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Concierge addiction care · UK

Private residential addiction rehab - UK.

A medically supervised residential admission in a CQC registered unit, with a proper detox, real therapy, and a year of aftercare planned before you arrive. No judgement, no sales script, no rush.

A radiographer guides a patient onto the bed of an advanced 3 Tesla MRI scanner in a London imaging suite

Why patients choose us

  • 01

    A clinician-led admission, not a call centre

    You speak to a clinician, not a sales team on commission. We hear what is actually going on and match the person, not the postcode.

  • 02

    Medical detox where it is needed, and safely

    Alcohol, opiates and benzodiazepines carry real withdrawal risks. We book units with 24 hour medical cover, not therapy-only houses.

  • 03

    A year of aftercare planned before you arrive

    Twenty-eight days is the start. We map alumni groups, sober coach, therapy and mutual-aid meetings before day one.

Indicative pricing

What private residential rehab costs in the UK.

Ranges across our vetted network. Send the details and we come back with firm quotes across two or three appropriate units within one working day.

In short

A 28 day residential programme: £18,000–£45,000. A 90 day programme at a premium unit: £45,000–£95,000.

Programme Indicative range
28 day residential programme (standard) £18,000–£30,000
28 day at a premium facility £30,000–£45,000
60 day programme (opiates or cocaine) £30,000–£55,000
90 day programme (complex or relapse) £45,000–£95,000
Medical detox only (7–14 days) £6,000–£18,000
Weekly rate at premium units £4,500–£12,000
Aftercare year (group + alumni) Included
Assessment only £250–£450

Weekly rates in premium UK facilities run from around £4,500 to £12,000. Standard units are less. NHS-funded residential rehab exists via local authority commissioning but waits are usually long and beds are scarce. We confirm firm figures, including detox medication, therapy and a year of aftercare, before you commit.

Programme length

How long is long enough?

The right length depends on the substance, the pattern of use, whether this is a first attempt or a relapse, and what mental health sits alongside. We say what we think, and why.

  • 28 days - standard

    A full medical detox and four weeks of structured therapy. Suitable for alcohol dependence, cannabis, and many first admissions where there is a supportive home to go back to.

  • 60 days - opiates or cocaine

    Recommended when the substance is opiates or cocaine, both of which have longer psychological withdrawal windows and higher early-relapse rates.

  • 90 days - complex or relapse

    For serious dual diagnosis, repeated relapse, benzodiazepine cases needing slow tapers, or where home life is not stable enough to hold a shorter stay.

The journey

From first phone call to a year of aftercare - what happens, in order.

One clinician from the first confidential call through detox, therapy and the aftercare year that follows.

  1. 01

    Before

    A confidential first conversation

    A private call with a clinician. Substance, pattern, physical health, medications, previous treatment. No judgement, no pressure.

  2. 02

    Before

    We suggest a shortlist

    Within one working day: two or three appropriate units, indicative cost, expected length of stay, and what medical detox will look like.

  3. 03

    Before

    Assessment and admission planning

    A short medical and psychiatric assessment. GP letter if useful. Practical planning around work, family and transport.

  4. 04

    In the unit

    Admission day

    Arrival, luggage check, baseline observations, blood work and a full medical review. Meet your key worker and consultant psychiatrist.

  5. 05

    In the unit

    Medical detox begins

    Supervised withdrawal with medication where indicated. Alcohol, opiates and benzodiazepines are monitored around the clock.

  6. 06

    In the unit

    Therapy programme starts

    Once safe from acute withdrawal, structured therapy begins. Group process, individual sessions, psychoeducation and mutual-aid meetings on-site.

  7. 07

    Aftercare

    Discharge and a year of aftercare

    A written aftercare plan, weekly group for twelve months, alumni network, and a sober coach if you want one. Family support continues.

Typical end-to-end: 1–7 days from enquiry to admission. Structured aftercare: 12 months.

Addictions treated

What our network treats.

Alcohol and drugs are the commonest reasons people come to us. But gambling, compulsive sexual behaviour and cross-addiction are treated on the same footing, and often need it.

  • Alcohol use disorder

    The commonest reason people come to us. Home detox is unsafe past a moderate dependence, and residential care is often the right call.

  • Opiate and painkiller dependence

    Heroin, but also tramadol, codeine, morphine and oxycodone. Painkiller dependence after surgery is far commoner than people realise.

  • Cocaine and crack cocaine

    Powder and crack. Cocaine tends to need longer programmes because the psychological grip outlasts the physical clearance.

  • Cannabis

    Higher-strength cannabis and heavy daily use cause real dependence, sleep collapse and anxiety on stopping. Rehab is a valid option.

  • Benzodiazepines and z-drugs

    Diazepam, alprazolam, zopiclone. Withdrawal can be dangerous and slow, and a proper taper needs medical supervision.

  • Gambling disorder

    Recognised as an addiction on the same footing as substances. A small number of UK residential units run dedicated gambling programmes.

  • Sex, porn and love addiction

    Compulsive sexual behaviour is an accepted clinical diagnosis. Treated in dedicated tracks and often alongside other addictions.

  • Cross-addiction and dual diagnosis

    Depression, trauma, ADHD and eating disorders often sit under the addiction. A good unit treats both, not one or the other.

Programme components

What actually happens inside a residential programme.

A properly built programme layers medical safety, psychological therapy, group work and family support - and treats the aftercare year as the main event.

  • Medical detox (7–14 days)

    Supervised withdrawal from alcohol, opiates or benzodiazepines. Medication, observations, bloods, and 24 hour nursing cover. The safety layer under everything else.

  • Cognitive behavioural therapy (CBT)

    Structured work on triggers, thought patterns and high-risk situations. The best evidenced psychological therapy for substance use disorders.

  • Dialectical behaviour therapy (DBT)

    Emotion regulation, distress tolerance, interpersonal skills. Especially useful for people with impulsivity, self-harm or trauma alongside the addiction.

  • 12-step facilitation

    Introduction to AA, NA, CA and GA principles. Not required, not imposed, but offered as one of several long-term recovery frameworks.

  • Motivational interviewing

    A collaborative style used across the programme to build your own reasons for change rather than lecturing you into it.

  • Family therapy

    Sessions with partners, parents or adult children. Addiction rarely happens to one person alone, and family repair is often part of staying well.

  • Group process and psychoeducation

    Daily group work with peers, plus teaching sessions on relapse, physiology, medication and mental health. The core of the residential day.

  • Relapse prevention and aftercare (1 year)

    A written plan, a year of weekly aftercare groups, alumni networks and mutual-aid meetings. The bit that decides whether the twenty-eight days holds.

Where

The UK units we work with, and why.

Our network includes The Priory Roehampton and its national estate, UKAT’s London and home-counties clinics, Castle Craig in Scotland, Nightingale Hospital, Providence Projects in Bournemouth, Delamere in Cheshire and The Cottage on the south coast. We introduce the right one privately.

Selection criteria

How we choose every unit in our network.

A calm private UK residential rehab bedroom
Consultant psychiatrist led
  • CQC registered residential units with 24 hour medical and nursing cover

  • Consultant psychiatrist input, not therapy-only houses masquerading as rehab

  • Dedicated medical detox protocols for alcohol, opiates and benzodiazepines

  • A year of structured aftercare included, not sold separately after discharge

Medical detox

Supervised withdrawal, done properly.

Detox is the safety layer under the therapy. For alcohol, opiates and benzodiazepines it must be medically supervised - home detox from any of these can be dangerous and, in some cases, fatal.

  • Alcohol detox: chlordiazepoxide and Pabrinex

    A tapering benzodiazepine regime plus high-dose parenteral thiamine (Pabrinex) protects against seizures, delirium tremens and Wernicke encephalopathy.

  • Opiate detox: methadone or buprenorphine

    A stabilised taper with methadone or buprenorphine (Subutex) over seven to fourteen days, with lofexidine or clonidine for autonomic symptoms.

  • Benzodiazepine detox: slow, careful, patient

    A gradual cross-taper on to diazepam and then a slow reduction over weeks. Fast benzodiazepine withdrawal can trigger seizures and prolonged distress.

  • 24/7 medical monitoring

    Baseline bloods, ECG, regular observations and a resident nurse. A consultant psychiatrist reviews at admission and through the detox window.

  • Mental health cover throughout

    Depression, anxiety, PTSD and suicidal thoughts commonly surface as the substance clears. Psychiatric cover is available every day, not just in office hours.

  • Anti-craving medication where useful

    Naltrexone, acamprosate or disulfiram after alcohol detox. Buprenorphine maintenance after opiate detox where appropriate. Not required, offered where indicated.

What comes after

The twenty-eight days is the start. The year that follows is the point.

Every admission comes with a written aftercare plan and twelve months of structured support - weekly group, alumni network, mutual-aid meetings and an optional sober coach or halfway-house step-down.

A UK consultant psychiatrist reviewing an aftercare plan with a patient

A quiet reminder

The strongest predictor of a good outcome is not the unit you chose, it is what you do in the year after.

We stay involved through that year, not just through admission.

  1. 01 Assessment

    Substance history and physical health

    What has been used, how much, how often, and how long. Physical examination, bloods, ECG and any imaging needed before detox begins.

  2. 02 Detox plan

    Your medical detox regime

    The exact medication, doses and taper schedule. Monitoring frequency. Named clinician on call overnight. Expected symptoms and when to press the button.

  3. 03 Therapy plan

    Your weekly therapy schedule

    Individual sessions per week, group timetable, family sessions, mutual-aid meetings on-site, and any specialist tracks (trauma, gambling, cross-addiction).

  4. 04 Aftercare

    A twelve month aftercare plan

    Read this first. Weekly group, alumni network, sober coach if chosen, mutual-aid meetings near home, GP letter and any onward psychiatric or therapy referrals.

Recognised by major UK insurers

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Bupa, AXA Health and Cigna typically fund residential rehab up to an annual cap, most commonly around twenty-eight days. Extensions can often be secured on a consultant psychiatrist recommendation. Vitality, Aviva and WPA vary by policy. We confirm cover, excess and any pre-authorisation before you commit.

Frequently asked

Everything we get asked about residential rehab.

Quick answers on consent, phones, visits, work absence letters, relapse rates and the cost of the aftercare year.

  • Can I be forced into residential rehab?

    No. In the UK, private residential rehab is voluntary. You are free to leave, and no one signs you in against your will. Very occasionally, when someone is a serious risk to themselves or others and lacks capacity, admission under the Mental Health Act may be needed, but that is a different pathway and rare. Family and employers can help someone say yes, but they cannot make the decision for them. In practice, the people who do best are the ones who agree, however reluctantly, that they need help.

  • Can I keep my phone and stay in touch with work and family?

    Policies vary. Most UK units restrict phone and laptop use, especially in the first week or two of detox, to protect early recovery and group confidentiality. Many allow phones back later in the stay for family calls and essential work. If you need to send a scheduled email or take a specific call, we agree that with the unit before admission. Total blackouts are rare in adult rehab, but limits are normal and there for good reasons.

  • Can my family visit?

    Yes, in almost every unit. Visits are usually structured, at set times, and start once acute detox is complete. Many programmes include family therapy sessions during the admission because families need support too. Children can often visit with prior agreement. If your partner or parent is a long distance away, video calls are usually possible from week two onwards.

  • Can I get a work absence letter without a diagnosis on it?

    Yes. We arrange a private sickness certificate signed by the consultant psychiatrist. It confirms the dates you are medically unfit for work and can be worded as stress-related illness, mental health treatment, or a similar general term. Your employer does not need the diagnosis, and in most cases you do not need to disclose that it is addiction treatment specifically. HR discussions are your call, and we can support you with them.

  • What are the realistic relapse rates?

    Addiction is a chronic relapsing condition, and honest numbers matter. Roughly one in three people stay abstinent through the first year after a good residential programme, another third relapse but return to recovery, and the remaining third struggle repeatedly. The single strongest predictor of a good outcome is not the rehab itself but what happens in the year after, which is why we treat aftercare as the main event, not the sequel.

  • How much does the aftercare year cost?

    In our network, the standard weekly aftercare group for twelve months is included in the residential fee. Alumni events and mutual-aid meetings (AA, NA, CA, GA, SMART Recovery) are free. Optional extras include a private sober coach at around £150 to £300 per hour, one-to-one therapy at £120 to £220 per session, and structured sober-living accommodation (halfway house) at £250 to £600 per week. We map the year with you before you leave the unit.

Ready when you are

A confidential conversation, whenever you are ready.

One private call with a clinician. We listen, we shortlist the right units, and we plan the year of aftercare before you agree to anything. No sales script, no pressure.

Pulse Healthcare concierge

Send us your enquiry

A concierge service for UK private healthcare. We match you with the best vetted clinics and consultants in our network - they then contact you directly.

So we can match you to the right clinician close to you.

We reply to every enquiry within 24 hours (Mon–Fri). Confidential - your details are never shared outside our vetted consultant network.