Schuylkill / Alcohol detox
1Withdrawal, DTs, hospital, residential, who pays
Alcohol detox Pennsylvania
Updated
People who consume excessive amounts of alcohol regularly experience tolerance and dependence. When they drink less than usual or stop drinking alcohol completely, they may feel ill.
Alcohol withdrawal syndrome is a potentially life-threatening medical condition that occurs when people abruptly stop using alcohol after long-term, heavy drinking.

What Is Alcohol Detox?
Alcohol detox is the process of clearing your body of alcohol. It can occur on its own or with medical supervision. Alcohol withdrawal occurs when someone who has been regularly consuming large amounts of alcohol suddenly stops or cuts back significantly. Withdrawal symptoms can range from mild to severe and may include nausea, sweating, tremors, and seizures.
Withdrawal symptoms typically peak within the first 24-72 hours after stopping alcohol consumption but can last for up to two weeks. Severe cases of alcohol withdrawal require medical attention, as they can be life-threatening. It is important to seek professional help from a doctor or addiction specialist if you think you may be experiencing severe alcohol withdrawal.
Alcohol Withdrawal Symptoms
Many people who drink large amounts of alcohol on a daily basis develop a physical dependency to alcohol. When these individuals stop drinking, they may experience withdrawal symptoms such as anxiety, sweating, fast heart rate, nausea, tremors, hallucinations, and in severe cases, seizures and delirium tremens (the DTs).
The more often a person drinks, the more likely it is that he or she will experience withdrawal when stopping. The severity of alcohol withdrawal depends on how much you have been drinking, if you have experienced withdrawal before and how long it has been since your last drink.
Alcohol withdrawal causes unpleasant and potentially dangerous symptoms in the hours after you stop drinking. These can include:
- Insomnia
- Cravings for alcohol
- Anxiety
- Sweating and shakiness
- Nausea and vomiting
Severe alcohol withdrawal may also cause more serious health issues such as:
- Seizures
- Delirium tremens (DTs)
- Hallucinations
- Heart palpitations or other heart problems
- Confusion
When Do Withdrawal Symptoms Start?
The exact time you start experiencing withdrawal symptoms after quitting or cutting back depends on how much you’ve been drinking and how often.
The onset of alcohol detox is generally about eight hours after your last drink. This means that if you were to stop drinking cold turkey, then you could expect to experience alcohol withdrawal symptoms within the next few hours.
The severity of alcohol detox depends on a number of factors:
- How long it’s been since you had your last drink
- How much and how often you’ve been drinking
- Your overall health
- The presence or absence of certain co-occurring medical conditions
In general, most people experience peak alcohol detox at 24 to 72 hours following the last drink.
Delirium Tremens and Seizures
Delirium tremens (DTs) are the most severe form of alcohol withdrawal, occurring in about 5% of those going through withdrawal. DTs usually occur within 3 days after stopping drinking. They can include:
- Restlessness
- Confusion or disorientation
- Seeing things that aren't there (hallucinations)
- Fever
- Sudden rapid heart rate or irregular heartbeat
- Sweating
- Trembling
In severe cases, a person with DTs may have seizures, lose consciousness, and go into a coma. Death is possible.
Alcohol withdrawal seizures are another potential problem. People who experience these seizures tend to develop seizures several times within the first 48 hours of stopping drinking.
Delirium tremens is a medical emergency that can be fatal. If you or someone you know has symptoms of delirium tremens, seek immediate medical attention.
Who Needs Medical Alcohol Detox?
Not everyone requires medical detox when they stop drinking. To determine whether you require detoxification services, ask yourself these questions:
- Have you been using alcohol for a long time?
- Do you drink daily (or more than 2-3 times per week)?
- Have you had difficulty quitting in the past?
- Have you tried unsuccessfully to reduce your drinking habits?
- Do you drink heavily in order to feel relaxed or sleep better?
If you answered “yes” to most of these questions, it is likely that you are addicted and will require medical detoxification.
Some people have a higher risk of severe symptoms during withdrawal. You’re at greater risk if you:
- Have a history of alcohol-related seizures and DTs
- Have been drinking for years, especially if your daily consumption was high
- Use sedatives in addition to alcohol
- Are experiencing or have recently experienced malnutrition
People who have had prior problems quitting on their own or those with a long-term addiction to alcohol may also need some form of medically-assisted detoxification program before they can participate in rehab services.
Levels of Alcohol Detox in Pennsylvania
Alcohol detox level 1
This involves no extended on-site monitoring. It is often referred to as mild alcohol withdrawal, but with the right steps taken by your healthcare provider, you should still be able to complete treatment and continue recovery.
Alcohol detox level 2
This is a medical detoxification that requires more on-site monitoring than level 1 but does not require around-the-clock medical or nursing supervision.
Alcohol detox level 3.7
In this case, you will need 24-hour nursing care and physician visits as needed for severe alcohol withdrawal.
Alcohol detox level 4
This is the most serious form of alcohol detoxification in Pennsylvania. You’ll need 24-hour nursing care with daily physician visits to manage your medical instability or make any adjustments to your medication.
Hospital Alcohol Detox
Alcohol detox can be dangerous if you have been drinking heavily for an extended period of time. In some cases, it’s better to stay in the hospital during the process. The goal is to make sure you’re safe throughout the alcohol detox process and avoid any medical complications.
The hospital will help you detox from alcohol under a doctor’s care. You’ll be given medicine to prevent seizures or relieve other withdrawal symptoms. It’s important that you let your doctors know if you’re having any uncomfortable side effects while in recovery so they can adjust your treatment plan as needed.
Alcohol detox hospitalization is usually necessary only when someone’s withdrawal symptoms are severe enough to be life-threatening. This level of treatment isn’t needed with every alcohol withdrawal. The decision to use alcohol detox hospitalization depends on the severity of your symptoms and how quickly you need to stop drinking.
Severe alcohol withdrawal may require sedation in an intensive care setting for a few days before your condition improves enough to leave the hospital.
Residential Alcohol Detox
Residential detox centers are medical facilities with 24-hour nursing staff. They offer a safe, medically supervised place for people to withdraw from alcohol and other drugs. Residential treatment provides a structured environment where patients can focus on recovery without distractions.
Detox centers are staffed with medical professionals who understand how dangerous alcohol withdrawal can be and what types of medications may help relieve uncomfortable symptoms without causing more harm than good. They also offer counseling services designed to address underlying issues that led someone down this path in the first place so they don’t end up back here again later on down their road to recovery.
Residential detox typically involves several different types of therapies to help the person heal physically and emotionally, including:
- Medical care: Doctors can prescribe medications to help ease physical withdrawal symptoms.
- Group therapy: Peer support groups provide a sense of community as individuals work through their addictions together. They also offer opportunities for accountability and encouragement during recovery processes.
- Individual counseling sessions: Professional counselors or therapists provide one-on-one assistance with overcoming obstacles related to addiction recovery.
Outpatient Alcohol Detox
Outpatient detox is an excellent option for those who do not have severe physical dependence on alcohol, are able to remain at home with proper supervision, and do not require medical attention throughout the process.
Mild cases of alcohol withdrawal don't need a hospital stay. But it's important to have your symptoms checked by a doctor or nurse. More severe cases may require you to be in a hospital.
Medications Used in Alcohol Detox
Treatment for alcohol withdrawal can vary widely, depending on the severity of a person’s symptoms. Doctors may give benzodiazepines such as chlordiazepoxide (Librium) or diazepam (Valium), because these drugs are safe, easy to take, and readily available. They work to counteract the effects of alcohol withdrawal. For example, they reduce anxiety, restlessness, and tremor. People may also receive fluids and electrolytes through a vein, such as potassium (K+). This helps prevent heart arrhythmias.
Your doctor or nurse may prescribe medications during alcohol detox to treat any physical or mental health conditions you have. They might also recommend medicines to reduce cravings. Here are some of the most common:
- Anticonvulsants: These drugs can help prevent or lessen the severity of seizures associated with delirium tremens (DTs).
- Benzodiazepines: Used to treat withdrawal symptoms, including anxiety and sleep problems.
- Naltrexone: Used to reduce alcohol cravings in people who have stopped drinking.
- Disulfiram: A drug that makes you feel sick when you drink alcohol.
Acamprosate (Campral)
Acamprosate may help with craving and reduce the chance of relapse. It is taken orally in pill form three times per day.
Disulfiram (Antabuse)
The way this medicine works is that it can cause unpleasant symptoms if you drink alcohol while taking it. Disulfiram may not help people who are dependent on alcohol stop drinking or prevent them from drinking again, but it may help some people avoid relapse by causing an unpleasant reaction when they drink.
Naltrexone (Vivitrol)
Naltrexone is sometimes used to treat opioid dependence and has been shown to be effective in the treatment of alcohol use disorder. Naltrexone may also reduce craving for alcohol, which might help you avoid relapse.
Can You Detox From Alcohol at Home?
You cannot detox from alcohol at home safely unless your withdrawal symptoms are mild-to-moderate. And even then, you need to have someone stay with you during this time to watch you and make sure that you get the help you need if something happens. Alcohol detox can be very dangerous if done on your own.
A person who decides to go through the process of detoxing at home without medical supervision may be putting their life at risk. Alcohol withdrawal can lead to seizures and even death. The safest way to overcome an addiction to alcohol is by going through a medically supervised detox. This will help ensure that it is done in a safe environment.
The following signs point to severe alcohol withdrawal:
- Fever
- Seizures
- High blood pressure
- Confusion
- Rapid breathing or irregular heartbeat
How Long Does Alcohol Detox Take?
The length of time it takes depends on several factors such as:
- A person’s drinking history
- Their body’s ability to metabolize alcohol
- Whether they have a co-occurring mental health disorder
The severity of the withdrawal symptoms is based on how long a person has been drinking and how much they consume per day. The following chart shows the general progression of symptoms experienced during alcohol withdrawal:
- 8 to 12 hours after last drink: Symptoms may include anxiety, restlessness, hand tremor, nausea, headache, sweating, insomnia, tachycardia (increased heart rate), and hypertension (high blood pressure).
- 24 to 72 hours after last drink: Symptoms may include increased blood pressure and pulse rate, insomnia, agitation, hallucinations (auditory or visual), severe anxiety, and confusion.
- 3 to 5 days after last drink: The most serious withdrawal symptoms occur in this phase. These include high fever, irregular heartbeats, extreme confusion, seizures, and delirium tremens.
- 7 to 10 days after last drink: Symptoms subside with the exception of insomnia.
While the physical symptoms of alcohol detox usually go away within a few days, some people may suffer from mental issues for longer than that. Some people may experience anxiety or depression as part of withdrawal.
Paying for Alcohol Detox in Pennsylvania
If you have Medical Assistance, alcohol detox should be covered. Pennsylvania Medicaid will cover all or most of your costs.
The Behavioral HealthChoices Program is also another way that Pennsylvanians can get help paying for detox, but only if they are enrolled in Medicaid. If you have private health insurance through your employer's plan or purchased it yourself, you should check to see whether alcohol detox and drug rehab services are covered.
In Pennsylvania, the county drug and alcohol office determines eligibility and makes referrals for publicly funded behavioral health services. If you are not eligible for Medicaid or other public coverage, your SCA may help find you resources to pay for treatment.
The cost of alcohol detox can vary widely depending on where you go for treatment and what type of detox program it is. Detox costs are often lower at residential facilities than inpatient hospital detox programs because hospitals tend to charge more due to their additional costs such as running an emergency department, having higher staff ratios, and providing 24/7 monitoring by doctors and nurses.
For those who don't have health insurance coverage, there are multiple alcohol detox programs in Pennsylvania that offer sliding scale fees based on your income. If you're looking for help paying for treatment but your income is too high to qualify for state or federal aid, you can ask about a sliding scale fee. It's also possible for you to pay for alcohol detox out of pocket, if need be.
What Happens After Alcohol Detox?
Detox is only the first step. For most people with alcohol problems, recovery also requires ongoing treatment and support. A treatment plan may include:
- behavioral therapy
- medications for underlying disorders
- mutual-support groups (such as AA)
- family counseling
You should follow up with a medical doctor after going through an alcohol detox. This will allow you to monitor your progress and stay on track toward abstinence from alcohol. Your medical doctor can also refer you to other treatments that are important for long-term recovery, such as:
- Psychological counseling or therapy
- Group therapy
- Family therapy
- Medication
- A 12-step program
There are many options that can help you to achieve your goal of sobriety. A medically supervised detox program is one way to get started on the road to recovery from addiction to alcohol. You can also attend support groups, see a therapist, and make lifestyle changes such as eating well and exercising regularly.
If you or someone you care about is struggling with an alcohol use disorder, help is available. There are many options for treatment, including inpatient and outpatient services. Treatment programs vary in length and intensity, but most people who complete a program report feeling more confident and prepared to maintain their sobriety.
Finding a Licensed Alcohol Detox Program in Pennsylvania
There are many different factors to consider when selecting a program, including the type of care needed and if an inpatient or outpatient service will be best for the patient's needs.
For those in need of assistance finding a facility, the Substance Abuse and Mental Health Services Administration (SAMHSA) maintains a treatment locator tool. In addition to this tool, Pennsylvania has created its own Care Provider Search.
There are certain things to consider when selecting an alcohol rehabilitation center:
- Detox should occur in a medically supervised setting (hospital or residential program).
- A thorough medical assessment, including psychiatric evaluation and laboratory tests, should be done prior to the start of treatment.
- Patients should receive individualized treatment programs.
- The staff should include a physician and/or nurse practitioner as well as nurses and counselors who are trained on addiction medicine, substance abuse, mental health disorders, and co-occurring disorders.
Regardless of how you find an alcohol detox program, it is important to ensure that the facility is licensed and meets all necessary safety standards before enrolling. Additionally, when looking into a particular facility, consider factors such as cost, amenities offered, staff qualifications, patient-to-staff ratios, aftercare services available, and any other special considerations needed for your individual situation.
Alcohol detox by Pennsylvania city
Addresses and phones are on each city page.