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How long does alcohol withdrawal last?

The acute phase of alcohol withdrawal typically lasts between five and seven days, with symptoms reaching their most intense point between 24 and 72 hours after your last drink. 

While the physical timeline follows a set medical path, using medication-assisted treatment in  Denver ensures that the most difficult phases are managed safely and with much less discomfort. When you’re wondering how long alcohol withdrawal lasts, it’s a week-long process of your body finding its balance again. 

Colorado Medication Assisted Recovery (CMAR) offers the expert outpatient support needed to navigate this timeline without the fear of facing it alone.

The First 24 Hours: The Body Starts to Recalibrate

The first day after you stop drinking is often when the brain begins to react to the absence of alcohol. Because alcohol has a sedative effect, your central nervous system can become hyperactive when it’s removed all of a sudden.

  • Most people start feeling the first signs of withdrawal within 6 to 12 hours.
  • You might notice shaky hands, a racing heart, or a sudden spike in anxiety.
  • Common issues during this window include trouble sleeping and an upset stomach.
  • The National Institute on Alcohol Abuse and Alcoholism notes that this phase is essentially a chemical “rebound” in your nervous system.
  • Having a medical team check your vitals early can help prevent these symptoms from getting worse.

Early support is so important because your brain is dealing with a significant shift in chemistry. As you look into how long alcohol withdrawal lasts, remember that the first 24 hours are the foundation for the rest of your week. 

Our Denver team focuses on keeping you stable and comfortable so you can move into the next phase with confidence.

alcohol detox treatment colorado

The 48 to 72 Hour Peak: Managing the Critical Window

The period between the second and third day is usually the most challenging part of the entire process. This is when the risk of serious medical complications is at its highest, which is why professional supervision is so vital.

  • You may experience a spike in blood pressure or a faster heart rate during this time.
  • Serious risks like seizures or delirium tremens (DTs) most often occur in this 48 to 72-hour window.
  • Mental confusion or even mild hallucinations can happen as the brain tries to find its footing.
  • Using medication-assisted treatment in Denver can significantly lower the risk of these dangerous neurological spikes.
  • This is the phase where most people require the most frequent clinical check-ins to stay safe.

This peak is the primary reason why doctors advise against quitting “cold turkey” at home. The physical intensity is much easier to handle when you have a medical safety net. Our outpatient detox protocols are designed to dampen these symptoms, making the hardest days of the week manageable and safe.

Days 5 Through 7: Moving Toward Stability

By the five-day mark, the most intense physical symptoms usually begin to fade. Your body has worked hard to clear the alcohol, but your brain chemistry is still adjusting to the change.

  • Most physical tremors and nausea typically settle down by the end of the first week.
  • While the “acute” physical crisis is over, you might start feeling more irritable or tired.
  • Some people begin to notice Post-Acute Withdrawal Syndrome (PAWS) at this point.
  • These lingering psychological effects, like mood swings or cravings, can last for a few weeks.
  • Continuing outpatient support helps you stay on track as physical symptoms subside.

Understanding how long alcohol withdrawal lasts means looking at the full picture. While the first week focuses on physical safety, the following weeks focus on emotional health. 

We help our Denver clients through this transition by providing the tools they need to handle the mental shifts that follow a successful detox.

outpatient detox alcohol colorado

Comparing Withdrawal Stages and Clinical Needs

This table gives a general overview of what to expect as you move through the different phases of the withdrawal process.

PhaseTimeframeWhat it Feels LikeMedical Risk Level
Early Stage6 – 24 HoursAnxiety, tremors, and trouble sleepingLow to Moderate
The Peak24 – 72 HoursHigh heart rate, seizure risk, confusionHigh (Critical)
Stabilization3 – 7 DaysPhysical symptoms start to ease upModerate
Long-term1 Week+Cravings and changing mood patternsMaintenance

Why a Denver Recovery Plan Makes a Difference

Trying to time the withdrawal process on your own can be stressful and dangerous. Accessing specialized care right here in Colorado gives you a structured way to get through the week safely.

  • A clinical assessment can help you decide whether outpatient detox is the right fit for your medical history.
  • Using medication-assisted treatment in Denver helps calm the brain and reduce the intense urge to drink.
  • Outpatient care means you can stay in your own home while checking in with your medical team daily.
  • Data from SAMHSA shows that having a medical plan greatly increases the chances of finishing detox.
  • Our team at CMAR builds a plan that looks at both your physical vitals and your personal comfort.

We know that every person’s body reacts a bit differently. While the answer to how long alcohol withdrawal lasts follows a general rule, your experience is unique. 

We provide the personalized medical monitoring needed to ensure you aren’t just getting through the week, but starting a whole new way of living.

alcohol medication assisted treatment denver

Ready to talk about a safe way forward?

The fear of how long alcohol withdrawal lasts is one of the biggest reasons people put off getting help. You don’t have to face that 72-hour peak by yourself. Our medical team is here to provide the safety net you need to get through the week and start feeling like yourself again.

You don’t need to wait for things to get worse before you reach out. A quick, confidential conversation can help you understand which level of support is right for you. Take the first step toward a safe, comfortable recovery with a simple conversation with CMAR at (855) 281-5588. Let’s start that path to recovery. 

Frequently Asked Questions

How long does alcohol withdrawal last for a heavy drinker?

For someone who has been drinking heavily for a long time, the physical symptoms usually last about seven days. However, the psychological cravings and “brain fog” can stick around for several months. It’s really important for heavy drinkers to have medical support to prevent dangerous complications like seizures during that first week.

Can you safely quit drinking at home in Colorado?

Quitting “cold turkey” at home can be life-threatening because of the risk of seizures and delirium tremens. However, a supervised outpatient detox allows you to live at home while receiving medical care. Using medication-assisted treatment in Denver is the safest way to manage withdrawal symptoms without staying in a hospital.

When is the hardest part of withdrawal over?

Most people find that the first 72 hours are the most difficult. Once you pass the three-day mark, the risk of serious medical emergencies drops significantly. After the first week, you’ll likely feel much better physically, though you may still experience some emotional ups and downs.

What happens after the first week of no alcohol?

After seven days, your body is mostly clear of alcohol, and your physical health starts to improve. This is often when the “mental” work of recovery begins. You might feel extra tired or have trouble focusing, but continued outpatient therapy can help you work through these feelings as your brain chemistry balances out.

How to Detox from Alcohol and Where to Get the Right Help

There is no fast way to detox from alcohol. Your liver needs time to process the toxins out of your system, and the more you drink, the longer it will take. If you are wondering how to detox from alcohol, consider enrolling in an alcohol addiction treatment program that includes medically-supported detox to minimize the sometimes deadly effects of alcohol withdrawals. Alcohol affects each person differently, and the amount of time to detox from alcohol can vary depending on the length of abuse and amounts taken.

At Colorado Medication Assisted Recovery, we help men and women from all walks of life who are struggling with an addiction to alcohol, opioids, or other harmful substances. Our team of behavioral therapists and medical professionals work together to create an effective treatment program based on your individual symptoms. Patients can complete their treatment program in person or through remote telehealth services. For more information about our alcohol addiction treatment program, call 833.448.0127 or fill out our online form today to discover the benefits of our outpatient treatment facility.

How to Detox from Alcohol

Alcohol detox is the process of your body removing all of the toxins from alcohol through your liver. During this time, patients can experience withdrawal symptoms that range in severity depending on the length of abuse. If you are trying to detox from alcohol for the first time and do not have a serious addiction, follow these steps on how to detox from alcohol:

  • Remove all alcohol and other drugs from your home. This is crucial as your cravings will increase and push you to drink more.
  • Clear your schedule for a minimum of 72–96 hours. This is how long it can take to detox from alcohol for most people. Withdrawal symptoms will include trembling, sweating, headaches, muscle pain, fatigue, and much more.
  • Get support. Detoxing alone is never recommended. Find a trusting friend or family member who can watch over you and help you stay sober. They can also call for help if withdrawal symptoms turn dangerous or you experience a relapse and blackout.

If you tried detoxing alone and relapsed, don’t get discouraged. All this means is you need some help with the detoxing process. At Colorado Medication Assisted Recovery, we provide medication-assisted treatment to help with alcohol detox and beyond to ensure you reach your recovery goals.

The Benefits of Enrolling in an Alcohol Detox Program

There are many benefits to enrolling in an alcohol detox program. It provides a safe and encouraging environment where patients will participate in a number of therapy programs with medical support to minimize their withdrawal symptoms. It is a safer alternative and greatly reduces the risk of relapse and death due to alcohol poisoning.

Just some of the benefits of an alcohol detox program include:

  • Medical staff will administer medication to minimize withdrawal symptoms and cravings so patients can focus on their recovery.
  • Patients will participate in behavioral therapies to address the reason behind their addiction and develop coping skills to maintain their sobriety.
  • Patients will work with therapists and peers in group therapy to practice coping skills, improve communication skills, and gain new perspectives on how others are coping with their recovery.
  • Continuing access to therapy for as long as necessary through aftercare programs.

Colorado Medication Assisted Recovery Provides Discreet and Effective Alcohol Addiction Treatment

At Colorado Medication Assisted Recovery, we help men and women struggling with addiction to alcohol through our outpatient treatment programs. When you first arrive, we will perform a full assessment and answer any questions you have, and discuss how long it will take to detox from alcohol. At the end of your program, we will reevaluate your condition and recommend the next level of treatment.

If you or a loved one is struggling with alcohol addiction, call 833.448.0127 today to speak with our compassionate staff about starting your recovery journey.

Counseling for Alcohol Addiction

Alcohol addiction continues to be a major health crisis all across the country, with roughly 40 million men and women struggling with alcohol abuse every year. While there is no cure for addiction, alcohol addiction counseling provides an effective treatment program that gives patients the skills and confidence necessary to reach their sober goals. For those who are ready for a real change in their lives, an outpatient detox center in Denver, Colorado is the safest space to begin their recovery journey.

At Colorado Medication Assisted Recovery, we help Colorado residents who are struggling with an addiction to alcohol, cocaine, or other harmful substances. Our team of behavioral therapists and medical professionals work together to form an effective alcohol abuse therapy program that focuses on their individual symptoms. If you or a loved one is struggling with alcohol addiction, call 833.448.0127 or fill out our online form today for more information about our alcohol addiction counseling program.

How Can Alcohol Addiction Counseling Help?

Therapy for alcohol addiction involves various forms of talk therapy to treat the wide-ranging psychological symptoms of addiction. Addiction can stem from a traumatic experience, abuse from family or significant others, genetics, and other factors. It takes a deep understanding of human behavior and the specific circumstances that led to the addiction to address the many causes and symptoms of alcoholism.

The types of therapy for alcohol addiction that are proven to be successful in helping patients recover include:

  • Cognitive-behavioral therapy (CBT)
  • Dialectical behavior therapy (DBT)
  • Acceptance and commitment therapy (ACT)
  • Motivational interviewing

At Colorado Medication Assisted Recovery, we offer discreet and effective counseling for alcoholism programs for people from all walks of life. We take each patient’s personal history into account to form an effective treatment program that gives them the skills and confidence they need to thrive.

What to Expect From Counseling for Alcoholism

Alcohol addiction counseling is very beneficial in treating those in recovery and helping them reach their goals. They gain valuable insight into how addiction affects them physically and mentally and how their actions affect others. At the same time, they develop a better outlook on themselves and the world around them.

Here is what you can expect from an alcoholism counseling program:

  • To ease withdrawal symptoms during alcohol detox, medication-assisted treatment uses different medications that will reduce withdrawal symptoms and cravings to allow patients to focus on their recovery.
  • Patients will work one-on-one with a behavioral therapist to talk about what led to the addiction and develop coping skills to stop their negative habits.
  • During group therapy, patients will see how others are coping with their addiction and what works best for them. They will also practice coping skills while a therapist monitors their interactions for any troubling behavior.
  • Patients will form healthy relationships with their peers during therapy that will become a strong support system for them during and after their treatment program.
  • Family therapy is also included with alcohol abuse therapy and can help restore broken trust and relationships between parents, siblings, and spouses.

Each person’s recovery journey is unique and can take several months to complete. Some patients will continue therapy for years and even become a mentor to those just starting the program.

Colorado Medication Assisted Recovery Offers Discreet Outpatient Alcohol Detox

At Colorado Medication Assisted Recovery, our alcohol addiction counseling programs support all of those who are struggling with alcohol addiction. Our certified therapists and medical staff will work with you to find the best treatment options for your condition. Our outpatient treatment programs include inpatient and remote telehealth options to give you the support you need when you need it.

It’s time to take that first step toward a healthy life and put down the bottle. Pick up the phone today and call 833.448.0127 to speak to our friendly staff about starting your path to a healthier future.

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Cortland Mathers-Suter

MSSA
Managing Partner

Cortland Mathers-Suter entered the treatment space after his own battle with addiction. He first worked as a peer mentor, before starting clinical work while completing his Masters of Science in social administration from Case Western Reserve University where he focused on policy and direct practice. Cortland moved to Colorado in 2015 to start his first addiction treatment program, AspenRidge Recovery. Under his tenure, AspenRidge Recovery became a two-location, nationally accredited organization. He has since spent the last two years researching and developing what is now Colorado Medication Assisted Recovery (CMAR).

According to Cortland, “Colorado Medication Assisted Recovery is the most important organization I have had the honor to help build. We’re offering a service that seeks to not only improve the lives of our patients but also evolve how we look at medication-assisted treatment in Colorado entirely. Most individuals receiving medication-assisted care only receive medication and urinalysis. Sure you can call that ‘treatment,’ but you can’t call that ‘recovery.’ Our model is about adding the missing recovery component, and thus affords an opportunity to achieve lasting change for each patient and the industry.”

Cortland and his treatment programs have received numerous honors. These include Colorado Business Magazine’s “GenXYZ” award, the 2020 “Titan 100” award, and his program AspenRidge Recovery was both a finalist for “Best Healthcare Company” and named in the “Company’s to Watch” by Colorado Business Magazine as well. He has been interviewed and quoted by numerous publications for his “addiction expertise”, including News Week, 5280 Magazine, the Denver Post, Elephant Journal, Colorado Biz Mag, and TheRecoverySource.org.

Tyler Whitman

Compliance/HR Administrator

Tyler is originally from Omaha, Nebraska. He worked in manufacturing administration for 18 years until he chose to pursue recovery from alcohol addiction, which led him to Chicago, Illinois. Since then, Tyler gained experience in retail, retail pharmacy, and healthcare as a vaccine coordinator for a local Colorado clinic. At the clinic, Tyler discovered that healthcare was the career change he had been looking for. His newfound passion for healthcare, combined with his lived experience with addiction, brought him to Colorado Medication Assisted Recovery as an Office Administrator.

In his free time, Tyler enjoys cooking, hiking, and skiing. He is currently pursuing a master’s degree in Health Services Administration from Regis University.

Simmeren Boanvala

BA
Outreach and Admissions Representative

Simmeren comes to CMAR after several years working admissions in inpatient psychiatry and addiction. A first-generation Colorado Native, Simmeren attended CU Boulder, where she earned a BA in psychology. Simmeren is currently completing her CAC III while working toward her master’s degree in marriage and family therapy.

According to Simmeren, “I joined CMAR because I believe in the quality and importance of the program whole-heartedly. My goal at CMAR is to guide each prospect who calls CMAR to find the best possible pathway to their recovery”. Simmeren currently lives in her hometown with her dog and cat.

Tyler Hale

Tyler Hale

Community Partnership Lead

Tyler Hale began his career in addiction treatment following a decades-long fight with his own substance abuse issues. Since achieving long-term recovery, Tyler has held various positions in direct care, client services, admissions and outreach departments at various addiction treatment organizations. From sober living program director to outreach director to admissions director at a drug and alcohol treatment program, Tyler consistently finds himself in leadership roles within the addiction treatment space.

Tyler is originally from Chicago, IL, where he graduated from Loyola University Chicago with a Bachelor of Arts in Sociology and Bioethics. Thereafter, Tyler built a successful career in the tech industry, before finding sobriety and a subsequent calling to help others. Tyler joined the team at CMAR because he believes in the efficacy of comprehensive and patient-centered outpatient treatment. In his free time Tyler enjoys camping, hiking and spending time with his newborn son.

Kirstin O’Carroll

MSW
Engagement and Relations Director

Kirstin O’Carroll started her career in addiction and mental health services 23 years ago after graduating with an MSW from The Oho State University. Hired directly from an internship program, she served as a case manager and vocational specialist on a community treatment team in Columbus, OH, working to help severely mentally ill adults remain at home and in a community setting. Within the same organization, she later transitioned to clinical assessment and crisis intervention services with children, adolescents, and adults. Through these experiences, she learned the importance of providing empathetic, high-quality care and the need to “start wherever the patient is” with regard to finding the best treatment & solutions for her patients.

After seven years, Kirstin made a career change to diagnostic sales and worked for several Fortune 500 companies as an acute care sales specialist. She is delighted to return “home” to her passion for helping others and believes her new role as community engagement coordinator for CMAR is the perfect alignment of both her clinical and sales skills. When not promoting CMAR, she can be found reading, running, hiking, watching movies, and spending time with her husband Dennis and senior canine son Reggie.

Thomas Mazzarella

LAC
Primary Therapist

Thomas is a Licensed Addiction Counselor (LAC) in the State of Colorado and a Licensed Addictions Specialist (LCAS) in the State of North Carolina with particular expertise in the treatment of chronic Substance Abuse Addiction and Dependency.

Thomas is dedicated to Individual, Couples, Family, and Group Counseling and Therapy for individuals with Substance Use and Mental Health issues and concerns.

James Jackman

CAS
Primary Therapist

James Jackman is a Certified Addiction Specialist and has been practicing addiction treatment in Colorado since 2015. James is pursuing his bachelor’s degree in psychology from Metropolitan State University Denver. James is a traditional CBT therapist specializing in childhood events that lead to adult addictions.

James has received special training in Family Systems, Inner Child, Maladaptive Schemas, and Adverse Childhood Experiences. James has worked in many treatment settings throughout his career and uses a client-centered treatment approach to help one recover from destructive patterns that facilitate addiction. In addition, James enjoys working with rescue animals and advocates for several local rescue organizations outside of work.

Outside of the office, Megan enjoys spending time with her two German Shepherds and her cat. She is passionate about fostering animals through various local rescues to find adoptive homes for dogs and cats in need.

Megan Hanekom

LPC, LAC, NCC
Therapist & Clinical Compliance Officer

Megan is a licensed counselor who has worked in various mental health and addiction treatment environments. She practices cognitive behavioral therapy and motivational interviewing and believes in pulling from various therapeutic approaches to best support each individual. Megan received her bachelor’s in psychology and Spanish from Concordia College. She relocated from North Dakota to Colorado where she earned a master’s in counseling psychology from the University of Denver.

Outside of the office, Megan enjoys spending time with her two German Shepherds and her cat. She is passionate about fostering animals through various local rescues to find adoptive homes for dogs and cats in need.

Maggie Coyle

MA, LPC
Primary Therapist

Maggie Coyle, MS, MA, LPP, LPCC has worked in the mental health and addictions counseling field for the past six years. She has extensive experience in working in the varying levels of mental health and addictions treatment as well as with diverse populations.

She practices cognitive-behavioral therapy and dialectical behavior therapy as primary intervention methods. She has earned a bachelor’s degree in sociology as well as a master’s degree in clinical mental health counseling both from Northern State University in Aberdeen, SD. She has also earned a master’s degree in addictions counseling from the University of South Dakota in Vermillion, SD. Maggie moved from South Dakota to Colorado in June 2020 and is excited to be a part of the CMAR team.

Michael Damioli

LCSW, CSAT
Clinical Director

Michael Damioli has been passionately working in the fields of addiction treatment and mental health since 2012. He has held a variety of different roles within the addiction recovery space, ranging from peer support to direct clinical practice. Notably, Michael was part of a leadership group that developed a small therapy practice into a nationally branded addiction treatment program, which offers multiple levels of care to recovering professionals. Michael is a strong believer in the family disease model of addiction and has focused much of his clinical work and training on supporting families impacted by addiction. He also specializes in treating individuals suffering from co-occurring chemical and process addictions.

Michael is honored to be leading the clinical care team at CMAR and believes that excellent clinical care begins by simply treating a patient with dignity and respect. Michael is a strong advocate for ethical reform within the addiction treatment field and is excited to promote CMAR as an ethical and thought leader throughout the treatment & recovery industry. Michael earned his master’s degree in social work from the University of Denver and is independently licensed as a clinical social worker with the state of Colorado. He holds an advanced post-graduate certificate in marriage and family therapy from the Denver Family Institute as well as an advanced certificate in sexual addiction counseling from the International Institute of Trauma and Addiction Professionals.

Dwight-Duncan

Dwight Duncan

Psy.D
Psychologist

Dr. Duncan was born and spent most of his early life in California. He received his doctorate in clinical psychology from the University of Denver in 1987. He is a licensed psychologist as well as a licensed addiction counselor. He has had extensive training and experience throughout his professional career in medical psychology, mindfulness, integrated behavioral healthcare, and substance abuse.

Dr. Duncan is married and has one daughter, a neurologic physical therapist in Los Angeles.

Susan-Miget

Susan Miget

NP
Medical Provider

Susan has been in healthcare for more than 20 years. She was an ICU nurse for nine years, then returned to school and completed her master of nursing and family nurse practitioner degree at the University of Missouri-St. Louis in 2007. She practiced pain management for many years before developing her current passion for addiction treatment.

Susan has transitioned her practice to focus entirely on addiction treatment. She has worked in residential treatment, partial hospitalization (PHP), and intensive outpatient (IOP) programs. Susan most enjoys working with patients one-on-one in a private office to protect their confidentiality and ensure top-rate care. Knowing that addiction can affect anyone, anywhere, and at any time, Susan continues to strive to make treatment more accessible and confidential.

Whitney-Grant

Whitney Grant

MSN, FNP-BC, ARNP, RN, CPN
Medical Provider

Whitney Grant is an experienced family nurse practitioner with experience and expertise in medication-assisted treatment. Whitney earned her BSN at the University of Miami before moving on to achieve a master of science in nursing degree there as well, becoming a nurse practitioner immediately thereafter.

Whitney has since achieved board certification from the ANCC as a family nurse practitioner. After spending her entire formative and educational years in South Florida, Whitney moved to Denver in 2018 to pursue a career as a provider in family practice, sub-specializing in addictions medicine. Whitney has worked under the guidance of Dr. Nathaniel Moore, CMAR’s medical director, since moving to Denver.

Nathaniel Moore

MD
Medical Director

Dr. Nathan Moore is board-certified by the American Board of Family Medicine. Dr. Moore attended Stanford University in Palo Alto, CA for his undergraduate work and then attended Duke University School of Medicine and obtained his M.D. in 1995. Dr. Moore then came to Colorado and completed his residency in family medicine at the University of Colorado’s Family Medicine Program at Rose Medical Center.

Dr. Moore practices primarily at our Aurora location. He provides comprehensive family medicine services and has a special interest in addiction medicine, treating patients with opioid use disorder as well as alcohol addiction.

Dr. Moore is married with three children. He enjoys mountain biking, running, and golf.