Where to get help for substance use

Deciding to get help for substance use takes courage, and there are several confidential ways to start, wherever you are on the journey.

What it is

Help for substance use exists on a spectrum, from a confidential conversation with a counsellor, to structured outpatient programmes, to inpatient treatment for more severe or unsafe use. There is no single "right" starting point. What matters is matching the level of support to your situation, which a professional can help you assess.

Signs to notice

• Using more of a substance, or more often, than you intended
• Struggling to cut down even when you want to
• Substance use affecting your work, relationships or health
• Needing a substance just to feel normal, or to manage withdrawal symptoms
• Others expressing concern about your use, even if you feel it is under control

What helps

• Start with a confidential conversation, an EAP counsellor or your GP, to understand your options
• Consider the different levels of care available, from outpatient counselling to more structured or inpatient treatment for higher-risk use
• Look into peer support groups, widely available in South African communities, which many people find valuable alongside professional care
• Involve someone you trust so you are not navigating this alone
• Know that withdrawal from some substances, including alcohol, can be medically risky, so always get medical guidance rather than stopping alone if your use is heavy or long-standing
• Be patient with yourself, finding the right support sometimes takes more than one attempt, and that does not mean you have failed
• Keep a list of your support contacts, counsellor, sponsor, doctor, somewhere easy to find on days that feel harder than others

When to reach out for help

Reach out as soon as substance use starts affecting your health, relationships, work or safety. You do not need to wait until things feel unmanageable. Earlier support tends to be easier and more effective.

Getting help in South Africa

Cleared Mind's EAP counsellors offer free, confidential support and can guide you to the right level of care. SADAG's Mental Health Line (011 234 4837) can help with information and referrals. Organisations such as SANCA also offer addiction treatment services around the country, and your GP can refer you to an appropriate specialist.

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If you or someone else is in immediate danger, reach out now. SADAG Suicide Crisis Helpline (24h): 0800 567 567 or SMS 31393. SAPS 10111, ambulance 10177, GBV Command Centre 0800 428 428.