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Medication-Assisted Treatment Examples

Medication-assisted treatment (MAT) has emerged as one of the most effective approaches for treating substance use disorders, particularly those related to opioids and alcohol. By integrating FDA-approved medications with behavioral therapies, MAT not only helps reduce cravings and withdrawal symptoms but also supports sustained recovery.

In this article, we’ll explore various medication-assisted treatment examples, highlight the phases of MAT, and delve into how it improves overall well-being. Whether you’re seeking more information for yourself or a loved one, this guide provides a comprehensive look at the benefits and components of MAT, helping you understand why it’s often considered the gold standard in addiction recovery.

Examples of Medications Used in MAT

Medication-assisted treatment examples include several FDA-approved medications designed to manage withdrawal symptoms, reduce cravings, and support long-term recovery from substance use disorders.

Medications for Opioid Use Disorder (OUD)

  • Methadone: This long-acting, full opioid agonist attaches to the same brain receptors as opioids like heroin but without the intense highs and lows. Methadone helps manage cravings, diminishes euphoric effects, and stabilizes individuals in recovery.
  • Buprenorphine (e.g., Suboxone, Subutex, Sublocade): As a partial opioid agonist, buprenorphine reduces cravings and withdrawal symptoms. It offers a safer option with a lower potential for misuse compared to full agonists, making it an effective part of medication-assisted treatment.
  • Naltrexone (e.g., Vivitrol): This opioid antagonist blocks the euphoric effects of opioids. It helps suppress cravings and is often given as an extended-release injection for better compliance.

Medications for Alcohol Use Disorder (AUD)

  • Acamprosate: This medication stabilizes brain chemistry and helps individuals maintain abstinence. While it doesn’t relieve withdrawal symptoms, it reduces the risk of relapse for those in recovery.
  • Disulfiram (Antabuse): Disulfiram deters alcohol use by causing unpleasant reactions like nausea and headache if alcohol is consumed, making it one of the more aversive medication-assisted treatment examples.
  • Naltrexone: Used for both OUD and AUD, naltrexone blocks the rewarding effects of alcohol, reducing cravings and decreasing the likelihood of continued use.
Phases of Medication-Assisted Treatment

Phases of Medication-Assisted Treatment

Medication-assisted treatment typically unfolds over several phases to ensure comprehensive care:

Phase 1 – Assessment and Planning

Patients undergo an initial medical evaluation to determine the most suitable medication, dosing, and accompanying therapies. This personalized approach helps align treatment with individual needs.

Phase 2 – Medical Detoxification

The detox phase helps manage withdrawal symptoms using MAT medications. This phase stabilizes patients physically, preparing them for the next step in recovery.

Phase 3 – Maintenance and Rehabilitation

In this phase, medication is combined with behavioral therapies to support long-term sobriety. The focus shifts to relapse prevention, coping strategies, and addressing underlying issues that contribute to addiction.

Phase 4 – Continued Recovery and Relapse Prevention

The final phase emphasizes ongoing support and medication maintenance as needed. Patients transition into community life with strategies to manage triggers and reduce the risk of relapse.

Medication-assisted treatment examples in this phase include sustained medication use alongside outpatient support, ensuring a balanced recovery.

Behavioral Therapies Combined with MAT

Medication-assisted treatment is most effective when combined with behavioral therapies, which address the psychological aspects of addiction:

  • Cognitive-Behavioral Therapy (CBT): This therapy helps patients recognize and change negative thought patterns that contribute to substance use.
  • Contingency Management (CM): CM uses rewards to encourage positive behaviors, like maintaining sobriety or attending therapy sessions.
  • Motivational Enhancement (ME): ME works to enhance a patient’s motivation to engage in and adhere to the treatment plan.
  • Group Therapy: Peer support through group sessions fosters community and accountability, reinforcing the benefits of MAT.
Benefits of Medication-Assisted Treatment

Benefits of Medication-Assisted Treatment

Medication-assisted treatment offers numerous advantages for individuals struggling with substance use disorders:

  • Reduced Cravings and Withdrawal Symptoms: MAT medications help stabilize the brain’s chemistry, making it easier to focus on recovery.
  • Improved Treatment Retention: Patients on MAT tend to stay engaged in treatment longer, increasing their chances of sustained recovery.
  • Enhanced Social Functioning and Employment Stability: MAT improves social interactions and makes it easier for patients to maintain employment, providing a more stable foundation for life after treatment.
  • Lower Risk of Overdose: By blocking or reducing the euphoric effects of substances, MAT decreases the risk of overdose, making it one of the safest approaches in addiction treatment.

Who is a Good Candidate for MAT?

Medication-assisted treatment can benefit a wide range of individuals with substance use disorders, particularly those dealing with opioid or alcohol addiction. Ideal candidates often include:

  • Individuals who have tried other treatments without success: MAT offers an alternative path for those who haven’t found lasting recovery through other methods.
  • Patients with severe withdrawal symptoms: MAT medications help manage withdrawal, making it easier for patients to transition to sobriety.
  • Those committed to a comprehensive treatment plan: Medication-assisted treatment examples work best when patients are willing to engage in both medication management and regular behavioral therapy sessions.
Addressing Common Concerns About MAT

Addressing Common Concerns About MAT

Many people have misconceptions about medication-assisted treatment, such as the belief that it substitutes one addiction for another. In reality, MAT aims to stabilize individuals so they can focus on recovery without intense cravings or withdrawal symptoms.

Is MAT Safe for Long-Term Use?

Yes, MAT is safe for long-term use when managed by healthcare providers. Many patients benefit from extended maintenance, especially when combined with therapy and support services.

Is MAT Effective as a Standalone Treatment?

No, MAT works best as part of a holistic approach, incorporating counseling, peer support, and lifestyle changes. The goal is to address the physical, psychological, and social aspects of addiction.

Colorado Medication-Assisted Recovery Center

Medication-assisted treatment examples demonstrate the effectiveness of this approach in managing both opioid and alcohol use disorders. By combining FDA-approved medications with therapy, MAT provides a comprehensive path to long-term sobriety. For those considering MAT, consulting a healthcare provider is crucial to determine the best medication and therapy combination for individual needs.

At Colorado Medication Assisted Recoverywe’re dedicated to helping you or your loved ones achieve lasting recovery. Our holistic approach, which highlights the benefits of Medication-Assisted Treatment (MAT), integrates MAT with counseling and behavioral therapies, ensuring that each person receives the care and support they need.

What are the Different Types of Medication-Assisted Treatment?

Did you know that medication-assisted treatment (MAT) has been shown to reduce the risk of fatal overdose in individuals struggling with opioid addiction? This statistic, backed by the National Institute on Drug Abuse, underscores the life-saving potential of MAT.

Medication-assisted treatment is a comprehensive approach that combines FDA-approved medications with counseling and behavioral therapies. This integrative method addresses the complex nature of substance use disorders and helps individuals achieve long-term recovery.

We want to explore along with you the different types of medication-assisted treatment, how each one works, and the unique benefits they offer. Whether you are seeking help for yourself or a loved one, we at Colorado Medication Assisted Recovery can help you take that first vital step toward addiction recovery.

What-are-the-Different-Types-of-Medication

Understanding Medication-Assisted Treatment (MAT)

Medication-assisted treatment (MAT) is a holistic approach that combines FDA-approved medications with counseling and behavioral therapies to treat substance use disorders. This method addresses both the physical and psychological aspects of addiction, providing a comprehensive pathway to recovery.

How MAT Works

  • Medications: MAT utilizes medications to normalize brain chemistry, block the euphoric effects of alcohol and opioids, relieve physiological cravings, and stabilize body functions. The medications used in MAT do not substitute one addictive substance for another; instead, they help manage withdrawal symptoms and reduce the risk of relapse.
  • Counseling and Behavioral Therapies: Alongside medications, MAT includes counseling and behavioral therapies to address the psychological aspects of addiction. These therapies help individuals develop coping strategies, improve their mental health, and build a support system.

Benefits of MAT

  • Reduces Cravings and Withdrawal Symptoms: MAT medications help alleviate the intense cravings and withdrawal symptoms that often lead to relapse.
  • Improves Treatment Retention: Individuals receiving MAT are more likely to stay in treatment compared to those who do not.
  • Enhances Overall Recovery Outcomes: By addressing both the physical and psychological aspects of addiction, MAT improves the chances of long-term recovery and reduces the risk of overdose.

Types of Medication-Assisted Treatment

Medication-assisted treatment (MAT) encompasses a variety of medications, each designed to aid in recovery from substance use disorders. Here, we explore the different types of medication-assisted treatment, detailing all you need to know in order to make an informed decision.

Buprenorphine (Suboxone, Subutex, Sublocade)

Overview: Buprenorphine is a partial opioid agonist that can be prescribed by certified physicians and dispensed at pharmacies, offering more flexibility than methadone.

How Buprenorphine Works:

  • Buprenorphine binds to opioid receptors in the brain, reducing cravings and withdrawal symptoms without producing significant euphoria.

Suboxone:

  • Contains: Buprenorphine and naloxone.
  • Benefits:

Subutex:

Sublocade:

Naltrexone (Vivitrol)

Overview: Naltrexone is an opioid antagonist used to treat both opioid and alcohol addiction, available in both pill form and as a monthly injection (Vivitrol).

How Naltrexone Works:

  • Naltrexone works by blocking opioid receptors, preventing the euphoric effects of opioids and alcohol.

Benefits and Considerations:

  • Benefits:
    • Non-addictive and has no potential for abuse.
    • Reduces cravings for alcohol and opioids.
    • Monthly injection (Vivitrol) improves adherence.
  • Considerations:
    • Requires detoxification before starting treatment.
    • Not suitable for individuals with liver issues.

Disulfiram (Antabuse)

Overview: Disulfiram is used to treat chronic alcoholism by causing unpleasant effects when alcohol is consumed.

How Antabuse Works:

  • Antabuse works by inhibiting the enzyme involved in metabolizing alcohol, leading to an accumulation of acetaldehyde and causing symptoms like nausea, vomiting, and headaches when alcohol is consumed.

Benefits and Considerations:

  • Benefits:
    • Acts as a deterrent to alcohol consumption.
    • Supports abstinence in highly motivated individuals.
  • Considerations:
    • Requires strict adherence to avoid accidental alcohol consumption.
    • Can interact with other substances containing alcohol.
MAT-types-of-medication

How to Choose the Right Medication-Assisted Treatment

Selecting the most suitable Medication-Assisted Treatment (MAT) is a vital step in achieving successful recovery from substance use disorders. With several options available, it is important to consider various factors and work closely with healthcare providers to determine the best fit. Let’s examine the most important factors:

Type of Substance Use Disorder

  • The specific substance being abused (e.g., opioids, alcohol) can influence the choice of medication.
  • For opioid addiction, medications like methadone, buprenorphine, and naltrexone may be considered.
  • For alcohol addiction, naltrexone and disulfiram (Antabuse) are commonly used.

Severity of Addiction

  • The intensity and duration of the addiction can impact the effectiveness of different MAT options.
  • For severe opioid addiction, methadone may be preferred due to its long-acting properties.
  • For less severe cases, buprenorphine or naltrexone might be more appropriate.

Medical History

  • Existing medical conditions, such as liver disease, can affect the choice of medication.
  • Some medications, like naltrexone, may not be suitable for individuals with liver issues.

Lifestyle and Preferences

  • The patient’s daily routine and lifestyle can influence treatment adherence.
  • Medications like Sublocade, which require monthly administration, may be more convenient for some individuals.

Role of Healthcare Providers

At CMAR, we truly understand the importance of healthcare providers in guiding individuals to the right MAT. Through comprehensive assessments, we take the time to delve into each patient’s unique medical history, addiction severity, and individual preferences. We even make sure there the insurance verification process goes as smoothly as possible. This allows us to create personalized treatment plans that offer the best possible chance for successful recovery.

Individualized Treatment Plans

Creating personalized treatment plans is crucial as they cater to the specific needs and circumstances of each person. These plans frequently integrate the different types of medication-assisted treatment with behavioral therapies and counseling, offering a holistic approach to recovery. By prioritizing the overall well-being of each individual, we at CMAR can develop tailored plans that enhance treatment adherence and long-term results. This approach ensures that each person receives the best possible care for their unique situation.

mat-for-opioid-use-disorder

Combining MAT with Behavioral Therapies

While medication-assisted treatment (MAT) addresses the physical aspects of addiction, combining it with behavioral therapies provides a comprehensive approach to recovery. This integrated method not only helps manage withdrawal symptoms and cravings but also addresses the underlying psychological factors contributing to substance use disorders.

How Does Behavioral Therapy Work in MAT

Behavioral therapies are designed to modify attitudes and behaviors related to drug use, enhance life skills, and support other forms of treatment. These therapies play a crucial role in helping individuals understand the root causes of their addiction and develop healthier coping mechanisms.

Benefits of Combining MAT with Counseling and Therapy

  • Holistic Treatment: Combining MAT with behavioral therapies addresses both the physical and emotional aspects of addiction, providing a more holistic treatment approach.
  • Improved Coping Strategies: Behavioral therapies help individuals develop effective coping strategies to deal with stress, triggers, and cravings.
  • Enhanced Motivation: Counseling sessions can boost motivation, helping individuals stay committed to their recovery goals.
  • Relapse Prevention: Therapies teach skills to manage triggers and prevent relapse, increasing the likelihood of long-term recovery.

Effective Behavioral Therapies Used with MAT

Cognitive Behavioral Therapy (CBT)

Contingency Management (CM)

  • Overview: CM uses positive reinforcement to encourage sobriety and adherence to treatment.
  • Benefits: Provides tangible rewards for meeting treatment goals, which can enhance motivation and engagement.

Motivational Interviewing (MI)

  • Overview: MI is a client-centered counseling style that enhances motivation to change.
  • Benefits: Helps individuals resolve ambivalence about recovery and strengthens their commitment to positive behavioral changes.

Family Therapy

  • Overview: Family therapy involves family members in the treatment process to improve communication and support.
  • Benefits: Strengthens family dynamics, provides a support system, and addresses any familial factors contributing to addiction.

12-Step Facilitation Therapy

  • Overview: This therapy encourages participation in 12-step programs like Alcoholics Anonymous (AA) or Narcotics Anonymous (NA).
  • Benefits: Provides a structured approach to recovery with peer support and a sense of community.

Your Next Steps

Medication-assisted treatment (MAT) is incredibly important in providing support to individuals struggling with substance use disorders. By combining FDA-approved medications with behavioral therapies, MAT offers a comprehensive approach that addresses both the physical and psychological aspects of addiction, providing a pathway to complete recovery. Unfortunately, many people still do not have access to this vital form of treatment. This emphasizes the critical need to comprehend the different types of medication-assisted treatment in order to effectively provide support to those in need.

If you or someone you care about is struggling with addiction, it’s crucial to seek professional support. Medication-assisted treatment can provide the necessary help to overcome addiction and lead a healthier, more fulfilling life.

Take the first step toward recovery today by reaching out to Colorado Medication Assisted Recovery. Our team of experienced professionals is committed to offering personalized, compassionate care to help you or your loved one achieve lasting recovery. Don’t hesitate to take charge of your life. Begin your journey toward a brighter, healthier future. Our caring team is here to assist you every step of the way.

How to Plan for Long-Term Addiction Recovery

Addiction is a chronic disease that cannot be cured by simply quitting cold turkey. Those who are struggling with severe addiction might spend anywhere from six to 12 months in an addiction treatment program. For those that repeatedly return to opioids or alcohol after months or years of sobriety, a long-term recovery program will work to finally control your addiction. When you speak with one of our trained therapists, they will give you a complete program overview of what your long-term recovery will look like.

At our addiction treatment center in Colorado, we offer addiction treatment programs that will help you manage your addiction no matter how long it takes. When you are ready to begin, call 833.448.0127 to speak with a therapist about starting a long-term recovery program.

Three Stages of Long-Term Addiction Recovery

Most addiction treatment programs tailor toward the patient’s specific needs, but each treatment plan falls into three stages of recovery. When done correctly, these stages will run simultaneously so you can build healthy coping skills for sustainable recovery.

1. Medically Assisted Detoxification

Depending on how severe your addiction is and what substance you are abusing will determine how severe your withdrawal symptoms can be. Drugs like suboxone and buprenorphine can help ease some of the withdrawal symptoms you will experience while you detox.

  • Convulsions
  • Vomiting
  • Chills and shivering
  • Hallucinations
  • Depression

This first stage is physically punishing, and our supportive therapists will help you through this stage until you are ready to move on. Some detox programs can last from three to six months, depending on the severity of the addiction.

2. Rehabilitation Therapy

Once the drugs or alcohol are out of your system, now you will begin the stage of learning about the underlying causes of addiction and how you can avoid relapse in the future. Some of the therapies and programs you might participate in include:

Cognitive-Behavioral Therapy

Cognitive-behavioral therapy (CBT) focuses on identifying and changing negative thought patterns that are associated with addiction. This type of therapy helps people learn how to develop healthier coping skills, manage cravings, and recognize triggers in order to prevent relapse.

Multidimensional Family Therapy

Multidimensional family therapy (MDFT) combines individual, group, and family interventions. It focuses on the relationships between the addicted person and their family to address underlying issues related to substance use.

Case Management

Case management is a personalized approach to treatment that focuses on the individual needs of the patient. It includes helping patients obtain resources to support their recovery and establishing an appropriate aftercare plan. Case managers provide links between medical, social, legal, and mental health services so that people with substance use disorders can receive comprehensive care.

Individual Therapy

Individual therapy addresses the issues that contribute to substance use. This type of therapy helps people identify negative thought patterns and behaviors associated with their substance use, develop healthier coping strategies, and learn how to recognize triggers for relapse.

3. Continued Support

After you have gone through time in detox and cognitive-behavioral therapy, your support does not stop once you go back out into the world. You won’t be alone while you continue with your long-term recovery program.

Continued care is essential for a successful recovery, and many programs will help in your continued fight against addiction.

  • Telehealth – Remote counseling sessions can help when you can’t get to your treatment center.
  • Outpatient group therapy – Building lifelong bonds with those in your group will be a powerful tool to help you maintain your recovery.
  • Friends and family – Your loved ones want to see you healthy and happy and are there for you to help keep you focused on your goals.

Planning for Long-Term Addiction Recovery at Colorado Medication Assisted Recovery

Before you begin a long-term addiction recovery program, you will need to take care of several things, as your treatment can sometimes take several weeks or months. Financial and personal responsibilities will need to be addressed, so you do not have to worry about them during your treatment program. Some of the things we can help with include:

  • Power of attorney – Having someone responsible for your affairs while in recovery is crucial if you are responsible for property or a family.
  • Work responsibilities – Talk with your employer about your recovery and let them know how much time you will need. Many companies will hold your job and may offer financial assistance.
  • At-home responsibilities – If you are single and have pets, they will need to be cared for. You will want those fur babies happy and healthy when you return.

At Colorado Medication Assisted Recovery, we understand the difficulties in planning for long-term addiction recovery. We will work with you as best we can to make your time with us productive and life-changing. When you are ready to start your recovery, call 833.448.0127 today to talk to a member of our team.

3 Benefits of Recovery Groups

If you are addicted to opioids or other substances and are beginning the road to recovery, it can be challenging to face your substance use issue head-on instead of hiding from it. Speaking to a stranger alone is not easy, and the thought of group therapy can keep others away from treatment. However, recovery groups can offer the support you need as you work to overcome addiction.

At Colorado Medication Assisted Recovery, we specialize in individual therapy and group therapy for addiction in a safe and encouraging environment. You are fighting a disease, and there is no shame in that. If you or someone you know needs help with substance abuse, please our team at 833.448.0127 and speak with one of our addiction treatment specialists today.

6 Key Benefits of Addiction Recovery Groups

Once you enroll in an addiction recovery group, it may take some time to feel comfortable sharing. However, once you begin to open up, you’ll find that these groups can help you heal.

1. Encouragement From Other Group Members

In one-on-one sessions, the only person encouraging you to interact is your therapist. While individual therapy sessions can be the right setting to work through deeply personal issues, in a group setting, you will be encouraged by everyone to share your story after hearing others in your group share theirs.

Hearing others speak up about their experiences will make it easier for you to follow suit.

2. Opening Yourself up to a New Perspective

You have a strong view of how you see the world and how others see you. However, by telling your story to your group, you hear how others react and give feedback. You will have an easier time trusting them because you know they are in the same boat. This beneficial technique helps you see through your disease and begin to heal.

3. A Sense of Belonging

The stigma of addiction still keeps many people from seeking treatment, leaving them feeling alone and afraid to ask for help. When you share your struggles with others in your group, you form a deep bond that only these shared experiences can build.

By surrounding yourself with your group and interacting with them, you build a powerful shield against your addiction.

4. An Opportunity to Practice New Coping Skills

When you share your story with the group, they can offer suggestions on how to better handle your triggers and thoughts. This is an invaluable opportunity to try out different coping skills in a safe environment before putting them into practice in real-life situations.

5. Receive Positive Reinforcement

Addiction recovery groups allow you to learn from the successes of others. In a group setting, you will receive positive reinforcement from other members when they see how far you have come. This can help to boost your self-confidence and motivate you to continue on your path of recovery.

6. Reduce Stress and Anxiety Levels

By actively engaging in a group setting, your stress and anxiety levels will be reduced. You’ll have the opportunity to form connections with other people going through similar experiences which helps create an emotional support system for yourself.

The Five Stages of Recovery

As you begin the journey to recovery, it can be helpful to know what to expect.

  • Pre-contemplation – The addiction has negative effects on your life, and you have yet to recognize the problem.
  • Contemplation – Recognizing the problem is a significant step.
  • Preparation – Deciding to start a group therapy program can require planning if you need to remain at a treatment center. It’s best to have someone help you prepare.
  • Action – Following up on your decision and actively working on your recovery takes effort.
  • Maintenance – After your treatment program ends, it is vital to avoid old triggers until you are more comfortable with your recovery.

A successful addiction recovery group involves action. One of the hardest things to do is openly talk about your disease. Being in a group of others going through the same problem can help make you feel more comfortable opening up.

How Can Colorado Medication Assisted Recovery Help You?

At Colorado Medication Assisted Recovery, we believe addiction recovery should involve group therapy sessions along with individual therapy to better treat the mental and physical aspects of this terrible disease.

Addiction recovery groups have many beneficial effects on your recovery that you would not get with individual therapy. Once you begin, you will quickly realize the benefits of your group therapy sessions as you start to gain control of your addiction. If you or someone you know is ready to begin the recovery process, call 833.448.0127 today and schedule an appointment.

The Stages of Addiction Recovery

Addiction recovery is not a simple process, but one that occurs over a period of time through several steps. To achieve sobriety, a person needs to recognize where they are right now, gaining an awareness of what’s happening to them. They may need to work through detox before receiving comprehensive treatment, aftercare, and relapse prevention. Colorado Medication Assisted Recovery offers a thorough process to guide individuals through the various stages of addiction recovery, ultimately leading to the most favorable long-term results. If you need help finding addiction treatment programs near you, call us at 833.448.0127, and one of our team members can help you or a loved one.

Understanding the Complexity of Addiction

While addiction can occur quickly, the damage it does to the brain is significant. It takes time for the brain to relearn and heal. A component of that is physical healing, but the other part is recognizing the challenges of recovery, gaining awareness, and creating a plan to manage the psychological damage that’s occurred. There are several steps or stages a person will go through during the addiction recovery process to achieve these goals.

Precontemplation

During this stage, a person doesn’t recognize there’s a problem and is unlikely to have experienced any type of negative outcome yet. The substance use feels good. In this phase, people often experience one or several of the following:

  • They don’t recognize a problem
  • They don’t have any desire to change
  • They don’t want to be told what to do, and that keeps them using the substance
  • They are overwhelmed by their habits, and that’s made it feel impossible to change
  • The person believes they know the answers as to why substance abuse isn’t a factor for them

Contemplation

At this stage, a person comes to an awareness of the problem, though they have not made a decision to change. They may want it to change but cannot make the commitment to do so. However, they are more likely to want to learn about their options at this stage. This stage can last for years before a person decides to change.

Preparation

At this stage, often, something has changed. They are ready to take action to achieve sobriety. This is where addiction recovery begins to become more real. Many will reach out for help with an assessment at this point.

Action

This is the stage where something happens—they enroll in a detox program or move into a residential treatment program. They engage in some way with treatment for their addiction. They learn the tools and strategies necessary to cope with stress, deal with addiction, and maintain sobriety.

Maintenance

During maintenance, a person continues to receive care, but it is in the form of aftercare. They are working to maintain their sobriety, but this is also where relapse risk is the strongest.

Termination

In this area of recovery, the individual can maintain their sobriety without continual fear of relapse. This is the goal of addiction recovery—to not be weighed down by the addiction itself.

Why Is It Important to Understand Addiction Recovery Stages?

Understanding the stages of addiction recovery is crucial for several reasons:

  • Setting expectations – Knowing what to expect at each stage of recovery can help individuals and their loved ones prepare mentally and emotionally for the journey ahead. It helps one understand that recovery is a process, not an event.
  • Guiding treatment plans – Understanding these stages allows healthcare professionals to develop and adjust treatment plans according to the individual’s progress. Each stage requires different interventions and supports, so knowing where a person is in their recovery can guide the treatment approach.
  • Providing appropriate support – For families and friends, understanding these stages can help them provide the right kind of support when it’s needed most. Each stage presents unique challenges, and being aware of these can help loved ones offer meaningful assistance.
  • Promoting patience and compassion – Understanding that recovery is a process involving various stages can foster patience and compassion, both for the individual in recovery and those supporting them. This understanding underscores the fact that setbacks are part of the journey, not failure.

To effectively and compassionately manage the addiction recovery process and promote a sustainable recovery journey, it is important to have an understanding of the stages of addiction recovery. At Colorado Medication Assisted Recovery, we provide the guidance and support needed to navigate them successfully.

How Addiction Recovery Programs Can Help

Colorado Medication Assisted Recovery offers support for those who are ready to start on the recovery path to achieve long-lasting sobriety. Addiction recovery takes time—for some months or more years. However, our team can offer help and guidance with a range of treatment programs, including:

If you’re looking for addiction treatment programs near you or a loved one, our team can help. We offer discreet and compassionate care, personalized to meet the needs of each individual we work with.

Get the Help You Need at Colorado Medication Assisted Recovery

Understanding the stages of addiction recovery is a key part of addiction treatment. At Colorado Medication Assisted Recovery, addiction recovery starts with a call to our team. Let us help you with each stage of the process, including awareness, detox, and achieving sobriety. With programs such as aftercare and relapse prevention, it is possible to overcome these challenges with our comprehensive programs. Start now by calling 833.448.0127 or connecting with us online.

Opposite of Addiction

THE OPPOSITE OF ADDICTION:

What is the opposite of addiction? If you posed this question to a random group of people, I would venture a guess that the vast majority would say that the opposite of addiction is sobriety. In other words, as long as you are abstaining from drug use, you are the opposite of addicted. I would argue that this stance is short-sighted and only partially true.

In addiction recovery, there is a common phenomenon referred to as “white knuckling.” “White knuckling” is when someone is not drinking or using their drug of choice by sheer willpower. They make a conscious decision to no longer drink or use drugs, which often leads to preventative measures like throwing out all the booze or drugs they have stashed around their home or deleting their drug dealer’s number from their phone. Although these are important behavioral strategies to employ in recovery, it is an incomplete take on recovery. As “white knuckling” suggests, the addict is clamping down, barely holding on to their own sobriety. To truly engage in the recovery process, the individual must delve deeper. They must examine underlying emotional components that lead them to use. One common driver of use across the board is loneliness.

So, let’s return to the question at hand, what is the opposite of addiction? Well, writer Johann Hari argues that the opposite of addiction is not sobriety. The opposite of addiction is connection. That’s not to say that sobriety is not important to recovery, it absolutely is. But importantly, so is connection.

In his TedTalk, Hari references a study conducted with lab rats that offers compelling evidence for this conclusion. In one trial, a researcher placed a single rat in a sterile cage with two bottles. One bottle had water in it, and the other had water infused with drugs. Unsurprisingly, the rat chose the bottle with the drugs and became addicted.

In a second trial, the researcher placed rats in a cage called “Rat Park.” This cage had both the water bottle and drug-infused bottle, as well as plenty of food, wheels for exercise, toys, and other rats to socialize and have sex with. This time, however, none of the rats chose the drug-infused bottle. None became addicted. Drawing on these results, the researchers concluded that positive social connection was the single most important predictor in whether someone will struggle with and recover from addiction.

Examining recovery programs, such as AA, NA, or CA twelve-step programs, it is no surprise that there is so much emphasis on group programming. Interpersonal connection is an essential human need, and these types of programs offer connection with other individuals in recovery. So, in your own recovery process, it is important to focus on sobriety, but also imperative that you focus on building a positive network of social support. How can we work to build our own version of “Rat Park?”

 

By Jonathan Fricke, MA

Step 5 in the 12-Step Process

[vc_row][vc_column][vc_column_text]“Admitted to God, to ourselves, and to another human being the exact nature of our wrongs.”

I want you to think of a time that you kept something secret. Maybe it was a bigger secret, such as an affair or a time that you hurt someone, or maybe it was a smaller secret, such as a time that you were embarrassed. Whatever the case is, I want you to remember that secret. I want you to think about what drove you to keep this thing under wraps. I want you to reflect on how doing so impacted you. Really, take a moment to reflect before reading on.

Often times, we keep secrets in efforts to protect our egos. We think that if others were to know what it is we have done, they would see us as the person that we so desperately fear becoming. For example, if a partner were to find out about an affair, we fear they will see us as untrustworthy. If a friend were to find out about how we spoke ill of them behind their back, we fear they will see us as a bad person. Or, if a parent were to find out about our struggles with substance use, we fear they will see us as flawed. Therefore, we may elect to keep actions, feelings, and thoughts to ourselves in hopes that others will not see us in the same negative light we fear seeing ourselves in.

Makes sense, right? I mean, if we can hold onto our secrets, thus preventing others from knowing us fully, what is the problem?

Well, unfortunately secrets come with a toll. A toll that tethers irritability, anxiety, remorse, and depression, among others, to our lives. When we hide our wrongdoings from the world, we decide that we will carry the burden alone. We keep others away and place ourselves on an island where no one can get to us; we isolate. When we isolate, we do not even give others the chance to respond to our secrets. We cut off any possibility for compassion or love before we even have the opportunity to receive it. We cement in ourselves the very wretched feelings that we had hoped to avoid. For the addict, the toll means continued substance use or relapse.

Fortunately, there is another path to take. This is the path of connection, admission, and confession to another. Instead of putting ourselves on the island of isolation, we draw upon our moral inventory to share our secrets and wrongdoings with a trusted individual, whether that be a sponsor, friend, or therapist. In doing so, we share ourselves. We allow ourselves to be seen and understood. We open up the doors for compassion and love to enter. Often, we then begin to experience ourselves differently. Not as flawed creatures, but as a human beings.

Although this path is not a cakewalk, it is essential. It is perhaps the most important part of recovery.

By Jonathan Fricke, MA[/vc_column_text][/vc_column][/vc_row]

Step 3 in the 12-Step Process

[vc_row][vc_column][vc_column_text]“Made a decision to turn our will and our lives over to the care of God as we understood Him.

In the first two steps of the twelve-step program, we are asked to reflect on our own lives. In step one, we are asked to reflect on our powerlessness and the unmanageability in our lives. In step two, we are asked to reflect on what our higher power looks like; what we believe in. In step three, however, we shift from a stance of reflection to a stance of action. Step three is all about pushing away from our self-will and welcoming in a sense of willingness.

So, what does self-will and willingness mean? Self-will is all about stubbornness. It is about doing what an individual wants without regard for the wishes of others. It is a belief that you are right and will argue with anyone who disagrees. It is about a desire for independence, control, and is typically rooted in egotism. On the other hand, willingness is all about readiness and flexibility. It is rooted in trust outside the self.

Before continuing, I feel it is important to address the religious influence in step three with the use of the word “God.” As I had previously mentioned in my discussion of step two, twelve-step programs are not inherently religious and there is no requirement that the individual practice religion or believe in God. Rather, the important piece of step three is the last part, “…as we understood Him.” This piece reminds us that it is not about God, but about whatever the individual has identified as their higher power. Perhaps that higher power resides in nature, science, or the twelve-step program itself. In this step, the individual is asked to loosen their grip on the desire to control their lives and instead places faith, trust, and hope in their higher power. It is about aligning the will of the individual with their higher power. In this step the individual begins to experience serenity.

Step three also introduces a component of the twelve-step program that countless individuals have found monumental to their recovery: the Serenity Prayer.

God grant me the serenity to accept the things I cannot change, courage to change the things I can, and the wisdom to know the difference. Thy will, not mine, be done.

The Serenity Prayer introduces a key concept that extends far beyond recovery and has useful applications across life. In it, we examine and recognize the limits of our control. The prayer highlights the notion that there are some things we can control and some things we cannot. For example, we cannot control the behaviors of others but do have control over how we react to any given situation. When we attempt to control something that is uncontrollable, we are often left feeling angry or dejected when things don’t go our way. The Serenity Prayer encourages us to ask ourselves, ‘Is this situation something worth getting upset over or is it out of my control?’

By Jonathan Fricke, MA[/vc_column_text][/vc_column][/vc_row]

Step 1 in the 12-Step Process

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STEP ONE
“We admitted we were powerless over our addiction – that our lives had become unmanageable.”

What does the word ‘powerless’ mean to you? What images or feelings does it conjure up? In my experience, it often brings about associations of weakness, inadequacy, and incapability. For those of us familiar with Greek mythology, perhaps you think of Sisyphus’ powerlessness in his eternal struggle of pushing the boulder up the hill, only for it to roll down every time that he approached the top of the hill. He was a prisoner to this task and, as such, the ensuing feelings of weakness, inadequacy, and incapability that came with it. That is exactly why Zeus punished Sisyphus with this hopeless task. Well, what if Sisyphus had realized and accepted his own powerlessness in this task? What if he accepted the hopelessness in getting the boulder to the top of the hill? How might that have changed things for him?

In step one of the twelve-step program, we are asked to admit a powerlessness over our substance or behavior, recognizing that our lives are currently ungovernable. Given the aforementioned associations to ‘powerlessness’, it is entirely understandable to respond to this step with resistance. Perhaps we think we can simply work harder to control our use. Or perhaps we deny the extent to which the substance or behavior influences our lives. (How many times have you said or heard the phrase: “I could stop my use if I really wanted to”?)

When we feel powerless, there is a natural and instinctual drive to tighten our grip, clamp down, and attempt to secure power and control. However, step one contends that, paradoxically, there is a certain power in admitting our powerlessness; that we are granted a hope in admitting our hopelessness. In recognizing our inability to control our use, we actually form a solid bedrock and foundation for working towards happy, fulfilling, and meaningful lives. In recognizing and accepting our own limitations, only then do we enable ourselves to look beyond our own beliefs. Only then do we open our minds to different ways of thinking. Only then are we truly willing to listen. Only then are we truly willing to try something different. Only then are we truly willing to change.

By Jonathan Fricke, MA[/vc_column_text][/vc_column][/vc_row]

The Misplaced Solution

[vc_row][vc_column][vc_column_text]Think about a moment in your life that you wanted to bask in. You found a sense of peace, joy, or harmony that you wanted to fully take in and appreciate. Perhaps it was catching up and laughing with an old friend, perhaps it was feeling the warm sun shining down on your skin as you sat on a tropical beach, or perhaps it was the excitement you felt in your team winning the big game. When we encounter these moments, there is a natural tendency to want them to last. We want to appreciate what is happening for us here and now, while also doing what we can to hold onto these wonderful feelings. However, what happens when unpleasant feelings arise?

When feelings of anxiety, sadness, loneliness, and stress show up, we have a natural tendency in the opposite direction. We want to make them go away as they may feel unpredictable, uncontrollable, and unbearable. We want more of the “good” feelings and less of the “bad” ones. Makes sense, right? I mean, who in their right mind wants to feel anxious?

While there are a variety of things we can do to avoid these unpleasant feelings, a particularly common one resides in alcohol and drug use. The use of alcohol and other drugs triggers chemical reactions in our brains that numb unpleasant feelings and boost the pleasurable ones, thus, producing a sense of relief. However, this sense of relief is only temporary. Like all things, it does not last.

The substance wears off, the chemical reaction subsides, and those unpleasant feelings reappear. Well, what happens when these feelings come back? When that sense of helplessness or powerlessness sets in again? You might think about how drinking alcohol or using drugs had previously made those feelings go away and think, ‘Hey, that worked last time! Why not do it again?’ This makes sense. Humans are excellent learners. When we encounter challenges, we look for solutions. In this case, alcohol and drug use seems like an effective solution to this discomfort. When we regularly rely on use to navigate these feelings, we cross into addiction.

With time and repeated use, our brain chemistry changes such that our drug of choice may feel like the only escape from unpleasant feelings. However, as I had mentioned before, the unpleasant feelings will always return. They are unavoidable. However, as we continue using to avoid said feelings, we wander further away from our ambitions, integrity, and sense of purpose. As we do this, the feelings of anxiety, sadness, loneliness, and stress grow. What initially seemed like a sound solution, turns out to have been a misplaced solution.
By Jonathan Fricke, MA[/vc_column_text][/vc_column][/vc_row]

VERIFY INSURANCE

Cortland Mathers-Suter

MSSA
Managing Partner

Cortland Mathers-Suter entered the treatment space after his own battle with addiction. He first worked as a peer mentor, before starting clinical work while completing his Masters of Science in social administration from Case Western Reserve University where he focused on policy and direct practice. Cortland moved to Colorado in 2015 to start his first addiction treatment program, AspenRidge Recovery. Under his tenure, AspenRidge Recovery became a two-location, nationally accredited organization. He has since spent the last two years researching and developing what is now Colorado Medication Assisted Recovery (CMAR).

According to Cortland, “Colorado Medication Assisted Recovery is the most important organization I have had the honor to help build. We’re offering a service that seeks to not only improve the lives of our patients but also evolve how we look at medication-assisted treatment in Colorado entirely. Most individuals receiving medication-assisted care only receive medication and urinalysis. Sure you can call that ‘treatment,’ but you can’t call that ‘recovery.’ Our model is about adding the missing recovery component, and thus affords an opportunity to achieve lasting change for each patient and the industry.”

Cortland and his treatment programs have received numerous honors. These include Colorado Business Magazine’s “GenXYZ” award, the 2020 “Titan 100” award, and his program AspenRidge Recovery was both a finalist for “Best Healthcare Company” and named in the “Company’s to Watch” by Colorado Business Magazine as well. He has been interviewed and quoted by numerous publications for his “addiction expertise”, including News Week, 5280 Magazine, the Denver Post, Elephant Journal, Colorado Biz Mag, and TheRecoverySource.org.

Tyler Whitman

Compliance/HR Administrator

Tyler is originally from Omaha, Nebraska. He worked in manufacturing administration for 18 years until he chose to pursue recovery from alcohol addiction, which led him to Chicago, Illinois. Since then, Tyler gained experience in retail, retail pharmacy, and healthcare as a vaccine coordinator for a local Colorado clinic. At the clinic, Tyler discovered that healthcare was the career change he had been looking for. His newfound passion for healthcare, combined with his lived experience with addiction, brought him to Colorado Medication Assisted Recovery as an Office Administrator.

In his free time, Tyler enjoys cooking, hiking, and skiing. He is currently pursuing a master’s degree in Health Services Administration from Regis University.

Simmeren Boanvala

BA
Outreach and Admissions Representative

Simmeren comes to CMAR after several years working admissions in inpatient psychiatry and addiction. A first-generation Colorado Native, Simmeren attended CU Boulder, where she earned a BA in psychology. Simmeren is currently completing her CAC III while working toward her master’s degree in marriage and family therapy.

According to Simmeren, “I joined CMAR because I believe in the quality and importance of the program whole-heartedly. My goal at CMAR is to guide each prospect who calls CMAR to find the best possible pathway to their recovery”. Simmeren currently lives in her hometown with her dog and cat.

Tyler Hale

Tyler Hale

Community Partnership Lead

Tyler Hale began his career in addiction treatment following a decades-long fight with his own substance abuse issues. Since achieving long-term recovery, Tyler has held various positions in direct care, client services, admissions and outreach departments at various addiction treatment organizations. From sober living program director to outreach director to admissions director at a drug and alcohol treatment program, Tyler consistently finds himself in leadership roles within the addiction treatment space.

Tyler is originally from Chicago, IL, where he graduated from Loyola University Chicago with a Bachelor of Arts in Sociology and Bioethics. Thereafter, Tyler built a successful career in the tech industry, before finding sobriety and a subsequent calling to help others. Tyler joined the team at CMAR because he believes in the efficacy of comprehensive and patient-centered outpatient treatment. In his free time Tyler enjoys camping, hiking and spending time with his newborn son.

Kirstin O’Carroll

MSW
Engagement and Relations Director

Kirstin O’Carroll started her career in addiction and mental health services 23 years ago after graduating with an MSW from The Oho State University. Hired directly from an internship program, she served as a case manager and vocational specialist on a community treatment team in Columbus, OH, working to help severely mentally ill adults remain at home and in a community setting. Within the same organization, she later transitioned to clinical assessment and crisis intervention services with children, adolescents, and adults. Through these experiences, she learned the importance of providing empathetic, high-quality care and the need to “start wherever the patient is” with regard to finding the best treatment & solutions for her patients.

After seven years, Kirstin made a career change to diagnostic sales and worked for several Fortune 500 companies as an acute care sales specialist. She is delighted to return “home” to her passion for helping others and believes her new role as community engagement coordinator for CMAR is the perfect alignment of both her clinical and sales skills. When not promoting CMAR, she can be found reading, running, hiking, watching movies, and spending time with her husband Dennis and senior canine son Reggie.

Thomas Mazzarella

LAC
Primary Therapist

Thomas is a Licensed Addiction Counselor (LAC) in the State of Colorado and a Licensed Addictions Specialist (LCAS) in the State of North Carolina with particular expertise in the treatment of chronic Substance Abuse Addiction and Dependency.

Thomas is dedicated to Individual, Couples, Family, and Group Counseling and Therapy for individuals with Substance Use and Mental Health issues and concerns.

James Jackman

CAS
Primary Therapist

James Jackman is a Certified Addiction Specialist and has been practicing addiction treatment in Colorado since 2015. James is pursuing his bachelor’s degree in psychology from Metropolitan State University Denver. James is a traditional CBT therapist specializing in childhood events that lead to adult addictions.

James has received special training in Family Systems, Inner Child, Maladaptive Schemas, and Adverse Childhood Experiences. James has worked in many treatment settings throughout his career and uses a client-centered treatment approach to help one recover from destructive patterns that facilitate addiction. In addition, James enjoys working with rescue animals and advocates for several local rescue organizations outside of work.

Outside of the office, Megan enjoys spending time with her two German Shepherds and her cat. She is passionate about fostering animals through various local rescues to find adoptive homes for dogs and cats in need.

Megan Hanekom

LPC, LAC, NCC
Therapist & Clinical Compliance Officer

Megan is a licensed counselor who has worked in various mental health and addiction treatment environments. She practices cognitive behavioral therapy and motivational interviewing and believes in pulling from various therapeutic approaches to best support each individual. Megan received her bachelor’s in psychology and Spanish from Concordia College. She relocated from North Dakota to Colorado where she earned a master’s in counseling psychology from the University of Denver.

Outside of the office, Megan enjoys spending time with her two German Shepherds and her cat. She is passionate about fostering animals through various local rescues to find adoptive homes for dogs and cats in need.

Maggie Coyle

MA, LPC
Primary Therapist

Maggie Coyle, MS, MA, LPP, LPCC has worked in the mental health and addictions counseling field for the past six years. She has extensive experience in working in the varying levels of mental health and addictions treatment as well as with diverse populations.

She practices cognitive-behavioral therapy and dialectical behavior therapy as primary intervention methods. She has earned a bachelor’s degree in sociology as well as a master’s degree in clinical mental health counseling both from Northern State University in Aberdeen, SD. She has also earned a master’s degree in addictions counseling from the University of South Dakota in Vermillion, SD. Maggie moved from South Dakota to Colorado in June 2020 and is excited to be a part of the CMAR team.

Michael Damioli

LCSW, CSAT
Clinical Director

Michael Damioli has been passionately working in the fields of addiction treatment and mental health since 2012. He has held a variety of different roles within the addiction recovery space, ranging from peer support to direct clinical practice. Notably, Michael was part of a leadership group that developed a small therapy practice into a nationally branded addiction treatment program, which offers multiple levels of care to recovering professionals. Michael is a strong believer in the family disease model of addiction and has focused much of his clinical work and training on supporting families impacted by addiction. He also specializes in treating individuals suffering from co-occurring chemical and process addictions.

Michael is honored to be leading the clinical care team at CMAR and believes that excellent clinical care begins by simply treating a patient with dignity and respect. Michael is a strong advocate for ethical reform within the addiction treatment field and is excited to promote CMAR as an ethical and thought leader throughout the treatment & recovery industry. Michael earned his master’s degree in social work from the University of Denver and is independently licensed as a clinical social worker with the state of Colorado. He holds an advanced post-graduate certificate in marriage and family therapy from the Denver Family Institute as well as an advanced certificate in sexual addiction counseling from the International Institute of Trauma and Addiction Professionals.

Dwight-Duncan

Dwight Duncan

Psy.D
Psychologist

Dr. Duncan was born and spent most of his early life in California. He received his doctorate in clinical psychology from the University of Denver in 1987. He is a licensed psychologist as well as a licensed addiction counselor. He has had extensive training and experience throughout his professional career in medical psychology, mindfulness, integrated behavioral healthcare, and substance abuse.

Dr. Duncan is married and has one daughter, a neurologic physical therapist in Los Angeles.

Susan-Miget

Susan Miget

NP
Medical Provider

Susan has been in healthcare for more than 20 years. She was an ICU nurse for nine years, then returned to school and completed her master of nursing and family nurse practitioner degree at the University of Missouri-St. Louis in 2007. She practiced pain management for many years before developing her current passion for addiction treatment.

Susan has transitioned her practice to focus entirely on addiction treatment. She has worked in residential treatment, partial hospitalization (PHP), and intensive outpatient (IOP) programs. Susan most enjoys working with patients one-on-one in a private office to protect their confidentiality and ensure top-rate care. Knowing that addiction can affect anyone, anywhere, and at any time, Susan continues to strive to make treatment more accessible and confidential.

Whitney-Grant

Whitney Grant

MSN, FNP-BC, ARNP, RN, CPN
Medical Provider

Whitney Grant is an experienced family nurse practitioner with experience and expertise in medication-assisted treatment. Whitney earned her BSN at the University of Miami before moving on to achieve a master of science in nursing degree there as well, becoming a nurse practitioner immediately thereafter.

Whitney has since achieved board certification from the ANCC as a family nurse practitioner. After spending her entire formative and educational years in South Florida, Whitney moved to Denver in 2018 to pursue a career as a provider in family practice, sub-specializing in addictions medicine. Whitney has worked under the guidance of Dr. Nathaniel Moore, CMAR’s medical director, since moving to Denver.

Nathaniel Moore

MD
Medical Director

Dr. Nathan Moore is board-certified by the American Board of Family Medicine. Dr. Moore attended Stanford University in Palo Alto, CA for his undergraduate work and then attended Duke University School of Medicine and obtained his M.D. in 1995. Dr. Moore then came to Colorado and completed his residency in family medicine at the University of Colorado’s Family Medicine Program at Rose Medical Center.

Dr. Moore practices primarily at our Aurora location. He provides comprehensive family medicine services and has a special interest in addiction medicine, treating patients with opioid use disorder as well as alcohol addiction.

Dr. Moore is married with three children. He enjoys mountain biking, running, and golf.