Your first appointment

At a local drug service, you will talk to a key worker about your drug use, your health and what you want to change. Together you make a care plan. There is no pressure to stop straight away.

Opioid substitution treatment

If you are dependent on opioids, such as heroin, you may be offered a prescribed substitute:

methadone, a liquid taken daily
buprenorphine, as tablets, a film, or a long-acting injection given weekly or monthly

These reduce cravings and withdrawal, cut the risk of overdose and help you get stability back. Many people stay on them for a long time. Others later reduce slowly with support.

Detox

Some people choose to stop completely. Detox means stopping with medical support to manage withdrawal safely, at home or in a specialist unit. It works best with ongoing support afterwards, such as residential rehab or community support.

Talking therapies

CBT to understand triggers and build coping skills
contingency management, which gives rewards for goals such as negative drug tests
family therapy and support for loved ones

Treatment for other drugs

There is no substitute medicine for drugs such as cocaine or cannabis. Treatment focuses on talking therapies, support and treating any other health problems.

Mental and physical health

Services can help with problems like depression, anxiety, hepatitis C testing and treatment, and wound care.

Next, read about recovery from drug dependence.

Treatment for drug dependence