Carrara Treatment Wellness & Spa · Malibu, California

Luxury Medical Detox in Malibu

Detox at Carrara isn’t the experience most people are expecting: withdrawal managed by clinicians, a private suite in a beach house rather than a ward, and you’re one of six clients at most, not a case number.

The ocean-facing deck at the Carrara beach house in Malibu, white umbrellas and lounge seating around a fire bowl, the Pacific beyond the glass rail
Six Clients
The most in the house at one time
4:1
Clinical and support staff to clients
24/7
Nursing in the house around the clock
Joint Commission Gold Seal Accredited
DHCS Licensed & Certified · #191295AP
NAATP Member · Available 24/7 · Completely Confidential
Written by Dr. Blair Steel, PsyDMedically reviewed by Dr. Craig V. Smith, MD, FASAMLast reviewed October 2, 2026

What Is Medical Detox?


Medical detox, short for medical detoxification, is the supervised first stage of treatment: the days when the substance leaves the body and clinicians manage what withdrawal does while it happens. You aren’t asked to tough it out. Symptoms are anticipated, medication is used where it’s indicated, and somebody is checking on you through the night. And the setting is part of the treatment here, not the reward for finishing it.

Which Substances Need a Supervised Withdrawal?

Some withdrawals are mostly miserable. A few are medically dangerous. That difference is about chemistry, not willpower, and it’s the reason supervision exists.

A clinician taking a seated person's blood pressure with a cuff and stethoscope, both cropped at the shoulders

Alcohol

Withdrawal can turn dangerous with little warning; seizures are the reason alcohol detox is never a home project.

Benzodiazepines

Xanax, Valium, Klonopin. Stopping suddenly carries real risk, so the exit is a slow, supervised taper.

Opioids & Fentanyl

Rarely lethal, always punishing, and fentanyl stretches the timeline. Medication support makes it bearable.

Prescription Stimulants

Adderall and its relatives. The crash is as much emotional as physical, and it’s watched rather than waited out.

Cocaine

Days of exhaustion and low mood more than medical crisis. What needs managing is what the mind does in that window.

Marijuana

Real withdrawal with milder body symptoms. Sleep, appetite and agitation are the work.

More Than One Substance

The common case, and it changes the plan, because substances interact on the way out too.

Not Sure What Applies?

Timelines differ by substance, dose and history. Read the withdrawal timeline, or just ask us.

How Does Medical Detox Work at Carrara?

Every detox here starts with a full clinical picture and ends with a plan for what comes next. The sequence is the reassurance: every step below has somebody responsible for it.

01

The Call

Confidential, unhurried, and answered by Carrara’s own admissions team, not a call center or a referral service. They ask what you’re using, for how long, and about your health. If Carrara isn’t the right setting, they’ll say so on that call.

02

Arrival & Medical Assessment

A physician-led evaluation on day one looks at your substance use history, physical health and current symptoms, and sets the safest starting protocol: which symptoms to expect and what will be prescribed if they come.

03

Stabilization

Nursing is in the house around the clock. Medication, hydration and rest bring the body toward balance, symptoms are tracked as they peak, and the plan is revised in real time as your body does the work.

04

Turning Steady

Sleep returns, then appetite. The chef starts mattering more than the nurse.

05

Transition Into Treatment

Once you’re medically stable, therapy begins and, where it’s indicated, an ongoing medication plan. No discharge, no transfer, no new faces.

What Makes Carrara’s Detox Program Different?

The honest question to ask any detox program, including this one, is what “monitoring” means at three in the morning. Here is the answer, on the record.

Ask it everywhere you call. The phrase gets used for everything from a nurse in the next room to a phone number taped to a wall, and the difference matters most on the nights when withdrawal is doing its worst.

Nursing, Around the ClockIn the house, not on call. Around-the-clock nursing has its own page here because it’s the spine of the program.
A Physician Owns the PlanSet at evaluation under Dr. Craig V. Smith, MD, Carrara’s Medical Director, board certified in Addiction Medicine by the American Board of Preventive Medicine, and adjusted to the substance, the person and how the body responds, never run from a fixed checklist.
A 4:1 Staff RatioClinical and support staff to clients, across the program, with six clients at most, and the team behind the ratio averages 20,000 hours of clinical experience.
One Person, Kept InformedWith your written consent, admissions keeps one person you name updated while you’re in detox.
The Same Team AfterThe people who managed your withdrawal are the people who keep treating you, in a secluded house with confidential intake, so you never start over at a new facility.

Why Does Comfort Matter Medically?


Withdrawal is the body working hard. The setting either fights that work or helps it, and this is where luxury detox stops being decoration and starts being medical.

The setting isn’t a reward for finishing detox. It’s what makes finishing likely. Carrara Treatment, Malibu
A made-up suite in the Malibu house, glass doors looking onto the deck and the ocean

What Happens When Detox Ends?


At most programs detox ends with a discharge and a drive across town. Here it ends with a walk down the hall, into a program of up to 80 hours of individual 1-on-1 points of client contact per month, and then into an aftercare plan written before you leave. Aftercare and life after rehab have their own page: the ongoing support, the first 90 days home, and who you call.

One House

Detox and residential treatment under the same roof at Broad Beach.

One Team

The Carrara clinicians who managed your withdrawal keep working with you.

One Plan

Written at evaluation, revised as you steady, never restarted from zero.

One Aftercare Plan

Ongoing support after rehab, drafted by the same Carrara team before you leave.

How Long Does Medical Detox Take?


There isn’t one honest number. Length depends on the substance, the dose, how long it was used and your health, so the plan is set at your clinical evaluation and revised as you go. Alcohol and benzodiazepines are watched most closely, because both can turn dangerous when stopped abruptly, and fentanyl stretches the opioid timeline. Our detox process page walks through how the sequence unfolds, and the withdrawal timeline shows the usual shape by substance.

If You’re Reading This for Someone You Love

Much of the time the person reading a detox page isn’t the person who needs it. If that’s you, four questions will tell you more about any program than its photographs will.

The wood deck at twilight, cream umbrellas over a long outdoor dining table above the beach

What Does Monitoring Mean Overnight?

In the house, or on the phone? The answer separates real detox programs from beautiful houses with a number to call.

Who Sets the Medication Plan?

And how often is it reviewed? A plan that never changes wasn’t written for your person.

What Happens the Day Detox Ends?

A discharge, or a next step in the same place? The gap between those two is where early recovery most often breaks.

How Will I Be Kept Informed?

And with whose consent? A good program has a clear answer and a consent step, not a shrug.

Ask us the same four when you call – and if Carrara isn’t the right fit for your person, we’ll say so and point you toward somewhere that is.

A Few More Questions About Detox

Is medical detox painful?

Unmanaged withdrawal is the version people fear, and the fear is fair. Managed withdrawal is different: symptoms are anticipated, medication is used where it’s indicated, and a nurse is in the house through the night. Uncomfortable at moments, yes. Endured alone, no.

Can you detox from alcohol and benzodiazepines safely?

Yes, and these are the two where supervision matters most, because both can turn medically dangerous when stopped abruptly. Both are managed here with monitoring around the clock and a taper where indicated.

What if I’m using more than one substance?

That’s the common case, not the exception. The evaluation covers everything you’re using, because substances interact during withdrawal, and the plan is written for the combination rather than for one substance at a time.

Will anyone know I’m here?

Six clients, a private house, no waiting room, and HIPAA-compliant handling of everything about your stay. Completely Confidential in the bar above is a description of practice, not a slogan. Admissions will walk you through any of it on (888) 383-5207.

Start With One Confidential Call

You don’t have to decide anything on the phone. Ask what the first night looks like, what it costs, and whether your situation fits here. Whether you’re calling for yourself or for somebody you love, you’ll get plain answers, and if Carrara isn’t the right place, we’ll tell you who is. The person who answers works here.

If this is an emergency, call 911. For free confidential support 24 hours a day, call or text 988.

This page is general information, not medical advice.