Polysubstance use is more common than most people realize. Multiple substances create multiple dependencies, multiple withdrawal patterns and a more complex clinical picture. At CRTC we are experienced in treating all of it simultaneously.
Many people who arrive at CRTC are using more than one substance. Sometimes it is alcohol and cocaine. Sometimes it is opioids and benzodiazepines. Sometimes stimulants and sleeping pills. Sometimes a combination that evolved gradually as each substance began filling a different role.
Polysubstance use often develops because one substance stopped working. Or because one substance created a problem that another substance seemed to solve. Or because the underlying pain was too much for any one substance to manage.
Whatever the combination, whatever the story that led here, you are not broken and you are not beyond help. The complexity of your situation is exactly what we are built to address.
Treating polysubstance use requires clinical precision.
Different substances create different withdrawal patterns, different timelines and different clinical risks. Managing multiple dependencies simultaneously requires a medical team with genuine expertise and a clinical plan built around the specific combination of substances involved.
At CRTC our medical team conducts a thorough evaluation on arrival and builds a detox and treatment plan that accounts for every substance in the picture. Nothing is addressed in isolation. Everything is managed together.
Beyond the physical complexity, polysubstance use almost always involves deeper psychological and emotional factors that drove the use of multiple substances in the first place. Understanding those factors and addressing them clinically is central to building lasting recovery.
Our therapeutic approach draws from CBT, DBT, EMDR, Motivational Enhancement Therapy, Transactional Analysis, 12-Step facilitation, SMART Recovery, Refuge Recovery, somatic work, mindfulness, breathwork, yoga, forest bathing, sound therapy, adventure therapy, family therapy, psychoeducation and integrative recovery through our CRTC x VINOVA alliance.
CRTC was not built from a business plan. It was built by someone who lived through addiction and recovery himself. Who sat where you are sitting now. Who experienced the gaps, the fragmentation, the programs that almost worked. And who made a promise to himself to build something that actually did.
Gernot personally answers admissions calls. When you reach out you are not talking to a call center. You are talking to someone who genuinely understands where you are right now.
Detoxing from multiple substances simultaneously is one of the most medically complex situations in addiction treatment.
Different substances have different withdrawal timelines, different risks and different clinical requirements. Managing them safely requires a medical team with genuine expertise and around-the-clock supervision.
At CRTC our medical team builds a detox protocol specific to the substances involved and the individual patient. The process is managed safely, with your comfort and your clinical safety as the absolute priority. Nothing is rushed. Everything is monitored.
The mountains of Atenas or the heart of San José. A different pace. Real distance from everything that has been pulling you back.
Days with shape and purpose. Therapy that truly knows you. A team that understands the complexity of polysubstance recovery specifically and what it takes to address all of it. A community of people who understand without judgment. And moments of genuine clarity that remind you what life without substances can feel like.
Recovery lived while you are still supported. So that when you leave, it is not theoretical. It is something you have already begun.
When I arrived at CRTC, I was hopeless and broken. The night before, I had almost ended my life with a bottle of methadone pills just to make the pain stop. I didn't really feel like I deserved another chance at recovery. Before coming to…
I'm so grateful I chose CRTC. They gave me the knowledge to understand, address and change my self destructive behaviours. I really liked the holistic approach to heal my mind, body and spirit. The program content was comprehensive enough…
Life changing, world class luxury recovery treatment center. Are you ready to fly far from home, touch down in San Jose International Airport, drive through lush rainforest to a luxurious million dollar property in the heart of the Costa…
For most people who use multiple substances, the pattern is connected to something underneath. Depression that one substance temporarily helped with. Anxiety that another numbed. Trauma that needed managing in more than one way. Burnout that required different substances for different moments.
At CRTC we are equipped to address both the polysubstance dependency and the underlying mental health conditions simultaneously. Our dual diagnosis capability means nothing gets left behind. The full picture gets treated.
With a maximum of 28 patients across both centers every member of the CRTC team truly knows who you are. Not a case number. Not a bed. A person with a specific history, specific needs and a specific path forward.
Our multidisciplinary team includes clinical psychologists, addiction psychiatrists, addiction counselors, nurses, occupational therapists, yoga instructors, forest therapists and support staff. All working together around your individual treatment plan. All present because they chose to be here.
Readiness looks different for everyone. Some people arrive certain. Others arrive with doubt still present. What matters is not that you have everything figured out before you call. What matters is that somewhere inside you, something is ready to try.
If you are wondering whether this is the right place, that conversation is exactly what we are here for.
Not one moment of your time here should be spent managing logistics. We handle all of it.
A warm, structured residential environment in the heart of San José. Clinical depth meets genuine human care.
A deeply private retreat in the mountains of Atenas. Nature, stillness and genuine restoration.
No. Our medical team manages the detox process on site from the moment you arrive, regardless of how many substances are involved. You do not need to have stopped using before you come.
It can be more complex. Different substances have different withdrawal risks and timelines. Our medical team builds a detox protocol specific to the substances involved and manages the entire process with clinical precision and around-the-clock supervision.
Our programs run at 30, 60, 90 and 120 days. Given the complexity of polysubstance cases, longer programs are often recommended. The average length of stay is 60 to 90 days. The full 120-day program is required to qualify for the 30-day relapse guarantee.
Yes. Family therapy is part of our program and we actively encourage family involvement at appropriate stages. We have dedicated resources for families.
The distance from your home environment is one of the most therapeutically powerful aspects of treatment at CRTC. Removing yourself from the people, places and patterns connected to your substance use creates genuine space for change.
CRTC is a private pay center. We assist clients in navigating out-of-network PPO reimbursement claims where applicable.
You do not have to have everything figured out. You just have to be ready to start talking. We are here. Day or night.
Your privacy is always protected
