in their ability to maintain sobriety. However, once they return to real life, where old stressors and triggers await, the techniques learned in rehab can become difficult to implement. This gap between the protected environment of rehab and the realities of daily life can often result in stress and relapse.


When Residential Treatment Is Necessary


Residential treatment does have its place, particularly in cases where immediate intervention is necessary — such as life-threatening addictions or when an individual’s environment is unsafe or toxic. In these situations, residential rehab provides a crucial respite and an opportunity for stabilization. But even then, spending a significant period in a structured sober-living facility post-rehab may be necessary to prevent immediate relapse. Despite these safeguards, residential treatment doesn’t always guarantee long-term success, especially if clients don’t receive continued support upon returning to normal life.


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1 Comment


Chantell Alana
Chantell Alana
Dec 29, 2024

Thank you for your thoughtful articles. They give me a lot of food for thought.

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