How Long Does It Take to Get Sober? Understanding the Recovery Timeline
By Carmen Cook, LMFT | November 25th, 2025

Sobriety is not a single moment, but a gradual transformation that touches every part of a person’s life. When someone begins the recovery process, one of the biggest questions they often have is: How long does it take to get sober?
The answer varies widely because sobriety depends on many factors, including physical health, mental health, the type of substance used, and the intensity of treatment received. At Mana Recovery Center in Maui, treatment is grounded in the belief that each individual deserves a personalized path to healing. By offering multiple levels of care and evidence-based therapies, the team supports individuals from the first days of withdrawal to weeks after leaving treatment.
What “Getting Sober” Really Means

For many people, the term “sober” simply refers to the absence of drugs or alcohol in the body. However, true sobriety reaches much deeper. While the physical aspect of removing substances from the system is an important first step, genuine sobriety is a long-term commitment to healing the mind, body, and lifestyle from chronic substance use.
Getting sober includes:
- Physical stabilization, including detox and withdrawal management
- Emotional healing, such as processing trauma or the effects of untreated mental illness
- Behavioral changes, including developing new coping mechanisms
- Social rebuilding, reconnecting with family, work, and community
- Long-term skill development, like managing cravings, stress, and triggers
The process also involves learning to navigate life without relying on substances, rebuilding routines, repairing relationships, and finding meaning and structure in daily life. This is why sobriety takes time — it is a comprehensive transformation rather than a quick fix.
Programs at Mana Recovery integrate therapy, physical wellness, and long-term lifestyle planning to help individuals make this transformation in a sustainable, supported way.
Factors That Influence How Quickly Someone Gets Sober
No two recovery journeys follow the same timeline. Several factors can impact how quickly someone stabilizes physically, emotionally, and socially:
Duration of Substance Use
The longer someone has used substances, the more deeply those substances have affected their brain chemistry, organs, and overall functioning. Long-term use often requires a longer healing period.
Frequency and Intensity of Use
Daily or heavy use typically leads to more severe withdrawal symptoms and may require longer and more structured support compared to occasional use.
Type of Substance
Different substances influence the brain in unique ways. For example, benzos can cause medically complicated withdrawal while stimulants can create intense psychological withdrawal but fewer physical risks.
Co-occurring Mental Health Conditions
Anxiety, PTSD, depression, and other mental health conditions can intensify cravings, complicate withdrawal, and extend the time needed for emotional stabilization.
Physical Health
Chronic illness, nutritional deficiencies, lack of sleep, or weakened immune function can slow physical recovery.
Stress, Trauma, and Life Circumstances
Environmental stressors such as unstable housing, strained relationships, or unemployment can influence the pace of recovery.
Level of Support
Access to therapy, consistent treatment, recovery-friendly housing, and structured routines can significantly improve the stability of early sobriety.
Mana Recovery evaluates all these factors during intake to determine the right level of care and create a plan that fits each individual’s circumstances.
The Role of Addiction Severity in Recovery Time
Addiction exists on a spectrum, and where someone falls on this spectrum can heavily influence their recovery timeline. But despite these differences, individuals at any severity level can achieve sustainable sobriety.
Mild Addiction
Individuals with mild substance use disorders may experience shorter withdrawal periods and may stabilize more quickly. However, even mild addiction can still require therapeutic support to prevent relapse.
Moderate Addiction
Moderate addiction often involves stronger cravings, more intense withdrawal, and greater emotional instability during early recovery. Treatment may need to be more structured, with therapy playing a central role.
Severe Addiction
Severe addiction, particularly when involving addiction to alcohol, opioids, or meth, usually leads to symptoms that may persist for months. Long-term care (such as ongoing outpatient therapy and lifestyle support) is often required.
How Substance Can Affect the Sobriety Timeline
Substances affect the brain and body in different ways, so withdrawal and recovery timelines can vary.
Alcohol
● Withdrawal typically begins 6-12 hours after the last drink.
● Acute symptoms can last 3-7 days.
● Mood fluctuations, sleep issues, and cognitive symptoms may last weeks or months.
Opioids
● Physical withdrawal lasts 5-10 days.
● Emotional symptoms and cravings can persist for months.
● Long-term therapy is often required, due to how opioids can alter the brain’s reward system.
Methamphetamine and Stimulants
● The “crash” phase may last 24-72 hours.
● Depression, anxiety, and sleep issues often last weeks.
● Cognitive recovery tends to take several months.
Benzodiazepines
● Withdrawal requires a slow taper for safety.
● Symptoms may last weeks to months.
● Emotional stabilization often takes extended time.
Marijuana
● Psychological withdrawal can last days to weeks.
● Sleep disturbances and periods of low mood are common early symptoms.
● Lifestyle changes to avoid relapse can take time to implement.
Understanding these timelines helps individuals prepare for what early sobriety may feel like. Treatment at Mana Recovery accounts for substance-specific needs, adjusting care to support physical and emotional stabilization.
The Impact of Co-Occurring Mental Health Conditions
Many individuals with substance use disorders also experience mental health challenges, such as:
- Depression
- Anxiety
- PTSD
- Bipolar disorder
- Personality disorders
These conditions can slow emotional stabilization or make early sobriety more difficult. Treating addiction without addressing mental health concerns often leads to short-term success but long-term relapse.
Mana Recovery incorporates evidence-based therapies (such as Cognitive Behavioral Therapy (CBT), individual counseling, family therapy, and group therapy) to address these conditions alongside substance use. This integrated approach helps improve treatment outcomes and promotes long-term well-being.
Why Personalized Treatment Plans Matter

A one-size-fits-all recovery plan does not work. Personalized treatment ensures that the length, intensity, and type of care align with an individual’s unique needs.
A customized treatment plan considers:
- Type of substance used
- Length and severity of addiction
- Existing medical conditions
- Emotional and psychological needs
- History of trauma
- Family dynamics
- Personal goals
- Level of social support
Mana Recovery takes time during the intake process to evaluate these factors and create the most effective treatment plan possible. Personalized care increases engagement, reduces relapse risk, and helps individuals build a sustainable foundation for long-term sobriety.
Medical Detox vs. Treatment Timelines
Medical detox is often the first step for individuals with substances that cause severe or dangerous withdrawal symptoms. The detox timeline typically ranges from 3-10 days, depending on the substance. Medical detox alone does not lead to long-term sobriety, but it creates the physical stability needed to begin treatment.
Standard Outpatient Program (OP)
Outpatient programs are usually appropriate once individuals can maintain sobriety with minimal support. This stage may last several months or longer, depending on individual needs.
Mana Recovery’s phased approach ensures that individuals move through levels of care at a pace that supports long-term stability.
The Importance of Aftercare
Therapy and aftercare are essential to long-term sobriety. They help individuals:
- Strengthen coping strategies
- Identify and manage triggers
- Improve emotional regulation
- Repair strained relationships
- Build healthy routines
- Stay accountable
- Reduce relapse risk
Mana Recovery offers evidence-based therapeutic options, including:
- Individual therapy
- Group therapy
- Family therapy
- Cognitive Behavioral Therapy (CBT)
- Matrix Model Therapy
- Physical and neurological strengthening via the Recover Strong program
These treatment options guide individuals through emotional and behavioral changes necessary for lifelong recovery.
Maintaining Sobriety: Relapse Prevention and Lifestyle Changes
Maintaining sobriety requires ongoing commitment. Long-term relapse prevention involves developing essential new skills, including:
- Identifying high-risk situations
- Practicing coping skills
- Creating structured routines
- Prioritizing sleep, nutrition, and physical activity
- Building a positive social network
- Avoiding environments that promote substance use
- Seeking support during periods of stress
Mana Recovery’s approach emphasizes empowering individuals with the tools they need to maintain stability and continue advancing toward long-term goals.
How Mana Recovery Center Supports People at Every Stage of Recovery
Mana Recovery Center in Maui provides a comprehensive framework for individuals seeking sobriety. Our approach combines evidence-based treatment, wellness programming, and structured levels of outpatient care to guide individuals through every phase of recovery.
If you or someone you love is ready to begin their recovery journey, Mana Recovery Center offers the support, structure, and guidance to build a healthier future. From the first steps of stabilization to the long-term work of maintaining sobriety, our team walks alongside each individual with compassion and evidence-based care. Contact Mana Recovery today to take the first step toward lasting healing and a stronger, more empowered life.

