Residential Treatment
Center in Texas
New Choices Treatment Centers, located in San Antonio, Texas, provides comprehensive treatment for substance use disorder and underlying co-occurring disorders, with treatment options for you or your loved one across all levels of care. Designed for adults, we work with you throughout residential treatment, helping you develop the skills for lasting change in sobriety.
We Accept Most Major Insurances




















Our Residential Treatment Program in Texas
Our dedicated residential treatment center (RTC) in San Antonio, Texas, provides a safe and supportive environment, with our expert team developing personalized long-term addiction treatment plans. With care from a collection of licensed clinicians, psychiatrists, recovery-informed staff, and peers, we provide stability and structure that impacts your life both inside and outside our walls.
At our small yet fully staffed 40-bed campus, where our staff-to-client ratio far exceeds the national average, you’ll have access to both traditional treatment programs and alternative and complementary therapies to help you find your best approach to a transformative experience.
Healing is a journey, and we support you with practical skills and strategies for daily living in sobriety at every stage, from your first step into detox and as you transition through our continuum of care. With residential programs lasting from 30 to 90 days, our rehab center, dedicated providers, and long-term programs provide a clear path to recovery and beyond, creating a thriving community for those just beginning their journey to alumni alike.
What Is a Residential Treatment Center (RTC)?
An RTC program is a long-term option for those overcoming addiction and addressing co-occurring mental health disorders. Understanding the opportunities and advantages of healing in our addiction and mental health residential treatment center can help you commit to your sober journey when confronted with difficult challenges.
Detox and Stabilization
Detoxification, or detox, is often the first step in treatment. Our team closely monitors you to ensure all substances are removed safely to release your dependence on them. This stage is when withdrawal symptoms can be at their most intense, which is why we provide around-the-clock nursing support. We have fully licensed nursing staff on-site 24 hours a day, and our Medical Director is on call even when he is not on-site.
The detox stage lasts about five to seven days. However, completing detox does not mark the end of your journey. Rather, detox and stabilization are the first steps in your long-term healing plan to set you up for lasting, transformative change.
With healthcare professionals, therapeutic support, and medication-assisted treatment (MAT), we can help you explore medication options to lessen the challenges of detox while you develop the skills you need for a sustainable sober future. However, medication is not a replacement for other forms of therapy, nor will it eliminate the need for hard work in your journey. Talking with a professional about your needs and expectations with MAT can help determine if it is right for you.
24/7 Inpatient Support and Structure
At our long-term residential facility, we’re able to provide a higher level of support than other treatment programs. We have Recovery Coordinators (RC) on-site 24 hours a day to help with all your needs, providing individualized attention and support. Our clinical team will meet with you daily, with two additional individual sessions per week with your counselor and access to a case manager as needed.
Inpatient care provides a higher level of support for those practicing new skills in a curated sober space. We provide not just a dedicated and accepting sober space, but also a robust daily schedule and structure as you build a new life in sobriety.
Building a Supportive Recovery Community
Those receiving services in our residential program also begin building new relationships within a tranquil, supportive community, giving the mind and body a chance to fully heal. With a supportive community environment, a focus on peer support and belonging, and a commitment to creating a LGBTQIA+ friendly environment, we celebrate each person’s journey while coming together in search of change. Alumni also return to share their experience, strength, and hope with the residential clients beginning their own journey.
Transitioning Through the Continuum of Care
Part of a successful healing plan hinges on full support during the transition from residential to outpatient care, focusing on core skills and emotional stability as you return to society and thrive. Our outpatient counselors will get to know you while you are in residential care, preparing to support your transition so you can navigate milestones and accomplishments in your journey.
With support across the entire continuum of care, we provide continuing care as you graduate to our partial hospitalization program (PHP), intensive outpatient program (IOP), or outpatient program, finding the level of care that fits your needs.
Many who have completed our treatment program go on as alumni to help others entering treatment, creating a circle of trust and recovery that will endure. Our alumni meet once a week, and during this time, they get to know our residential clients by name.
The New Choices Treatment Centers Difference
New Choices Treatment Centers is a privately owned, trauma-informed recovery center in San Antonio that prioritizes individualized care and meaningful clinical connections. Our team is structured to respond to each client’s unique needs, creating a supportive community environment where recovery is personal, purposeful, and grounded in evidence-based practice.
Posted on Google Selina HTrustindex verifies that the original source of the review is Google. The group sessions at New Choices were one of the most powerful and healing parts of my recovery journey. In the beginning, I was nervous and unsure—I didn’t know if I’d be able to open up, or if I’d feel connected to anyone. But over time, those sessions became something I looked forward to. They turned into a space where I could be honest with myself and others, where I didn’t feel judged, and where people actually listened and understood. The group dynamic taught me the value of connection. It reminded me that healing doesn’t happen in isolation. Hearing other people’s stories helped me unpack my own, and slowly, I started to believe that maybe I wasn’t broken—maybe I was just healing. Each topic we covered—whether it was boundaries, coping skills, childhood wounds, relapse triggers, or communication—felt relevant to my life. And the way the group was guided allowed all of us to be seen and heard. There was always a mix of vulnerability, laughter, and growth in the room. We cheered each other on through the hard days and celebrated the small wins that felt huge. But what truly made my experience at New Choices so impactful was my therapist. She was everything I needed and more. She made me feel safe, seen, and validated from day one. Her compassion, patience, and insight helped me uncover the deeper reasons behind my patterns and pain. She didn’t just talk at me—she met me where I was emotionally, challenged me when I needed it, and always held space for me to feel without shame. I was able to open up in ways I never thought I could, and I credit so much of my personal growth to the trust and therapeutic relationship we built. She saw the version of me that I was too scared to believe in—and slowly, because of that, I started to believe in myself too. I’m so incredibly thankful for the time I spent in this program. I came into IOP feeling lost and unsure if change was possible for me. Now, I’m walking away with tools, perspective, confidence, and—most importantly—hope. I know I still have work to do, but I’m not starting from scratch anymore. I’m starting from experience, support, and a stronger sense of self than I’ve had in a long time. Thank you to my therapist, my group, and the New Choices staff. This experience changed my life.Posted on Google Bruno GTrustindex verifies that the original source of the review is Google. Home away from home! Best Rehab with great inspiration to to get wellPosted on Google Tristen KTrustindex verifies that the original source of the review is Google. The kindness of the staff and idyllic surroundings make it easy to stay here longer than the usual 30 days. All the employees are incredibly professional and accomodating. They made the clients' sobriety their first priority. I personally owe New Choices a debt of thanks for putting me on the right track. Highly recommend.Posted on Google Barrett STrustindex verifies that the original source of the review is Google. I can go on all day with good things about new choices treatment center..I was one of the first few people that came to the new php program .yeah at first I was nervous as heck but I've been here a little over 30 days and it was the best decision I've ever made..they put the clients first..the staff is amazing,they go above and beyond for us..I hope one day I can come back and work here..I'm a better person,and man bc of new choices,id definitely recommend new choices to people who neeed a good treatment program.i want to give a big shout to Jeff my counselor,Parker my case manager,the rc's,miss Laura,Robert,the chef and the nurses,y'all are a good send..words can't explain how greatful and thankful I am for you all.Posted on Google BonnieTrustindex verifies that the original source of the review is Google. Outstanding recovery/treatment center. I was one of the first clients to start off the new PHP program and even though everyone (including staff) was new to the whole thing- everything was absolutely wonderful. Literally every single staff member is an angel here. My therapist Jeff was probably the best therapist I’ve ever had. Parker, my case manager was always on top of things and awesome as well. I felt like a member of a family here and I will remain to be. Would recommend this place to anyone.Posted on Google Armandina GTrustindex verifies that the original source of the review is Google. This place help me get clarity and understanding of my addiction and how to change what needs to be changed to live a sober life my case manager desi help me ever step of the way my counselor Robert l was perfect for my treatment he is an awesome counselor also Robert h art help me with his articulture classes to better understand my mental health and emotional wellness rc’s bowe Destiny Parker Brett Luke. Justin are a blessing to have as they all seem to love what they do for us. They are extremely helpful and understanding, the nurses brenda Olivia, Ana and Demi are an asset to new choices. very caring but who I learned most from is Danny who taught me mindfulness and how it works help me understand the parts in my brain and what they consist of, also meditation was very helpful. If you are struggling with an addiction new choices can really help you through it. Also for the families of an addict this place offers an awesome program called family education through zoom that allowed my loved one’s peace of mind and understanding what I was trying to accomplish, and how they can help me do that.after leaving the treatment center i did iop with Taylor who is the best therapist.This is me and my peers at alumni sober.Posted on Google Doreen VTrustindex verifies that the original source of the review is Google. My overall experience was exceptional. I was taken under the wings of a group of wonderful people who were kind, encouraging, understanding and compassionate. I was a mess when I arrived at New Choices. I was able to stay in and just let my guard down and trust people that genuinely cared. At New Choices I was taught the necessary tools to begin a successful path of recovery. New Choices is a very comfortable, clean and a safe place to begin recovery. I would recommend anyone who wants to recover from alcohol addiction to start at New Choices. I am proud to say I’m a recovering alcoholic thanks to my higher power and the people at New Choices.Posted on Google Amy CTrustindex verifies that the original source of the review is Google. New Choices Treatment Center brought me out of a very dark place. The staff is all amazing! The NA / AA classes helped me so much. They even took us off site to play mini golf. I had so much therapy from taking care of the plants at the location. I would recommend New Choices to anyone struggling with addiction. Shout out to Laura, Katrina, Desi, Kathy, Jerome, and all the othe counselors, the kitchen staff, Olivia, Mikaela, Brenda, MJ, Anna, all the RC s, Brett, Luke,Parker, Sylvia, all the facilitators of the classes and Mel. You all hepled to make my stay easier.Posted on Google Richard HTrustindex verifies that the original source of the review is Google. Desi is the one person I know was fighting for me in new choices. She is been one of my greatest alley on this recovery journey She absolutely made the Christmas List. Thank God for people like her that started from the bottom and made it up out of that pit. Her testimony has given me hope .THANK YOU DESI. See u Christmas 😇😇😇🫡🤠🫶🧑🎓Posted on Google Jeremy ATrustindex verifies that the original source of the review is Google. Not only did this place saved my life but it also helped me get another view about my disease and my addiction I recommend this place because of the staff and the facility, they are all very helpful and helps see things clear about what I was dealing with in my addiction
Built for Adults 18+
Our programs are designed specifically for adults navigating substance use disorder, with an inclusive environment for men and women and a welcoming, LGBTQIA+-friendly culture. Treatment is focused on primary substance use disorders while integrating support for co-occurring mental health conditions.
Personalized, Evidence-Based Care
Every client receives a customized treatment plan that may include cognitive-behavioral therapy (CBT), dialectical behavior therapy (DBT), rational emotive behavior therapy (REBT), medication-assisted treatment (MAT), trauma-focused therapies, SMART Recovery, and psychoeducational groups. Care is tailored to individual strengths, challenges, and recovery goals to promote long-term stability.
Integrated Mental Health & Substance Use Treatment
Because substance use and mental health are often interconnected, we provide coordinated support for depression, anxiety, post-traumatic stress disorder (PTSD), bipolar disorder, personality disorders, and trauma-related concerns. This integrated approach strengthens emotional regulation, improves coping skills, and supports lasting recovery.
A Supportive Community Environment
With clinical and residential services located on one campus, clients experience consistent structure, peer support, and direct access to licensed clinicians and our on-site psychiatrist. Our team fosters accountability, connection, and daily routines that reinforce well-being and sustainable change.
Continuity Across Levels of Care
From detox and residential treatment to PHP, IOP, and outpatient services, clients can move seamlessly through the appropriate level of care as their needs evolve. This step-down structure supports progress at every stage of the recovery journey.
Inpatient vs. Outpatient Treatment: Key Differences
Unlike outpatient treatment, our residential program is a fully immersive process that helps you explore what you need to thrive in a life of sobriety. Our RTC is an intensely holistic blend of medical, clinical, and physical interventions that begins the transformative process from isolation to thriving within a matter of weeks.
Additional core functions of our residential programs for drug or alcohol abuse include:
- Support from medical, clinical, recovery coaches, and recovery advocates each week, averaging more than 10 weekly contacts from 8 or more staff members
- Creating a deep, emotional, mental, and spiritual resilience in our empowerment approach to help you face challenges that have interfered with your recovery attempts in the past, including various behavioral therapies and complementary and alternative practices
- Using a layered, multidisciplinary approach to connect clients to others and themselves for profound, lasting change
- Overcoming substance abuse through respectful, meaningful therapeutic engagement and problem-solving modalities
- Opportunities to deepen relationships between clients and their therapist, recovery coach, recovery coordinator, peer recovery support team, physician, psychiatrist, nurses, and peers
- Providing a tranquil and safe environment to help you feel renewed, stabilized, and empowered to achieve lasting results and healthy living
While each of these functions occurs in outpatient treatment, they’re taken to a higher level of intensity and safety in a residential setting. Where an RTC offers an immersive experience, outpatient treatment offers a higher degree of flexibility as you incorporate new skills and strategies into daily life and form what your sober life will look like.
When Is Residential Treatment the Right Level of Care?
Inpatient rehab can feel overwhelming, and many may feel unsure whether this level of care is the right fit. However, there are a few ways to know when residential treatment is a better alternative to outpatient care.
Difficulty Maintaining Sobriety
Past failed attempts to achieve sobriety and experiencing the negative effects of relapse are a clear indicator that a residential program may be necessary. You may have attempted numerous options on your own, including attending group meetings or stopping the use of drugs or alcohol for an extended period. However, regular stresses can still present challenges, and an RTC can help you build the tools, skills, and new lifestyle for genuine, lasting success while distancing you from unhealthy stresses that may affect your sobriety.
Co-Occurring Mental Health Disorders
Many who endure the cycle of addiction may also have a co-occurring mental health disorder. Living with both addiction and a mental health disorder, known as dual diagnosis, can increase the risk of relapse, especially if the underlying mental health condition isn’t treated. Clinical care professionals and our RTC can help you identify underlying issues, determine the best way to treat them, and ensure you can regain control of your mental health, emotional wellness, and behaviors.
Unstable or Triggering Environment
If your environment isn’t conducive to recovery, it could lead to an inability to achieve sobriety and healthy living. You may need assistance with medical care, maintaining a balanced diet, and avoiding scenarios where you may abuse substances. Our residential program creates a fully curated environment to keep these factors from affecting your judgment and health. We can also work with family members, so you can continue benefiting from an educated, supportive environment even after graduating from our program.
Withdrawal Symptoms and Physical Dependence
The onset of physical withdrawal symptoms is perhaps the most recognizable sign that residential, long-term drug treatment is necessary. Depending on the severity of addiction, additional medications can help prevent the worsening of symptoms while navigating withdrawal.
Further physical symptoms of addiction, ranging from cardiovascular disease to contraction of sexually transmitted infections (STIs), anemia, seizures, or engaging in other risky behaviors, can indicate that you will benefit from residential care. A residential program can help you identify and treat these physical symptoms safely with the right guidance and support.
Program Highlights at Our Residential Treatment Center
We understand the importance of continuity of care. Through a combination of therapeutic options, including medically assisted treatment, wellness programs, and evidence-based therapies like cognitive-behavioral therapy (CBT) or dialectical behavior therapy (DBT), our intensive inpatient treatment is customized to help you achieve a healthy lifestyle that focuses not on isolated symptoms or challenges, but comprehensive wellness. Our treatment team can build a program for you that leverages a range of unique advantages to support your journey to long-term success.
Trauma-Informed and Individualized Care
For many, past traumatic experiences can impact present-day use of addictive substances. Our clinicians provide individualized care to explore your unique history of substance use while creating a safe, comfortable space so that you can address both the impact of addiction and its relationship with traumatic experiences alongside sympathetic and trained staff.
Evidence-Based and Holistic Treatment Approach
Each program combines evidence-based treatment modalities with a holistic approach to change. With proven therapies and new experiences, we treat the whole person. We focus not on isolated symptoms but on tending to all of your needs with proven care that addresses physical, mental, and emotional health.
Strong Clinical and Recovery Support Team
Our treatment team also combines a wealth of professional experience with sympathy and compassion, providing emotional support, medical support, and a commitment to excellence. Access to trained clinical support means that you are never left feeling alone on your journey, with constant access to support when you need it most.
Integrated Dual Diagnosis Treatment
We integrate mental health care into each program, providing comprehensive dual diagnosis treatment and support to address mental health challenges and their relationship with addictive substances. This helps you explore not just the effect of these challenges, but also how they may inform each other or the lifestyles that enabled addiction for truly transformative care.
Seamless Transition to Outpatient Programs
Your journey doesn’t end when graduating from detox or a residential program. We provide personalized support to empower your transition to outpatient care, addressing new challenges while embracing the freedoms, responsibilities, and accountability of outpatient care as you continue your journey in sobriety.
What to Expect in Daily Life During Residential Treatment
Taking that first step into our programs can be intimidating, but knowing what to expect can empower you to begin your journey with confidence.
Structured Daytime Programming
Each day in residential care is structured to provide access to an array of different therapies and opportunities, all working together to build a life of sobriety while addressing personal needs and challenges. Group therapy sessions alongside peers, individual therapy with a professional, and psychoeducation groups are all part of daily programming to help clients learn more about addiction and its effects to determine the best way forward.
Evenings and Recovery Support
Additional evening programs, with 12-Step programs and SMART Recovery meetings available, further support your journey. These programs focus on peer connection, introducing you to like-minded, dedicated peers who share experiences and goals, creating a community of support and accountability that extends beyond our walls.
Community and Routine
A solid routine is instrumental in relapse prevention and stress management. However, our structured daily programming still includes time for self-care and relaxation. We also offer scheduled healthy mealtimes, opportunities for downtime, and time for reflection, all working together to create a new lifestyle that supports sobriety and change.
Our Treatment Approach
We combine evidence-based care with experiential options to provide a comprehensive approach to wellness, treating not just surface-level needs but providing healing opportunities that address the whole person. From evidence-based care like CBT, DBT, and REBT to holistic options like art therapy, music, yoga, and more, you always have new options to explore in your journey.
Conditions We Treat
Our addiction treatment center provides comprehensive care for a wide range of substance use and co-occurring mental health conditions, ensuring each individual receives personalized, evidence-based support for lasting recovery.
Substance Use Disorders
Effective substance abuse treatment starts with confronting the unique effects of these substances on your life. We are prepared to help you overcome an array of different substances, including:
- Alcohol
- Opioids
- Stimulants
- Prescription drugs
- Marijuana
- Hallucinogens
- Inhalants
Co-Occurring Mental Health Issues
We also address underlying mental health needs in addition to the effects of drugs or alcohol. This includes professional care to help you overcome:
- Anxiety
- Depression
- Trauma
- PTSD
- Bipolar disorder
Access to comprehensive mental health services and behavioral health professionals can empower you to confront addiction and underlying challenges for a truly transformed and healthy life.
Environment & Experience in San Antonio
We have created not just a healing program, but an entire healing-focused environment and community in San Antonio. Here, you can surround yourself with opportunities, structure, comfort, and professional support as you navigate change. With apartment-style living, shared rooms, and a courtyard community feel, we thrive by creating an atmosphere and community that celebrates healing. On-site meals provided by a chef and off-site fitness opportunities like CrossFit are also available so that you can build a new life in sobriety for sustainable change.
Comprehensive Support Services for Lasting Recovery
We are committed to your long-term sobriety and work with you to provide practical, real-life skills for long-term success. Support services we utilize include:
- Family therapy and family involvement
- Medication management
- Alumni program
- Continuing care planning from day one
- Flexibility for work/school
Healing is a lifelong journey, and access to new opportunities, alumni support, and a thriving community can help you maintain your hard-earned sobriety, prevent relapse, and live your best, healthy life.
When to Seek Help for Substance Use or Mental Health Issues
Acknowledging when it may be time to seek professional care for addiction or underlying mental health needs is complicated, and those living with addiction can be in denial or disbelief. However, some signs signify you should talk to a professional for more information on your healing options.
Increased substance use, inability to cut back or stop on your own, experiencing withdrawal symptoms, or worsening feelings of anxiety, depression, or other mental health issues can all indicate the need for professional support. Likewise, as addiction impacts personal relationships or interferes with academic or professional life, such as compromised attendance or performance, professional support may be necessary.
While addiction can affect anybody, nobody is ever beyond help. With the right support, healing and change are always possible.
Start Your Journey of Recovery With Residential Treatment and Support at New Choices Treatment Centers.
FAQs
How long is residential treatment at New Choices Treatment Centers?
We offer inpatient rehab in San Antonio options lasting 30, 60, or 90 days, based on clinical necessity.
Do you treat co-occurring mental health disorders?
Absolutely. Treating underlying mental health needs is paramount to creating lasting change in sobriety.
What happens after residential treatment?
After residential care, you will transition to further ongoing programs, including our partial hospitalization program (PHP) or intensive outpatient program (IOP) to continue your healing journey.
Is the family involved in treatment?
Family therapy is available based on comfort and clinical needs.
Do you accept insurance?
Yes, we work with most major insurance companies, and you can verify your insurance with us on our website or when talking with a representative, so you are aware of your coverage before committing to a program with us.
What makes this residential treatment center in Texas different?
Our residential treatment center in Texas provides access to the entire continuum of care, working with you through each level of care as you build a sober life, all while delivering consistent, personalized care. This consistency and structure, backed by quality care and professional support, provides a robust approach to change.