Tag Archives: Rehab Centres

Interview with an Alcohol and Drug Addiction Admissions Manager

Chris Simonite: Senior Admissions Counsellor

Chris joined as a group counsellor; he progressed to work within the admissions department, supporting individuals and families through the sometimes challenging and emotional task of entering into treatment. He is experienced and qualified in Substance Misuse Counselling, Cognitive Behavioural Therapy, Humanistic, Gestalt, TA, Person Centred, Psychodynamic and Relationship Counselling. He is a registered (voluntary accredited) counsellor with the British Association for Counsellors and Psychotherapists.  Chris is available to support you and your family and help to signpost you to a suitable solution to meet your individual needs.


Questions for Admissions Manager

  1. How long will I need to stay/how long is the treatment course?

Inpatient treatment can range between 10 days to 6 months depending on the clients mental health, detox needs and social needs. We’ve long recognised that different people have different needs. Our outcomes substantiate that it’s imperative to find the right treatment centre to fit the client, as oppose to try and fit the client to the centre. We are fortunate in One40 to have so many different types of centres that we able to offer the perfect solution for the vast majority of people suffering with addiction.

  1. What’s involved day to day in treatment? Describe a typical day

Whether in detox or a full rehabilitation programme, days are structured to offer an appropriate amount of talking therapies. The range of therapies vary from centre to centre but can include anything from equine therapy to group process.

3. What do you think surprises most people about treatment/rehab?

It’s always nice to see the exasperation of family members and loved ones at their first visit when they are able to visually gauge the success.

  1. What’s the biggest shock for someone?

By the time clients arrive at treatment their self esteem is usually very low, it can be a shock to the system to be among people that know exactly what they are going through. This type of deep and meaningful resonance lends its hope and compassion to our client’s up to, and beyond the point where they are able to care, love and respect themselves again, or in some cases, for the first time.

  1. Can I speak to my family or friends?

This leads us back to the first question really, we need to assess your individual needs and match them to the right clinic. One very common ‘by product’ of addiction is that of co-dependency i.e. needing someone else desperately in order to try and feel ok about yourself. It’s critically important for clients to be able to start to develop a relationship with themselves and we are always motivated to help them do so. Contact generally works on a continuum ranging from total, to restricted contact. Different treatment centres enforce different rules.

6. Will it work?

Recovery from addiction is possible millions if not billions have achieved recovery from addiction since man crushed grapes. The real question is, will it work for you?  The answer to this question of course is, it depends on you! There are a number of things that we can do to support you i.e. match you to the right centre, support you with the right type of counselling and detox, but ultimately any longevity of recovery depends on maintenance of an appropriate programme. Rehab / detox is not a magical fix to a problem, it’s often the very best possible start of ongoing journey.

7. What happens after I leave treatment?

Clients of One40 are very fortunate to have access to one of the best aftercare packages in the country with over 8 points of access, currently extended for up to 5 years post treatment. Other benefits include regular Alumni events and an ongoing individual care plan exit strategy with their own focal counsellor, helping clients to make the most of their recovery in their local area. Furthermore, counsellors are always available for a quick chat if you need a bit more of hands on readjustment to your recovery.

  1. What happens if I’m not 100% going to rehab for myself? I think I’m doing it for a family member

In all honesty after eight years working in rehab, I think I’m still yet to meet someone that’s 100% into giving up when they come in. Addictive habits, as destructive as they are, all offer us something a little rewarding, even if it’s just about trying to block out the pain. It can be really hard and scary to let that go. I often ask for willingness, and nothing more, time will normally do the rest, if the treatment mapping has been successful.

  1. What’s the best advice you could offer a person going into treatment?

I can offer a top 10 list here…

  1. Be wary of any website declaring themselves a ‘helpline’, these are often commission based agents that farm your information out to rehabs offering commission payments. Clients inadvertently utilise these services thinking they are getting impartial advice and end up getting inundated by calls from pushy sales people.
  2. Remember it’s natural to feel anxious about going in to rehab.
  3. Closer to home may well be closer for visiting, but it might not be the best treatment centre to meet your needs.
  4. Try and restrict your communications in the first few days, it’s normal for clients to feel a little homesick and contact can often exasperate it.
  5. It’s often very important for families and loved ones to develop boundaries against the offending behaviour. Addiction is a family illness, so always ensure there is some support available for the family too.
  6. Be weary of salespeople that offer guaranteed success, success really depends on the client.
  7. Remember it’s a journey and not a destination.
  8. It’s normal not to deal with absolutely everything in rehab, think about some additional one to one counselling post rehab. We can help you find a suitable counsellor if need be.
  9. Sometimes clients are so intoxicated that they loose the ability to be the ‘responsible adult’, be prepared to step in and guide the process if you need to.
  10. Be sure to do your homework well, establish the clients needs and find a treatment centre that can meet them.
  1. 10. What would you say to someone who’s been to rehab before and it hasn’t worked?

Lapse and relapse are a part of the cycle of breaking any addictive process, identifying your needs and mapping them to the right treatment centre from the outset will reduce the risk of replase

Anorexia, Bulimia, Overeating (Part 3)


David Smallwood is the Treatment Director at One40, over the coming weeks we will be featuring some of the highlight excerpts from his new book.

Unfortunately, the path they choose in order to try and fix things is highly destructive and it follows the classic addictive process. They feel like shit, so they starve themselves. The physiological effect that this creates gives them a temporary reassurance that they’re dealing with their problems. They get high on being light-headed from starvation.

Of course, sooner or later, they need to eat something to survive, which makes them feel guilty and disgusted with themselves. They feel like shit again, which triggers a repeat of the whole process. Body dysmorphia exacerbates this process because they may be convinced that they’re as fat as an elephant, whereas in reality they’re actually unnaturally skinny.

Occasionally an anorexic may allow themselves to indulge in a ‘forbidden’ food like ice cream. This can trigger temporary feelings of euphoria, which are quickly followed by more shame and disgust for losing control. Anorexics are also prone to over-exercising in an attempt to burn off calories. I’ve known girls who will go out of their way to walk many miles every day as they try to lose weight. They may also resort to swallowing laxatives in large doses to further accentuate their weight loss.

The internet may play a large role in an anorexic’s behaviour, as they typically exchange tips and advice on so-called ‘pro-ana’ bulletin boards (which also contain the sort of videos that appear on YouTube). Some of this advice is very detailed and it can make harrowing reading. I know of one case in which a teenage girl was advised to sleep with her bedroom window wide open so that her body would burn more calories in the cold.


Bulimia is a process whereby the sufferer is locked in an endless cycle of binge eating, followed by vomiting, in an attempt to avoid putting on weight. Just like anorexia, it’s usually triggered by a deep-rooted sense of low self-worth and issues around codependency. Some bulimics may only vomit occasionally, but for many it happens on multiple occasions every day.

I’ve met people with bulimia who will spend literally hundreds and hundreds of pounds on food every week, all of which they binge on before making themselves throw up. While they’re in the act of bingeing they can experience an enormous rush of power and excitement. It’s as if they experience a high through the unbridled consumption of food, often in the form of sugary things like chocolates and sweets.

In extreme cases, the urge to continue eating is so overwhelming that people have been known to throw up into rubbish bins and then scoop out their own vomit in order to eat it. You can only imagine the feelings of shame and disgust that this causes them. Ironically, these feelings in turn continue to drive the process of bingeing, because bulimics deal with the distress through more comfort eating.

Inducing vomiting is a dangerous process that robs the body of vital vitamins and electrolytes, so even though they maintain a normal weight, bulimics often encounter other medical problems. In extreme cases the sufferer can be at risk from heart attack or stroke. Some bulimics develop the ability to throw up almost at will, without the need to put their fingers down their throats. When this occurs, the sphincter at the bottom of their oesophagus may stop working correctly, and the contents of the stomach are able to leak upwards, leading to foul breath that stinks of vomit.

A bulimic’s teeth become discoloured from constant contact with the acid contained in their vomit, and their cheeks become puffy and hamster-like. If a sufferer already has an addictive nature that’s characterized by low self-esteem, these side effects make them feel all the more traumatized.


To read more go to Amazon to order your copy or contact us directly at ONE40  at info@one40.org. This is David’s Twitter Handle:   @DSmallwoodMSC Facebook Page link:https://www.facebook.com/pages/David-Smallwood/747815968591931?ref=