What Do They Do in Alcohol Rehab?

February 1, 2026
By
Dr. Darren Lipshitz MD

Alcohol rehab provides medical detoxification, individual and group therapy, behavioral counseling, medication management, and life skills training to help people overcome alcohol dependence. Treatment programs address physical withdrawal, psychological addiction, and underlying mental health issues contributing to alcohol use disorder.

Alcohol rehab provides medical detoxification, individual and group therapy, behavioral counseling, medication management, and life skills training to help people overcome alcohol dependence. Treatment programs address physical withdrawal, psychological addiction, and underlying mental health issues contributing to alcohol use disorder.

What Happens During Medical Detoxification?

Medical detoxification safely manages alcohol withdrawal symptoms under 24-hour medical supervision. Withdrawal from alcohol can cause dangerous complications including seizures, delirium tremens, and cardiovascular issues. Medical staff monitor vital signs, administer medications, and intervene when complications arise.

Detox typically lasts 3 to 10 days depending on drinking history and withdrawal severity. Medical professionals use standardized assessment tools measuring withdrawal symptoms every 4 to 8 hours. These assessments guide medication dosing ensuring patient safety and comfort.

Withdrawal Symptom Management

Common alcohol withdrawal symptoms include:

  • Anxiety and restlessness within 6 to 12 hours
  • Tremors and sweating after 12 to 24 hours
  • Hallucinations between 12 to 48 hours
  • Seizures possible within 24 to 48 hours
  • Delirium tremens developing 48 to 72 hours after last drink

Medications including benzodiazepines, anticonvulsants, and beta-blockers manage these symptoms. Proper medication protocols reduce seizure risk by 90% and prevent delirium tremens complications.

How Does Individual Therapy Work in Rehab?

Individual therapy sessions occur 1 to 3 times weekly with licensed therapists specializing in addiction treatment. Therapists use evidence-based approaches including cognitive behavioral therapy, motivational interviewing, and trauma-focused therapy addressing root causes of alcohol dependence.

Sessions last 45 to 60 minutes focusing on personal triggers, coping strategies, relationship issues, and mental health concerns. Therapists help clients identify thought patterns contributing to drinking and develop healthier responses to stress and emotions. Comprehensive alcohol addiction treatment programs integrate multiple therapy modalities for optimal outcomes.

How Does Individual Therapy Work in Rehab?

Common Therapy Goals

Individual therapy addresses specific objectives:

  • Understanding personal drinking triggers
  • Developing healthy coping mechanisms
  • Processing trauma or adverse experiences
  • Improving emotional regulation skills
  • Building motivation for sustained sobriety
  • Creating relapse prevention strategies

What Types of Group Therapy Are Offered?

Group therapy brings together 6 to 12 individuals with alcohol use disorder for structured sessions led by counselors. These sessions occur daily in most programs, providing peer support and shared learning experiences. Group formats include process groups, psychoeducational groups, and skills-building groups.

Process groups allow participants to share experiences, challenges, and successes with peers facing similar struggles. This peer connection reduces isolation and shame while building accountability. Psychoeducational groups teach addiction science, relapse prevention, and healthy lifestyle practices.

What Types of Group Therapy Are Offered?

Benefits of Peer Support

Group therapy provides unique advantages:

  • Reduced feelings of isolation and shame
  • Learning from others' experiences and mistakes
  • Practicing interpersonal skills in safe environments
  • Building accountability through peer relationships
  • Developing empathy and emotional intelligence

How Do Behavioral Therapies Address Addiction?

Cognitive behavioral therapy helps clients identify and change thought patterns leading to drinking. CBT teaches that thoughts influence feelings which drive behaviors. By changing negative thought patterns, clients reduce urges to drink and develop healthier responses to triggers.

Dialectical behavior therapy focuses on emotional regulation, distress tolerance, mindfulness, and interpersonal effectiveness. DBT proves especially effective for people with co-occurring mood disorders or trauma histories. Skills learned in DBT help clients manage intense emotions without turning to alcohol.

Evidence-Based Treatment Approaches

Rehab programs utilize proven therapeutic methods:

  • Motivational interviewing strengthening commitment to change
  • Contingency management rewarding sobriety milestones
  • Family therapy involving loved ones in recovery
  • Trauma-focused therapy addressing underlying pain
  • Mindfulness training reducing stress and cravings

What Medications Are Used in Alcohol Rehab?

Medication-assisted treatment combines behavioral therapy with FDA-approved medications reducing cravings and preventing relapse. Naltrexone blocks opioid receptors reducing alcohol's pleasurable effects and decreasing drinking urges. Acamprosate restores brain chemistry balance disrupted by chronic alcohol use.

Disulfiram creates unpleasant reactions when alcohol is consumed, deterring drinking through negative reinforcement. Not all patients receive medications, but those who do show improved sobriety rates. Medical staff evaluate each person's needs determining appropriate medication protocols.

What Life Skills Are Taught?

Alcohol rehab teaches practical skills needed for sober living including stress management, healthy communication, time management, and financial planning. Many people with alcohol use disorder never developed these skills or lost them during active addiction.

Vocational counseling helps clients prepare for employment or return to work. Resume writing, interview skills, and career planning sessions rebuild confidence and create pathways to financial stability.

Daily Living Skills Training

Programs address fundamental life skills:

  • Nutrition and meal planning for physical health
  • Exercise routines reducing stress and improving mood
  • Sleep hygiene establishing healthy rest patterns
  • Conflict resolution managing relationships constructively
  • Financial literacy budgeting and debt management

How Does Holistic Treatment Work?

Many rehab facilities incorporate holistic therapies complementing traditional treatment approaches. Yoga, meditation, acupuncture, art therapy, and equine therapy address physical, emotional, and spiritual dimensions of recovery. These practices reduce stress, improve body awareness, and provide healthy outlets for emotional expression.

Nutritional therapy repairs damage from chronic alcohol use. Alcohol depletes essential vitamins and minerals while damaging digestive systems. Nutritionists create meal plans restoring physical health and energy levels.

Mindfulness and Wellness Practices

Holistic elements include:

  • Meditation teaching present-moment awareness
  • Yoga combining physical movement with mental focus
  • Art therapy expressing emotions non-verbally
  • Music therapy processing feelings through sound
  • Nature therapy reconnecting with outdoor environments

What Is the Role of Family Involvement?

Family therapy educates loved ones about addiction while addressing relationship dynamics that may enable drinking. Families learn to set healthy boundaries, communicate effectively, and support recovery without rescuing or controlling. Understanding addiction as a disease reduces blame and shame.

Family education sessions teach warning signs of relapse and appropriate responses. Loved ones gain tools to encourage treatment continuation without nagging or ultimatums. Healthy family systems significantly improve treatment outcomes and reduce relapse rates.

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Owner Hollywood Hills Recovery

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