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Step 1
When medical support may matter
Withdrawal can range from uncomfortable to medically dangerous. Alcohol and benzodiazepine withdrawal can cause severe complications, while opioid withdrawal may bring dehydration and a high risk of returning to use.
- A history of seizures or severe withdrawal
- Pregnancy or significant medical conditions
- Use of several substances
- Confusion, hallucinations, chest pain, or trouble breathing
Step 2
What to expect
Programs commonly begin with an assessment, medication and health review, and a plan for monitoring symptoms. Services, staffing, medications, and length of stay vary by provider.
- Ask who provides medical oversight
- Confirm licensing for the exact program
- Discuss medications and continuing care
- Request a written explanation of costs
Step 3
What an assessment usually covers
Before withdrawal management begins, a clinician typically asks about the substances used, how much and how often, the time of last use, past withdrawal experiences, medications, and physical and mental health. Urine or blood tests may be used to understand what is in a person's system.
Honest answers help the care team plan for safety. Exact intake steps vary by program, so ask the provider what their assessment includes.
Step 4
Medically supervised versus less intensive settings
Some people need around-the-clock medical monitoring, such as in a hospital or inpatient detox unit. Others may be able to withdraw safely with outpatient medical support. The right setting depends on the substance, risk of severe symptoms, health conditions, and support at home, and it should be decided with a qualified professional.
The American Society of Addiction Medicine (ASAM) describes withdrawal management as a range of intensities rather than one single service. Programs that use ASAM's framework can explain which level they offer.
Step 5
7-OH and kratom: an emerging concern
Products containing concentrated 7-hydroxymitragynine (7-OH), a compound related to kratom, have raised concern among addiction professionals because of their opioid-like effects. People who use these products regularly may experience withdrawal when they stop. Tell any provider about kratom or 7-OH use, even if the product was bought legally in a store.
Step 6
Verifying a program in New York
The New York State Office of Addiction Services and Supports (OASAS) licenses and certifies addiction treatment programs in the state. Its online provider directory lets you look up programs by location and type of service. Confirm that the specific location and service you are considering appear there.
Questions to ask a detox program
- Is this location licensed or certified by OASAS for withdrawal management?
- Who provides medical oversight, and is a clinician available at night and on weekends?
- Which medications may be used to manage symptoms?
- How do you handle a medical emergency?
- What happens when detox ends? Do you help arrange continuing care?
- What will I owe, and can you give me the cost in writing?
What to have ready before calling
- A list of substances used, including kratom or 7-OH products
- Current medications and doses
- Major health conditions and pregnancy status
- Insurance card, if available
- An emergency contact
Related guides
Continue reading: compare levels of addiction treatment care · understand alcohol withdrawal risks · learn how to choose a treatment program
Sources and further reading
- Treatment and recovery (NIDA)
- About The ASAM Criteria (levels of care) (American Society of Addiction Medicine)
- OASAS treatment provider directory (NY OASAS)
- Find addiction treatment in New York State (NY OASAS)
- 7-OH Withdrawal: Symptoms, Timeline, and Treatment (ISSUP)
- 7-Hydroxymitragynine (7-OH) and Kratom Withdrawal (ISSUP)
Links are provided for education and do not imply endorsement of this site. Medical information should be reviewed with a qualified professional. See all authoritative sources.