Drug and Alcohol Rehab in Putney

There is a feeling of shame and embarrassment that surrounds addiction. Addiction is also associated with moral failings, rather than its correct link with mental disease.

It is not shameful to get help for addiction or take your first steps towards a healthier and happier life.

Defining Addiction

Alcohol addiction

The line between ‘addiction’ and ‘dependency’ is blurred. Companies and organisations often use the two terms interchangeably or use ‘substance use disorder’ instead.

‘Dependency’ refers to a physical dependence on substances, characterised by withdrawal symptoms once intake has reduced or stopped.

It is possible to be dependent on a substance without being addicted to it. Addiction usually follows dependency, marked by chemical changes in the brain.

Addiction involves both mental and physical dependency on the substance in question.

The NHS defines addiction as a lack of control. Once you start taking something or doing something to the point where it becomes harmful, you may be addicted. [1]

The DSM-5 defines addiction as the constant want or need to use a substance, followed by withdrawal symptoms. [2]

Signs and symptoms of addiction can be detrimental to the user’s life, and their concerned others. Unpleasant side effects of addiction include:

  • Mood swings and agitation
  • Tiredness and a change in sleeping pattern
  • Paranoia, anxiety and panic attacks
  • Depression
  • Inability to focus
  • Poor performance at work or other responsibilities
  • Memory issues
  • Mental health issues

Addiction is associated with behavioural problems, such as secretive behaviour. Dishonest behaviour such as stealing and lying are the most common, followed by failing to engage in social activities.

Withdrawal symptoms are different for each person, depending on:

  • Amount consumed
  • History of addiction
  • General health
  • How often substances are used

If you believe you are showing signs of addiction, take an at-home self-help questionnaire in Putney. The most common addiction questionnaire is CAGE, recently developed for drug addiction in addition to alcohol addiction. [3]

CAGE Questions for Alcohol Use:

  1. Have you ever felt you should CUT down on your drinking? YES/NO
  2. Have people ever ANNOYED you by critiquing your drinking? YES/NO
  3. Have you ever felt bad or GUILTY about your drinking? YES/NO
  4. Have you ever had a drink first thing in the morning to steady your nerves or to get rid of a hangover? (EYEOPENER) YES/NO

CAGE Questions Adapted to Include Drug Use (CAGE-AID)

  1. Have you ever felt you ought to cut down on your drinking or drug use? YES/NO
  2. Have people annoyed you by criticizing your drinking or drug use? YES/NO
  3. Have you felt bad or guilty about your drinking or drug use? YES/NO
  4. Have you ever had a drink or used drugs first thing in the morning to steady your nerves or to get rid of a hangover (eye-opener)? YES/NO

Answering a question with ‘YES’ will give you a score of 1. An answer of ‘NO’ will give you 0 points. If you score 2 or more in each subset of questions, you are exhibiting addictive behaviours.

People seated at table drinking beer

If you are looking for a more alcohol-specific questionnaire, try the AUDIT questionnaire:

AUDIT questions: [4]

  1. How often have you had 6 or more units if female, or 8 or more if male, on a single occasion in the last year?
  2. How often during the last year have you failed to do what was normally expected from you because of your drinking?
  3. How often during the last year have you been unable to remember what happened the night before because you had been drinking?
  4. Has a relative or friend, doctor or other health worker been concerned about your drinking or suggested that you cut it down?

Once you have completed the first 4 questions, you might be classed as ‘fast+’. If so, complete the remaining 6 questions.

  1. How often do you have a drink containing alcohol?
  2. How many units of alcohol do you drink on a typical day when you are drinking?
  3. How often during the last year have you found that you were not able to stop drinking once you had started?
  4. How often during the last year have you needed an alcoholic drink in the morning to get going after a heavy drinking session?
  5. How often during the last year have you had a feeling of guilt or remorse after drinking?
  6. Have you or somebody else been injured as a result of your drinking?

Learn more about drug and alcohol rehab in Putney and contact us today at 0800 111 4108.

Drug and Alcohol Intervention

Woman with head on clasped hands, eyes closed

Once addiction or addictive behaviours have been identified, the first step will be intervention.

Intervention is used as a motivational device to stop someone from using drugs or drinking alcohol. The main aim of the intervention is to get the patient into rehab and get them help for their addiction as soon as possible.

Successful interventions are constructive and planned, rather than impromptu and confrontational. Be sure to do research on all types of rehabs and therapy before planning the type of intervention that is required.

Knowing when intervention is required can prove challenging.

The earlier the intervention, the better the chances of a successful recovery. However, if you intervene too early or underestimate the gravity of the situation, the person in need of your help may be scared away from rehabilitation.

Intervention is required when you or someone you love starts to show signs of addictive behaviour:

  • Secrets and lying
  • Aggression
  • Mood swings
  • Being distant from friends and family
  • Cancelling regular responsibilities
  • Building up a tolerance to substances
  • Mental withdrawal symptoms
  • Physical withdrawal symptoms

Once you know it is time to intervene, consider which type of intervention method would suit the user best.

1.Simple Intervention

A simple intervention is best suited for someone with a new or mild addiction. One person has a conversation with the person struggling in a neutral environment. This person can be family, a family friend, or a medical professional.

This ‘brief intervention’ is specifically designed for people who often engage in risky activities associated with substances, or for those exhibiting behavioural issues.

2. Classical Intervention

Also called the ‘Johnson Model of Intervention’, classical intervention asks the people that have been affected by the user’s addiction to gather together. These concerned others discuss side effects and life changes, educating themselves on the part they will play in the user’s recovery.

3. Family System Intervention

The most effective family intervention is the CRAFT intervention, short for ‘community reinforcement and family training. [5] ‘Concerned others’ that take part in CRAFT are asked to educate themselves on the reward pathways that have been damaged in the user’s brain by substances.

To reshape these pathways, concerned others are asked to positively reward desirable behaviour, such as being social and not using substances. Once the person in question starts to exhibit addictive behaviours or starts using again, concerned others are to let the negative consequences happen.

4. Crisis Intervention

Crisis intervention is immediate and impromptu. This is only required when the user suddenly becomes a danger to themselves and others in Putney.

The main aim of the intervention is to get the user into rehab. For all types of intervention to be successful, concerned family and friends should educate themselves on all forms of rehab and therapy, to offer an array of helpful routes during the intervention.

Learn more about drug and alcohol rehab in Putney and contact us today at 0800 111 4108.

Inpatient vs Outpatient Treatment

Woman in striped light of shutters, lying in bed at night

There are two forms of rehabilitation available to you in Putney, inpatient rehab and outpatient rehab. Both forms of treatment have different but unique benefits, and which one you require will be dictated by the nature of your addiction and your current lifestyle. [6]

Inpatient treatment is best suited for those with severe substance use disorders. This is because inpatient treatment is residential, meaning you move into the treatment centre in Putney. Here you will receive 24/7 medical support and guidance.

Most inpatient centres are not available through the NHS, and so are only available if you can afford to pay privately.

Prices range from £10,000 to over £100,000 a week for inpatient treatment. Each residential rehab offers different inpatient programmes, involving a stay of 30 to 90 days in a safe and healthy environment.

The main advantages of inpatient treatment (residential rehab) are:

  • Safe and easier detox process, with medically assisted detox, paid for and safely administered
  • Set time and space to completely focus on addiction
  • 24/7 help and guidance
  • Tailored help and therapy
  • All-inclusive (no hidden costs)
  • The risk of relapse is small as there is no temptation
  • Works well with outpatient treatment

If you cannot afford to pay privately for rehab or suffer from a mild addiction, consider outpatient rehabilitation.

Outpatient rehab is provided through the NHS and is a completely flexible option for those with other important responsibilities.

There are different levels of outpatient treatment: intensive outpatient, partial hospitalisation and outpatient treatment.

Intensive outpatient programmes do not require a detox. They are designed for those with eating disorders, mental health issues, and substance use disorders.

Intensive outpatient programmes are often used in addition to inpatient treatment, as the next step toward ‘normal’ daily life. [7]

If you are struggling with mental health or a co-occurring disorder, you should research partial hospitalisation.

This outpatient programme is not the same as psychiatric hospitalisation, which is inpatient rehabilitation. You will be assessed by a medical professional who will determine whether you are suitable for partial hospitalisation.

Here are some examples of what you might be asked in the assessment:[8]

  • Do you find it difficult to function during responsibilities (such as work or school)?
  • Are you medically stable?
  • Are you at risk of harming yourself and/or others?
  • Do you have a good support system at home?
  • Are you self-motivated to attend outpatient treatment?
  • Do you suffer from a mental health condition?
  • Do you suffer from a substance use disorder?

This is only temporary outpatient rehab, helping you feel motivated and well enough to transition into outpatient treatment.

Outpatient rehab is suitable for those with new or extremely mild addiction. This type of rehab is the most flexible, requiring only 10-12 hours of therapy attendance per week. [9]

Outpatient rehab can work around you. This works best if you have a strict routine for work or other responsibilities such as family or classes. Outpatient rehab offers real-life experience, helping you work on your addiction but also focus on moving forward in your life.

This is also cheaper than inpatient rehab, but it depends on your medical assessments and stage of addiction.

Learn more about drug and alcohol rehab in Putney and contact us today at 0800 111 4108.

Addiction Therapy on Offer in Putney

Doctor writing notes, with a laptop in the near field

Both inpatient and outpatient rehab offer similar types of therapy, but at different levels and intensity. For example, they both offer:

Cognitive Behavioural Therapy (CBT) and Dialectical Behavioural Therapy (DBT):

CBT is one of the most popular forms of behavioural therapy for addiction and mental health disorders. This was developed in the late 1900s, originally as a counselling service. It has now been developed to treat people with substance use disorders. [10]

CBT focuses on the irrational thoughts and fears that underlie our addictive behaviours. Once we believe an irrational thought, we act accordingly. We are then stuck in a pattern of addiction, unable to break this cycle. Once feelings and emotions are understood, we can see what is causing our addictive behaviour.

DBT is a form of CBT but adapted for those who have become overwhelmed by negative emotions. To change our behaviour, we must first understand our emotions, accept the feelings that follow, and make positive changes.

Motivational Interviewing:

MI focuses on motivation and encouragement. Developed by Rollnick and Miller, MI is designed to seek out the reasons for the patient’s behaviour, along with their strengths and weaknesses when it comes to rehabilitation and sobriety. [11]

MI works on main skill sets in a 4-stage process. The core skills worked on are:

  1. Open questions
  2. Affirmation
  3. Reflections
  4. Summarising
  5. Attention to language
  6. Exchanging information

This is done through engagement, focus, evoking, and planning.

Contingency Management Therapy:

CMT is also a behavioural therapy for addiction. CMT focuses on the motivation that drives change in us through reinforcements. Patients are positively rewarded once they show desirable behaviours, such as attending therapy and being sociable. [12]

Once patients start to fail drug tests or fail to attend therapy, incentives are removed. These incentives come in the form of low-value cash, supermarket vouchers, and clinical privileges.

Holistic Therapy:

Also called ‘holistic psychotherapy’, holistic therapy is a form of ‘complementary and alternative medicine’. This form of therapy focuses on the balance of energy between our mind, body and spirit, rather than focusing on one problem of addiction.

This comes in many forms, such as:

  • Art therapy
  • Adventure therapy
  • Reflexology
  • Acupuncture
  • Equine therapy
  • Massage therapy
  • Tai chi and yoga

Once you have started therapy, remaining sober and preventing relapse are key focus points.

Learn more about drug and alcohol rehab in Putney and contact us today at 0800 111 4108.

Relapse Prevention

Shot of lower legs with person wearing trainers climbing steps

Relapse is not easy to avoid. Once you finish inpatient or outpatient rehab, the real world is full of temptations, masked as a bit of fun. This is fine for others, but not for people who struggle with control.

The best way to prevent relapse and keep working on yourself is through group therapy sessions in Putney.

For example, many past and present alcoholics attend Alcoholics Anonymous (AA). The AA is a group therapy session, abiding by 12 famous rules, and also known as 12-Step Programme therapy: [13]

  1. We admitted we were powerless over alcohol – that our lives had become unmanageable.
  2. Came to believe that a Power greater than ourselves could restore us to sanity.
  3. Deciding to turn our will and our lives over to the care of God as we understood Him.
  4. Made a searching and fearless moral inventory of ourselves.
  5. Admitted to God, to ourselves and to another human being the exact nature of our wrongs.
  6. Were entirely ready to have God remove all these defects of character.
  7. Humbly asked Him to remove our shortcomings.
  8. Made a list of all persons we had harmed and became willing to make amends to them all.
  9. Made direct amends to such people wherever possible, except when doing so would injure them or others.
  10. Continued to take personal inventory and when we were wrong promptly admitted it.
  11. Sought through prayer and meditation to improve our conscious contact with God as we understood Him, praying only for knowledge of His will for us and the power to carry that out.
  12. Having had a spiritual awakening as the result of these steps, we tried to carry this message to alcoholics and practice these principles in all our affairs.

You are not asked to join in until you are ready, but you are asked to positively listen and take in the advice, stories, and struggles that are discussed in the meetings.

These group therapy sessions offer a support network, giving you a sense of community.

Group therapies and addiction aftercare offer you a chance to work and build on the skills you learned in therapy and rehab. To do this, you must also be aware of the most common relapse triggers, and how to try and avoid them.

Common relapse temptations:

  • Stress and overworking yourself
  • Boredom and isolation
  • Relationship or life struggles
  • Emotional distress
  • Certain people you associate with addiction
  • Certain places you associate with addiction

To help avoid the cravings and the urge to slip back into old habits, get in touch with us. You should also try to practice mindfulness, daily self-care, and support groups.

Learn more about drug and alcohol rehab in Putney and contact us today at 0800 111 4108.

References

[1] https://www.nhs.uk/live-well/addiction-support/addiction-what-is-it/

[2] Center for Substance Abuse Treatment. Managing Chronic Pain in Adults With or in Recovery From Substance Use Disorders. Rockville (MD): Substance Abuse and Mental Health Services Administration (US); 2012. (Treatment Improvement Protocol (TIP) Series, No. 54.) Exhibit 2-6, DSM-IV-TR Criteria for Substance Abuse and Substance Dependence. Available from: https://www.ncbi.nlm.nih.gov/books/NBK92053/table/ch2.t5/

[3] https://www.mdcalc.com/calc/1729/cage-questions-alcohol-use

[4] https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/684823/Alcohol_use_disorders_identification_test__AUDIT_.pdf

[5] https://www.apa.org/pi/about/publications/caregivers/practice-settings/intervention/community-reinforcement

[6] https://www.sgu.edu/blog/medical/inpatient-versus-outpatient/

[7] McCarty D, Braude L, Lyman DR, Dougherty RH, Daniels AS, Ghose SS, Delphin-Rittmon ME. Substance abuse intensive outpatient programs: assessing the evidence. Psychiatr Serv. 2014 Jun 1;65(6):718-26. doi: 10.1176/appi.ps.201300249. PMID: 24445620; PMCID: PMC4152944

[8] Blevins CE, Abrantes AM, Kurth ME, Gordon AL, Stein MD. Alcohol treatment outcomes following discharge from a partial hospital program. J Subst Use. 2017;22(6):643-647. DOI: 10.1080/14659891.2017.1296041. Epub 2017 Mar 28. PMID: 30881219; PMCID: PMC6419972.

[9] Substance Abuse: Inpatient and Outpatient Management for Every Clinician. Alan David Kaye, Nalini Vadivelu, Richard D. Urman. Springer, 1 Dec 2014 – Medical – 658 pages

[10] https://www.nhs.uk/mental-health/talking-therapies-medicine-treatments/talking-therapies-and-counselling/cognitive-behavioural-therapy-cbt/overview/

[11]  https://motivationalinterviewing.org/understanding-motivational-interviewing

[12] Petry NM. Contingency management: what it is and why psychiatrists should want to use it. Psychiatrist. 2011 May;35(5):161-163. DOI: 10.1192/PB.bp.110.031831. PMID: 22558006; PMCID: PMC3083448.

[13] https://www.alcoholics-anonymous.org.uk/about-aa/the-12-steps-of-aa

 

Featured Drug and Alcohol Rehabs in Drug and Alcohol Rehab in Putney

There are various types of rehab centres available in Drug and Alcohol Rehab in Putney, including inpatient alcohol rehab, luxury alcohol rehab, and private drug rehabs.

Inpatient Rehab

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Medical Detox

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Aftercare

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