
Manager support for addiction
Addiction can be tough to talk about. That’s why it’s important to make your workplace a safe place for support.
Guidance for managers supporting employees with addiction
Addiction often involves a substance like alcohol, nicotine, or drugs. But it’s possible to become addicted to things like gambling or gaming. Addiction doesn’t define people, but it does cause harm to those experiencing it, as well as the people around them.
In this guide, we discuss different types of addiction, and how managers can support employees who may be affected by it.

47 per cent of UK adults have experienced or know someone who has lived with addiction or dependency.*
310,863 adults contacted drug and alcohol treatment services between April 2023 and March 2024.†
Signs of addiction to look out for
If someone you work with is experiencing addiction, you may notice signs such as:
.Absence from work
Addiction can cause an increase in absences from work as the employee struggles with the effects of addiction.
Performance decline
Lack of motivation can affect employees who have addictive behaviours. This can lead to a decline in performance.
Accidents or near misses
Addiction can lead to a lack of focus from employees, which can result in mistakes being made.
Behaviour changes
Knowing your staff is part of your role as a manager. If you notice changes in an employees behaviour, it could be a sign of addiction.
Supporting alcohol addiction in the workplace
A lot of people drink alcohol on a regular basis. But alcohol is highly addictive and can cause physical and mental health problems. It can also affect people’s relationships and work.
In this video, Emma Shatliff, Academy Manager at Bupa, is joined by Bupa employee Stephen Costin and Nick Conn, Founder and CEO of Help 4 Addiction.
Together, they discuss how managers can support employees working with an alcohol addiction.
Hi everyone, and welcome to this Bitesize Academy module.
I'm Emma Shatliff, manager of the Bupa Academy.
In today's session, we'll be discussing alcohol addiction.
I'm delighted to be joined by Steven Costin, corporate account manager at Bupa and Nick Conn, the founder and CEO of Help 4 Addiction.
Welcome both. Thanks for joining.
So, Steven, if we can start with you first.
Can you start by telling us a bit about your own journey with alcohol addiction and how it impacted your personal and professional life?
Yeah, sure.
So, I think I've always been a big drinker. since I was sort of 15, 16, like most people do, I suppose.
And then, being of the era I was, it was the pub most days and playing football and back to the pub again.
That went on for a number of years and people told me over the years, “you drink a lot, you drink too much,” and you just kind of put it down to being age, and it's all right.
I'm still going to work.
I'm still doing what I need to do. and then during lockdown, it just got really, really bad.
Got to the stage where I was drinking far too much.
It wasn't even enjoyable drinking.
A lot of it's blurry.
And then all of a sudden, it came to the end, where I was close to losing everything.
I think by this stage where my drinking had it got me to was my partner had had enough.
I run the risk of losing my partner, losing my little lad, so something had to be done about it.
In relation to work, yeah, I think you know, I was, I was, I was a little bit of an alcoholic.
I could go in and do my job on a daily basis, but however, I think, though, if I carried on the way I was going, that would have ended up impacting my work as well at the end of the day and, like I say, if if I lost my family and my job on the back of alcohol it’d just been not acceptable.
In terms of volumes and stuff like, can you give us an idea how much – what were you drinking?
I was probably doing either 3 or 4 bottles of wine. depending on when it was, etc..
A day? Yeah.
So it was, it was, it was, it was a vast amount, but it was just because I was at a constant level, it didn't seem that much.
Yeah.
Do you know, if I spoke to people about it, they said, “I don't often see you drunk.
Never see you falling about the pub.” It's because it was just at a constant level.
So, Nick, over to you.
What behaviours do you think could indicate an employee is struggling with alcohol addiction?
And what signs should managers be aware of?
So that there could be a million answers for that. and everyone's reasons and what everyone does are all very different, but there's some common ones.
So lateness, sickness, smelling of alcohol. like Steve was saying before, but when we were having a chat prior, from his experience, he would always have his camera off on a team's meeting.
So that's that's obviously a big one.
With alcoholism, generally it's secret drinking.
So if you notice people taking bags to the toilet, it could be could be something going on there as well.
In what way did your alcohol addiction impact your ability to perform in your job? Yeah.
I mean, from my point of view, I thought I performed like a normally would do.
I'm sure that if you ask someone from the outside they probably noticed that I deteriorated over the the lockdown period where everything from my point of view was, was a chore.
You know, just doing a little mundane thing in work all of a sudden become a massive chore for me.
Patience levels are really, really low and quite, quite cranky.
But in relation to doing my job, I'd say no.
I was doing my job the way I normally do it.
I think you'd probably have to ask somebody externally or someone who was looking at me to say to that change in that period or that changed.
And during that time, did anyone you know ever ask you if you were okay?
Did anyone suspect or because you were at home was that...?
I think,
I think over the past few years, 4 or 5 years, people have kind of suspected I've had a problem with it. but, you know, I think one it's hard – how would you ask that question to somebody without that person taking it as an offence or not?
No, no one came out and asked me that question.
I think people have had thoughts about it.
Well, yeah, I think Steve's got a problem. but in relation to somebody asking me. No.
And that's a really good point there Nick.
So, you know, as a line manager, how do you initiate that conversation if you are concerned about an employee?
It's a tricky one.
I think the fact is initially it has to be based on facts, not assumptions, because there's a high chance that that person's not acknowledged it themself.
So they're going to be, they're going to try and push that question back.
They're going to be resistant. They're going to... it may trigger emotions for them.
But the fact is it's important to realise that alcohol is not somebody's problem.
It's their solution.
So there's a lot of underlying things going on there.
And obviously you have no idea what that is.
So it's important to keep it factual and be compassionate at the same time.
I think as well as a manager, if you if you know you're going to approach that conversation, you have sort of the opportunity to prepare what you're going to say.
So line managers need to realise that that person is hearing in this, completely unprepared.
So it's not uncommon, is it, for them to shut that conversation down quite quickly.
No, because you can, like I said, keeping it factual.
So if you're, you've got a list of how many sick days they have or latenesses or, people that have said they've smelt alcohol on them several times.
And when you're bringing those facts to it, rather than saying, I believe that you might have an alcohol addiction, it's going to open up a whole argument.
Keep it factual, but be compassionate.
And equally as well.
I think it's important to understand, you know, addiction is an illness.
It's not a lifestyle choice.
And sometimes there's a misconception around that.
And people aren't as sympathetic might be the wrong word, but they may be very judgemental.
When nobody grows up saying, when I'm older, I want to become an alcoholic, right?
People also have a perception that an alcoholic is someone that's drinking on a park bench with a brown paper bag.
The fact is, with alcoholism, you have a drink, you find it hard to stop.
And Stephen, what advice would you give then to other people who might be struggling with alcohol addiction?
Yeah, I think, I think you've been sort of hitting the nail on the head with it's an illness as such.
And I think when I was going through mine, I just,
I just kind of thought I just enjoyed a drink and I was just a drunk and there was no underlying reason behind it.
And that was just my lifestyle.
And that's what I wanted to do.
I don't think it's until I went inside of the rehab side that they really nail it down and tell you actually, you have got an illness.
You're ill.
And more along those lines.
So I think once people get that in their head, it's not just your lifestyle either.
And there is a ways around it.
And I think, you know, you can have to open up and speak to people.
But I think I think, Nick, you mentioned it.
You need to admit to yourself first of all.
And that's the big one.
If people aren’t willing, it doesn't really matter from a manager's point of view, or a line manager’s point of view, what those questions are if the individual's not going to open up themselves and admit it, it's a really, really hard conversation for any form of manager to have.
And I suppose, that individual – I'm not seeing people enjoy the effects of being, you know, addicted to alcohol– but the thought of them that if they admit they’ve got a problem, they get the help they'll never be able to drink again.
Did you ever think of that?
And that be what put you off so you can help sooner?
No, I wouldn't say it put me off seeking help sooner.
I think that I got stage when I was just close to losing everything. and that really, really dawned on me, and I had to do that.
I think since I've gone into my recovery, that has hit me, about ten months into it, where I really feel like this is me now, this is my life, and I, like, I can't have a drink.
And me and Nick spoke before about this.
And, you know, at the end of the day, it's that's down to me.
That's my problem.
I've caused that issue myself.
So when I every time I get annoyed that I can't have a drink, there's no one else to blame but myself.
But yeah, it's just I just think it's, people have got to open up a little bit more, and, and I think the stigma isn't attached anymore.
Nick was quite right in what you said.
You say alcoholic, you think of someone sat on a park bench with a brown bag – that isn't the case at all.
And, isn't it like that at all?
And, Nick, you know, were here from a line manager perspective.
What are those workplace factors that could contribute to someone misusing alcohol?
And, you know, what can line managers do then to reduce those?
I mean, social events in licensed premises, are an obvious one.
Lunch meetings and alcohol, in those premises is another one.
I think encouraging sober months, you know, joining being part of that celebrating wins you know in that sense.
But it's adopting a new culture. Right.
But I think ultimately it's about awareness.
And if you can create awareness and create and open up that conversation in the workplace where people don't feel like....
So from my from my experience, I was a police officer with a cocaine addiction. but I couldn't go to my sergeants because of the job that I was in.
It was it was a no go.
However, if the conversation was open and you could see that the organisation were actively trying to make that conversation open, where I felt probably more comfortable in coming forward.
That's a different kettle of fish.
So opening up the conversation on addiction in the workplace is is a good start.
You’re right and I think, you know with any addiction, drugs, alcohol, there is that fear that if I tell someone I'm going to lose my job and then I can't pay my bills, and then what do I do?
So I can understand why people are hesitant.
But I suppose, like you say, as long as the culture try and people are there willing to support that individual, then you know, all we can do is ask that people.... Absolutely.
And if you adopt it where you do open it up and you do welcome people to come if they have a problem, rather than giving them the impression that they're going to be fired.
I mean, it obviously depends on the role that they're in if they're an airline pilot, right? Yeah.
You can have to say, okay, you're going to be grounded for a bit.
Yeah. Right. But it's important fundamentally you can do all of these things.
The sober months, the walking, you know, all these things.
But opening up that conversation is probably the most important part.
And what resources or assistance can line managers signpost employees to struggling with alcohol addiction, specifically in the workplace?
So I think, I mean, there's quite there's quite a few services to to keep it simple.
You've obviously got occupational health.
You've got services like Help 4 Addiction, which can look at all private options, all statutory options, charitable options, faith based options depending on what what meets their needs.
So and that way because it can be very complex because it's understanding, does the person require a medical detox or not.
And so you don't want to just if you just put them into therapy it's going to be a waste of time because if they require a detox, you detox first before the therapy.
So there's a whole process and having the understanding there is is a lot to put on someone.
So reach out to help for addiction or to occupational health and and we can help.
Thank you both for joining me today.
It's been a really interesting, session.
So thank you.
In terms of mental health support that we have at Bupa we do have our mental health hub that's on our website.
We also have our partnership with JAAQ, an online mental health platform.
So please visit www.jaaq.org.
And then lastly with our mental health cover for any employees that have got private medical insurance, they can call and speak to a trained advisor directly if they have mental health or addiction concerns.
And depending on their cover, they can be referred to a mental health practitioner, usually without seeing a GP first.
Benefits of supporting employees with addiction
Providing support for your employees doesn’t just benefit them. It can also have a positive impact on the workplace as a whole.
Employee support
Knowing how to support your people during difficult times can be hard. That’s where our expert tools and resources come in.
Productivity gains
Healthier teams start at home. Your people will be able to focus their energy in driving your business forward, every day.
Fewer absences
With quick access to clinical expertise and support, you can lower the amount of days your employees take off.
Keep and attract talent
By showing commitment to your employees’ lives, you can attract new talent and hold on to current team members.
Questions about addiction? Just ask.
Hear from Priory clinician Simi Warah about the signs of addiction, as well as the treatment and recovery options available.
Transcript
Who are you?
Hi, I'm Sim Hura.
I am the therapy services manager at Prior
e Hospital Woking.
I'm an integrative psychotherapist and an art therapist,
and I manage the addiction
and general psychiatric therapy teams at the hospital.
I've worked in addiction for 25 years in a variety
of settings and outside
of my work life, I'm a mom.
I enjoy arts and crafts and spending time with my friends.
What are the different types of addiction that someone might be faced with?
So the different types of addiction can fall
under two categories.
So you have substances
or behavioural. Substances would be alcohol
or drugs; and drugs
could be anything from heroin, cocaine, speed
to also prescription drugs, whether they are prescribed
to you or bought illegally.
And then you have behavioural addictions such as gambling,
compulsive shopping, online porn, gaming.
Anything behaviourally that you are doing as a way of coping
with something and that you can't stop would be a
behavioural addiction.
What is your experience of treating different types of addiction?
My experience of treating addiction mainly lies within
drug and alcohol addiction.
It's what I've worked with mostly throughout my career.
It's what I'm most comfortable with
and it's what I feel most knowledgeable in.
I have worked with gambling and shopping addiction,
and I have a team of experts who specialise in other areas
as well.
Can addiction impact anyone?
Addiction can impact anyone from any walk of life.
I've worked with many people over the years
who come from all different age ranges,
social status, social class.
There are lots of ideas perhaps about
what an addict looks like or how they behave,
and some stereotypes exist such
as the homeless person on the street.
But in reality, addiction can impact on anybody.
I've worked with moms, I've worked with corporate leaders.
There is an element of secrecy around addiction.
So actually there's probably people in your life right now
who are suffering with this, and you wouldn't know it
because of how secret it is.
Can someone be more prone to addiction?
Some people may be more prone to addiction.
There are studies and evidence that suggests
that genetics plays about 50% of the role of addiction.
The rest of it though, is around people's experiences
and how they choose to cope with certain situations
or events in their life,
and also what they've grown up around
and what's more socially acceptable
so anybody can suffer from addiction,
even if someone is more prone.
What are some of the root causes of addiction?
Root causes of addiction can be broken down
into different factors.
So there are biological factors and
genetics can play a part in it,
and people's brain development and people's brain chemistry.
So that's one of the root causes.
There's also psychological, so people
who perhaps have experienced any kind of abuse
or trauma in their life,
and also just how people express their emotions or deal
or cope with their emotions.
And there's an element of learning and that.
So somebody may have learned to deal with their emotions
through using or drinking
or whatever the addictive behaviour is.
And then there's environmental factors.
So literally the family you grew up in,
the community you're from, what is socially more
or less acceptable peer pressure, copying from others
just being exposed to certain behaviours or addictions.
Can pressures at work cause an increased likelihood of addiction?
Work pressures can cause an increased likelihood
of addiction. Stress, deadlines,
anything that can impact on someone self-esteem, or their way of coping
or how they think about themselves can
increase their likelihood of addiction
because the addiction behaviour is about them trying
to make themselves feel better
and also to distract against other pressures in their life.
Work pressure being one of them.
What is a dopamine high in relation to addiction?
A dopamine high is the buzz you feel from using drugs
or drinking alcohol or doing any other addictive behaviour.
Dopamine is released and it just feels really good,
and that's the high that people experience
that they then are trying to replicate again and again
and again, mainly because it feels so good, but also
because it helps them to forget about their problems
or distract from other stresses in their lives.
How can dopamine have an impact on certain types of addiction – such as shopping addiction?
Addictive behaviours such as online activity,
online shopping, online gambling, gaming, social media,
the way that they're designed is to hook people in
and just release huge amounts of dopamine.
And the problem is that they're so easily accessible
and they don't run out,
and in some cases they don't even cost in terms of finances.
If you think about drugs or alcohol, people
can either run out of money
or they have to leave the house to get more.
But with anything online, anyone with a phone
or a tablet can access it.
And the content is designed to keep them hooked
and to maximise that dopamine release so
that people want more and more.
How can addiction present itself at work?
Addiction can present itself in many ways,
and it can vary from person to person. At work
this can look like underperforming, absenteeism,
so people not showing up at all, not meeting deadlines,
irrationality with colleagues, relationship breakdowns.
Anything that you think is out of character for
that person could be a sign of addiction.
What should I do if I think I'm starting to develop a problem with addiction?
If you're thinking you're starting to develop a problem
with addiction, then chances are
that there's something about your
life that you're not happy with.
So it's a really big step to be able to admit that
to yourself, and that's really powerful
and should be praised.
The next steps would be to talk to someone else
that you can trust, somebody who maybe knows you,
who wouldn't be judgmental,
and who could help support you
through the next steps of the process.
Because it is a process
and then it's about talking to a professional.
There's a whole range of options of treatment and help
and support out there,
and you may not even know what some of those are,
and they may be new to you.
So finding out from a professional
what can be offered is really important.
At Priory, we have free assessments
for anyone who's suffering with an addiction
and the person doing that assessment can talk you
through a whole range of options that would be best suited
for you.
What are the symptoms that someone might experience with addiction?
So symptoms of addiction can be either mental or physical.
So mental symptoms would be anxiety, depression,
low self-esteem, guilt
and shame, loss of self,
basically feeling
that you are not your true self. Physically,
you are looking at things like a lack of sleep, lack
of nutrition, not eating properly.
Also, literal physical symptoms from
the substances that you might be taking.
So alcohol affects the liver
and smoking any kind of drugs would affect your lungs.
There could be cardiovascular heart issues
if you're using too much cocaine. All of the drugs
or even using behavioural addictions can impact on your
brain chemistry as well.
So lots and lots of symptoms.
If I'm an addict will I always be an addict?
Different people have different views on,
if I'm an addict, will I always be an addict?
For some people, it's really important for them to maintain
that identity so that they continue
to do the work in their recovery for the rest
of their lives, and for others
it's really important to be able to kind of dispel
that label and just say, I'm in recovery.
So it is really, really individual.
But what is definitely possible is being in recovery
and having a full life away from addiction.
How do I know if I'm an addict?
How you can tell if you are an addict is looking at the
problems that are associated with the behaviour.
And if you are continuing to do that behaviour, despite all
of those negative consequences, so for example,
if it's causing you financial issues
or problems in your relationship,
or there's a fear of losing your job or your home
and you continue to do that behaviour, then that would be
a very strong indication of being an addict
or having addiction.
What is a support network and what does this mean?
A support network is anyone
and anybody who can help support you
through your treatment and your recovery.
It can be family, friends, people in your community, people
that are involved in activities
that might be really helpful and useful for you.
But it's also about other people who
have their own lived experience of addiction,
peer support groups, people who've been there
who can help guide you through what you are going through,
who can have a sense of understanding
and who can just be there
to offer you support when times are hard.
How important is a support network for someone who might be going through addiction?
The support network is really important
for someone going through addiction.
A lot of addiction centres on someone hiding,
being secretive, isolating themselves from others,
maybe impacting on their relationships,
and just feeling really, really alone.
So a support network provides connection with others.
It helps form other relationships
that might be more positive as opposed to some of them,
maybe the more negative relationships
that someone might have had in the past.
And it surrounds people with people who are caring and safe
and understand what you might be going through
and can just be there at times.
What are some of the signs of addiction that someone might spot in themselves or others?
Signs of addiction that someone might spot in themselves
or others is being preoccupied with the addictive substance
or behaviour and planning activities around it.
For example, not being able to stop despite attempts to do
so, feeling that compulsion to keep repeating the behaviour,
experiencing those negative consequences
and having signs of stress from that, say financial stress,
relationship stress, work stress,
and just the complete repeating of the behaviour.
How do I know who to include in my support network?
The support network is really individual,
so it's just really important that you think about who
and what would be important for you.
So it wouldn't necessarily automatically be family
or friends, but it could be if those people feel safe
and trustworthy, but finding people
with other interests as well
so it doesn't just have to be about the addiction. Hobbies,
interests, activities, and then also
trying different support groups is really helpful.
It's not always the first one you try
and sometimes people can get put off
by a support group if it feels like it
didn't really fit for them.
So just that commitment
to keep trying other places, other services.
The important thing is having that connection
and relationship with people so that you feel
that you can be yourself.
How do I recognise symptoms of addiction in a colleague?
If you recognise symptoms of addiction in a colleague such
as them underperforming or stress,
or if you just have a suspicion
that there might be an addiction, one of the best ways
to deal with that is to just talk openly.
There's a lot of shame and secrecy around addiction
and a stigma of what that might mean.
So letting someone know that it is actually okay
to talk about it is a really good positive first step.
Trying to come at it from an angle of not being judgmental,
not using blaming words, so a bit more opening
and asking them just how they are
and how are they coping with life may let them know
that it's actually an okay topic of conversation to continue
with.
How can I support someone suffering with addiction?
In order to support someone suffering with addiction,
it's important to recognise
that they may not themselves see that they have a problem.
So a good way to go about it is to ask them
general questions about how they're coping
and is there anything going on
for them that they want to talk about.
It doesn't always help to tell them what the problems are
that you've noticed, but maybe asking them,
inquiring questions about how their life is going,
and just be prepared that they may not be in a position
where they want to talk about it
or they may not recognise they have a problem themselves.
But if you've started that conversation, it means
that they may come back to you in the future.
If someone is suffering with addiction what steps can they take to get support?
If someone's suffering from addiction, there's
many things they can do to get support.
The first thing is admitting to themselves
that they need help or support,
which is a really powerful first step.
And then talking to a professional in order
to actually understand what help
and support there is out there.
So at Priory, we offer free assessments for anyone
who is suffering from any kind of addiction,
and the therapist who does that assessment can help go
through all the options of treatment.
There's different ranges of treatment
that can suit different individuals,
and doing a bit of research yourself also helps.
So knowing what it is that you might
or might not want from treatment,
do you like working in groups?
Do you prefer working on your own?
Do you need something that's online?
Are you working and need something out of hours?
All of those things are really important
to think about and there is helpful.
All of those options
How can you reassure someone who might be suffering with addiction right now?
If someone's struggling with addiction,
it's really important for them to know that there is help
and support available, and that treatment does work,
and the treatment that they choose can be tailored to them
and it can meet their needs.
So it doesn't have to be scary,
and it doesn't have to be something
that they feel wouldn't work for them.
There's lots and lots of different options,
and it's also important for them to know
that recovery is possible.
And there's many, many,
many people in the world who've recovered from addiction
and have gone on to live the lives that they want to.
Is it possible to build a positive support network through recovery?
It's possible to build a support network
through your recovery, whether that's through friends
and family, it could be work colleagues, anyone who feels
someone that you could open up to who feels safe
and who's there to support and encourage you.
And then peer support groups are really, really valuable.
That's where other people who've been through the same thing
as you, the addiction can help to guide and offer support,
and in turn, you can do that for others.
So there's a concept called visible recovery, which is
people seeing that hope in someone else's behaviour, knowing
that it's then possible for them,
and then in turn them doing it for other people as well.
And that's how those really strong support groups are built
and continue to go on.
What support is available if I think I'm starting to develop a problem with addiction?
If you think you're starting to develop a problem
of addiction, there's lots of support and help available.
At first, you may not be able to talk
to someone else and that's okay.
So it may be that you are going to do some research
by a self-help book, or go online
and see what things might be helpful for you
to understand the addiction
and understand more about yourself.
Talking to others is always really helpful and supportive.
It may be other people who've been
through the same experiences as you
and can offer you help and support and guidance.
And then there's professional support, so going to your GP
or go into a community agency
or at Priory, we have free assessments for people
who are suffering with addiction,
and that's a really good place to talk through
what the options are
and what that support might look like,
whether it's an inpatient rehab programme
or one-to-one therapy
or any of the other options that are available.
How important is early intervention for someone who suspects they have a problem?
If someone suspects they have a problem,
early intervention can be really helpful
because the earlier you recognise that
and get support, the less harm there is from the actual
addiction, the less negative consequences
and the impact on your wider family or your job.
So it can be really helpful for you to get early help,
but it's also important to recognise
that getting help at any stage is really important.
And at those early stages you might not be ready,
and readiness to change is one of the big factors on whether
or not your treatment will be successful.
What coping mechanisms can I use if I am struggling with addiction?
If you're struggling with addiction,
then chances are you have been using that behaviour
to help you with your emotions.
So thinking about other ways to cope
with those emotions is really important.
We teach skills such as emotional regulation
and distress tolerance, which means being able to be aware
of those emotions and sit with them rather than trying
to medicate or mask them.
But other techniques for coping is things like distraction,
hobbies, other activities
that are really good for your wellbeing.
Spending time with people that are important to you
and reminding yourself of the reasons why you want to
get help for your addiction, say that those
negative consequences are kind of reinforced in your mind
of why you're trying to do this, can help you with coping.
What does behavioural therapy mean in relation to addiction?
So behavioural therapy and addiction comes
in some different forms.
So we have cognitive behavioural therapy,
which is looking at people's thoughts
and unhelpful thoughts, negative thoughts about themselves
or about situations,
and how those create feelings that are unwanted, which leads
to the behaviour of the addiction to try to medicate
or to stop having those unpleasant feelings.
So within cognitive behavioural therapy, we encourage people
to challenge those thoughts, to question if
what they're thinking is true,
is there something else I could be doing right now rather
than automatically go into the addictive behaviour.
We also have DBT, which is Dialectical Behavioural therapy,
which really helps people
to practise things like being mindful, being present,
awareness of your emotions
and how to regulate your emotions without using substances
or without doing the addictive behaviour,
and how to sit with some of those unpleasant feelings,
which is really hard for people if they've been used
to doing the addictive behaviour.
It also talks about distraction techniques,
and relapse prevention is very much a behavioural therapy.
Looking at situations that people can get themselves into
stressful events, high risk situations,
and how to cope with those
or how to avoid them in the first place.
I am struggling with addiction, how can I open up a conversation about this with someone else?
If you're struggling with addiction, it's really hard
to open up, but it is really important, so maybe trying it
with somebody you really trust to start with.
It can be a friend or a loved one,
and they don't have to be an expert.
Just for you to start that initial conversation
and then talking to a professional is really helpful
because that's how you will know
what support is available for you.
We're trained to be warm and empathic and nonjudgmental,
and you may be fearful of what you say might be shocking,
but we've heard lots and lots of things
and we will support you through that
and make you feel as safe and comfortable as possible.
What advice can you offer to someone who might be in denial about their addiction?
If someone's in denial about their addiction,
it's really important that you can keep
that conversation going with them,
although they might not be ready to admit
the problem themselves.
So talking about the consequences of their addiction
or how it might impact on others might be a useful
conversation and reinforcing your
encouragement and love and support for them so
that they don't feel shamed
or blamed, even if they're not ready
to talk about it right now.
It is a useful opening point,
and potentially then in the future, they will come
to a point of recognising that they do have a problem.
What advice would you give someone who might have an unhealthy relationship with a substance?
If someone has an unhealthy relationship with alcohol
or another substance, it's really important for them
to be able to recognise it for themselves.
So asking them how it impacts them
and what problems it may be causing
and getting them to say it in their own words, helps them
to really register and identify with that problem
and will be a really important step for them
to access support.
Other types of advice would be to try and stop or to try
and cut down, but it is really
important to do this safely.
So if someone's physically dependent on alcohol,
we wouldn't actually say to them to stop drinking
that would need somebody to have a medical intervention,
a detox with medical professionals is really important
to manage that safely
because it can be dangerous to stop drinking if they're at
that level where they absolutely can't stop without
withdrawal symptoms being present.
I think I have an alcohol addiction, should I just stop drinking?
If you have an addiction to alcohol,
it is really important to assess whether
or not it's safe to just stop drinking.
If you are able to stop drinking
and not have any side effects
or withdrawal symptoms, then that may be okay.
But if you are suffering from any kind
of withdrawal symptoms such as shakes
and tremors, it can actually be really unsafe
to stop drinking and you need medical
professional help to do so.
So what we would advise in that case is for you
to continue drinking, although you can absolutely cut down
and try to keep it to a minimum,
but to continue drinking until you're in a place of safety
and supported by medical professionals who can do that
for you.
What does it mean to be in recovery?
Being in recovery means
different things to different people.
For some people it may be being abstinent
from all substances
and addictive behaviours, regardless of
what they went into treatment for
and for others it may be about maintaining
and managing their own personal goal.
But in general, being in recovery means you are not engaging
in the harmful behaviour that you were doing beforehand
and that you're living your life in a way
that supports this.
Can someone who is suffering with addiction go onto live a normal life?
Someone suffering from addiction can absolutely go on
to live a normal life.
That life will look different from their life previously,
but that's a really positive thing.
They will need to be aware of high risk situations
and times of stress that could cause a relapse.
And it's also really important to know that relapse is part
of the process and it's really normal so
that they don't feel that they failed
or there's no shame involved in that.
But the important thing is to learn from that relapse so
that they can put that awareness into the future.
I've seen people recover and go on to do amazing things.
I've seen people reunite with their families.
People change their career completely.
Lots and lots of things are possible
that come under the banner of having a normal life.
Has there been a standout addiction recovery case for you that has turned into a success story?
One standout case for me
of recovery is someone I was working with many years ago who
grew up in a terrible environment, terrible childhood,
started using drugs
and alcohol at a really young age
as a way to cope with that.
Ended up homeless, ended up in prison,
and through her abstinence, she went to AA meetings
and NA meetings, Narcotics Anonymous and Alcoholics Anonymous.
She's just thriving now.
She's got her own business in the dog grooming.
She is an inspiration to others.
She spends a lot of her time going to meetings
to talk about her story,
but going to other services, going into prisons,
sharing her story, and giving hope to other people,
and I was part of her treatment journey,
so I feel really proud of that.
How and why do addicts hide their addictions?
Addicts hide their addictions
because they feel shame from what they're doing.
So in many cases in addiction, people start
to neglect their responsibilities.
They prioritise the addiction over other things,
over their family even.
And that can be really hard to admit,
but that in itself causes them to feel shame.
They cope with that shame by using their substance
or behaviour to help them to mask that pain.
And then it can come a cycle, all
of which they feel they need to hide from others.
Can you tell us about Priory?
Priory is the largest independent provider
of mental health care and adult social care in the uk.
We support 26,000 people a year, over 300
locations all across the uk.
We provide a variety of services
and settings, some of which are local authority
or NHS funded
and others, which are private
hospitals and wellbeing centres.
We employ and work with the country's leading
top consultant, psychiatrists, psychologists,
and therapists, one of which is me.
How can Priory support me with my addictions?
Priory has a flexible array of addiction services
that can meet various different needs.
We have a free assessment process for anyone suffering
with addiction, and that can be on the day
that somebody decides to make that phone call.
They can be assessed and from that assessment with a therapist
they can be supported through
the different options that are available.
We have a 28 day inpatient rehab programme
at many of our hospitals, which is group therapy,
but in a very, very lovely, beautiful setting.
We have outpatient therapy, one-to-one
that can be face-to-face at one of our services or online.
And we also have detox
facilities at many of our hospitals.
So if anybody needs a medical detox, they can come to one
of our hospitals and do that safely and effectively.
And daycare, outpatient programme groups
that people can come to whilst they're still living at home.
What is rehabilitation centre and why would I go there?
A rehabilitation centre is an inpatient
or residential unit
that somebody lives in whilst they're doing their treatment.
Their treatment is in the form of group work mostly,
but there is obviously one-to-one therapy alongside that,
and it's for a fixed amount of time.
So at Priory, our inpatient rehab is for 28 days.
Someone would go there if they are struggling
with their addiction to the extent that they're not able
to manage anymore in the community,
and they've exhausted other options of support and help.
They're just not able to live their lives
and they need the safety
and the unit to stop them from
accessing either their substances or the behaviours,
and they need that intensive support in the first instance
before they can then learn to manage.
What is a rehabilitation programme?
The programme of rehabilitation would take into account
lots of different treatment modalities, largely group work
based on things like cognitive behavioural therapy,
dialectical behavioural therapy, DBT. At Priory
we do these with a 12 step informed approach as well.
So people may be more familiar
with things like Alcoholics Anonymous, AA meetings
or NA meetings.
We incorporate some of that into our rehab programme.
And then there's other elements as well,
so it's sharing stories.
There's what we call processing and being in a group
and the power of the group
and learning how to interact with each other
and learning how to deal with emotions or thoughts
or feelings that come up.
There's also an element of focus on things like wellbeing.
So we look at mindfulness or meditation
or yoga is really important to provide a holistic approach
to the rehab programme.
Can anyone go to a rehab centre?
In theory, anyone can go to a rehab centre.
There are some limitations such as age
and complexity of someone's health condition
or mental health condition,
but there are options for a wide range of people.
So there are NHS and local authority funded places,
and there are also private rehabs.
At Priory, we have
many people from all different walks of life.
Some of those are self-funding,
and some of those might have their private medical insurance
be able to fund the treatment for them.
What is your experience of treating addiction?
My experience with treating addiction started about
25 years ago.
I worked in a drop-in centre in London
that had a crack treatment programme,
and that was working with people using crack cocaine,
attending to their addiction,
but also their health conditions.
From then, I went on to working in prisons
with young offenders of addiction
and then working in the community,
in community day programmes, so running groups, working
with homeless people, working in needle exchange,
and then I managed a service that incorporated all
of those things under one roof, as well as
substitute prescribing, which is prescribing medication
to help people manage their addiction
and referring people into rehabs.
And then now I'm working at Priory at Priory Hospital Woking,
where I oversee the addiction programme,
and I also still do some one-to-one therapy as well.
How can addiction be treated?
Addiction can be treated in a variety of ways,
and this is dependent on the addiction itself
and also the individual who's experiencing the addiction.
And different things will work for different people.
So there's medication that is sometimes necessary useful.
And then psychological therapies,
whether it's one-to-one therapy or group work.
Group work is a really big important component of a lot
of rehab programmes,
and there's power within that group for people
to see recovery within each other
and to offer support and encouragement.
But for others, group work isn't really something that they
feel that they can utilise for themselves.
So one-to-one therapy can take the form of CBT,
which is cognitive behavioural therapy, relapse prevention,
motivational interviewing.
The aim of the treatment is to help people to address
the reasons that they're using the underlying causes
and also what lifestyle changes are needed in order to
live a more productive and better life for themselves.
Healthcare options for addiction support
With Bupa cover, you can support your employees with access to talking therapies and online wellbeing programmes. We also offer a care plan that includes treatment for up to 28 days a year, in an inpatient or day patient facility‡.
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Addiction advice from our experts
We're here to help you support your employees. Read advice from our experts on how to handle addiction in the workplace.

Addiction: nurture versus nature
Addiction is complex and often involves multiple drivers, like genetics, poor mental health, and environmental factors. Learn more about the nature of addiction from Dr. Naveen Puri, Medical Director for Bupa UK insurance.

Addictive behaviours undermine teams and productivity
As many as one in five working people have difficulty with alcohol or drugs. Learn how this could impact the workplace.

How to support staff struggling with addictive behaviours
For an employee who is struggling with addiction, effective support can be life-changing. But what does this look like?

How to spot the signs of addiction in others
Addiction looks different for everyone, but there are some common signs that you can keep an eye out for.
*Taking action on addiction stats 2024
†GOV.UK Adult substance misuse treatment statistics
‡To support addictions we fund one addiction treatment programme in your lifetime. Subject to term and benefit allowances.