Starting recovery isn’t easy—but you don’t have to do it alone. At Pyramid Healthcare North Carolina, our residential treatment programs offer a safe, structured environment where you or your loved one can take the first steps toward lasting recovery.

With 24/7 support, evidence-based therapies, and a compassionate team by your side, our residential programs provide the stability and care needed to begin healing from addiction and mental health challenges.

We have locations throughout North Carolina, including Asheville and Charlotte, making it easier to find help close to home.

What Is Residential Treatment?

Residential treatment—also called inpatient rehab—is a live-in program that provides around-the-clock care for people struggling with substance use and related mental health conditions. It’s more intensive than outpatient programs and is often the next step after medical detox or when outpatient care just isn’t enough.

In residential treatment, you’ll stay in a safe, supportive setting where you can focus fully on recovery without the distractions, triggers or stress of everyday life.

Who Is Residential Treatment For?

Residential rehab is often the right choice for someone who:

  • Has been using drugs or alcohol heavily or for a long time
  • Has tried outpatient programs before but needs more support
  • Is dealing with mental health issues like depression, anxiety or trauma
  • Needs help staying away from triggers or an unsafe home environment
  • Just completed detox and wants a strong foundation for continued recovery

If you’re not sure whether residential treatment is right for you or a loved one, our admissions team is here to talk it through and help you make the best decision.

What Happens in Residential Treatment?

Every person’s experience of treatment is different. When you arrive at Pyramid Healthcare, we’ll start with a full assessment so we can understand your needs, challenges and goals. From there, we’ll build a personalized treatment plan just for you.

Throughout your stay, you’ll receive:

  • Support from licensed therapists and medical staff
  • Individual and group therapy
  • Mental health care, if you’re dealing with anxiety, depression or trauma
  • Medication management (if needed)
  • Life skills training
  • Relapse prevention planning
  • Connection with peers who understand what you’re going through

We want to treat the whole person—not just the addiction—so we make sure your emotional, physical and mental health are all part of the healing process.

Why Residential Care Matters in Early Recovery

The first few weeks after quitting drugs or alcohol can be the hardest. You might still be dealing with cravings, emotional ups and downs or physical symptoms. You might not feel ready to face daily life just yet. That’s okay.

Residential treatment gives you the space to focus on yourself. You don’t have to worry about work, home life or outside stressors. Instead, you get a chance to:

  • Learn new ways to cope without substances
  • Build confidence in your ability to stay sober
  • Address the root causes of addiction, including trauma or mental health issues
  • Be surrounded by people who truly understand what you’re going through

This kind of structure and support early on can make a big difference—and can often mean the difference between staying on track or returning to old patterns.

What Does a Typical Day Look Like?

In residential treatment, your days will follow a consistent, supportive routine. This might include:

  • Morning check-ins and goal setting
  • Therapy groups and individual counseling sessions
  • Activities like mindfulness, yoga or art
  • Time for rest, meals and reflection
  • Evening support groups or workshops

Each day is structured to help you grow emotionally, mentally and physically.

How Long Does Residential Treatment Last?

The length of your stay depends on your needs and progress in treatment. Some people benefit from a shorter program of about two to four weeks, while others need more time—sometimes up to 60 or 90 days. We’ll help you figure out what’s best based on where you are in your recovery.

As you build stability, you may step down to one of our outpatient programs for continued support.

We Treat More Than Just Addiction

Many people who come to us for help with substance use are also dealing with mental health challenges like anxiety, PTSD or depression. That’s why we offer dual diagnosis care—treatment that addresses both addiction and mental health at the same time.

With access to licensed mental health professionals, psychiatric care and trauma-informed therapies, we’re here to help you heal on all levels.

Why Choose Pyramid Healthcare North Carolina?

We know how hard it is to reach out for help. At Pyramid Healthcare, you’ll find more than just a program—you’ll find people who care. Our North Carolina residential programs offer:

  • 24/7 support from experienced staff
  • Customized treatment plans
  • Dual diagnosis care
  • A peaceful, supportive environment
  • Step-down options like outpatient treatment
  • Medicaid acceptance at select locations and most major insurance providers

We serve individuals and families throughout Asheville, Charlotte and nearby areas.

After Residential: What Comes Next?

Recovery doesn’t stop when you leave residential care. Before you leave, we’ll work with you to create a personalized aftercare plan. This may include:

  • Outpatient therapy
  • Medication-assisted treatment (MAT)
  • Support groups or peer recovery coaching
  • Connections to housing or employment support
  • Ongoing mental health services

We’re committed to walking alongside you for the long haul—not just while you’re in our facility.

Take the First Step Toward Recovery

Whether you’re here for yourself or someone you love, we want you to know that help is available—and healing is possible.

Call us today or contact us online to learn more about our residential addiction treatment programs in North Carolina. Our team is available 24/7 to answer questions, check insurance and guide you through the process.

Available at these facilities:

  • Detox & Residential & Specialty Programs

    Concord, NC