How Long is Inpatient Alcohol Rehab?

When you’re ready to seek help for alcohol addiction, one of the first questions that often comes up is: how long is inpatient alcohol rehab? The answer isn’t one-size-fits-all. Rehab timelines can vary depending on the severity of your addiction, your personal history, and the treatment goals you and your care team develop together.

At Sequoia Recovery Centers, we understand that time is a real concern—whether it’s time away from work, family, or daily responsibilities. But committing to the right length of care can make a life-changing difference. Let’s break down what you can expect, what factors influence rehab length, and how to choose the path that gives you the strongest chance at recovery.

What is Inpatient Alcohol Rehab?

Inpatient alcohol rehab is a structured, residential program that provides 24-hour medical and therapeutic support. It’s designed for individuals who need a safe, immersive environment to detox, build coping skills, and address the root causes of addiction. Unlike outpatient programs, which allow you to live at home, inpatient care removes distractions and provides constant access to professional support.

During your stay, you’ll take part in:

  • Medically supervised detox (if needed)
  • Daily individual and group therapy
  • Mental health care for co-occurring disorders like depression or anxiety
  • Nutritional support and wellness planning
  • Relapse prevention education and aftercare preparation

Inpatient care is often recommended by experts such as the Substance Abuse and Mental Health Services Administration (SAMHSA) for individuals needing intensive support to stabilize and begin their recovery journey.

A person participates in therapy in inpatient alcohol rehab.

How Long is Inpatient Alcohol Rehab, Typically?

Most inpatient rehab programs fall into one of the following general timeframes:

Short-Term Rehab: 28–30 Days

A 30-day program is a common starting point for many individuals. It allows for detox, initial stabilization, and the start of therapy. According to the American Society of Addiction Medicine (ASAM), this duration may be sufficient for those with mild to moderate alcohol use disorder and a strong post-treatment support system. However, short-term rehab may not be adequate for more severe or long-term addictions.

Medium-Term Rehab: 60 Days

A 60-day stay provides more time to explore underlying issues, develop stronger coping mechanisms, and participate in more intensive therapeutic work. This option is often recommended for those who have previously relapsed or who struggle with mental health concerns alongside addiction.

Long-Term Rehab: 90+ Days

Rehab programs lasting 90 days or more are often the most effective for individuals with chronic alcohol dependence, multiple relapses, or co-occurring mental health disorders. According to the National Institute on Drug Abuse (NIDA), programs of at least 90 days have significantly better outcomes and improve long-term sobriety rates.

Factors That Influence Rehab Length

So, how long is inpatient alcohol rehab for you? Several factors play a role:

  • Severity of Addiction: Heavy or long-term drinking often requires more time for the body to detox and the mind to stabilize.
  • Co-occurring Mental Health Conditions: Dual diagnoses, such as PTSD or depression, can complicate recovery and necessitate extended care.
  • Medical History: Chronic illnesses or withdrawal complications may require additional monitoring.
  • Previous Treatment Attempts: If you’ve relapsed after outpatient or shorter inpatient stays, a longer, more comprehensive program may be needed.
  • Home Environment: If your living situation is unstable, unsafe, or not substance-free, extended rehab gives you more time to prepare for life outside treatment.
  • Motivation for Recovery: Some people need more time to mentally and emotionally commit to sobriety—and that’s okay.

At Sequoia Recovery Centers, we evaluate all of these factors during your intake to create a treatment plan that’s personalized and sustainable.

Why Longer Rehab Can Mean Better Results

While a shorter stay may feel more convenient, longer treatment durations often lead to stronger and more lasting outcomes. According to NIDA, the minimum threshold for effective treatment is 90 days, whether that’s all inpatient or a combination of inpatient and outpatient care.

Here’s why time matters:

  • The brain needs time to heal from alcohol’s neurological effects.
  • New habits take time to build—and old ones take time to replace.
  • Emotional processing and trauma work can’t be rushed.
  • Relapse prevention skills require practice, feedback, and adjustment.

Giving yourself a few extra weeks or months in treatment might feel like a sacrifice now, but it can save years of struggle down the road.

Typical Inpatient Rehab Schedule

Each rehab center has its own unique routine, but a typical day in inpatient alcohol rehab includes a mix of clinical therapy, self-care, and peer support:

  • Morning: Light exercise or meditation, followed by group therapy
  • Midday: One-on-one therapy sessions, psychoeducation classes, and lunch
  • Afternoon: Specialized therapy such as CBT, trauma therapy, or wellness activities like yoga
  • Evening: Support group meetings (like 12-Step or SMART Recovery) and time for journaling or reflection

Living in this structured environment allows you to rebuild daily habits that promote long-term stability and wellness.

Making the Commitment to Yourself

Still asking, how long is inpatient alcohol rehab going to take? Maybe the better question is: How much time are you willing to give yourself to heal? At Sequoia Recovery Centers, we don’t rush recovery. We help you find the timeline that fits your needs, your health, and your goals—so that when you step out, you’re stepping forward.

Frequently Asked Questions About Inpatient Treatment

How do I know if 30 days is enough?

If this is your first time in treatment and your alcohol use is relatively mild, 30 days might be a good start. That said, many individuals benefit from transitioning into outpatient care or sober living to maintain momentum.

Is longer rehab covered by insurance?

Often, yes. Many insurance plans cover up to 60 or 90 days of treatment based on medical necessity. Our admissions team at Sequoia Recovery Centers can check your benefits and advocate for extended care if needed.

Will I receive mental health support during rehab?

Absolutely. We specialize in dual diagnosis treatment, addressing co-occurring mental health issues such as anxiety, depression, and trauma alongside alcohol use disorder.

What happens after inpatient treatment ends?

The recovery journey continues. We create customized aftercare plans that might include outpatient therapy, group support, and connections to sober housing or alumni programs. Recovery is a long-term commitment—and we’re with you through every phase.

What if I can’t take time off work or family responsibilities?

We get it—life doesn’t stop. But neither does addiction. Stepping away for 30–90 days is a short-term pause that can lead to long-term healing, reconnection, and stability. Many clients return to their families, careers, and communities stronger than ever.

Medically reviewed by:

Audrey Grimm, PMHNP-BC

Untitled design (100)

Sequoia Recovery Centers

Chief Executive Officer

Audrey Grimm is one of Sequoia’s original founders and Chief Executive Officer. Audrey has spent her career working in behavioral health. She has over 10 years of nursing experience, half of that working in inpatient psychiatric and detox facilities. She graduated as a Psychiatric Nurse Practitioner in 2023. 

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