What happens when you ask for help
You do not need to know what treatment you need before you make contact. The first job is to work out what is happening, what is safe and what kind of help fits your situation.
Your first contact You may start with a GP, a local alcohol service, Drinkline or another service that can refer you on.
You may be asked for basic details about your drinking, your health and what has made you ask for help now. You do not need a diagnosis or a treatment plan before you call.
Read about getting help→ Drinkline Scotland — 0800 7314 314Call Find local alcohol and drug services in Scotland↗What an assessment may cover Expect questions about alcohol, withdrawal, physical health, mental health and what is happening in your life.
Assessment may cover how much and how often you drink, when you last drank, whether you drink in the morning, whether you have withdrawal symptoms and what happened during previous attempts to stop.
You may also be asked about physical and mental health, medication, housing, work, money, family circumstances and other problems that could affect treatment.
Scottish Government — assessment and treatment requirements↗Be accurate about how much you drink The amount matters because it affects withdrawal risk and treatment decisions.
It is easy to understate drinking because you are embarrassed or because the amount has become normal to you. Try to give the best estimate you can of what you drink on a typical day or week.
Tell them if you need alcohol to stop shaking or feeling unwell, if you have blackouts, or if you have ever had seizures, hallucinations or severe confusion during withdrawal.
Is my drinking a problem?→ Read about detox and withdrawal→Health checks and tests Alcohol services or your GP may check for physical health problems as part of assessment and treatment.
Depending on your situation, checks may include blood tests, liver assessment, blood pressure or other examinations. Scotland's national specification includes early detection of liver disease and ongoing health screening within alcohol treatment systems.
Read about alcohol's health effects→ Scottish Government — health checks and screening↗They should assess withdrawal risk If you may be dependent, deciding how to stop safely is part of the assessment.
If you are physically dependent, you may need medically supported withdrawal rather than simply stopping on your own. The level of support depends on your drinking, previous withdrawal, physical and mental health and home circumstances.
Read about detox and withdrawal→ NHS 24 — 111 for urgent medical advice when your GP is closedCall Seizure, collapse, severe confusion or immediate danger — 999CallYou may get a care plan Treatment should be based on your needs rather than putting everyone through the same programme.
Scotland's national specification says keyworkers should coordinate individual care plans that set out goals, treatment and other support that will be provided.
That may include counselling, medication, detox, peer support, mental health care, housing help, benefits advice or other services.
See treatment options→ Scottish Government — care planning and keyworker support↗You may be referred somewhere else One service may assess you and then connect you with another service that provides the treatment you need.
You may be referred to community treatment, counselling, detox, residential rehabilitation, mental health care or another specialist service. Local systems are expected to have clear referral pathways between services.
Find alcohol and drug services in Scotland↗ Compare treatment options→If there is a wait Do not assume you have to manage alone while waiting for the next appointment or service.
Ask what support is available while you wait, who to contact if your drinking or withdrawal risk changes, and what to do if you become physically or mentally unwell.
If you are dependent, do not suddenly stop drinking because you are waiting for treatment. Get medical advice about withdrawal risk.
Drinkline Scotland — 0800 7314 314Call NHS 24 — 111 for urgent medical adviceCallIf you do not feel listened to Ask what decision was made, what the next step is and what other route is available.
If a service is not offering the help you expected, ask what assessment they have made, why that option was chosen, whether you can be referred elsewhere and who you should contact if things get worse.
Scotland's national specification includes independent advocacy as part of the wider system of care.
Scottish Government — national alcohol and drug service specification↗ Other ways to ask for help→What happens after treatment starts Assessment should continue as your needs change, rather than ending after the first appointment.
Treatment may be reviewed as your drinking changes, your health improves or new problems become clear. Recovery support and relapse prevention should continue after the immediate treatment or detox stage.
Read about recovery options→ Read about relapse→