The Differents in Reno offers medical detox, small groups, private suites, and Sierra access.
Paradise, Nevada doesn’t appear on most maps as a city. It’s an unincorporated section of Clark County that includes most of the Las Vegas Strip and the neighborhoods spreading east toward Henderson. About 191,000 people live there, according to the U.S. Census Bureau’s Paradise CDP profile. Ask someone where they’re from and they’ll say Las Vegas.
The distinction starts to matter when you’re trying to leave. If you’ve been dealing with opioids, alcohol, or stimulants in a place designed around constant access and 24-hour everything, distance helps. The Strip doesn’t sleep. The desert makes you feel small and alone at the same time. Going somewhere else—even just to Reno—stops feeling like running away and starts feeling like getting some air.
We’re four hundred miles north, where the Sierra starts. Still Nevada, so there’s no border paperwork or out-of-state insurance tangles. But we’re far enough from the overdose patterns documented in Southern Nevada that the old routines have to work harder to follow you.
Fentanyl changed the math on drug use across Nevada. The Southern Nevada Health District’s data shows overdose spikes shifting month to month, naloxone deployments keeping people alive, but not always connecting them to what comes next.
Being somewhere else, with structure and medical backup, gives you room to steady yourself before you go back. At The Differents that means private rooms, a one-to-three staff ratio, and groups small enough that no one gets lost. The campus has spa access, maker spaces, trails into the Sierra—things that help you build a routine you can actually keep when you’re home again.
If you need to detox first, our drug and alcohol detox program handles that with physician oversight in private quarters. Once you’re stable, most people move into our Partial Hospitalization Program—full days of therapy and skills work with clinical support throughout.
Southwest flies Reno to Vegas in ninety minutes, several times a day out of Harry Reid. No layovers.
If you drive, US-95 runs about seven hours between Las Vegas and Reno—440 to 515 miles depending where you stop. Sagebrush replaces neon. Elevation climbs. Some people need that drive to mark the shift.
People show up with different stories. Painkillers after surgery that never stopped. Drinking that crossed a line years back. Stimulants that felt productive until they didn’t. We start where you are, with methods that have evidence behind them.
A lot of clients pair cognitive-behavioral work with EMDR therapy for trauma processing. NAD+ infusions support nervous system recovery when it’s clinically appropriate. You’ll have access to mindfulness, yoga, Pilates, massage, acupuncture, neurostimulation, guided outdoor work. Not extras—ways to sleep better, reduce symptoms, build the physical energy that makes the harder work possible.
If you’re a veteran, our Veterans addiction treatment program includes TriWest and CCN coordination, private rooms, dual-diagnosis support built around service-related trauma. First responders work with clinicians who understand occupational stress and what confidentiality actually requires.
We also work with professionals, creatives, families—anyone who needs privacy and understands that real change happens slowly, with backslides that get treated as information rather than failure.
From Paradise, call (844) 699-6148 or go to our admissions page to talk with a clinician-coach, check your insurance, pick a start date that fits your schedule. We can set up a virtual tour or you can visit in person.
