Tag Archives: Stigma

Attitudes and Stigma Drive Opioid Treatment and Policy, Not Research

Psychiatrist, Sarz Maxwell says that one of the greatest barriers to treatment and effective drug policy are attitudes towards drugs. Addiction is not seen as a disease, but as a moral failing. Methadone and Suboxone are not drugs of choice. They are medicines. Listen in to this opiate support group discuss stigma .

Discussion Guide:

It is said that this opioid epidemic is getting worse and the stigma against opioid abusers is worsening. Why would this be the case?

Dr. Maxwell said "It is not what the person does to the drug, it's what the drug does to the person." What does this mean?

Abstinence is one of the least effective methods of treatment for opioid addiction and has the lowest recovery rate. Have you been successful with long term abstinence without medication such as Methadone and Suboxone?

"Addiction is the only disease where we expect the patient to be immediately symptom and medication free."  Do people have this expectation of you?

In a genetically predisposed addict's brain, there are too many opioid receptors and too few endorphins. This can cause people to use substances in an effort to get normal. Did you feel abnormal without an opioid boost?

 

 

 

What You Should Know About Methadone

Opioid addiction and overdose deaths are an epidemic. Methadone treatment for this epidemic is the treatment of choice. And yet, the stigma surrounding this effective medication keeps people from getting the help they need. Listen to this opiate support group discuss their experience of methadone.

Discussion Guide:

1. Methadone has been used to help treat heroin addiction and other opioid use disorders for over 50 years. Where and why was it developed? When was it first used to treat addiction?

2. Methadone is the most successful treatment option for opioid misuse, period. What research and statistics back up this assertion?

3. Methadone is a medical treatment for a medical condition. Why wouldn't you treat it with a medicine?

4. Propaganda and stigma prevent many people from seeking MAT and can contribute to people leaving treatment early. Has the stigma against Methadone caused you to consider tapering your dose for a premature discharge?

5. Relapse is much less likely to result in a fatal overdose because Methadone provides a protective barrier. What is meant by a protective barrier?

6. Methadone, as a controlled substance, is one of the most tightly-regulated medications in the United States. And yet, a stigma persists that it is easily abused. Why?

7. Methadone isn't right for everyone. Who would not be appropriate for Methadone assisted treatment?

Supplemental Reading:

Jeremy Galloway, 7 Things You Need to Know About Methadone Treatment, http://www.thefix.com/7-things-you-need-know-about-methadone-treatment