Main Treatment Models in Thailand
12-Step-Oriented Programs
- Peer-supported, step-based recovery framework.
- Lower emphasis on structured, evidence-based psychotherapy.
- Often spiritually framed or abstinence-centered.
Holistic and Wellness Retreats
- Yoga, meditation, massage, and relaxation-focused programming.
- Limited formal psychotherapy or clinical assessment.
- Retreat-style environment rather than medical or psychiatric care.
Luxury Environment-Focused Centers
- High-comfort accommodations and hospitality-oriented services.
- Clinical depth and staffing vary significantly.
- Psychotherapy may be optional or limited in frequency.
Evidence-Based Clinical Programs (Siam Rehab)
- Consistent, repeatable weekly schedule maintained year-round.
- Multiple weekly individual psychotherapy sessions (CBT, DBT, ACT, REBT, MI).
- Regular psychiatric assessment and medication oversight.
- Integrated fitness, Muay Thai, gym training, yoga, and mindfulness.
- Defined relapse-prevention curriculum with measurable skill development.
- Transparent program structure, staffing ratios, and pricing.
Clinical and Operational Comparison
| Parameter | Typical Range in Thailand | Siam Rehab |
|---|---|---|
| Resident-to-staff ratio | 4:1–8:1 | ≈3:1 |
| Psychotherapy intensity | Low–medium | Multiple weekly CBT/DBT/ACT sessions |
| Psychiatric oversight | Not consistently included | Regular on-site psychiatric supervision |
| Weekly structure | Variable | Fully structured, repeatable weekly program |
| Relapse-prevention | Mixed approaches | Defined curriculum with skills-based training |
| Aftercare | Often limited or informal | 12-week remote aftercare with structured follow-up |
| Facilities | Varies widely | Pool, gym, Muay Thai, yoga, meditation, TV room, massage room, dining hall, landscaped grounds |
| Client satisfaction | Mixed | ≈99% positive Google reviews |
Treatment Model Spectrum
The chart below illustrates how treatment approaches in Thailand generally range from wellness-focused retreats to highly structured clinical programs. Siam Rehab is positioned toward the structured, evidence-based end of this spectrum.
This visual is illustrative rather than evaluative. It does not rank individual centers but highlights structural differences in therapy intensity, medical oversight, and program consistency.
What This Means for Clients
Clients seeking a structured, evidence-based, non-12-step residential program with intensive psychotherapy, psychiatric oversight, fitness integration, mindfulness practices, and a defined aftercare pathway will find that Siam Rehab aligns with this clinical model. The program is designed to prioritize treatment consistency, skill acquisition, and realistic preparation for sustained recovery in a supervised residential environment.
When comparing treatment options, it is often more useful to rely on a structured framework for evaluating addiction treatment programs than on rankings or testimonials alone.
Side-by-side comparisons can imply predictability that treatment cannot guarantee. A clearer understanding comes from recognizing why recovery outcomes cannot be guaranteed, even in well-designed clinical programs.

