Yoga Therapy in Substance Use Treatment

Dr. Nicolette Natale
Dr. Jennie Stanford
Written by Dr. Nicolette Natale on 17 January 2025
Medically reviewed by Dr. Jennie Stanford on 20 January 2025

Addiction recovery can be a challenging journey, and it often requires a specifically tailored approach for each individual. If conventional methods fall short, patients may be interested in accessing alternative or complementary treatments to address the complex interplay of physical, emotional, and spiritual factors to start them on the path to wellness.

Yoga therapy offers a holistic approach to healing. It is a unique modality of treatment that has been proven to help individuals with a variety of conditions, ranging from chronic pain to multiple sclerosis to addiction recovery. This form of treatment differs from traditional yoga practiced in a studio to particularly support the mind and body, optimizing resilience, mindfulness, and balance in many aspects of recovery.

Below we’ll explore what exactly yoga therapy is, and how it can play a pivotal role in addiction recovery for individuals recovering from substance use.

a photo of a Black woman doing yoga

What is yoga therapy?

Yoga therapy is a tailored practice that adapts traditional yoga principles to meet an individual's specific health needs. It differs from typical yoga classes that you may find at a yoga studio or gym in that it focuses on addressing specific physical, emotional, and psychological conditions through personalized techniques. The techniques used include asanas (postures), pranayama (breath control), meditation and mindfulness practices, and philosophical teachings.

These techniques have been shown to reduce cravings, increase motivation to quit substances, increase time of abstinence, and improve mood, all of which are common obstacles in maintaining sobriety.

Benefits of yoga therapy

Yoga therapy offers a range of benefits, including:

  • Stress reduction: Stress is a leading cause of relapse and substance use. Yoga therapy combines specific breathing techniques, postures, and mindfulness practices that can help regulate the body’s stress response. A 2024 study in the Archives of Mental Health found that yoga therapy effectively induced relaxation and significantly reduced stress levels in participants with alcohol dependence.
  • Physical health: Yoga therapy is not only good for the mind but also for the body. Regularly practicing yoga can improve circulation, promote detoxification of the body, and increase energy levels. This can be particularly helpful for individuals going through detoxification from substances.
  • Improved emotional regulation: Yoga can enhance awareness of emotions, and through the use of meditation and mindfulness, it can provide better tools to manage negative feelings, like anger or sadness. Research has shown that yoga can reduce reactivity to challenging emotions, which may otherwise lead to substance use as a means of coping with these feelings.
  • Enhanced mind-body connection: Having a strong connection between the mind and body encourages greater self-awareness, which is crucial for identifying and overcoming triggers that can lead to relapse.
  • Spiritual Growth: Integrating yoga’s philosophical teachings fosters a sense of purpose and inner peace.

How yoga therapy supports addiction recovery

Yoga therapy offers a multi-faceted approach to addiction recovery by addressing physical, emotional, and cognitive challenges that often accompany substance use disorders. Through research-backed techniques, yoga therapy has proven to be an effective tool in fostering resilience and promoting long-term recovery.

Enhancing brain function and motivation

Addiction often damages regions of the brain associated with reward and happiness. Yoga therapy has been shown to rehabilitate these areas, enhancing neural pathways linked to pleasure and motivation. According to research, this rehabilitation improves not only overall mood but also the motivation to quit addictive behaviors. By restoring the brain’s reward system, yoga therapy helps individuals regain a sense of purpose and fulfillment through other activities.

Emotional health benefits

The emotional toll of addiction is profound, often manifesting as depression and anxiety. Research into its effects on individuals in rehabilitation demonstrated that 3 60-minute sessions per week for 5 weeks led to significant reductions in depression and anxiety levels. Multiple studies support these findings, showing that mood and quality of life can be drastically improved by yoga therapy.

Reducing cravings and preventing relapse

One of the most well-documented benefits of yoga therapy is its ability to reduce cravings, particularly in cases of alcohol dependence and nicotine use disorder. Cravings are a major risk factor for relapse, making yoga’s craving-reducing effects a significant advantage in recovery. Research indicates that yoga’s emphasis on mindfulness and self-awareness helps individuals manage their impulses, leading to better outcomes in maintaining sobriety.

Improving quality of life and social support

Beyond individual benefits, yoga therapy improves overall quality of life, including physical, psychological, and social health domains. Participants in yoga interventions report better outcomes in mood, self-control, and emotional resilience compared to control groups. Interestingly, engaging in yoga within a group setting fosters pro-social behavior and provides additional social support—an essential factor in sustaining long-term recovery. By building a supportive community, yoga therapy helps participants strengthen their commitment to sobriety.

Techniques used in yoga therapy for addiction treatment

Yoga therapy uses various techniques to address the unique challenges of addiction recovery. These practices target the mind, body, and spirit, helping individuals build resilience, manage stress, and develop emotional stability.

Key techniques include:

  • Breathwork (Pranayama): Controlled breathing activates the parasympathetic nervous system, reducing stress and calming the mind. This technique helps alleviate cravings and manage withdrawal symptoms. Research in Complementary Therapies in Medicine found that regular pranayama improved emotional regulation and reduced anxiety in individuals recovering from substance use disorders.
  • Mindful movement (Asanas): Physical postures restore the body’s balance and vitality by improving circulation and detoxifying the system. A 2021 study reported significant benefits after incorporating asanas into substance use recovery.
  • Meditation and mindfulness: Meditation builds self-awareness and emotional resilience, reducing cravings by interrupting habitual thought patterns. A 2019 study on yoga therapy showed that meditation significantly decreased craving intensity and stress in individuals recovering from alcohol dependence syndrome.
  • Eight-limb philosophy: This holistic framework includes ethical disciplines (yamas), self-discipline (niyamas), and practices like concentration and meditation. Research in Complementary Therapies in Medicine highlights its role in helping individuals navigate triggers and maintain abstinence.
  • Group-based practices: Practicing yoga in a group fosters community and reduces isolation, providing essential social support. A study in Sage Journals found that group yoga interventions significantly enhanced social and emotional well-being in a group recovering from opioid use disorder.

By integrating these techniques, yoga therapy can help provide a comprehensive approach to addiction recovery, addressing physical symptoms as well as emotional and social challenges.

How to get started with yoga therapy in recovery

Starting yoga therapy doesn’t require advanced skills or prior experience. Here are some steps to begin:

  • Consult a certified yoga therapist: Look for practitioners trained in addressing addiction. They will guide you through an individualized treatment plan that fits your needs.
  • Join a specialized program: Many rehabilitation centers now offer yoga therapy as part of their treatment plans. For those unable to attend in person, tele-yoga programs have been shown to be effective alternatives, providing remote access to yoga therapy. A recent study on tele-yoga found it feasible and beneficial for individuals in recovery, improving overall quality of life and emotional well-being.
  • Practice regularly: Consistency is key. Your yoga therapist will likely provide at-home practices to do on your own, so it is important to stick to this routine.
  • Integrate with other treatments: Combine yoga therapy with traditional treatments, like counseling or group therapy, for the maximum benefit.

Conclusion

Yoga therapy offers a holistic, scientifically supported approach to addiction recovery, addressing the multifaceted challenges of substance use disorders. By combining techniques—such as breathwork, mindfulness, and group-based practices—it promotes healing across physical, emotional, and social dimensions.

Research highlights its ability to reduce cravings, enhance emotional regulation, and improve quality of life, which are key factors for long-term sobriety. Whether as a complementary therapy or as a transformative standalone approach, yoga therapy can empower individuals to build resilience, rediscover purpose, and establish a foundation for sustained recovery.

Resources:

  1. Kuppili, P. P., Parmar, A., Gupta, A., & Balhara, Y. P. S. (2018). Role of Yoga in Management of Substance-use Disorders: A Narrative Review. Journal of Neurosciences in Rural Practice, 9(1), 117–122.
  2. Rajasekaran, B., Ramanathan, M., Bhavanani, A. B., & Karri, R. R. (2024). Effects of adjuvant yoga therapy on craving and perceived stress in alcohol dependence syndrome: A randomized control study. Archives of Mental Health, 25(1), 1.
  3. Sarkar, S., & Varshney, M. (2017). Yoga and substance use disorders: A narrative review. Asian Journal of Psychiatry, 25, 191–196.
  4. Mocanu, E., Mohr, C., Pouyan, N., Thuillard, S., & Dan-Glauser, E. S. (2018). Reasons, Years and Frequency of Yoga Practice: Effect on Emotion Response Reactivity. Frontiers in Human Neuroscience, 12, 264.
  5. Singh, N. (2024). Neurobiological basis for the application of yoga in drug addiction. Frontiers in Psychiatry, 15.
  6. Marefat, M., Peymanzad, H., & Alikhajeh, Y. (2011). The Study of the Effects of Yoga Exercises on Addicts’ Depression and Anxiety in Rehabilitation Period. Procedia - Social and Behavioral Sciences, 30, 1494–1498.
  7. Greene, D. (2021). Yoga: A Holistic Approach to Addiction Treatment and Recovery. OBM Integrative and Complementary Medicine, 6(4), Article 4.
  8. Gupta, K., Bhavanani, A. B., Ramanathan, M., Rajasekar, B., Sarkar, S., & Dayanidy, G. (2019). Effect of Adjuvant Yoga Therapy on Craving in Participants of an Alcohol De-addiction Program: A Pilot Study. SBV Journal of Basic, Clinical and Applied Health Science, 2(4), 138.
  9. Khanna, S., & Greeson, J. M. (2013). A narrative review of yoga and mindfulness as complementary therapies for addiction. Complementary Therapies in Medicine, 21(3), 244–252.
  10. Gorvine, M. M., Haynes, T. F., Marshall, S. A., Clark, C. J., Lovelady, N. N., & Zaller, N. D. (2021). An Exploratory Study of the Acceptability and Feasibility of Yoga Among Women in Substance Use Disorder Recovery. Journal of Alternative and Complementary Medicine (New York, N.Y.), 27(3), 273–281.
  11.  Groeger, J. L., Perez, H. R., Moonaz, S., Bartels, M. N., Rand, S., Ghiroli, M. M., Zhang, C., Bao, Y., Gabbay, V., Estremera, G. V., Bryant, G., Hidalgo, J., Hribar, M. B., Rodgers, C. R. R., Savitzky, J., Stein, M. R., Uebelacker, L. A., Starrels, J. L., & Nahvi, S. (2025). Yoga and Physical Therapy for Chronic Pain and Opioid Use Disorder Onsite in an Opioid Treatment Program: A Randomized Controlled Trial. Substance Use & Addiction Journal, 46(1), 175–183.
  12. Bhargav, H., Sharma, S., Mahadevan, J., & Bokde, R. (2022). Feasibility of adjunct tele-yoga therapy in patients with substance use disorders. Journal of Family Medicine and Primary Care, 11(6), 3386.

Activity History - Last updated: 20 January 2025, Published date:


Reviewer

Dr. Jennie Stanford

MD, FAAFP, DipABOM

Jennie Stanford, MD, FAAFP, DipABOM is a dual board-certified physician in both family medicine and obesity medicine. She has a wide range of clinical experiences, ranging from years of traditional clinic practice to hospitalist care to performing peer quality review to ensure optimal patient care.

Activity History - Medically Reviewed on 16 January 2025 and last checked on 20 January 2025

Medically reviewed by
Dr. Jennie Stanford

Dr. Jennie Stanford

MD, FAAFP, DipABOM

Reviewer

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