Updated6 October 2026
Reading timeAbout 1 min
EvidenceNHS / NICE anchored
Clinical reviewPending
Key point
If possible, speak when the person is not heavily intoxicated and when you have enough time and privacy. Use specific observations rather than labels.You can use the sections below to go deeper, or jump using “On this page”.
Choose the moment carefully
If possible, speak when the person is not heavily intoxicated and when you have enough time and privacy. Use specific observations rather than labels.
Before
Know your concern
Write down the changes you have actually seen and what risk you are most worried about.
During
Stay concrete
Describe impact, listen, avoid humiliation and offer one or two realistic routes to help.
After
Keep your boundaries
Decide what you can support and what you cannot safely continue to absorb.

