Where to get help for substance abuse in South Africa is a critical question as substance abuse is a growing concern, affecting individuals, families, and entire communities. The misuse of alcohol and drugs not only contributes to crime and road accidents but also severe health issues, including mental disorders and chronic illnesses.
“there are several ways to seek help in South Africa, from government services to professional rehabilitation centres.“
Alarmingly, South Africa has one of the world’s largest methamphetamine (tik) markets, with an estimated 290,000 users consuming approximately 60.19 tonnes annually (eprints.lse). Underage drinking continues to be a significant problem, with nearly half (49.6%) of school-age adolescents in South Africa having consumed alcohol at least once in their lifetime (frontiersin.org).
If you or someone you know is struggling with addiction, help is available. Whether you need immediate crisis support, long-term treatment, or community-based recovery solutions, South Africa has various resources to guide you and/or your loved ones towards sobriety.
The Impact of Substance Abuse in South Africa
Addiction has always affected people from all walks of life. Many turn to drugs or alcohol due to stress, trauma, or social pressures. However, as we all know, substance abuse leads to devastating consequences:
- Health Risks – Increased risk of infectious diseases, and mental health conditions.
- Crime and Violence – Substance abuse is often linked to violent crimes, gender-based violence, and road accidents.
- Youth Addiction Crisis – Underage drinking and drug use continue to rise, with incidents like the tragic 2022 Enyobeni Tavern deaths being a good example of just some of the dangers.
Recognising the scale of the problem, the South African government has implemented various strategies to combat substance abuse, including awareness campaigns and the National Drug Master Plan (NDMP), which aims to reduce demand and improve treatment access.
However, the fight against addiction has always required community and individual action in order to make a real difference.
Struggling with Recovery?
Serenity House can assist
Where to Get Help for Substance Abuse in South Africa
If you or a loved one needs support, there are several ways to seek help in South Africa, from government services to professional rehabilitation centres.
1. 24-Hour Substance Abuse Helplines
Immediate support is always available through confidential helplines, These helplines have trained counsellors who can offer you guidance and referrals.
- SADAG Substance Abuse Helpline – Call 0800 12 13 14 (toll-free) or send an SMS to 32312.
- SANCA National Helpline – Call 011 892 3829 or WhatsApp 076 535 1701 for addiction support.
- Department of Social Development Helpline – Offers free counselling in multiple languages, available 24/7.
2. Public Clinics and Hospitals
Many public hospitals and clinics can provide you with addiction treatment. This often includes detox programmes, social worker support, and counselling services.
Visit your nearest clinic to inquire about available addiction treatment options.
3. Support Groups: NA & AA
- Narcotics Anonymous (NA) – A free 12-step program for those recovering from drug addiction.
- Alcoholics Anonymous (AA) – Offers support for individuals struggling with alcohol dependence.
Meetings are held across South Africa and provide a non-judgmental, confidential environment to put you on the road to recovery.
4. Private Rehabilitation Centres
For those seeking intensive treatment, private rehabilitation centres in South Africa offer structured inpatient programs that include medical detox, therapy, and holistic recovery plans. Here are some notable centres:
Serenity House Cape Town: Offers personalised addiction treatment in a peaceful, supportive setting, providing holistic care to help individuals break free from addiction and rebuild their lives. www.serenityhousecapetown.com
Houghton House: Based in Johannesburg, Houghton House provides comprehensive addiction treatment programs, including inpatient and outpatient services, focusing on individualized care and long-term recovery. https://houghtonhouse.co.za
Freeman House Recovery: Located in Gauteng, Freeman House offers holistic 28+ day inpatient programs with medically assisted detox, therapy, and various wellness activities in a tranquil environment. https://freemanhouserecovery.com
The Cedars: Situated in South Africa, The Cedars is a leading center for drug and alcohol detox rehab and relapse prevention, dedicated to providing personalized care for sustainable recovery. Cedars Addiction Treatment Centre
Steps to Overcome Addiction
Beating addiction is not easy, but recovery is possible with the right support. Experts recommend:
- Early intervention – Seeking help as soon as signs of addiction appear improves success rates.
- Addressing underlying issues – Mental health support and therapy will help tackle the root causes of substance abuse.
- Building a strong support network – Joining a rehab programme, attending support groups, and involving family or friends proves to be helpful with your recovery journey.
- Ongoing treatment and aftercare – Sobriety is a journey, and continued therapy or counselling helps maintain long-term recovery.
Take the First Step Towards Recovery
Addiction can feel overwhelming, but always remember, you don’t have to face it alone. Whether you need urgent help, community support, or a structured rehab programme, there are several options available to you in South Africa.
Get Professional Help at Serenity House Cape Town

At Serenity House Cape Town, we offer personalised addiction treatment in a safe, tranquil environment.
Take the first step towards recovery today. Contact us today for confidential advice and expert addiction support. Your future starts now.

Donna
Recovery Assistant
How Serenity House can Help You
- Personalised Care for Recovering Addicts
- Luxury Accomodation to ease your Healing Process
- Prestine Location - Nestled in Cape Town, the mothercity of South Africa