Rehab 4 Addiction

According to Islington council statistics, the estimated number of opiate users in Islington is 1,873.

The estimated number of cocaine users is 1,530 and for alcohol it is 3,601.

Many of those with substance dependency do not receive treatment.

For those suffering from substance dependency, it is recommended that they seek treatment.

This article will discuss the drug and alcohol rehab options in Islington.

It will explain what services are available and what to expect when entering rehab.

How Do I Know If I Am Addicted?

One of the first questions that many people ask before entering treatment is: how do I know if I am addicted?

This is a fair question, as it is not always obvious for those that have either just begun using a substance or are unfamiliar with the signs of dependency.

There are, however, many signs that can be a useful indicator that someone has a substance dependency.

Most substances, whether drugs or alcohol, have a physical and psychological impact on people.

When a substance is consumed over a long period, the brain and body will become accustomed to its presence, begin to crave it, and need the substance to function properly.

Alcohol dependency, for example, leads to many physical and psychological symptoms, such as:

  • Headaches
  • Gastrointestinal issues (vomiting, diarrhoea, bloating)
  • Fatigue
  • Memory loss

For heroin, this might include:

  • Anxiety
  • Palpitations
  • Nausea
  • Vomiting
  • Continuous drowsiness

For cocaine, symptoms might include:

  • Paranoia
  • Anxiety
  • Restlessness
  • Headaches

These are just a few examples – there are often many more physical and psychological indicators of addiction.

Withdrawal

Two people hugging

One of the most prominent signs of dependency is withdrawal.

Without the substance, the body will begin to try to expel the substance from the body.

This can lead to some unpleasant symptoms.

Some universal symptoms of withdrawal include:

  • Nausea
  • Vomiting
  • Depression
  • Anxiety
  • Increased stress

Substance dependency also tends to manifest itself in:

  • A loss of control
  • Risk-taking and poor decision making
  • Prioritisation of the substance above other aspects of life
  • Neglecting responsibilities
  • Loss of interest in other activities
  • Continuing to consume the substance regardless of the negative impacts it has – whether psychically, psychologically, economically or socially.

Some other indicators might include:

  • Hiding or lying about the use of a substance
  • Consuming the substance continually throughout the day
  • Others commenting about your substance use
  • Becoming annoyed or irritated when someone asks about or criticises your substance use

CAGE

Group

To help assess if someone has developed a substance dependency, medical professionals developed the CAGE (Cutting Down, Annoyance by Criticism, Guilty Feeling, Eye-openers) questionnaire.

Like other addiction questionnaires, the CAGE questionnaire uses four questions to determine whether someone has a dependency.

Research has found that the CAGE questionnaire has a 93% success rate.

For alcohol dependency, the questions are as follows:

  1. Have you ever felt you should cut down on your drinking?
  2. Have people annoyed you by criticizing your drinking?
  3. Have you ever felt bad or guilty about your drinking?
  4. Have you ever had an eye-opening moment around your alcohol use, such as needing a drink first thing in the morning?

Drinking coffee

Although the CAGE questionnaire was developed for alcohol dependency, it has been adapted for those that suffer from drug dependency:

  1. Have people annoyed you by criticising your drug use?
  2. Have you felt bad or guilty about your drug use?
  3. Have you ever used drugs first thing in the morning to steady your nerves or to get rid of a hangover (eye-opener)?

Pre-Rehab Steps: Intervention

Entering rehab can be a daunting prospect for those suffering from substance dependency.

This could be for several reasons, such as fear of acceptance, social rejection or the difficulty of the treatment process.

Alternatively, many individuals might not believe themselves to need professional help.

For the loved ones of those that have a dependency, this can lead to a lot of concern and frustration.

A common solution to these issues is for loved ones to organise an intervention.

Therapy room

An intervention, as the name suggests, refers to the process of concerned others attempting to prevent and alter someone’s substance use.

This can take on many forms but is most commonly a gathering where the loved ones express their concerns and attempt to convince the person with the dependency to seek professional help.

Unfortunately, interventions can lead to a negative confrontation, and it is recommended to seek the help of a professional.

A medical professional will be able to assist in the process, give useful information, help strategise and organise the intervention, and provide useful tips for positive communication.

Most medical professionals that specialise in intervention suggest that there are several important factors to consider.

For example, the primary goal of an intervention is persuasion.

For this to be successful, concerned others must approach the subject carefully, and with compassion and understanding.

In addition, the outcome of the intervention should lead to accountability.

Individuals with substance dependency must recognise that they need help.

Many methods have been developed to help with this process.

CRAFT

One such method is Community Reinforcement and Family Training (CRAFT).

The CRAFT method was developed to help guide concerned others to interact with those that have a substance dependency.

It has several aims, and guides concerned others to:

  1. Better understand what causes addiction, such as emotional or social triggers.
  2. Help break habits that lead to substance consumption
  3. Develop positive communication tools
  4. Guide their loved one into treatment or whatever help is necessary.

This intervention method will take place over several months, where a professional will organise meetings to assess the needs of the family and the individual with substance dependency.

Public VS Private Rehab In Islington

rehab - outside photo of exterior building

For those based in Islington and struggling with substance dependency, the Islington council have set up an organization called Better Lives.

Better Lives offers support with substance dependency for those over the age of 18.

This includes:

Health and wellness massage for sports and fitness

In addition to Better Lives and local services in Islington, treatment is available through the NHS.

To access treatment through the NHS, individuals must first speak with their General Practitioner.

The GP will be able to recommend suitable treatment and make a referral if needed.

It should be noted that referrals for residential treatment are rare and are only offered to those with severe addiction.

Instead, it is most likely that the GP will recommend local services, such as Better Lives, a key worker, or an outpatient treatment program.

If these options are not successful, then the GP or a key worker will make a referral for residential treatment via the Islington council.

This requires the approval of a funding application by the council.

The wait time for residential treatment usually takes between 6 months and a year.

In some cases, this could be longer deadening upon availability and demand.

Diverse people in a supporting group session

Alternatively, there is the option to enter a private facility.

Private treatment is expensive, however, often costing upwards of £10,000 per month.

On average, UK residential rehabs costs between £400-500 per day.

In some cases, however, employee or health insurance will cover the cost of rehab.

To find out if insurance will cover the cost of treatment, individuals are recommended to speak with their insurance provider or employer.

Some insurance policies will cover all expenses, but this is not the norm.

How Long Does Rehab Last In Islington?

Female therapist with male

On average, rehab can last between several weeks to several months.

Treatment for more severe cases can last much longer.

For example, those that have been using a substance for a long time might require more treatment.

The reason for this is that the withdrawal process might take more time and the individual might also need more therapy and counselling before leaving the facility.

Inpatient VS Outpatient Treatment

Rehab-house

When seeking treatment for substance dependency, there are commonly two options: inpatient and outpatient treatment.

Both share the same goals: to offer detox and post-detox support to help individuals overcome substance dependency.

However, inpatient and outpatient treatment differ in their approach and have various individual benefits.

Inpatient Treatment

Industrial bedroom with dark wooden floors

Inpatient treatment is residential – this means that individuals will stay at a facility overnight for a period.

Inpatient treatment tends to be more intensive and aimed at those with severe addiction.

Inpatient treatment is typically very structured. Patients will undergo a 24/7 supervised detox followed by intensive therapy and counselling.

Inpatient treatment usually lasts between 28 days to 6 months.

Outpatient Treatment

Group therapy - teens - black and white

Outpatient treatment, on the other hand, is not residential.

Individuals receiving outpatient treatment will continue to live at their own residence and will attend treatment centres – usually between 10 to 12 hours per week.

Outpatient is often better suited to individuals that have other engagements or for those that have a less severe dependency.

Individuals will undergo a variety of different sessions during their treatments.

These include drug and alcohol dependency education, various therapies and counselling courses, and developing coping tools for preventing relapse.

Outpatient treatment can last for several months. However, in some cases, it can last for over a year.

Entering Rehab

Rehab-house

The initial steps for entering rehab are the same, regardless of the substance.

The first step is, of course, to contact the facility. After doing so, individuals will undergo a pre-admission assessment.

The pre-admission assessment involves discussing the nature of the addiction, such as which substance is the cause of the dependency, the duration the individual has been taking the substance, and whether residential treatment is the best option.

This assessment period helps determine the severity of the dependency.

People in circle holding hands

Some questions that might be asked are:

  • How has the substance affected your everyday life?
  • How has your substance use affected your loved ones?
  • How often do you take the substance?
  • How do you feel after taking the substance?

Upon entering rehab, individuals will then undergo a medical assessment – both psychical and psychological.

This will help determine the severity of the addiction and to check for dual-diagnosis.

Dual-Diagnosis

Group holding leafs

Dual-diagnosis refers to the interaction between addiction and mental health.

For example, addiction can lead to mental health problems such as depression, bipolar disorder and anxiety.

However, it is also common for people suffering from mental issues to use drugs as coping mechanisms, developing an addiction.

Diagnosing any mental health conditions will allow for a more thorough treatment, helping to ensure long-term recovery.

Detox

After the medical assessment, individuals will go through detox: the process of expelling the substance from the body.

During the detox process, individuals will most likely experience withdrawal symptoms.

These symptoms can vary depending upon the substance and the severity of the dependency.

Cannabis, for example, has a less severe detox process. Symptoms tend to be mild: headaches, irritation, stress and restlessness are all common.

Although cannabis remains in an individual’s system for several months, withdrawal symptoms tend to subside after a few days.

Couple meeting a therapist

Cocaine withdrawal, however, can be more serious with severe symptoms including seizures and breathing issues.

For individuals suffering from severe cocaine addiction, a medical professional will likely prescribe medication such as Buprenorphine.

Mild cocaine withdrawal symptoms include anxiety and restlessness. These symptoms should end between 5 to 7 days.

Heroin also has a serious withdrawal process and can lead to severe withdrawal symptoms, including hypertension – high blood pressure in the arteries – dehydration and breathing problems.

Medications to help with such symptoms include buprenorphine and naltrexone.

Some mild symptoms are vomiting, nausea, anxiety and sleeplessness.

Heroin withdrawal symptoms should begin to reduce after several days.

Therapies And Counselling

Diverse people in a support group

Throughout the detox process and after, individuals will receive various therapies and counselling.

This is often based on the individual’s needs but might include:

Relapse Prevention And Aftercare

The final part of rehab is relapse prevention and aftercare.

The former focuses on helping the individual develop the necessary tools to maintain sobriety and to address potential triggers when leaving rehab.

Aftercare is a post-rehab continuation of therapy and support, such as attending local drug and alcohol services or attending group support.

Alcoholics Anonymous and Narcotics Anonymous are both popular choices of support groups.

Click here for more information about AA and NA in the Islington area.

Rehab For Alcoholism In Islington

head to head

The initial stages of rehab, as described above, are the same for alcohol rehab.

Individuals will undergo a pre-assessment, followed by a medical assessment, and then undergo detox.

For those with alcohol dependency, Alcohol Withdrawal Syndrome (AWS) occurs between 5-10 hours after the last consumption of alcohol.

AWS refers to a wide and varied range of symptoms from mild to severe, such as:

These will begin to subside after several days.

Two people hugging

However, certain symptoms can last much longer – in some cases, up to several weeks.

When going through alcohol detox, medication such as benzodiazepines will be prescribed to those that need them.

A common example of a benzodiazepine used for AWS is Librium.

Symptoms that Librium addresses include anxiety, stress and restlessness.

However, there are some negative side-effects of Librium, such as:

  • Dizziness
  • Stomach issues, such as constipation
  • Skin rashes
  • Headaches
  • Tiredness
  • Drowsiness

Contacting Rehab 4 Addiction

Walking outside

For more information on rehab facilities and treatment in Islington, contact Rehab 4 Addiction on 0800 140 4690.

Rehab 4 Addiction offers a free assessment and will advise you on the best rehab options available to you.

So long as you are dedicated to recovery, there is no addiction that cannot be overcome.

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