All treatment providers we recommend are regulated by the Care Quality Commission (CQC) or Care Inspectorate.
Around 11.7% of those in the South-West have reported having used illicit drugs in the past year, with the highest rates of drug use compared to any other region in England and Wales.
The drug market is worth over £9.4 billion in the UK, resulting in a cost of £20 billion to society.
Drug use in the area of the South-West is common for both adults and children, cannabis being the most used illegal substance.
The proportion of people using illegal drugs in the South-West from 2018 to 2019 (16-59yrs) break down as:
Despite illegal drug use being the most underreported statistic, the estimated use of drugs in the South-West is 2.3% higher than the national average.
The DMS-5 have characterised addiction as the compulsion to use or seek drugs or alcohol constantly.
When using drugs or consuming alcohol, the user has little control when it comes to reducing or stopping.
Once the administration is cut down or stopped, the user will experience withdrawals of both a physical and mental nature.
Substance dependency can result in significant impairment and distress.
Dependency is defined as a constant pattern of tolerance increase.
When you use a substance more than you should, your body and brain become accustomed to it.
You will adjust to the new levels of euphoria and chemicals, so you will need more of the substance and more often to get the same effects it once had.
Once the substance has left your system, which varies according to the nature of the drug or alcohol, you will experience withdrawal symptoms.
The substance is being abused when you cannot fulfil any regular requirements, such as work or education, and fail to maintain commitments, such as seeing family and friends.
To know where your addiction is placed, along with its nature, at-home questionnaires are helpful in identifying what type of help you may need.
The most popular questionnaires are the CAGE questionnaire and the AUDIT.
CAGE Questions Adapted to Include Drug Use (CAGE-AID)
The CAGE questionnaire is scored on a yes or no basis – if you answer yes, you are awarded 1 point, whereas a no will score you 0.
The more points you score, the more damaging your substance behaviour may be.
A score of 2 or more is deemed clinically significant, so get in touch with us if you have any concerns.
The more developed and scientific questionnaire for alcoholism is coined an AUDIT, – an Alcohol Use Disorders Identification Test.
This alcohol screening programme consists of 10 questions, split into 2 sub-sets.
The first set of 4 might score you ‘fast+’, in which case you will be asked to complete the next 6 questions:
Are you FAST+?
Following the AUDIT and CAGE questionnaires, you will have a clear picture about the nature of your addiction, and how damaging your substance behaviour and habits may be.
This has also been linked to mental health concerns, where the link between addiction and mental health has been proven time and time again.
Co-occurring substance use disorders and mental health disorders have common ground.
It is also noted that this link goes two ways – substance use leads to mental health conditions, and mental health conditions lead to substance use.
In the UK, over 9 million individuals are struggling with co-occurring disorders.
Co-occurring disorders are defined as the co-existence between mental illness and substance abuse, where an individual suffers from both at the same time.
Of these 9 million people, over 60% are not receiving treatment, while only 7% are receiving treatment for both disorders.
This leaves us with three main hypotheses for addiction and its causes:
Most evidence purports that both addiction and mental illness have their origins firmly placed in genetic.
Over 50% of someone’s vulnerability to addiction comes from genetics.
A further shared factor is early exposure to trauma.
Those that are traumatised early in life tend to self-medicate with alcohol or drugs, putting themselves at a high risk of addiction.
Over 50% of military veterans that have been diagnosed with PTSD go on to be diagnosed with a co-occurring disorder.
This is because, when users self-medicate, they believe the drugs and alcohol are easing their mental health issues.
This is not the case.
It may help short-term, decreasing stress and easing levels of agitation, but long-term substance use exacerbates and causes mental health problems.
For example, alcohol is a depressant, leaving many feeling low and anxious.
To self-medicate this, people tend to drink or use drugs more for their sedative effects.
This in turn makes their mental health worse and they are trapped in a vicious cycle.
To combat substance use and addiction, intervention is the first step before rehabilitation in Exeter.
Drug and alcohol users remain the most unmotivated users that require help.
This is mainly attributed to the fact that many will not acknowledge that they have a substance abuse problem in the first place.
Over 80% of those that are addicted to drugs or alcohol are currently contemplating reaching out for help, but either do not feel ready to do so or do not know how.
Those that seek help early tend to have the most successful outcomes in rehabilitation and their prevention of relapse.
Intervention in this sense changes the course of the user’s addictive habits, with an aim to get them into rehabilitation in Exeter.
There are 4 main types of intervention:
Simple Intervention consists of one-to-one conversations, between either loved ones and/or professionals, with the user.
This stands in place of the old confrontation style.
Classical Intervention, also known as the Johnson Model of Intervention, involves everyone but the user in its discussion.
Specialist counselling and education are provided for all ‘concerned others’, where their role and their attribution towards the user’s behaviour are discussed.
There are 7 elements to the Johnson Model of Intervention:
The Family System Intervention is based on the ‘family framework’ methodology, focusing on the family bonds that have been broken by addiction.
The concerned others are asked to take part in family training, and also what is called ‘family guiding’.
CRAFT intervention is a form of family intervention, coined the Community Reinforcement And Family Training approach.
CRAFT was specifically designed to help family members educate themselves on addiction and change the user’s behaviour using positive reinforcement.
Both family and friends gather together to discuss the effects of addiction and the impact it has had on them personally, speaking collectively as a family.
Concerned others are asked to positively reward anti-using and pro-social behaviour, in order to change the reward pathways of the user’s brain.
Over 72% of those that enter CRAFT end up in treatment, remaining one of the most effective forms of intervention.
Crisis Intervention is impromptu, where professionals and others only get immediately involved when the user becomes an extreme danger to themselves or harm to the public.
Once any form of intervention is successful, and the user wants to try rehabilitation, it is important to know what form of rehabilitation is available to you in Exeter.
A criterion was created by The American Society of Addiction Medicine to help make sure that treatment for substance abuse could be tailored toward the needs of each user.
There are 6 dimensions, all based on risk.
A clinician will grade the user’s answers from 1 to 4, with 1 being low risk and 4 being the highest risk.
The more risk the dimension has, the more focus and treatment that will be placed on that area of treatment.
You will then be graded on the type of treatment you need, in accordance with the nature of your addiction.
There are 2 main types of treatment available in Exeter for addiction, inpatient and outpatient.
Outpatient treatment, which can be accessed through the NHS, consists of you continuing to live at home.
You will be able to attend an outpatient rehab facility in Exeter to receive therapy, monitored medication, and a range of different support mechanisms.
Inpatient rehabilitation treatment in Exeter is not usually funded through the NHS, and you are normally required to pay for it through private treatment.
The price can range from £1,000 a week to £80,000 a week, where the deluxe prices and lack of availability are usually fuelled by inconsistent and untrue posts on social media.
The time you are asked to spend in rehab in Exeter will vary according to the nature of your addiction.
You will only need to complete a detox at a rehab facility in Exeter if you suffer from a physical addiction.
For drugs such as cocaine and cannabis, you will not require a detox, but substances such as alcohol and heroin are physically addictive, so you will spend at least 7 days in the rehab centre in Exeter.
Once intervention, detox and rehabilitation have started in Exeter, continuing or starting therapy can be a key step towards full recovery.
CBT (Cognitive Behavioural Therapy) is a form of talking therapy designed to help you manage and correct the problems created through negative thought patterns.
The way we think shapes our behaviour – if we can alter the irrational thoughts, we can change our irrational behaviour.
Despite CBT being designed originally for those suffering from mental health conditions, it has now been adapted to suit different types of addiction and co-occurring disorders.
Dialectical Behavioural Therapy (DBT) is a form of CBT, specifically designed to cater for those that feel overwhelmed.
There are 6 parts to a DBT cycle, all tailored towards users that feel emotions intensely:
Motivational interviewing is grounded in an individual’s motivation to change their behaviour.
Motivational Interviewing as a ‘guiding style’ form of counselling, where users identify their strengths in order to exert more autonomy in decision making.
This is founded on 4 principles:
Holistic therapy focuses on general wellbeing and stress relief, aiming to unite the patient in mind, body and spirit.
This is done through a variety of activities, including:
Once you have found a form of therapy that works for you, aftercare becomes a primary concern.
Aftercare is important as it prevents drug or alcohol relapse, and the ultimate success of recovery is often determined by the support, motivation and availability of these services.
In AA meetings, past and present alcoholics gather together to share and explain private experiences they have had with alcohol, along with their triggers and coping mechanisms.
The AA work on the 12 Step Principles:
The most commonly noted relapse causes are:
For those that feel at risk, or know someone in Exeter struggling with addiction, we can help.
Call us today or chat with someone on our website for a free and easy consultation.
There are various types of rehab centres available in Drug & Alcohol Rehab in Exeter, including inpatient alcohol rehab, luxury alcohol rehab, and private drug rehabs.