Inside the NHS: Realities of Substance Abuse in Hospitals
Addiction is a complex and often misunderstood condition. It is not simply a matter of willpower or choice but involves biological, psychological, and social factors that can profoundly affect a person’s life. At UKAT, we understand the far-reaching impact of addiction and are committed to providing compassionate, evidence-based support to anyone affected.
To better understand the challenges faced by individuals struggling with addiction, we explored the perspective of Eva Contractor, a Physician Assistant at the Royal Free Hospital in North London. Her experiences reveal how addiction affects people’s health, relationships, and daily life, and highlight where NHS services stand when it comes to addiction.
The Impact of Addiction on Daily Life
Addiction affects far more than someone’s substance use; it infiltrates the routines, responsibilities, and relationships that make up everyday life. Healthcare professionals repeatedly see how it chips away at a person’s stability, purpose, and sense of self. The consequences aren’t always dramatic at first; often, they’re gradual. Missed deadlines at work, mounting debts, cancelled plans, and strained conversations become part of the pattern. Over time, what once felt manageable becomes overwhelming.
Because of this complexity, many people struggle to get the timely, specialist help they need. The NHS does incredible work, but it is under immense pressure. Long waiting lists, limited specialist services, and the sheer demand for mental health and addiction treatment can delay support at the exact moment someone finally reaches out. For individuals already battling shame, fear, or crisis-level symptoms, these delays can feel like yet another barrier they’ll never get over.
Meanwhile, addiction continues to erode the foundations of everyday life. Relationships are often the first to suffer, with trust breaking down as secrecy, guilt, or denial take hold. Many people withdraw from friends and family, isolating themselves just when they need connection the most. Employment, finances, and physical health begin to unravel, too; missed deadlines, escalating debt, poor sleep, and declining self-care all become part of the daily struggle.
Mental health can deteriorate rapidly. Conditions like anxiety, depression, PTSD, or bipolar disorder can intensify alongside addiction, each feeding the other in a cycle that’s hard to break alone. This is where a whole-person approach becomes essential; addiction is never just about the substance. It’s about what’s driving the behaviour, what’s keeping it going, and what needs to change for someone to truly heal.
This is where UKAT’s approach stands apart. With immediate access to treatment, specialist clinicians, and structured therapeutic programmes, UKAT can give individuals the focused support they often can’t access quickly elsewhere. Their comprehensive, person-centred model includes:
- Cognitive Behavioural Therapy (CBT): Helping clients identify harmful thought patterns and replace them with healthier, more constructive ways of thinking and behaving.
- Mindfulness and Stress Management: Teaching clients practical tools to regulate emotions, manage cravings, and stay grounded during stress.
- Holistic Therapies: Including art therapy, yoga, and vibration therapy to support emotional expression, physical wellbeing, and inner balance.
- Family Support Programmes: Equipping loved ones to understand addiction and play a positive, informed role in the recovery process.
By addressing someone’s emotional, psychological, and social needs, not just their substance use, UKAT creates an environment where sustainable recovery is genuinely achievable. Clients gain stability, rebuild confidence, repair relationships, and learn how to live a balanced, fulfilling life long after treatment ends.
Understanding the Limitations of NHS Support
The NHS offers vital services for people struggling with addiction, including help with the initial stage of detox. Interventions like these are indispensable for managing urgent medical needs and providing an initial pathway into recovery. However, the reality is that long-term, personalised treatment through the NHS can be difficult to access. Demand is high, resources stretched, and the depth of support needed for lasting recovery isn’t always available within the public system.
Waiting Times:
Securing a place in an intensive rehabilitation programme can involve lengthy delays. For many people, these waiting times arrive at the worst possible moment, right when motivation is strongest and professional help is most needed. Unfortunately, the gap between asking for help and actually receiving it can leave individuals vulnerable to worsening symptoms or relapse.
Limited Therapy Access:
While NHS teams work hard, the availability of one-to-one therapy is often restricted. Clients may only receive short, infrequent sessions, making it difficult to explore the root causes of addiction or build the emotional resilience needed for long-term change. Without consistent therapeutic input, progress can stall.
Inconsistent Aftercare:
Once treatment ends, the level of aftercare support varies significantly across the country. Some areas offer robust follow-up services; others offer very little. This inconsistency means many people find themselves navigating early recovery alone, precisely when structure, guidance, and continued accountability are most important.
UKAT bridges these gaps with comprehensive, tailored treatment programmes designed to support people at every stage of their recovery journey. Beyond treatment, our dedicated alumni network ensures every client leaves with ongoing support, connection, and a community that continues to walk alongside them long after rehab ends.
Taking the First Step
Addiction can feel isolating, but recovery is achievable with the right support. Whether you are seeking help for yourself or a loved one, UKAT provides compassionate, professional care tailored to individual needs.
Explore our rehab clinics, learn about our holistic therapies, or contact our team to begin your journey.
Early intervention is one of the most powerful tools in tackling addiction. When someone receives professional help at the first signs of a problem, their chances of long-term recovery increase significantly. Addiction rarely stays still; left unchecked, it tends to deepen, becoming harder to break away from both physically and psychologically. Acting early can prevent that downward spiral.
Every recovery journey starts with a single step, and UKAT is here to provide guidance and support along the way.

