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Highlights
Concierge Approach
One Client at a Time
Perfect for UHNWI
Utmost Confidentiality
About Istana Bespoke Health - Bali
What to Expect During a Stay at Istana
Clients are housed in their own private 5-star villa set on large grounds complete with pool, discreet domestic staff, security and personal chef. Each villa is a sanctuary and its own private treatment centre. When a client decides to come to Istana, they are presented with a few villa options to suit the individual’s taste.
At Istana, clients are not asked to fit into a predetermined program or attend group therapy. Instead, each program is bespoke, designed to meet each client's unique needs and achieve their goals for recovery. An elite team of international specialists provide each client with their undivided attention. Some of these specialists will have personal experience with the issues the client is dealing with, helping them provide more personalized and practical support.
Anything that is required to assist a client’s recovery can be integrated into their program.
Many of the complementary therapies provided can help soothe and accelerate the detox process and promote overall peace of mind. They only need to let Istana know their treatment interests, and their team will organize the appropriate resources.
Istana strives to make each client feel safe, understood, and expertly cared for at all times. Clients can feel daily momentum and progress by understanding and resolving underlying issues that drive their distress and subsequent behaviors.
Istana believes getting well should be an uplifting experience without worry or care for the outside world, and that rediscovering joy is a key component of their recovery.
Additionally, clients maintain their sense of authority, retaining their cell phones and devices.
PA & Concierge Services
Confidentiality is critical to most of Istana’s clients and many come to them with ongoing pressing business and/or family issues that need to be attended to. Each client has a rotating team of 3 concierge/PAs, one of whom is always present day and night. To further relieve any stress the client may be feeling, the concierge team can alleviate any outside concerns by acting as proxy PAs and can discreetly liaise with EAs and/or family as much as desired. They regularly work with security teams, agents, business managers, board members and EAs.
All team members are bound by internationally applicable Confidentiality Agreements.
To begin
Istana recognises that a client may be feeling anxious on arrival and welcomes them into a relaxed atmosphere, taking care of everything a client may need.
Clients are met at the airport by a senior member of the Istana team. Arrangements are pre-arranged to fast-track them through immigration/customs, and take them to their private villa. The client then has time to decompress and acclimatize to their surroundings.
The client’s medical team will be at the villa on their arrival for observations, immediate treatment, medication, and ongoing medical care, including 24-hour nursing if required.
Also present is Istana’s Istana’s Director of Client Services, who will be their day-to-day point of contact and in charge of all aspects of co ordinating their team and program. Medical screens and nutrient deficiency tests will be done after settling in.
Detoxification (if required)Istana’s aim is to help clients through this period as comfortably as possible. Before arrival, Istana conducts a preliminary clinical assessment of each client’s detox requirements. On arrival, Istana’s detox medical team will meet the client at the villa for a precise assessment and provide the immediate treatment and the ongoing support required to get each client through this phase safely and with as little discomfort as possible. If required, clients have 24/7 medical care, daily doctor visits, and live-in nursing during this period.
In addition to traditional medical detox support, various healing therapies, such as relaxation techniques, massages, meditation, acupuncture, restorative yoga, and gentle personal training are on offer. Working together with the medicated detox, these practices help remove toxins, improve physical well-being and overall peace of mind.
Istana also analyses each client’s nutritional requirements and implements a plan that includes nutritional supplements and a healthy diet to help ease them through the withdrawal process. The client’s personal chef will curate a delicious and healthy menu to suit their taste and personal preferences. Istana works with each client to ensure their specific dietary requirements are met and nutritional well-being is cared for.
Psychology and PsychotherapyPsychotherapy sessions take place in the client’s villa and are informally set. The techniques utilised by their psychologist are determined by each client’s needs and what they respond to in the most positive fashion. Istana blends advanced medicine, progressive psychotherapy, and evidence-based Eastern practices. Clients normally have 3-4 psychology sessions per week, though they ultimately receive as many as needed. During these sessions, clients are able to explore and resolve the underlying issues behind their struggles and learn how to healthily manage stress to their advantage. During these sessions clients also come to recognise, examine, and discard any unhealthy coping mechanisms they may be using to get through the day.
With the help of their psychologist, each client will set ambitious yet attainable life goals that benefit their well-being. Additionally, clients have the opportunity to practice and implement coping skills to manage triggers as they arise in their personal and professional life, and thus help prevent reoccurrence or relapse.
Ultimately the client can arrive at a place of resolution where the current state they seek reprieve from and its subsequent behaviours are actively worked on and no longer a part of their life.
The Environment, Therapeutic Team and Support StaffEach client’s treatment team includes any and every treatment professional they need. Medical doctors, psychiatrists, psychologists, therapists, and a multitude of other professionals are available. Istana prioritises every client’s therapeutic requirements over business decisions. They are unbound by institutional requirements and dogma.
Client confidentiality and a relaxed atmosphere are paramount. Istana’s cars are discreet, client villas are unbranded and their team don’t wear uniforms. Istana hopes that clients laugh every day and enjoy the company of those around them as much as they respect their professionalism.
To this end, each client’s team is curated for both a cultural and therapeutic fit. Their team will all be compassionate, empathetic, and specialists in resolving the issues that clients are seeking reprieve from.
Istana goes at their client’s speed and the scheduling is collaborative; they welcome suggestions in planning each week’s schedule. Each client’s program is bespoke, holistic, and its components carefully integrated to resolve their issues and match their interests. Every element complements and enhances the effects of the others, making the whole greater than the sum of its parts. Programs consist of a combination of progressive psychotherapy, medicine, and complementary modalities such as yoga, meditation, breath-work, Watsu, personal training, inner child, and martial arts, to name just a few.
Essentially, whatever is required for a successful and sustainable treatment outcome can be integrated into their program.
AftercareThe level of aftercare required will become apparent and agreed during treatment and through conversations with partners, if clients wish to involve them in this decision. Aftercare can range from intensive levels, such as sending a team of 2 back with the client to help them re-acclimatise (either live-in or nearby), to remote sessions with their Istana psychotherapist, or to Istana organising the best possible therapists to replicate Istana in a client’s hometown.
Evolving information provides clients with a definitive and collaborative plan for their departure and ongoing care. Istana takes care of their needs to ensure their return home is satisfactory and continues the positive trajectory clients leave on.
RecreationMany of Istana’s clients had forgotten how to have fun and enjoy life. Istana believes recovery should be an uplifting experience and makes every effort to bring this about. With this comes an increasing sense of freedom from the past, hope for the future, and eventually joy in the present. Anything that relaxes an individual, puts a smile on their face, or just makes them feel happy can become a component of their program. This can range from relaxing by the pool to watching the sunrise from the lip of a volcano and anything in between.
Istana can also help clients reignite old passions and discover new interests. Every client is welcome to try out any therapeutically beneficial recreational pursuits they are interested in, such as surfing, cultural experiences, martial arts, hiking, spiritual exploration, writing, photography, diving, snorkeling, and sailing. Their team will organise everything.
Accommodation, Down Time and Business/Family ObligationsEach client is housed in their own secluded and private villa. Istana’s villas are all fully staffed (including security) and all have private pools and spacious gardens. Clients will have time to themselves to watch TV, read a book or just enjoy the beauty of the surroundings. Istana’s clients come to them with real world responsibilities that often can’t be ignored. Istana provides assistance and as much time as needed to catch up with work and family but recommends that clients digitally disconnect as much as possible.
Support staff are experienced in acting as proxy PAs. They can actively assist each client or discreetly liaise with whoever clients nominate in their office to ensure essential business and/or family obligations are met. A client’s villa is their sanctuary and Istana would like them to consider it as their home, with any requirements or preferences met. A member of Istana’s team will always be discreetly on hand. Their support staff know when a client would like company or needs space, so while clients will never feel alone, they will also never feel crowded by Istana’s staff.
Istana also welcomes family members. Clients who wish to have family can consult their psychotherapist to find the best way to manage this without interfering with recovery.
NutritionEach client’s menu is personalised to their preferences and therapeutic needs. Unless a client is eating out, all meals are freshly prepared in the villa by their chef. Clients are always welcome to go out if they feel like sampling any of the excellent international or local restaurants. They need only let support staff know and Istana will take care of everything. Istana’s chefs can cater to all personal and religious dietary preferences.
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Istana has hosted royalty, Hollywood stars, members of political families and C-Suite executives. No client of Istana has ever been exposed or even been noted as entering treatment. Confidentiality is a cornerstone of Istana’s practice, for both privacy and therapeutic reasons. Clients can trust and rest easy in the knowledge that their time Istana is completely confidential and enhanced security measures are readily available if required.
Clients at Istana are housed in their own 5-star villa, complete with a personal chef and a carefully selected team of domestic staff to look after their needs. All client villas have at least four bedrooms, a pool, spacious grounds, and ample room for treatments, relaxation, and elegant dining.
Personalised one-on-one holistic therapy is considered to be the most effective treatment for substance use, depression, anxiety, stress, and burnout. Istana is in the privileged, unbiased position to provide the most up-to-date and progressive solutions available.
Istana provides therapy for couples and families, attending to the emotional needs of clients’ loved ones. If clients need or want to bring their partners or family to Istana, they have the accommodations and childcare staff to meet those needs. Istana recommends that the merits and timing of partner or family visits is discussed with a client’s psychotherapist prior to confirmation.
Executives
Executive treatment programs typically directly support the needs of people who manage businesses and may provide flexible schedules and office space to allow work during treatment.
Young Adults
Emerging adults ages 18-25 receive treatment catered to the unique challenges of early adulthood, like college, risky behaviors, and vocational struggles.
LGBTQ+
Addiction and mental illnesses in the LGBTQ+ community must be treated with an affirming, safe, and relevant approach, which many centers provide.
Men and Women
Men and women attend treatment for addiction in a co-ed setting, going to therapy groups together to share experiences, struggles, and successes.
Midlife Adults
For adults ages 40+, treatment shifts to focus on the unique challenges, blocks, and risk factors of their age group, and unites peers in a similar community.
Pregnant Women
Addiction and mental health treatment meets the clinical and psychological needs of pregnant women, ensuring they receive optimal care in all areas.
Professionals
Busy, high-ranking professionals get the personalized treatment they need with greater accommodations for work, privacy, and outside communication.
Alcohol
Using alcohol as a coping mechanism, or drinking excessively throughout the week, signals an alcohol use disorder.
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Burnout
Burnout entails mental and physical exhaustion, and leads to a severe lack of fulfillment. This condition is often caused by overwork.
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Depression
Symptoms of depression may include fatigue, a sense of numbness, and loss of interest in activities. This condition can range from mild to severe.
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Executives
Executive treatment programs typically directly support the needs of people who manage businesses and may provide flexible schedules and office space to allow work during treatment.
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Post Traumatic Stress Disorder
PTSD is a long-term mental health issue caused by a disturbing event or events. Symptoms include anxiety, dissociation, flashbacks, and intrusive thoughts.
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Trauma
Some traumatic events are so disturbing that they cause long-term mental health problems. Those ongoing issues can also be referred to as "trauma."
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Detox
Detox fully and safely removes toxic substances from the body, allowing the next steps in treatment to begin with a clean slate.
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Licensed Primary Mental Health
Some primary care providers offer mental health diagnosis and treatment. This can prevent patients from developing more serious conditions.
Residential
In a residential rehab program, patients live onsite, with access to daily treatment and 24-hour care. An average stay is 30-90 days.
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Retreat
These curated experiences promote physical, mental, and spiritual well-being, and provide a break from the busy pace of daily life.
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Evidence-Based
A combination of scientifically rooted therapies and treatments make up evidence-based care, defined by their measured and proven results.
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Experiential
Expressive tools and therapies help patients process past situations, learn more about themselves, and find healing through action.
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Holistic
A non-medicinal, wellness-focused approach that aims to align the mind, body, and spirit for deep and lasting healing.
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1-on-1 Counseling
Patient and therapist meet 1-on-1 to work through difficult emotions and behavioral challenges in a personal, private setting.
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Mindfulness Therapy
This ancient practice can be mental, emotional, and even spiritual. In meditation, you focus your attention on the present moment without judgement.
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Adventure Therapy
This experiential approach uses the physical and emotional challenges of outdoor activities as tools for personal growth.
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Animal Therapy
Animals can inspire trust and self-worth. In this experiential therapy, guided interactions are used to improve social skills and emotion regulation.
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Aromatherapy
Inhaling or topically applying essential oils can help relieve stress, soothe pains, and relieve emotional distress.
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Art Therapy
Visual art invites patients to examine the emotions within their work, focusing on the process of creativity and its gentle therapeutic power.
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Ayurveda
One of the oldest medicine systems, Ayurveda is based on the idea that wellness lies in the mind-body-spirit balance and can be achieved through natural interventions.
Dance Therapy
This experiential therapy uses dance to improve body awareness, physical health, and social skills.
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Weight Loss
Programming designed to promote sustainable health and wellness through personalized nutrition and fitness plans.
Equine Therapy
Guided interactions with trained horses, their handler, and a therapist can help patients improve their self-esteem, trust, empathy, and social skills.
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Experiential Therapy
With this approach, patients heal by doing. Therapists help patients process difficult emotions to speak, using guided activities like art or dance.
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Eye Movement Therapy (EMDR)
Lateral, guided eye movements help reduce the emotional reactions of retelling and reprocessing trauma, allowing intense feelings to dissipate.
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Family Therapy
Family therapy addresses group dynamics within a family system, with a focus on improving communication and interrupting unhealthy relationship patterns.
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Hypnotherapy
A hypnotherapist guides patients through a trance-like state. This helps them identify and process subconscious emotions and regain inner control.
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Interpersonal Therapy
This brief and structured therapy addresses present relationships and improves overall communication at work, home, and other social settings.
Life Skills
Teaching life skills like cooking, cleaning, clear communication, and even basic math provides a strong foundation for continued recovery.
Massage Therapy
Massage therapy relieves physical and emotional tension, reduces pain, promotes relaxation, and improves emotion regulation.
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Medication-Assisted Treatment
Combined with behavioral therapy, prescribed medications can enhance treatment by relieving withdrawal symptoms and focus patients on their recovery.
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Mindfulness-Based Cognitive Therapy
MBCT combines mindfulness practices—like meditation—with cognitive therapy techniques to help patients work through negative thought patterns.
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Motivational Interviewing and Enhancement Therapy (MET)
This approach is based on idea that motivation to change comes from within. Providers use a conversational framework that may help you commit to recovery.
Music Therapy
Singing, performing, and even listening to music can be therapeutic. Music therapy sessions are facilitated by certified counselors.
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Narrative Therapy
Through narrative therapy, patients rewrite past events with a positive focus. They separate themselves from the problem to see their purpose and capabilities.
Physiotherapy
Also called physical therapy, this approach includes exercise and various medical treatments for injury, pain, and disease.
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Psychoeducation
This method combines treatment with education, teaching patients about different paths toward recovery. This empowers them to make more effective decisions.
Recreation Therapy
In recreation therapy, recovery can be joyful. Patients practice social skills and work through emotional triggers by engaging in fun activities.
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Reiki
Hand placements or light touches over the body aim to strengthen patients' life energy, guided by a Reiki therapist with expertise in this Eastern medicine.
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Relapse Prevention Counseling
Relapse prevention counselors teach patients to recognize the signs of relapse and reduce their risk.
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Relaxation Therapy
Muscle relaxation techniques relax mind and body. They can easily be practiced outside treatment, making it a valuable coping tool for continued recovery.
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Solution Focused, Goal-Oriented Therapy
A quick goal-oriented therapy that helps patients identify their current and future goals, find out how to achieve them, and empower future problem-solving.
Somatic Experiencing
This method treats emotional trauma stored in the body. A therapist helps patients work through the physical feelings associated with emotional pain.
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Sound Therapy
Sound therapy incorporates music, sound waves, and vibrations to promote emotional and spiritual healing.
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Spiritual Care
Tending to spiritual health helps treatment become more effective, allowing patients to better cope with their emotions and rebuild their spiritual wellbeing.
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Surf Therapy
Surf therapy promotes body awareness, mindfulness, and self-confidence. Because sessions begin with surf lessons, this treatment is appropriate for beginners.
Twelve Step Facilitation
12-Step groups offer a framework for addiction recovery. Members commit to a higher power, recognize their issues, and support each other in the healing process.
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Acceptance and Commitment Therapy (ACT)
This cognitive behavioral therapy teaches patients to accept challenging feelings and make the appropriate changes to reach personal goals.
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Neurofeedback
During therapy, patients observe their own brain waves as interpreted by an EEG. This empowers them to understand and regulate emotional responses.
Yoga
Yoga is both a physical and spiritual practice. It includes a flow of movement, breathing techniques, and meditation.
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Pornography Addiction
A person with a porn addiction is emotionally dependent on pornography to the point that it interferes with their daily life and relationships.
Schizophrenia
Schizophrenia is a serious mental health condition that causes hallucinations, delusions, and disordered thinking.
Personality Disorders
Personality disorders destabilize the way a person thinks, feels, and behaves. If untreated, they can undermine relationships and lead to severe distress.
ADHD, ADD
ADHD is a common mental health condition caused by dopamine imbalance. Common symptoms include inattention, hyperactivitiy, and impulsivity.
Anger
Although anger itself isn't a disorder, it can get out of hand. If this feeling interferes with your relationships and daily functioning, treatment can help.
Anxiety
Anxiety is a common mental health condition that can include excessive worry, panic attacks, physical tension, and increased blood pressure.
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Bipolar
This mental health condition is characterized by extreme mood swings between depression, mania, and remission.
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Burnout
Burnout entails mental and physical exhaustion, and leads to a severe lack of fulfillment. This condition is often caused by overwork.
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Chronic Pain Management
Long-term physical pain can have an affect on mental health. Without support, it can also impact your daily life and even lead to addiction.
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Codependency
Codependency is a pattern of emotional dependence and controlling behavior. It's most common among people with addicted loved ones.
Depression
Symptoms of depression may include fatigue, a sense of numbness, and loss of interest in activities. This condition can range from mild to severe.
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Gambling
Gaming
Compulsive gaming is most often a problem for children and teens. The disorder can affect physical health, sleep, and the ability to focus at school.
Internet Addiction
Internet addiction is common among children teens. This compulsive disorder can damage relationships, school performance, sleep habits, and physical health.
Obsessive Compulsive Disorder (OCD)
OCD is characterized by intrusive and distressing thoughts that drive repetitive behaviors. This pattern disrupts daily life and relationships.
Post Traumatic Stress Disorder
PTSD is a long-term mental health issue caused by a disturbing event or events. Symptoms include anxiety, dissociation, flashbacks, and intrusive thoughts.
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Shopping Addiction
Excessive shopping and spending also known as compulsive buying disorder makes life unsustainable. It puts a strain on finances, relationships, and emotional well-being.
Stress
Stress is a natural reaction to challenges, and it can even help you adapt. However, chronic stress can cause physical and mental health issues.
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Trauma
Some traumatic events are so disturbing that they cause long-term mental health problems. Those ongoing issues can also be referred to as "trauma."
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Alcohol
Using alcohol as a coping mechanism, or drinking excessively throughout the week, signals an alcohol use disorder.
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Benzodiazepines
Benzodiazepines are prescribed to treat anxiety and sleep issues. They are highly habit forming, and their abuse can cause mood changes and poor judgement.
Chronic Relapse
Consistent relapse occurs repeatedly, after partial recovery from addiction. This condition requires long-term treatment.
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Co-Occurring Disorders
A person with multiple mental health diagnoses, such as addiction and depression, has co-occurring disorders also called dual diagnosis.
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Cocaine
Cocaine is a stimulant with euphoric effects. Agitation, muscle ticks, psychosis, and heart issues are common symptoms of cocaine abuse.
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Drug Addiction
Drug addiction is the excessive and repetitive use of substances, despite harmful consequences to a person's life, health, and relationships.
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Ecstasy
Ecstasy is a stimulant that causes intense euphoria and heightened awareness. Abuse of this drug can trigger depression, insomnia, and memory problems.
Heroin
Heroin is a highly addictive and illegal opioid. It can cause insomnia, collapsed veins, heart issues, and additional mental health issues.
Methamphetamine
Methamphetamine, or meth, increases energy, agitation, and paranoia. Long-term use can result in severe physical and mental health issues.
Opioids
Opioids produce pain-relief and euphoria, which can lead to addiction. This class of drugs includes prescribed medication and the illegal drug heroin.
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Prescription Drugs
It's possible to abuse any drug, even prescribed ones. If you crave a medication, or regularly take it more than directed, you may have an addiction.
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Synthetic Drugs
Synthetic drugs are made in a lab, unlike plant-based drugs like mushrooms. Most synthetic drugs are either stimulants or synthetic cannabinoids.
Clients can bring their own pet(s)
For greater comfort and healing, pet-friendly treatment centers welcome dogs and animal companions to stay with their owners while they attend treatment.
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Couples program
Using gentle clinical care, therapists guide patients and their partner through guided sessions to address issues and work towards lasting solutions.
Executive Program
Addiction and mental health treatment for executives typically involves high discretion, greater technology access, and more private, 1-on-1 care.
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Family Member Stays
Treatment providers welcome family members to stay on-site to better the experience and success of patients and their families as a whole.
Flexible technology policies
Centers with flexible technology policies allow professionals to stay in touch with work and give patients a greater sense of connection and normalcy.
Gender-specific groups
Patients in gender-specific groups gain the opportunity to discuss challenges unique to their gender in a comfortable, safe setting conducive to healing.
LGBTQ group
Group therapy unites LGBTQ+ patients in a safe and culturally competent setting, encouraging peer support under the expert leadership of a therapist.
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Religion-Based Track
Patients can join faith-based recovery tracks to approach recovery with others in their faith, healing in a like-minded group with similar goals.
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Yoga
Yoga is both a physical and spiritual practice. It includes a flow of movement, breathing techniques, and meditation.
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Lila Ramsahai
Lead Psychotherapist (UK)
MA BSc. MBACP
Agathe Fay
Head of Complementary & Healing Therapies
Dr. Bandale Majeks
Medical Lead (Barbados)
MBBS Dm
Dr. Marja Van Engelen
Medical Lead (Europe)
MD
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I travelled from Los Angeles to Istana on the recommendation of a friend and in my mind, it was a leap into the unknown. I was completely unprepared for how cosmopolitan, competent, professional and caring the staff were. From the moment I was met at the airport to the moment I left I felt cared for and understood. This was an utterly life-changing experience, I never thought I would say I loved going to rehabilitation but I actually did.
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