Maintenance Programs in Recovery: A Controversial Path to Sobriety
Drug and alcohol maintenance programs have long been a subject of debate in the addiction recovery community. These programs, which involve the controlled administration of substances to manage withdrawal and cravings, offer an alternative approach to traditional abstinence-based recovery methods.
In the realm of addiction recovery, maintenance programs represent a nuanced approach that challenges traditional notions of sobriety. While some view these programs as a crucial lifeline for individuals struggling with severe substance use disorders, others argue that true recovery can only be achieved through complete abstinence. As we explore this controversial topic, it's essential to remember that recovery is a deeply personal journey, and what works for one individual may not be suitable for another.
My Experience
In 2014, I had unexpectedly found out that I was pregnant. I was stuck in the midst of a daily chronic IV heroin addiction. As soon as I found out I was pregnant, I knew I needed to seek professional help.
I moved into a women’s shelter where outpatient services were offered. I went to multiple groups and one-on-one sessions, weekly. It was decided due to multiple contributing factors, that I be put on Subutex.
I was not all that thrilled from the beginning to be put on maintenance. At that time, I knew more people who had a track record of misusing it, than I did of having success.
I told my counselor and doctor that my goal was to have the baby and then taper off of it completely. I wanted to get sober for the health and well-being of my child, but if I’m being completely honest, I was still making future reservations to go back to using. I couldn’t envision a life where I was fully committed to being clean and sober.
While on the medication, I was still managing to misuse it. Typical addict behavior. I was taking more than prescribed and even ended up resorting to shooting them up.
I had my daughter. She was born happy, healthy, and perfect in every way. Thank God. Shortly after her birth, I left the shelter and the program I was participating in to return home.
Even though I was fully functioning on the medication, and it restricted me from getting high, I still knew that I was completely dependent on it. In my eyes, I felt like that was just as bad as being on hard drugs.
I didn’t want to live my life in desperation, knowing if I had to go without something, I was going to feel like shit. So, after returning home, I was forced to come off of it. I finished up the remainder of my script and detoxed in my mother’s guest bedroom for well over a week.
I do not recommend doing things the way that I did. If you are considering getting off of maintenance, please consult with a doctor or a professional, and tapper off correctly.
I will NEVER forget being that sick. NOT EVER.
Regaining normalcy took some time. The reminder of what it was like to come off of that, was enough to make me never want to relive it.
I never went back to heroin.
Understanding Maintenance Programs
Maintenance programs in substance and alcohol abuse treatment involve the controlled administration of medications to manage withdrawal symptoms, reduce cravings, and prevent relapse. These programs aim to stabilize individuals and improve their quality of life while reducing the harmful behaviors associated with addiction.
Examples of Maintenance Programs:
Methadone Maintenance: Used primarily for opioid addiction, methadone is administered in controlled doses to reduce cravings and withdrawal symptoms.
Buprenorphine Treatment: Another option for opioid addiction, buprenorphine (often combined with naloxone) helps manage withdrawal and cravings.
Naltrexone for Alcohol Use Disorder: This medication blocks the effects of alcohol and can reduce cravings in individuals with alcohol use disorder.
Maintenance programs offer several advantages for individuals struggling with severe substance use disorders:
For some individuals, maintenance programs provide a crucial stepping stone towards long-term recovery, allowing them to stabilize their lives and address underlying issues contributing to their addiction.
Potential Drawbacks
Despite their benefits, maintenance programs are not without controversy:
Continued physical dependence on substances
Potential for misuse or diversion of prescribed medications
Stigma associated with medication-assisted treatment
Challenges in transitioning to complete abstinence
Side effects and long-term health concerns related to medication use
The decision to pursue a maintenance program should be made in consultation with addiction specialists and healthcare professionals. It's essential to consider individual circumstances, severity of addiction, and long-term recovery goals when evaluating treatment options.
Decisions made in relation to maintenance programs should be made with no fear of judgement. Everyone’s path to recovery is uniquely different. Every step forward and with efforts to bettering yourself, is worth recognizing and celebrating. So, do what is best for you!
Maintenance programs can provide a foundation for individuals to rebuild their lives and work towards long-term sobriety.
Set Goals
For those considering or currently in maintenance programs, setting clear, achievable goals is crucial. These may include:
Gradually reducing medication dosage
Engaging in therapy and support groups
Developing healthy coping mechanisms
Rebuilding relationships and career prospects
Working towards complete abstinence, if desired
I encourage readers to share their personal experiences with maintenance programs in the comment section below. How have these programs affected your recovery journey? Were they successful in helping you establish a path to long-term sobriety?
Your stories can provide valuable insights and support for others considering this treatment option.
If you're struggling with addiction and considering a maintenance program, don't hesitate to reach out to addiction specialists or healthcare providers for guidance.
Remember, recovery is possible, and there are many paths to achieving it. If you need help finding resources or support, please feel free to contact me, and I’ll do my absolute best to connect you with the assistance you need.
