Opiate addiction is often stigmatised in the media, and it can feel really difficult to open up about having a problem - even to a medical professional. Getting treatment is vital to successfully overcoming addiction and dealing with any health issues caused by your drug use. Having an idea of what to expect can be really reassuring while you're waiting for your appointment, so we've summarised what's likely to happen when you first raise the issue of opiate addiction with a doctor.
Questions on your use
The drug you're using, how often you use, how much you use and your usual route of administration will all affect your treatment, so your doctor will ask lots of questions. This might feel intrusive, but it's important that you answer as honestly as possible. If you're an IV drug user, then your doctor may recommend tests for HIV and Hepatitis C, both of which can be caught by sharing needles. Depending on the length of time you've been addicted, and how much you use, you may be advised to try a replacement therapy, a 12-step program, counselling, or a combination of all three. You'll be able to have a say in all aspects of your treatment, and won't be forced into anything you don't feel comfortable with.
Information on maintenance drugs
Maintenance drugs like Methadone and Buprenorphine are often used to treat opiate addiction. They work by stopping withdrawal symptoms and reducing cravings, and as they are prescribed drugs there is no risk of overdosing. Your doctor might recommend a short taper using one of these drugs, where the amount you are prescribed is gradually reduced until you quit altogether. This gives you time to adjust and makes withdrawal symptoms less severe. In other cases, for example, if you have a history of relapse, then your doctor might advise long term maintenance. This gives you time to make positive changes in your life, without feeling rushed into quitting cold turkey before you are ready.
Advice on recovery programs and counselling
Although maintenance drugs can be helpful, they won't treat the underlying cause of your addiction. Many people turn to drugs as a result of other mental health issues, unresolved trauma, poor coping skills or a history of abuse. Attending a recovery program allows you to speak to other recovering addicts and get advice on what worked for them. In counselling, you'll have the chance to work through the issues that led you to use drugs, and develop a personalised recovery plan to reduce the risk of relapse.
