NHS Choices: Live well http://www.nhs.uk/LiveWell/RSS Feed for NHS Choices VideosSat, 12 Aug 2024 16:46:55 GMTNHS Choices SharePoint RSS Feed Generator60NHS Choices: Live Wellhttp://www.nhs.uk/LiveWell/What to do if you relapse after quitting http://www.nhs.uk/Livewell/smoking/Pages/relapse.aspx

What to do if you relapse after quitting

Many people who quit smoking relapse at some point. Don’t be put off trying again. The key is to learn from what went wrong, so you’re more likely to succeed next time.

If you're tempted to start smoking again, call the free NHS Smokefree helpline on 0300 123 1014 to get support from a trained adviser

If you're tempted to start smoking again, call the free NHS Smokefree helpline on 0300 123 1044 to get support from a trained adviser.

When you quit smoking, it’s important to be positive and really believe that you’ll be successful.

You shouldn’t expect to start smoking again, A slip-up should not mean that you will return to smoking the way you did before, it’s an opportunity to learn a bit about yourself and what will help you to be more successful in the future.

If you do relapse, don't worry, it can take a few tries to quit smoking for good. It can be helpful to commit yourself to the ‘not a single drag’ rule. Promise to yourself and others that you will not even have a single drag on a cigarette. By sticking to this simple rule you can guarantee that you won’t start smoking again.

Preventing slip-ups

The risk of relapse is highest in the first few weeks after quitting. However, some people can relapse several months, or even years, after stopping smoking

Why is it that some people who have stopped return to smoking?

The main reason is giving in to cravings. These are powerful urges to smoke, often triggered by stress, seeing other people smoking, getting drunk or emotional events such as arguments.

The best way to withstand cravings is a combination of stop smoking medicines and behavioural changes.

It’s also important to stay away from people who smoke. Nearly three quarters of all people who relapse do so because they are with other people who are smoking and this is usually after having asked one of them for a cigarette!

Get practical advice on how to relieve cravings.

Help to prevent relapse

The risk of relapse is highest in the first few weeks after stopping. However, some people can relapse several months, or even years, after stopping smoking.

Avoiding a relapse is best, but if you do give in to temptation, don’t despair – really think about what went wrong and plan how you will deal with a similar situation in the future.

If you’ve had a cigarette or two:

  • Don’t give up you can still avoid a full relapse. Commit to the `not a single drag' rule and get back on with it.
  • Remind yourself why you want to quit. Then take control again.
  • Get support. Call the free NHS Smokefree helpline on 0300 123 1014 to speak to a trained adviser. Lines are open Monday-Friday 9am-8pm and Saturday & Sunday 11am-5pm.
  • Make it hard to smoke. Avoid places where you can easily ask someone for a cigarette. And don’t buy a packet.
  • Stay strong. If you’re tempted to smoke again, force yourself to wait two hours. Then decide if you really need the cigarette.
  • Keep taking any prescribed stop smoking medicine or using nicotine replacement therapy unless you go back to regular smoking. It can help you get back on track.

If you’ve relapsed and are back to regular smoking:

  • Don’t become despondent. Set a new quit date, maybe in a week or so.
  • Learn from your mistakes. What caused you to slip up? Think of ways you could have avoided smoking. Work on your coping skills, so you’re prepared next time you’re in the same situation.
  • Talk to your doctor or local stop smoking service if you need more help to cope with cravings in your next quit attempt. Read how a stop smoking service can help you quit.
  • Stay positive. Making mistakes or slipping up can be a useful experience if you're prepared to learn from it. Remember, you’ll be stronger next time because you’ll know what to look out for.

Common stop smoking questions

Read the answers to common questions about stopping smoking, including:

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NHS ChoicesTue, 06 Mar 2024 09:19:00 GMThttp://www.nhs.uk/Livewell/smoking/Pages/relapse.aspxStop smokingAddiction
Advice for families of drug usershttp://www.nhs.uk/Livewell/drugs/Pages/caring-for-a-drug-user.aspx

Advice for families of drug users

Lots of families in the UK are living with a loved one who is using or trying to come off drugs.

If you're the parent, partner, child or carer of a drug user, you may feel worried, frustrated and alone.

It's important to recognise this and get the help and support you need.

Families often play an important role in helping people to come off drugs. If you get help for yourself, you will be able to support your loved one better.

Support for family and friends of drug users

It can be helpful to talk to other people who know what you're going through.

Your GP can give you details of local support groups for people affected by someone else's drug use.

There are also organisations that run helplines and local support groups for people living with a drug user:

FRANK
The Talk to Frank service provides information about drugs, and advice for drug users, parents and carers. Find support near you.
Helpline number: 0300 123 66 00

Adfam
Adfam has local groups for families affected by drugs and alcohol. Find a support group near you. It also has a range of information for the families of drug users.

DrugFam
DrugFam offers phone and email support to people affected by other people's drug or alcohol misuse. Email office@drugfam.co.uk or phone the helpline on 0300 888 3853.

Families Anonymous
Families Anonymous is based on the same principles as Alcoholics Anonymous. It runs local support groups for family and friends of people with a drug problem.
Helpline number: 0845 1200 660

Release
Release offers free, confidential advice on drugs law for drug users and their families. Email ask@release.org.uk or phone the helpline on 020 7324 2989.

Where to get help for drug addiction

If you want to stop taking drugs, your GP can tell you about the kinds of treatment options and services available. They can also refer you for treatment.

Or you can find your nearest drug addiction support centre yourself.

See more about getting help with drug addiction.

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NHS ChoicesWed, 10 Nov 2024 16:49:00 GMThttp://www.nhs.uk/Livewell/drugs/Pages/caring-for-a-drug-user.aspxDrugs information and addiction supportAddictionAlcohol support
Gambling addictionhttp://www.nhs.uk/Livewell/addiction/Pages/gamblingaddiction.aspx

Gambling addiction

There may be as many as 593,000 problem gamblers in Great Britain. The anticipation and thrill of gambling creates a natural high that can become addictive.

The internet has made gambling more accessible, allowing more and more people to do it from home. This is thought to be one of the reasons for the increase in the number of women gamblers.

Problem gamblers are more likely to suffer from low self-esteem, stress, anxiety and depression.

Gambling addicts are also more likely to go to prison as a result of criminal activity. This is almost entirely theft and fraud. And there's also a link between gambling and alcohol abuse. Many gambling addicts are also addicted to alcohol.

But there's evidence that gambling can be successfully treated in the same way as other addictions. Cognitive behavioural therapy usually has the best results.

Specialised addiction services that mainly focus on substance misuse often treat gambling problems, too. They use the same techniques to treat gambling addictions that they use to treat substance misuse.

Get help if you think you're addicted to gambling

National Problem Gambling Clinic

If you live in England or Wales and are over 16, you can refer yourself to the only specialist NHS clinic for problem gamblers. For more information, visit the clinic's website.

GamCare

The main support organisation in the UK is GamCare, which runs the National Gambling Helpline (0808 8020 133) and provides face-to-face counselling.

Gamblers Anonymous

Gamblers Anonymous uses the same 12-step approach as Alcoholics Anonymous and also has a support group for relatives called Gam-Anon.

If you know someone with a gambling problem

GamCare: supporting a problem gambler

Read stories from people who support a friend or relative with a gambling problem, and share your own experiences.

GamAnon

Get help and support if you're affected by someone else's gambling problem, including how to recognise the signs and where to find your nearest meeting.

Real stories of gambling addiction

GamCare: recovery diaries

Read the stories of people with gambling addictions. You can post messages of support and tell your own story in the GamCare forum.

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NHS ChoicesMon, 10 Nov 2024 15:50:00 GMThttp://www.nhs.uk/Livewell/addiction/Pages/gamblingaddiction.aspxAddiction
Addiction: what is it?http://www.nhs.uk/Livewell/addiction/Pages/addictionwhatisit.aspx

Addiction: what is it?

If you have an addiction, you're not alone. According to the charity Action on Addiction, one in three of us are addicted to something.

Addiction is defined as not having control over doing, taking or using something to the point where it could be harmful to you.

Addiction is most commonly associated with gambling, drugs, alcohol and nicotine, but it's possible to be addicted to just about anything, including:

  • work – workaholics are obsessed with their work to the extent that they suffer physical exhaustion. If your relationship, family and social life are suffering and you never take holidays, you may be a work addict.
  • internet – as computer and mobile phone use has increased, so too have computer and internet addictions. People may spend hours each day and night surfing the internet or gaming while neglecting other aspects of their lives.
  • solvents – volatile substance abuse is when you inhale substances such as glue, aerosols, petrol or lighter fuel to give you a feeling of intoxication. Solvent abuse can be fatal.
  • shopping – shopping becomes an addiction when you buy things you don't need or want to achieve a buzz. This is quickly followed by feelings of guilt, shame or despair.

What causes addictions?

There are lots of reasons why addictions begin. In the case of drugs, alcohol and nicotine, these substances affect the way you feel, both physically and mentally. These feelings can be enjoyable and create a powerful urge to use the substances again.

Gambling may result in a similar mental "high" after a win, followed by a strong urge to try again and recreate that feeling. This can develop into a habit that becomes very hard to stop.

Being addicted to something means that not having it causes withdrawal symptoms, or a "come down". Because this can be unpleasant, it's easier to carry on having or doing what you crave, and so the cycle continues.

Often, an addiction gets out of control because you need more and more to satisfy a craving and achieve the "high".

How addictions can affect you

The strain of managing an addiction can seriously damage your work life and relationships. In the case of substance abuse (for example, drugs and alcohol), an addiction can have serious psychological and physical effects.

Some studies suggest addiction is genetic, but environmental factors, such as being around other people with addictions, are also thought to increase the risk.

An addiction can be a way of blocking out difficult issues. Unemployment and poverty can trigger addiction, along with stress and emotional or professional pressure.

Getting help for addictions

Addiction is a treatable condition. Whatever the addiction, there are lots of ways you can seek help. You could see your GP for advice or contact an organisation that specialises in helping people with addictions.

Our online directories can also help you find addiction treatment services in your area:

To speak to someone anonymously about any kind of addiction, you can also call the Samaritans on 08457 90 90 90.

To find out more about the treatment, support and advice available for people dealing with addiction, read the Treating addiction Q&A.

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NHS ChoicesWed, 29 Oct 2024 11:41:00 GMThttp://www.nhs.uk/Livewell/addiction/Pages/addictionwhatisit.aspxAddictionAlcohol supportDrugs information and addiction support
Alcohol supporthttp://www.nhs.uk/Livewell/alcohol/Pages/Alcoholsupport.aspx

Alcohol support

Realising you have a problem with alcohol is the first big step to getting help.

You may need help if:

  • you often feel the need to have a drink
  • you get into trouble because of your drinking
  • other people warn you about how much you're drinking
  • you think your drinking is causing you problems

A good place to start is with your GP. Try to be accurate and honest about how much you drink and any problems it may be causing you.

If you've become dependent on alcohol, you will have found it difficult to fully control your drinking in some way.

So you will probably need some help either to cut down and control your drinking or to stop completely, and also some plans to maintain the improvement after that.

Your GP may suggest different types of assessment and support options available to you such as from the local community alcohol services.

You can also ask about any free local support groups and other alcohol counselling that may suit you.

To find support for alcohol problems and dependence in your area use the Find services directory.

If you've become physically dependent and need to stop drinking completely, stopping overnight could be harmful.

You should get advice about this and about any medication you may need to do this safely.

The sorts of withdrawal symptoms that suggest you may need medication include:

  • anxiety after waking
  • sweating and tremors
  • nausea or retching in the morning
  • vomiting
  • hallucinations
  • seizures or fits

Staying healthy and in control

Cutting down or stopping drinking is usually just the beginning, and most people will need some degree of help or some long term plan to stay in control or to stay completely alcohol-free.

Getting the right support can be crucial to maintaining control in the future. Only relying on family, friends or carers for this is often not enough.

Ask your GP or your alcohol service about what longer term support is available in your area. Self-help or mutual aid groups (groups such as AA or SMART Recovery groups) are accessible in most areas.

Useful contacts for alcohol problems:

  • Drinkline is the national alcohol helpline. If you're worried about your own or someone else's drinking, you can call this free helpline, in complete confidence. Call 0300 123 1110 (weekdays 9am – 8pm, weekends 11am – 4pm).
  • Alcoholics Anonymous (AA) is a free self-help group. Its "12-step" programme involves getting sober with the help of regular support groups.
  • Al-Anon Family Groups offer support and understanding to the families and friends of problem drinkers, whether they're still drinking or not. Alateen is part of Al-Anon and can be attended by 12- to 17-year-olds who are affected by another person's drinking, usually a parent.
  • Addaction is a UK-wide treatment agency that helps individuals, families and communities to manage the effects of drug and alcohol misuse.
  • Adfam is a national charity working with families affected by drugs and alcohol. Adfam operates an online message board and database of local support groups.
  • The National Association for Children of Alcoholics (Nacoa) provides a free, confidential telephone and email helpline for children of alcohol-dependent parents and others concerned with their welfare. Call 0800 358 3456 for the Nacoa helpline.
  • SMART Recovery groups help participants decide whether they have a problem, build up their motivation to change and offer a set of proven tools and techniques to support recovery.

Caring for an alcoholic? Find out where you can get support.

Alcohol detoxification

Most people receive their support to stop drinking and their recovery support in the community.

If you need medication to help you stop drinking, it can often be taken at home or when attending a local service daily.

However, some people will need a short stay in a 24-hour medically-supported unit so they can receive safe treatment of their withdrawal symptoms or other problems.

This may be in an NHS inpatient unit, or in a medically-supported residential service, depending on your situation and the assessed medical need.

Intensive rehabilitation

Some people are assessed as needing intensive rehabilitation and recovery support for a period after they stop drinking completely; either through attending a programme of intensive support in their local community or by attending a residential rehabilitation service.

This type of intensive treatment is usually reserved for people with medium or high levels of alcohol dependence, and particularly those who have received other forms of help previously that have not been successful.

Local authorities are responsible for alcohol treatment services. The intensive residential rehabilitation packages may require an additional assessment process to determine access to the funding for this.

It's also possible to pay for residential rehabilitation privately and medical insurance companies may fund this for a certain period.

Get more information about treatments for alcohol dependency in Health A-Z.

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NHS ChoicesThu, 03 Jan 2025 14:40:00 GMThttp://www.nhs.uk/Livewell/alcohol/Pages/Alcoholsupport.aspxAlcohol supportMen's health 40-60Men's health 18-39Men's health 60-plusWomen's health 40-60Addiction
Drugs and the brainhttp://www.nhs.uk/Livewell/drugs/Pages/Dodrugsdamagebrain.aspx

Drugs and the brain

Acid and magic mushrooms

Anabolic steroids

Cannabis

Cocaine

Ecstasy

Heroin

Ketamine

Solvents

Speed and crystal meth

Tranquillisers

Acid (LSD) and magic mushrooms (shrooms)

Short term: Acid and magic mushrooms are hallucinogenics, making people see, hear and experience the world in a different, "trippy" way. Colours may become intensified and sounds distorted.

Users may also become panicky and suffer from paranoia.

The effects of acid can last 12 hours or more which, if it's a bad trip, can be very frightening.

Long term: Some people who use LSD and magic mushrooms can experience flashbacks. Both can make existing mental health problems worse.

Anabolic steroids (roids)

Short term: Anabolic steroids pump up muscle mass but can also make you feel paranoid, irritable, aggressive or even violent (what's known as "roid rage").

Long term: People can become psychologically dependent on anabolic steroids, and convinced they cannot perform well without them.

Cannabis (marijuana, weed, dope, skunk)

Short term: People smoke cannabis to relax and get high, but it can make it difficult to remember things. It can also cause anxiety attacks or feelings of paranoia.

Long term: Cannabis may trigger long-term mental health problems, including psychosis.

Cannabis users who have a family history of mental health problems and who start using it in their teens are particularly at risk.

About 10% of regular cannabis users become addicted to it.

See Cannabis: the facts.

Cocaine and crack cocaine

Short term: Cocaine comes in three forms:

  • powder
  • freebase (where the powder is prepared for smoking)
  • crack ("rocks" of cocaine that are smoked)

Cocaine is a stimulant that makes you feel high, confident and full of energy. But this can turn into feelings of anxiety, panic and paranoia.

Regular cocaine users can end up feeling exhausted and depressed.

Long term: Cocaine is addictive. Giving it up can be mentally distressing and physically difficult.

Long-term use can make existing mental health problems worse and lead to depression, anxiety and paranoia.

See Cocaine: get help.

Ecstasy (E)

Short term: Ecstasy is a stimulant with hallucinogenic effects that makes you feel relaxed, high, "loved-up" and ready to dance all night.

But people who are already feeling anxious or who take high doses can experience paranoia or panic attacks.

Long term: Regular use may lead to lack of energy, memory loss, anxiety and depression.

Heroin (smack, diamorphine)

Short term: Heroin and other opiates slow down the body and stop both physical and emotional pain.

People find they need to take more and more heroin to get the same effect, or even feel "normal". Taking a lot can lead to coma or even death.

Long term: Heroin is psychologically and physically highly addictive. Withdrawal from heroin is unpleasant, and coming off and staying off it can be very difficult.

Long-term heroin users may be depressed because of their overall lifestyle.

See Heroin: get help.

Ketamine (K)

Short term: Ketamine is an anaesthetic that makes people feel relaxed and high, but its effects are unpredictable.

You may not be aware of what you are doing after taking it so you risk, for example, having an accident.

Long term: The longer term effects may include flashbacks, losing your memory and not being able to concentrate.

Regular use can cause depression and, occasionally, psychotic symptoms such as hallucinations.

Ketamine can also make existing mental health problems worse.

Solvents (gases, glues and aerosols)

Short term: Solvents make you feel high and disorientated. They can cause aggression, mood swings and hallucinations.

Long term: Heavy use of solvents can damage your brain, particularly the bit that controls your movements.

Speed and crystal meth (amphetamine and methamphetamine)

Short term: Speed can make you feel energetic and confident but it can also cause anxiety, paranoia and aggression.

The "comedown" can make you feel lethargic and down, and you may have problems with concentrating and learning.

The effects of crystal meth are similar to speed but more exaggerated and longer-lasting. The comedown can be worse too.

Long term: Heavy use of speed can lead to anxiety, depression, irritability, aggression and paranoia. It can also cause psychotic symptoms, such as hallucinations.

Regular use of crystal meth can lead to brain damage, but this can be reversed if you don't use the drug for a long time.

Tranquillisers (benzodiazepines)

Short term: Tranquillisers, such as diazepam, are sedative drugs. They are used to treat anxiety and aid sleep.

Big doses of tranquillisers can affect your memory and make you drowsy.

Long term: Your body quickly gets used to benzodiazepines and soon needs more to get the same effect. You can get addicted in just a few weeks. Withdrawal can be difficult and make you feel panicky, anxious and depressed.

Sudden withdrawal from high doses can be very dangerous and cause seizures (fits).

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NHS ChoicesMon, 17 Dec 2024 17:32:00 GMThttp://www.nhs.uk/Livewell/drugs/Pages/Dodrugsdamagebrain.aspxDrugs information and addiction supportAddiction
How to talk to your child about drugshttp://www.nhs.uk/Livewell/drugs/Pages/Drugsandyourkids.aspx

How to talk to your child about drugs

It can be difficult to talk about drugs with your kids. Use these tips to help you talk openly with your child.

1. Don't panic

If you find out that your child has tried drugs, your first reaction may be anger or panic.

Wait until you're calm before discussing it with them, and show them love and concern rather than anger.

2. Do your homework about drugs

Make sure you know enough about drugs to talk to your child in an informed way.

The national drugs website FRANK is a reliable source of drugs information.

3. Pick a good time

Don't try to talk to your child about drugs before they rush off to school, for example. Or, if they're using drugs, don’t confront them when they're high.

It may help to do it when the subject comes up during TV programmes or in the news.

Mealtimes can also be a good time for chatting.

It's often easier to have a conversation side-by-side, such as when you're driving in the car, washing up together or preparing food.

4. Let them know your values

It's important for your children to know where you stand on drug taking.

Be clear about your opinions on drugs and let them know your boundaries. For example, you may say that you don't want any drugs in the house.

5. Avoid scare tactics

Teenage children often know more about drugs than you do, so there's no point in saying, "Smoking cannabis will kill you". Pointing out that cannabis can cause mental health problems, especially if you start smoking it in your teens, may be more of a deterrent.

6. Know your child's friends

Get to know your child's friends. Invite them to the house and take an interest in what’s going on in their lives.

If you have good reason to think your child's friends are involved in drugs, you may need to support your child to find new friends.

7. Let them know you're always there for them

If your child knows you're there for them whatever, they're more likely to be honest with you. They won't just tell you what they think you want to hear.

8. Listen as well as talk

Don't preach or make assumptions about what your child does. Let them tell you about their experiences, and try to listen without judging.

9. Don't give up

Don't be put off talking if they argue, get embarrassed or storm off. Parents' opinions matter to their children. Go back to the subject when they’re calmer.

10. Let them be responsible for their actions

You're trying to help your child make good choices in life about drugs. But only they can say no to drugs.

Make sure they know you support them, but it's up to them to make positive decisions.

11. Be realistic

Lots of teenagers experiment with drugs. But only a small proportion of those who experiment will develop a drug problem.

Help for your child

If your child is using drugs and you are worried, see Drugs: where to get help.

Support for yourself

If your child has drug problems, you need support too.

See Advice for families of drug users.

Drugs help and information

Call the FRANK helpline on 0300 123 6600 for more information about drugs and the different options available for help and support. The confidential helpline is open every day, 24 hours a day.

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NHS ChoicesTue, 11 Dec 2024 19:24:00 GMThttp://www.nhs.uk/Livewell/drugs/Pages/Drugsandyourkids.aspxDrugs information and addiction supportAddiction
Drug addiction: getting helphttp://www.nhs.uk/Livewell/drugs/Pages/Drugtreatment.aspx

Drug addiction: getting help

If you need treatment for drug addiction, you're entitled to NHS care in the same way as anyone else who has a health problem.

With the right help and support, it's possible for you to get drug free and stay that way.

Where to get help for drugs

Your GP is a good place to start. They can discuss your problems with you and get you into treatment.

They may offer you treatment at the practice or refer you to your local drug service.

If you're not comfortable talking to your GP, you can approach your local drug treatment service yourself.

Visit the Frank website to find local drug treatment services.

If you're having trouble finding the right sort of help, call the Frank drugs helpline on 0300 123 6600. They can talk you through all your options.

Charity and private drugs treatment

As well as the NHS, there are charities and private drug and alcohol treatment organisations that can help you.

Visit the Adfam website to see a list of useful organisations.

Private drug treatment can be very expensive but sometimes people get referrals through their local NHS.

Your first appointment

At your first appointment for drug treatment, staff will ask you about your drug use. They will also ask about your work, family and housing situation.

You may be asked to provide a sample of urine or saliva.

Staff will talk you through all of your treatment options and agree a treatment plan with you. They can tell you about local support groups for drug users and their families or carers.

You'll also be given a keyworker who will support you throughout your treatment.

What drug treatment involves

This depends on your personal circumstances and also what you're addicted to. Your keyworker will work with you to plan the right treatment for you.

Your treatment may include:

  • Talking therapies – talking therapies, such as cognitive behavioural therapy (CBT), help you to see how your thoughts and feelings affect your behaviour.
  • Treatment with medicines – if you are dependent on heroin or another opioid drug, you may be offered a substitute drug, such as methadone. This means you can get on with your treatment without having to worry about withdrawing or buying street drugs.
  • Detoxification (detox) – this is for people who want to stop taking opioid drugs like heroin completely. It helps you to cope with the withdrawal symptoms.
  • Self-help – some people find support groups like Narcotics Anonymous helpful. Your keyworker can tell you where your nearest group is.
  • Reducing harm – your drugs workers will help you reduce the risks associated with your drug-taking. You may be offered testing and treatment for hepatitis or HIV, for example.

Where will you have your treatment?

You may have your treatment while living at home or as a hospital inpatient.

If your drug-related problems are severe or complicated you may be referred to a residential rehab.

For more information about residential rehab, or to find a rehab near you, visit rehabonline.

For more information about treatment for specific drugs, read:

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NHS ChoicesTue, 11 Dec 2024 19:24:00 GMThttp://www.nhs.uk/Livewell/drugs/Pages/Drugtreatment.aspxDrugs information and addiction supportAddiction
Heroin addiction: get helphttp://www.nhs.uk/Livewell/drugs/Pages/Herointreatment.aspx

Heroin addiction: get help

If you're addicted to heroin and you want to stop, you can ask your GP or local drug treatment service for help.

As someone with a drug addiction you are entitled to the same confidential NHS care as anyone else who has a health problem.

If you're not ready to stop, you can still get help with staying safe and healthy.

How to get treatment for heroin

Heroin is an opiate drug. Other opiate drugs include codeine, opium and morphine.

If you need treatment for addiction to heroin or another opiate drug you can either see your GP or contact your local drug treatment service.

At your first appointment your doctor or drugs worker will ask you lots of questions including:

  • how much heroin you take
  • whether you are using any other drugs or alcohol
  • how your physical and mental health is
  • what your personal circumstances are, for example, where you live and who you are living with
  • whether you have had treatment for drugs before

They will also ask you for a urine sample. This will be tested to confirm that you are using heroin.

You'll be given a key worker who will help you put together a personalised treatment plan. You'll meet your key worker regularly throughout your treatment.

Maintenance or detoxification (detox)?

Your key worker will help you decide between two different approaches to stopping heroin: maintenance therapy or detox.

  • Maintenance therapy – this allows you to switch from heroin to a heroin substitute, such as methadone or buprenorphine. You then stay on a stable dose of the substitute.
  • Detox – this allows you to switch from heroin to a heroin substitute then gradually withdraw from the substitute so that you are completely free from both.

Both treatments aim to help you withdraw from heroin gradually and ease withdrawal symptoms.

You'll usually stay living at home while you switch to maintenance therapy or go through detox.

Detoxing from heroin while you are living at home can take up to 12 weeks.

You can switch from maintenance therapy to detox at any time.

Your daily dose of methadone or buprenorphine will be supervised by a drugs worker or pharmacist for up to three months.

If you're also addicted to alcohol or other drugs, such as benzodiazapines, you'll be offered support with stopping these as well.

Overdose risk after detox

Detox lowers your tolerance to heroin. Your risk of overdosing is higher if you take heroin after detoxing.

Inpatient detox and rehab

You'll normally only be offered detox as a hospital inpatient or in residential rehab if:

  • you need medical help for other physical or mental health problems
  • you need to detox from alcohol or another drug, such as benzodiazapines, as well as heroin
  • community detox hasn't worked for you before

Visit rehabonline for more info about rehab.

Other support for opiate addiction

You'll be offered other help and support while you come off heroin. This may include:

  • Talking therapies – you may be offered a talking therapy like cognitive behavioural therapy if you need help with anxiety or depression while you're detoxing.
  • Support groups – your key worker will give you details of local self-help groups, such as Narcotics Anonymous or SMART Recovery.
  • Support for family and carers – your key worker can organise support for people close to you who are affected by your addiction (see Advice for families of drug users).
  • Help to stay healthy – this could be anything from advice on healthy eating to tests for infections such as HIV.
  • Incentives – you may be offered rewards, such as vouchers or doses of methadone to take at home, for sticking with your treatment and staying off heroin.

What happens after detox?

After detox your key worker and drugs team will carry on supporting you for up to six months to help you stay off heroin.

This support may include help with issues such as housing or getting back into work or education.

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NHS ChoicesTue, 11 Dec 2024 19:24:00 GMThttp://www.nhs.uk/Livewell/drugs/Pages/Herointreatment.aspxDrugs information and addiction supportAddiction
Cocaine addiction: get helphttp://www.nhs.uk/Livewell/drugs/Pages/drugs-recovery.aspx

Cocaine addiction: get help

If cocaine is damaging your relationships, work, money situation or health you can get help to stop on the NHS.

You don't have to be taking cocaine, or crack cocaine, every day to be addicted to it. One sign of addiction is that you have tried to cut down or stop but can't.

There are effective treatments available to help you stop.

Treatment for cocaine: where to start

You can go and see your GP, who can refer you for treatment.

Or, if you prefer, you can refer yourself directly to your local drug treatment service.

At your first appointment you will be asked lots of questions about your health and drug use. This is so a tailored treatment plan can be put together for you.

You'll be given a key worker who will support you throughout your treatment plan.

Which treatments work for cocaine addiction?

Treatments that are known to be effective for cocaine addiction include:

  • Talking therapies – therapies like cognitive behavioural therapy (CBT) help you to understand your addiction and to change your thoughts and behaviour. This will either be as part of a group or one to one with a specialist drugs counsellor or therapist.
  • Couples therapy – you may be offered this if you have a partner who does not use cocaine
  • Incentives – you may be offered rewards, such as vouchers, for sticking with your treatment and for staying off cocaine when it finishes.

Unlike treatment for heroin, there are no medicines that work as substitutes for powder cocaine, crack cocaine and other stimulants.

However, you may be offered medication to help with related symptoms, such as sleep problems.

If you're addicted to alcohol as well as cocaine, you may be prescribed Antabuse (disulfiram).

Other help for cocaine addiction

Some people find mutual support groups, such as Narcotics Anonymous and Cocaine Anonymous, helpful. These are based on the same 12-step principles as Alcoholics Anonymous.

SMART Recovery is an alternative science-based programme that helps people recover from addictions.

Some cocaine users also have problems with alcohol or cannabis.

If you're also addicted to these or any other substances, you should be offered specialised help with this too.

Where will I have my treatment?

You will normally stay living at home while being treated for cocaine addiction.

Residential rehab is usually only recommended if your situation is particularly severe or complicated.

Does treatment for cocaine addiction work?

Most people who undergo treatment for cocaine dependency have good results.

In one study 61% of people having treatment for a powder cocaine addiction had stopped using within six months.

Drug treatment services

Find local drug treatment services on the FRANK website

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NHS ChoicesTue, 11 Dec 2024 19:24:00 GMThttp://www.nhs.uk/Livewell/drugs/Pages/drugs-recovery.aspxDrugs information and addiction supportAddiction