Couples Drug Rehab


young couples walking

We Offer Suboxone/Subutex Maintenance

Smoking Permitted





(855) 264-1227

At Stepping Sober Recovery Center, our Couples Drug Rehab offers co-ed housing for clients currently in a relationship, both married or unmarried. There is a shortage of rehabs that provide addiction counseling, for substance abuse disorders. A common thought in the addiction treatment industry is “You can not get sober in a relationship.” At Stepping Sober, we know this to be untrue, we see it happen everyday. We believe couples can be successful if both parties involved have a recovery program of their own. Drug and alcohol addiction treatment centers that decide to accept couples into their program, must have specialized programs. The clinician who runs a couples addiction therapy program must have extensive training in marriage counseling, and sexual modalities and issues. We are proud to have such an experienced and knowledgeable clinical team at Stepping Sober Recovery Center.  CALL US NOW: (855) 264-1667


The basic addiction treatment model typically shows four levels of substance abuse treatment care, this is offered at most rehab or addiction treatment facilities. First, is a detoxification or residential treatment, usually offered in a hospital type setting lasting 30 days. The second level is PHP or Day/Night Treatment which is basically inpatient treatment, except the clinical office and housing are in different locations. This is also offered in a less strict environment where clients have more independence. The third level is intensive outpatient therapy, which is usually three to five days per week, for three hours each day. New freedoms at this level of care are: clients start looking for employment, go to 12 step meetings daily, and now buy their own food and necessities. The fourth level is outpatient treatment which takes place in a group setting two days a week, and they meet with their individual therapist once a week. The last level of care is designed to reintroduce the client back into society with the tools they need to live a happy and successful life without the use of substances.


In the first level of care, which is the most intensive part of the substance abuse treatment program. You will learn about the disease of addiction, receive group therapy five days a week and couples rehab counseling at least twice a week. Your primary therapist will develop an individualized treatment plan for you and you’ll have a chance to set achievable goals to meet while in recovery.

The second level of care, you will meet as partners with the clinical staff to develop a substance abuse treatment plan for your individual recovery and discuss goals for the relationship. You will have sessions as a couple together, as well as individual and group therapy. We offer off-site activities events such as bowling, paint ball, ice skating, and boating. These types of activities are a good way to start connecting with your significant other, while you are both clean and sober. Getting to know your partner without the interference of drugs and alcohol will not be all pure bliss, we understand it will be hard work salvaging a relationship that was clouded by (or centered around) substance abuse.

Specialized Therapies and Addiction Treatment Programs Used for Inpatient Couples Rehab & Counseling Include:

  • BCT (Behavioral Couples Therapy). This protocol is developed to assist the couple with addiction issues using techniques to help modify behavior. Both partners are asked to create a “recovery contract” requiring each to promise not to use opiates, or drink alcohol one day at a time. Your significant other promises to support you in recovery, While enrolled in BCT, the couple will have sessions with their certified therapist weekly. There are group sessions with other couples with a counselor to facilitate them.
  • ABCT (Alcohol Behavioral Couples Therapy). Specific protocols for alcohol addiction are put in place to help couples modify behavior. It is similar to BCT, but uses different methodology to promote abstinence and provide for a healthy relationship and marriage without drinking. This protocol is done in both residential and outpatient drug rehabs. ABCT helps promote better communication between partners and teached problem solving skills to use in recovery
  • RCA (Recovering Couples Anonymous). Most rehab centers bring patients to outside 12 step meetings including AA and NA. Some meetings are brought into the facility by the institutions group. RCA is a 12 step group for couples recovering from all forms of substance abuse. It is recommended to find a sponsor and continue attending after completion of residential addiction treatment. Attending RCA meetings should be in the recovery contract the couple created while in treatment. Each partner should also have their own 12 step meetings to attend without your significant other, to build a solid foundation for individual recovery.


Sometimes one partner is dealing with a mental health disorder (including depression, anxiety, ADHD, etc.) and substance use disorder at the same time. This adds more challenges for both partners trying to get clean and sober while in a relationship. Medication alongside therapy usually helps in controlling most mental health disorders. Substance abuse treatment professionals usually guide clients with dual diagnosis issues toward medical doctors. You don’t have to stop taking your benzodiazepine anxiety medication. The best cbd oil is non addictive and helps with anxiety while your anti depressant medication usually take 4 to 6 weeks to start working correctly. For clients who are diagnosed with anxiety disorders, couples substance abuse rehab centers allow you to stay on your meds. This period of time is critical since most addicts with anxiety disorders relapse without their normal prescription. During this period at couples rehab, you will be prescribed small doses of benzodiazepines until the new drug is effective

Inpatient couples treatment offers a new EMDR treatment for clients with trauma and stress disorders. EMDR therapy can be done individually or with both partners together in a session. Clients with post traumatic stress disorder have been successfully treated with this procedure. If trauma is not dealt with, it can destroy a relationship. EMDR is conducted individually with a certified professional. CALL US.


Intensive outpatient program involves a step down process of treatment. You will live together in a coed sober living environment. A couple may room together if there are open beds. Your first week will involve orientation and introduction to the recovery community. You may have a curfew for a week or two.

There are a few sober living facilities that accept couples and let them live in the same room. I have checked 2 of them in person so i can recommend to any recovering addicts leaving rehab needing a halfway house together.

Generally speaking, the couple should not have the same sponsor in AA. This could make your significant other envious of your relationship with a sponsor. I would recommend both partners choose different friends and relationships in sobriety, and do not attend the same meetings that your significant other is attending. Seek out a therapist who specializes in the challenges a couple will face in recovery. Your family may not be happy with the situation. Be supportive of your partner if his family is angry about both of you remaining a couple in recovery.

Being partners in recovery is not easy. Resentments against your significant other can build up and cause one partner to relapse. Use couples rehab to talk about these resentments with a counselor. Remaining a couple while in treatment can add extra issues to resolve with your therapist. Each partner should have their own therapist to discuss issues regarding your significant other or your family history.

Online couples therapy is a large part of your treatment in most addiction rehabs. A couple should not be in group therapy together. You need to feel free to discuss topics problems in your relationship without fear of hurting your partner. Sometimes group can become confrontational at times, especially when a couple is being judged by other clients. Treatment centers that specialize in marriage counseling, and relationship issues in recovery, can be very supportive. If you met your significant other during your addiction, don’t be surprised if feelings change during treatment.


This service level is specifically designed for lesbian and gay couples with addiction issues. There are specific group therapy topics that apply to these relationships. Couples rehab for LGBT teaches gay and lesbian partners that have special challenges to overcome making it harder to stay clean. The professional staff have years of experience dealing with these issues. Many gay and lesbian relationships can be saved with the correct treatment program. Housing in a standard addiction treatment center presents problems for obvious reasons. We allow couples housing after completing the initial level of care where we would house each client with the gender they most identify with. In therapy we zone in on elements that are specific to the LGBTQ community such as discrimination, self worth and many more.

Rehab for couples


One of our success stories is Julia and Max, a married couple who had been using together for 14 years. They decided to get clean together. Most rehabs that they called do not accept couples, and finally they called Stepping Sober Recovery Center, where they found everything they were looking for. In the first 2 levels of addiction treatment, living arrangements for couples is decided on a case by case basis when it comes to rooming together. Once they were at their PHP level of care, their therapist recommended them for couples housing where they lived together and attended pain pill addiction treatment daily. Max’s drug of choice was heroin and opiates, Julia’s drug of choice was Xanax. Both Max and Julia made their own separate supports and friends in AA. They still attend aftercare at our addiction treatment facility once a week and both are clean and sober today. The odds are not great for couples in recovery but it is possible if you want it.


At Stepping Sober Recovery Center, we understand that each individual has unique needs and this is why we make sure each of our client’s has a customized care plan created by the clinical team specifically for them. In our MAT treatment programs, we have a variety of medications and therapies we use that have been successful for our clients as they begin their recovery.

The latest government studies have shown Suboxone maintenance to be effective in preventing relapse in heroin addicts by 50%. Couples who use drugs together are at greater risk for chronic relapse. Medication assisted addiction treatment is growing in popularity among the recovery community. Despite the prevailing opinions of AA and NA, the field must come to accept this fact. The government is pushing Buprenorphine maintenance programs, which are especially helpful to addicts in early recovery. Getting clean and sober is hard enough if you are single. Being in a relationship the first year adds many triggers for addict. We need more couples rehabs that allow subutex at small doses. Health insurance carriers are starting to require treatment patients who are chronic relapsers to go on sub maintenance.

“I have tried getting clean multiple times together with my significant other. We relapse within 3 days after leaving detox. This time we went to a drug rehab that offers suboxone maintenance and we have not used heroin in 90 days. My parents are so happy that finally i am able to start fresh.” -C. T.

A new medication has been approved for use in substance abuse treatment programs. Vivitrol, an extended release form of Naltrexone is a once a month injection that prevents relapse to opioid dependence. Medication assisted addiction treatment along with counseling can help drug addicts stay in rehab long term. Vivitrol blocks the effects of opiates on the brain and prevents cravings after detoxification. Studies have shown patients taking Naltrexone remain in substance abuse treatment longer. The relapse rate is significantly lower for heroin addicts who take Vivitrol injections. The addiction treatment centers offering medication assisted therapy have a much higher retention rate, and addicts are living productive lives. Most health insurance plans do not cover this drug, which prevents most patients from obtaining it. The common goal is to help addicts remain in drug rehab long term. The outlook for a drug addicted couple remaining in rehab long term is not good. If both partners agree to be on naltrexone or vivitrol while attending addiction treatment, their success rate increases dramatically.


After completing residential addiction treatment, couples who wish to stay together will step down to transitional housing. Most sober living programs require some type of outpatient therapy. For married couples this could include family therapy or conflict resolution education classes. Attendance at 12 step meetings is mandatory at least 4 days per week. Both partners should seek employment either full time or part time. Working on the 12 steps with a sponsor is very important while in early recovery. Doing this while in a supportive sober living environment is helpful. Read more here .

Frequently Asked Questions:

Can I sleep with my girlfriend while we are in detox?

No, but you can hang out together on the couch until lights out at 3 am. Then you both sleep in your own room.

Can my husband and I bring our anxiety medication to treatment?

Yes, but medication must be approved by the doctor and will be locked up in the safe.

Will I have the same therapist as my wife?

Each partner in a relationship should have their own primary therapist to discuss personal issues and fears with. You will attend separate group sessions so you can feel safe talking about you husband or wife without being uncomfortable.

My boyfriend is allergic to Suboxone, can he take Subutex for detox from heroin?

Yes, we offer a variety of alternative medications including buprenorphine and tramadol for any patient who cant take naloxone.

How long is the taper for an opiate addiction?

Usually 7 to 10 days depending on usage and substance of abuse.

Why do you allow relationships in rehab, when most addiction treatment centers do not?

We believe in meeting the clients where they are today. If there are children involved, a marriage deserves a chance to be saved.

If you just met your boyfriend or girlfriend in rehab and are basically using buddies who have sex, we know if you manage to stay clean for a few weeks, both of you will realize you are not in love. Then you can start working on your own recovery.

Do we get medicated as soon as we arrive at the detox center.

Yes, we do not make you wait for 2 days being sick with withdrawal symptoms.



Currently accepting couples from the following states: Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, District of Columbia, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming.