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What Happens in Residential Rehab?

12 step recovery programme: the science behind why it works

What Happens in Castle Craig’s Residential Rehab?

Residential rehab for alcohol and drug addiction offers an intensive and focused space where a person is supported by a team of experienced experts, away from their home environment, away from all the triggers and chaos.

I am here for Alcohol | Drugs | Other addiction

A stay at residential rehab gives you the chance to focus on yourself and receive joined-up, targeted care. It is proven to be more effective than solely community-based treatment plans. It, therefore, has far higher favourable outcome rates than other interventions and has the best success rates for long term recovery.

At a residential rehab clinic, a patient can expect medical and psychiatric support, a detox programme, a structured routine, a team of professional therapists running individual and group therapies, holistic treatment such as fitness and massage, as well as complementary therapies such as equine or art therapy. Arriving and Settling in.

This means you can focus on the job at hand – to get well. It is an opportunity for intensive support to deal with all facets of addiction.

It is often the impetus that is needed to build a life of long-term recovery.

New patients receive a warm and caring welcome, both from staff and also from their peers

There is an overriding optimism at Castle Craig that recovery is possible.

On arrival patients receive a Welcome Pack which contains:

  • An overview of the programme,
  • Guidelines and procedures,
  • Details of visiting times,
  • Some written assessments.

Following the medical assessment, patients meet with a senior therapist who explains the treatment approach and answers any questions the patient has.

New patients are assigned a ‘mentor’ from among their peers who will show them around and introduce them to the rest of the community.

How does residential rehab work?

Whatever your background, age, religion, gender, and sexual identification, if you are struggling with an addiction to alcohol, illicit or prescription drugs, gambling, suffering from an eating disorder or other psychological or behavioural issues, residential rehab can help you.

The benefits of residential addiction treatment include:

  • therapies that target the specific causes of your addiction and help prevent relapse
  • a clinically proven, intensive treatment that produces lasting results
  • learning to cope more effectively with life’s ups and downs
  • quality care from clinical psychiatrists, doctors and nurses who provide round-the-clock care, make thorough clinical assessments to ensure clinical care is focused and appropriate diagnoses are made
  • a chance to build healthy and open relationships with your peers and therapy team that’s based on trust 
  • an introduction to 12-step recovery

Your first day

If you have made it to your first day of treatment, you have taken an incredibly brave and important step in finding freedom from addiction. As a new patient, you will receive a warm and caring welcome from staff and your peers who have already commenced their treatment.

Following a medical assessment, you may meet a member of the therapy team who will explain the rehab’s treatment approach and answer any questions you may have. To help you feel more at ease, you might also be assigned a mentor from among your peers who can show you around and introduce you to the rest of the community.


Before treatment starts, you may need to go through a detoxification process. This will depend on your drug use and a clinical evaluation will help you understand the safest path for you to find sobriety.

A medical detox means you will receive supervision and medication to help you through the withdrawal process. This is often the best option if you also struggle with dependence on another substance which, if stopped abruptly, could lead to complications or fatalities.

We understand the fear of stopping the use of alcohol and/or drugs. With the right help, it is possible, and you are much more likely to find freedom if you work with a health care team that can plan a taper schedule and manage your symptoms.

Therapy programme

Following a detox (if necessary), the most effective treatment for the chronic illness of addiction and finding long-term recovery is an abstinence-based programme. A specialised residential treatment will provide you with an expert team who work together to develop a personalised care plan to meet your specific needs. This may include a combination of medical treatments, individual and therapy, alongside complementary therapies.

Detoxing from codeine

A typical day in a residential rehab

Residential drug rehab programmes differ but typically entail a full schedule of therapy sessions and recovery-focused activities as well as personal time. 


In the morning you might partake in meditation before having breakfast followed by a lecture, group therapy, time for exercise and therapeutic written work.


After lunch you may do more group work, one-to-one counselling, workshops, enjoy complementary therapies, holistic classes in yoga and mindfulness, or art, music, and equine therapy.


At the end of your day, supper will be served perhaps followed by a 12-step meeting and group daily reflection.

Types of therapy offered in rehab

Therapy is crucial for the treatment of addiction and there are many forms that might help you overcome a substance use disorder.

Individual therapy

Individual therapy may include cognitive behavioural therapy (CBT) which is widely used in addiction treatment. CBT can help you identify what needs to be changed in your life, and through working collaboratively with therapists and others in your group to you will begin to implement these changes.

If you are struggling with post-traumatic stress disorder (PTSD) which is characterised by symptoms such as flashbacks, nightmares, and intrusive images, EMDR may be recommended. This is an innovative treatment that can help you to process negative memories and emotions that have been suppressed.

If you are experiencing grief alongside addiction, you may be struggling with overwhelming feelings. As such it is important to seek treatment from a rehab that offers grief therapy. The right addiction treatment centre should be able to identify symptoms of grief and address the problem alongside your addiction.

Complementary therapies can enrich your mental, physical, and spiritual health and enable you to reconnect with yourself so you can build a new life without the need for drugs, alcohol, or mood-altering behaviours. Complementary therapies that may be included in your care plan are aromatherapy, acupuncture, massage, mindfulness, and hyperbaric oxygen therapy.

Group counselling

Group counselling enhances self-awareness and insight through the shared experiences and openness of your peers in treatment. Patients work together, empathise and support each other, and the positive change seen in others inspires hope.

Group counselling, facilitated by a trained and experienced therapist, is usually an integral part of a treatment programme. In group therapy, you may present your life stories, complete small tasks, and present homework. The insights and feedback from the group help deepen your understanding of your addiction.

Family therapy

The more your family know about addiction and understand how to offer you the right support, the better chance you have of finding lasting recovery. However, addiction is a family illness, and it is common for support networks to feel traumatised and need support themselves.

A family therapy programme helps patients and families to connect and share their feelings of shame, hurt and anger, rebuild damaged relationships, learn to communicate effectively, and educate families on the disease of addiction.


A choice of bedrooms are available and all afford comfort, privacy and assist recovery.  

The treatment experience can be helped by a shared room environment facilitating mutual support. We offer shared bedroom accommodation which are often en-suite rooms, although a couple have adjoining bathroom facilities. There are 2 – 4 beds in these single-sex bedrooms. 

The rooms are large and offer personal space, storage space and often stunning views across the countryside.  Single en-suite rooms are also available based on assessed need.

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