1) What it is
Substance misuse is using alcohol or drugs to cope with emotions, stress, or trauma, causing harm.
2) What it feels like
- “I need this to cope.”
3) Common signs & symptoms
- cravings
- tolerance
- withdrawal
- secrecy
4) Why it happens
- emotional pain
- trauma
- habit loops
5) Triggers
- stress
- social environments
6) What helps now
- trigger plans
- urge surfing
- change environment
7) Daily self-help support
- build routine
8) Professional treatment options
- local services
- CBT relapse prevention
- group support
9) Medication
May help withdrawal or cravings, GP-led.
10) Practical tips
- recovery improves with support
11) When to seek urgent help
Urgent help if:
- withdrawal is severe
12) Where to get help (UK)
- NHS local drug & alcohol services
- FRANK
- Samaritans 116 123
- Shout 85258

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