The Benefits of Surfing and Ocean Therapy in Addiction Treatment and Recovery

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Finding Healing and Connection in the Ocean

Recovery from substance use disorders is a holistic journey that extends far beyond the decision to stop using alcohol or drugs. True healing often involves rebuilding physical health, cultivating healthier coping mechanisms, and reconnecting with meaningful, fulfilling activities. For many people in recovery, spending time outdoors and engaging in enjoyable physical recreation plays a vital role in supporting overall emotional and mental well-being.

Participating in ocean-based activities such as surfing provides unique opportunities to practice mindfulness, cultivate self-confidence, and foster genuine social connections. San Diego’s famous coastline offers an exceptional natural setting for those who wish to incorporate outdoor recreation into a balanced, healthy lifestyle.

While surfing and ocean-based activities may offer meaningful benefits as part of a comprehensive recovery lifestyle, they are intended to complement, not replace, professional addiction treatment and evidence-based clinical care.

What Is Surf Therapy?

Understanding the distinctions between different ocean-based activities helps establish realistic expectations for their role in health and wellness.

Understanding Surf Therapy and Ocean-Based Activities

Surf therapy generally combines structured surfing instruction or participation with therapeutic, guided activities designed to support physical, psychological, and social well-being. To better understand how the ocean can fit into a wellness routine, it helps to distinguish between three related concepts:

  • Surf Therapy: A structured, intentional program led or facilitated by qualified professionals that incorporates surfing alongside guided individual or group interventions to achieve specific health goals.
  • Ocean-Based Wellness Activities: Non-clinical physical or leisure activities near the water, such as walking along the shoreline, swimming in safe areas, or spending quiet time by the sea.
  • Recreational Surfing: Surfing pursued independently or casually for personal enjoyment, physical exercise, self-growth, or social bonding.

Not every surfing experience constitutes a clinical intervention, and the presence of the ocean does not automatically turn an activity into formal medical or psychiatric treatment.

How Surfing May Fit Into Addiction Recovery

When integrated thoughtfully into an individual’s lifestyle, surfing can complement the recovery process by offering practical opportunities to:

  • Develop healthy daily routines and structure.
  • Engage in enjoyable, restorative physical activity.
  • Practice patience, focus, and persistence through progressive learning.
  • Discover new passions and non-substance sources of fulfillment.
  • Build positive connections with peers who share healthy interests.
  • Experience joy, excitement, and accomplishment without relying on substances.

Participation should always be aligned with the person’s physical health, current recovery stage, personal comfort level, and clinical treatment plan.

7 Potential Benefits of Surfing and Ocean Therapy in Recovery

While ocean activities are not standalone cures for substance use disorders, they offer several complementary physical, mental, and social benefits.

1. Supporting Physical Health and Overall Wellness

Surfing is an engaging full-body exercise that places varied physical demands on the body, including:

  • Cardiovascular Conditioning: Continuous paddling elevates heart rate and strengthens cardiovascular endurance.
  • Balance and Coordination: Navigating moving water and standing on a board sharpens core stability and bodily awareness.
  • Muscular Strength and Endurance: Paddling and pushing up require significant upper body, back, and core strength.
  • Flexibility and Mobility: Popping up and maintaining dynamic balance encourage physical flexibility.

Engaging in regular, age-appropriate physical activity is a foundational element of rebuilding physical vitality during recovery. However, physical exercise should be viewed as a restorative lifestyle habit rather than a direct medical fix for substance-related organ damage or specific clinical conditions.

2. Encouraging Mindfulness and Present-Moment Awareness

Surfing naturally demands full focus on the present moment. While in the water, surfers must continuously attend to:

  • The rhythm, swell, and movement of the ocean water.
  • Controlled breathing and stable body positioning.
  • Rapidly changing environmental and weather conditions.
  • The immediate, focused task of catching and riding a wave.

This immersive environment creates natural opportunities to cultivate present-moment awareness. These real-world experiences closely parallel mindfulness skills taught in clinical therapy, helping patients practice grounding techniques and sensory awareness outside a session room.

3. Providing a Healthy Outlet for Stress

Finding restorative outlets for daily stress is crucial during addiction recovery. Engaging in enjoyable outdoor activities allows patients to:

  • Take a refreshing mental break from daily pressures and internal tensions.
  • Develop healthy, constructive alternatives to former substance-dependent coping mechanisms.
  • Learn to navigate moments of physical or mental frustration in a safe environment.
  • Establish a well-balanced routine that balances structure with recreation.

While ocean recreation can aid relaxation, surfing is not a guaranteed clinical treatment for anxiety, depression, substance cravings, or psychiatric conditions.

4. Building Confidence and a Sense of Accomplishment

Learning a challenging physical skill like surfing creates tangible opportunities for personal growth and achievement. Key milestones include:

  • Working step-by-step toward catching a wave and standing on the surfboard.
  • Learning to read ocean swells, currents, and local water conditions.
  • Committing to repeated practice and gradual skill acquisition.
  • Celebrating incremental physical and technical improvements over time.
  • Learning to accept setbacks, falls, and missed waves without viewing them as personal failures.

Overcoming obstacles in the water can reinforce positive self-efficacy, helping people rebuild self-confidence and trust in their personal resilience during recovery.

5. Encouraging Social Connection and Community

Participating in group ocean activities or connecting with fellow outdoor enthusiasts fosters supportive social environments. These shared experiences promote:

  • Positive, alcohol- and drug-free social interaction.
  • A sense of belonging and community connection.
  • Mutual encouragement and shared accountability.
  • The formation of healthy recreational friendships.
  • Opportunities to build supportive social circles outside former substance-using environments.

Because social context plays a powerful role in early recovery, choosing safe, drug-free, and positive environments is particularly vital.

6. Creating Opportunities to Practice Patience and Resilience

The ocean is inherently unpredictable. Surfing involves fluctuating wave conditions, long periods of waiting, and repeated trial and error. Through this process, participants can practice:

  • Accepting that meaningful progress takes time and steady effort.
  • Adaptability in response to unexpected ocean conditions or challenges.
  • Learning constructively from mistakes and falls.
  • Managing emotional frustration when conditions are difficult.
  • Celebrating small, incremental victories along the journey.

These experiential lessons mirror the broader recovery process, helping people practice emotional regulation and resilience in a supportive setting.

7. Supporting the Development of a Fulfilling, Substance-Free Lifestyle

Building lasting recovery involves constructing a life that feels vibrant and meaningful without substances. Engaging in ocean recreation encourages people to explore diverse interests, such as:

  • Surfing, bodyboarding, or paddleboarding.
  • Peaceful beach walks along the coastline.
  • Group fitness and outdoor exercise with supportive peers.
  • Exploring new creative or active hobbies.
  • Participating in local community or environmental groups.

Developing healthy hobbies helps build a balanced daily routine that supports long-term well-being beyond formal treatment.

These potential benefits are complementary lifestyle support rather than guaranteed clinical outcomes. While research into ocean-based wellness is promising, scientific evidence remains limited and does not establish surfing as a standalone treatment for substance use disorders.

What Does Research Say About Surf Therapy and Addiction Recovery?

Demonstrating responsible health practices requires grounding wellness concepts in current scientific evidence and understanding their limits.

What Researchers Have Learned About Surf Therapy

Academic interest in surf therapy and nature-based interventions has grown significantly in recent years:

A 2024 systematic review of surf therapy trials found that available randomized controlled evidence is currently insufficient to establish consistent improvements in mental health symptoms compared to control conditions or alternative nature-based activities. A separate review of nature-based activities for individuals with co-occurring PTSD and substance use disorders highlighted positive potential benefits while emphasizing the need for larger, more rigorous research trials.

Why Surfing Should Complement, Not Replace, Professional Treatment

Substance use disorders are complex, multifaceted medical conditions that require professional medical, psychological, and behavioral support. A comprehensive clinical treatment program typically includes:

  • Professional medical assessments and supervised withdrawal management (detox).
  • Individual therapy addressing underlying psychological factors.
  • Facilitated group therapy and peer support integration.
  • Evidence-based behavioral interventions (such as CBT or DBT).
  • Medication-assisted treatment (MAT) when clinically indicated.
  • Specialized care for co-occurring mental health conditions.
  • Structured continuing care and discharge planning.

While ocean-based activities offer valuable physical and emotional recreation as part of a healthy lifestyle, they do not replace medical evaluation, psychotherapy, or clinical addiction care.

How Ocean-Based Activities May Support Different Stages of Recovery

The appropriateness and safety of outdoor activities vary based on an patient’s physical health, stabilization, and stage of treatment.

During Medical Detox

During acute withdrawal management, physical stabilization, safety, and medical monitoring are the primary clinical priorities.

  • Surfing is not a substitute for medically supervised detox.
  • Physical exertion must be carefully limited and aligned with medical advice.
  • Patients must receive clearance from their medical team before attempting strenuous physical exercise.

During Residential Addiction Treatment

In a residential treatment environment, structured recreational activities can provide healthy outlets, foster routine, and promote positive social interaction. Outdoor recreation may be integrated into a client’s broader care plan when clinically appropriate and aligned with facility programming.

During Outpatient Treatment and Long-Term Recovery

As patients transition into outpatient care and independent living, outdoor hobbies can become integral components of an ongoing wellness routine. Examples include:

  • Scheduling beginner surf lessons with qualified instructors.
  • Incorporating regular coastal walks or jog routines into weekly schedules.
  • Connecting with sober recreational groups for outdoor sports.
  • Exploring fitness activities tailored to individual abilities, financial budgets, and personal interests.

Why San Diego’s Coastal Environment Can Be a Meaningful Recovery Resource

Coastal environments offer unique natural benefits for those interested in pursuing a healthy, balanced lifestyle.

Opportunities to Connect With Nature

San Diego’s temperate coastal setting provides constant access to scenic beaches, ocean breezes, and outdoor space away from urban distractions. Spending time near the water offers peaceful settings for reflection, exercise, and stress relief, though living near the ocean is a supportive background resource rather than a direct predictor of treatment outcome.

Exploring Healthy Activities Beyond Treatment

San Diego offers an abundant variety of outdoor recreation that individuals can explore in recovery:

  • Surfing and bodyboarding
  • Swimming in designated lifeguard areas
  • Stand-up paddleboarding and kayaking
  • Coastal walking and beach jogging
  • Hiking regional coastal trails
  • Outdoor fitness training and sports
  • Community volunteer and conservation projects

Recovery is about discovering what uniquely inspires each person, whether that involves surfing or exploring other fulfilling outdoor interests.

How Coastal Detox Approaches Holistic Addiction Treatment

At Coastal Detox, treatment is tailored to address the physical, psychological, and lifestyle aspects of recovery.

Treating the Whole Person

Coastal Detox provides individualized addiction treatment that integrates comprehensive medical care, evidence-based psychotherapies, and supportive holistic offerings. Effective recovery programs address both substance use disorders and co-occurring mental health conditions to foster sustainable, long-term health.

Learn more about our treatment philosophy.

Incorporating Healthy Activities Into Recovery

Coastal Detox includes outdoor excursions and recreational opportunities as part of its broader commitment to helping clients explore balanced, healthy lifestyles. Depending on clinical appropriateness and client interest, programming may include activities such as hiking, golf, and surfing for patients who feel physically up to participating.

These activities are intended to complement clinical treatment, offering refreshing recreational outlets rather than serving as dedicated clinical surf therapy programs or formal medical modalities.

Supporting Individualized Recovery Goals

Recognizing that every recovery journey is unique, Coastal Detox emphasizes personalized care plans. Not everyone enjoys ocean activities or feels comfortable in the water, and alternative recreational options are always available. Treatment plans are tailored to honor each patient’s unique health profile, personal interests, abilities, and recovery goals.

Learn more about our holistic approach.

How to Explore Surfing and Ocean Activities Safely in Recovery

Safety, moderation, and self-awareness are vital when introducing new physical activities into a recovery routine.

Start at a Pace That Feels Appropriate

  • Honor your current physical fitness, health history, and comfort level in water.
  • Begin with low-intensity activities like beach walks or swimming in shallow water before taking on surfing.
  • Consider formal lessons with a qualified, patient instructor.
  • Avoid comparing your physical progress to others.
  • Ensure adequate time for rest, hydration, and physical recovery.

Respect Ocean Safety

  • Check local beach conditions, tide reports, and water safety warnings before heading out.
  • Take professional lessons to learn proper ocean awareness and surfboard management.
  • Wear appropriate safety gear, including proper wetsuits and leashes.
  • Always swim and surf near open lifeguard stations.
  • Never enter the water when conditions exceed your skill level or during severe weather.
  • Follow medical recommendations regarding physical exertion.

Choose Supportive Environments

  • Participate in activities alongside trusted, sober friends or family members.
  • Set realistic, non-judgmental expectations for your progress.
  • Select activities that bring genuine joy and relaxation.
  • Discuss any physical or emotional concerns with your care team before starting a new sport.

Discover a Healthier Path Forward With Coastal Detox

Recovery is a personal, evolving journey that involves more than simply abstaining from substance use. Through compassionate, evidence-based care, individuals can address the underlying clinical aspects of addiction while discovering healthier coping mechanisms, meaningful routines, and renewed purpose.

You don’t need to have everything figured out before reaching out for support. If you or a loved one are exploring options for addiction treatment, Coastal Detox is here to help you navigate the first steps toward lasting wellness.

Contact Coastal Detox today to speak with a caring admissions specialist and learn more about our individualized treatment programs.

FAQs About Surfing and Addiction Recovery

Can surfing help with addiction recovery?

Surfing may complement addiction recovery by providing opportunities for physical activity, stress management, social connection, and personal growth. However, it is not a standalone treatment for substance use disorders and should not replace appropriate medical or psychological care.

Surf therapy generally involves surfing within a structured program designed to support well-being, potentially incorporating guided individual or group activities. Recreational surfing is primarily pursued for enjoyment, exercise, or personal interest. Not all surfing experiences constitute therapy.

Spending time outdoors and participating in enjoyable activities may support overall well-being. Some research has explored surf therapy for mental health concerns, but findings remain limited and do not establish it as a substitute for professional treatment of anxiety or depression.

No, people can explore other activities, such as walking along the beach, spending time outdoors, or participating in appropriate recreational activities. Surfing is only one possible way to engage with the coastal environment.

Not necessarily. A person’s medical condition, physical abilities, treatment stage, comfort level, and ocean conditions all matter. Anyone receiving treatment should follow their clinical team’s recommendations before participating in strenuous or potentially hazardous activities.

At Coastal Detox, surfing is one of the outdoor recreational activities that may be available to patients who feel up to participating. Potential patients or loved ones should contact us to confirm current activities, availability, and any participation requirements.

Clinically Reviewed For
Accuracy By Kay Saffe, LPCC

Kay Saffe, LPCC,  is a Licensed Professional Clinical Counselor and Clinical Director at Coastal Detox of Southern California. She holds a Master’s Degree in Clinical Mental Health Counseling from the University of San Diego and a Bachelor’s Degree in Psychology from New College of Florida. She has been in recovery for over 4 years and is passionate about using positive psychology to help others through their own recovery journey. Outside of Coastal Detox, Kay also works as a surf instructor and volunteers with local San Diego non-profits to help treat at-risk individuals in both English and Spanish. Originally from Miami, Florida, Kay is a first-generation American with Argentinian heritage.

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Meet Our Team

Coastal Detox of Southern California is composed of an entire team of highly trained substance abuse professionals in recovery.
Phil Castagnola SUDCC program director at Coastal Detox of Southern California

Phil Castagnola, SUDRC

Program Director

Kay Saffe LPCC clinical director at Coastal Detox of Southern California

Kay Saffe, LPCC

Clinical Director

Jeff Swem SUDRC director of operations at Coastal Detox of Southern California

Jeff Swem, SUDRC

Director of Operations

Coastal Detox of Southern California is only a call away.

Contact Us Today for a Free Confidential Assessment and Insurance Verification.

Phil Castagnola

Case Manager

Philip Castagnola, SUDCC, is the Program Director for Coastal Detox of Southern California. He holds an Associate’s in Science and Certification in Alcohol and Other Drug Studies from San Diego City College.

Phil has over 15 years of continuous sobriety and is an active Sponsor in the San Diego Alcoholics Anonymous (AA) community. He struggled with substance abuse issues throughout his youth. He started using drugs at the age of 15, having been raised in an environment that normalized heavy drug and alcohol use. He spent a lot of time in and out of various rehab programs before being incarcerated in federal prison, which is where he finally completed an 18-month treatment program and used that time to work the 12 Steps.

After completing his sentence and serving his debt to society, he vowed to continue to give back to others who are going through similar hardships. Phil is passionated about sharing his experience with openness and honesty so that others may find hope for their future and find the strength to break free from the bondage of addiction.

In addition to a successful career as a certified counselor, Phil is also reconnecting with his passion for surfing. Phil surfed professionally in competitions for a few years in his early 20s and even owned his own surf shop (Select Surf Shop) before losing everything to his addiction. Now in his sobriety he is able to once again surf recreationally and in contests, showing that it’s never too late to reclaim your own narrative, overcome substance use disorder, and pursue the life you were always meant to have.

Kay Saffe, LPCC

Clinical Director

Kay Saffe, LPCC,  is a Licensed Professional Clinical Counselor and Clinical Director at Coastal Detox of Southern California. She holds a Master’s Degree in Clinical Mental Health Counseling from the University of San Diego and a Bachelor’s Degree in Psychology from New College of Florida. 

Kay grew up in Miami, Florida and is a first generation American with Argentinian roots. Throughout her youth, she struggled with drinking and substance abuse. Today, she has been in recovery for over 4 years and strives to prioritize her spiritual, mental, and physical health.

A lifelong athlete and ocean lover, she moved to San Diego to pursue her Master’s degree and progress her surfing. She has spent years working as a surf instructor and therapist, working with local non-profits that treat at risk individuals and families in both English and Spanish. She incorporates a mindful and holistic approach to therapy. She is passionate about positive psychology and helping others through their recovery journey.

Jeff Swem, SUDCC

Director of Operations

Jeff Swem, SUDCC, is a Substance Use Disorder Certified Counselor and the Director of Operations at Coastal Detox of Southern California. He holds an Associate’s in Science and Certification in Alcohol and Other Drug Studies from San Diego City College.

Jeff has 6 years of continuous sobriety and is active in the San Diego Alcoholics Anonymous (AA) community. Jeff struggled with substance abuse from a young age and endured some harrowing, near-death experiences before “settling down” into a career as a professional beer brewer. It was during the COVID outbreak that he surrendered to his higher power and made the choice to get sober for good.

After completing an inpatient rehab program and IOP aftercare, Jeff quit the brewing industry and pivoted to become a Substance Use Disorder Certified Counselor so he could surround himself with a caring and supportive sober community and help others who struggle with addiction by leading through example and sharing his personal experience.

Born and raised in San Diego, Jeff is married to his wife of 25 years. They have a son and daughter together, and thanks to the 12 Steps and a successful career at Coastal Detox, Jeff is able to be fully present for them every day, be a positive role model, and show them how it is possible to thrive in recovery.