Understanding the NADA Protocol (Acu-Detox / 5NP)
The NADA protocol, also called acu-detox or the 5-needle protocol (5NP), is a simple, standardized ear acupuncture treatment used in addiction recovery, behavioral health and disaster or trauma-response settings. It was developed in the mid-1970s at Lincoln Hospital in the South Bronx, New York, as part of a community addiction program. The National Acupuncture Detoxification Association (NADA), founded in 1985, now trains and supports providers of the protocol.
The protocol uses the same five points on each ear for every person: Sympathetic (Autonomic), Shen Men, Kidney, Liver and Lung. Because the points are fixed, there is no individual diagnosis or point selection. This is what separates Acu-Detox / 5NP / NADA protocol from a full acupuncture treatment, where a licensed acupuncturist assesses each person and chooses points across the body. Programs may also offer ear seeds or small adhesive beads on the same points as a needle-free option.
What a session is like
Acu-Detox / 5NP is usually given in a quiet group room. People sit in chairs, fully clothed, and rest for about 15 to 45 minutes with the needles in place. No conversation or disclosure is required, which many people find welcoming, especially those who are not ready for talk-based services. The shared, calm setting is a core part of the Acu-Detox / 5NP approach.
What it can and cannot do
Acu-Detox / 5NP / NADA is meant to support, not replace, other care. Many participants describe sessions as relaxing and report feeling calmer, sleeping better or feeling more settled afterward. Some also report fewer or less intense cravings. Research results are mixed, and Acu-Detox / 5NP / NADA is not a proven treatment for addiction, withdrawal, anxiety or trauma on its own. It is best understood as one supportive part of a broader recovery plan that may include medical care, counseling and peer support.
Acu-Detox / 5NP / NADA does not detoxify the body or manage withdrawal. Anyone experiencing withdrawal should seek medical supervision, because withdrawal from some substances can be dangerous.
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