Alcohol & Substance Use Disorders

Secondary Stage Addiction Treatment for Alcohol and Substance Use Disorders

Healing What Lies Beneath the Surface

Addiction doesn’t end with detox or the first 28 days of treatment. In fact, for many, that’s just the beginning. While primary treatment for substance use disorders is critical for physical stabilisation and crisis management, lasting recovery requires deeper emotional healing. That’s where secondary stage addiction treatment comes in.

At BTB, we offer an intensive, one-client-at-a-time recovery experience tailored for individuals who are ready to move beyond recovery and into full personal transformation—with nature, privacy, and expert support at the core of every step.

What Is Secondary Stage Addiction Treatment?

Secondary treatment is the next vital phase in recovery after completing a detox or primary rehab programme. While primary treatment helps to stabilise behaviour and break the chemical cycle of dependency, secondary treatment focuses on uncovering and healing the underlying emotional and psychological causes of addiction.

It provides time, space, and expert guidance to work through:

• Past trauma
• Mental health issues
• Family dysfunction
• Emotional regulation challenges
• Identity and self-worth issues
• Lifestyle patterns that support relapse

Common Substance Use Disorders (SUDs) We Treat

BTB offers tailored secondary stage treatment for clients recovering from use of substances including:

• Alcohol – still the most widely misused substance worldwide, often normalized in professional and social circles.
• Cocaine – associated with high-functioning professionals and creatives seeking stimulation and performance enhancement.
• Ketamine – increasingly used recreationally and therapeutically, but often misused and psychologically addictive.
• Prescription Medications such as:
• OxyContin and other opioids: potent and highly addictive painkillers.
• Adderall: commonly misused for focus, energy, or weight loss.
• Xanax and other benzodiazepines: frequently used for anxiety or sleep, with high dependency potential.

These substances often coexist with underlying psychological pain, trauma, anxiety, or performance pressure, especially in high-performing individuals.

Why Secondary Treatment Is So Critical—and So Often Overlooked

Many people exit primary rehab feeling stable—but emotionally raw. Without deeper work, relapse is common. Research suggests that over 50% of individuals relapse within the first year after primary treatment, particularly if they have not engaged in secondary or aftercare support.

Why? Because the addiction was never just about the substance. It was about:

• Coping with emotional pain
• Managing anxiety, shame, or trauma
• Escaping high-pressure roles or expectations
• Filling a sense of emptiness or lack of self-worth

Primary programmes often don’t have the time or depth to explore these root causes. Secondary treatment fills that crucial gap.

The Unique Impact of Addiction in High-Profile, HNW, and Creative Lives

Substance use disorders often go undetected—or intentionally hidden—among successful, high-functioning individuals. The pressure to perform, lead, or remain “in control” leads many to mask their struggles until the personal and professional cost becomes too great.

The stakes are high:

• Public figures risk media exposure, brand damage, and personal humiliation.
• Executives and business leaders face reputational collapse, stakeholder anxiety, and internal chaos.
• HNW individuals and families may experience breakdowns in legacy, family trust, and intergenerational wellbeing.
• Creatives in music, film, and the arts often face career-damaging instability, burnout, and emotional volatility and all too frequently unintentional death

📊 Studies have shown that those in high-pressure, high-performance industries are significantly more likely to experience substance misuse, especially involving alcohol, cocaine, and prescription medications.

Unaddressed, addiction can quietly erode leadership capacity, creative output, financial stability, family relationships, and mental health—until crisis strikes.

Why BTB Offers a Truly Unique and Effective Secondary Stage Treatment Programme

At BTB, we go far beyond traditional rehab models. Our one-client-at-a-time approach ensures total privacy, deep individual attention, and a bespoke healing experience designed to meet the complexity of your life, your history, and your future goals.

Our secondary treatment programme includes:

• Psychodynamic and trauma-informed therapy: EMDR, Internal Family Systems, CBT, somatic therapy
• Family and relational healing: Addressing enabling dynamics, intergenerational trauma, and codependency
• Emotional resilience and self-worth coaching
• Relapse prevention strategies for high-stakes environments
• Clinical support integrated with holistic wellbeing
• Nature-Based and Adventure Therapy: A Core Component of Healing at BTB

What truly sets BTB apart is our use of nature-based and adventure therapy, grounded in the healing power of the natural world and movement.

Set in the tranquil, private landscape of Barbados, our clients experience:

• Ocean-based therapy: swimming with turtles and rays, open water meditation, kayaking and much more
• Hiking and adventure sessions: fostering self-trust, clarity, and reconnection with the body
• Outdoor therapy and breathwork: reducing stress hormones and deepening emotional processing

These modalities reconnect clients with their own vitality, intuition, and inner strength—often lost or numbed through addiction.