When to know if you need rehab/detox vs seeing a psychiatrist for help & medication management?

Inpatient or out?: One could have 2 conditions at the same time -- such as depression or anxiety disorders, plus substance (including alcohol) abuse ("dual diagnosis.") inpatient rehab or "detox" is needed when someone is dependent on a substance and is in withdrawal. Inpatient treatment may also be needed if patient's psychiatric illness is so severe s/he can't keep self safe as an outpatient.

Dependence: When you using illicit drugs opioids or alcohol when you stop have shakes and withdrawal .When you are physically dependent neglecting family and responsibility spending more time on your habit .So better to get detox than rehab tan outpatient follow up.