The most normalised one
Alcohol counselling
Nobody questions a bottle of wine on a Tuesday. Which is exactly why alcohol is the hardest thing on this list to notice getting away from you.
How it usually creeps
Almost nobody arrives having decided one day to drink too much. It moves in stages, each of which seems reasonable at the time.
A glass to mark the end of the working day. Then two, because one stopped touching the sides. Then opening the bottle slightly earlier. Then the second bottle in the cupboard so you do not have to go out again. Then drinking before you go out, so you do not have to drink conspicuously once you are there. Then the morning where you cannot quite remember the end of the evening, and the flood of low-grade dread that comes with it.
At no point is there an obvious line. That is the whole problem — and it is why people typically wait years longer with alcohol than with any other substance.
Signs worth taking seriously
- You have set rules for yourself — not before six, not on weeknights, only wine — and you have broken them.
- You drink faster than the people around you and manage it so nobody notices.
- You have hidden bottles, or hidden how much of one you drank.
- You feel anxious in the morning and cannot fully say why.
- You have tried to stop for a defined period and found it much harder than expected.
- Your first thought on hearing bad news is what you will drink about it.
- You are drinking to sleep — and sleeping badly.
None of these makes you an alcoholic. All of them are worth a conversation.
The anxiety loop
This is the single most common pattern I see, and it is worth understanding because it explains why cutting down feels impossible.
Alcohol is a depressant. As it leaves your system your nervous system rebounds — you wake at four, heart going, gripped by a sense of dread that has no object. That feeling is physiologically produced by the drink itself. But it does not feel like that. It feels like your life is wrong.
And there is one substance that reliably relieves it, available at the end of the day. So the drinking that caused the anxiety becomes the treatment for the anxiety. People run that loop for a decade, convinced they drink because they are anxious, when the causation runs largely the other way.
How we work on it
- Map it precisely. Not "I drink too much" — which day, what time, what happens in the twenty minutes before, what it does for you.
- Decide the aim honestly. Abstinence or moderation. For some people moderation is realistic; for others the evidence of their own history says otherwise. We look at that evidence together rather than guessing.
- Build urge tolerance. The practical skill of letting a craving rise, peak and pass without obeying it. This is trainable and most people have never tried it.
- Handle the evening. Six o'clock is the crux for most drinkers. We build something real for that hour rather than hoping.
- Rebuild round values. What you are stopping for — because stopping alone is not sustaining.
- Plan for the lapse. Assume one will happen and decide now what you will do about it, so that a slip does not become a month.
A medical point that matters. If you are physically dependent on alcohol or benzodiazepines, stopping suddenly can be dangerous. Speak to your GP about a managed reduction before making any abrupt change. Therapy works alongside that; it does not replace it.
Where I fit alongside other help
If you need a medically supervised detox, your GP or a specialist service handles that and I work alongside it. If AA suits you, keep going — the fellowship provides something one-to-one therapy cannot. In Kent, Change Grow Live and We Are With You offer free alcohol support, and I would rather you used them than went without.
What I add is individual work on your specific pattern: the shame, the anxiety loop, the evening, and the life you would want if drinking were not organising it.
Other things I work with
Common questions
How much is too much?
UK guidance is no more than 14 units a week for everyone, spread over three or more days, with several drink-free days. That is roughly six pints of average-strength beer or six medium glasses of wine. But the more useful test is not the number: is it costing you more than you want to pay, and have you been able to change it?
Can I aim to cut down rather than stop completely?
For some people, yes, and there is decent evidence for controlled-drinking approaches. For others their own history says clearly that moderation does not hold. We look at your actual evidence rather than starting from a position.
Is it dangerous to stop drinking suddenly?
It can be. If you are physically dependent, abrupt withdrawal can cause seizures and is occasionally life-threatening. Signs include shaking, sweating or feeling sick in the morning until you drink. If any of that is familiar, speak to your GP before you stop, and we will work alongside a managed reduction.
Will you tell me I am an alcoholic?
No. I do not find the label especially useful and it is not mine to apply. What matters is what is happening and what you want to do about it.
I only drink at weekends. Is that still a problem?
It might be. Pattern matters as much as volume — heavy weekend drinking carries real risks, and if you cannot stop once you start, the weekend boundary is doing less work than it appears to.
Talk it through first
The first step is a short phone call. No commitment, no pressure — just a conversation about what is going on and whether I am the right person to help.
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