Medical Disclaimer

Important information about how our resources should — and should not — be used

If you are experiencing any of the following, seek immediate medical attention:

  • Blood in urine
  • Severe bladder or abdominal pain
  • Passing tissue in urine
  • Inability to urinate
  • Severe cramps related to substance use
  • Psychological symptoms including paranoia, hallucinations, or suicidal thoughts
  • Overdose symptoms of any kind

Call 999 or go to your nearest A&E immediately. Tell medical staff about any substance use — they need to know to help you.

What This Information Is — and What It Isn't

Stepwise Recovery is an independent publisher. Everything on this website and in our guides — the articles, the stories, the assessments, the resources — is published to inform, encourage and support you. It draws on lived experience of recovery and on published research, and we work hard to make it accurate.

It is not medical advice. Reading our content does not create a clinical relationship between you and anyone at Stepwise, and nothing we publish is a diagnosis, a treatment plan, or a recommendation for your individual situation. Addiction affects every body and every life differently: what helped the people in our pages may not be what your health needs.

Please use what we publish alongside — never instead of — the advice of the professionals who know your circumstances.

About Our Self-Assessment Tools

This section is critical information about how to use our self-assessment tools safely and appropriately.

  • The self-assessment tools on this website are for personal reflection only.
  • They are NOT diagnostic tools and do NOT provide a medical diagnosis.
  • Results use a traffic-light indicator system to encourage self-reflection, not to diagnose.
  • No assessment result should be interpreted as a clinical evaluation or diagnosis.
  • The tools are designed to help you think about your relationship with substances — they cannot tell you whether you have an addiction.
  • If you are concerned about your substance use, please speak to a qualified healthcare professional.
  • All assessment data is processed entirely on your device — nothing is stored, transmitted, or recorded.

Accuracy — and Its Limits

We check our facts. Statistics on this site are verified against primary sources and listed on our Sources & Citations page, helpline details are checked with the providers, and we treat correcting errors as a priority.

Even so, research moves on, services change their hours, and mistakes can happen. We cannot promise that every page is complete, current or error-free at the moment you read it — and recovery itself never follows a single pattern, so approaches that helped one person may work differently, or not at all, for another.

If you spot something wrong, please tell us at [email protected] and we will put it right.

Put Professional Advice First

Your GP, keyworker, pharmacist or mental-health team should always be your first source of guidance about your health. If anything you read here seems to conflict with what they have told you, follow their advice and raise the question with them.

Never delay getting medical help, ignore advice you have been given, or stop a prescribed medicine because of something you read on this website or in our guides.

A warning that matters in recovery: stopping some substances suddenly can be dangerous. Withdrawal from alcohol, benzodiazepines and GHB/GBL in particular can cause seizures and other life-threatening complications, and coming off opioids, ketamine and other substances is also safest with support. If you are ready to stop, that decision deserves medical backup — speak to your GP or local drug and alcohol service first and plan it together.

Mental Health

Our resources discuss sensitive topics including addiction, mental health, trauma, and recovery. Please take care of yourself when engaging with our content.

If you are in a mental health crisis:

  • Contact crisis services immediately
  • Speak to a trusted person — a friend, family member, or healthcare professional
  • Contact the Samaritans on 116 123 (available 24/7)
  • Text SHOUT to 85258 for crisis text support

Content notice:

Our resources may reference experiences of active addiction, which some readers may find distressing. Our content may include descriptions of:

  • Active addiction and substance use
  • Medical complications from substance use
  • Mental health crises
  • References to self-harm and suicidal ideation
  • Discussions of trauma

Reader discretion is advised. We encourage all readers to engage with our content at their own pace and seek professional support when needed.

Forms, Assessments and Replies From Us

Our self-assessments, contact forms and email replies can only ever offer general information. Any response you receive from us is written without access to your medical history and is not tailored clinical advice.

Before acting on anything important to your health that you learn through this website, confirm it with a qualified professional who knows your situation.

Our Responsibility — Stated Plainly

We publish in good faith, and we take the reliability of recovery information seriously — for our readers, accuracy is a safety issue, and we treat it as one.

At the same time, our guides and this website are publications, not healthcare. To the fullest extent the law allows, Stepwise Recovery Ltd accepts no liability for loss or damage arising from relying on this website or our publications in place of professional care. Nothing in this notice excludes or limits any liability that cannot lawfully be excluded — including liability for death or personal injury caused by our negligence, or for fraud — and nothing in it affects your statutory rights as a consumer.

Recovery is possible. Ours is a voice of encouragement along the way — please build your recovery with professional support around you.

Where to Get Help

Reaching out for help is a sign of strength. There are people and services ready to support you.

GP

Your GP
Your first port of call for substance use concerns. Your GP can provide assessment, treatment options, and referrals to specialist services.

Tel

Frank (0300 123 6600)
Free, confidential drug advice and information. Available 24/7. You can also text or email for advice.

NHS

NHS Substance Use Services
Can be accessed through your GP or by self-referral. These services are free and confidential.

24/7

Samaritans (116 123)
If you’re struggling emotionally or in crisis. Available 24/7. You can talk about anything.

Txt

SHOUT (Text 85258)
Crisis text support available 24/7. Text SHOUT to 85258 if you’re in a crisis or having difficult feelings.

You

Talk to Someone You Trust
A friend, family member, colleague, or counsellor. Reaching out is the first step, and you don’t have to go through this alone.

UK Crisis Support Services

Samaritans

Free, 24/7, no judgement

116 123
Frank Helpline

Free drug advice, 24/7

0300 123 6600
NA UK

Peer support, 10am–midnight

0300 999 1212
Crisis Text Line

Free text support (UK)

Text SHOUT to 85258
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