Taking the first step toward recovery can be overwhelming—especially when it involves facing the fear of withdrawal. Whether you’re seeking help for yourself or a loved one, Pyramid Healthcare North Carolina is here to provide safe, medically supervised detox services and compassionate support through every stage of the process.

With locations in Asheville, Charlotte and across the state, we help individuals begin recovery with dignity, structure and expert care.

What Is Detox, and Why Is It Important?

Detoxification (or detox) is the process of clearing alcohol or drugs from the body after a period of use. For people who are physically dependent on substances, stopping can cause withdrawal symptoms—sometimes uncomfortable, sometimes dangerous. Detox provides medical supervision to help manage those symptoms and stabilize the body so treatment can begin safely.

Detox is not the full solution to addiction, but it is a critical first step. After detox, ongoing therapy and support are essential for lasting recovery.

How Do I Know If I or a Loved One Needs Detox?

You might need detox if:

  • You experience withdrawal symptoms (like sweating, shaking, anxiety or nausea) when you stop using
  • You use substances daily or heavily, especially opioids, alcohol or benzodiazepines
  • You’ve tried to quit before but couldn’t manage the symptoms
  • You’re worried about your safety if you stop using
  • A loved one’s substance use is out of control and they appear physically or mentally unstable without it

If you’re unsure, you can call us confidentially to speak with an admissions specialist who will help assess whether detox is appropriate.

What Happens During Detox?

At Pyramid Healthcare, detox begins with a thorough medical and clinical assessment. This helps our team understand your history and develop a personalized detox plan tailored to your needs.

You’ll be cared for by a team of medical professionals, including physicians, nurses and licensed therapists who specialize in withdrawal management. We offer:

  • 24/7 monitoring and supervision
  • Medications (when appropriate) to reduce discomfort or manage cravings
  • Support for co-occurring mental health conditions like anxiety, depression or PTSD
  • Help with sleep, nutrition, hydration and emotional support
  • Discharge planning and help transitioning into treatment

You are never alone during detox. Our team is there to guide you every step of the way.

Is Detox Painful?

Withdrawal can be uncomfortable—but detox doesn’t have to be painful. At Pyramid Healthcare, we use evidence-based medication protocols and personalized care to make the process as safe and comfortable as possible.

Our goal is not just to treat withdrawal symptoms, but to support you as a whole person—physically, emotionally and psychologically.

How Long Does Detox Take?

The detox timeline depends on the substance(s) used, how long you’ve been using, your physical health and other factors.

  • Opioids (heroin, fentanyl, oxycodone): 4–7 days

  • Alcohol: 3–7 days (longer if severe withdrawal or DTs are a risk)

  • Benzodiazepines (Xanax, Valium, Ativan): 7–14 days, often with a slow taper

  • Stimulants (methamphetamine, cocaine): 3–5 days, though mental symptoms may persist

  • Polysubstance use: May require a more complex, case-specific timeline

We’ll keep you informed throughout the process and ensure you have the support you need as your body stabilizes.

What Should I Bring to Detox?

Most of our detox programs are residential, so you’ll stay on-site during your treatment. Here’s what you can expect and what to bring:

We provide:

  • Meals, linens and basic toiletries
  • 24/7 nursing care and clinical support
  • A safe, secure and private environment

You can bring:

  • Comfortable clothing (no drawstrings, logos or revealing attire)
  • Required medications (in original bottles)
  • A list of important contacts
  • Insurance information and ID

Don’t worry if you’re not sure what to bring—our team will guide you through the admission process and answer any questions.

Common Substances We Treat in Detox

Pyramid Healthcare North Carolina provides detox for a wide range of substances, including:

Opioids:

Fentanyl, heroin, oxycodone, hydrocodone, morphine. North Carolina has been heavily impacted by the opioid crisis. Detoxing from opioids often requires medication-assisted treatment to manage withdrawal and cravings.

Alcohol:

One of the most dangerous substances to withdraw from without help. Severe cases can lead to seizures or delirium tremens (DTs).

Benzodiazepines:

These anti-anxiety medications require a slow, carefully managed taper to avoid serious risks.

Stimulants:

Methamphetamine and cocaine are widely used across the state and can lead to extreme fatigue, depression and agitation during withdrawal.

Polysubstance use:

Using multiple substances together increases the risks during withdrawal. Our team is trained to manage complex detox cases.

Why Choose Pyramid Healthcare North Carolina?

  • 24/7 medical care and emotional support

  • Same-day and next-day admissions

  • Medicaid accepted at select locations, plus most commercial insurance

  • Individualized detox plans

  • Caring, judgment-free environment

  • Step-down treatment options (residential, outpatient, MAT) after detox

We serve communities across Asheville, Charlotte and surrounding areas with a focus on clinical excellence and compassionate care.

What Comes After Detox?

Detox is just the beginning. Once stabilized, we help you transition to the next level of care, including:

  • Residential rehab
  • Intensive outpatient programs (IOP/PHP)
  • Medication-assisted treatment (MAT)
  • Mental health and dual diagnosis care
  • Aftercare planning and recovery support

We’ll make sure you have a clear path forward—and ongoing support every step of the way.

Take the First Step Today

If you or someone you love is struggling with substance use, you don’t have to face detox alone. At Pyramid Healthcare North Carolina, we provide a safe, supportive environment to begin recovery with dignity.

Call us today at (888) 201-5086 or contact us online to speak with our admissions team. We’re here 24/7 to help you take the first step.

Available at these facilities:

  • Detox & Residential & Specialty Programs

    Concord, NC