What to Expect When Starting Addiction Treatment

Medically Reviewed By:

Eric Chaghouri MD

Dr. Eric Chaghouri

Medical Director

Dr. Eric Chaghouri is a distinguished forensic psychiatrist and addiction medicine specialist with a thriving private practice in West Hollywood and Century City, California. He specializes in the treatment of co-occurring psychiatric and addictive disorders and is recognized for his work with attorneys, courts, and legal teams in both civil and criminal litigation. He also provides expert consultation on psychiatric issues for major television networks and oversees a growing team of mental health clinicians.

Graduated summa cum laude from the University of California, Los Angeles (UCLA) in 2007 with a Bachelor of Arts in Biology Medical degree from the Keck School of Medicine of USC in 2011 Postgraduate training began with an internship at Cedars-Sinai Medical Center Three years of general adult psychiatry residency at the Los Angeles County + USC Medical Center.

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When you start addiction treatment, you’ll begin with a thorough intake assessment. Your care team gathers your substance use history, medical background, and mental health picture. They’ll screen for co-occurring disorders and set recovery goals that matter to you. From there, they’ll recommend the right level of care and verify your insurance. You’ll settle into structured routines built around therapy and support. Here’s what each step really looks like along the way.

Key Takeaways

  • A thorough intake gathers your substance use history, medical conditions, and mental health background to understand your unique situation.
  • An initial assessment includes clinical evaluation, mental health screening, paperwork, and collaborative short-term and long-term recovery goal setting.
  • Your care team recommends the right level of care based on substance use severity, mental health, physical needs, and insurance coverage.
  • Daily routines provide structure through individual therapy, group counseling, wellness activities, educational sessions, and regular medical check-ins.
  • Admissions handles insurance verification directly, confirming covered services, out-of-pocket costs, and approved treatment days without rushing your decisions.

What happens when you start addiction treatment

Starting addiction treatment begins with a thorough intake process designed to understand your unique situation. Your care team will gather your history around substance use, medical conditions, and mental health, then complete a clinical evaluation and mental health screening to identify underlying concerns like depression. Together, you’ll set short-term and long-term recovery goals that reflect what matters most to you.

After the paperwork’s done, you’ll settle into your living space and get oriented to daily routines, therapy rooms, and shared areas. You’ll meet your counselors and case managers, join initial group sessions, and start building comfort with the structure ahead. Starting addiction treatment this way gives you a solid, supportive foundation for the work to come.

What is the first step

The first step is the initial assessment, where your care team gathers a full picture of your substance use, medical history, and mental health. This first step in treatment helps professionals understand your unique situation so they can tailor your care effectively. You’ll also complete administrative paperwork and consent forms, then work with clinicians to identify any underlying conditions, like depression, that may contribute to your addiction.

During this stage, you can expect:

  1. A clinical evaluation by medical professionals or counselors to assess your physical health.
  2. A mental health screening to uncover any co-occurring disorders.
  3. Collaborative goal setting to define your short-term and long-term recovery objectives.

This honest, thorough beginning lays a strong foundation for the meaningful progress ahead.

How is the right starting program chosen for you

Your care team chooses the right starting program by using everything they learned during your initial assessment. They weigh your substance use history, physical health, mental health status, and personal goals to recommend the level of care that fits you best, because no two people experience addiction the same way. Evidencebased therapies for addiction recovery play a crucial role in supporting individuals throughout their journey.

Factor Considered What It Tells the Team How It Shapes Your Program
Substance use severity Withdrawal risk Need for medical detox
Mental health screening Co-occurring disorders Added therapy support
Physical health Medical needs Monitoring intensity
Insurance verification Coverage details Program length and options
Recovery goals Personal priorities Individualized plan

After these pieces come together, you’ll start a program built around your unique needs, not a one-size-fits-all approach.

What does a typical treatment routine look like

A typical treatment routine follows a predictable daily rhythm that balances healing work with rest and connection. Structured routines replace old habits, giving your days purpose and stability.

A typical day often includes:

  1. Individual therapy to identify your triggers and build coping skills
  2. Group counseling to reduce isolation and foster shared understanding
  3. Wellness activities like grounding exercises for emotional regulation

You’ll also attend educational sessions covering the science of addiction, plus regular medical check-ins to monitor your progress. This consistency isn’t meant to overwhelm you, it’s designed to support you, easing cravings and helping you rebuild a healthier, more grounded life. Understanding the factors contributing to substance relapse is essential for long-term recovery.

How does insurance verification work

Insurance verification works when the facility’s admissions team contacts your provider directly to confirm your coverage. You’ll provide your insurance information during the intake process, and staff will handle most of the work for you.

They’ll confirm which services your plan covers, including detox, therapy, and any medications you might need. You’ll learn about potential out-of-pocket costs, deductibles, and how many treatment days your plan approves. This transparency helps you plan without unexpected surprises.

If coverage gaps exist, many facilities offer payment plans or can connect you with financing options. Getting these details sorted early lets you focus fully on what matters most: your recovery and healing.

How does Changes Treatment Center make starting low-pressure

Changes Treatment Center makes starting low-pressure by never rushing you or pressuring you into a decision. You’ll talk with someone who listens to your story, answers your questions, and helps you understand your options at your own pace. Beginning recovery feels less overwhelming when you know what’s ahead.

The intake process is designed to ease you in gently:

  1. A comfortable conversation about your substance use, medical history, and mental health, no judgment, just understanding.
  2. Clear explanations of paperwork, consent forms, and logistics, so nothing feels confusing.
  3. Collaborative goal setting, where you help define what recovery looks like for you.

You’re never expected to have everything figured out. Taking that first step is enough, and you’ll have support every moment after.

Take the First Step at Your Own Pace

Knowing what to expect takes a lot of the fear out of starting, and the rest gets easier once you’re talking to someone who listens. At Changes Treatment Center in Costa Mesa, the first conversation is just that, a conversation. No pressure to commit, no judgment about your history, and no expectation that you have it all figured out. We’ll walk you through your options, handle the insurance side, and help you decide on the level of care that actually fits your life, whether that’s PHP, IOP, or outpatient support. When you’re ready to start, call (949) 807-2008 and talk with our team about what comes next.

Frequently Asked Questions

How honest do I need to be during the intake assessment?
As honest as you can be. The intake exists to build an accurate picture of your situation, and the care team can only match you to the right support if they know what they’re working with. Holding back details about your substance use, mental health, or medical history doesn’t protect you, it just leaves gaps in your plan. Everything you share is kept confidential and used to shape your care, not to judge you. If something is hard to talk about, you can say so, and the team will work with you.

Can I keep working or living at home while in treatment?
In many cases, yes. Outpatient levels of care like IOP and standard outpatient are built around letting you keep up with work, school, and family responsibilities while you attend scheduled sessions. More structured options like a partial hospitalization program ask for a bigger daytime commitment but still let you return home. The right fit depends on what your assessment shows, and the team will walk you through which schedule works for your situation before anything is decided.

How long does the intake and first-step process take?
The initial conversation and assessment usually happen fairly quickly, often within your first contact and first visit. Verifying insurance and confirming your starting program can take a little longer, since the admissions team coordinates directly with your provider. The point isn’t to rush you through paperwork. It’s to get an accurate picture and a clear plan in place so you can start treatment knowing what’s covered and what to expect, without surprises down the line.

Can I stay connected to my family or use my phone during treatment?
Because outpatient programs let you return home, staying connected to the people in your life is a normal part of the process rather than something you set aside. Family support often plays a real role in recovery, and many programs bring loved ones into the process at the right time. If you have specific questions about phone use or family involvement during sessions, it’s worth asking during intake, since the team can explain how their particular structure handles it.

What if I’m nervous or not totally sure I’m ready?
Feeling nervous or uncertain is one of the most common experiences people have at this stage, and it doesn’t mean you’re making the wrong choice. You don’t need to feel fully ready or have everything sorted out before you reach out. The first step is simply a conversation where you can ask questions and understand your options. Taking that step, even while unsure, is enough to get started, and support is there for every moment after.

Alcohol Self-Assessment

Take a moment to answer these questions honestly.
There are no right or wrong answers.

This assessment is not a medical diagnosis, but it can help you determine whether alcohol may be having a greater impact on your life than you realize.

In the past 12 months…

SCORE: 0 POINTS

Developed by Patrick Conod, LCSW, and Cari Lawyer, CATC I, on behalf of the Changes Treatment Center Clinical Leadership Team.

Is My Loved One Struggling with Alcohol?

A Self-Assessment for Family Members and Friends

Watching someone you love change because of alcohol can be confusing and heartbreaking. You may find yourself questioning what you’re seeing, wondering if you’re overreacting, or hoping things will get better on their own.

This assessment is designed to help you reflect on the behaviors you’ve noticed. It isn’t a diagnosis, but it may help you determine whether it’s time to seek guidance or support.

In the past 12 months…

Developed by Patrick Conod, LCSW, and Cari Lawyer, CATC I, on behalf of the Changes Treatment Center Clinical Leadership Team.

Quiz: Could It Be Both?

When we are struggling with deep stress, anxious thoughts, or a low mood, it is incredibly natural to look for immediate relief. Sometimes, we turn to alcohol or other substances just to quiet our minds, get some sleep, or feel normal for a night. 

This short self-assessment is designed to help you pause and look at how these two parts of your life might be influencing each other. It is entirely anonymous and takes less than two minutes.

If you answered "Yes" to more than one question:

Reflecting on how your experiences connect

Answering "yes" to one or more of these questions can be a sign that your mental health and substance use are deeply intertwined. When anxiety, depression, or stress connect with alcohol or drug use, they often feed into one another in a cycle. Recognizing this link is a powerful and brave step toward finding a path that heals both at the same time.

  • A gentle next step: You don’t have to separate these struggles or try to fix them one by one. True recovery looks at the whole picture, and starting with a simple, honest conversation can offer immense relief.
  • Let's talk it through: We have compassionate, real people ready to listen and walk alongside you. Whether your goal is to find balance, heal from trauma, or address both mental health and substance use together—we are here with zero judgment and absolute confidentiality.

Want us to reach out to you?

Leave your details below and a caring member of our team will connect with you quietly and confidentially.

Quiz: Do I Have a Substance Use Problem?

It’s common for habits to slowly shift over time, especially during stressful seasons. Often, we find ourselves using a substance to cope, unwind, or get through the day, only to realize it is starting to take up more space in our routine, thoughts, or relationships than we’d like.

This quick, 10-question check-in is a quiet space to reflect honestly on how your use is impacting your life. It is entirely anonymous, completely free of clinical judgment, and takes less than two minutes.

If you answered "Yes" to more than one question:

Reflecting on your routine and finding balance

Answering "yes" to one or more of these questions can be a sign that substance use might be starting to take up a bit more space in your mind, routine, or relationships than you would like. It is incredibly common for these habits to slowly shift over time, especially during stressful seasons, but realizing you want to look closer at those habits is a brave first step.

  • A gentle next step: You don’t have to make any major, life-altering decisions today. Simply giving yourself permission to talk openly and honestly about where you are can lift a massive weight.
  • Let's talk it through: We have compassionate, real people ready to listen and walk alongside you. Whether your goal is to cut back, take a temporary break, or just share your story, we are here with zero judgment and absolute confidentiality.

Want us to reach out to you?

Leave your details below and a caring member of our team will connect with you quietly and confidentially.

Quiz: Am I Depressed?

We all experience days when we feel down, exhausted, or just completely unmotivated. But when those heavy feelings start lingering, it can be hard to tell if you’re just going through a rough patch or if it’s something more.

This quick, confidential check-in is designed to help you pause and reflect on how you’ve actually been feeling lately. It is completely anonymous, entirely non-judgmental, and takes less than two minutes.

If you answered "Yes" to 3 questions or more:

Finding a gentle path forward

Answering "yes" to one or more of these questions can be a sign that a heavy mood, low energy, or a sense of exhaustion has started to weave its way into your daily life. Carrying this emotional weight is incredibly tiring, but acknowledging how much you have been holding inside is a profound and brave first step toward feeling like yourself again.

    • A gentle next step: You don’t have to navigate these heavy feelings or find the answers all on your own. Simply letting someone else help carry the weight for a moment can offer immense relief.
  • Let's talk it through: We have warm, compassionate people ready to listen and walk alongside you. Whether you are looking for guidance on how to start feeling better, or simply want a safe, confidential space to share what you've been going through—we are here for you.

Want us to reach out to you?

Leave your details below and a caring member of our team will connect with you quietly and confidentially.

Quiz: How Much Drinking Is Too Much?

Is your evening glass of wine a harmless habit, or is it starting to catch up with you? It’s not always easy to tell where “social drinking” ends and “too much” begins.

Take this quick, 2-minute quiz to check in on your relationship with alcohol and get clear, personalized insights.

If you answered "Yes" to more than one question:

Reflecting on your routine and finding balance

Answering "yes" to one or more of these questions can be a sign that alcohol might be starting to take up a bit more space in your mind, routine, or relationships than you would like. It is incredibly common for drinking habits to slowly shift over time, especially during stressful seasons, but realizing you want to look closer at those habits is a brave first step.

  • A gentle next step: You don’t have to make any major, life-altering decisions today. Simply giving yourself permission to talk openly and honestly about where you are can lift a massive weight.
  • Let's talk it through: We have compassionate, real people ready to listen and walk alongside you. Whether your goal is to cut back, take a temporary break, or just share your story, we are here with zero judgment and absolute confidentiality.

Want us to reach out to you?

Leave your details below and a caring member of our team will connect with you quietly and confidentially.