Hyperbaric oxygen therapy (HBOT) supports addiction recovery by delivering high-concentration oxygen under increased atmospheric pressure, which reduces neuroinflammation, promotes neuroplasticity, and helps repair the oxidative damage that chronic substance use inflicts on the brain — particularly in the prefrontal cortex, the region most responsible for decision-making, impulse control, and emotional regulation. Used as an adjunctive treatment alongside evidence-based therapies, HBOT does not replace the psychological and medical work of recovery, but emerging clinical research suggests it meaningfully strengthens the brain’s capacity to heal during that process.

For anyone exploring HBOT addiction recovery options, understanding why this therapy has gained traction in premium residential rehabilitation settings requires a brief look at what addiction actually does to the brain. Prolonged use of alcohol, opioids, stimulants, and other substances does not simply create psychological dependence — it causes measurable, structural changes in brain tissue. Chronic substance exposure generates significant oxidative stress, flooding neural cells with reactive oxygen species that damage cell membranes and disrupt the delicate signalling pathways that govern mood, motivation, and self-regulation. The resulting neuroinflammation, particularly within the prefrontal cortex and limbic system, is now understood to be a central driver of the cravings, emotional dysregulation, and cognitive impairment that make early recovery so extraordinarily difficult.

This is precisely where hyperbaric oxygen therapy enters the conversation. During an HBOT session, a patient breathes near-pure oxygen inside a pressurised chamber, typically at 1.5 to 2.5 atmospheres. At these elevated pressures, oxygen dissolves directly into the blood plasma rather than relying solely on haemoglobin for transport. The result is a dramatic, temporary increase in cerebral oxygenation — delivering oxygen to hypoxic tissues, including the inflamed and under-perfused regions of the brain that bear the heaviest burden of substance-related damage. A 2019 pilot study published in Frontiers in Psychiatry demonstrated that HBOT produced significant reductions in anxiety and depression scores among patients in early alcohol recovery, alongside observed improvements in sleep quality — all of which are critical determinants of sustained sobriety. Research published in Alcoholism: Clinical and Experimental Research has similarly pointed to HBOT’s role in attenuating the neuroinflammatory cascades associated with alcohol use disorder.

Beyond reducing inflammation, HBOT brain healing in addiction contexts is also thought to stimulate angiogenesis — the formation of new blood vessels — and upregulate the release of growth factors, including brain-derived neurotrophic factor (BDNF), which plays a vital role in neuroplasticity. In practical terms, this means the brain may become more receptive to the psychological and therapeutic work happening simultaneously in treatment: cognitive behavioural therapy lands more effectively when the neural architecture supporting change is being actively repaired and strengthened. For international clients travelling to access hyperbaric therapy rehabilitation at a residential level, this integrated approach — physician-supervised, holistic, and personalised — represents a meaningful clinical advantage over outpatient programmes that address the mind without addressing the brain.

At Holina Rehab in Koh Phangan, Thailand, HBOT recovery is offered as one component of a comprehensive, medically supervised treatment programme designed for adults who want the very best in evidence-informed care. The serene island environment, combined with access to advanced therapeutic modalities, creates conditions in which deep healing — neurological as well as emotional — becomes genuinely possible.

What Is Hyperbaric Oxygen Therapy and How Does It Support the Recovering Brain?

Hyperbaric oxygen therapy (HBOT) is a clinically administered treatment in which a person breathes pure, 100% oxygen inside a pressurised chamber, typically at 1.5 to 3 times normal atmospheric pressure, allowing the lungs to absorb significantly greater quantities of oxygen than is possible at sea level. In the context of addiction recovery, this elevated oxygen delivery is thought to directly address some of the neurological damage that prolonged substance use leaves behind — not as a cure, but as a meaningful, evidence-informed tool within a broader, personalised treatment programme.

To understand why this matters, it helps to consider what chronic substance use actually does to the brain. Alcohol, opioids, stimulants, and other substances each disrupt the brain’s natural chemistry in distinct ways, but they share a common downstream consequence: oxidative stress and neuroinflammation. Oxidative stress occurs when the body produces more harmful free radicals than its antioxidant defences can neutralise. Over time, this cellular imbalance causes measurable damage to brain tissue, particularly in regions governing decision-making, impulse control, and emotional regulation — most notably the prefrontal cortex.

The prefrontal cortex is, in many respects, the seat of recovery itself. It is the region responsible for evaluating consequences, resisting cravings, and choosing long-term wellbeing over immediate relief. Research published in Frontiers in Psychiatry (2019) and findings from the Alcoholism: Clinical and Experimental Research journal highlight that this region is disproportionately vulnerable to the neuroinflammatory effects of substance dependence. When it is compromised by oxidative damage and chronic inflammation, the very cognitive tools a person needs to sustain recovery — clarity, self-regulation, resilience — become harder to access. This is not a moral failing; it is a physiological reality.

HBOT works by flooding damaged tissues with oxygen at a level the body cannot achieve through normal breathing. Under hyperbaric conditions, oxygen dissolves not only into red blood cells but also into plasma, cerebrospinal fluid, and lymphatic fluid — reaching areas of the brain that may have reduced blood flow due to substance-related vascular changes. This enhanced cerebral oxygenation creates an environment in which the brain can begin to repair itself more effectively. Importantly, elevated oxygen under pressure is understood to reduce inflammatory markers, support mitochondrial function at the cellular level, and stimulate the release of growth factors associated with neuroplasticity — the brain’s capacity to form new, healthier neural connections.

Neuroplasticity is central to why this process is relevant in addiction recovery. The patterns of thought and behaviour that sustain addiction are, at their core, deeply ingrained neural pathways. Therapeutic work — whether that is trauma-focused psychotherapy, cognitive behavioural approaches, or mindfulness-based practice — is, neurologically speaking, the process of building new pathways to replace them. HBOT is thought to create a more receptive neurological environment in which that therapeutic work can take deeper root.

Oxidative stress reduction: HBOT helps neutralise the free radical damage accumulated through chronic substance use, reducing cellular inflammation in brain tissue.
Enhanced cerebral blood flow: Pressurised oxygen reaches brain regions with compromised circulation, supporting tissue repair in areas critical to self-regulation and decision-making.
Stimulation of neuroplasticity: Elevated oxygen levels are associated with increased expression of brain-derived neurotrophic factor (BDNF), a protein integral to the formation of new neural connections.
Mitochondrial support: Improved oxygen availability assists the energy-producing processes within brain cells, helping to restore cognitive function that substance use has depleted.

It bears emphasising that HBOT is, at every stage, an adjunctive therapy — one component of a physician-supervised, holistic treatment model rather than a standalone intervention. Its value lies in how effectively it complements the psychological, nutritional, and somatic work that forms the foundation of genuine, lasting recovery. Used within a comprehensive residential programme, it offers the brain something genuinely valuable: the biological conditions to begin healing.

Why Does Brain Inflammation Matter So Much in Addiction Recovery?

Brain inflammation is not a side effect of addiction — it is one of its central mechanisms, and addressing it directly can meaningfully change how well a person responds to treatment. When the brain is caught in a cycle of neuroinflammation and oxidative stress, the cognitive and emotional work of recovery becomes significantly harder, which is why therapies that support neurological healing are increasingly valued in comprehensive residential programmes.

Prolonged substance use — whether alcohol, opioids, stimulants, or benzodiazepines — does measurable damage to the brain’s prefrontal cortex, the region responsible for impulse control, decision-making, emotional regulation, and the capacity to imagine future consequences. This is not a character flaw or a failure of willpower. It is a physiological process: substances trigger a cascade of oxidative stress, flooding brain tissue with free radicals that damage cells and disrupt normal neurotransmitter function. The result is a brain that is simultaneously inflamed, depleted, and struggling to do the very things recovery demands of it.

Research published in Frontiers in Psychiatry (2019) investigated hyperbaric oxygen therapy as an adjunctive intervention in patients recovering from substance use disorders and found preliminary evidence of improvements in cognitive function and reductions in markers associated with neuroinflammation. While this remains a pilot study and the broader research base is still developing, the findings align with what is already well-established about HBOT’s mechanisms: breathing pure oxygen under increased atmospheric pressure dramatically raises the concentration of dissolved oxygen in the blood plasma, allowing oxygen to reach tissues — including brain tissue — that standard circulation may not be adequately serving during early recovery.

Research published in Alcoholism: Clinical and Experimental Research has similarly explored the relationship between alcohol-related neurological damage and oxygenation, highlighting the extent to which cerebral hypoxia — reduced oxygen supply to the brain — contributes to the cognitive impairment so commonly experienced in the early and middle stages of recovery. For many individuals, this manifests as persistent brain fog, poor concentration, emotional volatility, disrupted sleep, and difficulty engaging fully with psychotherapy. These are not simply withdrawal symptoms that resolve with time; in some cases, they reflect underlying neurological damage that requires active, targeted support.

This is precisely why the potential role of HBOT in addiction recovery matters to the person sitting in a treatment programme, not just to researchers. When the brain is better oxygenated and neuroinflammatory processes are being actively addressed, there is growing clinical reasoning to suggest that individuals may be more neurologically available — more able to absorb, process, and integrate the therapeutic work happening alongside it. Trauma processing, cognitive behavioural work, relapse prevention planning: all of these depend on a brain that can function with some degree of clarity and flexibility.

It is essential to be clear that HBOT is not, and should never be positioned as, a treatment for addiction in isolation. Its value lies in its role as an adjunctive therapy — one tool within a physician-supervised, personalised programme designed to support the brain’s capacity to heal while the deeper psychological and behavioural work takes place alongside it.

What Can Patients Realistically Expect From HBOT Sessions During Residential Treatment?

For most patients, hyperbaric oxygen therapy sessions are far more straightforward — and considerably more comfortable — than the clinical terminology surrounding them might suggest. Understanding what a typical course of HBOT looks like in practice helps set realistic expectations and allows individuals to engage with the process with greater confidence and openness.

A standard HBOT session takes place inside a pressurised chamber, where atmospheric pressure is gently increased to approximately 1.5 to 2.5 times normal levels while the patient breathes concentrated oxygen through a mask or hood. Sessions typically last between 60 and 90 minutes, during which most people simply rest, listen to music, or sleep. There is no pain involved, though some individuals notice a mild sensation of fullness in the ears during pressurisation — similar to the feeling experienced when descending in an aeroplane — which passes quickly and can be relieved by gently equalising pressure, much as one would when flying.

Within a physician-supervised residential programme, HBOT is carefully integrated alongside the broader therapeutic timetable rather than delivered in isolation. A treating physician will conduct an initial medical assessment to confirm suitability, review any contraindications such as certain respiratory conditions, and establish an individualised protocol detailing the number of sessions, pressure levels, and session frequency appropriate for each patient. This personalised approach is essential — there is no single-size prescription, and the clinical team will monitor response and adjust accordingly throughout the course of treatment.

In terms of what the emerging clinical evidence suggests patients may experience, a 2019 pilot study published in Frontiers in Psychiatry examined HBOT as an adjunctive intervention for alcohol use disorder, observing improvements in cognitive function and reductions in reported craving intensity among participants who received HBOT alongside standard treatment, compared with those receiving standard treatment alone. Research published in Alcoholism: Clinical and Experimental Research has similarly pointed to the relationship between oxidative stress, neuroinflammation, and the cognitive deficits commonly seen in early recovery — deficits which increased cerebral oxygenation may help to address. It is important to frame these findings honestly: the studies are promising but preliminary, and HBOT is not established as a standalone treatment for addiction. Its value lies in its potential to support the brain’s capacity for healing and neuroplasticity as part of a comprehensive, evidence-based programme.

Patients should also be aware that a meaningful course of HBOT typically involves multiple sessions — often between ten and twenty across the duration of a residential stay — rather than a single dramatic intervention. Benefits, where they occur, tend to accumulate gradually. Some individuals report improved sleep quality, greater mental clarity, and a reduction in the fatigue that frequently accompanies early recovery within the first week of sessions. Others notice more subtle shifts that become clearer in hindsight, particularly as psychological therapies begin to gain traction.

Sessions last approximately 60–90 minutes in a comfortable, pressurised chamber
All HBOT is conducted under physician supervision with an individualised protocol
A full course typically comprises 10–20 sessions integrated within the residential programme
Mild ear pressure during pressurisation is normal and resolves quickly
Benefits are gradual and adjunctive — HBOT supports, rather than replaces, core therapeutic work
Medical assessment prior to commencing HBOT ensures suitability and patient safety

What distinguishes a high-quality residential setting is not simply the availability of HBOT as a technology, but the clinical rigour with which it is prescribed, monitored, and woven into the broader fabric of personalised care. For patients who are appropriate candidates, it represents one thoughtful layer in a genuinely holistic approach to healing the body and mind together.

How Can Patients from the UK, Australia, and Canada Access Hyperbaric Oxygen Therapy as Part of Addiction Treatment?

For most English-speaking patients travelling from the UK, Australia, or Canada, accessing HBOT within a structured, physician-supervised addiction treatment programme means looking beyond their home country — where the therapy is rarely integrated into residential rehab settings — to specialist facilities in Southeast Asia and Europe that offer it as part of a genuinely comprehensive care model. At Holina Rehab on Koh Phangan, Thailand, HBOT is available as an adjunctive component within a personalised residential programme, meaning patients receive it alongside evidence-based therapeutic work rather than as an isolated wellness add-on.

In the United Kingdom, HBOT is primarily accessed through a small number of NHS hyperbaric units, almost exclusively for conditions such as decompression illness, carbon monoxide poisoning, and certain wound-care indications. Its integration into private addiction treatment settings remains exceptionally limited, and waiting times through NHS pathways are often prohibitive for individuals seeking timely, comprehensive support. Similarly, in Australia and Canada, HBOT is not routinely available within residential addiction rehabilitation, and patients who do encounter it privately tend to receive it in isolation from the broader therapeutic context that gives it genuine clinical value. This fragmented access is one of the key reasons that internationally minded patients are increasingly choosing to travel for treatment.

The case for travelling to receive integrated care is supported by both the clinical logic of HBOT and the broader evidence base for immersive, residential recovery environments. Research published in Frontiers in Psychiatry (2019) and discussed in Alcoholism: Clinical and Experimental Research highlights that the neuroinflammatory damage caused by sustained substance use — including oxidative stress in the prefrontal cortex and impaired neuroplasticity — responds more meaningfully to HBOT when delivered consistently over a course of sessions, not as a one-off experience. A residential setting allows for exactly this kind of structured, repeated administration, supervised by qualified physicians who can adjust the protocol in response to each patient’s progress and presentation.

For patients travelling from the UK, Australia, or Canada, the practical pathway to accessing HBOT at Holina is straightforward. An initial clinical assessment — which can be completed remotely prior to arrival — allows the medical team to determine whether HBOT is appropriate for the individual, taking into account their substance use history, physical health, and current stage of recovery. From there, the therapy is woven into a broader personalised treatment plan that typically includes individual psychotherapy, trauma-focused modalities, nutritional support, mindfulness-based practices, and group therapeutic work.

Remote pre-admission assessments available for UK, Australian, and Canadian patients
HBOT integrated into a physician-supervised residential programme, not offered as a standalone session
Treatment duration and HBOT frequency tailored individually, based on clinical presentation
Holina’s location on Koh Phangan offers direct flight connections via Bangkok from major international hubs
All care delivered in English by a multilingual clinical team experienced in working with international patients

It is worth being clear that no reputable clinician will present HBOT as a reason alone to travel for addiction treatment. What makes the journey worthwhile is the quality and coherence of the surrounding programme — the evidence-based therapies, the therapeutic community, the physician oversight, and the space to genuinely begin recovery in an environment designed for healing. HBOT, at its best, enhances and supports that process by helping the brain recover its capacity to engage fully in the hard, necessary work of sustained change.

Is Hyperbaric Oxygen Therapy the Right Choice for Your Recovery Journey?

Hyperbaric oxygen therapy can be a genuinely valuable component of a comprehensive addiction recovery programme, but it is most effective when carefully matched to an individual’s clinical profile, treatment goals, and overall care plan. The decision to incorporate HBOT should always be made collaboratively with a physician-led treatment team who can weigh the emerging evidence against your specific history, health status, and the nature of your substance use.

One of the most important things to understand is that HBOT is an adjunctive therapy — a meaningful, evidence-informed addition to treatment rather than a standalone intervention. The pilot studies published in Frontiers in Psychiatry (2019) and the research emerging through Alcoholism: Clinical and Experimental Research both point to promising neurobiological benefits, particularly in reducing neuroinflammation and supporting prefrontal cortex recovery. However, these studies are clear that HBOT functions best within a structured, multidisciplinary framework that includes psychological therapy, medical supervision, nutritional support, and relapse prevention work. Anyone presenting HBOT as a shortcut to recovery is misrepresenting both the science and the complexity of addiction.

Clinically, HBOT is particularly worth considering for individuals whose substance use has been prolonged or heavy, where cumulative oxidative stress and neuroinflammatory damage to the brain are more likely to be significant. Alcohol dependence, stimulant use disorders, and opioid addiction all create distinct patterns of neurological disruption, and emerging research suggests that increased cerebral oxygenation may support the brain’s capacity for neuroplasticity — the process by which it begins to form healthier neural pathways during early and sustained recovery. For clients experiencing cognitive fog, poor emotional regulation, disrupted sleep, or difficulty engaging fully in therapy, HBOT may offer meaningful neurological support during this critical window.

There are also practical and medical considerations that should inform the decision. HBOT is contraindicated for individuals with certain pulmonary conditions, untreated pneumothorax, or specific ear and sinus pathologies, which is why a thorough medical assessment prior to commencing sessions is non-negotiable. At a physician-supervised residential facility, this assessment is built into the admissions process, ensuring that every therapeutic element of your programme — including HBOT — is both safe and appropriate for you as an individual.

Seek physician oversight: HBOT should only be incorporated under medical supervision as part of a formally structured treatment programme.
Prioritise personalised assessment: Your clinical history, substance use patterns, and current health status should guide whether and how HBOT is integrated into your care.
Understand the evidence honestly: The research is genuinely promising but still emerging — HBOT supports recovery, it does not deliver it.
View it as one layer of a holistic approach: The most effective recovery programmes combine neuroscientific support like HBOT with trauma-informed therapy, relapse prevention, nutritional rehabilitation, and mindfulness-based practice.
Ask the right questions: A reputable treatment centre will be transparent about the evidence base, the limitations, and how HBOT fits within your broader care plan.

At Holina Rehab on Koh Phangan, Thailand, hyperbaric oxygen therapy is offered as part of a carefully curated, personalised treatment programme designed for adults seeking meaningful, lasting change. Our physician-led team integrates HBOT with evidence-based psychological therapies, trauma-informed care, and holistic wellness practices within a genuinely luxurious residential setting — because sustainable recovery deserves both clinical rigour and profound compassion. If you are considering whether HBOT may be right for you or someone you love, we welcome a confidential conversation with our clinical team.

How Can You Find Out If Hyperbaric Oxygen Therapy Is Right for You?

The most important step is a thorough clinical assessment with a physician who understands both addiction medicine and adjunctive therapies like HBOT. Not every person entering recovery will be an appropriate candidate — individual health history, the substances involved, and the stage of recovery all shape whether hyperbaric oxygen therapy belongs in a personalised treatment plan. At Holina Rehab in Koh Phangan, Thailand, our physician-supervised admissions process evaluates exactly these factors. HBOT, where indicated, is integrated alongside evidence-based psychotherapy, trauma-informed care, and structured lifestyle support — never offered as a standalone solution or a shortcut. If you or someone you love is considering residential rehabilitation and wondering whether emerging adjunctive therapies could support the healing process, we welcome a confidential conversation. Reach out to the Holina team to discuss your individual circumstances and take the first step toward a genuinely comprehensive recovery.

Frequently Asked Questions About Hyperbaric Oxygen Therapy and Addiction Recovery

What exactly does hyperbaric oxygen therapy do during addiction recovery?

HBOT delivers pure oxygen at increased atmospheric pressure, significantly raising the amount of oxygen dissolved in blood plasma and delivered to brain tissue. In the context of addiction recovery, this is relevant because chronic substance use is associated with oxidative stress and neuroinflammation, particularly in the prefrontal cortex. The increased cerebral oxygenation may help reduce that inflammation and support the brain’s natural neuroplasticity processes. It is considered an adjunctive therapy, meaning it works alongside — not instead of — established addiction treatment.

Is there clinical evidence supporting HBOT for addiction recovery?

Research is still in its early stages, but findings are genuinely promising. A 2019 pilot study published in Frontiers in Psychiatry reported improvements in sleep, anxiety, and craving reduction among participants receiving HBOT alongside standard treatment. Research published in Alcoholism: Clinical and Experimental Research has also highlighted the role of oxidative stress in alcohol use disorder, lending biological plausibility to HBOT’s potential benefits. Larger randomised controlled trials are needed before definitive clinical recommendations can be made.

Can hyperbaric oxygen therapy replace conventional addiction treatment?

No — and any programme suggesting otherwise should be approached with serious caution. HBOT is an adjunctive therapy, meaning its value lies in complementing a structured, evidence-based treatment programme that includes medically supervised withdrawal management, psychotherapy, and long-term relapse prevention planning. The neurological support HBOT may offer is most meaningful when the psychological, behavioural, and social dimensions of addiction are also being addressed in a comprehensive residential setting.

Are there any risks or side effects associated with HBOT?

HBOT is considered safe when administered under proper medical supervision, but it is not without potential side effects. The most commonly reported are mild ear or sinus discomfort due to pressure changes, and in rare cases temporary visual changes or oxygen toxicity can occur at higher pressures. Certain medical conditions — including some respiratory and cardiac issues — may contraindicate its use. This is precisely why physician screening before commencing any HBOT programme is essential.

How is HBOT incorporated into a residential rehab programme at Holina?

At Holina Rehab, HBOT is considered as part of an individually tailored treatment plan developed following a thorough clinical assessment on admission. Where appropriate, sessions are scheduled to complement the broader programme, which includes physician-supervised care, evidence-based therapies such as CBT and trauma-focused work, mindfulness practice, nutritional support, and holistic wellness. The goal is an integrated recovery experience in which every element — including adjunctive therapies — serves the individual’s long-term healing rather than functioning as a standalone feature.

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Residential Daily Timeline

At Holina, we offer a diverse range of treatments and activities designed to help you reconnect with your true self. While each day brings new experiences, we adhere to a regular daily schedule from Monday to Friday to provide structure and support. Below is a general outline of what a typical day might look like during your stay at Holina. Please note that this is a rough guide, as specific activities may vary.

8 AM

8:15 AM

9 AM

10 AM

1 PM

2PM

6PM

8 PM

8 AM

Meditation

15 Minute Morning Meditation

Daily Schedule Highlights

Morning Activities

Meditation, Yoga, or Swimming: Begin your day with a refreshing and energizing session designed to enhance both physical and mental well-being. Meditation calms the mind, promoting clarity. Yoga provides a balance of physical exercise and meditation, promoting relaxation and flexibility. Swimming offers a full-body workout, improving cardiovascular health and muscle tone, while also providing a soothing environment to clear your mind and reduce stress.

Therapeutic Sessions

Didactic Group: Participate in educational sessions focused on understanding love addiction and developing effective coping strategies. These groups provide essential knowledge about the nature of addiction, relapse prevention techniques, and practical tools for managing stress and triggers.

Psychology and Behavior: Engage in therapy sessions that address underlying psychological issues and promote positive behavioral changes. These sessions may include cognitive-behavioral therapy (CBT), which helps to identify and change negative thought patterns, and dialectical behavior therapy (DBT), which focuses on emotional regulation and interpersonal effectiveness.

Family and Community Support

Family Constellation: Explore the dynamics of your family relationships and how they impact your addiction and recovery journey. This therapy helps to identify and resolve family conflicts, fostering healthier communication and stronger support systems.

Men and Women’s Circles: Join gender-specific groups that provide a safe and supportive space to share experiences and offer mutual support. These circles encourage open dialogue about gender-specific issues, fostering a sense of community and understanding.

Creative and Holistic Therapies

Psychodrama: Experience a therapeutic approach that uses guided drama and role-playing to explore emotional experiences. Psychodrama allows you to express and process complex emotions in a safe and structured environment, promoting insight and healing.

Singing Bowls and Drumming Circle: Participate in sound therapy sessions that promote relaxation and emotional release. The vibrations from singing bowls and the rhythmic beats of drumming can help to reduce stress, improve concentration, and enhance overall well-being.

Wellness and Recovery Support

Ice Bath and Sauna: Enhance your physical health and promote detoxification with ice bath and sauna sessions. These practices, when incorporated into a holistic program of recovery, can help support your recovery from love addiction.

How Our Addiction Treatment Works

Holina Rehab treats addictions, often accompanied by trauma, anxiety and depression. We don’t have a fixed start date. The program begins as soon as you arrive.

We use the proven western 12 Step model of treatment, mixed with NLP (Neuro-Linguistic Programming), and various other talking therapy strategies, combined with our holistic healing therapies and mixed with mindfulness practices, which originate from Thai Buddhism and other Eastern Spiritual practices.

We have Counsellors, Coaches, Mentors, Therapists, Psychotherapists, Trainers and even a Monk on our diverse and experienced team.

Holina Recent Reviews

"I came to Holina from Leeds UK where I live. Upon arrival I was welcomed with opened arms. I was made to feel very safe and comfortable in the most magnificent surroundings. And by the staff who i believe saved my life due to their constant support and round the clock care. The treatment and therapy was tailored to my exact needs and I enjoyed the program tremendously. The accommodation was brilliant and the food on offer was excellent. Most importantly I felt I was in the right place to express my issues with trauma and addiction problems. I came in a broken man. And I left fixed. I will take the tools they gave me and use them in my recovery for the rest of my life. This place will forever hold a special place in my heart. And I cannot express just how grateful I am to have spent three months there. If your looking for a rehabilitation centre that offers more then just a chance to get your life back on track then look no further. Holina saved my life. Thank god for this experience of a life time. All the best to all the team. Love you guys forever."

"What an incredible experience I had during my 3-month stay at Holina. From the first day, the staff and clients made me feel welcome and understood. The case managers and therapists are not only highly skilled but also very compassionate. Special thanks to Rich, Natalie, William, Phoenix, Art and Luke. The program was well-structured, combining one-to-one therapies, group sessions, and holistic activities around mindfulness and physical activities (meditation, somatic therapies, breathing exercises, etc.). This private and safe resort is just like paradise. Private beach, jungle atmosphere, two pools, beautiful bungalows (mine was literally on the beach :-)), great varied food, big AC gym, comfortable common areas. Now, I feel like a completely new person. I have clarity, confidence, and hope for the future. Thanks to everyone at Holina for giving me my life back."

"After a period of residential care, I never dreamt that l would be gifted with the re-birth and clearer understanding of myself that I do today. The community, the staff, the (variety) therapies, the restaurant, the accommodation and the facilities are outstanding. I experienced a number of varying therapies bespoke to my individual requirements. Through this, I am equipped with tools and practices to approach my life - positively, thoughtfully and most importantly - JUST FOR TODAY! I am eternally grateful to all at Holina!"

"I was looking for a holistic and mainly somatic approach to treat my addiction due to trauma. And this is exactly what I found at Holina, Thailand. A tailored variety of treatments in one on one settings or in different group settings also fun activities like Muay Thai Boxing (pls note that I’m a female in my 60‘s and never have done such sport, but it became one of my weekly highlights). My recovery went better than I ever thought would be possible. I can’t praise staff and therapists highly enough (and I encountered quite a few in my life!). An unexpected bonus/help came through the connections within the group. Initially it was daunting being amongst a group of other clients but it’s much more about „our similarities than our differences“. Age, gender, cultural background etc is rather unimportant when in recovery and when fun becomes a daily occurrence as well!"

"Holina Retreat on Koh Phangan has been a life-changing experience for me. I arrived very lost and having abusing for the last 25 years but left with a sense of peace, clarity, and empowerment I haven’t felt in years. This retreat became a sanctuary during one of the most significant journeys of my life. The calming energy make it a place where you can truly reconnect with yourself. The yoga, meditation, water therapy etc etc and mindfulness practices helped me ground my recovery, while the workshops encouraged deep introspection and growth. The staff and community are incredibly supportive, offering kindness and acceptance at every turn. I felt seen and valued without judgment—a rare and priceless gift. Holina isn’t just a retreat; it’s a place to rediscover who you are and what you’re capable of. I’ll forever be grateful for the role it played in my recovery and can’t recommend it enough for anyone seeking transformation, healing, or just a reset. Thank you, Holina, for everything—you’ve made this milestone even more meaningful."

"I visited Holina after seeking recommendation from my former counsellor and couldn’t have wished for a better experience. Trauma and addictions are dealt with in a truly holistic manner - not only dealing with addictions, but also help to identify underlying causes, plus crucially for me, effective sustainable methods for dealing with the triggers that had led to addictive behaviours. I wouldn’t hesitate to recommend Holina"

"Luxurious surroundings, the very best A+ care, and a varied and interesting programme. Cannot recommend highly enough. Changed my life for the better in every way imaginable."

"I can only say this thing…With Holina there’s only good care and solution for any of your problems. Thanks again for all you did!!"

"Our son spent 3 months in holina and broadened his horizons and learnt so much about addiction"

"I do not Share this message lightly....its given me MY LIFE BACK...WHAT A GIFT TO BE GIVEN ONES LIFE BACK AGAIN..CAUSE OF SOME SUBSTANCE OR OTHER ISSUE...and WITH GOD BEING MY WITNESS..and MOSTLY THE UNCONDITIONAL LOVE OF THE STAFF and THE STAFF GIVING THEMSELVES TO OTHERS 24/7 SUPPORT TO ALL OUR NEEDS...THE HOLINA 12 STEP RESORT.IS ONE OF KIND....CARING OUT THE MESSAGE OF BILL AND BOB...and SO MUCH MORE.......ITS NOT JUST A RESORT BUT A BIG FAMILY...WHO ALL HAVE UNDERSTOOD, RELASPED. OR HAVE BEEN THERE BEFORE...IN THESE DARK PLACE AND ISSUES....BUT HAVE FOUND A WAY OUT....THE KEY THE 12 STEPS.....THE STAFF FOR ME ARE ALL SENT BY GOD....which I CALL THEM ANGEL'S...I WILL NEVER BE ABLE TO THANK YOU ALL 4 ALL YOU HAVE DONE.....BUT WHAT I HAVE NOW...CAN ONLY BE GIVEN AWAY......I AM HERE TO SERVE THOSE IN NEED and TO CONTINUE TO DO GODS WORK...as one wants to call HIM....LOVE YOU ALL....MY GOD MAY YOU BLESS IAN FOR ALL YOU HAVE DONE WITH YOUR LIFE..OTHERS LIFES...SAVING LIVES..AND TO CONTINUE TO CHANGE AND SAVE PEOPLES LIVES......I WILL BE ..FOR EVERY GRATEFUL JACK.....YOU ARE THE TRUE EXAMPLE OF THE 12 STEPS.....LOVE YOU BROTHER.."

"Holina is Wonderful! As a Rehab Center, the Staff are exceptional, all well trained, kind and give personal attention to all their clients. And Holina's facility is second to None, really the nicest rehab I've ever seen, overlooking the Sea, with two beautiful pools, excellent food and accommodation, one feels the luxury of the Koh Phangan. But most importantly is the exceptional personal treatment the clients receive . One on one counselor sessions, many group sessions throughout the day and personal guidance and help throughout the recovery journey. Holina is the Best Rehab Center in Thailand, in my opinion and Highly recommended!"

"Dear Dan, I want to take a moment to express my deepest gratitude for everything you’ve done for me over these past three months. Your guidance, support, and patience have been life-changing. I came into rehab feeling lost, but with your help, I’ve gained strength, clarity, and a renewed sense of hope for the future. You’ve not only helped me confront my addiction, but you’ve also helped me discover parts of myself I didn’t know existed. Your compassion and understanding created a space where I felt safe to heal, and I’ll forever be grateful for that. The tools and insights you’ve given me will stay with me as I continue this journey. Thank you for being such an incredible part of my recovery. I will always remember your kindness and the profound impact you’ve had on my life."

"Holina was such an incredible experience for me that opened my eyes to so many holistic wellness practices I still use today. The staff were amazing people and the location of the resort is breathtakingly beautiful. I’ve made friends for life and cleared so much emotional baggage from attending. Thanks Holina 👏"

"A brilliant place to get back in touch with oneself. My experience at Holina was a positive one, I found that the staff adapted to my needs and created a program uniquely suited to my trauma and recovery needs. The staff themselves are committed, educated and experienced. The accommodations are private and comfortable. Cell service and WIFI are top notch. Every personal need was met during my stay. My observation of Holina is that the entire team endeavours to create a warm, welcoming holistic atmosphere with a personalized touch. The general ethos of Holina differs from the normative institutional feel of a traditional western treatment centre and the frequency of one on one therapy sessions is unmatched, so the economic value far surpassed my expectations. It was exactly what I needed. Would recommend to anyone seeking therapeutic care for trauma and or substance use disorder."

"I started my recovery journey at Holina after attending other rehabs in the past and I couldn't have been happier with the level of treatment that I received. The staff are all amazing people who really cared about my needs and wants as a client. The facilities are great as is the food and the programme itself was perfect for me. The other rehabs that I attended didn't even come close to the level of care and treatment that Holina provided. Thank you so much Holina!"

"An amazing and unique treatment and rehab center. The center has a very professional treatment team. Everyone at Holina is matched with a personal program and made to feel that he is the most important to them. The center teaches and provides tools for life such as yoga, meditation and dealing with different situations in life. I recommend going to a center for addiction treatment and treatment to get back to yourself."

"By far the best rehabilitation centre I have been to. The level of care is second to none. I was very nervous attending rehab but all my fears were gone as soon as I met the team of counsellors, support staff and clients. The location is absolutely beautiful and accomodation is extremely comfortable. I had an amazing experience there and learned a lot about myself and the disease of addiction. They gave me life long tools to live a great life free from addiction. I would recommend to anyone to go there. Thank you, Holina from the bottom of my heart."

"Holina has been a life changing experience for me. I've been to 4 rehabs in my life and this has been by far the most profound experience I've had. This type of treatment simply couldn't be found in UK based rehabs. I came in on a huge amount of psychiatric and illicit meds. I was safely weaned off all the drugs I was abusing whilst having the support structure i needed around me at all times. Whilst the location is paradise, the programme itself is very structured and reasonably strict, which is exactly what I needed. Its helped me push my limits from a socially anxious man who isolated, to a (tanned!) man who looks forward to speaking and engaging in communities. I've conquered some real fears in the 11 weeks I stayed in Holina. And I got the opportunity to make some of the best friends of my life, and grow into someone I didn't think possible. Holina gave me the gift of optimism and hope for the future which is something i've never had so I'll always be grateful for that. I know I have a lot of work to do still, but Holina has given me the best possible start on my journey of sobriety."

"Holina has a very unique and professional way of working with residents. There is a multitude of different interventions that are used in working with those people who are residents. They have 2 qualified Psychologists, a number of case managers, nurse, breath work, TRE, meditation, inner walk, Muay Thai, swimming, yoga to name a few. Each person has their own case manager with an individual care plan, that in conjunction works with ensuring the right interventions for the right person."

"Dear HOLINA Staff, I hope this note finds each of you well. As I reflect on my journey, I feel a deep sense of gratitude for the support, compassion, and understanding you all extended to me during my time at the center. It was within those walls that I truly began to rediscover myself, and I couldn’t have done it without each of you. Thank you for your patience and kindness, for listening without judgment, and for guiding me through each step of this challenging process. You created an environment that felt safe and supportive, allowing me to confront my struggles and build a foundation for a healthier, brighter future. The knowledge, tools, and encouragement you provided have been invaluable. I am incredibly grateful for your commitment to helping people like me regain control and find hope. You have made a lasting impact on my life, and I will carry that forward with me, day by day. Thank you again for everything."

"Holina provided an amazing environment for me to be able to build myself back up and provide me with the tools to leave and take on life again. It's a beautiful facility with amazing views and facilities such as the restaurant, gym and a well kept private beach. All the staff work really hard to keep the place clean and well kept. The structure of the days are fantastic ensuring a morning of group sessions and opportunity for yoga or swimming before breakfast. And a focus on the AA programme and step work in the afternoon. All the support staff are really caring and take time to listen to all their clients whether it's support with the step work or suggestions for how they could improve the treatment or facilities provided. I had fantastic therapists throughout treatment, my primary therapist I was able to see twice a week to really work through personal problems and building my ability to recognise my emotions and needs and how to move forward with them. I also had access to multiple somatic therapists which was something I had never experienced before and highly recommended taking advantage of that opportunity. Holina provides the safe environment to really work on yourself and gives you so much opportunity for growth and learning especially if youre able to apply yourself and really work hard with them. I have a lot to thank Holina for, I went in really struggling to cope with addiction and life in general and I came out with strong confidence and so much knowledge."

"I had exceptional experience at Holina which gave me inner peace, presence and awareness. First I am grateful to all the people who took good care of me and helped me to learn so much. Special thanks to Ines, William, Jace, Rich, Ian, Uzi, Dan, Tanya, Nurse Tanya, Tim, Prah Olarn, Fluke, Yarden, Yoav, Franki, Derek, AK, Kwang, Phyo, Yossi and many others. Second, the facilities were excellent, they have two swimming pools, restaurant with delicious and healthy food, air conditioned gym, yoga classes and very comfortable rooms and beautiful views. Third Holina is a holistic program offering many different practices and methods. Personally I was willing to do the work and try everything I was offered and wonderful experiences happened to me. I am grateful to Holina for not only helping me "get back to myself" but also for discovering a more peaceful, calm and less impulsive side in me."

"I arrived at Holina with no idea what to expect, what was on offer, or what the place looked like. So it totally blew my mind exploring the space and finding out it had its own private beach, multiple pools, a full gym and was nestled into the jungle with beautiful bungalows speckled across the hillside. The whole place felt like a high end retreat centre rather than a recovery centre. Then when I got a copy of the schedule and saw quite how much was on offer, I knew id made the right choice in choosing Holina. Everyday was jam packed with such a diverse line up of activities and the way the schedule is laid out is perfect. A really nice balanced mix of inner work, therapy, different spiritual practices, group sessions, step work, exercise and a chunk or two a day of time to be able to relax and appreciate the environment you’re in and soak up some of that tropical sun. The days were so rich and diverse and I was always being challenged to try new things and because of this I grew so much during my time there. It really was amazing quite how much was on offer there and every facilitator was incredible at what they did and it felt like it was so much more than just a job to most of them. They genuinely cared about all the clients and it felt you were all part of a family and I made a lot of friends that I will go on to be close with for the rest of my life. I originally planned to only be there for 30 days, but decided to extend for the full three month program"

"Holina saved my friends life. He came with the intention of staying for only a couple of weeks and stayed for 2 months. His life has transformed, his outlook and attitude towards life has changed, remarkably for the better. He no longer uses drugs or drinks, has gone back to work and is once again a positive person in society, quite remarkable really! Holina's facilities are Wonderful, Beautiful and Serene, the perfect place to take account of ones life and work on oneself with the many professionally trained staff to guide the clients. I highly recommend Holina to anyone needing help on the road to recovery, it has changed my friends life and mine as well by association. Thank you Everyone at Holina!"

"What an amazing journey ,my time at Holina was a blessing . I never thought I could come out of a place with so much gratitude and a love for life . Words can’t really express the transformation of my body , mind & soul these people I have worked with the staff and community are just special humans .I’m truly grateful & thankful I found this amazing facility I owe my life to them all.'

"Holina is the most nourishing life experience that I offered myself. The great start for both the recovery from addiction, and the discovery of new ways of living by embracing the transformative meaning of life. The staff is extremely professional, supportive, careful and warm. They gave me the feeling of belonging to that open and safe inner and outer space. I found the community of people (the clients) has given me the most satisfactory healthy spiritual and social journey. There are very sensitive, smart, vulnerable and open people that are considering to start their recovery under the guidelines, principles, values, and activities at Holina. Or just come back there for an exceptional sober living period. The social environment is so trustful, offering information, action and confidence on the recovery process during. The place is idyllically situated on the beach of one of the most beautiful exotic islands. The facility offers everything one could want or expect for a high-end holistic treatment and lifestyle, from group sharing therapy and support, to sauna and ice bath, from extremely professional and adapted individual therapies, to pools and gym. I was personally impressed by the immersion in specific holistic activities, such as psychodrama, gongs concert, breath practice etc. As I left a few weeks ago, the after care program is efficient and supports clients being kept in the elevated state of being specific to Holina, for which I am so grateful!"

"What an incredible experience I had during my 3-month stay at Holina. From the first day, the staff and clients made me feel welcome and understood. The case managers and therapists are not only highly skilled but also very compassionate. The program was well-structured, combining one-to-one therapies, group sessions, and holistic activities around mindfulness and physical activities (meditation, somatic therapies, breathing exercises, etc.). This private and safe resort is just like paradise. Private beach, jungle atmosphere, two pools, beautiful bungalows (mine was literally on the beach :-)), great varied food, big AC gym, comfortable common areas. Now, I feel like a completely new person. I have clarity, confidence, and hope for the future. Thanks to everyone at Holina for giving me my life back."

"I had exceptional experience at Holina which gave me inner peace, presence and awareness. First I am grateful to all the people who took good care of me and helped me to learn so much. Special thanks to Ines, William, Jace, Rich, Ian, Uzi, Dan, Tanya, Nurse Tanya, Tim, Prah Olarn, Justine, Fluke, Yarden, Yoav, Franki, Derek, AK, Kwang, Phyo, Yossi and many others. Second, the facilities were excellent, they have two swimming pools, restaurant with delicious and healthy food, air conditioned gym, yoga classes and very comfortable rooms and beautiful views. Third Holina is a holistic program offering many different practices and methods. Personally I was willing to do the work and try everything I was offered and wonderful experiences happened to me. I am grateful to Holina for not only helping me "get back to myself" but also for discovering a more peaceful, calm and less impulsive side in me."

"I have the privilege of working as an art therapist at Holina for the past year, and I absolutely love it! The center offers a comprehensive, holistic approach to trauma and addiction recovery, and I’m grateful to be part of a dedicated team that supports each individual in reaching their full potential. What sets Holina apart is how seamlessly trauma work is integrated into the recovery program, producing truly transformative results. And the location is simply breathtaking—I have to pinch myself every time I step out on a break and take in the stunning views! I highly recommend Holina for anyone seeking a safe, transformative, and deeply healing journey. You'll be fully supported every step of the way. Aniko Vigh, Art therapist"

The Holina Holistic Treatments

Holina’s holistic approach to addiction treatment in Thailand brings to life a comprehensive healing experience that meets the 6 primary human needs – certainty, significance, variety, love/connection, growth, and contribution. As one of Thailand’s best rehab centers, we address the whole person through our integrated therapeutic methods.

Alcohol Addiction

Experience specialized alcohol addiction help Thailand residents and international clients trust. Our alcohol rehab in Thailand program combines evidence-based therapies with holistic approaches to address physical dependency, psychological triggers, and underlying emotional issues. Our comprehensive treatment creates lasting recovery in our luxury rehab Thailand setting.

Drug Addiction

Our drug rehab centers Thailand expertise provides effective treatment for all substance dependencies. From prescription rehab Thailand programs to heroin addiction treatment Thailand services, we offer medically supervised detox followed by intensive therapy in a supportive environment. Experience why we're rated among the best drug detox Thailand facilities.

Love Addiction

Address unhealthy relationship patterns at one of Thailand's top recovery programs. Our specialized process addiction rehab Thailand approach helps identify codependent behaviors and build healthier relationship skills. Heal in the nurturing environment of our Thailand rehab retreat while developing sustainable emotional wellness.

Depression Treatment

Find relief and healing at our mental health rehab Thailand facility. Our depression treatment integrates evidence-based therapies, mindfulness practices, and holistic modalities in a supportive beachfront setting. Experience why international rehab Thailand clients choose Holina for comprehensive mental health treatment Thailand programs.

Sex Addiction

Overcome compulsive sexual behaviors with our specialized process addiction rehab Thailand program. Our high-end addiction centers Thailand approach combines cognitive behavioral therapy, trauma work, and mindfulness training to address underlying causes while developing healthy coping mechanisms in a confidential, non-judgmental environment.

Gambling Addiction

Break free from gambling dependency at our Thailand rehabilitation centre. Our gambling addiction treatment Thailand program addresses compulsive behaviors, financial recovery, and relapse prevention. Join the many clients who've transformed their lives through our affordable rehabs in Thailand with luxury amenities and expert care.

The Holina Residential Program

At Holina Rehab, our holistic approach addresses the six primary human needs-certainty, significance, variety, love/connection, growth, and contribution-creating a comprehensive and healthy framework for recovery. This approach allows us to effectively tackle the full range of symptoms related to addiction and trauma.