Service

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Substance Misuse
Substance misuse is the regular use of alcohol or drugs which may be causing an individual issues in their life that may affect their job, personal life, or even their safety.
1. Conversation starters
This information will enable you to make a brief intervention - ASK, ASSIST and ACT:

Is it okay to talk about your habits with alcohol or drugs?

How are you feeling today?

Use open questions that don’t have a yes or no answer.

I've noticed some changes in your behaviour recently, is there anything you would like to talk about?

Explain your concerns. Try to open up a discussion by explaining a bit more about the things that have given you cause for concern. Be specific and give examples.

Would you like me to provide you with some local support option to help?

2. Search Substance Misuse local services

Other useful regional services:

Further information & links
This section contains useful advice and links which will automatically be sent to users along with the link to the local service you have recommended.

A 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 a GP, you can approach your local drug treatment service yourself.

How to prevent a relapse

Distract Yourself:

Most cravings disappear in 30 minutes. Have a list of go-tos when you feel the urge to relapse. This can mean doing something fun, calling a friend or attending a meeting. There are recognised distraction techniques that can be learnt, such as counting the number of birds in the sky.

Or try counting the number of flagstones on the pavement. Some people make a phone call when they get a craving – any random number will do – the act of dialling and apologising for getting the “wrong number” will distract from the craving.

Share Your Thoughts:

If you’re thinking about relapsing – tell someone. People who are supporting you in your recovery may not realise that you’re struggling. They can only help you if they know you have a problem. In addition, sharing will help you feel less isolated and may prevent your relapse.

Consider the Consequences:

If you are seriously considering relapse as a possibility, take a moment to consider what will happen if you do, step by step. What will be the implications? Who will be affected? How will relapse hurt you? After all, that, ask yourself – is relapse worth it?

Relax and Unwind:

Stress and anxiety are the top triggers of relapse, so find a way to relax when things get tough. Come up with a list of things you enjoy that you can refer to when you get overwhelmed. Learn some relaxation techniques such as breathing exercises.

Recognise Early Warning Signs to Prevent Relapse

The warning signs of relapse can differ, depending on whether the person is in the emotional, mental or physical stage or relapses. Early on, the warning signs may not be easy to spot, but this is when it is most crucial to notice them. If you have already experienced relapse before, learning how to recognise these signs can really help you to avoid them in the future. Then you won’t have to ask yourself again, “Why do I keep relapsing?”

Spotting the signs of problematic drug use

Some of the warning signs to look out for include:

  • drug seeking behaviour. This might be someone asking for an increase in their medication dosage without a good reason, or reporting pain that you can’t find any evidence of.
  • asking for additional medications when there’s no medical need. If someone asks for a specific strong medication, or an opiate based medication, it might be a sign of a dependency.
  • changes in behaviour, mood and personality. They may be acting more aggressive, anxious or have become depressed.
  • poor hygiene and not taking care of their appearance.
  • issues in their personal life and relationships.
  • making choices that mean they get hurt or get into trouble.

How to reduce or stop taking drugs

Keep a drug diary. Make a note of when you use, what you take, and how much. It’s also worth including where you were, who you were with, and what you’d been doing just before.

See if you can spot any patterns in your diary. You might always use around particular people, or after heavy drinking, for example.

If you can figure out the people, places and things that trigger your drug use, you can begin to make a plan. You might want to cut some triggers out entirely, or avoid any combinations that give you cravings.

Take your time if you need to. Gradual reduction is often the best way to quit.

Be kind to yourself and celebrate each step towards your goal, no matter how small. Don’t feel guilty about any setbacks either. It's a process and every challenge is an opportunity to learn more about yourself. 

What is solvent abuse?

Solvent abuse (or ‘volatile substance abuse’) is the deliberate inhalation of volatile chemicals for the purpose of getting intoxicated or ‘high’. The fumes and gases inhaled are found in everyday products such as cigarette lighter refills and aerosols.

Some ‘chronic’ users of volatile substances report that they develop a tolerance to the substances. They need more to keep achieving the same effects. This is worrying because it may lead to dependence (a feeling that you cannot do without the substance) and even psychological addiction.

FRANK


Adfam


Narcotics Anonymous in the UK


Turning Point


Breaking Free Online


Friday/Monday


Release


DrugFAM


Re-Solv