Steroid rehab

More than one million people in the UK use anabolic steroids, with steroid use particularly high among young men aged 16-24. Steroids are sometimes used to build muscle or improve performance, but addiction can cause body dysmorphia, “roid rage”, and deep depression. Professional steroid rehab helps you steady your mental health and begin to build a healthier, more realistic relationship with your body and fitness goals.

Steroid injection

What is steroid rehab?

Anabolic steroids don’t create a drug high, but you can become psychologically addicted to the physical gains or enhanced athletic performance. The fear of losing all that progress can mean you keep cycling and ignore the problems that steroid addiction is causing.

Steroid rehab doesn’t usually require a detox phase for physical withdrawal, but there is a lot of emotional work to do. Rehab therapy looks at body image and pressure, steroid-induced aggression, and the depression that can appear when you come off a cycle. The goal is to help you feel more comfortable in your own skin and learn to resolve or accept whatever steroids were helping you to manage.

When is steroid rehab necessary?

A lot of people get caught up in an environment of steroid abuse at their gym or with their friends. This can make it hard to see that there is a problem because everyone else is using them. If you are in steroid addiction denial, these questions can reveal what is really going on:

  • Are you constantly tweaking your dose because the old amount doesn’t feel like enough?
  • Are you worried about losing muscle or size if you stop?
  • Have you been losing your temper or feeling emotionally out of control?
  • Are you carrying on with cycles even though you can feel and see the side effects?
  • Have you lied about what you’re taking?
  • Are you spending more money on steroids than you can afford?
  • Are you ignoring your hobbies and friendships outside the gym?
  • Do you tie your whole sense of worth to how your body looks?

Admitting steroids has taken over is tough, but if you recognise yourself in these questions, it’s a clear sign to get help.

Steroid pills

What are the options for steroid rehab?

Support for steroid addiction in the UK is mostly offered in two ways:

1. Outpatient steroid rehab NHS

These services are free at the point of use and may offer counselling, mental health support and access to peer groups. You can either go straight to your local drug and alcohol service or ask your GP to refer you. The limits are that most NHS help is non-residential, waiting lists can be long, and you’re still surrounded by the same gyms, friends, and routines that may be feeding your steroid use.

2. Private inpatient steroid rehab

Private rehabs offer full residential care, with your room on site and staff around all the time. Your days are structured around therapy and simple routines that help you slowly change habits like constant training and body checking. Being physically removed from the bodybuilding bubble helps you see more clearly.

What therapies are used in steroid rehab?

In steroid rehab, the focus is mostly on how you think and feel about your body, strength, and identity. Quality rehab programmes incorporate different therapies, with each tackling a different piece of what can be a complex puzzle:

Individual therapy
In one-to-one sessions, you can talk about everything that you have been feeling and experiencing. You can discuss what you were hoping steroids would fix, and how they have affected the rest of your life. Your therapist can then help you set healthier body and lifestyle goals.
Group therapy
Group therapy includes a mix of people whose lives may have been affected by gambling addiction, alcohol addiction, or different forms of drug addiction. What links you all is feeling out of control and wanting that to change. You can hear what helps other people stay on track, and this can help you find what might work for you.
Cognitive behavioural therapy (CBT)
Steroid use creates distorted beliefs about your body and what others think of you. CBT helps you identify these warped perceptions before they drive you back to using.
Family therapy
Family sessions help the people at home understand what was going on while you were using. Everyone gets a chance to say how that felt and to talk about what support should look like now.
Anger management
As the steroids leave your body and you start to heal, you should see a lot of the “roid rage” issues slowly fade. However, if you are still struggling with your emotions, anger management sessions will look at the triggers and how to stay calm.

A day in steroid rehab

Life in residential steroid rehab is built around a steady routine rather than the strict training schedules you might be used to. You will usually start the day with breakfast with other residents, then move into your first block of therapy.

After lunch, you may have another therapy session or a holistic workshop, where you do yoga, art, or something creative. As your stay goes on, more of this time is spent getting ready for life after rehab through relapse prevention planning.

Evenings are calmer, with a shared dinner, and then time to unwind. This busy but predictable routine can give your body and brain a break from the chaos that comes with cycling on and off steroids.

Life after steroid rehab

Leaving steroid rehab means facing gyms, mirrors, and training talk again, and that can be a shock. Good aftercare gives you ongoing counselling while you adjust, so you have somewhere safe to talk about whatever is going on.

For some people, post-rehab recovery includes switching to a different gym or working with a trainer who supports natural gains. Staying involved in alumni groups also helps, because you stay connected to others who understand your struggles.

Your treatment centre should help you link in with local support, such as therapy for body dysmorphia, anger therapy, or general recovery meetings. Keeping this support in place during the first year at least makes it far less likely that a bad week or a dip in confidence turns into another cycle.

Seek steroid rehab today

Recovery.org can help you. Call our free and confidential service today to talk about your options to overcome steroid addiction.

frequently asked questions

How do I know if I need steroid rehab?
It is time to think about steroid rehab if you keep upping your dose, carry on using despite clear side effects, feel sick at the idea of losing muscle, or feel like your self-worth is completely linked to how you look. Other red flags that people close to you may notice are big mood swings, rows or distance with loved ones, and spending most of your time at the gym.
Can I detox from steroids alone?
Coming off steroids at home is possible, but it is often rough. Many people feel flat, tired, anxious and depressed as their hormones slowly reset, and that is when a lot of them start using again. Getting proper support means someone who knows what they’re doing keeps an eye on your mood and overall health, and steps in if depression or other issues become serious.
Is steroid rehab expensive?
NHS services can offer free support for mental health and addiction, although getting a steroid-specific residential place through the NHS is unlikely. Private rehab costs vary depending on the clinic and how long you stay, and some centres do offer payment plans or accept health insurance. If you are unsure what you can afford, talk directly to a few centres or speak with Recovery.org to get a clearer picture of your options.

(Click here to see works cited)