Opioid / Buprenorphine Treatment
At our clinic, we are committed to providing compassionate, evidence-based treatment for individuals struggling with opioid use disorder (OUD). Our comprehensive approach includes both opioid induction and maintenance treatment, along with supportive therapy and counseling.
Opioid Dependence vs. Opioid Use Disorder
Opioid Dependence: This refers to a condition in which the body adapts to the presence of opioids. When use is reduced or stopped, withdrawal symptoms occur. Dependence can develop with regular use of prescribed or illicit opioids.
Opioid Use Disorder (OUD): This diagnosis encompasses a broader range of issues, including physical dependence as well as behavioral, psychological, and social problems related to opioid use. According to the DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition), OUD is characterized by a problematic pattern of opioid use that leads to significant impairment or distress, with symptoms such as cravings, unsuccessful attempts to reduce use, and continued use despite negative consequences.
Consolidation of Terms: The DSM-5 replaced "substance dependence" and "substance abuse" with a single diagnosis: substance use disorder. This reflects a more integrated understanding of substance-related issues, emphasizing that they exist on a continuum. These changes aim to enhance understanding, improve diagnostic accuracy, and support effective treatment approaches.
What is Opioid Induction? Opioid induction is the process of transitioning a patient from opioid use to a medication-assisted treatment (MAT) regimen (buprenorphine/naloxone). The goal is to reduce withdrawal symptoms and cravings while establishing a stable foundation for recovery.
What is Maintenance Treatment? Maintenance treatment aims to support long-term recovery by providing ongoing management of opioid use disorder. This includes regular monitoring, dosage adjustments, and the integration of therapeutic support.
Frequency of Appointments:
After the induction phase, appointments will generally be scheduled every 2-4 weeks, depending on your progress and stability.
From: samhsa.gov (Substance Abuse and Mental Health Services Administration)
Therapy and Support Requirements
Participation in therapy, counseling, and support groups is a crucial component of your recovery. Regular engagement in these services helps reinforce coping strategies, address underlying issues, and build a supportive community.
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Drug Screening: Regular and random drug screenings will be conducted to ensure compliance with the treatment plan.
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Alcohol Testing: Alcohol use will also be monitored, as it can interfere with recovery from opioid dependence.
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Medication Counts: Counting your medication at each appointment helps ensure accountability and safe use of prescribed substances.
Naloxone Availability
Naloxone, a life-saving medication that can reverse an opioid overdose, is now available without a prescription at pharmacies. We encourage all patients and their support systems to have naloxone on hand as a precautionary measure.
Resources
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SAMHSA (Substance Abuse and Mental Health Services Administration): Offers a range of services and resources for individuals facing substance use issues.
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Narcotics Anonymous (NA): A fellowship for individuals recovering from drug addiction.
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Local and National Addiction Resources We can provide information on additional resources and support services available in your area.
Contact Us
At our clinic, we are dedicated to helping you navigate your recovery from opioid use disorder. With our comprehensive treatment approach and supportive resources, you are not alone in this journey. If you or someone you know is struggling with opioid dependence, please reach out to us.