The Suboxone Debate
The addiction treatment community has been at odds about drug replacement therapy for years. Many are wary to recommend long-term drug replacement therapy, especially given the storied history of methadone. However, Suboxone varies significantly from methadone in that users are less able to abuse the drug and there is less risk of impairment as well. Many treatment centers have begun to administer their programs after a short taper of Suboxone is given to clients.
For several decades the traditional way to approach treatment was the 12-step method. This method subscribed to the idea that in order to overcome an addiction one was to remain completely abstinent and attend 12-step meetings designed to repair the damage caused by addiction both on the individual and on the other components of their lives like; family, work and religion. While this is still a viable option for treatment, many treatment centers have integrated other aspects to treatment that make attaining sobriety much swifter and long lasting. In addition to 12-step meetings, some treatment centers are incorporating trauma resolution – working with the client to get to the bottom of traumatic incidents in their life that may have caused the addiction. Working with trained therapists, an addict is able to confront their past and learn how to deal with problems in the future. This is different from traditional rehabilitation programs in that it provides another layer of treatment in addition to meetings.
Still, other treatment centers have moved away from 12-step altogether and focused instead to the physical and mental aspects of addictions using other forms of therapy. Either way, before a person can successfully focus on their treatment, they have to get over the painful withdrawal symptoms. Instead of quitting cold turkey, which often times is the quickest way to get back on heroin; treatment centers are beginning to introduce a Suboxone taper in their detox programs on a more regular basis. This allows the addict to safely and gradually wean off from heroin and get to a point where they are able to focus their energy into their recovery.
Suboxone and drug replacement therapy can vary in terms of length of time, and it may not be fore everyone, but there is a market out there for a safe way to come off a drug that is killing people otherwise.
