Rehab 4 Addiction

The neurodiverse population is already disadvantaged when it comes to school, work, and social life. Why should rehab be added to that list?

Traditional rehab environments can be overwhelming for those with neurodiverse conditions, and many facilities don’t understand what they need to do to make all patients feel included and understood.

Fortunately, rehabs for the neurodiverse exist, and we’re here to help you find one. Neurodiversity rehabs UK offer tailored, inclusive treatment, giving all patients the opportunity to stay sober sustainably.

Interested? Call our free helpline on 0800 140 4690 (UK) or +44 345 222 3508 (international).

What Does Neurodiversity Mean?

Neurodiversity is “the idea that people experience and interact with the world around them in many different ways” (1).

Most people are neurotypical. This means their brains work in a “typical” way. As you can imagine, this has led to societal systems favouring the neurotypical brain. It is often easier for neurotypical people to “fit in” at school, work, and in social situations, as their processing and behaviours are well-suited to these systems.

On the other hand, neurodiverse people experience brain differences that can affect their thoughts, communication, energy levels, and various other areas of life.

While 15-20% of the global population is neurodiverse, society frequently fails to account for this, which can lead to neurodiverse individuals feeling misunderstood (2).

Neurodiverse conditions

Every neurodiverse person experiences the world differently, but those who share the same condition find similarities in different areas of life.

Examples of neurodivergent conditions include:

  • ADHD
  • Autism spectrum
  • Sensory processing differences
  • Dyslexia
  • Dyspraxia

Many of these conditions co-occur (3). In other words, if someone is diagnosed with one neurodiverse condition, their chances of having another condition are higher.

Neurodiversity and Addiction: What’s the Link?

1. Higher Risk Factors

When someone is neurodiverse, their risk factors for addiction tend to be much higher.

A common phenomenon in neurodiversity research is known as “masking”. This is when someone with ADHD, autism, or another similar condition, hides or downplays their traits in order to appear neurotypical.

It can look like forcing eye contact, hiding special interests, and overcompensating at work or school to mask problems with organisation or overwhelm.

So, how does masking relate to addiction?

Concealing parts of yourself is not sustainable. It often leaves neurodiverse people feeling extremely drained, resulting in withdrawal from responsibilities or social situations.

Unfortunately, many turn to drugs and alcohol as a way to escape the pressures they have been under. They may also find it easier to blend in when they are under the influence, which makes substances more appealing.

Another high risk factor is trauma. Let’s imagine someone with ADHD, who struggles with impulsivity and poor short-term memory, amongst other things.

This individual is more likely than average to have experienced trauma that may have worsened their symptoms.

On top of this, they are more at risk of dealing with trauma that is directly related to their condition, such as being bullied or isolated due to their ADHD symptoms.

The link between trauma and addiction is extremely strong. Illicit substances can help people to escape from their trauma, and they may not fully understand the consequences of this coping mechanism until their dependency has developed into addiction.

2. Late Diagnosis

Plenty of people live their lives under neurotypical expectations, and only realise they are neurodiverse later in life.

Holding yourself to such a high standard when your brain works differently is a recipe for disaster. Often, it’s the main reason people have turned to drugs and alcohol.

They don’t yet realise they aren’t neurotypical, but they do experience the pressures of adapting to a society that doesn’t acknowledge their needs.

3. Ineffective Early Treatment

Many neurodiverse individuals have had negative experiences with therapists, therapeutic techniques, or support groups that lack understanding of the way their brain works.

As a result, they may face even more challenges after seeking traditional support. To cope with this reality, some end up using drugs and alcohol excessively.

Challenges for Neurodiverse People in Traditional Rehabs

It’s not out of the question that a neurodiverse person could thrive at traditional rehab.

That being said, there are many challenges that could arise, particularly if the rehab does not provide adequate training in neurodiversity. Common challenges may be:

1. Communication barriers

Neurotypical and neurodiverse people often communicate very differently. Intentions get lost in translation, and it can quickly lead to neurodiverse people feeling confused and misunderstood.

2. Sensory overload

Rehab can be a sensory nightmare for the neurodiverse among us. Bright lighting, frequent socialising, and lots of noise are common triggers that leave many feeling overwhelmed.

3. Treatment types

Addiction treatment is naturally geared towards neurotypical people, as they represent the average person. This means some treatment types can be ineffective for neurodivergent people.

For instance, cognitive behavioural therapy (CBT) can lead to difficulties for autistic patients if their therapist is not trained in autism. Tendencies such as literal interpretation can present particular challenges in sessions (4).

What Makes a Rehab Neurodiversity-Friendly?

The good news? Rehabs can get better at understanding neurodiversity, making their neurodiverse patients feel welcomed, accommodated, and most importantly, understood.

There are already many drug and alcohol rehabs that pride themselves on being neurodiversity-friendly, with a focus on:

  • Staff training: First and foremost, staff need to know what neurodiversity is, how it can present, and which styles of addiction treatment align best with each neurodiverse patient. Staff training is the foundation of a successful neurodiversity-friendly rehab. Once it is well-established, systems can be introduced to cater for neurodiverse patients.
  • Flexible therapy models: Accommodating neurodiversity is all about flexibility. One-size-fits-all methods do not work. Flexibility may look like creating smaller group therapy sessions with neurodiverse patients, implementing more one-to-one therapy, or using techniques that are proven to align well with the neurodiverse brain.
  • Trauma-informed care: As we’ve discussed, trauma and neurodiversity can be closely linked. Therapists that are trauma-informed can apply specific techniques that help reduce the symptoms of trauma, and prevent the patient from experiencing trauma during treatment.
  • Sensory-aware settings: Rehabs can be aware of the amount of stimulation they are exposing patients to, and adapt this for their neurodiverse inpatients. Perhaps they can create a quiet room for patients to reflect in, or adjust the lighting in therapy rooms.
  • Family involvement: Those with supportive families may find that family involvement is key for their motivation to complete rehab treatment. Neurodiversity-friendly rehabs may integrate family therapy into their schedule, hold workshops on family dynamics, and allow loved ones to visit neurodiverse patients throughout their time at rehab.
  • Outpatient options: While outpatient rehab is generally less effective than inpatient, for neurodiverse patients, it is sometimes the better option. Having space away from others can help patients decompress on a daily basis, and avoid burning out during their intense treatment.
  • Neurodiverse-friendly aftercare: Aftercare is one of the most important elements of rehab, and even more so when the patient is neurodiverse. Rehabs can be adapting their relapse prevention plans to account for neurodiversity, such as including dyspraxia support groups, giving tips for self-care, and providing ongoing neurodiversity-friendly therapy.

How to Choose the Right Neurodiversity Rehab in the UK

We know it can be tricky to find out just how neurodiverse-friendly a rehab is. So, we’ve created a checklist to help you choose the perfect facility for you:

1. Ask about neurodiversity training

The first step is to check that the rehab trains its staff in neurodiversity, and has experience working with neurodiverse patients.

Always ask about your specific condition(s), as you may need unique support, and it’s crucial that the facility is equipped to provide you with this.

2. Check for personalised treatment plans

Standardised treatment will rarely work for neurodiversity. Make sure the rehab tailors its treatment for each patient, ensuring your specific needs will be addressed.

3. Go on a tour

There’s no better way to get a feel for a rehab centre than to go on a tour. Visiting the facility allows you to imagine yourself in the environment on a day-to-day basis, and consider whether the environment caters to your sensory needs.

4. Review the accessibility

Depending on your experience of neurodiversity, you may need to ensure your inpatient rehab is close to home and/or to your loved ones. Avoid settling on a rehab before taking into account its location.

How Can Rehab 4 Addiction Help?

With Rehab 4 Addiction, you can cut out the middle man. We are already familiar with which adaptations are effective for the neurodiverse population, and which UK rehabs are implementing these.

All it takes is a quick phone call with a wonderful team member, and then we can begin to find the right treatment centre for you. Call us on 0800 140 4690 (UK) or +44 345 222 3508 (international) to ensure your neurodiversity is not left out of the treatment equation.

References

[1] https://www.health.harvard.edu/blog/what-is-neurodiversity-202111232645

[2] https://businessdisabilityforum.org.uk/resource/neurodiversity-toolkit/what-is-neurodiversity/

[3] https://www.bdadyslexia.org.uk/dyslexia/neurodiversity-and-co-occurring-differences

[4] https://www.counselling-directory.org.uk/articles/is-cbt-effective-when-working-with-people-with-autism