Therapist providing alcohol detox support in a San Antonio recovery center, helping a client manage withdrawal and start treatment.

Where to Detox from Alcohol in San Antonio

Key Takeaways

  • Alcohol detox should be medically supervised. Severe alcohol withdrawal can cause seizures and delirium tremens, which are life-threatening without proper medical care.
  • Know where to go. In San Antonio, you can get help at detox units in hospitals, treatment centers, or outpatient programs. Your choice depends on how severe your withdrawal is and what support you have.
  • Medications make detox safer. Benzodiazepines are the most common alcohol withdrawal medications, while phenobarbital, carbamazepine, or gabapentin may be added for symptom control.
  • After detox, treatment continues. Detox is the first step. Long-term recovery often includes counseling, support groups, and approved medications like naltrexone or acamprosate.

Table of Contents

If you are looking for a place to detox from alcohol in San Antonio, this guide will help you. It explains your options, the use of alcohol withdrawal medication, and how to find the best detox choice for you. It’s written for quick use during a stressful time and stays neutral, practical, and local. If someone is in danger, call 911.

 

Do you need medical detox?

Alcohol withdrawal can range from mild anxiety and poor sleep to dangerous complications. Seizures can happen within hours after the last drink. The most severe type, called alcohol-withdrawal delirium (delirium tremens), may show up several days later.

This condition can be deadly without treatment. These situations require hospital care.

Signs you should seek urgent help:

  • New confusion, agitation, or hallucinations
  • Seizure or a history of withdrawal seizures
  • High fever, racing heart, or uncontrolled blood pressure
  • Serious medical or psychiatric conditions (including suicidal thoughts)


Clinicians decide the setting—outpatient, residential, or inpatient—by looking at risk, home support, and symptom severity. Many programs use structured tools, like CIWA-Ar, to help with this decision.

Where to go to detox from alcohol in San Antonio

1) Emergency rooms & hospitals (for severe or complicated withdrawal)

If dangerous symptoms are present, go to the nearest ER. In the San Antonio area, Methodist Hospital Atascosa operates a hospital.

They also have a medically managed withdrawal program. Typical stays last 3 to 5 days. Hospital settings can deliver IV medications, continuous monitoring, and rapid escalation when needed.

2) Inpatient/residential detox centers

For many people with moderate withdrawal or limited home support, short‑term residential detox is appropriate. Local directories list many programs in and around San Antonio. These include detox, residential, and outpatient options. You can filter by insurance and services.

3) Outpatient detox and clinic‑based care

For carefully chosen, lower-risk cases with good support at home, outpatient detox can be safe. You should monitor it and combine it with medications. For mild to moderate withdrawal with strong home support, outpatient alcohol detox in San Antonio can be a safe starting point when monitored by clinicians.

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What to expect during detox

Intake and monitoring

Detox starts with an assessment: medical history, current symptoms, vitals, and often a standardized scale. Monitoring frequency depends on severity and the setting. Ambulatory plans require dependable support at home and clear return‑to‑ER instructions if symptoms worsen.

Alcohol withdrawal medications you may be offered

  • Benzodiazepines (e.g., diazepam, lorazepam, chlordiazepoxide) are first‑line for moderate to severe withdrawal. Patients often prefer longer-acting agents; they may trigger dosing based on symptoms or use a “front-loaded” approach for faster control.
  • Experienced clinicians may use phenobarbital as an adjunct or alternative when they contraindicate benzodiazepines.
  • Adjuncts like carbamazepine, gabapentin, or valproate (in appropriate patients) can help manage symptoms along with benzodiazepines.

Comfort and safety measures

Hydration, sleep support, and nutrition are important. For example, thiamine can help lower the risk of Wernicke’s encephalopathy. Treating other related issues is also common. Hospitals or higher-acuity units treat patients when complications are likely or present.

Medications after detox (to help you stay alcohol‑free)

Detox addresses withdrawal. Ongoing treatment usually includes one of three FDA-approved medicines for alcohol use disorder (AUD).

FDA‑approved options include naltrexone for alcohol use disorder, acamprosate, and disulfiram—paired with counseling. Chlordiazepoxide (Librium) for alcohol withdrawal is a long‑acting option clinics often use to control symptoms safely.

How to choose the “best” alcohol detox in San Antonio

“Best” depends on your risks, needs, and supports. Use this checklist when you call programs:

Match the level of care to your risk

Ask how they choose between ambulatory, residential, and inpatient withdrawal management. Make sure they use valid assessments and can increase care if needed.

Medication capability

Confirm the program uses evidence‑based protocols (benzodiazepine‑based; phenobarbital in the right hands) and can manage complications.

Medical coverage and monitoring

nquire about 24/7 nursing/physician coverage and the ability to transfer to a hospital if needed. Hospital units may be appropriate for higher‑risk patients.

Aftercare planning

Ask how they connect you to residential, IOP, or outpatient therapy and whether they initiate AUD medication before discharge.

Access and Cost

At Nova Recovery Center in San Antonio, we believe that quality alcohol detox and treatment should be accessible to everyone. Our admissions team works closely with you to review your insurance coverage, verify benefits, and explain any out-of-pocket costs before treatment begins. Many major insurance plans are accepted, and flexible payment options may be available for those who qualify.

After detox: keeping momentum

Most programs will help you step into the next phase of care—residential treatment, partial hospitalization, intensive outpatient, or outpatient therapy—and start AUD medication when appropriate. These steps lower relapse risk and support long‑term recovery. Many people step down to an IOP in San Antonio to keep structure and therapy while returning to daily routines.

How Nova Recovery Center Can Help with Alcohol Addiction and Abuse

Nova Recovery Center offers a comprehensive, evidence-based approach to overcoming alcohol addiction and abuse. Our program begins with a safe, medically supervised detox that helps clients manage withdrawal symptoms and prepares them for long-term recovery. Once stabilized, individuals transition into structured residential or outpatient treatment programs designed to address the physical, emotional, and behavioral aspects of addiction. Each treatment plan is individualized, incorporating therapy, peer support, relapse prevention training, and holistic practices that promote total wellness. Nova Recovery Center emphasizes personal accountability and growth, helping clients develop new coping strategies and rebuild meaningful lives in sobriety. Our continuum of care includes residential treatment, intensive outpatient programs (IOP), and sober living options for ongoing support. With a strong focus on relapse prevention and community, Nova provides the tools needed to achieve and sustain recovery. Located in Austin, Texas, our professional staff guides clients through every step of the recovery journey with compassion and expertise. Whether you’re taking your first step toward sobriety or seeking support after relapse, Nova Recovery Center is here to help you build a lasting foundation for a healthier, alcohol-free life.

Frequently Asked Questions About Alcohol Detox in San Antonio

Only for carefully selected, low‑risk cases with medical oversight and reliable support at home. Professional guidelines outline when ambulatory care is appropriate and when inpatient monitoring is safer.

Clinicians assess withdrawal risk, monitor vital signs, and treat symptoms—most often with benzodiazepines—while providing fluids, nutrition (e.g., thiamine), and safety monitoring. Care level ranges from outpatient visits to 24/7 inpatient units, depending on risk.

Symptoms typically peak within 24–72 hours and improve over about a week; see our alcohol detox timeline (3–7 days) for a day‑by‑day look.

The safest, most effective approach is medically supervised detox matched to your risk: inpatient care for moderate–severe or complicated withdrawal, and supervised outpatient care only for low‑risk cases.

Benzodiazepines are first‑line. Depending on your situation, clinicians may also use agents such as carbamazepine or gabapentin as adjuncts, and supportive measures like thiamine.

Evidence‑based options include naltrexone, acamprosate, and disulfiram, typically alongside counseling or structured treatment.

Medical Disclaimer

The information provided on this page is intended for educational purposes only and should not replace professional medical advice, diagnosis, or treatment. Alcohol withdrawal can be dangerous and should only be managed under the supervision of a qualified healthcare provider. Never attempt to detox from alcohol on your own or adjust any prescribed medications without consulting your doctor. If you or someone you know is experiencing severe withdrawal symptoms, confusion, or seizures, call 911 in the United States or go to the nearest emergency room. For immediate emotional or mental health support, contact the Suicide and Crisis Lifeline by dialing 988, available 24 hours a day.

Nova Recovery Center Editorial Guidelines

By instituting a policy, we create a standardized approach to how we create, verify, and distribute all content and resources we produce. An editorial policy helps us ensure that any material our writing and clinical team create, both online and in print, meets or exceeds our standards of integrity and accuracy. Our goal is to demonstrate our commitment to education and patient support by creating valuable resources within our realm of expertise, verifying them for accuracy, and providing relevant, respectful, and insightful data to our clients and families.

  1. American Society of Addiction Medicine. (2020). The ASAM clinical practice guideline on alcohol withdrawal management. Retrieved October 5, 2025, from https://www.asam.org/docs/default-source/quality-science/the_asam_clinical_practice_guideline_on_alcohol-1.pdf
  2. Canver, B. R., Newman, R. K., & Gomez, A. E. (2024, February 14). Alcohol withdrawal syndrome. In StatPearls[Internet]. StatPearls Publishing. Retrieved October 5, 2025, from https://www.ncbi.nlm.nih.gov/books/NBK441882/
  3. Substance Abuse and Mental Health Services Administration. (2023, June 9). SAMHSA’s National Helpline. Retrieved October 5, 2025, from https://www.samhsa.gov/find-help/helplines/national-helpline
  4. Substance Abuse and Mental Health Services Administration. (n.d.). FindTreatment.gov—Treatment locator. Retrieved October 5, 2025, from https://findtreatment.gov/locator
  5. National Institute on Alcohol Abuse and Alcoholism. (n.d.). Treatment for alcohol problems: Finding and getting help. Retrieved October 5, 2025, from https://www.niaaa.nih.gov/publications/brochures-and-fact-sheets/treatment-alcohol-problems-finding-and-getting-help 
  6. UT Health San Antonio, Department of Psychiatry & Behavioral Sciences. (n.d.). Be Well Texas Clinic – Addiction Medicine. Retrieved October 5, 2025, from https://lsom.uthscsa.edu/psychiatry/clinical-programs/bewell/ 
  7. Methodist Hospital Atascosa. (n.d.). Addiction treatment: Medical withdrawal management. Retrieved October 5, 2025, from https://www.sahealth.com/locations/methodist-hospital-atascosa/specialties/mental-health-and-wellness/addiction-treatment

Nova Recovery Center San Antonio Contact Infomation

Nova Recovery Center Drug and Alcohol Rehab – San Antonio, TX

6707 W Hausman Rd, San Antonio, TX 78249

(210) 441-3913

Mat Gorman

Medical Content Strategist

Mat Gorman is a board-certified mental health writer and medical researcher with over a decade of experience in addiction recovery education. He specializes in translating complex clinical topics into clear, compassionate content that empowers families and individuals seeking treatment. Mat has collaborated with recovery centers, licensed therapists, and physicians to publish evidence-based resources across the behavioral health space. His passion for helping others began after witnessing the struggles of loved ones facing substance use disorder. He now uses his platform to promote hope, clarity, and long-term healing through accurate, stigma-free information.
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