No, but a medical detox can be beneficial regardless of whether it is required. Alcohol, opiates, and benzodiazepines usually need a medical detox if an individual has taken large amounts or been on them for an extended period, as the withdrawal can be life-threatening. Drugs like methamphetamines do not require a medical detox, but medical intervention can go a long way in keeping someone comfortable during the withdrawal process.
Detox should be used when someone uses drugs in large amounts or for a long duration. Adverse reactions can be expected whenever someone stops using a substance, they have developed a physical dependence on. Withdrawal symptoms vary depending on the individual and the substance used, so always consult a medical professional to determine if detox is required.
The time it takes to complete detox varies depending on the substance, how long it’s been used, and how much a person uses. Most people who require detox can expect a minimum stay of 72 hours. Depending on the severity and duration of their symptoms, patients are usually discharged once acute withdrawal symptoms have diminished, generally occurring within 5- 7 days. Those withdrawing from substances that produce severe and dangerous symptoms can expect their stay in a detox center to take longer than a week.
Immediately after being in a detox center, the patient should transition directly to some form of inpatient treatment. Detox is only the beginning of the drug rehab process and is better viewed as a preparatory step since detoxes prepare patients to receive treatment. Patients craving and feeling ill from withdrawal symptoms experience far less benefit from rehabilitation services if they can complete them. That’s why detox services originated. They bridge the gap between active addiction and abstinence so treatment can be delivered.
The main difference between the two types of detox is the amount of medical oversite and the use of medication to treat symptoms. If the person is attending a medical detox facility, they can expect a hospital-like setting where they will live and have their symptoms monitored for the duration of their stay. They are medications to help alleviate some withdrawal symptoms, making the process safer and more tolerable. Non-medical detoxes generally consist of symptoms monitoring and reporting, along with the support and encouragement of the detox staff.
The questions from Addicted.org's "Ask a Professional" are answered by Michael Leach, CCMA. If you need further clarification on any of the questions above or have any other questions you can contact him directly at M.Leach@Addicted.org.