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    Condition

    Addiction Support — therapy online across the UK

    Support for anyone whose relationship with a substance or behaviour has become a problem — without judgement.

    BACP / UKCP / HCPC registered Matched within 48 hours Free 15-min intro call

    1 in 3

    adults report at least one addictive behaviour pattern in their lifetime

    First-line

    CBT and motivational approaches per NICE

    Common

    co-occurring anxiety, depression or trauma

    Ongoing

    recovery is typically a process, not a single event

    Understanding it

    About Addiction Support

    Addiction support helps people whose use of alcohol, drugs, gambling or other behaviours has become compulsive, harmful or hard to control, despite wanting to stop or cut down. Therapy doesn't require you to identify with a label; it works with the function the behaviour serves — numbing, escaping, coping, connecting — alongside practical strategies for change. Many people access this alongside medical support, detox services or twelve-step and mutual-aid groups.

    Addiction rarely develops in isolation. It usually begins as a solution — to pain, trauma, anxiety, boredom or disconnection — before becoming a problem of its own. Understanding what the behaviour was doing for you is often more useful than focusing purely on stopping it.

    Repeated use changes how the brain responds to reward, stress and cues, which is why cravings can feel disproportionate to the situation and why willpower alone often isn't enough. This is a recognised feature of addiction, not a moral failing or lack of character.

    Relapse is common and, for many people, part of the process of change rather than evidence that treatment has failed. Therapy that treats setbacks as information rather than failure tends to support more durable, long-term change.

    Shame is one of the biggest barriers to seeking help and one of the strongest maintainers of addictive patterns — people often use to escape the shame caused by using. Non-judgemental, person-first support interrupts that cycle.

    How it shows up

    You might recognise some of this

    Nobody has all of it. Most people recognise a handful — and that's enough to start.

    Signs it may be time to seek support

    • Using more, or more often, than intended
    • Failed attempts to cut down or stop
    • Cravings that override other priorities
    • Continuing despite harm to health, relationships, work or finances
    • Using to cope with difficult feelings rather than by choice

    What sessions involve

    • Understanding triggers, cravings and the function the behaviour serves
    • Building alternative coping strategies for difficult emotions
    • Relapse prevention planning
    • Working with shame, identity and relationships affected by the addiction
    • Coordination with medical, detox or peer-support services where needed

    What changes

    • Increased periods of control or abstinence
    • Reduced shame and secrecy around the behaviour
    • New ways of managing stress, boredom or difficult emotion
    • Rebuilding trust and relationships affected by the addiction

    Signals

    When this helps

    • Alcohol and substance use
    • Gambling and other behavioural addictions
    • Cravings and relapse prevention
    • Shame and secrecy around the behaviour
    • Co-occurring trauma, anxiety or depression

    The work

    How therapy helps here

    1

    Explores the function the behaviour has been serving

    2

    Builds practical strategies for cravings, triggers and high-risk situations

    3

    Works alongside medical or peer-support services for fuller recovery

    The evidence

    What the research actually says

    Plain-English summaries of the guidance our therapists work from.

    CBT is a core recommended treatment

    NICE guidance identifies cognitive behavioural approaches, including relapse-prevention strategies, as effective components of treatment for alcohol and drug misuse, often combined with medical management.

    Motivational approaches improve engagement

    Motivational interviewing — working with someone's own reasons for change rather than imposing them — is consistently associated with better engagement and outcomes, particularly early in the process.

    Combined approaches outperform single interventions

    Research consistently supports combining psychological therapy with medical, peer-support and social interventions, rather than relying on any single approach alone.

    What to expect

    How a course of therapy usually unfolds

    A guide, not a script — your therapist shapes this around you.

    1. 1

      Assessment

      Understanding the substance or behaviour, its history, triggers, and any medical or safety considerations, without judgement.

    2. 2

      Motivation and goal-setting

      Clarifying what you want — abstinence, reduction, or something else — and why it matters to you.

    3. 3

      Building coping strategies

      Developing alternatives to the addictive behaviour for managing stress, boredom, and difficult feelings.

    4. 4

      Relapse-prevention planning

      Identifying high-risk situations and preparing specific plans for managing cravings and setbacks.

    5. 5

      Rebuilding

      Addressing the wider impact on relationships, identity and self-worth as new patterns become established.

    Worth saying

    Common worries, honestly answered

    “Addiction is a choice or a lack of willpower.”

    Addiction involves real changes in brain chemistry and stress response, and usually develops as a way of coping with pain — it responds to treatment, not blame.

    “You have to hit 'rock bottom' before you can be helped.”

    Support is more effective the earlier it starts — waiting for crisis isn't necessary or recommended.

    “A relapse means treatment has failed.”

    Relapse is common in recovery from addiction and is usually treated as useful information for adjusting the plan, not as a failure.

    Between sessions

    Small things that genuinely help

    None of these replace therapy — but they're a gentle place to begin today.

    • Identify your specific triggers — times, places, feelings, people
    • Delay acting on a craving by 10-15 minutes and notice what happens
    • Tell one trusted person about what you're working on
    • Replace one part of the routine around the behaviour with something else
    • Look into peer-support or mutual-aid groups alongside therapy

    FAQs

    Frequently asked

    Find the therapist who fits

    Answer 10 short questions and we'll match you within 48 hours — no card needed to start.

    MySafeTherapy

    Important: MySafeTherapy is not a crisis or emergency service. If you are in immediate danger or thinking of harming yourself, please contact your local emergency services or a crisis helpline in your country.

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