August 14, 2018
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Medication is a start, but counseling rebuilds lives after addiction

George Danby | BDN
George Danby | BDN
By Dan Johnson, Special to the BDN

In the long battle against opioid addiction, medication-assisted treatment has risen as the gold standard of treatment options. Unfortunately, when many people think about addiction treatment, they focus on the two most well-studied medications, buprenorphine (the primary drug in Suboxone) and methadone.

There is no question that these medications have saved countless lives among those who suffered from an opioid-use disorder. I currently oversee a Suboxone program, have previously worked in a large methadone program, and have seen firsthand the benefits of these medication. But I don’t believe enough discussion has been given to the rest of the treatment that the medication assists.

First, it is important to understand that that people with an opioid-use disorder typically have very complicated and often terribly disrupted lives. Opioid addiction hijacks not only people’s brains, but also causes a neurological disorder, and usually steals what is most precious — their lives. Powerful addictions can cause a person’s life and strongly held priorities to be overturned in a very short period.

Relationships may be ruined due to ruptures of trust, broken promises, outright deception, egregious behavior and the sad reality that the substance often unintentionally becomes more important than partners, children, parents, siblings and friends.

Finances are often seriously damaged or even destroyed in the need to quell the burning desire for another “fix” or to blunt the ever-present withdrawal symptoms always lying in wait. Employment issues become rampant, jobs are frequently lost, and paychecks become either inconsistent or just a memory.

For those struggling with addiction who have children, parenting often becomes inconsistent and less attentive, and parent-child relationships become less securely attached. Addiction exerts a terrible price on the addicted, those they love and those who love them.

Medication primarily assists with the therapeutic counseling that should accompany treatment. While medication stabilizes the physical symptoms of addiction, which is a very important part of treatment, counseling helps people rebuild their lives.

An experienced counselor will allow people to explore mistakes they have made, own their responsibility for injurious behavior, develop good self-care, rebuild dependable work habits, and pull themselves from financial quagmires. A well-trained counselor will educate people about the addiction process, help them work through shame and self-loathing, and teach skills such as anger management, building healthy relationships, and how to maintain a strong and stable recovery.

Once recovery has been initiated and some stability achieved, the skilled counselor will help the individual address important medical issues that had been ignored, including high blood pressure, obesity, chronic pain, or hepatitis B and C. In addition, individuals need to resolve deeply ingrained negative beliefs about themselves and the world. For many, traumatic events from the past are often lying behind the addiction, and their resolution greatly improves people’s quality of life.

It has been my privilege to see countless people engage in medication-assisted treatment, and many make dramatic recoveries. I have witnessed marriages saved, family ties rekindled, financial stability achieved even after bankruptcy, jobs not only preserved but promotions obtained, and businesses thrive after years of decline. I sometimes run into former clients with a smiling child in tow or who ask if they can show me a wedding or family picture. They are clearly proud of their recovery and appreciate all they have recovered.

Medication-assisted treatment works, not just because of the medication but because of the essential counseling that should always be attached. We need more medication-assisted treatment services because less than 20 percent of those with an opioid-use disorder receive treatment. We also need to help those who need these services receive the treatment they deserve.

Please support addiction treatment whenever you have the opportunity and help others remember that medication-assisted treatment is much more than just filling a prescription. It is the opportunity to recover what one has lost from their addiction and live a more satisfying and productive life.

Dan Johnson is the executive director of the Acadia Family Center in Southwest Harbor.

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