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Merseyside

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    Drug and Alcohol Rehab in Merseyside

    Are you located in the Merseyside area and are considering seeking help for an addiction? Are you thinking about the prospect of a substance-free future?

    At OK Rehab, we can help support you whether you are in Knowsley, St Helens, Sefton, Wirral or Liverpool. Reach out to us today, and we can offer you confidential and free advice.

    According to the latest figures from the Home Office, Merseyside has seen a huge increase in cocaine use whilst cannabis remains the most widely used substance in the county.

    At OK Rehab, we offer rehabilitation services throughout Merseyside and the UK. Each clinic has its own specialisms, so by contacting us today, we can help provide you with a rehab specifically tailored to your needs.

    This article will discuss drug and alcohol rehab in Merseyside.

    Merseyside is a county in the Northwest of England and is most known for the city of Liverpool.

    It has a population of 1.4 million. Unfortunately, Merseyside, and Liverpool in particular, has seen a rise in addiction in the past several years.

    In Liverpool, for example, there are recorded to be 5,778 opiate and crack users (OCUs) and 10,112 people with alcohol dependency – this is higher than the national average. (1)

    For more information about drug and alcohol trends in Merseyside, please follow this link.

    Other substances are prevalent too. Cannabis is widely used and the most popular drug in Merseyside.

    This is followed by cocaine, heroin, and other substances, such as prescription medication.

    For those that are seeking drug and alcohol rehab in Merseyside, this article will discuss what treatment is available, how to access it, and what to expect from a treatment program.

    Please call our 24-Hour Helpline: 0800 326 5559

    How Do I Know if I am Addicted?

    Old man sitting at a table holding a drink

    Experts have noted that many people that need help with addiction do not seek it. This has raised the question as to why.

    There are several reasons for this, but two are worth noting: one, inexperienced users do not always know the signs that addiction has emerged; two, addiction is sometimes not always evident – it can emerge subtly and correlate with non-substance-related psychological and physical issues.

    This might lead people to ask: how do I know if I am addicted?

    To answer this question, there are several variables to consider:

    • Psychological changes
    • Physical changes
    • Personality changes
    • Behaviour changes
    • Experiencing withdrawal

    When a substance is consumed, the most noticeable changes occur in both the body and mind.

    Not only will a substance alter a mental state – the high of the substance – but over a period will begin to damage cognitive functions.

    This can manifest itself in various ways. For example, it can lead to unusual perceptions (how the person appraises the world, for example), a loss in motor functions, and irrational emotions – becoming easily angry, sad, or soporific.

    It can also lead to mental health problems, such as anxiety and depression.

    Behaviour is also likely to be impacted by addiction. The continual need to consume a substance to feel normal will have a negative impact on normal daily tasks.

    For example, studies have found that addiction can lead to risk-taking behaviours.

    These might include consuming the substance at work, criminal activity to help pay for the substance, becoming messy, and not taking care of hygiene.

    Behaviour changes also affect people’s social worlds.

    It is not uncommon for those with an addiction to become withdrawn, avoid socialising – unless it involves taking the substance – and no longer engage in things that they were interested in – hobbies or activities, for example.

    However, one of the most prominent signs of addiction is withdrawal.

    When a person consumes a substance, the mind and body will eventually crave it and need it to function – this is, in essence, addiction.

    Without the substance being consumed regularly, the body will begin to remove it from its system – this is referred to as detox.

    The detox process can lead to some pretty unpleasant withdrawal symptoms.

    Both withdrawal and detox will be covered in more detail below.

    However, it is worth mentioning because if a person is experiencing withdrawal, it is a clear indicator of addiction.

    The withdrawal experience varies from person to person and from substance to substance.

    However, some things to look out for include flu-like symptoms – fatigue, nausea, vomiting, diarrhoea – restlessness, anxiety, and random mood changes.

    Other signs of addiction worth mentioning include:

    • Lying about using a substance
    • Using the substance more and more frequently
    • Family or friends making comments about your substance use
    • Family or friends expressing concern about changes in your personality/behaviour
    • Becoming irrationally angry when people challenge you on your substance use.

    If people are still unsure whether they have developed an addiction, some professionally developed tools might be useful.

    One example of this is the CRAFT (Cutting Down, Annoyance by Criticism, Guilty Feeling, Eye-openers) questionnaire. (2)

    This questionnaire is held in high regard by medical professionals, with studies finding that it has a 93% success rate.

    It is a simple yes/no questionnaire that encourages people to think about their substance use, habits, and the effect it has on their social environments.

    Two versions of the questionnaire exist – one for alcohol and one for drugs.

    The questions relating to alcohol are:

    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 a drink first thing in the morning to steady your nerves or get rid of a hangover (eye-opener)?

    Similarly, the questions relating to drugs are:

    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)?

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    Do I need to go to rehab?

    man with his head rested on his hand sitting at a wooden table

    It can be tough to tell when your addiction is severe enough for rehab. It is also hard to admit to yourself and others that you are struggling with substance abuse.

    Take a look at the questions below, they may help you decide if it is time to seek help.

    • Are your relationships failing as a result of your addiction?
    • Have you lied to friends and family about your substance use?
    • Is your physical and mental health failing because of your addiction?
    • Has addiction become your only priority?
    • Can you not get through the day without using substances?

    If you answered yes to the above questions, it might be time for to you reach out to us at OK Rehab. Choosing to get better can truly turn your life around. There are many clinics in Merseyside that can help you get the specialist treatment you need.

    Please call our 24-Hour Helpline: 0800 326 5559

    What type of addictions can OK Rehab help to treat?

    man looking stressed

    At OK Rehab we offer a wide range of treatments for a wide range of addictions. We offer support for drug and alcohol abuse as well as behavioural addictions.

    We can help treat addictions from cannabis to cocaine, heroin, alcohol, and prescription drugs as well as behavioural addictions such as love, sex, gaming, and gambling. OK Rehab can also help with mental health problems such as depression and anxiety.

    If you or a loved one is struggling with addiction, please do not hesitate to get in touch with us today to find out more about the support we provide.

    Please call our 24-Hour Helpline: 0800 326 5559

    Pre-Rehab Steps: Intervention in Merseyside

    Group Therapy session

    Understandably, some people might not want to seek help for their addiction.

    There could be several reasons for this, such as not being ready to face it, fear of how difficult it might be, or the social stigma.

    For loved ones, seeing someone that they care about not receive the help they need is very difficult.

    As a result, it is not uncommon for loved ones to organise an intervention.

    Intervention is the gathering of loved ones to express their concern regarding a person who has a substance dependency.

    The overall goal is to convince the person that they need professional help and possibly enter treatment.

    These are, however, emotionally straining ordeals. Therefore, experts have suggested some useful tips.

    These include:

    • Do not hold an intervention randomly – make sure to plan
    • Make sure to do some research – not only about interventions but about addiction also
    • Practice what you are going to say – perhaps write it down
    • Consider what your loved one might object to
    • Focus on being positive
    • Remember that an intervention should be about encouragement, not shame or guilt.
    • Avoid confrontation

    Because interventions can be tricky to get right, it is recommended that people employ an interventionist or medical professional – a social worker, drug counsellor, or psychiatrist, for example.

    Professionals will be able to assist in all aspects of the intervention – from organising to how to communicate and the needs of the loved one.

    Please call our 24-Hour Helpline: 0800 326 5559

    The CRAFT Method of Intervention

    two people sitting holding hands

    Alternatively, there is a professionally developed method that might be of assistance: Community Reinforcement and Family Training (CRAFT). (3)

    CRAFT was designed specifically for families that are struggling to convince a loved one to seek help and for families that are unsure how to conduct a successful intervention.

    Its main objectives are:

    1. Help families to better understand the nature of addiction – for example, why addiction occurs and potential triggers
    2. Help families understand and prevent habits that lead to addiction
    3. Focus on positive communication tools that lead to positive reinforcement
    4. Guide families on how to organise and implement a successful intervention

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    How can friends and family help?

    Two people walking together

    It may feel like an incredibly hard task to make someone you know and love realise the seriousness of their addiction. You may feel like giving up, but treatment can work even when someone thinks they don’t need it.

    By showing you care and are willing to support the affected individual, you can help them realise that work needs to be done and that they can accept help from professionals.

    If you are wondering what you can do to help a friend or a loved one, take a look at the list below:

    • Offer them transport to and from appointments and support groups
    • Help them find a place to stay
    • Avoid places where they may be influenced to abuse substances
    • Listen to what they have to say
    • Don’t force them to say things you want to hear
    • Remind them to take any medication they may need
    • Be mindful of their feelings and understand if they relapse

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    Public Versus Private Rehab in Merseyside

    Living room

    For those seeking drug and alcohol rehab in Merseyside, there are many free options available.

    For example, for those based in Liverpool, there is Brook Place. (4)

    Their services are accessible either through self-referral or a referral from a medical professional, such as a social worker or GP.

    Services Brook Place offer include:

    • Substitute prescribing
    • Substance dependency assessment, information, and guidance
    • Psychological interventions
    • General and peer support, such as group therapy.
    • Detoxification programs

    Another option is Mersey care which runs the Hope Centre.

    The Hope Centre offers inpatient detoxification programs. This requires a referral from a medical professional, however.

    For more information about Brook Place and the Hope Centre, please follow this link.

    Free treatment is also available through the NHS. The NHS offers both outpatient and residential treatment – although the latter is not easily accessible.

    For those that wish to access residential treatment through the NHS, it is advised to speak with a GP or health professional.

    It should be noted that NHS residential treatment is usually only available for those with severe addiction. It also requires an application for funding from the local council.

    It is more likely that a GP will send you to a local service before making a referral to the NHS.

    The wait time can also be lengthy – on average, between 6 months to a year.

    For more information regarding NHS treatment, please follow this link.

    If the NHS is not an option and residential treatment is still desired, Merseyside is home to many private facilities.

    However, it should be noted that private rehab in the UK is expensive. According to recently gathered data, the average rehab in the UK costs £10,000 per month or roughly £330 per day.

    One alternative to having to pay such expenses is to have them covered by health insurance.

    Many UK-based insurance providers, such as BUPA and Aviva, offer health insurance packages that cover the cost of rehab.

    These packages are slightly more expensive than regular health insurance but are overall significantly cheaper than paying for rehab outright.

    If you are employed, it is also worth checking to see if you are covered by health insurance through your employer.

    Please call our 24-Hour Helpline: 0800 326 5559

    How Long Does Rehab Last in Merseyside?

    a woman in a therapy session sitting on a sofa

    According to several drug and alcohol rehabs in Merseyside, rehab usually lasts between several weeks to several months.

    The minimum recommended stay at rehab is 28 days. However, in some cases, this duration might not be necessary.

    In general, there is no given amount of time for rehab – it can vary from person to person and is based upon individual needs.

    There are a variety of factors that contribute to this, such as the type of substance being treated, how long the person has been using, and what services the rehab offers.

    For example, someone with serious heroin addiction will probably need longer than someone with a cannabis addiction.

    The reason for this is that heroin has a more complex and potentially life-threatening detox process.

    This will be covered in more detail below.

    Please call our 24-Hour Helpline: 0800 326 5559

    Do I have to stay in Merseyside?

    Old man sitting at a table holding a drink

    Whilst many patients choose to stay in their local area, this isn’t necessary. If you feel like you would benefit from attending rehab somewhere else in the UK, this can be arranged.

    By entering treatment in a different location, you can focus on recovery in a faraway area.

    Patients who choose to stay in treatment in their local area can benefit greatly from the support of friends and family.

    Family therapy sessions can be crucial to some people’s addiction treatment, so this is something to perhaps consider if you are unsure where to attend.

    If you are offered treatment on an outpatient basis, it is important to remember you will have to travel to and from the treatment clinic to attend things like therapy sessions.

    If you would prefer not to attend in a specific town or city, we can also arrange this so that you are still in the Merseyside area.

    Please call our 24-Hour Helpline: 0800 326 5559

    Inpatient Versus Outpatient Treatment in Merseyside

    Outside a blue door

    Another factor that contributes to how long treatment will last is whether the person receives inpatient or outpatient treatment.

    Both inpatient and outpatient treatment are similar in that they address the same issues and provide similar treatment – for example, both will help with detox, offer therapy, and provide continued support upon completing the treatment program.

    The main difference is that inpatient treatment is residential – that is, people are expected to stay at a facility for the duration of their treatment.

    There are two main benefits to this. For example, people will have 24/7 access to medical assistance, and, two, inpatient treatment takes less time to complete – this is due to its intense nature.

    The benefit of outpatient treatment is that it can be fitted around a person’s life – for example, if they have children to look after or work to attend to.

    This comes with the caveat that the person is not removed from their environment. This could be potentially counterproductive to the treatment. (5)

    Inpatient treatment usually lasts for several weeks, whereas outpatient treatment can last several months to a year.

    Please call our 24-Hour Helpline: 0800 326 5559

    Admission Process for Drug and Alcohol Rehab in Merseyside

    The admissions process for drug and alcohol rehab in Merseyside is similar across facilities.

    First, it is recommended the people make a referral – either a self-referral or through a medical professional.

    Following this, people will be expected to attend a pre-admission interview.

    This is usually conducted over the phone, where people will speak to someone from the facility.

    The purpose of this is to find out about the person’s background and substance use history.

    This will help inform the facility of the person’s needs and what treatment might be best suited to them.

    After the pre-admission interview, a start date for treatment will be given.

    Upon entering the facility, people will be medically examined – both psychologically and physically.

    This examination checks for any possible mental or physical health issues – issues that might affect the treatment.

    For example, the facility might check for dual diagnosis.

    This refers to how substance dependency and mental health interact – one often leading the other.

    It is not uncommon for people to use substances to deal with mental health issues – this can lead to dependency. Alternatively, substance dependency can lead to mental health issues.

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    Rehab for Cannabis, Cocaine, and Heroin in Merseyside

    A man in therapy

    The next stage of drug and alcohol rehab in Merseyside is detox.

    As previously mentioned, this is the process of the body getting rid of the substance.

    This is where rehab might vary depending upon the substance.

    Cannabis, for example, has a less arduous and complicated withdrawal when compared to other substances.

    Withdrawal symptoms might still be unpleasant but should not require medical attention.

    Cannabis withdrawal symptoms also tend to be mild – although they can be both physical and psychological.

    Please call our 24-Hour Helpline: 0800 326 5559

    Cannabis withdrawal symptoms

    A man in a therapy session looking stressed

    Examples of cannabis withdrawal symptoms include:

    • Difficulty sleeping
    • Sporadic mood changes
    • Headaches
    • Sweats
    • Anxiety and depression
    • Stomach problems

    Fortunately, cannabis withdrawal symptoms usually only last for several days.

    Cocaine withdrawal is also different from other substances in that it is primarily psychological, although there can be some psychical symptoms such as chills, tremors, and muscle aches.

    The most common cocaine withdrawal symptoms, however, include:

    • Restlessness
    • Depression and anxiety
    • Inability to concentrate
    • Paranoia
    • Irritability
    • Negative moods
    • Exhaustion

    Some more serious cocaine withdrawal symptoms include respiration issues and seizures.

    In most cases, cocaine withdrawal symptoms should last no longer than seven days.

    On the more serious side of the spectrum is heroin. Because heroin is so addictive, the withdrawal process has the potential to be fatal.

    For example, heroin can lead to serious medical problems such as high blood pressure (hypertension), poor respiration, and dehydration.

    To counteract these serious symptoms, people are usually prescribed medication such as buprenorphine or methadone.

    Other symptoms include:

    • Nausea
    • Shakes
    • Sweats
    • Agitation
    • Intense cravings
    • Vomiting
    • Depression

    Again, such symptoms should reduce after several days.

    Please call our 24-Hour Helpline: 0800 326 5559

    Alcohol Rehab in Merseyside

    Person holding medication and tea

    Alcohol withdrawal, also known as Alcohol Withdrawal Syndrome (AWS), is also considered to be one of the harder detox processes.

    Again, this is due to the psychological and physical impact of alcohol addiction.

    Symptoms vary from mild to severe – with severe symptoms being life-threatening, such as hyperthermia, delirium, and seizures.

    Other symptoms include:

    • Headaches
    • Insomnia
    • Sweats
    • Tremors, also known as shakes
    • Anxiety
    • Depression
    • Flu-like symptoms – vomiting, fatigue, and diarrhoea

    Mild symptoms usually occur sometime within 24 hours of stopping and usually subside after several days.

    In some cases, people suffering from AWS will be prescribed medication to help alleviate symptoms.

    A common example of this is Librium – a benzodiazepine that reduces anxiety and confused thinking and helps with sleep and appetite.

    By doing so, Librium has been found to improve mental health issues and negative emotions associated with AWS.

    Librium is a popular medication to treat AWS because it is less addictive than other sedatives.

    Some negative side effects of Librium include drowsiness, tiredness, and gastrointestinal issues. (6)

    Please call our 24-Hour Helpline: 0800 326 5559

    What Therapy will I receive during drug and alcohol rehab in Merseyside?

    man stroking horse

    There are two types of therapy people will receive during rehab: one-to-one and collective.

    However, both types come in many forms, ranging from Cognitive Behavioural Therapy (CBT) and Motivational Interviewing (MI) to group and family therapy.

    Each therapy has the basic goals of helping uncover the reasons and habits that lead to the addiction and helping the person develop the necessary tools to overcome addiction and maintain sobriety.

    CBT, for example, aims to change negative behaviours – behaviours that lead to addiction or the act of using the substance itself, for example – by changing the thought processes that influence them.

    This is usually a short-term form of therapy aimed at teaching people how to cognitively reappraise – that is, to change their thought patterns from unhealthy to healthy.

    The hope is that by doing so, this should be reflected in healthy behaviours.

    MI, on the other hand, is about motivation, communication, and setting achievable goals. (7)

    This is done in short sessions (interviews) and seeks to engender in the person the motivation to overcome their addiction and maintain sobriety.

    This is done by reinforcing positive communication. For example, helping the person to realise and articulate their potential for change.

    In addition to such one-to-one therapies, most rehabs in Merseyside emphasize the importance of group therapy.

    The reason for this is that treatment can feel lonely and isolating. Group therapy gives people the opportunity to support each other and share their experiences and struggles.

    Depending on the person’s needs, family therapy might be recommended.

    This has several aims, such as reconciliation, discussing how addiction has impacted family dynamics, and how to move forward from the influence of addiction on such dynamics.

    Please call our 24-Hour Helpline: 0800 326 5559

    What if I relapse?

    Woman crying and a man comforting her

    Relapses do happen, and this is okay. We never want you to feel ashamed or guilty about relapsing, and we are here to help.

    Sometimes a relapse can indicate that your needs have changed, and therefore treatment needs to be adjusted accordingly.

    During your time at treatment, your support workers will help you put plans into place in sessions called relapse prevention.

    These classes will equip you with the tools and skills needed in the event of a relapse. It is vital to remember that relapsing doesn’t mean the end of recovery.

    It takes practice to lead a life free from substance abuse, but we urge you to contact us immediately if a relapse happens so you can enter treatment again.

    Taking your treatment programme seriously lowers the chances of relapsing once you leave a rehab clinic.

    Relapsing, in some cases, can be fatal. If you suddenly give your body a large dose of the substance it has been learning to live without, you could cause an overdose or permanent harm.

    Please call our 24-Hour Helpline: 0800 326 5559

    Relapse Prevention and Aftercare in Merseyside

    A mother and her two daughters walking together

    The final stage of drug and alcohol rehab in Merseyside is relapse prevention.

    This stage is aimed at making sure the person maintains sobriety when entering their old environment.

    To achieve this, a plan is developed that centres on providing useful tools that will help deal with potential triggers – whether social or economic, for example.

    This might include discussing with a medical professional how to better manage negative environments, emotions, or relationships.

    Communication is also an important part of relapse prevention. People will be encouraged to be open about their struggles and to speak to someone as soon as such struggles occur.

    This connects to the aftercare that people receive upon completion of rehab.

    Aftercare can vary but most commonly involves the person continuing to receive therapy and support, such as CBT, group therapy, and local drug and alcohol recovery services. (8)

    Examples of local services in Merseyside include Alcoholics Anonymous (AA), Narcotics Anonymous, and Self-Management and Recovery Training (SMART).

    For more information about AA and NA in Merseyside, please follow this link.

    For information regarding SMART in Merseyside, please follow this link.

    Please call our 24-Hour Helpline: 0800 326 5559

    Is recovery truly possible?

    Man thinking

    Recovery is possible no matter the severity of the dependence. If you are committed to getting better and accepting help, we can help see you into a brighter future free from the strains of drug abuse.

    Working through physical and psychological dependencies can be achieved successfully by accessing high-level treatment options.

    OK Rehab can help provide you with successful options for lifelong recovery.

    Rehab marks the first step in your addiction recovery, and this will need to be a lifelong commitment.

    Before and after treatment, we can help put steps in place to reduce your consumption; this ultimately helps both your body and mind.

    Your addiction recovery must extend into a change in lifestyle choices too.

    It may be difficult, but changing things, such as the people you spend time with, can help make a positive impact on your behaviour and actions.

    After treatment, you may still face cravings but with the tools learnt at rehab, you can overcome this.

    During your time at the rehab, we aim to help you see the value of staying sober and how this can change your life for the better.

    Receiving help from OK Rehab

    Woman making call

    If you have read the above information and are thinking about seeking professional help, we can provide support.

    By letting us pass on your information to local providers, we can help you access treatment almost immediately, allowing you to enter recovery safely.

    We are confident in our ability to offer help and want you to trust us. We have helped many people in Merseyside combat their addiction and want to help you too.

    Call us today on 0800 326 5559 or get in touch via enquiry form to receive more information about the services we offer.

    Our friendly staff members can advise you on the most effective form of action and talk you through the many options you have.

    As well as offering services in Merseyside, we can also provide support if you are from Lancashire, Manchester, and the Chester area.

    Don’t hesitate to make the first step to a positive future free from the grips of drug and alcohol abuse.

    References

    (1) https://www.gov.uk/government/statistics/substance-misuse-treatment-for-adults-statistics-2020-to-2021

    (2) Ewing, John A. “Detecting alcoholism: the CAGE questionnaire.” Jama 252, no. 14 (1984): 1905-1907.

    (3) http://www.wales.nhs.uk/document/229198

    (4) https://www.merseycare.nhs.uk/our-services/our-sites/liverpool/brook-place

    (5) https://www.england.nhs.uk/statistics/wp-content/uploads/sites/2/2019/05/QAR-commentary-Q4-765.pdf

    (6) McKeon, Andrew, Mark A. Frye, and Norman Delanty. “The alcohol withdrawal syndrome.” Journal of Neurology, Neurosurgery & Psychiatry 79, no. 8 (2008): 854-862.

    (7) Smedslund, Geir, Rigmor C. Berg, Karianne T. Hammerstrøm, Asbjørn Steiro, Kari A. Leiknes, Helene M. Dahl, and Kjetil Karlsen. “Motivational interviewing for substance abuse.” Campbell Systematic Reviews 7, no. 1 (2011): 1-126.

    (8) Brandon, Thomas H., Jennifer Irvin Vidrine, and Erika B. Litvin. “Relapse and relapse prevention.” Annu. Rev. Clin. Psychol. 3 (2007): 257-284.

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