Do I Need Detox? Detox Guide

Do I Need Detox?

Deciding whether to detox from alcohol or drugs on your own can be risky. Withdrawal symptoms vary depending on the substance, amount, duration of use, and your overall health. Some withdrawals, especially from alcohol and benzodiazepines (like Xanax, Klonopin, or Ativan), can be dangerous or even life-threatening, with risks of seizures and delirium tremens. Opioid withdrawal is extremely uncomfortable, while cocaine withdrawal often causes deep fatigue and depression. For safety and comfort, medical supervision is strongly recommended. This article explains the risks of different types of withdrawal and why a professional detox assessment is the safest first step in recovery.
Medical disclaimer
This article is for informational purposes only and does not constitute medical advice. If you or someone you know is experiencing severe withdrawal symptoms — including seizures, confusion, or high fever — call 911 immediately. For questions about medically supervised alcohol detox at our San Fernando Valley facilities, call Believe Detox Center at (626) 635-3737.

Deciding whether to detox from alcohol or drugs on your own can be risky. Withdrawal symptoms vary depending on the substance, amount, duration of use, and your overall health.

If you are ready to stop drinking and/or using drugs you might be wondering if you can do this on your own or if you need medically supervised detox. The decision depends on:

Everyone’s experience with withdrawal can vary. If you previously went through withdrawal, your experience during a subsequent withdrawal may not be the same. Professional evaluation at a detox facility is the safest approach.

Substance-by-substance withdrawal

Benzo

Benzodiazepine withdrawal

Potentially fatal

Substances like Xanax, Klonopin, Valium, Ativan. Withdrawal can be potentially fatal — abrupt discontinuation can cause seizures and other life-threatening complications. Medical supervision is required for safe tapering.

Alcohol

Alcohol withdrawal

Seizures · DTs · life-threatening

Tremors, increased blood pressure, nausea, vomiting, nightmares, hallucinations, sleep difficulty. Medical monitoring is generally necessary for anyone with significant alcohol use history.

Opioid

Opioid withdrawal

Miserable but not life-endangering

Withdrawal from opioids can be miserable — "dope sick", severe flu-like symptoms, GI issues, sweating, fever. Not as life-endangering as alcohol/benzo, but medications can manage discomfort and cravings.

Cocaine

Cocaine withdrawal

Psychological more than physical

Low mood, low energy, low motivation. The challenge is more about difficulty stopping without environmental support — which is why inpatient programs are often recommended.

It’s great that you have decided to stop drinking or using. But be sure to do it safely. To be safe, it’s best to consult with a reputable detox facility. Believe Detox can assess you to help determine the best plan for your care.

Frequently Asked Questions

If I go through detox, will I be at greater risk for overdose if I use again?
Yes. Following detox, a patient has decreased tolerance and is at greater risk for overdose if they resume use. So, it's important to go directly into treatment after detox.
I don't use that much — can I just stop using on my own?
Whether you require medically supervised detox to be safe and comfortable depends on a number of factors besides how much you were using. Plus, sometimes patients are using more than they realise. So, the safest course of action is to be evaluated by a detox facility or medical professional.

References

  1. Harvard Health. Alcohol Withdrawal. health.harvard.edu
  2. NIDA. Opioids. nida.nih.gov
  3. NIDA. Cocaine. nida.nih.gov
Debbie Shepard, L.C.S.W., R.D.D.P.
About the Author

Debbie Shepard, L.C.S.W., R.D.D.P.

Licensed Clinical Social Worker, Addiction and Dual-Diagnosis Specialist Psychotherapist

Debbie Shepard is a licensed clinical social worker (LCSW) and registered dual disorder professional (RDDP) with extensive experience in addiction treatment and mental health services. Holding a Juris…

Reviewed by MaryAnn DePietro

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