Brain fog is a recognised cluster of cognitive symptoms — including mental fatigue, difficulty concentrating, word-finding problems, and impaired short-term memory — that can significantly affect daily functioning, and hyperbaric oxygen therapy (HBOT) has demonstrated meaningful clinical potential in addressing several of its underlying physiological causes. While HBOT is not a cure for neurodegenerative disease or a guaranteed resolution for every patient, physician-supervised hyperbaric oxygen therapy has shown promising results in improving cognitive scores, reducing neuroinflammation, and supporting the brain’s own repair mechanisms in carefully selected patients.

For many of our international patients arriving at Holina Clinic, brain fog is not a minor inconvenience — it is a career-limiting, relationship-affecting, quality-of-life issue that conventional medicine has often struggled to address with precision. The frustration is understandable: you may have had blood tests return within normal ranges, been told you simply need better sleep or less stress, and yet you continue to experience that persistent mental heaviness, the word that sits just out of reach, the meeting you left having retained almost nothing. Brain fog is not a formal medical diagnosis, but it is a clinically meaningful symptom cluster, and its causes are frequently rooted in measurable physiological dysfunction.

The most common drivers of cognitive fog include long COVID-related neurological injury, hormonal shifts during perimenopause and menopause, subclinical thyroid dysfunction, chronic sleep deprivation, prolonged psychological stress, and mitochondrial dysfunction — a state in which the brain’s energy-producing cells are simply not generating sufficient ATP to sustain optimal cognitive performance. Each of these pathways, while distinct in origin, shares a common consequence: the brain is not receiving the oxygen, metabolic support, or neurochemical signalling it requires to function at full capacity.

This is precisely where the clinical rationale for HBOT and cognitive decline becomes compelling. Hyperbaric oxygen therapy works by delivering 100% medical-grade oxygen at increased atmospheric pressure, substantially elevating the dissolved oxygen concentration in the blood plasma and cerebrospinal fluid. This hyperoxic state directly increases cerebral oxygenation in under-perfused regions of the brain — areas that imaging studies have shown to be metabolically compromised in patients with long COVID, chronic fatigue, and age-related cognitive decline. Beyond simply flooding the brain with oxygen, HBOT has been shown to reduce neuroinflammation, a key driver of cognitive impairment, by modulating inflammatory cytokine activity and supporting the integrity of the blood-brain barrier.

Critically, HBOT also stimulates neuroplasticity — the brain’s capacity to reorganise, form new neural connections, and repair damaged tissue. This occurs in part through the upregulation of brain-derived neurotrophic factor (BDNF), a protein essential to the growth, maintenance, and survival of neurons. In practical terms, this means that hyperbaric oxygen therapy for brain fog is not simply a symptomatic intervention — it is addressing structural and biochemical conditions that contribute to cognitive underperformance.

The clinical evidence supporting this mechanism is growing. A landmark trial conducted at Shamir Medical Center in Israel examined the effects of HBOT on patients suffering from long COVID cognitive symptoms. The results were significant: participants who underwent a structured course of hyperbaric oxygen sessions demonstrated measurable improvements in cognitive function scores, attention, memory, and executive function compared to a control group — changes that corresponded with improved cerebral blood flow on imaging. This research has substantially strengthened the evidence base for HBOT memory improvement and positioned hyperbaric therapy as a credible, physician-supervised option within an integrated cognitive rehabilitation strategy.

At Holina Clinic, we believe that every patient experiencing cognitive decline deserves a thorough clinical assessment before any treatment is recommended. Brain fog has many causes, and a personalised treatment approach — one that accounts for your medical history, hormonal profile, inflammatory markers, sleep architecture, and lifestyle — is the only responsible foundation for a meaningful outcome. HBOT forms one important part of that clinical picture, and for many of our patients, it has proven to be a genuinely transformative component of their recovery.

What Is Brain Fog and What Is Actually Happening in Your Brain?

Brain fog is not a medical diagnosis in its own right, but rather a recognised cluster of neurological symptoms that signal your brain is not functioning at its optimal capacity. It encompasses cognitive fatigue, difficulty concentrating, problems retrieving words mid-sentence, short-term memory lapses, and a persistent sense of mental sluggishness that interferes with daily life.

Understanding what is occurring at a physiological level is essential before exploring any clinical intervention. When patients describe brain fog, they are frequently describing the downstream consequences of disrupted cerebral oxygenation, neuroinflammation, mitochondrial inefficiency, or hormonal dysregulation — often several of these simultaneously. The brain is extraordinarily energy-demanding, consuming roughly 20% of the body’s total oxygen supply despite representing only 2% of body weight. When oxygen delivery, mitochondrial function, or inflammatory signalling becomes impaired, cognitive performance deteriorates in ways that are measurable, distressing, and — importantly — often addressable through evidence-based clinical care.

The causes of brain fog are numerous and frequently overlapping. Long COVID has brought this symptom cluster to widespread public attention, with a significant proportion of post-COVID patients reporting persistent cognitive difficulties months after the initial infection resolves. Researchers at the Shamir Medical Center conducted a randomised, controlled trial examining the effects of hyperbaric oxygen therapy on long COVID patients experiencing neurological symptoms; participants who received HBOT demonstrated meaningful improvements in cognitive function, attention, and memory scores compared to those in the control group — findings that have contributed to growing clinical interest in oxygen-based interventions for post-viral cognitive impairment.

Beyond long COVID, brain fog is commonly associated with menopause and perimenopause, where fluctuating oestrogen levels directly affect neurotransmitter activity and cerebral blood flow. Thyroid dysfunction — both hypothyroidism and subclinical thyroid dysregulation — is a frequently overlooked contributor, as thyroid hormones regulate neuronal metabolism at a cellular level. Chronic sleep deprivation impairs the brain’s glymphatic clearance system, which is responsible for removing metabolic waste products including amyloid proteins during deep sleep. Prolonged psychological stress elevates cortisol, which in sustained excess is neurotoxic to the hippocampus, the brain region central to memory consolidation. Mitochondrial dysfunction — whether arising from nutrient deficiency, oxidative stress, or metabolic disease — reduces the ATP production that neurons require to fire efficiently.

It is worth being clinically transparent at the outset: brain fog associated with progressive neurodegenerative conditions such as Alzheimer’s disease or Parkinson’s disease represents a fundamentally different pathological process. No intervention — including hyperbaric oxygen therapy — should be presented as a treatment that reverses or halts neurodegeneration. What personalised, physician-supervised assessment can achieve is the identification of modifiable contributors to cognitive decline and the implementation of evidence-based protocols designed to restore neurological function where the underlying cause is addressable.

HBOT Mechanisms: How Hyperbaric Oxygen Therapy Improves Cognitive Function

Understanding the hyperbaric oxygen therapy mechanism is central to appreciating why it represents a clinically credible approach to cognitive function improvement rather than a passive wellness intervention. When a patient breathes 100% medical-grade oxygen inside a pressurised chamber at 1.5 to 2.0 atmospheres absolute, the partial pressure of oxygen in the blood rises dramatically. At this elevated pressure, oxygen dissolves directly into the plasma, cerebrospinal fluid, and interstitial tissues — bypassing the normal haemoglobin-dependent transport system and reaching brain regions where circulation is compromised or inadequate.

This oxygen-rich environment initiates several interconnected biological processes relevant to neurological recovery. First, it directly addresses cerebral hypoxia — the insufficient oxygen supply that underlies much of the metabolic dysfunction observed in chronic brain fog treatment. Second, the hyperoxic state modulates neuroinflammation by downregulating pro-inflammatory cytokines and supporting blood-brain barrier integrity, reducing the inflammatory burden that impairs synaptic transmission and neural efficiency. Third, and perhaps most consequentially for mental clarity restoration, HBOT upregulates the production of brain-derived neurotrophic factor (BDNF) — a protein that promotes neuronal survival, synaptic plasticity, and the formation of new neural connections.

HBOT also stimulates angiogenesis — the formation of new blood vessels — in oxygen-deprived brain tissue, and activates stem cell mobilisation from bone marrow, both of which contribute to longer-term structural neurological repair. Mitochondrial function is also supported: under hyperoxic conditions, the electron transport chain operates more efficiently, restoring ATP production in neurons that have been chronically under-fuelled. Collectively, these oxygen therapy benefits address the physiological architecture of cognitive decline rather than simply managing its surface symptoms, which is why physician-supervised protocols of adequate duration are consistently associated with more meaningful outcomes than isolated or short-course exposures.

Why Are So Many High-Functioning Adults Experiencing Cognitive Decline Before Their Time?

Brain fog is no longer an occasional complaint confined to the elderly or the seriously unwell — it is now one of the most frequently reported symptoms amongst otherwise healthy, high-achieving adults in their thirties, forties and fifties. Understanding why this is happening, and what it means for your long-term neurological health, is essential before exploring whether any intervention is appropriate for you.

The experience tends to follow a recognisable pattern: you find yourself mid-sentence, unable to retrieve a word you have used a thousand times. You read the same paragraph three times without absorbing it. You arrive at a meeting having prepared thoroughly, yet feel as though your thinking is moving through wet concrete. These are not signs of laziness or stress alone — they are neurological signals that something in your brain’s environment has shifted. The clinical term for this symptom cluster encompasses cognitive fatigue, difficulty with sustained concentration, short-term memory lapses and a pervasive sense of mental sluggishness that does not resolve with rest.

Several well-documented physiological processes can drive this presentation. Mitochondrial dysfunction is increasingly recognised as a central mechanism — when the energy-producing organelles within neurons are compromised, cognitive performance deteriorates measurably, even in the absence of structural brain disease. Chronic psychological stress sustains elevated cortisol levels that are directly toxic to the hippocampus, the region most critical to memory consolidation. Thyroid dysfunction, even at subclinical levels, impairs the speed and efficiency of neural transmission. Hormonal shifts during perimenopause and menopause reduce oestrogen — a neuroprotective hormone — leading to deficits in verbal memory, processing speed and executive function that many women report as sudden and alarming.

Long COVID has brought this issue into sharp public focus. A landmark trial conducted at Shamir Medical Center in Israel demonstrated that hyperbaric oxygen therapy produced statistically significant improvements in cognitive scores amongst long COVID patients, including gains in attention, executive function and processing speed. The proposed mechanisms include reduced neuroinflammation, enhanced cerebral oxygenation and stimulation of neuroplasticity — the brain’s capacity to form and reorganise neural connections. HBOT has also been shown to promote production of brain-derived neurotrophic factor (BDNF), a protein that supports the survival and growth of neurons.

It is important to be clinically honest here: HBOT is not a treatment for neurodegenerative conditions such as Alzheimer’s disease or Parkinson’s disease, and it does not reverse established structural brain damage. What the evidence does support is its potential role in addressing the underlying physiological contributors to functional cognitive impairment — inflammation, oxygen insufficiency and impaired neuroplasticity — within a physician-supervised, personalised treatment framework.

Brain Fog vs. Medical Conditions: When to Seek HBOT vs. Other Treatments

Not all cognitive symptoms are created equal, and one of the most important clinical distinctions a physician must make is whether a patient’s brain fog reflects a reversible, modifiable physiological state — or whether it signals an underlying medical condition requiring a fundamentally different treatment pathway. Making this distinction accurately is what separates responsible chronic brain fog treatment from premature or misdirected intervention.

HBOT is most appropriately considered when cognitive symptoms arise from conditions where neuroinflammation, cerebral hypoxia, or mitochondrial dysfunction are central mechanisms. Post-COVID cognitive impairment, chronic fatigue syndrome, and post-anaesthetic cognitive changes represent presentations where HBOT clinical evidence is actively accumulating and physician-supervised protocols have demonstrated measurable benefit. Similarly, patients with elevated inflammatory markers, documented cerebral blood flow abnormalities, or mitochondrial insufficiency may represent strong candidates for an evidence-based HBOT programme within an integrated care plan.

However, several medical conditions can mimic or exacerbate brain fog and require targeted treatment before or alongside any oxygen-based intervention. Hypothyroidism and subclinical thyroid dysfunction demand hormonal management, not oxygen therapy as a primary response. Significant hormonal imbalance — particularly the oestrogen decline of perimenopause — may be most effectively addressed through personalised hormone optimisation, with HBOT playing a complementary rather than primary role. Clinical depression and anxiety disorders can manifest as profound cognitive impairment and require psychiatric evaluation and, where appropriate, pharmacological or psychological intervention.

Critically, progressive cognitive decline that may indicate early-stage Alzheimer’s disease, vascular dementia, or Parkinson’s disease requires specialist neurological assessment as an immediate priority. HBOT is not an appropriate first-line response to suspected neurodegeneration. At Holina Clinic, every patient presenting with cognitive symptoms undergoes a comprehensive physician-led assessment precisely to navigate these distinctions — ensuring that HBOT is recommended only where it is clinically justified, and that any concurrent conditions receive appropriate, coordinated clinical oversight.

HBOT Success Rates for Cognitive Decline: What Research Shows

The HBOT clinical evidence base for cognitive function improvement has strengthened considerably over the past decade, with several well-designed studies providing meaningful data on outcomes across different patient populations. While it is important to interpret this evidence with clinical precision — distinguishing between the conditions studied and the patient groups most likely to benefit — the overall picture supports HBOT as a credible, physician-supervised intervention for specific forms of cognitive decline.

The most robust data currently available concerns post-COVID cognitive impairment. The randomised controlled trial conducted at Shamir Medical Center in Israel, published in a peer-reviewed journal, demonstrated statistically significant improvements across multiple cognitive domains — including attention, executive function, information processing speed, and memory — in long COVID patients following a structured 40-session HBOT protocol. Neuroimaging confirmed corresponding increases in cerebral blood flow in regions associated with cognitive performance. In practical terms, patients experienced measurable mental clarity restoration in areas that had been functionally compromised since their initial COVID infection.

Research examining HBOT for age-related cognitive decline has also produced encouraging findings. A controlled trial investigating healthy older adults found that a course of HBOT sessions produced significant improvements in attention, information processing speed, and executive function compared to controls — with associated increases in cerebral blood flow in the prefrontal cortex. These findings suggest potential oxygen therapy benefits extending beyond post-viral presentations to include the broader spectrum of age-associated cognitive slowing.

It is important to contextualise these results honestly. Study protocols vary in session number, pressure settings, and patient selection criteria, and outcomes reported in controlled trials may not translate uniformly to every individual. Neurological recovery is influenced by the underlying cause, duration, and severity of cognitive symptoms, as well as the quality of the surrounding clinical programme. At Holina Clinic, personalised treatment protocols grounded in current evidence — combined with consistent physician supervision and progress monitoring — provide the most reliable foundation for achieving meaningful, individual cognitive outcomes.

What Can Patients Realistically Expect From HBOT Treatment for Brain Fog?

Most patients undergoing hyperbaric oxygen therapy for brain fog-related cognitive symptoms report a gradual, progressive improvement rather than an immediate or dramatic change. The clinical reality is that HBOT works through cumulative biological mechanisms — including enhanced cerebral oxygenation, reduced neuroinflammation, and the stimulation of neuroplasticity — meaning that meaningful results typically emerge over a structured course of sessions under physician supervision.

At Holina Clinic, each patient begins with a comprehensive assessment to identify the underlying contributors to their cognitive symptoms before any treatment protocol is designed. Brain fog can arise from a wide range of physiological disruptions — including long COVID sequelae, hormonal changes associated with menopause, thyroid dysfunction, chronic stress, sleep deprivation, and mitochondrial compromise — and the treatment approach is personalised accordingly. There is no single protocol appropriate for every patient, which is precisely why clinical oversight at every stage of the process is essential.

In terms of what the sessions themselves involve, patients breathe 100% medical-grade oxygen inside a pressurised hyperbaric chamber, typically at 1.5 to 2.0 atmospheres absolute (ATA), for sessions lasting approximately 60 to 90 minutes. The increased atmospheric pressure allows oxygen to dissolve directly into the plasma, cerebrospinal fluid, and tissues of the brain, reaching areas where circulation may be compromised. This hyperoxygenated environment has been shown to reduce inflammatory markers, support mitochondrial function, and promote the release of brain-derived neurotrophic factor (BDNF) — a protein critical to neuroplasticity and cognitive resilience.

Research published from the Shamir Medical Center in Israel examined HBOT’s effects on long COVID patients experiencing persistent cognitive impairment. The randomised controlled trial demonstrated statistically significant improvements in attention, executive function, and information processing speed following a structured HBOT protocol. These findings provide important clinical evidence supporting the use of HBOT as part of an integrative approach to cognitive recovery, particularly in post-viral presentations where neuroinflammation is believed to play a central role.

Patients should, however, approach treatment with balanced expectations. HBOT is not a cure for neurodegenerative conditions such as Alzheimer’s disease, nor does it reverse structural brain damage. Its benefit lies in optimising the neurological environment — reducing inflammatory burden, improving cellular energy production, and supporting the brain’s own repair mechanisms. Most patients completing a full protocol of 20 to 40 sessions report improvements in mental clarity, word retrieval, sustained concentration, and overall cognitive energy, though individual responses vary depending on the root cause and chronicity of their symptoms.

Throughout the programme, patients at Holina Clinic are monitored by experienced clinical staff, ensuring that the treatment remains appropriately calibrated to their progress and any emerging needs.

Cost and Treatment Duration: What to Budget for HBOT at Holina Clinic

For international patients considering hyperbaric oxygen therapy as part of a cognitive recovery programme, understanding the financial and logistical commitment involved is an essential part of informed decision-making. At Holina Clinic, we believe in transparent clinical guidance that extends to the practical realities of treatment planning — and that begins with an honest account of what a meaningful HBOT course requires in terms of both time and investment.

Evidence-based protocols for cognitive function improvement typically involve between 20 and 40 individual HBOT sessions, with research from the Shamir Medical Center utilising a 40-session protocol to achieve the statistically significant outcomes documented in peer-reviewed literature. This means that minimum recommended stays at Holina Clinic are generally two to three weeks, with longer programmes of four to five weeks allowing for the full session course alongside complementary clinical support such as nutritional optimisation, sleep assessment, and hormonal review where indicated. Single or minimal-session exposures are not consistent with the biological mechanisms through which HBOT achieves neurological recovery, and physician-supervised guidance on programme length is provided individually based on your clinical assessment.

In terms of cost, HBOT programmes at Holina Clinic are priced to reflect the clinical infrastructure, physician supervision, and personalised treatment design involved — not as a commodity wellness service. Indicative pricing for a structured cognitive support programme, inclusive of clinical assessment, HBOT sessions, and ongoing medical oversight, is available directly from the clinic’s patient team and will be discussed transparently during your initial consultation. Patients are encouraged to factor in accommodation, international travel, and any pre-arrival investigations when budgeting for their stay.

Many patients find that the combination of a clinically purposeful programme within a restorative environment represents meaningful value relative to the cumulative cost of fragmented, inconclusive investigations at home. A detailed, personalised cost breakdown is provided as part of your pre-arrival consultation with the Holina clinical team.

How Do Patients From the UK, Australia, and Canada Access HBOT Treatment at Holina Clinic?

Accessing hyperbaric oxygen therapy at Holina Clinic in Koh Phangan, Thailand, is straightforward for international patients from the UK, Australia, and Canada, with the clinic’s team providing structured support from initial enquiry through to departure. Many patients choose to combine their treatment programme with a broader wellness retreat, making the journey both medically purposeful and personally restorative.

The process typically begins with a remote consultation, during which a physician reviews your medical history, current symptoms, and relevant investigations such as thyroid function panels, inflammatory markers, or previous neurological assessments. This pre-arrival clinical review ensures that HBOT is appropriate for your individual presentation and that any contraindications — including certain respiratory conditions or recent ear surgery — are identified before you travel. Patients are encouraged to bring documentation of prior diagnoses, particularly those relating to long COVID, hormonal changes, or sleep disorders, as this contextual information directly shapes the personalised treatment plan developed on arrival.

For patients from the United Kingdom, direct flights to Bangkok from London, Manchester, or Edinburgh typically take between eleven and thirteen hours, with onward connections to Koh Samui airport taking approximately one hour, followed by a short ferry crossing to Koh Phangan. Australian patients travelling from Sydney, Melbourne, or Brisbane benefit from similarly accessible routing via Bangkok, often with competitive fares given Thailand’s popularity as a long-haul destination. Canadian patients, whether from Toronto, Vancouver, or Calgary, generally connect through a Middle Eastern or Asian hub, with total journey times ranging from sixteen to twenty hours depending on routing.

Treatment programmes at Holina Clinic are structured to accommodate international schedules, with minimum recommended stays of two to three weeks to allow for a clinically meaningful course of HBOT sessions under physician supervision. Research context matters here: the Shamir Medical Center trial, which demonstrated measurable improvements in cognitive scores, attention, and executive function among long COVID patients following a supervised HBOT protocol, used a structured multi-session course rather than isolated treatments. This reinforces the clinical rationale for committing to an adequate duration of therapy rather than a single or minimal exposure.

All treatment is conducted under consistent clinical oversight, with progress assessments built into the programme to monitor cognitive function, energy levels, and subjective symptom change. Patients are not simply placed in a chamber and left to manage alone — each session is part of a broader, evidence-based framework that may integrate nutritional support, sleep optimisation, and stress regulation depending on the underlying contributors to your brain fog. The goal is a clinically grounded, measurable improvement in daily cognitive function and quality of life.

Who Is a Good Candidate for HBOT and How Should You Decide?

Deciding whether hyperbaric oxygen therapy is appropriate for your cognitive symptoms requires careful clinical evaluation rather than self-diagnosis or assumption. The strongest candidates are those whose brain fog has a confirmed or strongly suspected physiological driver — such as long COVID, mitochondrial dysfunction, chronic neuroinflammation, or post-viral cognitive impairment — rather than those seeking a general wellness boost without underlying clinical context.

The first and most important step is a thorough medical assessment conducted by a physician experienced in both hyperbaric medicine and the broader landscape of cognitive health. At Holina Clinic, this means reviewing your full medical history, current symptom burden, relevant investigations such as thyroid function, inflammatory markers, sleep studies where appropriate, and any prior diagnoses. Brain fog is a symptom cluster, not a standalone condition, and identifying the root cause or contributing factors is essential before any treatment protocol is recommended. Without this foundation, even the most clinically sound intervention may deliver suboptimal results.

Patients who tend to respond most meaningfully to HBOT are those presenting with documented post-COVID cognitive impairment, where the research base is increasingly compelling. The Shamir Medical Center randomised controlled trial demonstrated statistically significant improvements in cognitive scores, attention, and executive function among long COVID patients following a structured HBOT programme — providing meaningful clinical evidence that cerebral oxygenation and neuroplasticity mechanisms can translate into measurable cognitive benefit. Similarly, individuals with chronic fatigue syndromes, mitochondrial insufficiency, or elevated neuroinflammatory markers may find that HBOT supports the biological environment needed for cognitive recovery.

It is equally important to be clear about where HBOT has recognised limitations. It is not an appropriate primary intervention for established neurodegenerative diseases such as Alzheimer’s or Parkinson’s, and it should never be positioned as a replacement for pharmacological management of thyroid dysfunction, hormonal imbalance, or other systemic conditions contributing to cognitive symptoms. Honest, evidence-based clinical guidance means acknowledging these boundaries and ensuring patients receive integrated care that addresses all relevant factors simultaneously.

Practical considerations for international patients include treatment duration — most evidence-based protocols involve between 20 and 40 sessions — meaning

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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.