Opiate Addiction Treatment – Detox Suboxone Treatment & Intense Psychotherapy

With an estimated 2.1 million people struggling with opioid addiction in 2014, the abuse of this dangerous class of drugs is at near-epidemic levels in the United States. As a pronounced problem among teens and adults alike, the need for effective treatment is paramount.

Why Is Opioid Dependence Such a Problem?

While the term “opiate” refers to any substance derived from the plant opium, opioids are medications that use these properties to lessen pain throughout the body, usually after surgeries or serious injuries. Hydrocodone, oxycodone, morphine, and fentanyl are common forms of opioids.

Opioid painkillers are part of a class of pharmaceuticals known as Central Nervous System (CNS) depressants, meaning that they bind to opioid receptors in the brain to eliminate sensations of pain and cause feelings of euphoria and release. Many people find this experience to quite be pleasurable, so they continue to take these drugs illicitly after all initial traces of pain have resolved.

Most people take these drugs for the short-term effects — pain and stress relief, a feeling of euphoria, and general sedation – but the long term effects can cause serious problems with prolonged use. Signs of abuse include:

  • Nausea and Vomiting
  • Liver Damage
  • Chronic Constipation
  • Brain Damage
  • Dependence
  • Overdose and death

When opioid dependence sets in, ceasing use can lead to withdrawal, a painful process with dangerous side effects like nausea, muscle cramping, depression, agitation and rage, anxiety, seizures, and intense cravings for more opioids. Because of these intense responses, many opioid users are unable to stop on their own and will relapse in the first few days or weeks of sobriety.

Effective Treatment Methods

Treatment of opioids has long been problematic, largely due to the risks involved with the withdrawal and detox process. Luckily, there are several options to help substance abusers overcome their addictions.

Medical Treatments

Opiate addiction treatment starts with medically managed and closely supervised detoxification. Detox is the management of the withdrawal symptoms as the body rids itself of all opiates. This should be done in a licensed detox facility. Detox is a specialty field and should only be done under the close care of a properly trained staff.

Detox refers to the process of breaking an addiction in a safe, secure place, often with medical intervention. The active ingredient found to be most effective in releasing users from their opioid dependence is a compound called buprenorphine, which is the key ingredient in two major treatment drugs.

  • Subutex – Subutex is a pharmaceutical containing only buprenorphine.
  • Suboxone – Suboxone combines buprenorphine with another compound called naloxone. Naloxone can effectively minimize the effects of opioids, diminishing the pleasure users receive when taking doses.

Buprenorphine is what the medical community calls a partial opioid agonist, meaning that it mimics the effects of opioids to a lesser degree, making it easier for patients to wean off of their addiction. The chemical compounds in buprenorphine bind to the brain’s opioid receptors without producing the negative effects of the opioids themselves.

Counseling and Therapy

In combination with these potentially life-saving detox medicines, substance abusers need a supportive environment in which to complete the process of overcoming addiction. Because relapses can come from stress in a person’s daily life, it’s important to find professional assistance to handle the pressures of substance dependency. Therapy can also help abusers to come to terms with the root causes of addiction and provide coping methods to address pain points and drivers for drug use.

Opioid use in the United States is a serious problem, but treatment can make a difference. If you or a loved one is experiencing the negative effects of using opioid medications, seek medical help immediately.

Suboxone Treatment

Suboxone is a sublingual film containing buprenorphine and naloxone. Suboxone is used to treat opiate addictions in combination with comprehensive psychotherapy, counseling and life skills programs.

A partial agonist and opioid receptor activator, Suboxone treatment has the ability to push heroin and other opioids out of opioid receptors, stick to these receptors and prevent users from experiencing the addicting effects of opioids. Suboxone is used for the treatment of opioid dependence in combination with psychosocial support and counseling. Although buprenorphine, the active ingredient in Suboxone, activates opioid receptors, it does not stimulate them enough to produce euphoria, drowsiness or analgesic sensations. Instead, the buprenorphine in Suboxone triggers receptor activity just enough to stop recovering addicts from feeling sick.

Suboxone treatment is now done by placing a “film-like” tablet under the tongue. These Suboxone film strips are taken by recovering opioid addicts as part of their treatment plan to help reduce cravings and opioid withdrawal symptoms. Containing both naloxone and buprenorphine (unlike Subutex which contains only buprenorphine), In addition to passing clinical trial expectations, Suboxone has also been found to be high effective at treating prescription pain pill addiction in a primary care setting.

The Drug Addiction Treatment Act (DATA) codified at 21 U.S.C. 823(g) limits prescription of Suboxone for opiate addiction to doctors meeting specific requirements. These doctors must also notify the U.S. Department of Health and Human Services about their intention to prescribe Suboxone to patients addicted to opiates/opioids.

Suboxone tablets were discontinued in 2012 to further reduce the risk of abuse by recovering addicts.

Buprenorphine

Pharmacological properties provided by buprenorphine to support efficacy of Suboxone include its ability to reduce the potential for abuse by recovering addicts and less risk of overdose. In addition, buprenorphine diminishes the severity of cravings and physical dependency symptoms to help addicts avoid relapsing during recovery.

An opioid partial agonist that produces weakened effects of actual opiates (euphoria and slower respiratory rates, for example), buprenorphine’s effects increase slightly with each dose but eventually level off as the addict continues taking Suboxone. Called the “ceiling effect” by pharmacologists, this long-term action provided by buprenorphine works to reduce dependency and risk of abuse while also allowing most Suboxone users to gradually decrease dosing amounts.

Methadone

Methadone, (brand name Dolophine), has been used to treat opiate addictions for over 40 years. A Schedule II controlled substance, methadone can only be prescribed by doctors working for outpatient treatment programs that are registered by the U.S. DEA and certified by SAMHSA.

Due to the risk of recovering addicts becoming re-addicted to methadone, it is becoming less common for doctors to prescribe methadone for opiate addiction treatment. However, methadone is still being prescribed to non-addicts for chronic pain relief.

Naloxone For Treating Opiate Overdose

Better known by its brand name Narcan, naloxone is now widely used as an antidote for heroin overdoses. An opioid antagonist that effectively reverses the harmful effects of heroin or other opioids, naloxone is included in Suboxone to prevent it from being abused intravenously. If an addict were to inject naloxone, they would experience withdrawal symptoms instead of an opiate “high”.

Best Opiate Addiction Treatment Centers in the U.S.

  • Inspire Malibu Treatment Center – CA
  • Fairbanks Inpatient Drug Program – IN
  • Hazelden Recovery Center – OR
  • Cottonwood de Tucson Rehab – AZ
  • Harmony Rehabilitation Program – CO
  • Valley Hope Addiction Facility – MO
  • Hazelden Treatment Center – MN
  • Cumberland Heights Rehab – TN
  • Willingway Inpatient Program – GA
  • Father Martin’s Ashley Program – MD
  • Caron Drug Recovery Center – PA
  • Sundown M Ranch Rehab Facility – WA
  • Sierra Tucson Treatment Center – AZ
  • Silver Hill Inpatient Program – CT
  • Camp Recovery Rehab Facility  – CA
  • Nova Drug Treatment Center – WI
  • Turning Point Addiction Center – FL
  • Glenbeigh Rehabilitation Program – OH
  • Cirque Lodge Treatment Facility – UT
  • Copac Addiction Recovery Center – MS
  • Tully Hill Treatment Program – NY
  • Hazelden Treatment Center – FL
  • Brighton Inpatient Program – MI
  • The Retreat Rehab Program – MN
  • Talbot Hall Recovery Facility- OH

 

The best opiate addiction treatment centers are shown on the map. Click on any red marker or use the drop down menu in the upper left hand corner. The detail screens will have the website address listed as well as reviews and phone number. For website, reviews and other information, click the drop down menu in the upper left corner of the map, and click on the facility’s listing.

Inspire Malibu

Rated -“Best Rehab Center in California”

Located in Malibu CA, Inspire Malibu is the premier non 12 Step, drug, alcohol and detox treatment center founded by addiction pioneer Dr. A. R. Mohammad. Inspire Malibu’s state-of-the-art treatment program combines the latest holistic, research proven, evidence-based therapies to address both alcohol and substance abuse successfully. website

Hazelden

Rated – “Top Drug Rehab Center in Oregon”

Our drug and alcohol rehab programs for men and women combine evidence-based addiction treatment practices and the latest research—always leading with the respect and dignity that have set our care apart for decades. website

Cottonwood De Tucson

Rated – “Best Drug Rehab Program in Arizona”

Located in Tucson AZ, Cottonwood is an inpatient holistic behavioral health treatment center and addiction rehab. The fact that you are here may mean that you or a loved one is suffering. If this is the case, please know you have discovered a place of understanding, healing and hope. Located on a scenic 35-acre campus in the foothills overlooking Tucson, take a few minutes to enjoy our video tours and preview our spiritual path. website

Harmony Foundation

Rated – “Top Rehab Center in Colorado”

Locate in Estes Park, CO, Harmony is one of the longest running and most successful drug and alcohol treatment centers in the world. We provide the foundation for sustained recovery from the diseases of alcohol and drug addiction. Harmony is a state-of-the-art, affordable, residential addiction treatment program confidentially nestled on a 43 acre campus in the Rocky Mountains just outside of Estes Park, Colorado. website

Valley Hope

Rated – “Best Rehab Center in Missouri”

Located in Boonville MO, Valley Hope offers residential and outpatient addiction treatment in seven states and 16 service locations in addition to our Virtual Program. They offer online therapy as part of our continuum of care to support you or your loved one on the path to recovery. The wooded, eight-acre campus features cottage-style, semi-private housing amidst beautiful rolling hills. website

Hazelden

Rated – “Top Rehabilitation Program in the Minnesota”

Located in Center City MN, the Hazelden foundation is the nation’s largest nonprofit treatment provider. It is a force of healing and hope for individuals, families and communities affected by addiction to alcohol and other drugs. With a legacy that began in 1949 the Foundation offers prevention and recovery solutions across the entire continuum of care for youth and adults. website

Cumberland Heights

Rated – “Best Rehab Center in Tennessee”

Located Nashville TN, Cumberland Heights is a nonprofit treatment center located on the banks of the Cumberland River. The natural beauty of our 177 acre campus, state of the art facilities and decades of experience provide lasting healing to those suffering from addiction. Their mission is to transform lives, giving hope and healing to those affected by drugs and alcohol. website

Fairbanks Hospital

Rated – “Top Rehab Center in Indiana”

Located in Indianapolis IN, Fairbanks is one of the oldest independent alcohol and drug treatment centers in America. It is a nonprofit rehab center. It provides individualized care. That means they listen, then ask questions about the use of alcohol and or drugs, medical history and how using has affected life. Together, they then create a customized recovery plan. website

Willingway Hospital

Rated – “Best Rehabilitation Center in Georgia”

Located in Statesboro GA, Willingway focuses on saving the lives of people with alcohol and drug problems. Delivering patients and families the highest quality addiction treatment care with dignity, compassion and respect is the mission. A nationally-recognized alcohol and drug addiction treatment program, Willingway promotes a lifelong continuing recovery program so that patients may enjoy a life of sobriety and success. visit website

Father Martin Ashley

Rated – “Top Rehab Center in the Maryland”

Located in Havre de Grace MD, Father Martin Ashley uses every innovative tool available to help you overcome your alcohol or drug dependency so you can find your way back to health and happiness. Their expert staff will create a personalized program that combines clinical, medical and psychological care to address your needs holistically, including chronic pain and any co-occurring medical issues. website

Caron Foundation

Rated – “Best Drug Rehab Center in Pennsylvania”

At Caron, they understand that addiction is complex – as complex as the people and families it affects. Physical, psychological, and spiritual dimensions all play a role in substance abuse disorders. That’s why Caron doesn’t just treat drug and alcohol problems, but every related issue that patients and their families face. Drug and alcohol problems are rarely isolated. website

Sundown “M” Ranch

Rated – “Top Drug Rehab Center in Washington”

Sundown M Ranch is dedicated to the treatment of adults and adolescents afflicted with the disease of chemical dependency and to their families who have also been harmed by the illness. They’re committed to providing treatment of the highest quality at affordable prices by a well-trained and deeply caring staff of experienced professionals.website

Sierra Tucson

Rated – “Best Drug Rehab Center in Arizona”

Sierra Tucson has been dedicated to clinical excellence and providing compassionate and effective treatment for all of the men and women who are entrusted into our care. They we are recognized for providing safe and successful treatment for those who are struggling with addiction and a wide range of complex behavioral health disorders. website

Brighton Hospital

Rated – “Top Drug Rehab Center in Michigan”

Brighton Center for Recovery treats with compassion, dignity, and excellence everyone who comes to us for help with drug or alcohol dependence. This has been our goal from the beginning. We work to change lives every day. And we bring a unique combination of professional expertise and personal experience to the job. website

Silver Hill Hospital

Rated – “Best Drug Rehab Center in Connecticut”

Silver Hill is a nationally recognized, non-profit hospital for the treatment of psychiatric and addictive disorders, a unique and extraordinary place that people have relied on since 1931 to help them find the path back to mental health and wellness.website

Camp Recovery

Rated – “Top Drug Rehab Center in Northern California”

Proven Success. Since opening our doors in 1984, The Camp Recovery Center has helped thousands of men, women, and adolescents break free from the devastating cycle of addiction. Our nationally-accredited program is run by an expert staff with extensive training.website

Nova

Rated – “Best Drug Rehab Center in Wisconsin”

Nova Counseling Services is a State of Wisconsin-licensed provider of medically monitored treatment for people suffering from alcoholism and other drug addictions. We exist to provide the highest quality care at the lowest possible cost to chemically dependent persons and their families. website

Turning Point

Rated – “Top Drug Rehab Center in Florida”

At Turning Point of Tampa, they provide treatment services to those who suffer from substance abuse, eating disorders, and dual-diagnosis issues. Since 1987, Turning Point of Tampa has been a family-owned facility focused on 12-Step oriented, quality care for men and women 18 years or older.website

Glenbeigh

Rated – “Top Drug Rehab Center in Oio”

Glenbeigh is a premier, drug and alcohol rehabilitation specialty hospital. Located in Northeast Ohio, their mission is to provide the highest quality care and support to individuals, age 18 and over, suffering from drug or alcohol addiction. website

Cirque Lodge

Rated – “Best Drug Rehab Center in Utah”

Cirque Lodge is in Sundance and Provo Canyon, they have two very comfortable venues and a nationally recognized addiction treatment program to help you or your loved one overcome their problems dealing with substance abuse and addiction. website

Copac

Rated – “Top Drug Rehab Center in Mississippi”

Our drug rehab programs are grounded in proven, evidence-based approaches and powered by the passion and expertise of a team with decades of professional and personal experience in addiction recovery. website

Tully Hill

Rated – “Best Drug Rehab Center in New York”

Tully Hill has earned a multi-state reputation for its treatment and rehabilitation of addicted professionals and uniformed professionals. Learn more about how we return these individuals to sober, productive lives and careers. website

Hazelden

Rated – “A Top Drug Rehab Center in Florida”

Tully Hill has earned a multi-state reputation for its treatment and rehabilitation of addicted professionals and uniformed professionals. Learn more about how we return these individuals to sober, productive lives and careers. website

The Retreat

Rated – “Top Drug Rehab Center in Minnesota”

Their mission is to improve the quality of life for individuals, families and communities affected by alcohol and drug dependency by providing affordable, effective educational services grounded in the Twelve Step principles of Alcoholics Anonymous. website

Talbot Hall

Rated – “Best Drug Rehab Center in Ohio”

Since 1974, Talbot Hall has provided high quality, comprehensive drug and alcohol addiction recovery services in central Ohio. Physicians and staff are trained and experienced specialists in the latest clinical techniques and proven treatment methods. website

 
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About the author

Robert M. has been in recovery since 1988. He is a sponsor and loyal member of AA. He has been working in the drug and alcohol field for nearly 20 years. During that time, he has written industry blogs and articles for a variety of industry websites including Transitions, Malibu Horizons, Behavioral Health of the Palm Beaches and Lifeskills of Boca Raton.

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