Bespoke means we start by mapping the whole person, not only the substance use: medical history, psychiatric diagnosis, pattern and context of use (where and with whom they use in Johannesburg), housing, employment and family dynamics. From that assessment we build a phased plan — medically supervised detox if needed, specific therapy modalities (trauma work, CBT, motivational interviewing), practical case management (return-to-work planning, GP/psychiatry follow-up in Gauteng) and targeted family interventions. Treatment length and intensity are negotiable and revised against clinical markers — cravings, sleep, mood and functional gains — rather than a fixed bed count. We also emphasise realistic, local aftercare: linking you to community supports in Northcliff and surrounds, arranging telemedicine follow-ups, and prepping a concrete relapse-prevention plan that fits your social reality in Johannesburg.

Yes. Stimulant dependence (tik) generally requires different clinical tactics than alcohol dependence: there is no reliable substitution medication for methamphetamine, so treatment focuses on intensive behavioural interventions, cognitive remediation for concentration and memory deficits, management of stimulant-induced psychosis, and close monitoring for agitation or suicide risk. Nyaope can include opioids, which may require opioid substitution (methadone/buprenorphine) and a different withdrawal pathway. Alcohol detox often needs a structured benzodiazepine taper under medical supervision because of seizure risk. In short: the substance profile changes medical risk, detox needs, psychological approaches and family education — and we design each of those elements for the specific drug or combination involved.

Family involvement is structured and clinical, not social. Expect staged interventions: education sessions about the neurobiology of addiction, guided family therapy to address communication and boundaries, and safety planning where necessary (finances, children, legal risks). Clinicians set clear roles — what support helps recovery and what behaviour is enabling — and we teach concrete skills (how to respond to cravings, when to call for help, how to refuse enabling requests). Confidentiality is respected: family work proceeds with consent and clinical purpose, and remote or in-person sessions can be limited to agreed topics. For South African families who live in extended households, we also address community stigma and practical logistics so the home environment supports, rather than undermines, recovery.

Relapse is treated as a clinical deterioration, not moral failure. A bespoke programme includes a written relapse plan before discharge: who to call, emergency medication options where appropriate, and rapid re-admission criteria. We offer stepped options — urgent outpatient review, intensified outpatient therapy, short medical readmission for detox or medical stabilisation, and expedited full readmission when clinically indicated. Re-admission isn’t punished; it’s triaged for risk (overdose, suicidality, severe withdrawal) and for what failed in the first plan, so the next intervention is different and more targeted. For families in Johannesburg we also coordinate with local hospitals and mental health providers to ensure continuity if immediate re-admission isn’t possible.

Coverage is variable. Many South African medical schemes will consider in‑hospital rehabilitation if criteria are met and preauthorisation is obtained; schemes usually require a psychiatric assessment and specific diagnostic coding. You must check your scheme's rules and get preauthorisation before admission. If medical aid cover is limited or absent, we outline self-pay options, staggered admissions, payment plans and links with employer Employee Assistance Programmes that can fund assessments or short admissions. We also help families access lower-cost public or NGO services in Gauteng for follow-up care and community-based support, and advise on documentation employers require for medical leave and return-to-work planning. The clinical plan we design always includes a realistic, written financial pathway so treatment isn’t derailed by surprise costs.