Addiction is one of the most common and consequential chronic medical conditions in the United States. Nationwide, more than 46 million people met the criteria for a substance abuse disorder as of 2021, the most recent data available.

Decades of evidence show that addiction is a chronic, relapsing disease of the brain. Nonetheless, there’s still widespread public misunderstanding of what constitutes “treatment” for addiction, not to mention heavy stigma associated with it.

Many patients, families and even health care systems view entering a detoxification or medically managed withdrawal unit as the primary step in recovery. Sometimes, this first step is considered all that is needed. As a physician and fellow in addiction medicine, I know firsthand that this common perception is wrong, and that it perpetuates misinformation about evidence-based treatment.

Centers that provide medically managed withdrawal are designed to stabilize patients in crisis, safely manage acute withdrawal and interrupt dangerous use patterns. However, the idea that “getting through detox” equates to recovery has taken hold over the past several years. This belief appears to be rooted in outdated models of addiction, public misunderstanding and media portrayals that frame addiction as solely a problem of physical dependence.

It is not uncommon for patients to show up for medically managed withdrawal, more commonly known as “detox,” without a post-discharge plan. “I haven’t thought that far,” “I just want to get through this,” or “I am getting treatment now, aren’t I?” are some of the responses I frequently hear.

However, this first step is only the start of recovery. Detoxification from alcohol or benzodiazapines – drugs commonly known as “benzos,” such as Xanax, Ativan or Valium – can be dangerous........

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