Medical detoxification represents the crucial first step in addiction treatment, requiring proper medical oversight for safety and comfort. Los Angeles features several facilities providing sophisticated medical detox within comfortable environments.
Medical Detox Essentials
Withdrawal from certain substances—particularly alcohol, benzodiazepines, and opioids—can be medically dangerous without proper management. Alcohol and benzodiazepine withdrawal can cause seizures, delirium tremens, and cardiac complications potentially fatal without medical intervention.
Quality medical detox provides 24/7 physician availability, appropriate comfort medications, vital sign monitoring, treatment of complications, gradual tapering protocols, and psychiatric assessment for co-occurring conditions.
1. Hollywood Hills Recovery
Hollywood Hills Recovery provides medical detoxification under physician supervision with psychiatric integration distinguishing it from basic detox facilities. A medical doctor oversees detox protocols while an addiction psychiatrist evaluates for co-occurring mental health conditions from day one.
Why does psychiatric involvement matter during detox? Withdrawal symptoms often mimic psychiatric conditions, making accurate assessment difficult. Someone detoxing from alcohol might appear severely depressed—but is it underlying depression requiring medication, or temporary neurochemical disruption resolving naturally? An addiction psychiatrist can distinguish these.
The medical team uses evidence-based protocols for various substances. Alcohol detox employs benzodiazepines preventing seizures with gradual tapering. Opioid detox uses comfort medications managing symptoms—clonidine for autonomic symptoms, medications for nausea, sleep aids, anti-anxiety medications as appropriate.
Detox typically lasts 5-7 days but extends when medically necessary. Clinical needs determine timelines, not arbitrary schedules. The environment supports detox comfort: private suites, nutritious meals, quiet spaces for rest, 24/7 nursing care, and medical equipment for monitoring.
Crucially, detox isn’t standalone—it transitions seamlessly into residential treatment with the same clinical team. The psychiatrist who evaluated you continues managing your care. This continuity prevents the common problem of people finishing detox then not continuing treatment.
2. Studio City Recovery
Studio City Recovery provides comprehensive medical detox with particular strength managing complex cases. Their medical and psychiatric resources handle situations other facilities find challenging: detox complicated by serious medical conditions, withdrawal in people with severe mental illness, polysubstance dependence requiring multiple protocols simultaneously.
The facility employs physicians experienced in addiction medicine, nurses trained specifically in withdrawal management, psychiatric staff assessing mental health from admission, and access to hospital-level resources if complications arise.
Medication protocols are individualized, not cookie-cutter. Someone detoxing from high-dose benzodiazepines needs different protocols than someone withdrawing from alcohol. Someone with severe anxiety requires different management than someone without psychiatric complications.
The psychiatric component begins immediately. The addiction psychiatrist evaluates during detox, distinguishing withdrawal symptoms from underlying mental illness, beginning medication management for psychiatric conditions when appropriate, and planning ongoing dual diagnosis treatment.
Detox environment includes private rooms for rest, quiet spaces supporting recovery, nutritious meals, 24/7 medical monitoring and care, and therapeutic activities when clients feel able to participate.
After detox completion, clients transition seamlessly into residential treatment, PHP, or IOP based on clinical needs—all with the same treatment team, ensuring no gaps in care.
3. Promises Behavioral Health
Promises operates medical detox at multiple Southern California locations with decades of experience managing withdrawal from all substances. Their medical protocols are evidence-based and proven effective through thousands of successful detox cases. Detoxification includes 24/7 physician oversight, appropriate medication management, vital sign monitoring, and treatment of complications.
4. Cliffside Malibu
Cliffside Malibu provides medical detox with physician supervision in their coastal setting. Their detox protocols follow evidence-based practices for various substances, with medication management easing withdrawal discomfort and medical monitoring ensuring safety. The oceanside location provides a peaceful environment supporting rest crucial during withdrawal.
5. Alo House Recovery Centers
Alo House offers medical detoxification with comprehensive physician oversight. Their protocols address withdrawal from alcohol, opioids, benzodiazepines, stimulants, and other substances using appropriate medications and medical monitoring. The facility provides comfortable accommodations and 24/7 medical care.
Bottom line: Medical detox requires physician availability, appropriate medications, monitoring for complications, psychiatric evaluation, comfortable environment, and seamless transition into ongoing treatment. Never attempt detox alone from alcohol or benzodiazepines—medical supervision is essential for safety.

