Executive Addiction Treatment

Confidential addiction support for executives

For a senior professional, the barrier to getting help for addiction is rarely willingness. It is exposure. Stepping away into a residential clinic for six weeks is impossible for many people carrying real responsibility, and being seen to do so can feel like a risk to a career built over decades. Dr Philippe Jacquet offers a different route: consultant-level, one-to-one addiction treatment, delivered privately at Harley Street or online, with the discretion that a public figure, board director or senior executive needs.

This is intensive, specialist work, not general counselling. Dr Jacquet trained as an addiction specialist at the Hazelden Foundation and supervises the clinical teams at PROMIS Recovery Centre and at Cardinal Clinic, a private psychiatric hospital rated Outstanding by the Care Quality Commission. He has treated high-functioning addiction across a 25-year career.

An alternative to residential rehab

Residential rehab is the right answer for some people, and Dr Jacquet will say so plainly when it is. But it is not the only answer, and for many executives it is the wrong one: the enforced absence, the cost, and above all the exposure make it unworkable. Intensive one-to-one treatment offers a private, flexible alternative. It is consistent and demanding, but it lets you keep working, keep your privacy, and be treated as an individual rather than processed through a programme. Much of what makes residential care effective, the depth of the work and the seriousness of the commitment, is preserved; what is removed is the disappearance and the footprint. This is not a lesser option or a fallback. For the right person it is a very good alternative, and often a better fit than residential care: as serious, as deep, and led by a premium specialist, but without the cost to your freedom, your privacy or your work.

The right level of help, not the most drastic

If you had a headache, you would not book brain surgery. Yet addiction is often treated as though there is only one option, and the most drastic one: check into a residential clinic. For some people that is exactly right. Where there is a physical dependency that needs supervised medical detox, or a level of risk that needs round-the-clock care, residential treatment is essential, and Dr Jacquet will tell you so plainly. But for a great many high-functioning professionals, that is not the situation, and the proportionate first step is intensive, specialist support with someone who genuinely understands addiction, explored before, or instead of, the residential route.

The help people will actually accept

There is a reason addiction so often goes untreated for years: almost no one wants to go to rehab. It means weeks away from your life, a loss of freedom and privacy, and for many it feels like an admission that everything has collapsed. So people try to manage it alone, or try every other option first, and the problem quietly grows until residential care becomes the only route left. A confidential specialist you can see privately, without stepping out of your life, changes that. It is the step a person can actually bring themselves to take early, before things reach that point, and it comes at a fraction of the cost of a residential stay, which at the clinics serving this market can run to tens of thousands a week. For the people who come here, money is rarely the barrier; the barriers are exposure and what getting help would seem to mean. This removes both. Where residential care is genuinely needed, Dr Jacquet will say so plainly, but for many it never has to come to that.

Learning to stay clean in the life you actually live

There is a deeper reason to consider this route. Residential rehab works by removing you from your life, and that protection is part of its value. But it is also its limitation. Recovery has to hold in the real world, among the same pressures, relationships and triggers that were there before, and the hardest moment in any recovery is re-entry: the return to the office, the client dinner, the empty hotel room. Working confidentially within your actual life, rather than inside a protected bubble, means you build recovery where it has to survive, from the very first session. Residential care does not guarantee that transfer, which is one reason relapse after discharge is common. The aim of this work is not simply to get clean in a controlled setting; it is to learn to stay clean in the life you actually live.

It is easy to be serene in a monastery, and easy to be clean in a clinic, where the substance is absent and ordinary life is suspended. The real test is outside: at the client dinner, under deadline, alone in a hotel room, back inside the pressures that were there all along. Rehab, at its best, is discovery — a place to detox safely and to see the problem clearly, and to begin. But recovery — the longer work of staying well in the life you actually live — happens outside. That is the work this practice is built for.

When residential care is the right step

This practice believes in private residential clinics. They do essential work, and there are times when they are exactly what is needed: where there is a physical dependency that requires supervised detox, where risk is high, or where every proportionate alternative has genuinely been tried and the situation calls for a period away. Residential care also works best when a person is truly ready for it. Readiness is not a technicality; it is often the difference between a stay that holds and one that does not. Going before you are ready is also an expensive way to learn this: a residential stay is a significant investment, and it repays that investment only when a person is ready to use it. Preparing properly first protects both the recovery and the money. Part of Dr Jacquet’s role is to help you judge that honestly: to work with you while specialist, confidential support is the right step, and to say clearly, and help you prepare, when the time has come for a clinic. He is not against rehab. He is for the right level of help, at the moment you are ready to use it.

Aftercare and continuity after a residential stay

For those who have completed a residential programme, the hardest part often comes next: holding the change once real life resumes, far from the clinic. Dr Jacquet provides confidential aftercare and continuity online, wherever you are based, so the work done in residential care is not lost on re-entry. This is the aftercare of choice for people leaving the world’s leading private clinics: consultant-level, confidential, and delivered in the very life you are returning to, at home, in the role, under the old pressures, which is exactly where a residential stay is either kept or lost. It makes the practice a natural complement to those clinics, not a competitor to them.

What it treats

High-functioning alcohol dependency, cocaine and stimulant use, prescription dependency, gambling, and sex and pornography addiction, along with the anxiety, burnout and unresolved history that so often sit beneath them. Read more about addiction therapy in London.

Private, discreet, and built on substance

The premium end of care often sells the setting: the location, the amenities, the privacy of somewhere beautiful. Those things are pleasant, but they are not what changes an addiction. What does is the depth and consistency of the clinical work, and the calibre of the person doing it. This is a private, discreet, consultant-level practice, led by a specialist with a doctorate, Hazelden training and twenty-five years of clinical experience. It offers the same absolute confidentiality as any luxury clinic, but with the substance in the work rather than the surroundings. It is for people who want the real thing, done well and done quietly, not an experience. Here, the premium is the specialist, not the setting: a senior clinician doing the deep, consistent work that lasting recovery actually takes.

Confidentiality

Absolute. Nothing is disclosed to any employer, firm, board or third party without your explicit consent, and online sessions leave no local footprint. A first conversation is confidential and without obligation.

See also: Rehab, Honestly — when it helps, and how to choose one.