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Heavy drinking or drink dependent – Are professional people drinking too much?

Heavy drinking or drink dependent – Are professional people drinking too much?

Middle class professionals in the UK are drinking to problem levels, according to two separate reports, published last month.

High earners in professional jobs, such as doctors, lawyers, and teachers, are much more likely to be regular alcohol drinkers than those on average incomes, according to NHS Digital and the Office for National Statistics.

The surveys also found that how much people drink varies with age. A fifth of people surveyed said they did not drink at all.

Data from previous years in the Health Survey for England showed the most harmful drinking was among middle-aged people, who were more likely to drink every day. “The over-45s particularly are drinking more regularly but not thinking they’re in danger”, says one addictions expert.

How much do adults drink depending on their income

“Middle-class drinkers are unlikely to pay attention to government health warnings as they don’t see themselves as getting excessively drunk. They can certainly withstand increases in prices,” he says. “Furthermore, many middle class professionals appear to be functioning quite highly at work.”

Without financial consequences or impaired performance at work, many middle class professionals carry on drinking, ignoring the health warnings about increased risk of cancer, heart disease and liver disease. For women in particular, there is an 11% increase in chance of developing breast cancer even at so-called safe levels of alcohol consumption.

Alcohol experts believe that there are several myths which support the rise in middle age, middle class problem drinking. One expert talks about the “myth of wine at home”. He claims that professionals who drink wine in the evening are persistently in denial about the damage their drinking habits do.

“It’s very common amongst professional people in demanding jobs to come home and seek relief from stress or professional worries by downing a glass or two of wine,” he says. “One glass becomes two or three or four – many wine drinkers are happily drinking two thirds of a bottle a night, but because they’re not in the pub, and it’s often decent wine. There’s a belief that they’re ok.”

Another myth, he believes, is what he calls the “functioning well at work myth”.  Many professional people, who routinely endanger their health with alcohol, believe that if they still perform in their job, then their alcohol intake is not something to worry about.

Data from the two reports shows that people earning more than £40,000 a year, are more likely to develop excessive alcohol habits.

One addiction counsellor, working in the City of London, says: “A well-paid job and the ability to carry it out, are often the greatest barriers to people taking stock of their alcohol issues.  Many of us still have the stereotypical image of a man on a park bench, drinking spirits from a paper bag, as the true alcoholic.  Sadly, plenty of men and women, who turn up for work every day, are drinking to excessive levels.”

Current Government health guidelines advise drinking no more than 14 units a week on a regular basis.  The Chief Medical Officer (CMO) guidelines for both men and women, suggest:

  • to keep health risks from alcohol to a low level, it is safest not to drink more than 14 units a week on a regular basis.
  • If you drink as much as 14 units per week, it’s best to spread your drinking evenly over three or more days. If you have one or two heavy drinking episodes a week, you increase your risk of death from long-term illness and injuries
  • The risk of developing a range of health problems, including cancers of the mouth, throat and breast, increases the more you drink on a regular basis.

“Government guidelines and all the information about risks associated with heavy drinking, seems to have little impact on the professional classes,” says one addiction expert.  “What we do notice, however, is many professional people getting in touch when they notice consumption levels creeping up.”

He goes on: “If you’re using alcohol to manage stress and anxiety, then you will develop a greater tolerance to alcohol, as you will with any drug.  To put it simply, you have to drink more and more to get the relaxed or numb state you first sought.  I hear from many professional people who now drink one or two bottles of wine an evening.”

Consumption of alcohol at this level, carries a risk of long-term illness.  Organs known to be damaged by long-term alcohol misuse include the brain and nervous system, heart, liver and pancreas.  Heavy drinking can also increase your blood pressure and blood cholesterol levels, both of which are major risk factors for heart attacks and strokes.

If the physical risks are not convincing enough, then often the psychological consequences convince heavy drinkers that their consumption might be counter-productive.  One alcohol expert says: “The paradox is that, while most middle class professionals use alcohol to manage stress or to help them sleep, they are in fact adding to the problem with alcohol.”

Regular drinking can affect the quality of sleep, making you tired and sluggish.  This is because drinking disrupts your sleep cycle.  When you drink alcohol before bed, you may fall into deep sleep quicker.  This is why some people find drinking alcohol helps them drop off to sleep.  However, as the night goes on, you spend less time in this deep sleep and more in the less restful rapid eye movement (REM) phase of sleep.

Anxiety and depression are both made worse by alcohol.  Alcohol is a depressant.  It disrupts the delicate processes and chemicals of the brain, affecting our thoughts, feelings and actions and sometimes our long-term mental health.  Regular drinking lowers the levels of serotonin in your brain – a chemical which helps regulate your mood.

“Far from helping with stress, anxiety and depression, a wine habit in the evening will make matters far worse,” says one expert.  “Add to that what we know now about the long-term health effects, and we can see a large group of the UK population in trouble.  A good job and a good salary does nothing to mitigate the damage.”

 

 

Nicholas Conn / 5th October 2018/ Posted in: Expert Talk, Latest News

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Detoxification (detox) is the medical intervention required for someone who is physically dependent to drugs or alcohol. If required, medical detoxification would be the first step taken in residential rehab. Detox is used to prevent uncomfortable and dangerous (even fatal) withdrawals symptoms resulting in suddenly becoming abstinent from alcohol/certain drugs.

The goal of a medical detox is to aid in the physical healing required following long term addiction and rid the body of all together of substance whilst providing a cushion for unpleasant symptoms of withdrawals. Detox is not considered the whole treatment for drug/alcohol addiction and it is always recommended that a comprehensive rehabilitation program is used along side to help maintain long term abstinence.

Medication is often required for alcohol detox. If you are dependent on alcohol and experiencing withdrawal symptoms it is vitally important to seek medical advice prior to stopping. There is a long list of medications used when treating alcohol addiction and the exact medication given to an individual will depend on their needs/medical history. Some of these include;

  • Chlordiazepoxide (Librium)
  • Lorazepam (Ativan)
  • Diazapam (vailium)


Librium and Valium are the most commonly used detox medication in the UK. All medication used to help with alcohol detox have been proven to help reduce the effects of withdrawal symptoms.

There are also a number of drugs recombined by the NHS to help treat alcohol misuse. Some of these include:

  • Naltrexone
  • Disulfiram (Antabuse)
  • Nalmefene
  • Acamprosate (campral)

Medication is always required for heroin detox. For someone suffering from heroin addiction, the thought of detoxification (detox) can be exceptionally daunting. Withdrawal symptoms from opiates, such as heroin, can be severe and include pain, vomiting, nausea and shaking.

There are different ways that heroin detox can be carried out, most usually either ‘maintenance therapy’ or ‘full medical detox’.

Attempting to switch from heroin to a heroin substitute, usually on a controlled prescription, is known as Maintenance therapy. Subsites used are most often methadone or buprenorphine.

A full medical detox from heroin will always be carried out in a residential rehab setting and will allow the individual to switch form heroin to a substitute and slowly withdraw completing treatment free of all substances. Someone using a heroin substitute can choose to have a full medical detox at any time, however detoxing substances such a methadone can often add to the length of detox required. Drugs most commonly used to fully detox from heroin are, Subutex, Suboxone and Methadone. Much like alcohol, the exact drugs used will be dependent on the individuals needs/medical history.

Once detoxed from heroin the risk of overdose is much higher following relapse due to tolerance following withdrawal.

The length of treatment in a residential rehab depends on a number of elements. Some substances require longer periods of detox than others.

Private paying patients will also often choose a length of stay that suites their therapeutic and financial needs. As a rule, a full treatment program in a rehab is considered to be 28 days (often referred to as a month), however, treatment is offered in several different ways and lengths starting at 7 days.

Treating alcohol addiction will always require a minimum of 7-10 days, this would be considered the detoxification (detox) faze. The length required for treating drug addiction can vary drastically depending on the substance being used. Detox for Heroin addiction is generally around 14 days minimum, with more time required if substances such a methadone are being used. Treating prescription drug addiction can often take the longest. The time required for treating gambling addiction, eating disorders and sex addiction will be based on the individuals needs.

Rehab programs can be as long as an individual requires but primary treatment is normally caped at 12 weeks, with the offering for further secondary and tertiary treatment thereafter.

*based on average rehab stays, everyone will vary dependant on needs and medical requirement/history.

There is no need for your employer to know that you are seeking help for trauma and addiction unless you choose to involve them with the process. All employers should have a policy that explains what you do if you cannot come to work due to illness – illness to include treating alcohol addiction/treating drug addiction.

If your work absence extends over 7 days your employer is likely to require an official statement of fitness to work which would be obtained from your GP. This would need to supply evidence of your illness as well as any adjustments required for returning to work, fazed return or reduced hours, but does not need to specify in detail the reason why you have been absent.

If you are absent from work for 7 days of less, for example entering rehab for a detoxification (detox) on a Saturday for 7-10 days taking a full week away from work, you can self-certify your illness by letting your employer work you will not be attending work for that period of time. Exactly how an individual would do this would be dependent on a specific companies’ policies on taking sick leave.

Any time longer than 7 days it is likely an employer will require a note from the individuals GP certifying their sickness and a fit note on return. Most companies have a clearly outlined policy on sickness and receiving sick pay so the exact requirement can vary. A rehab will always be willing to advise on time off work.

How much does rehab cost is a very frequently asked question. The cost of treatment can range from £1,000 per week upwards depending on the place, with luxury rehab being the most expensive.

There are free options available on the NHS but the waitlist of those looking for free treatment is longer than that for privately paying patients. Some private health insurance policies will cover treatment in some rehabs around the country.

Choosing the right rehab centre will often be based on priced but it is important to follow guidance on the most suitable treatment centre for an individual’s needs which our expert team of advisers are on hand to offer.

There are certainly pro’s for both treatment near by and traveling for treatment with one of the most asked question being should I get rehab near me? There are rehabs all over the UK and around the world that all offer expert programs, let’s look at how to choose a rehab.

Local treatment

Being close to home gives certainly has benefits. Visitors are normally permitted in rehab following the first 7 days stay, therefore if an individual is in treatment for a length of time longer than that being local will make it easier for loved ones to visit.

Most rehab centres will also provide a full aftercare plan for someone following treatment, this will include ongoing aftercare in the specific treatment centre. Living close by can make it easy to take full advantage of ongoing aftercare. There can also often be the option for ongoing care with an individual therapist, again being close by will allow that treatment to be carried out face to face.

Some individuals wish to be local but are willing to look broader, for instance the greater city of residence (London, Manchester, Liverpool, etc)

Treatment Away

Getting treatment away from home can be very appealing to some. Being out of the local area makes it a lot harder to just walk out of treatment as resources locally are unknown. Some also take comfort in knowing that they are not near home and focus more on treatment.

As the price for treatment can vary so much from one residential treatment centre to another, private paying patients often would rather travel to keep the cost down. Those using private health insurance may also have to travel to find a treatment centre covered in their policy.

When opting for treatment away from home this can be anywhere in the UK and also abroad. Aftercare can still be carried out and very successful using tools such as The Online Rehab.

There is no right or wrong when choosing where to go to residential rehab, but our expert advisors are always on hand to help provide information on all possible options.

Whilst millions of people in the UK have taken recreational drugs (amphetamine, cannabis, cocaine, crack, crystal meth, GHB, heron, ketamine, methadone, and prescription drugs) and drank alcohol not all become ‘addicted’. Most recent reports show that 279,793 individuals were in contact with drug and alcohol misuse services in the last year with over half of that being from opiate addiction and a quarter for alcohol.

There are several risk factors invoiced in addiction and those using drugs and alcohol socially, simply take the risk. These risks are as follows;

Tolerance – basically, if a substance is used repeatedly an individual’s tolerance to it will build. This will result in more of the same substance being required to get the same effect. In the long run this can easily lead to addiction and physical dependencies.

Environmental risks – these can include influences such a peer pressure and stress as well as physical or mental abuse of an individual (particularly as a child). Overall, those who live with frequent pressures and stress are more likely to reach for a substance to cope and are therefore at higher risk of becoming addicted.

Drug type – it is very well known that certain drugs are simply more addictive than others. Using substances such as heroin increases the risk of becoming addicted for need to ‘chase’ a high as well as physical dependency.

Drug administration – how a drug is administered can affect its addictive qualities. A drug injected rather than smoked or snorted will release a quicker and more intense high thus making it psychologically (and in many cases physically) more addictive.

Biological factors – it is now widely reported that being an addict is not only psychological but also biological. This includes your genetic makeup, mental health, sex and age. It is also reported to be 8 times more likely for the child of an addict to become an addict themselves.

Its believed that addiction is approximately half genetics and therefore some are 50% more likely to become addicted than others.

How do you help a loved one trapped in addiction?

The first step is to help and encourage the individual to become willing to accept help. They do not need to be shouting this off the rooftops, but they do need to be willing to go into treatment. There are ways to help someone become willing to get treatment for alcohol or treatment for drugs.

Set boundaries – set boundaries and stick to them. Once you have laid them out follow through with whatever consequences you have set however hard it is.

Stop finances – if you are financially supporting someone stopping these finances can be the quickest way for the addict needing to ask for help. With no money to acquire a substance an addict’s options become very limited.

Intervention – getting together with other family members/friends/colleagues and staging an intervention is often very successful in the fist stage of acceptance and gaining an admission to residential rehab.

You can’t make them quit, this can lead to dangerous withdrawal. Boundaries are very important in helping someone become willing to get help. Unfortunately you cannot do someone’s recovery for them and without self-motivation it is very hard to make it work.

The next step is to call our highly trained advisers 0203 955 7700.

There is a huge range of rehab options available and where to start can be completely over whelming so let us help.