How Long Does It Take a Person to Recover From Addiction?

Addiction is incredibly complex and should be treated as a brain disease, but many people are curious about how long the recovery process actually takes. It might be frustrating to know that there is no simple answer to this question and the way people recover from addiction is different for everyone.

However, research shows that longer periods in treatment have better long-term recovery results.

There is also some research that talks to how long it takes for the brain to recover from addiction. We will explore these issues in this blog.

Substance addiction and process addiction

Firstly, we have to define what it actually means when we say ‘recover from addiction’ before we look at how long the process takes.

The National Institute of Drug Abuse (NIDA) defines recovery as “a process of change through which people improve their health and wellness, live self-directed lives, and strive to reach their full potential”. NIDA explains that even people with severe addictions can overcome their illness with help and regain their health and social function, describing this as ‘remission’.

However, being in recovery “is when those positive changes and values become part of a voluntary adopted lifestyle”.

So, recovery is more than simple abstinence, it is adopting a purposeful and new way of life. Despite this, most research focusses purely on abstinence rates and this is what we will look at in this blog.

The length of time it takes for a person to overcome addiction and achieve either abstinence alone or abstinence with recovery varies widely. It depends on several factors, including the type of substance to which they are addicted, the severity of their addiction, and their access to treatment.

Therapy at an addiction rehab

Treatment Length

Research shows that, on average, 35% of people will relapse in the year after treatment if their rehab programme was less than 90 days long. This drops to between 16 and 21% for those who were in rehab for 90 days or longer. Relapse rates are even lower for those in treatment for a year or more.

Researchers have suggested that the 90-day mark has to do with a phenomenon known as “the sleeper effect”. The sleeper effect refers to the fact that the brain, specifically the prefrontal cortex, needs at least 90 days to heal to the point where decision-making and analytical functioning are restored to normal levels.

“Our brains renew themselves throughout life to an extent previously thought not possible.”
― Michael Gazzaniga

Recovery For a Lifetime

It is important to remember that once you get clean and sober and enter stable recovery, it does not mean that you are cured and can live like non-addicts. If you stop actively working on maintaining your recovery, you will eventually return to active addiction and have to start the process all over again. Recovery for the rest of your life takes a lifetime of work. And, although this may seem daunting to those starting their journey, anyone in long-term recovery will tell you that the rewards are well worth the work and discipline.

Conclusion

It’s important to note that addiction is a chronic condition and recovery is a process that can take time and require ongoing support. Even after someone has achieved abstinence, they are not cured and need to work a programme of recovery for the rest of their lives. Plain abstinence can sometimes be more painful than active addiction. Recovery, on the other hand, has the power to restore hope and help you create a life that is actually worth living.

“Any man could, if he were so inclined, be the sculptor of his own brain.”
― Santiago Ramon y Cajal

This Article at a Glance

Aspect of Recovery Short-term Treatment (<90 days) Long-term Treatment (≥90 days)
Definition of Recovery Recovery from addiction is not just about abstinence but adopting a purposeful and new way of life. Similar to short-term treatment, recovery in the long-term context is about health improvement, living a self-directed life, and striving to reach full potential.
Relapse Rates Relapse rates are lower. Relapse rates drop dramatically after 90 days. Rates are even lower for those in treatment for a year or more.
The “Sleeper Effect” The brain may not have enough time to fully heal, affecting decision-making and analytical functioning. The brain, specifically the prefrontal cortex, needs at least 90 days to heal to the point where decision-making and analytical functioning are restored to normal levels.
Lifetime Recovery Requires ongoing work and discipline. Risk of returning to active addiction if recovery maintenance is stopped. Similar to short-term recovery, long-term recovery requires a lifetime of work and discipline. However, the rewards of this effort are typically seen as well worth the work.
Conclusion Short-term treatment may not be sufficient to prevent relapse and foster long-lasting recovery. Longer treatment periods tend to result in lower relapse rates and better long-term recovery outcomes. Ongoing support and effort are key to maintaining recovery.
Lolly Kikine is a Occupational Therapist at Changes Rehab in JHB

Lolly KikineRead Bio

Occupational Therapist

Enhancing lives through occupational therapy.

Changes Addiction Rehab professional memberships and accreditations

Changes Addiction Rehab is licensed by the South African Department of Social Development (Practice No. 0470000537861) and the Department of Health, and is a registered detox facility and practice with the Board of Healthcare Funders. Our treatment programme is led by counsellors registered with the HPCSA, working alongside a multidisciplinary team of medical professionals under a unified practice. We are proud, standing members of the International Certification & Reciprocity Consortium (IC&RC), the Occupational Therapy Association of South Africa, the South African Council for Social Service Professions, the South African Medical Association, the South African Nursing Council and the South African Society of Psychiatrists. Changes Addiction Rehab has been in continuous professional operation since 2007, when it was founded by Sheryl Rahme, who has worked in the addiction treatment field since 1984. Our core clinical team brings over 100 years of combined professional addiction recovery experience.