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What actually happens inside rehab? What keeps people in recovery after they leave?
Dr. Amy Swift, Deputy Chief Medical Officer at Silver Hill Hospital, joins Kyle to pull back the curtain on the clinical and emotional sides of recovery.
Silver Hill Hospital Website
They explore:
The difference between inpatient, residential, and outpatient programs—and how families fit into each.
Why recovery starts with small, “chewable” steps (and what “holding hope” really means).
How DBT tools like emotional regulation and interpersonal effectiveness reduce relapse risk.
The power of family involvement—and how loved ones can help without enabling.
The truth about co-occurring disorders (depression, anxiety, bipolar) hiding under addiction.
What happens after rehab—discharge plans, emotional reactivity, and rebuilding relationships over time.
Dr. Swift’s blend of clinical expertise and human compassion offers a roadmap for anyone touched by addiction—patients, families, and professionals alike.
Chapters
00:00 Welcome & Dr. Smith Intro
01:08 Why This Conversation Matters
03:04 What Is Silver Hill Hospital
04:25 Inpatient vs Outpatient Explained
06:22 Who Decides the Right Program
07:15 When Families Bring Someone In
10:31 The Fear of Rehab & Early Resistance
12:43 The Family’s Role in Recovery
14:12 Post-Rehab Reality
16:30 DBT & Emotional Skills for Recovery
17:30 Using Conflict as Growth
18:00 Discharge Plans & Perfectionism
21:18 Recovery Is a Marathon
22:28 Family Week at Silver Hill
23:38 When the Family Isn’t Ready
25:35 Addiction Within Relationships
26:24 Dr. Swift’s Journey Into Addiction Medicine
28:11 Finding Confidence as a Clinician
29:46 Redefining Success & Holding Hope
31:29 Emotional Boundaries & Letting Go
33:15 Building Resilience as a Healer
36:44 Women, Shame & Motherhood in Recovery
38:01 Kyle’s Story: Leaving Family to Heal
41:30 Healing Parental Guilt & Late-Stage Redemption
43:19 The Light Returning Gratitude in Recovery
45:17 Co-Occurring Disorders Explained
50:48 Facing Emotions After Detox
51:29 Feeling Again
53:04 Advice for Families & Society
54:25 Closing Reflections