Does Rehab Work?

Why do we so often hear about celebrities who spend their whole lives in and out of rehab? Does it not beg the question, “Does rehab work?”

Does Rehab Work? The Truth

The truth is that there are many different factors at play and you will find plenty of debates online as to whether rehab is beneficial or not.

 

Giving up drinking for good is the goal of rehab and this is how its success or failure is often measured but what is not always taken into consideration is what happens after rehab.

 

Many studies on the subject have shown that the most effective treatment is a combination approach, including an intensive inpatient stay with medication and counselling, followed by outpatient support and this can sometimes last months or years.

 

 

Addiction way out problem sign. Prevention and cure addiction problem concept.

 

 

It is about providing you with the support you need to help you change lifelong habits that have led to your drinking, into new lifestyle and behaviours which will support your abstinence.

 

This is why we believe that finding the right rehab for you, is ultimately the key to its success or failure.

 

It is true that you have to be ready for recovery. You have to want to give up otherwise no amount of rehab treatment will help. You may go through the programme, but if you are not truly behind the process, you will be far more likely to relapse.

 

But given that there are also lots of different styles of rehab treatment, it will be important to find the right one that will not only fit in with your lifestyle and finances, but also your personal beliefs and goals.

 

Alcoholism is a powerful addiction and difficult to overcome. You will greatly increase your chances of success if you have the right support in place.

 

The simple answer to the question “Does rehab work?” is “Yes”. Rehab does work but one size does not fit all. You will need a programme specifically designed and tailored to your needs and circumstances to give you the greatest possible chance of success.

 

Common therapies used in and around rehab

 

 

What is Aftercare?

 

Treatment does not finish when you leave rehab. Aftercare is vitally important to help maintain recovery and is available in many ways.

 

Rehabs understand how difficult it can be when the individual leaves and goes back to their day to day lives, and after spending an extended amount of time in their care having learnt to trust and rely on certain therapists there is comfort in knowing that even after leaving, nobody is left ‘alone’. Rehabs will put together an aftercare plan prior to discharge for all patients.

 

This will include ongoing aftercare in the rehab itself, care in their local community and online rehab support.

 

What is DBT?

 

DBT stands for Dialectical Behaviour Therapy and is an adapted version of CBT to intensely treat emotions.

 

DBT is used to treat a number of mental health problems by helping to change unhelpful ways of thinking and motivation change.

 

DBT places importance on the relationship gained between patient and therapist as this relationship is used to help motivate change in the individual. Dialectics (in DBT) means acceptance and change and DBT is an excellent tool to not only help manage emotions by accepting them but learn to regulate them moving forward.

 

How to Treat Trauma?

 

Trauma and addiction are quite often two things that come hand in hand. Trauma is experienced by an individual and is often very present in justifying or turning to substance misuse.

 

Wide ranges of treatment options are used for conditions of psychological trauma, such as PTSD (Post Traumatic Stress Disorder), a combination of Eye Movement Desensitization and Reprocessing (EMDR), hypnotherapy, exposure therapy and CBT are used in successful trauma treatment. Research has shown that simultaneously treating trauma alongside treatment for substance misuse is very effective. It has also been proven that when treating addiction, 50% of individuals have experienced trauma in some way and this left untreated leads to a much higher rate of relapse.

 

What are Holistic Therapies?

 

Holistic therapies such as massage, reflexology, yoga and meditation treat mind, body and soul and when applied to treating addiction can help open the mind to therapy.

 

Silhouette of a beautiful Yoga woman

 

 

There is nobody that officially verifies the effectiveness of holistic treatments for Addiction, however, it is well documented that a person’s satisfaction and comfort with treatment directly offers the likeliness to fully engage and achieve long-term sobriety.

 

Holistic therapies used alongside a medical detox integrate the physical, mental and spiritual health of a patient. Holistic therapy is now one of a wide range of ’alternative’ therapies used in residential rehabs around the world.

 

What is Outpatient Treatment?

 

Outpatient therapy is a less intensive version of residential treatment. Whilst not always considered the best primary option for addiction available for those unable to commit to residential stays.

 

A person undergoing outpatient care would be expected to attend regular meetings with their assigned therapy teams and be given a similar program to follow to those in residential rehab.

 

It is unlikely that someone suffering from a  physical dependency and in need of a medical detox would be eligible for outpatient treatment. Patients in an outpatient program benefit from not having to take a large amount of time away from home (especially important for those with dependants), not having to take time away from work and keeping costs down while still getting a good level of support to overcome addiction.

 

What is Art/Music Therapy?

 

Creative therapies are mentally and visually stimulating. These therapies also activate the imagination and have been proven in assisting with expression and communication in other therapies when used together.

 

Art and music therapy can be used separately or together and are expressive therapies that allow people to communicate their thoughts and feelings in artistic forms instead of words.

 

music therapy

 

Patients are encouraged to express themselves through not only painting, drawing and sculpting but also dancing, acting, poetry and music.

 

These therapies used alongside other therapies (such as CBT, DBT and counselling) can effectively address behaviour addictions, non-physical drug addiction and emotional issues for those not requiring or having had a detox. A physically dependent addict is unlikely to engage in art/music therapy during their medical detox.

 

What is a Detox?

 

Detoxification is the medical intervention used for individuals physically dependent on substances to help prevent serious withdrawals.

 

Detox, if required, is considered the most important stage in drug/alcohol treatment. A combination of prescribed medication is used to assist with a detox to help prevent and manage uncomfortable and dangerous withdrawal symptoms.

 

This is the first stage in treating addiction and is essential for individuals using drugs which they are physically dependent to (such as heroin) or drinking large quantities of alcohol and suffering withdrawals symptoms (such as shakes, sweats, etc). It is always recommended that a detox is coupled with a treatment program to help guarantee long-term abstinence.

 

What is CBT?

 

CBT stands for Cognitive Behavioural Therapy and is currently the most widely used treatment when addressing mental health issues, such as addiction, and has been proven to improve mental health and wellbeing.

 

CBT is a talking therapy and helps to change the ways that an individual thinks and manages behaviour. The vicious cycle of overwhelming thoughts, feelings and physical sensations can make someone feel trapped and CBT helps to deal with these problems by breaking them down into smaller parts.

 

Unlike other therapies, CBT works with the present problem and focusses less on the past. CBT has been very successful in treating addiction (substance and behavioural) and the depression and anxiety disorders that commonly come alongside this.

 

What is an Intervention?

 

Intervention is a guided process that helps an addict to recognise the full extent of their problem and to help break denial.

 

This process would normally be teamed with a pre-arranged plan for immediate admission to an intensive treatment. The individual suffering from addiction is often unwilling or unable to accept that they have a problem.

 

Family supporting senior man

 

 

During an intervention, feedback will be given to the addict of the effect from their behaviour and the effect it is having on themselves, as well as their family and friends.

 

Interventions are normally held by family members and close friends and can often be led by a trained professional interventionist who can help guide in the process. It is common for the addict to try and change the subject of the intervention or even try to make a joke out of the situation.

 

The overall goal of an intervention is to get the addict to accept their behaviour and responsibility to their behaviours and accept the reality that they need to seek help for their drug or alcohol addiction.

 

 

What is the Online Rehab?

 

The world’s first comprehensive online rehabilitation, offering primary treatments and ongoing aftercare solutions.

 

The Online Rehab is affordable and ideal for someone with a busy work schedule or dependents. All programs are carried out from at home, face to face through the computer and therefore there is no need for the addict to take any time out from their day to day lives.

 

The Online Rehab can come with if travel for work is required or if there are any planned holidays. Using something like The Recovery Support program (which is one of the programs offered on The Online Rehab) as ongoing aftercare is exceptionally valuable.

 

All groups are counsellor led and workbooks are followed to ensure there is a good direction. The groups are kept small and intermate. The Recovery Support program is a great alternative for those who cannot get to meetings as often as they would like to.

 

What is Family Support?

 

Family support is often vital alongside the support given to a recovering addict. It is important to recognise that an addict’s behaviour doesn’t affect just them but usually all those around them too.

 

It is common that family members/friends feel isolated in caring for an addict and it is reassuring to know they are not alone.

 

This support is often essential for people involved with the addict in being able to fully understand and support their journey to recovery and long-term abstinence. Family support is offered through treatment centres, fellowship groups and online support.

 

This is open to all members of the family; parents, siblings, spouse, children, as well as close friends.

 

What are the 12 Steps?

 

The Twelve Steps is a programme that promotes openness and honesty.

 

The program follows a set of principles which outline the course of action an addict should take for their long-term recovery. The 12 steps methods have been adapted to address alcohol misuse, substance misuse and behavioural addictions.

 

There are several fellowships and 12 step meetings held all around the world, open to anyone at any stage of recovery and are completely anonymous. The fellowships were first founded in 1935 by Bill Wilson and Dr. Robert Holbrook Smith (who are now known more commonly as Bill W and Dr. Bob).

 

 

For free independent and confidential advice on choosing the best solution for your alcohol addiction call us today on 0330 088 9518

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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 0330 088 9518.

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