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.

Signs of addiction to look out for

If someone you work with is experiencing addiction, you may notice signs such as:

.

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.

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.

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.

*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.

Content is loading