Medical detox, the safe first step.

Medical detox is withdrawal managed with clinical supervision — 24/7 nursing monitoring your vitals and symptoms, with medication used to keep you safe and as comfortable as possible while the substance clears. It's the first stage of treatment, not the whole of it.

It depends entirely on the substance. Alcohol and benzodiazepine withdrawal can cause seizures and, in alcohol's case, delirium tremens — both are medical emergencies and both are reasons not to withdraw alone. Opioid withdrawal is rarely fatal but carries real dehydration risk and a sharp drop in tolerance afterward. Stimulant withdrawal is mainly a psychiatric risk. Your assessment determines the level of monitoring you need.

That depends on the substance, how much and how long you've been using, and your health. Acute opioid withdrawal typically eases over roughly a week; alcohol's most dangerous window is the first 72 hours; benzodiazepines are tapered over a longer period. Your medical team plans it around how you actually respond rather than a fixed schedule.

Yes, where it's clinically appropriate. Comfort medications manage nausea, cramping, agitation, and sleep. For opioid and alcohol use disorder, medication-assisted treatment may be started during or after detox to address cravings — Suboxone, Subutex, or Vivitrol, managed by our medical team. We do not offer methadone.

For alcohol and benzodiazepines we'd advise strongly against it — those are the two where withdrawal itself can kill you. For other substances it's less medically dangerous but has a high failure rate, because the symptoms peak exactly when leaving is easiest. Medical detox also connects directly into treatment instead of back to where you started.

Detox resolves physical dependence; it doesn't treat what drives the use, which is why detox alone has such a high return-to-use rate. Here it flows directly into residential treatment — therapy, treatment for co-occurring conditions, relapse prevention, and an aftercare plan built before you leave.

Yes. Indiana Medicaid and most major insurance are accepted for medical detox and residential care. Call and we'll verify your specific plan and your exact cost up front.