Treatment: Which Level of Care Do You Need? (Part 1)
RECOVERable: Mental Health and Addiction Experts Answer Your Questions
Release Date: 03/19/2026
RECOVERable: Mental Health and Addiction Experts Answer Your Questions
Can you tell if someone has an eating disorder just by looking at them? Dr. Elizabeth Wassenaar debunks the "healthy look" myth and explains why dieting is toxic to recovery. This episode explores the critical "Nine Truths" of eating disorders, the role of genetics, and why early intervention is vital for long-term health. Find mental health and addiction treatment near you: https://recovery.com/ In this deep-dive, host Terry McGuire continues the conversation with Dr. Elizabeth Wassena...
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"You can have an eating disorder and not be in an underweight body." This powerful insight from Dr. Elizabeth Wassenaar, Regional Medical Director at the Eating Recovery Center, challenges everything we think we know about food, weight, and mental health. In this eye-opening episode of RECOVERable, host Terry Maguire sits down with Dr. Wassenaar to dismantle the dangerous myths surrounding eating disorders. Find mental health and addiction treatment near you: https://recovery.com/ Dr. W...
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Can you outrun a traumatic childhood? Dr. Christina Bethell returns for Part 2 to explain why an Adverse Childhood Experience (ACE) score is an indicator of risk, not a predictor of destiny. As a national leader in population health and systems measurement, Dr. Bethell has reshaped how we understand the "toxic stress" that accumulates in the nervous system when childhood trauma is experienced without buffers. Find mental health and addiction treatment near you: https://recovery.com/ In this e...
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Can you truly heal from a traumatic childhood? Dr. Christina Bethell explains why your past shapes you but doesn't have to define your future. In this episode of Recoverable, we dive deep into the groundbreaking research behind Adverse Childhood Experiences (ACEs) and the "medicine" of Positive Childhood Experiences (PCEs). Find mental health and addiction treatment near you: https://recovery.com/ We explore the 10-question ACEs screener and why factors like emotional neglect are often the ...
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Are you feeling overwhelmed, angry, or disconnected after childbirth? You are not alone—nearly 20% of new mothers experience postpartum depression, yet many suffer in silence due to a paralyzing sense of shame. Find mental health and addiction treatment near you: https://recovery.com/ In this essential follow-up, host Terry McGuire continues the conversation with Dr. Karen Sheffield-Abdullah. Dr. Sheffield-Abdullah is a PhD, researcher, and nurse-midwife with over 20 years of experience speci...
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Are you struggling with depression during pregnancy but afraid to talk about it? You are not alone, as up to 20% of women will experience a significant mood disorder during pregnancy or after birth. Find mental health and addiction treatment near you: https://recovery.com/ In this episode, host Terry McGuire sits down with Dr. Karen Sheffield-Abdullah. Dr. Sheffield-Abdullah is a professor, a nurse-midwife of 20 years, and a researcher specializing in Black maternal stress and anxiety. We div...
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Description: How do you know when you’ve finally reached the point where you can't do it alone? For many, the realization doesn't come from a "lightbulb moment," but from the exhaustion of repeating the same mistakes while expecting different results. In Part 2 of our deep dive into the Levels of Care, host Terry McGuire and Dr. Sal Raichbach explore the psychological barriers to seeking help and the reality of life after the "rehab" doors close. Find mental health and addiction treatment ne...
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Navigating the world of addiction and mental health treatment can feel like learning a completely different language when you are already at your breaking point. How do you know if you need a "hospital level" of care or if weekly therapy is enough? In this episode of RECOVERable, host Terry McGuire sits down with behavioral health expert Dr. Sal Raichbach to demystify the "continuum of care" and explain exactly what happens at every stage of recovery. Find mental health and addiction treatmen...
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Thoughts of suicide are not uncommon and can be a part of the human experience for many individuals at various points in their lives. In Part 2 of this series, host Terry McGuire welcomes back Dr. Sara Kohlbeck, PhD, a public health researcher specializing in suicide. This conversation focuses on the "invitations" people send when they are in distress and how to navigate the spectrum of suicidal thoughts with empathy and evidence-based tools. Find mental health and addiction treatment near y...
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CONTENT WARNING: This episode discusses suicide and suicidal ideation, which may be difficult for some listeners; if you or someone you know is struggling, please reach out to a mental health professional or a crisis hotline like 988. "When you are suicidal, it is an incredibly isolating feeling. It’s feeling like nobody really understands." In this episode of RECOVER, host Terry McGuire sits down with Dr. Sara Kohlbeck, PhD, a distinguished suicidologist and public health researcher, to peel...
info_outlineNavigating the world of addiction and mental health treatment can feel like learning a completely different language when you are already at your breaking point. How do you know if you need a "hospital level" of care or if weekly therapy is enough? In this episode of RECOVERable, host Terry McGuire sits down with behavioral health expert Dr. Sal Raichbach to demystify the "continuum of care" and explain exactly what happens at every stage of recovery.
Find mental health and addiction treatment near you: https://recovery.com/
Dr. Sal Raichbach, PsyD, LCSW, CFSW, is a doctoral-level psychologist and Chief Clinical Officer at Haven Health Management with over 33 years of experience in the field. He breaks down the critical differences between Outpatient, Intensive Outpatient (IOP), Partial Hospitalization (PHP), and Residential treatment. You’ll learn why the "30-day rehab" rule is often an insurance myth and what a "SMART" treatment plan actually looks like.
Whether you are struggling with a dual diagnosis or trying to help a loved one choose the right path, Dr. Sal explains the risks of "DIY" research and why professional assessment is the first step toward lasting sobriety. We dive deep into the intensity of medical detox, the power of group therapy for those who "hate groups," and how to manage the transition back into everyday life.
⏱️ Chapters:
00:00 – Why Understanding "Levels of Care" Saves Lives
01:45 – The Danger of "DIY" Addiction Research
03:00 – Breakdown: The 5 Major Levels of Treatment
06:14 – Outpatient vs. Intensive Outpatient (IOP)
13:12 – What is a Partial Hospitalization Program (PHP)?
18:13 – Residential Treatment: What Really Happens in "Rehab"
26:19 – The "SMART" Treatment Plan Explained
27:21 – The 30-Day Rehab Myth & Insurance Truths
31:52 – Inpatient Care: When Is It a Crisis?
35:53 – Medical Detox: Is It Always Necessary?
❓ Questions the Video Answers:
- What are the different levels of care for addiction?
- What is the difference between inpatient and outpatient treatment?
- Is intensive outpatient (IOP) better than regular therapy?
- What does a Partial Hospitalization Program (PHP) actually do?
- How do I know if I need residential rehab?
- Why does insurance only pay for 30 days of treatment?
- Do I need medical detox for alcohol or drugs?
- Can you do intensive outpatient (IOP) via telehealth?
- What is a "dual diagnosis" and how is it treated?
- What happens during a rehab intake assessment?
- How long do I have to stay in a residential program?
- Is inpatient care the same as being "locked down"?
- What is a "SMART" treatment plan in recovery?
- How does group therapy help if I'm not a "group person"?
- What are the risks of detoxing at home without medical help?
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