CHOICES

Glossary

Below is a brief explanation of the range of treatment methods used at Choices rehabs.

Attachment focused model

Attachment therapy encourages a person to explore emotional experiences of the past and the present, and in particular their relationships with the people closest to them.  They can look at the effect of childhood and adult experiences on their behaviours and their self-worth, and their outlook on life.  It is particularly relevant to mother and baby issues.

CBT (Cognitive Behavioural Therapy) 

People with addictions often have destructive and negative thoughts.  It is essential to change these harmful thought patterns – easier said than done - as part of getting well.  CBT has been proven to help clients find and practice alternative ways of thinking, which can significantly reduce distressing thoughts, emotions and harmful behaviour.

Coping skills

When a person gives up drink and/or drugs, changes are necessary to maintain a fulfilling sober lifestyle. Maintaining the old behaviours and coping strategies will lead to relapse.  This means learning to deal with issues that they could not handle in the past - emotions such as anger, happiness or stress, mental or behavioural health issues, or circumstances of accommodation, employment, or relationships.  New coping skills help people to avoid old, bad approaches, and to deal better with life in recovery.

DBT (Dialectical behaviour therapy)

Dialectical behaviour therapy (DBT) is a specific form of cognitive behavioural therapy, or CBT.   DBT emphasizes the psychosocial aspects of treatment — how a person interacts with others in different environments and relationships.   In practice this means that in addition to individual, weekly psychotherapy sessions, most DBT treatment also features a weekly group therapy component, where people learn new interpersonal skills.

Detox 

For some very heavy drinkers it is dangerous to stop suddenly without medical help.  Such people can be “detoxed”, that is taken off drink safely, with the help of prescription medication. Sometimes a detox can be undertaken at home under medical supervision, and in some cases an impatient detox is required.  The process usually takes 5 to 10 days.  How do you know if you need a detox?  You should seek advice, from a doctor or a rehab.

Education and Training

Looking forward to when you get clean and sober, how are you going to cope in your new, real world.  How are you going to replace your old bad habits with good new habits, and gain access to work, study, and the other disciplines normal people have?  The key is education and training, and some rehabs focus on this as a powerful way to help you keep clean and sober, and a useful member of society, into the future.

Group therapy

Group therapy is widely used in all types of addiction treatment, and has many benefits.  Groups provide positive peer support, and reduce the sense of isolation addicts commonly feel.  They enable people to see how others approach life, and whether these approaches work.  People share their coping skills and their experiences.  They provide feedback on the values and abilities of other group members, and can confront members about harmful behaviours.  They provide useful information to new group members.  They encourage, coach, support, and reinforce as members undertake difficult or anxiety‐provoking tasks.

Groups can address many different specific issues, with Gender, Trauma, and Family being among the most common.

MI (Motivational Interviewing)       

As the name suggests, this technique is about motivating the client to change a destructive behaviour. This is very helpful for addiction, as lack of motivation to stop can be one of the greatest barriers for individuals, even in spite of health issues and financial, social, and legal consequences.

The thought behind Motivational Interviewing is that all individuals dealing with addiction are at least partially aware of the negative consequences of drug abuse and addiction. Each individual is also currently in a certain stage of readiness when it comes to changing their behaviour. MI therapy helps the process of getting ready to change by overcoming ambivalence or a fear of change, increasing the client’s own motivation

Peer driven  

Peer support can be defined as the process of giving and receiving nonprofessional, nonclinical assistance from individuals with similar conditions or circumstances to achieve long-term recovery from psychiatric, alcohol, and/or other drug-related problems. Recently, there has been a dramatic rise in the adoption of alternative forms of peer support services to assist recovery from substance use disorders;

Self-empowerment

Self-empowerment therapy sees the addict as being at a temporary stage from which they can move on through their own power and decision making.  Therapists help the individual to believe they are capable of change, and that they will find their way out of addiction through this belief in their own powers.

Therapeutic Community            

The therapeutic community for the treatment of drug abuse and addiction has existed for about 40 years. Most Therapeutic Communities are drug-free residential settings where you will progress through treatment stages that reflect increased levels of personal and social responsibility. Peer influence, expressed through the group in a variety of ways, is used to help individuals learn new social norms and develop more effective social skills.

Therapeutic Communities differ from other treatment approaches principally in their use of the community, comprising treatment staff and those in recovery, as the most important driver of change.

 Twelve Step

You may have heard of “The 12 Step Programme”, which is used by about half the addiction rehabs in the world, and in the UK.  So one of your choices is – do I want 12 Step or not?

The 12 Step Programme of Alcoholics Anonymous is credited with getting more than two million alcoholics around the world into lasting sobriety, so it clearly works.  There are also 12 Step programmes for drugs and many other issues such as food, and these have proved equally effective.  All 12 Step rehabs use other proven methods in addition to the 12 Steps, the same techniques as are used in non-12 Step rehabs, such as CBT and Motivational Interviewing, but the basis of treatment is the 12 Step programme.

​The rehabs that are not based on the 12 Step Programme use a wide range of proven therapeutic tools, including all those listed above on this page.  Experience shows that these rehabs and these tools also deliver excellent results.