Dual diagnosis treatment is a specialised approach to addiction care that addresses both a substance use disorder and a co-occurring mental health condition — such as depression, anxiety, PTSD, or ADHD — simultaneously, within a single, integrated programme. Misdiagnosis is so prevalent because the symptoms of many mental health disorders closely mirror those of intoxication or withdrawal, leading clinicians to treat only the most visible presenting issue and overlook the underlying condition driving it.

The scale of this clinical blind spot is significant. According to the Substance Abuse and Mental Health Services Administration (SAMHSA), more than nine million adults in the United States alone are living with co-occurring mental health and substance use disorders — and that figure reflects only those formally identified. Globally, researchers consistently find that more than half of all people seeking help for addiction are also experiencing a diagnosable mental health condition. The most common pairings are depression and alcohol use disorder, anxiety and benzodiazepine dependence, PTSD and substance misuse of almost any kind, and ADHD alongside stimulant or cannabis dependency. Yet in many treatment settings, these connections go unrecognised. A person arrives in crisis — exhausted, withdrawn, self-medicating — and the substance use becomes the focus, while the depression, the trauma history, or the dysregulated nervous system quietly continues to do its work beneath the surface.

For international patients and families researching mental health addiction treatment options, this matters enormously. When only one half of a dual diagnosis is treated, the untreated condition reliably drives relapse. A person may complete a residential programme, reduce their alcohol intake, and return home — only to find that the depression they carried long before they ever picked up a drink is still present, still painful, and still pulling them back towards the only relief they have ever known. Co-occurring disorders addiction treatment is not simply about adding therapy sessions to a standard detox programme; it requires a fundamentally different clinical structure, one built around thorough psychiatric assessment, personalised treatment planning, and a care team trained to hold the complexity of both conditions at once.

At Holina Rehab in Koh Phangan, Thailand, our dual diagnosis rehab programme is designed precisely for this reality. Addiction depression treatment, trauma-informed care, and physician-supervised psychiatric support are woven together from the first day of assessment — because treating the whole person is not a philosophy we aspire to, it is the clinical standard we work to every day.

What Is Dual Diagnosis Treatment and How Does It Actually Work?

Dual diagnosis treatment is a specialised, integrated approach that addresses both a substance use disorder and a co-occurring mental health condition simultaneously, within a single, cohesive programme of care. Rather than treating addiction and mental illness as two separate problems requiring two separate pathways, dual diagnosis care recognises that these conditions are deeply intertwined — and that lasting recovery depends on understanding both.

The scale of co-occurring disorders is far greater than most people realise. According to the Substance Abuse and Mental Health Services Administration (SAMHSA), more than nine million adults in the United States alone are living with both a substance use disorder and a mental health condition at the same time. More striking still, research consistently shows that more than half of all people seeking help for addiction have at least one diagnosable co-occurring psychiatric condition. These are not rare edge cases. They are, in many respects, the norm — which makes the absence of integrated treatment in so many facilities not a minor gap, but a fundamental failure of care.

The most commonly seen pairings are telling in their own right. Depression and alcohol use disorder are among the most frequently co-occurring conditions, with each capable of amplifying the severity of the other. Anxiety disorders frequently present alongside benzodiazepine dependence — often beginning, heartbreakingly, with a legitimate prescription. Post-traumatic stress disorder (PTSD) shows a particularly strong co-occurrence across all substance types, reflecting the way in which many people reach for substances as a means of managing unprocessed trauma. Attention deficit hyperactivity disorder (ADHD) is significantly associated with stimulant misuse, sometimes as a form of self-medication before any formal diagnosis has ever been made. In each of these pairings, the relationship between the mental health condition and the substance use is not coincidental — it is causal, cyclical, and clinically meaningful.

What makes dual diagnosis treatment different from standard addiction care is the deliberate, structured integration of psychiatric and psychological support from the very first day of assessment. A thorough diagnostic evaluation — conducted by experienced physicians and mental health clinicians — seeks to identify not only the substance use pattern but the full landscape of a person’s psychological history. This includes childhood experiences, trauma history, previous psychiatric diagnoses, family mental health history, and the precise relationship between mood states and substance use behaviour. It is painstaking, personalised work, and it cannot be rushed.

Treatment itself is then built around both conditions equally. Evidence-based therapeutic modalities such as Cognitive Behavioural Therapy (CBT), Dialectical Behaviour Therapy (DBT), trauma-informed care, and EMDR may be used in combination, tailored to the individual’s specific diagnostic profile. Where appropriate, physician-supervised medication management may form part of the plan — stabilising mood, reducing psychiatric symptoms, and creating the neurological conditions in which meaningful therapeutic work becomes possible. The key word throughout is integrated: every element of treatment is designed with the full picture in mind, not a single presenting complaint.

Without this integrated lens, even the most well-resourced treatment programme is working with incomplete information — and incomplete information, as we will explore in the sections that follow, is precisely why so many people leave rehab only to relapse within months.

Why Does It Matter Whether Your Mental Health and Addiction Are Treated Together?

It matters because treating only one condition whilst the other remains unaddressed is one of the most common — and most preventable — reasons people relapse after leaving treatment. If an underlying mental health disorder is driving the substance use, and that disorder never receives proper clinical attention, the relief provided by addiction treatment alone will almost always be temporary.

The scale of this issue is striking. Research from SAMHSA indicates that more than nine million adults in the United States live with co-occurring mental health and substance use disorders simultaneously. More than half of everyone presenting with a substance use disorder has at least one diagnosable mental health condition alongside it. These are not rare, edge-case presentations — they represent the majority of people sitting in treatment centres around the world, many of whom are receiving care designed for a simpler picture than the one they actually have.

The most frequently seen pairings are not random. Depression and alcohol use disorder appear together with remarkable consistency, because alcohol’s initial sedative and numbing effects offer short-term relief from persistent low mood. Anxiety disorders and benzodiazepine dependency follow a similar logic — the medication works, until it doesn’t, and then it creates a neurological dependency that deepens the very anxiety it once suppressed. PTSD and substance use form another deeply intertwined pairing; substances become a form of self-medication for intrusive memories, hypervigilance and emotional dysregulation that trauma leaves behind. ADHD and stimulant misuse — including cocaine and prescription amphetamines — occur together because the stimulant temporarily fills a neurological gap, producing focus and calm that the individual has rarely experienced otherwise.

Understanding these pairings matters for you personally because it reframes what recovery actually requires. If you or someone you love has attempted treatment before and relapsed — perhaps multiple times — it is worth asking honestly whether the full picture was ever assessed. A programme that treated the alcohol use but never explored whether depression was present, or addressed the anxiety without investigating whether benzodiazepine dependency had formed, has not failed because the person lacks willpower. It has failed because the treatment was incomplete.

The clinical evidence on this is unambiguous. Programmes that provide integrated, simultaneous treatment for both the mental health condition and the substance use disorder consistently produce better long-term outcomes than sequential models — where one condition is treated first and the other addressed later, if at all. The untreated condition does not wait patiently. It continues to generate distress, and that distress seeks relief through the most familiar pathway available: substance use.

Depression and alcohol: low mood drives drinking; drinking deepens depression — a cycle that neither AA meetings nor antidepressants alone can reliably break
Anxiety and benzodiazepines: dependency and the original anxiety disorder require concurrent, specialist management to safely resolve
PTSD and substances: trauma must be processed therapeutically, not simply suppressed, for sustained recovery to become possible
ADHD and stimulants: proper neurodevelopmental assessment and management removes the neurological gap that misuse was filling

Recognising which pattern applies to your situation — or your loved one’s — is not about assigning blame or complexity to what you hoped might be straightforward. It is about ensuring that the treatment you invest in actually addresses what is present, so that recovery has a genuinely solid foundation to build upon.

What Does Dual Diagnosis Treatment Actually Look Like in Practice?

In practice, dual diagnosis treatment means that your mental health condition and substance use disorder are assessed, planned for, and treated simultaneously by a coordinated clinical team — not addressed one after the other, or handed between separate specialists who never speak to one another. From the moment you arrive, both conditions are held in view together, because the research is unambiguous: treating one without the other dramatically increases the likelihood of relapse.

The process begins with a comprehensive psychiatric and medical assessment that goes well beyond asking what substances you have been using and how often. A physician-supervised intake evaluation will explore your full psychological history, including any childhood experiences, previous diagnoses, periods of anxiety or depression that preceded substance use, and any trauma you have experienced. This is the stage where so many patients finally hear — often for the first time — that what they assumed was a character flaw or a simple addiction problem is actually something more layered and entirely treatable. For many people, this assessment alone is profoundly clarifying.

From that foundation, a personalised treatment plan is built that addresses both conditions through parallel, integrated pathways. If you are living with depression and alcohol dependence — one of the most common co-occurring pairings — your plan might include medically supervised withdrawal management, psychiatric support to evaluate whether antidepressant medication is appropriate, and evidence-based psychotherapy such as Cognitive Behavioural Therapy (CBT) or Dialectical Behaviour Therapy (DBT) to address the thought patterns and emotional dysregulation that connect the two conditions. No single element works in isolation; the power of dual diagnosis treatment lies in their integration.

For those managing PTSD alongside substance use — another extraordinarily common pairing — trauma-informed therapies form a central part of the treatment schedule. Approaches such as EMDR (Eye Movement Desensitisation and Reprocessing) have a strong evidence base for trauma processing, and when delivered within a residential setting where patients feel genuinely safe, the therapeutic outcomes are considerably stronger than in outpatient settings where someone returns each evening to the same environment that may have contributed to their difficulties.

Day-to-day life within a quality dual diagnosis programme is structured but not rigid. You can expect individual therapy sessions several times per week, group therapy that helps you understand the relationship between emotion and behaviour, holistic support including mindfulness, movement, and breathwork to regulate the nervous system, and regular check-ins with the psychiatric team to monitor how you are responding and adjust the approach accordingly. Nutrition, sleep, and physical health are taken seriously as clinical factors, not afterthoughts.

Crucially, the clinical team communicates. Your psychiatrist, your therapist, your physician, and your wellness practitioners are working from the same understanding of your situation. This joined-up approach is what separates genuine dual diagnosis care from the fragmented treatment many patients have experienced elsewhere — and it is why, for people who have tried and struggled before, this model so often represents a meaningful turning point.

How Can Patients from the UK, Australia, and Canada Access Dual Diagnosis Treatment Abroad?

Patients from the UK, Australia, and Canada can access dual diagnosis treatment at an international residential facility like Holina Rehab by arranging self-funded care directly, entirely bypassing domestic waiting lists and the fragmented public systems that so often leave co-occurring disorders underserved. For many people travelling from these countries, seeking treatment abroad is not a last resort — it is a deliberate, well-informed choice to receive a higher standard of integrated, personalised care than their home system is currently able to provide.

In the United Kingdom, NHS mental health services and addiction services are frequently commissioned and delivered by entirely separate organisations. A person presenting with depression and alcohol dependency may find themselves referred back and forth between teams, each one waiting for the other to achieve “stability” before beginning their own intervention. This siloed structure is not the result of poor intentions — it is a systemic problem rooted in commissioning boundaries and resource constraints. The outcome for the patient, however, is that neither condition is treated with the urgency or clinical depth it requires, and relapse rates remain high as a consequence.

Australian and Canadian patients face comparable challenges. Publicly funded residential treatment programmes in both countries are typically short-term, heavily oversubscribed, and rarely equipped to deliver the simultaneous psychiatric assessment and evidence-based addiction therapy that a dual diagnosis requires. Private options exist domestically, but waiting periods and the limited scope of many programmes mean that a growing number of individuals and families are looking beyond their borders for a more comprehensive solution.

What a premium residential facility in Thailand offers these patients is something meaningfully different: a fully integrated programme in which physician-supervised medical assessment, psychiatric evaluation, and therapeutic treatment begin at the same time, from the very first day of admission. There is no handover between departments, no waiting for one team to finish before another begins. A psychiatrist, addiction physician, and experienced therapeutic team work in close collaboration throughout the entire stay, reviewing progress together and adjusting the treatment plan as new clinical information emerges.

For patients travelling from the UK, Australia, or Canada, the practical logistics are more straightforward than many initially assume. Holina Rehab’s admissions team works directly with prospective clients and their families prior to arrival, gathering clinical history, coordinating any necessary pre-admission documentation, and ensuring that the treating team has a thorough picture of the individual before they step off the plane. Many international patients also find that the cost of a comprehensive residential programme in Thailand — inclusive of accommodation, meals, medical oversight, and a full therapeutic schedule — compares very favourably with the cost of private residential care in London, Sydney, or Toronto.

Perhaps most importantly, the physical and psychological distance from a familiar environment can itself be therapeutically significant. Removing a person from the social triggers, routines, and pressures that have sustained both their substance use and their mental health difficulties creates the conditions in which genuine, lasting change becomes possible. For patients who have already attempted treatment at home without sustained success, this change of environment is often precisely what was missing.

How Do You Choose the Right Dual Diagnosis Programme for Yourself or Someone You Love?

Choosing the right dual diagnosis programme begins with understanding that not all addiction treatment facilities are equipped — or qualified — to treat co-occurring mental health conditions with genuine clinical rigour. The most important question to ask is not simply whether a centre claims to offer dual diagnosis treatment, but whether it has the integrated psychiatric expertise, the residential structure, and the personalised depth of care to treat both conditions simultaneously and thoroughly.

The first practical consideration is clinical staffing. A credible dual diagnosis programme should include on-site or closely affiliated psychiatrists who can conduct comprehensive psychiatric assessments — not just intake screenings. This matters enormously because, as the evidence consistently shows, symptoms of anxiety, depression, PTSD, and ADHD frequently overlap with the effects of intoxication, withdrawal, or post-acute withdrawal syndrome. Disentangling these presentations takes time, specialist training, and a willingness to reserve judgement until the clinical picture becomes clearer. Physician-supervised care throughout the entire residential stay is not a luxury — it is a clinical necessity for this population.

The second consideration is programme structure and length. Co-occurring disorders do not resolve in a matter of weeks. Research indicates that meaningful stabilisation of both a mental health condition and a substance use disorder typically requires a minimum of 60 to 90 days of structured residential treatment, with continued outpatient or aftercare support thereafter. Programmes that promise rapid results or compress treatment into short windows are unlikely to give the psychiatric dimension of care the attention it genuinely requires. Be cautious of any facility that cannot clearly articulate how mental health treatment is woven into the daily programme — not merely added as an occasional session.

Third, ask about assessment protocols. A thorough dual diagnosis evaluation should explore trauma history, family psychiatric history, sleep, mood, cognition, and the specific timeline of when mental health symptoms first appeared relative to substance use. This distinction — whether psychological symptoms preceded or followed substance use — fundamentally shapes the treatment plan. Programmes that skip this depth of assessment risk repeating the same misdiagnosis that may have already failed a patient elsewhere.

Fourth, consider the therapeutic modalities on offer. Evidence-based approaches including Cognitive Behavioural Therapy, Dialectical Behaviour Therapy, EMDR for trauma, and schema-focused work have strong research support for co-occurring presentations. Holistic elements — mindfulness, somatic therapies, nutrition, and nervous system regulation — play an important complementary role in helping the body and mind rebuild resilience alongside formal psychotherapy. The most effective programmes integrate both dimensions without allowing one to overshadow the other.

Finally, consider the environment itself. Recovery from dual diagnosis conditions is profoundly affected by safety, calm, and the absence of stress. A luxury residential setting — one that offers privacy, restorative surroundings, and consistent professional support — creates the psychological conditions in which genuine healing becomes possible. For individuals carrying both addiction and unresolved mental health burdens, that sense of safety is not incidental to treatment. It is part of it.

How Do You Find Out Whether Dual Diagnosis Treatment Is Right for You?

The most important step is a comprehensive psychiatric and medical assessment carried out before treatment begins — not weeks into it. At Holina Rehab in Koh Phangan, Thailand, every resident undergoes a thorough physician-supervised evaluation that explores mental health history, trauma, substance use patterns, and physical health together, as an interconnected picture rather than separate problems. If a co-occurring condition is identified, your treatment plan is built around both from day one, using evidence-based therapies — including trauma-informed care, CBT, and individual psychiatric support — tailored specifically to you.

You do not need a prior diagnosis to reach out. Many people arrive uncertain about what they are dealing with, only to discover that an unrecognised condition has been quietly driving their substance use for years. If you or someone you love has struggled to maintain recovery or has never felt fully understood by previous treatment, speaking with our team is a meaningful place to start.

Contact Holina Rehab today for a confidential conversation about personalised dual diagnosis care.

Frequently Asked Questions About Dual Diagnosis Treatment

What exactly is a dual diagnosis?

A dual diagnosis — also called a co-occurring disorder — means a person is living with both a substance use disorder and at least one mental health condition simultaneously. Common examples include depression and alcohol dependence, PTSD and opioid use, or anxiety and benzodiazepine misuse. Both conditions interact with and worsen each other, which is why they must be treated together.

Why are co-occurring disorders so frequently missed?

The symptoms of many mental health conditions closely mimic those of intoxication or withdrawal, making it genuinely difficult to distinguish one from the other during an initial assessment. Clinicians focused on the immediate presenting crisis — usually the substance use — may not look deeper for an underlying psychiatric condition. Without structured, comprehensive screening tools, the mental health diagnosis is easily overlooked.

Can addiction treatment work if only the substance use is addressed?

For someone with a co-occurring disorder, treating the addiction alone rarely produces lasting results. The untreated mental health condition — whether it is anxiety, depression, PTSD, or ADHD — continues to generate the distress that drives substance use in the first place, making relapse highly likely. Integrated treatment that addresses both conditions simultaneously significantly improves long-term outcomes.

How common are co-occurring disorders among people seeking addiction treatment?

According to SAMHSA, more than 9 million adults in the United States are living with co-occurring mental health and substance use disorders, and more than half of all people with a substance use disorder have at least one co-occurring mental health condition. This means dual diagnosis is not the exception in addiction treatment settings — it is the norm.

What does dual diagnosis treatment look like at a residential rehab?

At a high-quality residential programme, dual diagnosis treatment combines physician-supervised care with evidence-based psychiatric support, individual therapy, and holistic approaches — all delivered within a structured, therapeutic environment. Treatment is highly personalised, meaning the specific combination of conditions, their severity, and your personal history all shape the programme designed for you. Residential care provides the stability and immersive focus that outpatient settings often cannot replicate for complex co-occurring presentations.

Ready to Start Your Recovery Journey?

Our clinical team is available to answer your questions and help you find the right programme for your needs.

Speak with Our Team →

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.