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Those in active addiction are often apprehensive about entering a substance abuse treatment program due to fear surrounding the detox process. Rest assured the medical teams at Evolutions Treatment Center utilize an established alcohol and drug detox protocol that is both safe and comfortable for our clients. Here, you will undergo a medically assisted, supervised detox that is both compassionate and effective. Our residential facilities for detoxification and inpatient treatment are soothing, home-like environments. After you complete medical detox, it is strongly encouraged you take part in our residential treatment program.

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Clients of our inpatient detox program convalesce in comfort as they receive round-the-clock medical monitoring of their withdrawal symptoms by a team of warm, experienced professionals. This individualized, one-on-one care is administered in a luxurious, comfortable setting reminiscent of a high end South Florida resort. Those who make the decision to allow Evolutions Treatment Center to oversee their detox from drugs or alcohol are comforted by the knowledge their care lies in the hands of seasoned, compassionate professionals. From the moment you enter our detox facility, we do everything in our power to prepare you for lasting recovery.

What Is Drug and Alcohol Detox Like?

We understand admitting defeat and accepting help for your addiction is a stressful process, and we are here to help you every step of the way. Evolutions Treatment program meets you where you are in your addiction, often beginning with a much needed stay in our detox facility. Once you have safely and comfortably detoxed from your substance of choice, you will continue on to our inpatient treatment program. During your stay in our medical detox, we monitor and work to manage the physical changes that occur to your body and mind during cessation of substance use after a period of physical dependence. Our mental health professionals use evidence-based medications and alternative therapies, all within a luxurious and relaxing environment. Here’s what you can expect during the alcohol and drug detox process at Evolutions:

Here is what to expect from our drug and alcohol detox program:

  • A thorough medical and clinical assessment upon admission

  • A customized plan of care designed to address your recovery goals and needs

  • 24/7 high-level medical supervision and management of withdrawal symptoms

  • The highest industry safety standards including one-on-one monitoring when necessary

  • An action plan for Medication-Assisted Treatment (MAT) after detox

  • Evaluation, diagnosis and treatment for co-occurring mental disorders

  • Detox and treatment comfortably administered at our brand-new, state-of-the-art facility in Miami

  • Compassionate and experienced addiction professionals whose goal is to maintain your comfort while providing necessary care with dignity and respect

  • Participation in 12-step recovery groups and other therapies as soon as you’re medically able

  • Evidence-based clinical interventions

  • The option of  family therapy and support through our Family Program

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Stages of Detox 

The duration and stages of detox you experience will depend on a variety of factors including your substance of choice, the severity of the addiction, and other individual biological factors. Typically, detox occurs over a period of up to seven days during which time clients may experience the most acute symptoms of withdrawal. These symptoms may include tremors, anxiety, insomnia, nausea or vomiting, body aches and headaches, sweats, auditory and visual disturbances, intense cravings and even seizures. Our medical team administers supplements and medications to alleviate symptoms while constantly monitoring clients’ vital signs for potential complications. Upon successful completion of detox or, in some cases, while still undergoing medically assisted detox, clients will begin to participate in our inpatient treatment program.


Most withdrawal symptoms will recede by the end of detox. Others may continue or develop over the next weeks and months as part of a phenomenon known as “post-acute withdrawal syndrome” (PAWS). Symptoms of PAWS can include:

  • Drug or alcohol cravings

  • Cognitive difficulties

  • Irritability and hostility

  • Feelings of anxiety or panic

  • Depressed mood

  • Difficulties functioning in relationships

  • Obsessive-compulsive behaviors

  • Low motivation, apathy or pessimism

  • Disordered sleep patterns

  • Heightened sensitivity to stress




We provide both comfort medications and scheduled tapers to minimize the discomfort and potentially serious complications of withdrawal. By undergoing medical detox, you increase your chances of achieving early remission and recovery, giving yourself the best chance of reaching your treatment goals. – Medical Director DR. JOEL WERTHEIMER, MD

How Long Does Drug Detox Take?

Medical detox typically takes 2-7 days, depending on the drug and individual’s biochemistry. For some substances, lingering effects of withdrawal may continue from anywhere to a few weeks weeks to several months. These effects may include anxiety, depression, insomnia and cravings. The time it takes to detox depends on:

  • The drug(s) abused

  • How long you’ve been abusing substances

  • The amount of substance taken on a regular basis

  • Your physical and mental health

While drug detox is different for everyone, general timelines for commonly abused drugs include:

Alcohol Detox

People with alcohol use disorders may begin experiencing withdrawal symptoms approximately six hours after their last drink. When an alcohol dependant individual stops drinking, alcohol detox occurs in three phases:

  • 1-3 days after last drink – This is the first and most dangerous phase of alcohol withdrawal. Your body tries to reestablish homeostasis without its customary doses of alcohol. Without medical assistance and treatment you are at high risk for:​​

    • Dehydration

    • Heart palpitations

    • Other severe symptoms

  • Delirium tremens (DTS)

  • Seizures

  • 5-7 days after last drink – Alcohol withdrawal symptoms lessen in intensity. Dangerous withdrawal symptoms like DTs usually subside. You may still experience anxiety, insomnia and gastrointestinal problems. You will probably feel well enough to actively participate in alcohol treatment at this point.

  • Weeks to months after last drink – You may continue to experience mild anxiety, lethargy and other psychological symptoms. Your brain and body continue to heal the wounds caused by alcohol abuse.


Opiate Detox

Opioid withdrawal typically begins approximately 24 hours after the last dose of opioids for regular opiate users. The first 72 hours of opioid detox are usually the most difficult. Opiate drug withdrawal symptoms include:

  • Elevated heart rate

  • Muscle and bone aches

  • Vomiting

  • Chills

  • Stomach cramps

  • Intense cravings

  • Feelings of intense dread and anxiety


Typically these symptoms subside by day three to five. Lingering symptoms may include fatigue, chills and muscle soreness. Psychological symptoms like depression and anxiety may last for several weeks or months.

Benzodiazepine Detox

The first three days of benzo drug withdrawal can be the most difficult. Without medical treatment you are likely to experience:

  • Psychotic episodes

  • Heart palpitations

  • Panic attacks

  • Seizures


Less intense benzo withdrawal symptoms like insomnia and anxiety lessen in frequency and severity over several months.

Stimulant Detox

The duration of withdrawal from stimulants depends on the type of stimulant and the rate of uptake by the body. Usually you will experience a “crash” within a day or two of your last dose. During this time, withdrawal from methamphetamines and cocaine can bring about physical and psychological complications ranging from paranoia and depression to tremors and aches. Sleep issues as well as depression or anxiety may linger for several weeks.

Over 60 Major Insurance Groups Accepted

Our Mission is to make sure that anyone who needs treatment for drug and alcohol addiction can get the help needed to assist them on the road to recovery.

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The Joint Commission Grants Evolutions Treatment Center the Gold Seal of Quality Care

Evolutions is accredited by The Joint Commission. We have passed all safety and health requirements to ensure the highest level of care available and are honored to hold this highly respectable accreditation.