Assessment
Before a plan is agreed
Physicians and therapists review both substance use and mental health, including risk, medication and what has already been tried. This is integrated assessment, not two waiting lists.
Dual diagnosis
Integrated addiction and mental health treatment
Addiction and mental health often arrive together. Treating only the substance, or only the mood, leaves the other half of the problem waiting at the door.
Understanding
What this often looks like in real life
Drinking or using may have begun as a way to sleep, to mute trauma, or to keep going at work. Stopping then uncovers the original distress.
Addiction and mental health often arrive together. Treating only the substance, or only the mood, leaves the other half of the problem waiting at the door.
Signs families notice
- Substance use with depression, anxiety or trauma symptoms
- Previous treatment that addressed only one side
- Medication, sleep and use all entangled
- Family concern about both mood and dependence
Treatment
How the work is held
Medical oversight, psychotherapy, and a residential rhythm that can hold both problems in one plan.
Journey
From first call to aftercare
Stabilise what is dangerous first, then treat both strands, then plan aftercare with whoever will continue care at home.
Why residential
A contained setting, when outpatient care is not enough
Why residential
Distance from usual triggers, 24-hour clinical cover where needed, and a daily rhythm that does not ask a depleted person to recover in the same environment that exhausted them.
Why Les Mariannes
Care is physician-led, one-to-one by default, and small enough that a stay is not a corridor of group timetables. Complementary therapies sit inside a medical plan.
Why Mauritius
Mauritius is not read as a public rehab destination. Distance from usual triggers, a stable island setting, and a hilltop centre in Congomah give international families privacy without theatre.
Dr Siddick
A clinical perspective
Dual diagnosis is not a complication of treatment. For many people it is the actual situation.
This is not a slogan. It is how assessment is done here: listen first, then decide whether a residential stay is even the right next step.
Families
The first call can come from someone who loves them
The first conversation may be with a spouse, parent, adult child, sibling, friend or doctor. You do not need the person to complete a form before you ask for guidance.
7-14 days
Assessment and reset
A short residential period to assess, stabilise and interrupt a pattern. Useful when outpatient care is not enough and a longer stay is not yet clear.
21-28 days
Core recovery
Enough time for medical review, a body of individual therapy, sleep restoration and a first aftercare plan. This is a typical core period, not a product.
4+ weeks
Deeper work
When trauma, dual diagnosis or long-standing dependence need more than a month. Length is a clinical recommendation after assessment.
These ranges are guidance for families, not packages. Nothing is priced or promised before a confidential clinical conversation.
Questions
Frequently asked
Do you treat Dual diagnosis at Les Mariannes?
Addiction and mental health often arrive together. Treating only the substance, or only the mood, leaves the other half of the problem waiting at the door. Suitability for residential care is decided after a confidential clinical conversation, not from a website list.
Is detoxification always required?
No. Some people need medically supervised withdrawal. Others begin psychological work without it. That decision is clinical.
How long would a stay be?
Length of stay is decided after assessment. Typical guidance is a short reset of one to two weeks, a core period of three to four weeks, or longer work. Nothing is sold as a fixed package.
Can a family member make the first call?
The first conversation may be with a spouse, parent, adult child, sibling, friend or doctor. You do not need the person to complete a form before you ask for guidance.
Do you guarantee an outcome or publish a success rate?
No. We do not promise a cure, and we do not publish unverified success rates. Recovery is individual work, held in a licensed setting.
Why Mauritius, rather than a well-known rehab destination?
Mauritius is not read as a public rehab destination. Distance from usual triggers, a stable island setting, and a hilltop centre in Congomah give international families privacy without theatre.
Related
Other pages in this pathway
Alcohol
Alcohol dependence is rarely only about drinking. It is often about sleep, mood, stress, family, and what alcohol has come to do in a life.
Read moreDrugs
Drug dependence can involve street drugs, prescribed medicines used unsafely, or a pattern that has outgrown the original reason it began.
Read morePrescription medication
Dependence can begin in a consulting room. Sleeping tablets, benzodiazepines and pain medicines may have been prescribed for a real problem, then become difficult to stop.
Read moreCannabis
Cannabis is often described as harmless. For some people it has become the way they sleep, socialise, or keep anxiety at bay, and stopping feels larger than expected.
Read moreBegin here
Speak confidentially
Whether you are exploring care for yourself or for someone you love, the first step is a private discussion. There is no obligation, and nothing is priced before that conversation.