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Diarrhea is a symptom sometimes experienced with alcohol withdrawal. During detox, alcohol’s effects on the digestive tract and stress responses in the body can cause diarrhea.
Key Facts
- In chronic, heavy alcohol users, alcohol withdrawal-related diarrhea can be severe and lead to life-threatening consequences.
- Infections, underlying disease and certain medications can prolong diarrhea symptoms.
- Diarrhea can lead to severe dehydration, which must be treated promptly to avoid serious complications.
- There are steps you can take at home to treat mild to moderate alcohol withdrawal-related diarrhea.
- Supervised detox treatment should be considered when co-occurring medical or mental health conditions are involved.
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What is Alcohol Withdrawal-Related Diarrhea?
Alcohol-related diarrhea is a symptom sometimes associated with alcohol withdrawal syndrome (AWS), which describes symptoms that occur following the reduction or cessation of regular, heavy alcohol use.
AWS symptoms are often mild, including gastrointestinal issues such as nausea, vomiting and diarrhea.
However, fluid loss from vomiting or diarrhea during AWS can lead to dehydration, which, in severe cases, may require hospitalization.
In addition, electrolyte imbalances experienced due to dehydration can increase stress hormones and worsen other AWS symptoms, including anxiety, sweating, and shakiness.
Is Diarrhea Normal During Alcohol Withdrawal?
Diarrhea is a common symptom during alcohol detox. However, it is not experienced by everyone who detoxes from alcohol.
How Does Alcohol-Related Diarrhea Differ from Other Forms of Diarrhea?
Diarrhea from a hangover or an illness is usually caused by irritation of the gastrointestinal lining.
Alcohol-related diarrheais mainly caused by alcohol’s effects on the digestive system, including irritation of the stomach and intestines, faster movement of food through the gut, and changes in fluid absorption.
Hangovers usually resolve within one day. They do not produce the progressive features of AWS, such as agitation or confusion.
Food-borne illnesses produce different symptoms than AWS, including fever and abdominal cramps. The presence of blood or mucus in diarrhea may indicate infection and the need for medical attention.
Why It Happens
Autonomic Rebound & GI Motility After Stopping Alcohol
“Autonomic rebound” refers to a compensatory adjustment of chemical neurotransmitters in the brain that occurs after the sudden withdrawal of alcohol.
Heavy alcohol use causes over-stimulation of the GABA neurotransmitter associated with inhibition, and under-stimulation of the glutamate neurotransmitter associated with excitation.
The body compensates for these changes by reducing the activity of GABA and increasing the activity of glutamate. This “rebound” effect leads to hyperactivity of the nervous system that can cause symptoms of anxiety, agitation, and tremors.
The autonomic rebound effect also leads to increased gut motility (muscle contractions that move stool through the intestines) and the production of secretions that contribute to loose stools and bowel urgency.
Stress hormones and poor nutrient absorption can also contribute to increased stool volume and bowel frequency.
Microbiome Changes and Intestinal Barrier Injury
Excessive alcohol use can disturb the body’s microbiome, the internal environment of bacteria and other microorganisms that affect digestion and intestinal function.
This disturbance leads to intestinal bacteria becoming imbalanced, causing diarrhea or other gastrointestinal issues.
Inflammation of mucus membranes in the gut can lead to intestinal permeability issues, called leaky gut, where bacteria and toxins are able to move into the bloodstream.
Chronic alcohol use can also lead to bile acids being incompletely absorbed, which along with irritation in the colon, may trigger watery stools and diarrhea during early recovery.
Timeline & Duration of Alcohol Withdrawal-related Diarrhea
When it Starts, When it Peaks and How Long it Usually Lasts
In alcohol-dependent individuals, withdrawal-related diarrhea often begins within the first day of the last drink. It then peaks around day 2-3.
How Long Does Withdrawal-Related Diarrhea Typically Last?
Alcoholwithdrawal-related diarrhea usually improves over several days. If diarrhea persists beyond 1-2 weeks, you should seek medical attention to evaluate whether there are other causes for the diarrhea.
Heavy or prolonged alcohol use, infections, irritable bowel syndrome, pancreatitis, liver disease, certain medications or a poor diet can prolong alcoholwithdrawal-related diarrhea symptoms.
Risks, Dehydration & Red Flags: When to Get Help
Dehydration occurs when the body expels more fluid than it takes in.
Signs of and dehydration and electrolyte imbalance include:
- Thirst
- Dry mouth or throat
- Dark urine
- Fatigue
- Reduced urination
- Dizziness or orthostasis (where a sudden drop in blood pressure upon standing causes lightheadedness
Muscle cramps or palpitations (rapid, irregular heartbeat) suggest low potassium or magnesium levels. If levels go too low and other symptoms like confusion, loss of consciousness, or seizures occur, seek medical care.
Risks of Dehydration
Elderly individuals and those with cardiac or kidney disease are at higher risk for dehydration, as well as those experiencing vomiting or an inability to keep fluids down.
Red flags Indicating A Need for Urgent Care
Emergency treatment is indicated in the case of:
- Bloody or black, tarry stool
- Severe or localized abdominal pain
- Persistent vomiting
- High fever
- Jaundice (yellowish skin color)
Also seek emergency treatment for signs of delirium tremens (DTs):
- Confusion
- Hallucinations
- Seizures
- Irregular heartbeat
- Chest pain
Symptom Relief at Home (What Actually Helps)
There are things you can do at home to relieve diarrhea symptoms.
Hydration Game Plan
- Rehydrate: Oral hydration solutions (ORSs) such as Pedialyte or Rehydralyte, provide a balance of sodium and glucose that improve absorbency of water and electrolytes in the intestines.
- These products can be purchased at drug stores or major online retailers. Take frequent, small sips of an ORS and track your urine output.
- Avoid alcohol, caffeine and high-sugar drinks that can increase diarrhea.
- Avoid sports drinks like Gatorade, unless ORSs are unavailable, as these contain a lower concentration of sodium and other electrolytes.
- Over the counter antidiarrheal medications like Imodium may be helpful if there is no fever or bloody stool present.
Make sure to strictly follow dosing recommendations. Do not use antidiarrheal medications if you have liver disease or suspect you may have an infection.
Food and Early-Recovery Gut Care
When experiencing diarrhea:
- Start by eating bland, low residue foods like applesauce, white toast, white rice, and cooked vegetables without seeds or skin (ex: carrots, green beans). Bland foods are easy to digest and help firm stool, reducing bowel movements. Soluble fiber foods like oats or psyllium supplements can be added, along with protein, as tolerated.
- Avoid greasy or spicy foods, artificial sweeteners and high-lactose foods and drinks (ex: soft cheese, ice cream, yogurt, milk).
- Consider short-term use of probiotics (ex: lactobacillus or bifidobacterium). Use these cautiously, according to directions.Avoid probiotics in cases of severe illness or if you are immunocompromised.
Professional Treatment & Safe Detox
Who Needs Supervised Detox?
Supervised detox, via inpatient or outpatient treatment, should be considered in cases of:
- Prior withdrawal with DTs or seizures
- Severe withdrawal symptoms
- Polysubstance use
- Older age
- Pregnancy
- When limited support is available
- Comorbid illnesses, such as diabetes or liver, pancreas or heart disease, are present
Inpatient settings (hospitals, clinics) provide 24/7 supervision and monitoring in a controlled environment. Inpatient detox is advisable for people with histories of heavy alcohol use or co-occurring mental health disorders.
Outpatient detox provides more flexible scheduling and easier options for managing home and family life. Outpatient treatment is usually less expensive than inpatient care.
How Clinicians Manage AWS
Clinical treatment of alcohol withdrawal syndrome involves:
- Evidence-based assessments, using the Clinical Institute Withdrawal Assessment for Alcohol-Revised (CIWA-Ar) appraisal tool
- CIWA-Ar-guided treatment plan and interventions, with regular evaluation
- Evaluation for gastrointestinal bleeding or pancreatitis, if indicated; also, stool testing if infection is suspected
- Replenishing of electrolytes using IV or oral administration of fluids
- Administering benzodiazepines for anxiety symptoms when needed
- Administering thiamine (vitamin B1) before administering glucose to help the patient’s body process glucose and avoid possible Wernicke’s encephalopathy, a neurological condition caused by B1 deficiency and sometimes found in chronic alcoholic patients with poor nutrition
- Once stabilized, transitioning the patient to naltrexone and acamprosate medications (to treat cravings and reduce alcohol consumption) in preparation for aftercare
FAQs
Reasonable, short-term use is safe if there is no fever, bloody stool, or severe liver disease present.
Be sure not to exceed dosing recommendations on the label and don’t combine loperamide with sedatives or opioids.Seek medical care if symptoms persist or worsen.
Some strains of probiotics may modestly shorten the duration of diarrhea. Choose reputable products and watch for gas or bloating. If these occur, stop probiotic use or try a different strain.
Avoid probiotics if illness is severe or if you are immunocompromised. If diarrhea symptoms worsen, stop probiotic use.
Naltrexone and acamprosate can cause stomach upset and diarrhea in some people. Symptoms usually improve with time or by adjusting dosing.
Do not stop prescribed meds without discussing alternatives or how to manage side effects with your healthcare provider.
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Top Rated Centers for Alcohol Addiction Treatment
| Name / Address / Rating | Description | Treatments / Payments / Programs | Review / Contact | Images |
|---|---|---|---|---|
1
Top 10 in Alcoholism
| Boca Recovery Center in Pompano Beach, Florida is located just 10 miles north of Fort Lauderdale. We provide comprehensive rehabilitation services ranging from medical detoxification and residential treatment to specialized programs that meet your unique needs. Boca Recovery Center in Pompano Beach, is an addiction treatment facility in Florida. Th | Treatments Programs Payment Options  Alcoholism Drug Addiction Dual Diagnosis Mental Health and Substance Abuse Opioid Addiction Substance Abuse  Adult Program Young Adult Program Seniors Program LGBTQ Program Military Program Program For Men Program For Women  Private Insurance Self-Pay Options Military Insurance Financial Aid | 
Great experience!
All the staff is great
Thank you for everything Nikki!
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2 days ago
I have had the pleasure of working closely with Boca Recovery Center in Florida for years, and they continue to set the bar high. The team is professional, compassionate, and always focused on doing what’s best for their clients. Their consistency and integrity make them one of the most trusted names in the field, and I’m proud to recommend them without hesitation.
Ali Moore
2 days ago
This place is absolutely amazing. I was treated with respect and dignity by every single staff member and they did not give up on me although I left and came back multiple times.
Santiago Gamboa
3 days ago
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9 9 
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| Soberman’s Estate, located in Cave Creek, Arizona, is an alcohol and drug rehab center that provides addiction treatment services to adult men, professionals, and public figures. They are a discrete, luxury rehab for individuals aged 30 to 80 years old. This location caps their treatment center at ten men at a time. Soberman’s Estate focuses on | Treatments Programs Payment Options Mental HealthSubstance AbuseAlcoholismOpioid AddictionMental Health And Substance Abuse Adult ProgramYoung Adult ProgramProgram For Men Private InsuranceSelf-Pay OptionsFinancial Aid Sliding Scale Payment Assistance Medicaid Medicare | 
I had a great experience overall and would recommend it to anyone wanted to jump start their sobriety!!
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Gregory Gheen
4 months ago
When it came to the realization I needed help to overcome my addiction, I ended up choosing to go to Sobermans. I couldn’t have been more grateful for this choice and the experience. I can’t say enough about the accommodations, setting, and food. However those things mean nothing without the proper staff. The best thing about Sobermans is their people. The care I received from each and every member of staff there was overwhelming. I’ve since returned for some aftercare and Alumni events, and upon my return, it feels like home. I would highly recommend Sobermans for any man that needs help with addiction or getting your mind cleared. I promise, if you put in the effort that their staff does, you will leave different person!
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5 5 
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BEST PLACE EVER. I have tried various other doctors/clinics and none of them even begin to compare to this one. The staff here is absolutely amazing. I can’t even make a single complaint. Dr Son is the best as well. He explains everything and you truly feel like he understands you. I can proudly say this, this place saved my life. If you or someone you know needs help getting off opiates do it right the first time and come here. You won’t be disappointed. If you are specifically struggling with fentanyl please don’t waste your time with other ways. I have tried 6 other methods from lazer therapy to having the earpiece to suboxone. Methadone is the key to our current fentanyl crisis. This clinic makes recovery possible again!
Mason
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William Maddux
2 months ago
The nurses at the hurst location and also Samantha the receptionist are all so kind and compassionate!! They all go above and beyond the call of duty. They should all be praised for their hard work and their kindness to their patients!!
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| The Steps To Recovery addiction treatment center is situated in Levittown, Pennsylvania. At this drug rehab center, patients can expect to engage in a unique treatment approach that focuses on helping individuals recover through authenticity, intimacy, community connection, and transparency. Steps to Recovery offers a serene and private environ | Treatments Programs Payment Options AlcoholismDrug AddictionDual DiagnosisMental Health and Substance AbuseOpioid AddictionMental Health Adult ProgramLGBTQ ProgramYoung Adult ProgramMilitary Program Self-Pay Options MonthlyPrivate Insurance | 
Great experience, professional staff, and flexibility of program was perfect for me! Feel like a new person. Thank you!
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Steps to recovery was a great program. The bhts were great and understood what I was going through with a lot of them being in recovery as well. As well as the therapists being well trained and met my needs. Overall a wonderful program that I would return to.
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My treatment here was absolutely a success. I came here highly depressed with a negative outlook on life with zero hope. In combination with group therapy and individual therapy, my whole perspective was changed. I’m leaving here refreshed and ready for what life has in store for me. Would absolutely recommend to anyone who is struggling with substances and or their mental health.
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 Claimed | Avenues Recovery Center in Clarksville, Indiana, is an inpatient drug and alcohol detox and rehab center. They strive to provide individuals receiving treatment with a loving environment and attentive medical care. You’ll be away from toxic environments and triggers and have the opportunity to focus on developing life skills that will support you | Treatments Programs Payment Options AlcoholismMental Health And Substance AbuseDrug AddictionOpioid AddictionSubstance AbuseDual DiagnosisMental Health Adult ProgramYoung Adult ProgramLGBTQ ProgramMilitary Program Private InsuranceSelf-Pay OptionsMedicaidMilitary Insurance | 
Great groups and staff very good people here
Bryan Johnson
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They helped me immensely.
Learned a lot about myself.
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So grateful for avenues clarksville, they helped me start a journey that.i couldn’t have been more grateful, they saved my life. Shout out to all the staff. 😍
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| If you’re looking for a Christian-based men’s drug rehab center, S2L Recovery in Woodbury, Tennessee, might be the place for you or your loved one. Located at the top of Short Mountain, and overlooking the green hills of Middle Tennessee, this residential and detox clinic boasts a one-to-one staff/patient ratio so there’ll always be someone t | Treatments Programs Payment Options AlcoholismDrug AddictionOpioid AddictionSubstance AbuseDual Diagnosis Adult ProgramYoung Adult ProgramProgram For Men Private InsuranceSelf-Pay Options | 
Come here with a open mind and heart. It can and WILL change your life in all ways. Trust the process and trust God! Could go on and on about how amazing this place, I’ll forever be grateful!
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Everything about this place is great. Anyone struggling with addiction and wants to build a relationship with Jesus Christ this is the place to come.
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S2l recovery saved my life spiritually emotionally and physically speaking all classes and staff are very friendly and supportive people with my best in mind… Food is excellent… Lots of support and love here people are great
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Claimed | Located in Watsonville, California, Elevate Addiction Services provides alcohol and drug rehab services to men and women suffering from addiction. Their levels of care include detox, inpatient treatment, and outpatient treatment. Elevate Addiction Services provides a wide continuum of care that meets each person where they are in their recovery pro | Treatments Programs Payment Options AlcoholismDrug AddictionOpioid AddictionSubstance Abuse Adult ProgramYoung Adult ProgramLGBTQ Program Self-Pay OptionsPrivate insuranceMilitary InsurancePrivate Insurance Financing | 
I recently completed the 30 day Core Peogram at Elevate Addiction Services in Watsonville. After two relapses following decades of previous sobriety, I knew I could benefit from an intensive inpatient residential program to set me bsck on the right path again. I’m so grateful I found Elevate right away. The 12 Steps originally got me sober, and I have no issues with AA/NA, but Elevate is based on SMART Recovery, which is built on a different foundation from the 12 Step program. I gained new insights through the intensive workbooking and structured group sessions, as well as my time spent with my on-site therapist. There’s a big emphasis on Mindfulness at Elevate, so be prepared to meditate and practice breathwork frequently. The rural location is serene, with spectacular views of the Pajaro Valley, and the wildlife is abundant. If you enjoy nature, this is a wonderful, peaceful location. The ranch-style property doesn’t look or feel institutional at all. The facilities are a bit worn (it was originally built 50+ years ago as a retirement home for nuns), so if you’re looking for a luxury rehab, this probably isn’t the place for you. But if you could benefit from delicious meals, CrossFit and yoga, volleyball and pickleball and a well-stocked game, book and DVD library, look no further! Every single employee has gone through the program themselves, so they really understand what you’re going through. Many people opt to stay on past their 60-90 day programs to train as staff members. The facilitators are caring, kind and helpful. The folks in the detox center are supportive and gentle. The security staff are strict but reasonable. Monday-Saturday, the schedule is very structured, with plenty of breaks and evening free time, and Sundays are completely free all day and night. You will be expected to do chores and follow rules. After an initial 7 day “blackout” period, clients have access during free time to shared cell phones in a common room, and once a week you have an opportunity to use your personal cell phone/laptop in a more private space. Visits from friends/family are limited, subject to pre-approval and only take place on Fridays from 3-6pm. The structure and rules are in place to help keep you focused on what you came there to do in the first place: get clean and sober! Overall, Elevate offers clients the opportunity to hit “pause” on the chaos of using and drinking, the tools to gain clarity and insight, and the strength and will to go back to living a clean and sober, productive life.
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Elevate was such a great program, it’s really changed my way of thinking for a positive
Thank you Elevate!!!
michael gonzales
2 weeks ago
It was the best program I could ever ask for going in at 18 I wasn’t courted to do anything the work is straight forward and really helped me to grow and mature thank you so much elevate you made me feel welcomed comforted and made me want to stay
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| Boca Recovery Center – Galloway is a drug and alcohol rehab in Galloway, NJ. They provide inpatient addiction treatment and medical detox. Boca Recovery’s New Jersey Drug & Alcohol Rehab, located in Galloway, New Jersey offers residential addiction treatment, medical detox, and medication-assisted treatment in an immersive treatment s | Treatments Programs Payment Options Mental Health and Substance AbuseDrug AddictionAlcoholismOpioid AddictionDual DiagnosisSubstance Abuse Adult ProgramYoung Adult ProgramProgram For MenProgram For WomenSeniors ProgramLGBTQ ProgramMilitary Program Private InsuranceSelf-Pay OptionsMilitary InsuranceFinancial Aid | 
It was a fine everyone was helpful and nice food was good too
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Had a great experience at Boca recovery everyone was so helpful thanks to all staff members and clinical members
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Boca Detox saved my life quite literally. I recommend if you are struggling that you reach out to these people. Sissy is my favorite person here so shout out to her..but honestly all the staff are great and they care about saving lives
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| The Boca Recovery Center is a luxury alcohol and drug rehab center for adults in Bloomington, Indiana. They specialize in cutting edge addiction treatment provided in a residential setting. One unique part of this alcohol and drug rehab in Indiana is the peaceful, secluded setting. If recovering in a clinical hospital setting doesn’t sound very a | Treatments Programs Payment Options Drug AddictionAlcoholismOpioid AddictionDual DiagnosisMental Health and Substance AbuseSubstance Abuse Adult ProgramYoung Adult ProgramSeniors ProgramLGBTQ ProgramMilitary Program Private InsuranceSelf-Pay OptionsMilitary InsuranceFinancial Aid | 
Staff was amazing. Very comforting and friendly. Made me feel at home while going through a difficult time. Thank you Boca Recovery Center
Mandy Jo
3 days ago
Great living space, great food, great groups, amazing staff. I have no complaints at all. The staff would do anything possible to make your stay as comfortable as possible.
Dustin Adams
3 days ago
Boca has helped me tremendously with my addictions that I’ve had, All of their staff has been wonderful and very professional, and I would recommend anybody that has any type of problems with any type of addictions or mental health to get into Boca. They certainly helped me..🙂
Roger Burkholder
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6 6 
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Claimed | Clients seeking treatment for alcohol addiction may be required to undergo detox first. The detox process ensures any abused substances are out of a client’s system and that they are in a healthy frame of mind when they enter residential treatment. Detox is overseen and closely monitored by medical staff. The residential program takes clients | Treatments Programs Payment Options Substance AbuseAlcoholismDrug AddictionMental Health And Substance AbuseDual Diagnosis Adult Program Private InsuranceSelf-Pay OptionsMilitary Insurance | 
I attended Avenues Recovery in the fall, and my experience there was overwhelmingly positive. The facility is very accommodating, and the staff is helpful, upfront, and truly professional. I learned so much during my time there, and I’m genuinely grateful for the care and support I received.
The food was solid, the gym is great, and there are plenty of activities to keep you engaged — from volleyball and yard games to the pool in the summer. It creates a really healthy environment for recovery.
I would absolutely recommend Avenues to anyone struggling with substances and looking for a place that offers both structure and compassion.
A huge shoutout to Mark, Tyler, Kamisha, Bria, Bethany, Joey, Lydia, Mykayla, Joe, Cassie, Carlo, John and John, Warren, Crystal, Jenn, Diamond, Chef, Kerry, Valerie, Ralph, Mike, Alisa, and all the medical staff — your support made a real difference.
Tony C
1 day ago
I can’t say enough positive things about my time at the Lake Ariel location. It was my first stint at a rehab facility and the community there was life changing. The staff truly cared about my journey and wanted to see me succeed. The staff and community are family members to me. I was given the care I desperately needed to begin my sobriety journey and I’m not looking back! In particular, Tyler helped open my eyes to continuing my rehabilitation at a PHP in Bucks county and I don’t regret that decision. She was such an advocate for my future. I recommend this facility to anyone struggling with addiction and a desire to make positive change in their life. The new me is experiencing life through a sober lens and I’m indebted to Avenues for life. Thanks to all that helped me during the darkest time of my life. Big love to my Avenues family! We all we got! We all we need! You got this!
Todd Murray
1 day ago
Going to avenues was the absolute best move I could have made..First thing I noticed was alot of people actually cared not gonna lie it was a struggle I wanted to leave more than once but I was always talked down from the caring staff that was around..There isn’t a better place the food is good, played a ton of basketball and threw the football around the fires and speakers at nite very cool only thing that was hard was the gender ban but it was that way for a reason.. Today im over a year clean and doing great in life and I can’t thank avenues enough..Its a great place but you have to give it a chance its not easy have to be ready to just give in and learn a new way of life!
sean hunter
1 week ago
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