Denial to Recovery: The Stages of Addiction Recovery

Medical Providers:
Dr. Randy Gelow, MD, FASAM
Ray Hamilton, DNP, PMHNP-BC, FNP-C
Last Updated: August 7, 2025

Addiction doesn’t happen overnight—and neither does recovery. It begins with denial and unfolds through a series of emotional, mental, and behavioral transformations.

Are you or someone you love battling substance abuse? Understanding the stages of addiction recovery can brighten the path forward.

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What is the Transtheoretical Model?

The Transtheoretical Model (TTM) or the Stages of Change Model, is a behavioral change theory developed in the late 1970s to early 1980s by psychologists Prochaska and DiClemente. It explains how individuals move through a series of stages when modifying behavior, such as overcoming addiction.

The TTM foundational research began around 1977. The model was formally introduced in 1982 through their work on smoking cessation. It has since become a widely used framework for understanding behavior change across various health and addiction contexts.

Why the TTM Model Matters in Addiction Treatment?

By recognizing the stage a person is in, therapists and treatment programs can provide more effective and personalized support. TTM is especially useful in guiding long-term recovery and preventing relapse through informed interventions.

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What are the Stages of Addiction Recovery

The TTM Model is a powerful framework used in addiction recovery to understand how people change addictive behaviors.

Stage 1: Pre-contemplation Stage – The Blindfold of Addiction

Many individuals refuse to acknowledge they have a problem. Denial is dangerous because it prevents people from seeing the consequences of their actions. It may take a crisis, such as a DUI, a lost job, or an overdose, for someone to finally confront the truth. Denial protects the addiction, not the person. Breaking through denial is the first glimmer of real healing.

Still Stuck in Denial? Take the first step toward recovery today.

Stage 2: Contemplation Stage- Awareness and Acknowledgement

Once denial begins to fade, a person enters the stage of awareness. This can be the most emotionally painful phase because it involves recognizing:

  • How substance use has harmed relationships and family members
  • Missed opportunities and damaged trust
  • Health, legal, or financial consequences

At this point, individuals may still feel torn. They know they’re in trouble but aren’t sure how to stop, or if they even want to stop. This stage often includes ambivalence. Support groups, motivational therapy, or compassionate interventions can help nudge someone toward change.

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Stage 3: Preparation Stage- Getting Ready to Make a Change

In the preparation stage, the idea of change becomes real. The person is no longer simply aware of their addiction. They’re making plans to overcome it.

  • Researching rehab centers or support groups
  • Speaking openly to family or a doctor
  • Setting a quit date
  • Reducing substance use voluntarily

This is a powerful turning point in the stages of recovery from addiction. Acknowledgment turns into action, and internal motivation begins to outweigh fear or denial. While there may still be uncertainty, the willingness to go through the stages of change model helps signal real hope.

This stage is not about perfection—it’s about commitment. Choosing a rehab center, talking to loved ones, or setting a quit date are courageous acts of readiness to deal with alcohol or drugs.

You’re Ready Let’s go through recovery together.

Stage 4: Action Stage- Beginning the Hard Work of Recovery

This is where recovery truly begins. The action stage involves taking deliberate steps to overcome alcohol or drug addiction. addiction.

  • Enrolling in a treatment program
  • Attending therapy or support meetings
  • Making lifestyle changes (new routines, friends, habits)

Of the 5 stages of addiction, recovery is the most intense and demanding. It may include:

  • Withdrawal symptoms
  • Emotional volatility
  • Cravings and triggers

In the stages of recovery, this is where relapse risk is high. Every sober day, therapy session, and honest conversation is a step forward.

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Stage 5: Early Recovery- Rebuilding Life from the Ground Up

Once substance use stops and initial treatment is underway, the early recovery stage begins. This period typically spans the first 3–6 months of sobriety. The individual focuses on:

  • Repairing relationships with loved ones
  • Identifying personal triggers
  • Relearning emotional regulation
  • Building healthy habits

Early recovery is a delicate time. Many people feel raw, exposed, or even lost. They’re learning how to live without their coping mechanism.

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Stage 6: Maintenance Stage- Committing to Long-Term Sobriety

After six months to a year of active recovery, a person enters the maintenance stage. They’ve established sobriety, rebuilt parts of their life, and developed better coping tools. But the work isn’t over. The maintenance stage is crucial for long-term recovery:

  • Ongoing counseling or therapy
  • Participation in peer recovery groups
  • Continued focus on physical and mental health
  • Managing stress, boredom, or grief without relapse

The goal here is to prevent relapse and sustain the progress made. Many people use this time to give back—sponsoring others in recovery or becoming mentors.

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Stage 7: Termination Stage

The individual has no desire to return to old behaviors. This stage is not often included in the stages of recovery from drug addiction or substance use disorder. The final stage of addiction recovery is about self-actualization.

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Take the First Step Today

Recovery is not a straight line, marked by breakthroughs, setbacks, courage, and clarity. If you or someone you love is battling addiction, denial is not the end, it can be the beginning.

Every stage is crucial. Even the painful stages have value. No one should go through recovery alone.

The Hope House offers compassionate, evidence-based care tailored to each stage of the recovery process. We’ll be with you every step of the way, from detox to long-term support.

There is hope. There is help. And healing is possible.

The Future is Worth Fighting For You don’t have to do it alone.