While you are right about rehab not ALWAYS being necessary, treatment of some kind almost always is. Stopping the use is only the first step. Correcting slanted ways of thinking and behaving is where the real work comes in. You can get clean by doing literally nothing. Sit in a dark room for a few weeks, without drugs, and there you are. But that isn't recovery. It is superficial. Unless we deal with the underlying causes of our substance abuse, our likelihood of true recovery is very, very low. It is more about the psychological, than about the physical.