Drug & Alcohol Detox

Last Updated: July 30, 2026

The importance of drug & alcohol detoxification

The First Step Toward Lasting Recovery

Drug and alcohol detox is often the first step in the addiction recovery process. For many individuals experiencing addiction, years or even decades of heavy drinking or drug dependence can lead to physical, mental and emotional withdrawals as the body works to cleanse the system and regulate itself back to normal.

Waypoint Recovery Center’s drug and alcohol detox services provide a safe, on-site, medically supervised environment for clients to withdraw and stabilize from dangerous substances and start their residential or outpatient treatment process on a strong footing.

Drug & Alcohol Detoxification

What is Medical Detox?

Medical detox, often referred to as detoxification or simply “detox,” is the largely physical process of allowing the body to rid itself of harmful substances.

When the body is exposed to consistent and increasing amounts of drugs and alcohol during active addiction, it develops a tolerance to those substances over time, becoming used to their presence in the system. Eventually, the body becomes physically dependent upon these substances to function.

When someone with a drug or alcohol dependence makes the decision to stop using substances, the removal of that substance’s exposure to and from the body causes what are known as drug or alcohol withdrawals. These withdrawals can lead to anywhere from mild to moderate discomfort to serious or even fatal reactions.

While fatalities associated with the detox process are rare, they can occur and are elevated for specific substances–especially where detoxes are not closely monitored. That is why supervised detox in a specialized detox facility must be considered.

Did You Know?

Detox Vs. Residential Rehab

Focus Primary Goal

Detox

Physical withdrawal from substances
Safely clears substances from the body under medical supervision while managing physical withdrawal symptoms.

Rehab

Psychological & behavioral recovery
Provides therapy, addresses root causes of addiction, and equips clients with coping strategies for long-term recovery.

Why it Matters

Why Drug & Alcohol Detox is Important

Receiving proper care and supervision while detoxing from drugs and alcohol is important from a medical standpoint since it also provides a mental and emotional benefit for those seeking long-term recovery through Waypoint’s residential or outpatient programs. Working a recovery program requires commitment, focus, and determination.

Those who enter Waypoint’s recovery program or any sobriety program must navigate through the many highs and lows that come with pursuing a sober lifestyle–oftentimes after years or even decades of dependence. These hurdles are difficult enough without physical withdrawal symptoms interfering with that recovery process.

The importance of detoxing and medically stabilizing before entering Waypoint’s residential or outpatient program cannot be emphasized enough.

A determination made with your clinical team

Do I Need Detox?

While detox itself is a natural and unavoidable process of recovery from substance dependence, the decision to receive a medically supervised or monitored detox process can be challenging. In most cases, it is often best to consult with a medical professional to make the determination.

During Waypoint Recovery Center’s initial assessment process, we integrate the process into a wider assessment that will inform all treatment decisions. During the initial assessment, each client is evaluated individually to determine their specific needs based on the biological, psychological, and social factors leading to admission. Our clinical team works with each client to review these critical data points to make a determination.

For specific, low-risk substances, supervised detox may not be recommended or even required, while in other cases, admission to the detox facility is a necessity. Enhanced supervision and monitoring for those not admitted to Waypoint’s medical detox program ensures that all clients remain safe and stabilized during their first few weeks in the program.

Factors our team analyzes

The following factors are just some data points our team analyzes when considering whether medical detox is needed:

Waypoint’s clinical team works closely with each client and their family to ensure they understand the detox process, what to expect during it, and what it means for them or their loved one. Additional resources discussing detox and its processes can be found on our blog.

Personalized recommendations by substance

Which Substances Require Detox

Waypoint Recovery Center welcomes those struggling from a variety of substance addictions. Each substance and client receive a unique, personalized treatment plan with recommendations on proper courses of treatment and progression through the program. At the forefront of these treatment plans is admission to the medical detox facility. The following are some, but not all, of the substances that Waypoint will commonly admit into the detox program.

Is Detox Recommended? Quick Reference Guide

Substance Risk Recommendation

Alcohol

High / Severe
Medical Detox

Barbiturates

High / Severe
Medical Detox

Benzodiazepines

High
Medical Detox

Cocaine

Medium
Case by Case

MDMA / Ecstasy

Low
Monitored Care

Marijuana

Low
Monitored Care

Methamphetamine

Low
Monitored Care

Opioids

Low
Medical Detox

Alcohol

Alcohol is one of the most commonly abused substances in the United States. Complications related to alcohol consumption result in an estimated 178,000 deaths annually according to data from the National Center for Drug Abuse Statistics. Despite the relative availability and destigmatization of alcohol across the country, it is widely considered to be one of the most dangerous substances to withdraw from due to its effects on the central nervous system. Among the risks associated with alcohol withdrawals include but are not limited to:

Signs & Symptoms of Alcohol Withdrawal

Serious Side Effects Common Side Effects
  • Delirium tremens (DTs)
  • Grand mal seizures
  • Malignant hypertension
  • Tachycardia
  • Arrhythmias
  • Headaches
  • Anxiety
  • Insomnia
  • Excessive sweating
  • Nausea, vomiting, and diarrhea
  • Confusion
  • Tremors
  • Increased heart rate
Due to the severity of these withdrawal complications, those withdrawing from alcohol are often recommended for placement into Waypoint Recovery Center’s medical detox facility.

Alcohol Withdrawal Timeline

Day 1

Withdrawal symptoms begin within 6 to 24 hours of the last drink

Days 1 - 3

Withdrawal symptoms peak, clients are at the highest risk during this time

Highest Risk
Days 5 - 7

Physical withdrawal symptoms begin to subside

Days 7 - 14

Mild to moderate physical symptoms may continue

Day 14+

Psychological symptoms may present for months following detox

Benzodiazepines

Benzodiazepines, or “benzos”, pose a great risk for serious complications. Similar to alcohol, benzos affect the central nervous system, which can lead to many of the same complications from alcohol. Despite accounting for roughly tens of millions of prescriptions annually in the United States, withdrawal from benzo dependency can be dangerous and often requires a lengthy process of medical detox with prolonged monitoring. The risks associated with benzodiazepine withdrawal, include but are not limited to:

Signs & Symptoms of Benzo Withdrawal

Serious Side Effects Common Side Effects
  • Delirium tremens (DTs)
  • Grand mal seizures
  • Hyperthermia
  • Dehydration
  • Cardiac arrest
  • Headaches
  • Abnormal heart rate
  • Excessive sweating
  • Nausea, vomiting, and diarrhea
  • Muscle stiffness
  • Tremors
These withdrawal complications require close medical supervision. Those entering Waypoint  dependent on benzodiazepines are frequently recommended for detox services if they have not already undergone a medical withdrawal or monitored taper from the substance.

Benzo Withdrawal Timeline

Days 1 - 4

Withdrawal symptoms begin following the last dose

Days 3 - 14

Withdrawal symptoms peak; clients are at the highest risk during this time

Highest Risk
Days 7 - 21

Physical withdrawal symptoms begin to subside

Days 14 - 42

Mild to moderate symptoms may continue. Supervision is recommended

Days 42+

Psychological symptoms may persist for months following detox

Opioids

Despite a greater awareness of the dangers posed by legally prescribed and illicitly obtained opioids, millions of people in the United States find themselves dependent upon these substances. While withdrawal from opioids do not pose as high a risk for immediate fatal complications in the way benzos and alcohol does, the withdrawal process can result in a serious and potentially fatal complications such as:

Signs & Symptoms of Opioid Withdrawal

Serious Side Effects Common Side Effects
  • Severe dehydration
  • Aspiration
  • Hypernatremia (high sodium)
  • Arrhythmia
  • Heart failure
  • Fever
  • Chills
  • Elevated heart rate
  • Elevated blood pressure
  • Insomnia
  • Nausea, vomiting, and diarrhea
  • Body aches
Under medical supervision, the risk of serious complications from opioid withdrawal is reduced significantly. Although these medical complications do pose health risks, the greatest risk associated with opioid withdrawal is the drop in tolerance. This is why Waypoint Recovery Center emphasizes a strong continuum of care for those entering our detox facility with an opioid addiction–ensuring a seamless transition from detox to residential or outpatient services.

Opioid Withdrawal Timeline

Day 1

Withdrawal symptoms begin 6 - 24 hours of the last use

Days 2 - 3

Withdrawal symptoms peak; highest risk for discomfort and relapse

Highest Risk
Days 4 - 7

Physical withdrawal symptoms begin to subside

Days 7 - 14

Residual symptoms may continue but not as intensely

Day 14+

Psychological symptoms may persist for weeks or months

Your Detox Timeline at Waypoint

What to Expect During Detox

Intake

All clients who enter Waypoint Recovery Center undergo a comprehensive admissions process and initial assessment. These processes are critical for ensuring that proper care and treatment is provided based on the individual needs. Factors such as the substances used, current mental health conditions, pre-existing medical conditions, and other details are weighed. The outcome of these processes can follow one of the following paths:

  • Recommendation for medical detox
  • Direct admission to residential treatment
  • Direct admission to outpatient treatment

Medical Evaluation

Medical evaluations are conducted frequently upon admission and throughout a client’s time in medical detox. Our on-site detox center is equipped with the latest in medical technology patient care equipment–ensuring clients receive adequate medical care throughout their stay. Medical evaluations include mental and physical assessments such as:

  • Blood pressure readings
  • Heart rate monitoring
  • Urine / blood tests
  • Depression and anxiety screenings
  • Frequent checks of patient vital signs
  • Documentation of symptom progression

These evaluations and more will be conducted throughout treatment to not only ensure that clients are medically and emotionally stable, but to inform future treatment planning and program individualization around individual recovery needs.

Withdrawal Management

The most important element of any detox program is withdrawal management. This process can include a variety of medical interventions. Waypoint’s clinical staff will ensure that all clients undergoing drug and alcohol detox remain medically stable throughout their stay. In some cases, our clinical staff will authorize the short-term use of prescriptions to help manage acute withdrawal symptoms in addition to administering over-the-counter medications.

Stabilization

Following the acute phase of withdrawal, Waypoint Recovery Center’s clinical staff will ensure clients are medically stable before transitioning them from the detox center to residential treatment. As part of the stabilization process, the clinicians will coordinate with the client’s treatment team for any continuation of medications, medical considerations, or additional risk factors that may impact a client’s stability during extended treatment.

For many, even though the initial acute phase of detox will subside after the first five to ten days, continued monitoring of clients physical health will continue into their residential stay.

Continued support beyond the acute phase

Post-Acute Withdrawal Syndrome (PAWS)

After the acute physical symptoms of withdrawal recede within the first week or so, withdrawal symptoms for many substances can continue for many weeks or months. This is known as Post-Acute Withdrawal Syndrome, and it is common for those who are in recovery from an addiction to alcohol, opioids, or benzos.

Common Symptoms of PAWS

Managing Post-Acute Withdrawal Syndrome can often seem like an uphill battle. While symptoms are not acute or life-threatening in nature, they often complicate the recovery process and are present most commonly within the first few months to up to a year or more. Those who have PAWS may experience the following symptoms:

  • Difficulty regulating emotions
  • Heightened anxiety and difficulty dealing with stressful situations
  • Difficulty sleeping, strange dreams, or changes in sleep patterns
  • Memory problems and difficulty retaining new information
  • Struggling to thinking clearly, make decisions, or solve problems
  • Balance, dizziness, delayed reflexes, and other neurological impediments


Waypoint Recovery Center recognizes the challenges faced by those experiencing PAWS in early recovery. Our team will work closely with those experiencing signs or symptoms of PAWS with a holistic support plan centered around their specific symptoms.

Continuing your care at Waypoint

What Comes After Detox?

Following detox and stabilization, a process that can take anywhere from five to fourteen days, clients are often recommended to receive additional care at Waypoint’s residential or outpatient care programs. Receiving residential or outpatient treatment following successful completion of a detox program is highly recommended by Waypoint and recovery advocates in general.

Residential Treatment

Residential treatment is a structured, live-in form of care for those struggling with drug and alcohol addiction. Lasting from 30 to 90 days, residential treatment offers a safe, stable environment where clients undergo therapy, skill-building, and psychiatric support. Daily routines also assist in reinforcing a sober lifestyle. The goal of Waypoint’s residential treatment is to help those who are newly sober regain stability and prepare for a successful return to everyday life.

Intensive Outpatient Program (IOP)

Intensive Outpatient Programs (IOP) is a structured form of care that provides drug and alcohol addiction treatment in a non-residential setting. Clients commute to an outpatient office multiple times a week to receive treatment while living at home or in a sober living environment. Lasting from 60 to 90 days, clients participate in therapy, groups, and psychiatric treatment services. The goal of Waypoint’s IOP program is to provide clients who do not require or are unable to attend a residential treatment program with addiction treatment services.

Tactical Recovery for Veterans & First Responders

Waypoint’s Tactical Recovery program is a specialized veteran addiction treatment and mental health program built specifically for active-duty military personnel, veterans, and current or former first responders. Offered as a special track of our existing residential treatment program, Tactical Recovery treats the root causes of addiction and mental health conditions–offering a strong foundation for lasting recovery from substance abuse.

Coverage & Costs

Costs and Insurance

During a client’s initial assessment, Waypoint’s admissions staff will go over the cost of treatment along with any insurance coverage.

In many cases, insurance covers the cost of medical detoxification, though there may be some out-of-pocket expenses depending on your specific plan.

Waypoint also accepts clients who are private-pay. Our team will work with you on payment plans and will detail all expected costs prior to admission.

We work with most insurance carriers.

At Waypoint Recovery Center, we are in-network with Blue Cross Blue Shield, United Behavioral Health, Beacon Health Options, Cigna, Aetna, Optum, and VA Community Care.

If your insurance isn’t listed, we may still be able to work with that policy.

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Why supervised care matters

The Risk of At-Home Detox

At-home detox is the process of withdrawing from drugs and alcohol at home or not under medical supervision. Those who choose to detox at home often believe they don’t need to undergo a medical detox process, are attempting to save money by not being admitted into a facility, or believe a spouse, family-member, or friend can help with symptom management.

Even under the supervision of a trusted friend or loved-one or someone with a medical background, at-home detox from substances is very risky, and often poses serious mental and physical impacts. The risks associated with at-home and cold turkey detox are significant:

risks associated with at-home and cold turkey detox:

  • Lack of access to medical personnel in the event of a serious emergency
  • Delayed intervention during a medical crisis
  • Increased risk of relapse and potential overdose
  • No continuation of care into a residential or outpatient program
  • Use of unapproved or dangerous at-home remedies
  • Misuse of over-the-counter remedies to manage pain
  • Oversight of smaller symptoms that could lead to serious complications
While not all at-home detox attempts are unsuccessful, it is not recommended to withdraw from substances without consultation or assessment from a medical professional.
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Frequently Asked Questions: Detox

Questions? We're Here to Help

How long does detox take?
Total length of stay in our detox center is determined on a case by case basis. In most cases, detox stays can last anywhere from 5 to 10 days.
After completing detox, most clients enter a residential program.
Medications may be administered as part of the detox process. Specific cases, including whether a client qualifies for Medication Assisted Treatment (MAT), is made by the clinical team.
All patients in our drug and alcohol detox program are monitored 24/7 by licensed clinical and medical staff to ensure their physical and mental wellbeing and safety.
Detoxing at home is not advised for most individuals entering Waypoint Recovery Center. At-home detox can lead to serious complications, including death, for some substances.
Specific drugs such as benzodiazepines, opiates, alcohol and some stimulants can be dangerous to detox from. Alcohol is often considered the most dangerous due to its effect on the nervous system, presenting the risk of seizures.
Our clinical staff is prepared to deal with medical emergencies during detox as part of emergency preparedness and response training.
Yes, clients are able to smoke during detox. Those who choose to quit smoking as part of the detox process will be provided support to do so.

Why Choose Waypoint Recovery Center for Medical Detox

Waypoint Recovery Center’s drug and alcohol detox offers medically supervised, on-site detox delivered by qualified, compassionate clinical staff. From assessment to intake, stabilization, and transition to residential treatment, our medical detox program is an ideal fit for anyone seeking drug or alcohol detox in South Carolina.