# Crystal Meth Rehab in Spain | Sierra Recovery, Malaga

> Methamphetamine addiction treatment in Spain at a licensed residential centre near Malaga. GBP 9,900 for 28 days, with the price published in full.

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Methamphetamine and crystal meth

# Meth addiction treatment in Spain

A licensed 28-day residential programme in the Málaga countryside, run by an English-speaking team, for methamphetamine use that has taken hold of sleep, weight, judgement and the shape of the week.

A private room as standard, a price published in full, and no referral fees paid to anyone for sending you here.

Clinically reviewed by[Nerea Encinas Sánchez](/clinical-team/)Director of the centre, MSc General Health PsychologyRegistered psychologist, COPAO AO13857

Checked for accuracy on 28 July 2026. Next review due July 2027. This page is general information about our programme and is not a substitute for advice about your own situation.

Methamphetamine addiction is treated at Sierra Recovery as a 28-day residential programme in the Málaga countryside, published in full at £9,900. Meth withdrawal is severe but not normally medically dangerous, so most people do not need a hospital detox for the meth itself, though where GHB, GBL, benzodiazepines or alcohol are used alongside it a medically supervised withdrawal is completed before you arrive, because we are a registered health centre and not a hospital. What follows is three structured group sessions a day, one-to-one therapy, a seventeen-module curriculum and an aftercare plan agreed before you leave. Below is what that actually involves, who it suits, and when a hospital rather than a residential centre is the safer answer.

Programme

28 days residential

Published price

£9,900

Group work

3 sessions a day

Room

Private, as standard

Language

English throughout

Registration

N.I.C.A. 67331

## What methamphetamine addiction actually is

Methamphetamine is a synthetic stimulant, sold as crystal meth, ice, tina or crank. In the United Kingdom it is a class A drug. It works by forcing a very large release of dopamine and noradrenaline and then preventing the brain from clearing them, which is why the effect is far more intense and far longer lasting than cocaine. A cocaine high is measured in minutes. A meth high can run for eight to twelve hours or more.

That duration is what makes it distinctive clinically. People do not use meth and then get on with the evening. They stay awake for days, do not eat, and then crash, and the pattern of binge and crash does more damage than the individual doses. Dependence tends to form quickly, and the psychiatric consequences arrive earlier than with most other stimulants.

In the UK a substantial share of methamphetamine use occurs in a chemsex context, alongside GHB or GBL and mephedrone, often injected, and usually bound up with sex, shame and isolation in ways that a purely pharmacological account misses entirely. If that is your situation, it is treated here as the whole picture rather than as a drug problem with an embarrassing footnote.

Overheating, chest pain and psychosis are emergenciesMethamphetamine can cause dangerously high body temperature, seizures, chest pain, stroke and acute psychosis. If someone is overheating, has chest pain, is having a seizure, or is frightened and out of contact with reality, call an ambulance. Where GHB or GBL is also involved the risk of losing consciousness is high and the safe dose window is very narrow. In an emergency call 999 in the UK or 112 anywhere in Europe, or NHS 111 for urgent advice that is not an emergency.

## What it does over time

Physically, sustained use damages the heart and blood vessels and raises the risk of stroke. It suppresses appetite so severely that weight loss is often the first thing others notice. Dental damage, the effect that gave the drug its worst-known nickname, comes from a combination of dry mouth, grinding, sugar and neglected care. Where it is injected there is a risk of blood-borne viruses and of vein and skin infection.

Psychiatrically the picture is more serious than with most stimulants. Paranoia, hallucinations and formication, the sensation of insects under the skin, are common in heavy use, and methamphetamine-induced psychosis can persist for weeks after the drug has stopped. Memory, attention and decision-making are affected and recover slowly, over months rather than weeks. That slow recovery is not a reason for pessimism, but it is a reason for a structured environment rather than willpower.

## The signs people recognise too late

What you might notice

What it usually means

Staying awake for days, then sleeping for days

The binge and crash cycle. It is the pattern that does most of the damage.

Weight falling away without trying

Appetite suppression. Usually the first thing family notice and the last thing the person does.

Paranoia, or a sense of being watched or followed

Stimulant psychosis. It is common, it is treatable, and it can outlast the drug by weeks.

Picking at skin, or the feeling of something under it

Formication. A recognised effect rather than an infection, though the wounds it causes are real.

Using to have sex, or not being able to imagine sex without it

Chemsex patterning. This needs treating as part of the whole rather than as a separate embarrassment.

Injecting when you started by smoking or snorting

A significant escalation, and it changes the health risks considerably.

Repeatedly deciding to stop and not managing it

The gap between intention and behaviour is the definition of the disorder, not a failure of character.

If several of those land, our [four-question self-check](/self-assessment/) takes under a minute, stores nothing, and will tell you whether a fuller conversation is worth having.

## Where the treatment actually happens

People ask for photographs before they ask about therapy, and they are right to. You are deciding whether you could live somewhere for a month. This is the place, not a stock library.

The pool and terrace, open through the day

Your own private room, included as standard

The veranda, where most groups spill out to

Cooked by our Michelin-trained chef, three times a day

The horses live here, on the land

Forty hectares of working farmland, forty five minutes from Malaga

[See the full gallery](/facilities/) · [how people get here](/travelling-to-spain-for-treatment/).

## Meth withdrawal, and where detox fits

Methamphetamine withdrawal is not usually medically dangerous in itself, but it is severe, and it is the reason most attempts to stop at home fail. The first days bring overwhelming exhaustion and very long sleep. What follows is worse in practice: a flattened, joyless state with strong cravings, agitation, and often significant depression. Suicidal thinking is a recognised feature of stimulant withdrawal and is one of the reasons a supervised setting matters.

On the licence question we are precise, because this is where clinics abroad blur the line. Sierra Recovery is entered in the Registro Andaluz de Centros, Servicios y Establecimientos Sanitarios (the Andalusian register of health centres, services and establishments) under N.I.C.A. 67331, authorised by the Junta de Andalucía for the care unit atención sanitaria a drogodependientes (healthcare for drug dependency, authorised care unit U.71). That is a registered health centre with a supervised treatment residence. It is not a hospital and it is not a detox unit. Where your assessment shows a medically supervised withdrawal is needed, most often because of GHB, GBL, benzodiazepines or alcohol used alongside, it is completed in an appropriate medical setting before you arrive and billed separately. GHB and GBL withdrawal in particular is a medical emergency and is never managed outside a medical setting. Qualified nursing is part of the team during your stay. If ongoing psychosis or acute psychiatric risk means a hospital is the safer place for you, we will say so and we will not admit you. You can [check our registration yourself](/regulation-and-licensing/) on the Junta's public register.

### Not sure whether we are the right setting?

The assessment answers that before you commit to anything, and it happens before you travel. A clinician will tell you honestly if a hospital or a service closer to home would serve you better.

[How admission works](/admissions/)
[+44 1202 653136](tel:+441202653136)

## What a day here looks like

Nobody arrives knowing how twenty eight days are actually spent. This is the real timetable, Monday to Friday.

Time

What happens

08:00

Breakfast, cooked by a Michelin-trained chef

09:15

Planning: the day is set out together

10:30

Process group, the harder one

12:00

Therapeutic group

13:15

Lunch

14:30

Psychoeducation, working through the curriculum

16:00

Group activity, often outdoors or with the horses

18:30

Dinner

20:00

Day closing, together

Saturdays turn to holistic and body-based work. Sundays are a supervised excursion, because reconnecting with the world outside a clinic is part of the treatment rather than a break from it.

28days, the typical stay

3group sessions a day

17curriculum modules

1986PROMIS method, developed in

## What the treatment actually involves

The programme runs Monday to Friday on a fixed structure, with Saturdays given to holistic and body-based work and Sundays to a supervised excursion. Rather than list therapy names, here is what each part of the week is for.

Group work
Psychoeducation
One-to-one
Holistic
Equine
Aftercare

### Three group sessions a day, five days a week

The day opens with a process group at 10:30, a second therapeutic group runs at midday, and a psychoeducation session follows lunch. A group activity fills the late afternoon and the day closes together in the evening. That is roughly fifteen structured group contacts a week, which is the part most people underestimate before they arrive and value most afterwards.

Groups are small, in English, and run by the clinical team. Hearing someone else describe your own thinking back to you does something that individual work cannot, and it is the fastest route out of the isolation that methamphetamine use builds.

### A seventeen-module curriculum, not a rest cure

The psychoeducation strand moves through a fixed seventeen-module curriculum written by our clinical director. It is the core of what we call the Regulation Model, which is our adaptation of the PROMIS Clinics methodology to this centre rather than a model of our own invention. It covers skills training, communication styles, boundaries and decision-making, trigger recognition, self-esteem and self-concept, dual diagnosis, self-care and habits, emotions, crisis identification and management, suicide prevention, goals, grief, values, trauma and relapse, perfectionism, loneliness and isolation, and cross-addiction. Every module runs the same structure: check-in, theory, an experiential dynamic, shared reflection, and a commitment carried into the week.

The cognitive work uses the ABC model, the same structure that underpins cognitive behavioural approaches: the event, the belief you attach to it, and the consequence that follows. It is taught, practised, applied between sessions and reviewed, rather than talked about once.

### Individual therapy alongside the group programme

One-to-one sessions run three times a week and are where the material that will not surface in a group gets worked. For most people that is the thing underneath the use rather than the use itself.

You are treated by the same small team throughout, in the same house. Nobody is handed between departments, and there is no rotation of therapists mid-stay.

### Yoga, meditation and body-based work

Saturdays turn to holistic and body-based practice: yoga, meditation and mindfulness, breathwork, art, and time outdoors on the land. This is not decoration and it is not a spa timetable. Early recovery is a physiological event as much as a psychological one, and sleep, appetite and the ability to sit still are usually the first things to return.

The self-care and habits module runs alongside it, treating rest as a right rather than a reward and food as connection rather than control.

### Equine therapy on working farmland

The horses live here, on the forty hectares around the house, and equine work is part of the working week. Horses respond to what you are actually feeling rather than what you say you are feeling, which is why the work reaches people who have learned to talk their way around a therapy session.

### What happens when you go home

Aftercare is planned before you leave rather than mentioned on the last day. For clients returning to the UK, care continues online or in person at the PROMIS clinics in London, with a weekly session for a full year, more than 48 in the twelve months after discharge, and a written handover to your GP so nothing has to be explained from scratch. For clients elsewhere in Europe we arrange continuity online and help find local services.

Alongside that, mutual-aid groups are free, run everywhere, and are worth using whatever else you choose.

## Who will actually treat your methamphetamine addiction

A small team, in one house, in English. You are not handed between departments and there is no rotation of therapists halfway through your stay.

### Nerea Encinas Sánchez

Director · General Health Psychologist

MSc General Health Psychology. Leads clinical standards, the assessment you have before you travel, and admissions.

### Berenice Paramés Jones

General Health Psychologist

Individual and group psychological work inside the house, crisis follow-up and coordination of the group programme.

### Marta Leal

Social worker

Family mediation, links to services back home, and preparing for independent life after discharge.

### Robin Lefever

Founder of Sierra Recovery; MD, PROMIS Clinics UK

Founder of Sierra Recovery and Managing Director of PROMIS Clinics, whose method this programme adapts. PROMIS has been treating addiction in the United Kingdom since the mid-1980s, and Robin has worked in addiction treatment for around 35 years, with thousands of patients treated with the PROMIS method in the United Kingdom.

[Meet the whole clinical team and their qualifications](/clinical-team/).

## What is treated, and what that looks like day to day

What you arrive with

How it is worked

Exhaustion and the crash

The first days are expected to be mostly sleep, and that is planned for rather than treated as a failure to engage. Meals cooked by a Michelin-trained chef, fixed hours, no demands that cannot be met.

Anhedonia

The flatness after stimulants is the hardest part and the most common reason people go back. Structure, group contact and daily activity outdoors rebuild it. It lifts, but over months, and that is said in advance.

Paranoia and psychotic symptoms

Assessed carefully before admission. Where symptoms are active or persistent, psychiatric care is arranged through the appropriate medical route and we will not admit anyone for whom a hospital is the safer setting.

Cravings

The trigger-recognition module maps your own cues, including the ones tied to sex, apps and specific settings, and builds a personal safety plan practised in group.

Chemsex patterns

Treated as part of the whole. Sex, shame, intimacy and isolation are worked in individual therapy and in the self-esteem and loneliness modules rather than left out of the conversation.

Trauma

The trauma and relapse module, run alongside the addiction work rather than after it. See [trauma and addiction](/trauma-and-addiction-rehab-spain/).

Physical decline

Full board, a structured sleep pattern and daily activity. Dental and medical needs are quoted separately and arranged through the appropriate route.

## Treatment options for methamphetamine addiction, and how they compare

Residential rehab is one treatment option among several, and it is not automatically the right one. Being straight about that is more useful to you than a page that pretends otherwise.

Option

What it involves, and who it suits

Medical detox

Not usually needed for meth alone. Required where GHB, GBL, benzodiazepines or alcohol are used alongside, and GHB or GBL withdrawal is always managed medically.

Residential rehab
inpatient treatment

Living at the centre for the whole programme. It suits people whose binges are lengthening, who cannot break the cycle at home, or whose use is bound up with a chemsex context.

Outpatient treatment
day programmes and therapy sessions

Attending sessions and going home between them. Reasonable where use is occasional and there is stable housing and support.

Community and NHS services

Free local drug and alcohol treatment services, reached through your GP or by self-referral. Waiting times vary and residential placements are rationed, but the support is real and it costs nothing. For many people this is the right first step rather than a lesser one.

Mutual aid and support groups

Free peer support meeting in person and online, everywhere, with no waiting list and no cost. Worth using alongside whatever else you choose rather than instead of it.

A treatment plan should be built around your circumstances. If an outpatient or community route fits you better, we will say so at assessment and we will not charge you for the conversation.

## The therapies used, in plain terms

Every centre lists the same acronyms, so here is what each one actually is and where it appears in the week.

Therapy

What it is, and when you would meet it here

Cognitive behavioural therapy
CBT, and the related REBT

Evidence-based work on the link between an event, the belief you attach to it and what you then do. Taught through the ABC model in psychoeducation, practised in group therapy and applied between sessions. It is the backbone of the cognitive work rather than an optional extra.

Acceptance and commitment therapy
ACT

Learning to have a difficult feeling without having to act on it, and choosing behaviour by your values instead. Module eight, on emotions, is built on it.

Dialectical behaviour therapy
DBT

Distress tolerance, emotional regulation and interpersonal skills, used where emotions arrive faster and larger than they can be managed. See [DBT](/dialectical-behaviour-therapy/).

EMDR

A structured trauma therapy, used where trauma is driving the use and always after stabilisation rather than before it. See [EMDR](/emdr-therapy/).

Group therapy

Three group sessions a day, five days a week: a process group, a therapeutic group and psychoeducation. It is the largest single component of the treatment programme. See [group therapy](/group-therapy-for-addiction/).

Individual therapy
one-to-one counselling

Three therapy sessions a week with the same clinician throughout, where material that will not surface in a group gets worked.

Family therapy

Offered where it is wanted, in person or online, because the people around you are part of what happens next. See [the family programme](/family-programme/).

Motivational interviewing

Used throughout rather than booked as a session. It is the stance the team takes: working with your reasons for change rather than arguing you into someone else’s.

Holistic therapies

Yoga, mindfulness and meditation, breathwork, art and equine work, on Saturdays and through the week. See [equine therapy](/equine-therapy/) and [all our therapies](/therapies/).

Every element above is delivered by the clinical team as part of the residential programme. Your treatment plan sets out which of them apply to you, and it is reviewed during the stay rather than fixed on day one.

## Where else to get help, free

Not everyone needs residential rehab, and nobody should be waiting on a private programme before they get any support at all. Everything below is free, and none of these organisations pays or receives a fee from us.

Organisation

What they do

[NHS drug and alcohol services](https://www.nhs.uk/live-well/addiction-support/drug-addiction-getting-help/)

Free local treatment services, reached through your GP or by self-referral. The usual starting point for community-based drug and alcohol treatment.

[Talk to FRANK](https://www.talktofrank.com/)

Confidential drugs information and advice, 24 hours a day, on 0300 123 6600. No judgement and no cost.

[Narcotics Anonymous](https://ukna.org/)

Free mutual aid meetings for anyone with a drug problem, in person and online, with no cost and no waiting list.

[We Are With You](https://www.wearewithyou.org.uk/)

Free, confidential support for drug, alcohol and mental health problems, in person in many areas and by webchat.

[Adfam](https://adfam.org.uk/)

Support and information for families and friends affected by someone else’s drug, alcohol or gambling use.

[Samaritans](https://www.samaritans.org/)

Free and confidential, 24 hours a day on 116 123, for anyone struggling to cope or having thoughts of suicide.

Sierra Recovery neither pays nor accepts referral fees, so nothing on this list depends on where you go. If a free or community service is the right fit for you, use it.

## How to get ready

- Compare on licence, not on photographsAsk any centre abroad for its registration number and the register it sits on, then look it up yourself. Ours is N.I.C.A. 67331 on the Junta de Andalucía register.

- Get the medical picture togetherCurrent medications, any previous withdrawal, and any diagnosed conditions. This is what the pre-travel assessment needs, and it is what decides whether a detox is required first.

- Ask what the price actually includesOurs is published: private room, meals, the core therapy programme, and a year of weekly UK aftercare, with medical, psychiatric, laboratory and hospital costs quoted separately. You get an itemised written quotation before admission.

- List everything, including GHB and GBLThese are the ones that decide whether a medically supervised withdrawal is needed first, and GHB or GBL withdrawal is genuinely dangerous. An incomplete list is a safety problem rather than an inconvenience.

- Say if there has been psychosisCurrent or past. It changes the assessment and it is the main thing that determines whether residential care or a hospital is the right setting for you now.

- Decide what you want to be differentNot "stop using", which is the outcome, but what you want back. People who arrive with that answer do measurably better in the groups.

## How Sierra compares with private stimulant rehab at home

What you get

Sierra Recovery

Typical private residential clinic

28-day residential programme

£9,900, published in full

UK £12,000–£40,000 · Australia A$30,000–A$50,000

Is the price on the website

Yes, in full

Usually "contact us for pricing"

Your own private room

Included as standard

Often an upgrade

Referral fees paid to third parties

None

Common

Written itemised quotation before admission

Yes

Varies

Distance from the people and places tied to use

Rural Andalucía

Usually close to home

Medically supervised detox

Arranged and quoted separately

Quoted separately

Comparison figures are the published ranges collected on our [cost calculator](/cost-calculator/): the United Kingdom at roughly £12,000 to £40,000 a month, Australia at roughly A$30,000 to A$50,000, and the United States at roughly $20,000 to $40,000 for a 30-day programme. New Zealand, South African and Canadian ranges are set out on the [country cost guides](/local-treatment-guides/). Indicative, not a quotation. Every clinic sets its own fees.

## When meth sits on top of something else

Stimulant use very often sits on top of depression, trauma, undiagnosed ADHD, or the isolation and shame that can surround sexuality. Treating the using while sending the rest elsewhere rarely holds. At Sierra the emotional and trauma work runs alongside the addiction curriculum rather than after it. Our [dual diagnosis](/dual-diagnosis-rehab-spain/), [depression](/depression-rehab-spain/) and [trauma and addiction](/trauma-and-addiction-rehab-spain/) pages explain how the two are worked with together. Where psychiatric care or medication is part of your treatment, it is arranged through the appropriate medical route.

## When is it time?

Methamphetamine is unusual in how fast it takes things: weight, sleep, teeth, work, judgement and eventually contact with reality. If the binges are getting longer, if paranoia has appeared, or if you have tried to stop and could not, that is enough. Waiting for something worse is not a plan, and with this drug the something worse tends to arrive quickly.

### Talk to a clinician today

You will speak to our admissions team, all of them clinicians. Confidential, no obligation, and we will tell you honestly whether this programme fits or whether something closer to home would serve you better.

[See how admission works](/admissions/)
[What £9,900 covers](/pricing/)

## Questions people actually ask

Do I need a detox before I come?

Not usually for methamphetamine on its own, because stimulant withdrawal is severe but not normally medically dangerous. We assess everyone before they travel because meth is often used alongside GHB, GBL, benzodiazepines or alcohol, and withdrawal from those can be dangerous. GHB and GBL withdrawal in particular is a medical emergency and is always managed in a medical setting first, billed separately.

How long does meth withdrawal last?

The first two to three days are dominated by exhaustion and very long sleep. Low mood, agitation and strong cravings follow and are usually most intense during the first two weeks. The flattened, joyless state can persist for months, improving gradually. That long tail is the main clinical argument for spending the early period somewhere structured.

What if I have been paranoid or heard things?

Tell us at assessment. Stimulant psychosis is common in heavy use and can persist for weeks after stopping. Where symptoms are active, a hospital is the safer setting and we will say so rather than admit you. Where they have resolved, the programme is appropriate and the risk of recurrence is built into the plan.

I use in a chemsex context. Is that treated here?

Yes, and as part of the whole rather than as a separate problem. Sex, shame, intimacy and isolation are worked in individual therapy and in the self-esteem and loneliness modules. Treating the drug and leaving the context untouched is the most reliable way to guarantee a relapse.

How long is the programme and what does it cost?

It is a 28-day residential programme, published in full at GBP 9,900. That covers a private room, meals, the core therapy programme, and a year of weekly UK aftercare. Detox, where needed, is arranged and billed separately, as are medical, psychiatric, dental and laboratory costs. You get an itemised written quotation before admission.

Will my memory and concentration come back?

Largely, but slowly. Attention, memory and decision-making are affected by sustained methamphetamine use and recover over months rather than weeks. The curriculum is deliberately structured, repeated and applied between sessions rather than delivered as lectures, precisely because early recovery is not a good time for absorbing information once.

How do I get help for meth addiction?

The first step towards recovery is an assessment, and ours is free and carries no obligation. You can also seek help through your GP, through a free local drug and alcohol treatment service, or through a mutual aid group, and none of those routes costs anything. If you want to talk it through with a clinician, call +44 1202 653136 and you will reach our admissions team.

What does meth addiction treatment involve, from start to finish?

The course of treatment runs in four stages. An assessment before you travel, which decides whether a medically supervised detox is needed first. Any detox, completed in an appropriate medical setting and billed separately. Then the 28-day residential treatment programme itself: three group therapy sessions a day, individual therapy three times a week and the seventeen-module curriculum. Then aftercare, agreed before you leave and continuing online or in person in London.

How much does meth rehab cost, and what affects the price?

Sierra publishes a single figure: GBP 9,900 for the 28-day residential programme, with a private room included. What changes the total is whether you need a medically supervised detox, which is arranged and billed separately, and any medical, psychiatric or laboratory costs. Private residential rehab elsewhere commonly runs from around GBP 12,000 to GBP 40,000 a month in the United Kingdom and from roughly A$30,000 to A$50,000 in Australia. You get an itemised written quotation before admission, and we neither pay nor accept referral fees.

What are the signs and symptoms of meth addiction?

The signs are staying awake for days then sleeping for days, weight falling away, paranoia or a sense of being watched, picking at skin, and dental damage. Meth withdrawal symptoms are overwhelming exhaustion and long sleep first, then a flat, joyless state with strong cravings and often significant depression.

Is lasting recovery from meth addiction actually possible?

Yes, and the evidence is better than the public conversation suggests. What predicts long-term recovery is not willpower but what is in place afterwards: continuing therapy, a treated mental health condition, a support network and a relapse plan that was written before it was needed. That is why completing meth rehab matters less on its own than what follows it, and why aftercare is planned during the stay, so it is in place before you leave.

How can I help someone with meth addiction?

Start by getting support for yourself, because living alongside someone with an addiction is its own burden and Adfam and Al-Anon exist for exactly that. Beyond that: raise it when they are not intoxicated, be specific about what you have seen rather than general about what they are, and offer a concrete next step such as an assessment or a call to a free service. Ultimatums delivered in anger rarely work. We speak to families every day and that conversation costs nothing.

+

## Talk to a clinician today

You will speak to our admissions team, English-speaking clinicians who know the programme and the people in it. Callback within 24 hours.

Step 1 of 3

Confidential, and no obligation

Registered health centre. Authorised by the Junta de Andalucía, N.I.C.A. 67331.

### Related pages

[The Regulation Model](/the-regulation-model/)[Assessment & detox](/medical-assessment-and-detox/)[Our programme](/our-programme-at-sierra-recovery/)[Dual diagnosis](/dual-diagnosis-rehab-spain/)[Pricing](/pricing/)[Admissions](/admissions/)

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