• I know this is hard right now.
• I’m here to help you get back on track.
• Relapse doesn’t erase your progress.
• You have my support.
• Let’s explore treatment options together.
• Thank you for being honest with me.
• How can I help today?
• I love you, and I’m not going anywhere.

5 Things to Avoid

• Blaming (“You ruined everything”)
• Withdrawing trust (“I can’t trust you anymore”)
• Saying “I told you so”
• Threats or ultimatums
• Shaming or guilt trips

After watching your loved one begin recovery, it’s normal to feel helpless, frustrated, and scared when you see them experiencing a relapse. Right now, one of your biggest questions may be, “What should I do if my loved one relapses on drugs or alcohol?”

Relapse is common during recovery, and knowing what to say to someone who has relapsed can help them feel supported instead of judged.

According to the National Institute on Drug Abuse (NIDA), 40% to 60% of people in recovery experience a relapse at some point. With the right support and treatment, it can be managed, and it doesn’t mean recovery has failed.

In this guide, you’ll learn what relapse means, how to recognize warning signs, and what to say to support your loved one. You’ll also learn how to encourage treatment while setting healthy boundaries for yourself and your family.

Understanding the Relapse Cycle

“Relapsed” means returning to drug or alcohol use after a period of recovery. It can happen weeks, months, or even years in, and it affects people from every background.

Asking “How can families support someone struggling with a substance use disorder?” is a sign that you care deeply about your family member’s well-being. The perspective that relapse is a process and not a single event is important when helping someone.

The Three Stages of Relapse

1. Emotional relapse: Experiencing stress, denial, and withdrawing from support
2. Mental relapse: Thinking about using drugs or alcohol in the past and romanticizing those times
3. Physical relapse: Beginning to use the substance again

Why Do People Relapse?

Exploring why someone goes back to using drugs or alcohol is also important when you are supporting a family member through relapse. Our treatment team often identifies several common causes, such as:

• Triggers and stressors
• Overconfidence in recovery
• Lack of coping skills or emotional regulation

Understanding relapse triggers can often reveal ways to encourage your family member to seek help with managing their cravings in the future. When someone relapses, it’s important to respond with compassion.

Nearly half of people with a substance use disorder (SUD) will relapse at some point. That’s about the same rate seen with other chronic conditions like hypertension and diabetes, and it doesn’t mean treatment failed.

When you see this moment as one more step in recovery, you can offer them hope for what comes next.

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What Are the Signs of Relapse?

Watching for the signs of a relapse can help answer your question of “When should a loved one go back to treatment after relapsing?” The early warning signs often begin appearing weeks before the actual substance use.

Some of the most common signs of relapse include:

• Increased irritability, isolation, or mood swings
• Losing interest in therapy, support groups, or healthy routines
• Romanticizing past substance use or reconnecting with old triggers
• Suddenly becoming secretive or dishonest about activities
• Changes in sleep patterns or appetite

Watching for the warning signs of relapse is essential when supporting a family member in recovery. Often, providing them with intervention during the emotional or mental relapse can stop it from progressing to the actual physical substance misuse stage.

What to Do When Someone Relapses: 5 Steps

A calm, steady response helps the most. Here’s a simple order to follow.

1. Check on their safety. If you suspect an overdose, call 911 and give naloxone if you have it.
2. Stay calm and listen. Let them talk without interrupting, and save the big conversations for later.
3. Offer support, not judgment. Remind them that one setback doesn’t erase their progress.
4. Help them reach their provider. Offer to make the call or go with them, since the sooner they reconnect, the better.
5. Look after yourself. Keep your boundaries and make sure you have your own support to lean on.

What Should You Say to Someone Who Relapsed?

Knowing what to say to a family member after relapse requires choosing to act with compassion rather than judgment. A key communication tip for recovery is to view the substance use as a disease, not a moral failure.

Supportive Things You Can Say

Managing guilt and blame in recovery is important for everyone’s emotional well-being. Keeping your conversations positive gives people the hope and strength to reach out for substance use treatment.

What to Avoid Saying

Avoid language that blames, shames, or threatens your loved one. As you work to rebuild trust, remember that setting clear and healthy boundaries allows you to be supportive without sacrificing your own mental or physical health.

How Do You Set Healthy Boundaries After a Relapse?

Setting healthy boundaries helps your loved one, while engaging in enabling behaviors harms their recovery. Take a look at these examples of setting healthy boundaries to help you and your family cope with a relapse.

• I love you, but I’m not going to give you money to buy drugs.
• I will support you, but I need to see you continuing to put effort into your recovery.
• I care about you, so you cannot bring drugs or alcohol into our house.

Keep in mind that you can encourage your loved one to seek substance use treatment after relapse, but you should never force them to go. If you’re struggling with setting boundaries, then family therapy can help you find support.

Encourage Returning to Treatment After a Relapse

When someone experiences a relapse, you’ll need to help them determine if they need to go back into treatment. Recovery plans after relapse often include one or several of the following types of substance use treatment:

• Outpatient support
• Medication-assisted treatment (MAT)
• Inpatient rehab care

What Should Families Do After a Relapse?

If someone relapses, focus on helping them reconnect with support as quickly as possible. Encourage them to speak with a treatment provider, attend counseling, return to support groups, or explore treatment adjustments that fit their current needs.

The right next step depends on the severity of the relapse and the substances involved. For many people with opioid use disorder, MAT can help reduce cravings and support long-term stability. BAART Programs offers compassionate outpatient care that combines medication, counseling, and supportive services.

Practice Self-Care While Supporting Your Family

Caring for yourself right now is just as important as helping your loved one. You’ll want to watch out for the signs of caregiver burnout that signal you need to find emotional support for families.

Feeling anxious, depressed, frustrated, or hopeless are all signs that you need to focus on providing yourself with more self-care.

Ways to Find Support

You can begin practicing self-care by seeking support through:

• Family therapy
• Support groups such as Alcoholics Anonymous (AA), Narcotics Anonymous (NA), and SMART Recovery
• Working with therapists to set healthy boundaries

Finding mental health support for families of people with SUDs can help you maintain your emotional health as you navigate a relapse.

How Can Families Help Prevent Relapse?

Preventing future relapses involves several important steps. As you work through these strategies together, remember that BAART Programs provides resources that support relapse-prevention planning.

First, help your loved one identify personal triggers and stressors. A good plan should also include forms of support they can use during difficult moments.

Build a Relapse Prevention Plan

For instance, medication-assisted treatment can reduce withdrawal symptoms and cravings. Attending therapy sessions regularly also provides support for handling triggers as they arise.

The plan may also include:

• Establishing healthy routines for exercise, sleep, and stress management
• Finding accountability partners or sponsors
• Checking in regularly without trying to control behavior

Learning positive coping strategies for stress management can help prevent negative emotions from building up over time.

Relapse Is a Detour, Not the End of the Road

Getting off track is a common part of long-term recovery. Remembering that this setback does not represent personal failure can help you maintain a more hopeful perspective.

Finding ways to support a loved one experiencing relapse becomes easier when you don’t try to handle everything alone. Reach out to our team at BAART Programs to learn more about treatment options, relapse prevention support, and recovery resources.

Contact Us Today to Get Started

If opioid use disorder is impacting your life or the life of someone you care about, reach out to BAART Programs for convenient outpatient care. We are here to provide compassionate support as you take the next step toward recovery.

Sources and Citations

• National Institute on Drug Abuse (NIDA) (2020) Treatment and Recovery. In: Drugs, Brains, and Behavior: The Science of Addiction. Available at: https://nida.nih.gov/publications/drugs-brains-behavior-science-addiction/treatment-recovery (Accessed October 14, 2026).
• Guenzel, N. and McChargue, D. (2023) Addiction Relapse Prevention. StatPearls Publishing. Available at: https://www.ncbi.nlm.nih.gov/books/NBK551500/ (Accessed October 14, 2026).
• Cohen, M. (2024) Are You Enabling a Loved One’s Addiction? WebMD. Available at: https://www.webmd.com/mental-health/addiction/features/addiction-enabling-a-loved-one (Accessed October 14, 2026).

The post What to Say to Someone Who Relapsed: A Family Guide appeared first on BAART Programs.

Buprenorphine is an active substance in Suboxone, along with naloxone. While it counts as an opioid, it doesn’t show in most common drug tests. Buprenorphine-specific drug tests can detect traces of the substance in your system, but the Americans with Disabilities Act (ADA) generally protects you from discrimination for using the medication. 

Discover more about the length of time buprenorphine stays in your system and how it relates to your recovery below.

How Long Does Buprenorphine Stay in Your System for a Drug Test?

How long buprenorphine stays detectable depends on the type of test, and the table below shows the typical windows.

Detection times vary with your dose, metabolism, and liver function.

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How Your Body Processes Buprenorphine

The half-life of a substance is how long it takes for the amount in your body to drop by half. The half-life of buprenorphine ranges from 24 to 42 hours, and the half-life of naloxone ranges from 2 to 12 hours.

Your liver breaks buprenorphine down into smaller compounds called metabolites, including norbuprenorphine. Even after the medication itself is gone, norbuprenorphine can linger and leave your body through urine over the following days or weeks.

For most people, norbuprenorphine clears within about two weeks of the last dose. Some people clear it faster, some take longer, which is why a urine test can occasionally pick it up after the usual 7 to 10 days.

What Affects How Long Buprenorphine Stays in Your System?

Several things change how quickly norbuprenorphine clears, including your liver function, age, and weight, how often you take your medication, and whether you take other medications alongside it. Poor liver function can keep buprenorphine in your body longer.

Everyone processes medication slightly differently, so your provider sets your dose around you and adjusts it when your needs change.

How Long Does Zubsolv Stay in Your System Compared With Suboxone?

Zubsolv is a sublingual tablet with the same two ingredients as Suboxone, buprenorphine and naloxone, and its buprenorphine has the same 24- to 42-hour half-life. That means it should clear your system on a similar timeline. 

The tablet strengths look different because Zubsolv is absorbed differently, but your own dose, metabolism, and time in treatment still set the pace.

What Does BUP Mean on a Drug Test?

BUP is the lab abbreviation for buprenorphine, so a BUP result shows whether the medication or its metabolite is in your sample. It usually appears as its own line on a drug panel, separate from the opioid results.

What to Consider About Buprenorphine and Drug Testing

Most standard drug panels won’t flag buprenorphine, so taking it as part of your treatment usually won’t cause a problem on a routine screen. Those panels are designed to catch opiates such as morphine and codeine.

Buprenorphine has a different chemical structure, so a lab has to order a buprenorphine-specific test to find it. If your employer does run a BUP test, a positive result for a prescribed medication should not count against you.

If your employer chooses to test your system for buprenorphine, you are protected under the ADA. When you have a buprenorphine prescription, it serves as proof that you are legally allowed to take it. The clinic that provides your treatment can also provide you with extra documentation to defend your case. 

In general, an employer can’t turn you away or treat you differently just because you take prescribed buprenorphine. The main exception is a safety-sensitive job, where an employer may look at whether your treatment could affect your ability to work safely. 

Note that situations vary, so if you run into a problem, an employment attorney can help.

Buprenorphine Side Effects and Withdrawal Symptoms

As you begin or stop taking buprenorphine, you may experience side effects or withdrawal symptoms. When you take this medication under a health care provider’s supervision, you can remain as comfortable and safe as possible. 

With a plan built around your needs, many people feel steady on buprenorphine and go about their day as usual. This medication includes the following side effects:

• Drowsiness
• Headaches
• Feeling light-headed
• Feeling dizzy
• Constipation

If you stop taking buprenorphine or taper off the medication with a health care provider’s help, you may go through withdrawal symptoms. The symptoms don’t cause immediate harm, but they may cause discomfort. The withdrawal symptoms of buprenorphine include:

• Significant mood changes
• Trouble falling or staying asleep
• Muscle stiffness

Side effects and withdrawal symptoms like these usually stay mild. If they start getting in the way of your day, tell your provider; changing your dose or how you take it often helps.

FAQs About Buprenorphine and Drug Testing

Will I Fail a Drug Test if I Take Suboxone?

Not on a standard panel. Most opioid screens look for morphine-type opiates, so buprenorphine only shows up when a lab runs a buprenorphine-specific test. If it does, your prescription shows it’s part of your treatment.

How Long Does Buprenorphine Stay in Your Urine?

Urine tests can usually detect it for about 7 to 10 days after your last dose. Your metabolism, liver function, and dose can shorten or stretch that window.

Can Saliva, Blood, or Hair Tests Detect Buprenorphine?

Yes. Blood tests typically cover about 1 to 2 days, saliva tests up to about 2 days, and hair tests around 3 months. These are general testing windows, so your own timeline can differ.

Can My Employer Test Me for Buprenorphine?

Yes, an employer can ask for a buprenorphine-specific test. The ADA generally protects you from discrimination for taking medication your provider prescribes, with an exception for safety-sensitive roles where treatment could affect safe performance.

Why Do Labs Test for Norbuprenorphine?

Your body breaks buprenorphine down into norbuprenorphine, so labs often measure it to confirm the medication passed through your body and wasn’t added to the sample.

BAART’s Accreditations and Certifications

BAART Programs’ treatment centers are accredited by the Commission on Accreditation of Rehabilitation Facilities. This accreditation reflects our commitment to encouraging feedback and improving our services to serve the community. We have over 40 years of experience providing treatment for opioid use disorder to patients all over the country.

We have multiple sites and offer various high-quality supportive recovery services. BAART Programs provides patient-focused treatment for those recovering from opioid use, and at select locations, we also provide mental health services and integrated primary medical care.

We are committed to helping patients accomplish long-term recovery by educating them and their loved ones. At BAART Programs, we believe that to effectively help patients with opioid use disorder, we must individualize treatment to meet their psychological, physical, and social needs. 

Our employees are compassionate and understand the challenges of working toward recovery. This is why we are dedicated to affordable, comprehensive treatment to help patients achieve long-term success on their recovery journey.

Get Buprenorphine MAT at BAART Programs

At BAART Programs, medication-assisted treatment (MAT) with buprenorphine eases withdrawal symptoms and cravings so you can focus on your recovery goals. Whenever you’re ready, contact us or find a location to get started.

Sources and Citations

• ADA National Network (2020) The Americans with Disabilities Act, Addiction, and Recovery for State and Local Governments. Available at: https://adata.org/factsheet/ada-addiction-and-recovery-and-government (Accessed October 14, 2026).
• Chen, R.J. and Cogburn, M. (2025) Drug Testing. StatPearls Publishing. Available at: https://www.ncbi.nlm.nih.gov/books/NBK459334/ (Accessed October 14, 2026).
• Kumar, R., Viswanath, O. and Saadabadi, A. (2024) Buprenorphine. StatPearls Publishing. Available at: https://www.ncbi.nlm.nih.gov/books/NBK459126/ (Accessed October 14, 2026).
• Orexo US, Inc. (2023) ZUBSOLV (buprenorphine and naloxone sublingual tablets), CIII: Prescribing Information. Available at: https://www.accessdata.fda.gov/drugsatfda_docs/label/2023/204242s025lbl.pdf (Accessed October 14, 2026).
• Labcorp (n.d.) PEDIATRIC Drug Screen 14 with Reflex Confirmation, Urine (ETG, AMP, BAR, BZO, COC, PCP, THC, 6AM, OPI, OXY, MD, FENT, BUP, TRAM). Test number 713323. Available at: https://www.labcorp.com/tests/713323/pediatric-drug-screen-14-with-reflex-confirmation-urine-etg-amp-bar-bzo-coc-pcp-thc-6am-opi-oxy-md-fent-bup-tram (Accessed October 14, 2026).

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Methadone is an opioid medication that helps treat a patient’s dependence on opioids without withdrawal symptoms. It’s usually recommended for people who want to recover from heroin misuse. Pregnant women who use heroin during pregnancy can suffer premature births or miscarriages. 

To help them, methadone is approved for use during pregnancy in a medication-assisted treatment (MAT) program. However, using MAT medications such as methadone can still have serious health consequences for newborns if not medically supervised. 

All drugs taken by a pregnant woman can flow through the placenta and reach the fetus in the womb, so the dose must be closely monitored and managed. Let’s look further at the effects of taking methadone while pregnant.

Is It Safe to Get Pregnant While on Methadone?

Yes. Many people get pregnant while on methadone and go on to have healthy pregnancies. However, taking methadone while pregnant heightens the risk of neonatal abstinence syndrome (NAS). NAS may occur when a baby is born to any mother utilizing an MAT program. 

Taking methadone or Suboxone outside a supervised program raises the risk, especially at doses above the recommended amount, and a baby can be born physically dependent on the medication.

While medication-assisted treatment in a medically supervised program may lead to minor NAS symptoms for a newborn, it is far less risky than being born with heroin withdrawal symptoms. NAS is treatable, and it isn’t the same thing as a birth defect.

If you’re pregnant and have opioid use disorder, starting a supervised treatment plan right away lowers the risk of complications for you and your baby.

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Are There Risks Involved in Taking Methadone While Pregnant?

Methadone can affect the baby too. A baby may become dependent on it and show withdrawal symptoms shortly after birth, and a higher dose raises that risk. Taking less than recommended can also bring on withdrawal for the parent, which is stressful for the baby.

These symptoms could be harmful to the mother and the fetus. Thus, methadone or other treatment medications should be taken in a medically supervised program.

It’s vital to monitor methadone use for pregnant individuals, especially during the final trimester. During this period, the mother’s metabolic needs usually rise, and the fetus is in its final stage of development. Doses must be carefully adjusted for the baby’s health and the mother’s well-being.

What Happens to Babies Exposed to Opioids Before Birth?

Babies exposed to opioids during pregnancy can show withdrawal symptoms within the first couple of days after birth. With methadone, you might see:

• Respiratory symptoms such as a stuffy nose, fast breathing, and repeated sneezing and yawning.
• Nervous system issues, including decreased sleep, being jittery and irritable, and becoming startled due to sound or touch.
• Digestive system problems such as slow weight gain, loss of appetite, poor feeding, dehydration, and vomiting.

The baby may also experience seizures if the expectant mother frequently takes an abnormally high amount of opioids.

Are There Alternatives to Methadone During Pregnancy?

Buprenorphine, one of the two ingredients in Suboxone, is the other first-line medication for OUD in pregnancy. Research on Suboxone itself during pregnancy is still growing, so your provider can walk you through how it compares with methadone for you.

Suboxone contains buprenorphine and naloxone. Buprenorphine is a partial opioid agonist, which means it eases withdrawal and cravings without the strong high of other opioids. As a result, Suboxone:

• Has a lower risk of misuse than other opioids
• Reduces your cravings for opioids
• Can dull the effect of other opioids while it’s in your system

The Centers for Disease Control and Prevention (CDC) lists buprenorphine, along with methadone, as a first-line treatment option for pregnant people with OUD, paired with behavioral therapy and medical care. Your provider can talk you through whether Suboxone or another buprenorphine product fits you best.

Here’s how the two medications compare during pregnancy.

Neither one is the right fit for everyone, so your provider can help you choose based on your history and how your pregnancy is going.

Other alternatives to methadone treatment include:

• Behavioral therapy
• Peer support groups
• Lifestyle changes
• Other forms of counseling

That said, these alternatives usually complement rather than substitute MAT.

Can Methadone or Suboxone Cause Birth Defects?

Between 2% and 3% of babies are born with a birth defect, and most studies find that methadone and buprenorphine don’t raise that background risk. Research on Suboxone is still limited, so it’s hard to say for certain whether it changes that risk, and your provider can go over what’s known.

Other birth problems may occur if you take more methadone than your doctor recommends during pregnancy. These birth problems may include low birth weight or preterm delivery.

Methadone Maintenance During Pregnancy

OUD treatments like methadone or buprenorphine work best when paired with complementary therapies. Complementary treatments include substance use counseling and other healthy habits. Here are some ways to make the most of your treatment:

Counseling Options During Pregnancy

Substance use counseling includes group, family, and individual options. Each option offers unique benefits that help individuals recover from the effects of opioid use disorder. Some benefits of individual counseling include:

• Helping you change your thoughts and behaviors toward opioids and other substances by attending to the emotions you feel with them
• Teaching helpful strategies for healing and rebuilding relationships damaged by your experience with substance misuse
• Finding effective coping mechanisms for handling stress and hard times
• Learning how OUD works and using that knowledge to prevent relapse
• Developing a relationship with your counselor, which establishes a safe environment to discuss previous traumas, family issues, and other troubles you’re facing
• Applying what you’ve learned in counseling to contribute to the community and workforce

Group counseling offers similar benefits, but the unique setting allows for different outcomes. Some unique benefits of group counseling include:

• Providing the opportunity to share your experience with and learn from others in recovery
• Feeling less shame and guilt when you hear others share similar experiences
• Developing accountability among other like-minded individuals as you work toward recovery
• Building a strong support network of people who face similar challenges and can help you keep going

Health Tips for Pregnant People in Recovery

A few steps can support you and your baby during treatment:

• Stay informed about how opioid use and treatment can affect you and your baby
• Build, nourish, and lean on strong support groups
• Exercise regularly and eat a healthy diet
• Try counseling or cognitive-behavioral therapy (CBT)
• Remove substances from your home
• Find healthy ways to cope and make them part of your routine
• Forgive yourself if a relapse happens, and try again

If you need extra support during pregnancy, treatment is available. BAART has treatment centers across the United States, including Arizona, California, Colorado, Louisiana, Nebraska, North Carolina, Utah, Vermont, and Washington state.

We provide outpatient MAT care with methadone and buprenorphine for individuals with opioid use disorder. We also provide substance use counseling to help you find success on your journey to recovery.

FAQs About Methadone and Pregnancy

Will My Baby Have Withdrawal if I Take Methadone?

Possibly. Some babies show signs of neonatal abstinence syndrome (NAS), usually within the first couple of days after birth. It’s treatable, and care often starts with simple comfort measures like swaddling, a quiet room, and keeping your baby close. Some babies need medication for a short time, and the risk of NAS shouldn’t keep you from treatment.

Can I Breastfeed While Taking Methadone?

Usually, yes. If you’re stable on methadone, breastfeeding is generally encouraged, and your baby gets only a small share of your dose through your milk. Tell your baby’s pediatrician about your medication, and call right away if your baby seems unusually sleepy, limp, or has trouble breathing. Breastfeeding isn’t recommended if you’re using other drugs, so be open with your care team.

Contact Your Local BAART Program Center

If you’re pregnant and want to talk through your treatment options, contact us or find a location near you. We’re here to support you and your loved ones with compassionate, personalized care.

Sources and Citations

• Kelly, L. et al. (2016) Buprenorphine-naloxone use in pregnancy: Retrospective cohort study of 30 patients. Canadian Family Physician, 62(4), pp. e194–e200. Available at: https://pmc.ncbi.nlm.nih.gov/articles/PMC4830675/ (Accessed October 14, 2026).
• Edge, R. and Butcher, R. (2019) Buprenorphine for Opioid Use Disorders during Pregnancy: A Review of Comparative Clinical Effectiveness, Safety, Cost-Effectiveness, and Guidelines. CADTH Rapid Response Report: Summary with Critical Appraisal. Ottawa (ON): Canadian Agency for Drugs and Technologies in Health. Available at: https://www.ncbi.nlm.nih.gov/books/NBK545816/ (Accessed October 14, 2026).
• Cleveland Clinic (2023) Birth Defects. Available at: https://my.clevelandclinic.org/health/diseases/12230-birth-defects (Accessed October 14, 2026).
• MotherToBaby, Organization of Teratology Information Specialists (2025) Buprenorphine (Buprenex®). Available at: https://mothertobaby.org/fact-sheets/buprenorphine/ (Accessed October 14, 2026).
• Centers for Disease Control and Prevention (2026) Treatment of Opioid Use Disorder Before, During, and After Pregnancy. Available at: https://www.cdc.gov/opioid-use-during-pregnancy/treatment/index.html (Accessed October 14, 2026).
• Centers for Disease Control and Prevention (2026) Treat and Manage Infants Affected by Prenatal Opioid Exposure. Available at: https://www.cdc.gov/opioid-use-during-pregnancy/treatment/infants-opioid.html (Accessed October 14, 2026).
• National Institute of Child Health and Human Development (2026) Methadone. In: Drugs and Lactation Database (LactMed®). Bethesda (MD): National Institute of Child Health and Human Development. Available at: https://www.ncbi.nlm.nih.gov/books/NBK501233/ (Accessed October 14, 2026).

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In this article, we’ll explain why a healthy diet plays a vital role in your recovery and give you some ideal food selections. It’s always best to combine your healthy diet with medication-assisted treatment (MAT), such as methadone or Suboxone. It’s beneficial for both cravings and the physical symptoms of withdrawal.

Why Diet Is Important During Opioid Recovery

Substance use takes a toll on your body’s health. Someone misusing substances can become malnourished, or they may lack adequate nutrients in their diet. Focusing on getting good nutrition during recovery helps your body regain strength and nutrients and can improve your chances of full recovery.

Opioids in particular slow digestion. Constipation is a common side effect, and additionally, withdrawal can bring nausea, vomiting, and diarrhea that drain fluids and nutrients. As the opioids leave your system, your body starts to crave food again to make up for lost nutrients. If you’re not careful, though, this can lead to other challenges, too. 

Nutrient deficiencies can lead to an imbalance in hormones, chronic inflammation, pain, anxiety, and depression, which can all be relapse triggers. Eating more vitamin- and nutrient-rich foods supports your body and your recovery.

Nutrition Tips for Opioid Use Disorder Recovery

If you’re planning out your nutritional needs during recovery, here are some basic tips to keep in mind as you wander down the grocery aisles:

• Eat regular meals and snacks to stave off the temptation to binge eat.
• Reduce your consumption of simple sugars and high-fat foods.
• Opt for antioxidant- and nutrient-rich vegetables and fruits to help manage metabolic issues and nutrient deficiencies.
• Protein-rich meals can support tissue repair and give you steady energy while you work through withdrawal symptoms.
• Nutrients like zinc, calcium, magnesium, omega-3 fatty acids, antioxidants, and amino acids may help ease cravings and steady your mood.
• Keep healthy high-protein snacks handy to help with cravings and stabilize your blood sugar.

Best Foods for Opioid Recovery

When choosing foods to help your opioid use disorder recovery, just remember that you are bringing your nutrient levels back to normal. This is not only important to your physical well-being, but the food you eat can also improve your emotional, mental, and social functioning.

Here are some foods that can help you along the way:

• Water: While not strictly a food, water keeps you hydrated and helps your body absorb the nutrients it needs.
• Fruits and veggies: This is a no-brainer when it comes to proper nutrition. Just remember to keep your plate colorful with options like blueberries, kale, avocado, cabbage, acai berries, coconuts, broccoli, and spinach.
• Lean meats: Meats like grilled chicken, seafood, and turkey are low in fat but high in protein.
• High-protein snacks: Hard-boiled eggs, cheese, and yogurt are all high-protein foods you can keep handy when cravings hit.
• Good oils and fats: Oils and fats are essential to a balanced diet, but they should be monounsaturated or polyunsaturated. Healthy options include olive oil, nuts, seeds, fish, and some dairy products.
• Superfoods: Foods high in vitamins and minerals pack a powerful punch when regularly incorporated into your diet. Great examples include sweet potatoes, cinnamon, almonds, wheatgrass, goji berries, and flax seeds.

Foods That Help With Opioid Withdrawal Symptoms

Withdrawal often brings nausea, vomiting, and diarrhea, which can leave you dehydrated and short on the minerals your body needs. The right foods and steady fluids won’t make symptoms vanish, but they can make the hardest days easier to get through.

Appetite can be low, so try small meals and sip fluids all day. If you can’t keep food or water down, call your provider right away.

Printable Grocery List for Opioid Recovery

• Water and electrolyte drinks
• Broth or clear soup
• Bananas, apples, and berries
• Leafy greens, broccoli, and sweet potatoes
• Oatmeal, brown rice, and whole-grain bread
• Beans, lentils, and peas
• Eggs, plain yogurt, and lean chicken or fish
• Nuts, seeds, and olive oil
• Plain crackers and toast for queasy days

Learn More About Recovering From Opioid Use

Just like eating healthy, recovering from opioids takes strength and perseverance. You don’t have to do this alone. Contact BAART Programs today to learn about safe and effective treatments for opioid use disorder. Every BAART location is CARF-accredited.

Sources and Citations

• MedlinePlus, National Library of Medicine (2026) Substance use recovery and diet. Available at: https://medlineplus.gov/ency/article/002149.htm (Accessed October 14, 2026).
• MedlinePlus, National Library of Medicine (2026) Opiate and opioid withdrawal. Available at: https://medlineplus.gov/ency/article/000949.htm (Accessed October 14, 2026).
• Regina, A.C., Gokarakonda, S.B. and Attia, F.N. (2024) Withdrawal Syndromes. StatPearls Publishing. Available at: https://www.ncbi.nlm.nih.gov/books/NBK459239/ (Accessed October 14, 2026).

The post The Best Foods to Eat in Opioid Use Disorder Recovery appeared first on BAART Programs.

Before you start Suboxone as part of a medication-assisted treatment (MAT) program, there are some things you should know. Starting buprenorphine too early can trigger precipitated withdrawal, so timing matters, especially after long-acting opioids like methadone.

Always be honest with your medical provider about which drugs you have been using to prevent complications during treatment. They will give you the best guidance regarding when to take Suboxone after opioid use.

What Is Suboxone?

Suboxone is an FDA-approved medication used to help those with opioid use disorder (OUD). It is a dissolvable film medication comprised of a combination of two drugs: buprenorphine and naloxone. Over time, patients can earn take-home doses as they show stability.

Buprenorphine is a partial opioid agonist, and naloxone is an opioid antagonist. Buprenorphine occupies the brain’s opioid receptors to relieve or eliminate debilitating opioid withdrawal symptoms. Naloxone, the opioid antagonist, is added to deter misuse of buprenorphine and the medication itself.

Together, these two active ingredients make Suboxone treatment a safe and effective method for those in recovery from opioid use disorder. Many opioid recovery centers offer both Suboxone and methadone for those looking for help. Providers will collaborate with patients to personalize their MAT treatment based on their body’s response to medication.

Some Suboxone side effects include:

• Headache
• Nausea
• Anxiety
• Insomnia
• Sweating
• Constipation
• Fatigue
• Burning sensation in the mouth

Most of these side effects only last several days or weeks after starting the medication. Patients regularly check in with their medical providers to monitor severe or pressing symptoms.

Why Do I Have to Wait to Take Suboxone After Long-Acting Opioids?

How long you wait depends on whether you used a short-acting or long-acting opioid. Short-acting opioids usually mean a shorter wait.

Typical wait times, which your provider will confirm:

Waiting a period of time before taking Suboxone is crucial. If you begin using the medication before experiencing opioid withdrawal symptoms, you may experience precipitated withdrawal. This occurs when there are too many active opioids in your body while ingesting buprenorphine.

Avoiding Precipitated Withdrawal When Taking Suboxone After Long-Acting Opioids

Precipitated withdrawal occurs when specific medications lead to sudden and severe physical or psychological reactions. Whereas spontaneous withdrawal is gradual, precipitated withdrawal happens quickly.

Symptoms of precipitated withdrawal can last for hours or a day, and they can include:

• Nausea
• Diarrhea
• Vomiting
• Chills
• Headaches

The length of precipitated withdrawal symptoms may depend on several factors. Usually, a patient’s history of opioid use and general health are the most significant factors. Although precipitated withdrawal is uncomfortable, it is not typically dangerous and can be treated.

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Signs You’re Ready: Moderate Withdrawal

Providers wait until you’re in moderate withdrawal, which usually means several symptoms at once, such as sweating, restlessness, yawning, a runny nose, and aches in your muscles and joints.

To keep things objective, staff use the Clinical Opiate Withdrawal Scale (COWS), a checklist that scores each symptom. A score in the moderate range (13 to 24) means you’re ready for your first dose, and your provider decides the exact point. If your score is still low, waiting a few more hours is usually the safer call.

Can You Take Suboxone After Narcan?

You can take Suboxone after Narcan, but it shouldn’t be a solo decision. Narcan reverses an overdose by pushing opioids off your receptors, which can bring on sudden, intense withdrawal. It wears off in about 30 to 90 minutes, and the opioids you took may still be in your system, so emergency care comes first.

Once you’re stable, your provider will decide when to start buprenorphine. Some hospitals and clinics can begin treatment right away, so it’s worth asking about. Just don’t take a dose on your own in the hours after an overdose.

Contact BAART Programs for Safe Treatment of Opioid Withdrawal Symptoms

If you are experiencing precipitated opioid withdrawal, reach out to your doctor immediately to discuss treatment options. Even if Suboxone or buprenorphine caused your precipitated withdrawal symptoms, it might also be able to reverse them.

You are never alone on your journey to recovery from opioid use disorder (OUD). Our team at BAART Programs helps people find their own path to recovery through medication-assisted treatment, counseling, and personalized support. All BAART locations are CARF-accredited, reflecting our commitment to safe, ethical, evidence-based care.

Whether you have questions about withdrawal symptoms or are ready to begin the road to recovery, contact us. Start by finding one of our nearest medication-assisted treatment clinics and call or message us today.

FAQs About Taking Suboxone After Long-Acting Opioids

If you are considering Suboxone treatment programs for OUD, rest assured that we can answer nearly any question you have. The specialized medical providers and healthcare staff at BAART Programs will walk you through everything you need to know. 

Here are some of the most common questions asked about taking Suboxone after long-acting opioids.

When Can I Start Taking Suboxone?

You cannot begin taking the medication until you are experiencing acute signs of opioid withdrawal. Otherwise, you will experience precipitated withdrawal, which can cause sudden, intense withdrawal symptoms.

How Is Withdrawal Measured?

Your provider uses the Clinical Opiate Withdrawal Scale (COWS) to score your symptoms. You should be at a score between 13 and 24 before taking your first dose of Suboxone, and the call is made by your provider.

Where Will I Take My First Dose of Suboxone?

Your first dose happens at your first appointment, after a medical assessment and intake. Your provider will explain what to expect and answer your questions.

What Determines My Suboxone Dose?

Your medical provider will determine which dose is best for you, depending on your previous opioid use. After your first induction, you can gauge whether the dose needs to be tweaked.

How Often Should I See My Doctor?

Early in treatment, you’ll visit the clinic daily. As you build stability and meet program guidelines, you can earn take-home doses and visit less often.

Do not hesitate to call the nearest BAART Program treatment center to ask additional questions you may have about Suboxone. Our non-judgmental and knowledgeable staff are ready to help you make an informed decision.

Sources and Citations

• UAMS Psychiatric Research Institute (n.d.) What is Buprenorphine? Available at: https://psychiatry.uams.edu/clinical-care/outpatient-care/cast/buprenorphine/ (Accessed October 13, 2026).
• Centers for Disease Control and Prevention (2024) 5 Things to Know About Naloxone. Available at: https://www.cdc.gov/overdose-prevention/reversing-overdose/about-naloxone.html (Accessed October 13, 2026).
• MNT Medical Network and Brewer, A. (2022) Suboxone (buprenorphine and naloxone). Medical News Today. Available at: https://www.medicalnewstoday.com/articles/drugs-suboxone#side-effects (Accessed October 13, 2026).
• Soares, W.E. III, Schoenfeld, E. and Friedmann, P.D. (2024) Precipitated Withdrawal in the Era of Street Fentanyl—The Important Thing Is to Not Stop Questioning. JAMA Network Open, 7(9), e2435857. Available at: https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2824175 (Accessed October 13, 2026).
• National Institute on Drug Abuse (NIDA) (n.d.) Clinical Opiate Withdrawal Scale. Available at: https://nida.nih.gov/sites/default/files/ClinicalOpiateWithdrawalScale.pdf (Accessed October 13, 2026).
• Substance Abuse and Mental Health Services Administration (2021) TIP 63: Medications for Opioid Use Disorder. Publication No. PEP21-02-01-002. Available at: https://library.samhsa.gov/product/tip-63-medications-opioid-use-disorder/pep21-02-01-002 (Accessed October 13, 2026).
• American Society of Addiction Medicine (2020) ASAM National Practice Guideline for the Treatment of Opioid Use Disorder: 2020 Focused Update. Available at: https://www.samhsa.gov/resource/ebp/asam-national-practice-guideline-treatment-opioid-use-disorder (Accessed October 13, 2026).

The post How Long After Using Opioids Can I Take Suboxone? appeared first on BAART Programs.

Stopping methadone suddenly isn’t safe, since it can bring on intense withdrawal. If your goal is to stop using methadone completely, a medical provider can build an individualised taper plan for you and help you get started.

Why Are Safe Tapering Plans for Methadone Treatment Necessary?

Whether you want to end your medication-assisted treatment (MAT) program or switch to a different medication, tapering is very important. Methadone is a full opioid agonist, and when you stop taking it suddenly, it puts your body in withdrawal.

Gradually lowering your dose helps to cut down on discomfort you’d feel in withdrawal. Some people call this “methadone detox,” but a supervised taper is different from a quick detox. 

Experienced providers recommend doing this gradually. You need to let your body adjust, while you keep working on recovery. This lowers the chances of relapse and prepares you for the next step.

How to Get Off Methadone Safely

The safest way off methadone is to do it slowly and under clinical guidance; never do this on your own. Your medical provider sets a pace that fits your dose and history, lowers it in small steps, and checks in before every change.

If symptoms get hard to manage, the plan can pause or slow down. Counseling, steady routines, and support from people you trust all help you stay on track. Going slowly isn’t a setback. It’s one of the best ways to protect your progress.

Best Practices for Methadone Dose Reduction

Review Your Dose and Time in Treatment

Before creating a taper plan, review your current dose and how long you’ve been in treatment. This gives your provider a starting point for lowering your dose gradually. It is strongly recommended that you undergo this process with your medical team.

Several factors shape how your body responds to a taper. Your dose matters, and so does how long you’ve been in treatment. If you have been taking methadone for an extended period, you will likely need a longer tapering schedule. Someone who has recently started taking methadone will go through the taper process more quickly.

It is also important to consider how you are taking methadone. Methadone at a treatment program usually comes as a liquid or a dissolvable tablet, taken by mouth so the body can metabolize it through the gastrointestinal system.

If you’ve taken methadone in any way other than as prescribed, tell your provider so they can plan safely. They’re here to support you, not to judge.

Factors That Affect Taper Speed

Everyone is different, and factors like genetics and body chemistry affect how quickly your body clears methadone. It’s important to talk to your provider first about decreasing the amount of methadone you take. A higher tolerance often means a higher dose, and a higher dose usually calls for a longer taper; they can adjust the plan to fit you.

Methadone Withdrawal Symptoms During a Taper

Most people notice mild symptoms at some point during a taper, usually in the days after a dose drops. Common ones include:

• Anxiety or restlessness
• Low mood or depression
• Trouble falling or staying asleep
• Headaches
• Nausea
• Muscle aches

These symptoms are usually manageable and tend to ease as your body adjusts. Tell your provider early if they get worse, since a slower pace or a smaller drop often helps. Eating well, staying hydrated, and moving regularly can take the edge off.

Sample Methadone Taper Schedule

If you are ready to taper off of methadone, speak with your provider. This is a general example for someone taking 60 mg.

Someone starting at 120 mg would take longer, often a year or more. Your provider will build a schedule around your dose and how you feel.

If you are preparing to stop all medication-assisted treatment, it’s vital to plan for long-term recovery. Continue with substance use treatment and use all of the tools you have learned to deal with potential triggers and hardships. 

After you stop methadone, your tolerance drops, which makes returning to opioid use more dangerous. Talk with your provider about keeping naloxone on hand and staying connected to counseling and support.

If you decide that you are not quite ready to graduate from your MAT program, contact your provider immediately.

FAQs About Methadone Tapering

How Long Does a Methadone Taper Take?

Most tapers take several months, and some take a year or longer. A higher dose or longer time on methadone usually means a longer taper, and your provider adjusts the timeline as you go.

Can I Taper Off Methadone Fast?

Going fast isn’t recommended. A quick taper raises the risk of strong withdrawal and relapse. If you want to move faster, talk with your provider, who can adjust the pace safely.

Is It Safe to Stop Methadone Cold Turkey?

No. Stopping suddenly can cause intense withdrawal and make relapse more likely. Always taper under your provider’s guidance.

What if My Withdrawal Symptoms Get Too Hard to Handle?

Tell your provider right away. They can pause the taper, slow the pace, or adjust your plan so you stay comfortable.

Can I Switch to Another Medication Instead of Stopping?

Yes. BAART offers both methadone and buprenorphine at our Brighton and Sioux Falls locations, and your provider can talk you through switching if that fits your goals.

Talk to a Specialist at BAART Programs About Our Safe Tapering Plans for Methadone Treatment

BAART Programs offers MAT withdrawal strategies for patients looking to end their treatment or switch medications. All BAART locations are CARF-accredited, and counseling is part of your care throughout a taper.

Our specialized team understands the nature of substance misuse and how to treat substance use disorder. To start a conversation about tapering, contact our team or find a location near you.

Sources and Citations

• Nosyk, B., Sun, H., Evans, E., Marsh, D.C., Anglin, M.D., Hser, Y.-I. and Anis, A.H. (2012) Defining dosing pattern characteristics of successful tapers following methadone maintenance treatment: Results from a population-based retrospective cohort study. Addiction, 107(9), pp. 1621–1629. Available at: https://pmc.ncbi.nlm.nih.gov/articles/PMC3376663/ (Accessed October 13, 2026).
• Amato, L., Davoli, M., Minozzi, S., Ferroni, E., Ali, R. and Ferri, M. (2013) Methadone at tapered doses for the management of opioid withdrawal. Cochrane Database of Systematic Reviews, 2013(2), CD003409. Available at: https://pmc.ncbi.nlm.nih.gov/articles/PMC7017622/ (Accessed October 13, 2026).
• Substance Abuse and Mental Health Services Administration (2021) TIP 63: Medications for Opioid Use Disorder. Publication No. PEP21-02-01-002. Available at: https://library.samhsa.gov/product/tip-63-medications-opioid-use-disorder/pep21-02-01-002 (Accessed October 13, 2026).
• American Society of Addiction Medicine (2020) ASAM National Practice Guideline for the Treatment of Opioid Use Disorder: 2020 Focused Update. Available at: https://www.samhsa.gov/resource/ebp/asam-national-practice-guideline-treatment-opioid-use-disorder (Accessed October 13, 2026).

The post Safe Tapering Plans for Methadone Treatment appeared first on BAART Programs.

So here’s what actually happens, step by step. By the end you’ll know who picks up, what they’ll ask you, how long it takes, and what happens after you hang up. It’s easier than the waiting makes it feel.

Who Answers the Phone

A real person answers, not a machine. Usually it’s someone from intake or the front desk, and this is what they do all day, every day.

Whatever you’re about to say, they’ve heard it before, from someone just as nervous as you are right now. They’re not there to decide whether you deserve help, and they’re not going to make you explain yourself. Their job is figuring out what you need and how fast you can get it.

Nobody’s going to lecture you or ask why you didn’t call sooner. If you go quiet, or get upset, or say you’re not even sure this is a good idea, that happens all the time. It won’t count against you.

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What They Will Ask You

The call follows a rough pattern, and each question is there for a reason.

• They’ll ask what you’re using and roughly how much. This isn’t about judging you, it’s about dosing. Your first dose has to match your tolerance, and that starts with an honest answer.
• How long you’ve been using matters too, for the same reason: it tells the medical team what your body has adjusted to.
• They’ll also want to know if you’re using anything else, alcohol, benzodiazepines like Xanax or Valium, sleeping pills, stimulants. This is the question people tend to shade, and it’s the one where honesty matters most, since combining substances changes what’s safe to prescribe.
• They’ll ask about insurance so they can check your coverage before you show up. If you don’t have any, that’s not a dealbreaker.
• And they’ll ask if you have a photo ID. It helps with intake, but you can still get in the door without one.

You might also get asked about past treatment, any medical conditions, or whether you’re pregnant. All of it goes toward building a plan that actually fits you.

Worth saying plainly: nobody’s trying to catch you in a lie. If you downplay what you’re using, you’re the one who pays for it, because your dose will be off and the first few days will be rougher than they had to be.

What to Have Ready Before You Dial

A little prep makes the call easier, if you have the time for it:

• A photo ID
• Your insurance card, if you have one
• A rough list of what you’re taking, prescriptions included
• Something to write with, since you’ll be given a time and an address

Don’t have any of that? Call anyway. People start treatment every week with no ID and no insurance, and the clinic will help you figure the rest out.

Is the Call Confidential?

Yes, and it’s protected tightly. There’s a federal privacy law called 42 CFR Part 2 that applies specifically to substance use treatment records, stricter than standard health privacy rules. Your information can’t go anywhere without your written say-so.

In practice, that means your employer doesn’t hear about it. Your family doesn’t hear about it unless you tell them. Your landlord doesn’t hear about it. Calling a clinic doesn’t put your name on some list somewhere.

There are a few narrow exceptions worth knowing about: a medical emergency, a court order, certain audits or research where your identity stays protected, and cases where state law requires reporting child abuse or neglect. Those are the same limits that apply to this kind of care anywhere. 

One thing a clinic will not do is call the police because you told them what you’ve been using. That’s not their job.

How Long the Call Takes

Most calls run ten to fifteen minutes, sometimes less. Often it ends with an appointment already booked, and depending on the clinic, that could be later today or first thing tomorrow. If you need to hang up partway through, that’s fine. You can always call back.

What Happens Next: Your First Visit

Plan on two to three hours for your first appointment. It runs longer than a typical doctor’s visit because a lot happens in one sitting.

• There’s a medical assessment, where a clinician goes over your history and current use to figure out what’s safe.
• There’s paperwork and screening, intake forms, consent, some standard health checks. Staff will walk you through it.
• Many people get their first dose that same day, assuming the assessment supports it.
• You’ll sit through a short first counseling session, just an introduction to that side of things.
• And you’ll get some education on your medication, what it does, what the first few days might feel like, and who to call if something feels wrong.

Bring a photo ID and an insurance card if you’ve got them. Expect to come in daily at first, take-home doses get earned over time as you progress.

If you want to read ahead, there’s more on medication-assisted treatment and what an opioid treatment program actually involves, though neither one is homework.

If You Are Calling for Someone Else

A lot of first calls come from a parent, a partner, or a friend, not the person who actually needs treatment. Staff see this constantly.

There’s only so much they can tell you, though. If the person you’re calling about is already a patient, privacy rules mean staff can’t even confirm that without written consent from them. What they can do is walk you through how the program works, what admission looks like, what it costs, and what to expect, enough that you can pass along something real.

Honestly, the most useful thing you can hand someone usually isn’t a speech. It’s a phone number, an offer to drive them, and the reassurance that nobody’s going to judge them when they walk in. Our success stories might help someone picture what’s on the other side of that call.

What to Do in the Next Ten Minutes

These three steps explain how to start methadone treatment.

1. Look up your nearest BAART location by state and city.
2. Set your ID and insurance card somewhere you won’t lose them, if you have them.
3. Call. It takes about ten minutes, and it’s the only part of this that’s actually on you today.

Ready to start? Find your closest BAART Programs location, or see how to get started. Someone’s available to take your call any hour, day or night.

Frequently Asked Questions

Do Methadone Clinics Take Walk-Ins?

A lot of them do, and some will even admit you the same day. It really depends on the clinic and the day, so it’s worth calling ahead. Saves you a wasted trip, and usually gets you a specific time to show up.

Can I Start Treatment the Same Day?

Often, yes, though it comes down to the clinic and your assessment. Just ask about same-day admission when you call.

Will They Call the Police?

No. Telling a clinic what you’ve been using is part of getting treated safely, not evidence against you, and your records are protected under federal privacy law. Clinics aren’t in the business of reporting patients for drug use.

What if I Do Not Have Insurance?

You can still get treatment. Ask about self-pay options or a sliding scale when you call. Money shouldn’t be what keeps you from picking up the phone.

Do I Need to Stop Using Before I Call?

No, you don’t need to stop, taper down, or be in withdrawal first. Trying to detox on your own beforehand usually isn’t safer either, your tolerance drops fast, and that raises your overdose risk. Just call as you are.

What if I Am on Probation?

Being on probation won’t stop you from starting treatment, and your information isn’t automatically handed over to a probation officer. That requires your written consent, unless a court order or a specific probation condition says otherwise. If that’s your situation, just mention it on the call and staff will explain how it’s handled.

Call or text 988 for the Suicide & Crisis Lifeline, or call 911 in an emergency.

If you’ve still got questions before you call, our frequently asked questions cover the practical side, and our page, what is opioid use disorder, walks through the condition itself.

The post What Happens When You Call a Methadone Clinic appeared first on BAART Programs.

It might even feel like your loved one is a stranger. They forget about dates, dodge questions, and never seem to have any money. It hurts to watch them self-destruct. You don’t know who to trust anymore.

Addiction and relationships often get strained when opioid use disorder affects trust, safety, and communication. Here are five ways opioids affect relationships, plus ways to heal together.

How Opioid Use Disorder Hurts Relationships

Opioid misuse has an impact on everyone around the person using. Depression, fear, opioid cravings, and hiding opioid use can quickly change someone’s priorities.

Suddenly family time, honest communication, and active listening might take a backseat to drug-seeking behavior. Not being able to trust your loved one hurts. But your loved one has a path toward recovery with proper treatment and support.

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5 Ways Opioids Harm Your Relationships

1. Secretive Behavior

Half-truths and secretive behaviors are one of the first things families notice. Your loved one might lie about using opioids, where they spend money, or where they have been.

These lies may start small at first.

“I had to work late.”

“I lost my wallet.”

“Oops, I forgot!”

But after time, you won’t believe your loved one when they give these excuses.

Signs your loved one is lying include:

• They have sudden changes in routine
• You’re always missing money or medications
• They avoid your direct questions
• They hide their phone, bag, or pill bottle
• They don’t spend as much time at home

Your loved one might lie to you out of fear, shame, or withdrawal symptoms. In treatment, your loved one will learn how to manage opioid cravings and withdrawal.

2. Broken Trust

Lying often leads to broken trust. Partners, children, parents, or friends might feel scared, angry, or defensive. Families start setting traps to “catch” their loved one in the act.

Trust is something that has to be earned over time. One apology will not fix the damage that has been done.

If your loved one gets treatment for OUD, they can learn how to be honest with you and others. Counseling and medication-assisted treatment (MAT) can help your loved one heal their relationships while staying stable.

3. Anger and Fighting

Do opioids cause anger? Opioids affect people differently, and can affect mood. Stress from opioid misuse can cause fights in any relationship.

Arguing about paying bills, hiding addiction, and feeling scared can cause anyone to feel upset. Your loved one might suddenly become short-tempered or defensive. You might start fighting over small things.

If you or your loved one feels unsafe or at risk of violence, please reach out for help. Never let someone hurt you or your children. Call emergency services or a local resource that you trust.

4. Enabling

Enabling happens when you inadvertently make it easier for your loved one to continue their substance use. Many loved ones enable out of love or fear of upsetting their friend or family member.

Enabling your loved one can look like:

• Paying bills without clear limits
• Calling their employers to let them skip work
• Doing everything around the house
• Giving them money to “cover emergencies”
• Lying about their drug habits to family friends
• Avoiding conversation about drug use to keep the peace

Enabling your loved one will not motivate them to get help; it just lets them continue their drug-seeking habits.

Setting firm boundaries and limits with your loved one can encourage them to get help. If you think your loved one needs addiction treatment, encourage them to go to therapy.

5. Codependency

Codependency is when you find your entire world revolves around your loved one’s opioid use disorder. You might protect them at work, cover responsibilities out of guilt, and check their phone for drug names.

Codependency can be stressful and frustrating for everyone involved. Usually, the loved one spends less time at home causing you to spend more time covering for them. Your loved one might delay treatment when someone else keeps protecting them from the consequences of their actions.

The best way to avoid codependency is to set firm boundaries. Support yourself by going to counseling and learning about opioid use disorder.

Opioid Use Disorder’s Impact on the Family

Children notice when parents don’t spend as much time at home. Partners might spend more time at work to avoid being alone with their loved one. Siblings might take on more responsibilities to keep the house clean.

OUD can cause:

• Broken trust
• More fighting
• Financial stress
• Burnout
• Fear of opioid overdose
• Kids feeling like they have to grow up too fast

Your family can learn how to support your loved one through substance misuse by seeking counseling.

Repairing Damaged Relationships During Recovery

Rebuilding your relationship takes time, love, and patience. Your loved one might need time to learn to control their emotions. Recovery usually starts with your loved one proving that they can stay stable.

MAT helps people manage withdrawal symptoms and cravings. Individual therapy can also help your loved one work through stress, triggers, and behavior patterns linked to opioid use.

You might notice your loved one start to:

• Keep their promise to go to treatment
• Tell you the truth, even if it hurts
• Show up for important dates
• Take care of their responsibilities at home
• Avoid people and places linked to use

Your loved one doesn’t have to be perfect. As long as they are trying to better themselves and stay engaged in recovery, that’s all that matters.

Get Help for Opioid Misuse

If opioid misuse is harming your relationships, reach out to BAART Programs. We offer outpatient opioid addiction treatment with MAT, counseling, and support services.

Contact BAART today or find the location nearest you.

Frequently Asked Questions

How does opioid misuse affect partners?

Abrupt changes in routines, financial stress, fear of opioid overdose, and less quality time can affect partners. If your loved one has OUD, they may not be able to maintain a full-time job.

Does opioid misuse affect family?

Yes. Family members can be affected financially, emotionally, and physically. Children may have to take on some responsibilities that a parent used to do.

How long does it take for OUD to affect relationships?

Relationships can be affected as soon as your loved one starts hiding their opioid use. Lying about small things can make you doubt your loved one’s every word.

Will a person with opioid use disorder hurt their family?

Someone with opioid addiction might hurt their family by stealing, lying, and manipulating others. Some people act in ways that hurt trust, safety, and family routines.

The post 5 Ways Opioids Impact Relationships With Loved Ones appeared first on BAART Programs.

For people living with opioid use disorder, PTSD Awareness Month can also be a chance to see how trauma and recovery may connect. Trauma symptoms can affect sleep, mood, decision-making, cravings, and the ability to keep up with daily routines. When opioid use disorder (OUD) and trauma symptoms overlap, support should address more than the opioid use itself.

Why PTSD Awareness Month Matters for Opioid Use Disorder

PTSD can develop after a traumatic event. Symptoms can include nightmares, feeling on guard, avoiding reminders, anger, guilt, numbness, or trouble sleeping.

A person may need professional support if symptoms last more than one month and affect daily life, work, school, relationships, or health (NIMH, 2024; SAMHSA, 2025). 

For people with OUD, trauma symptoms can make recovery feel harder because stress, triggers, and cravings may overlap.

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What Trauma-Informed OUD Care Looks Like

Trauma-informed care means the care team understands that past experiences can shape how someone responds to stress, routines, authority, medical visits, and counseling.

In OUD treatment, this may include:

• Clear steps so you know what to expect
• Respectful communication without judgment
• Medication options that help reduce cravings and withdrawal
• Counseling that builds coping skills over time
• Support with transportation, housing, work, healthcare, or family needs
• A steady outpatient structure that supports daily responsibilities

How Mat Can Support Stability During Periods of Stress

Medication-assisted treatment (MAT) uses FDA-approved medication alongside counseling and support services to treat OUD.

MAT can support people by helping to:

• Reduce withdrawal symptoms
• Reduce cravings
• Create a more stable daily routine
• Make it easier to attend counseling and appointments
• Support long-term recovery planning

The 2023 VA/DoD PTSD guideline includes treatment of PTSD with co-occurring conditions as a major area of guidance, which reinforces the need to look at mental health and substance use concerns together (VA/DoD, 2023).

What to Ask During PTSD Awareness Month

You do not need a diagnosis before asking for help. PTSD Awareness Month can be a good time for you or a loved one to notice patterns and ask some practical questions about symptoms, treatment, and care.

Questions to Ask Yourself

Before calling a provider or treatment program, write down:

• What symptoms have been hardest lately?
• Are sleep, anger, fear, or numbness affecting daily life?
• Do certain places, people, dates, or memories trigger cravings?
• Are you using opioids to cope with stress or emotional pain?
• Have you had withdrawal symptoms, concerns about returning to opioid use, or safety worries?
• What would make the first appointment feel more manageable?

Questions to Ask a Treatment Program

When you reach out, think about asking:

• Do you offer methadone, buprenorphine, or both?
• What happens at the first appointment?
• How long should I plan to be there?
• Is counseling part of treatment?
• Can you help with transportation, housing, employment, or healthcare referrals?
• Do you accept Medicaid, Medicare, commercial insurance, VA coverage, or self-pay?

At BAART Programs, your first appointment may include intake paperwork, a medical assessment, counseling, and dosing. Initial visits may take around 2 to 3 hours.

When to Reach Out for Support

Consider reaching out if trauma symptoms are affecting your sleep, recovery, relationships, work, or sense of safety.

You may also want support if:

• Cravings increase after stress or conflict
• You are worried about going through withdrawals
• You have returned to opioid use after a trigger

If you are in immediate danger or may hurt yourself or someone else, call or text 988 right away.

How BAART Programs Can Help

BAART Programs provides care that is compassionate, structured, and respectful. For someone dealing with co-occurring trauma symptoms and OUD, that combination can help support long-term progress and stability.

To get started, contact us today, or find your nearest location.

References

1. National Institute of Mental Health. (2024). Post-Traumatic Stress Disorder. https://www.nimh.nih.gov/health/publications/post-traumatic-stress-disorder-ptsd 
2. U.S. Department of Veterans Affairs and U.S. Department of Defense. (2023). VA/DoD Clinical Practice Guideline for the Management of Posttraumatic Stress Disorder and Acute Stress Disorder. https://www.ptsd.va.gov/professional/treat/txessentials/cpg_ptsd_management.asp 
3. National Center for PTSD. (2025). Help Raise PTSD Awareness. U.S. Department of Veterans Affairs. https://www.ptsd.va.gov/understand/awareness/index.asp

The post Understanding PTSD Awareness Month & Opioid Use Disorder appeared first on BAART Programs.

Learn how naloxone distribution in California helps prevent overdose deaths and why local access matters in the San Francisco Bay Area and Los Angeles. 

Over 30,000 people in California died from opioid- related overdoses between 2018 and the end of 2023. These tragic and avoidable deaths pushed the state to create the Naloxone Distribution Project (NDP) in 2018. It is a harm reduction initiative spurred by the Department of Health Care Services (DHCS) to help combat opioid overdose deaths. 

The NDP aims to significantly reduce opioid-related fatalities in the state by providing and distributing naloxone, an overdose reversal medication. The directive is to make naloxone free to the most at-risk communities and organizations in an effort to curb overdose deaths. In 2024, the NDP also made it possible for Californians to purchase naloxone at heavily discounted prices directly from the state through CalRx.  

Continue reading to learn about how naloxone is saving lives across California and how you can get naloxone for free.  

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What is Naloxone and How Does it Work? 

Naloxone is a non-addictive medication that can quickly reverse the effects of an opioid overdose. It can help restore breathing when a person’s breathing has slowed or stopped because of opioids. Prepackaged nasal sprays such as Narcan and Kloxxado are commonly available to the public. Injectable naloxone is also available and may be used in medical or community settings depending on training and the product type. 

As an opioid antagonist, naloxone attaches to the brain’s opioid receptors, effectively reversing or blocking the effects of opioids. It works to reverse the effects of opioids like heroin, fentanyl, oxycodone, morphine, and others. Naloxone solely affects opioids. If administered to someone who has not taken opioids, it will have no impact. 

How to Administer Naloxone:  

1. Look for Signs of an Overdose: signs include unresponsiveness, slow or shallow breathing, and blue or gray lips and fingernails. 

2. Dial 911: Always seek emergency medical assistance right away. 

3. Administer Naloxone: Spray or inject the medication according to the instructions in the kit. 

4. Monitor and Respond: If there is no response within 2-3 minutes, provide a second one dose. 

5. Stay with Them: Remain with the person in the recovery position (on their side) until assistance arrives. If the person cannot produce a breath, you may initiate rescue breathing until EMTs arrive. 

If the person is dependent on opioids, they may experience immediate withdrawal symptoms after naloxone works through their system. This includes headache, nausea, vomiting, rapid heart rate, and sweating. While this is uncomfortable, it is not life-threatening.

Is Narcan the Same as Naloxone? 

Yes, Narcan is a brand name for naloxone. Naloxone is the active medication that reverses the effects of an opioid overdose, while Narcan refers to one nasal spray version of that medication. In everyday conversation, people often use the terms interchangeably. 

How Naloxone Distribution Helps Prevent Overdose Deaths 

California’s distribution of naloxone is a vital state-supported harm reduction effort. The program has helped prevent over 410,800 opioid overdoses by late 2025. By offering free naloxone to community groups, first responders, and individuals, California makes this life-saving drug more accessible. This has been helping reduce the increasing number of fentanyl-related fatalities. 

The Narcan distribution program in California directly helps combat opioid deaths by providing free naloxone to important community organizations. This includes harm reduction groups, which represent 28% of participants and account for 50% of reported overdose reversals. Additionally, they supply naloxone to first responders, schools, homeless shelters, and jails. Since its founding in 2018, the NDP has distributed more than 7.9 million kits. 

1. Free and Discounted Distribution: The NDP makes cost a non-issue by offering free nasal sprays, including CalRx and Narcan brands, to approved entities. By 2025, people will be able to buy generic naloxone from CalRx for just $19-$24 per twin pack. San Diego County, along with others, has installed vending machines that supply free naloxone around the clock. 

2. Reduced Access Barriers: Naloxone is now accessible without a direct prescription, making it easier to obtain and more anonymous. California’s State Public Health Officer issued a standing order permitting organizations without a physician on staff to distribute naloxone. Additionally, Good Samaritan Laws shield individuals who administer naloxone from civil and criminal liability, motivating bystanders to step in. 

3. Direct Impact on Fentanyl Overdose Rates:  Naloxone is essential for quickly reversing unexpected overdoses due to many illicit drugs containing fentanyl. The NDP also provides free fentanyl test strip kits, which may help people check for the presence of fentanyl in some substances as part of broader harm reduction efforts. However, a negative result does not guarantee safety. 

4. Community Education and Training: Participating organizations receive training to identify and respond to an overdose. This training covers administering nasal or injectable naloxone, performing rescue breathing, and placing the person in the recovery position.  

5. Bridge to Treatment: Reversing an overdose can create a critical opportunity for medical care, follow-up support, and treatment connection. Local naloxone access can help keep someone alive long enough to receive additional care and explore recovery support if they are ready. 

The Naloxone Distribution Project helps prevent opioid overdose deaths in many valuable ways. It ensures that a safe, non-addictive, and highly effective antidote is accessible to those most likely to witness an overdose. For many Californians, that includes peers and family members of those with opioid use disorder. Additionally, this community access equips bystanders to take action to help strangers who may be suffering.  

Where can People get Naloxone in California? 

Under California law (Title 16, California Code of Regulations, Section 1746.3), pharmacists can prescribe and dispense NARCAN® (naloxone) without a prescription. They should also provide counseling and education on preventing opioid overdose. 

To request free naloxone, complete the online application form. For a list of required materials, visit the Naloxone Distribution Project page on the DHCS website. 

In addition to state and pharmacy access, BAART Programs and MedMark Treatment Centers in California also provide overdose prevention support, education, or help connecting people to naloxone resources.  

If you are looking for care in your area, explore the links below to find locations near you: 

BAART Programs California Locations  

MedMark California Locations 

If you are not sure which location is the best fit, contact the clinic closest to you to ask about treatment options, overdose prevention support, and local naloxone access. 

How BAART and MedMark Support Overdose Prevention in California 

Anyone in contact with opioids can experience an overdose. Individuals using prescription pain medications, experimenting with drugs, or using substances to deal with stress or trauma are all at risk. The consequences can be serious or even life-threatening. However, many overdoses are preventable with proper tools and support. 

BAART and MedMark Treatment Centers offer a variety of services aimed at preventing overdose and assisting those affected by addiction. Our approach emphasizes trauma-informed care, compassion, and ensuring access to health services for all. Our medication-assisted treatment programs can help people reduce or stop opioid misuse with the help of medication and counseling.  

Contact us today to learn more about enrolling in an opioid treatment program.  

The post How Narcan Distribution Is Saving Lives in California Communities  appeared first on BAART Programs.

Opioid overdoses can happen unexpectedly, often at home and without warning. Knowing what Narcan is, how it works, and when to use it can help you respond quickly in a critical moment.

This guide explains what Narcan does, how to use it, and why access to this medication continues to expand across communities.

What Does Narcan Do?

Narcan, the brand name for naloxone, is an FDA-approved medication that reverses the effects of an opioid overdose. It works by blocking opioid receptors in the brain, preventing opioids from continuing to affect breathing and awareness (NIDA, 2022).

Narcan is available as:

• A nasal spray
• An injectable medication (given into a muscle, vein, or under the skin)

Once administered, Narcan typically begins working within 2 to 3 minutes. It helps restore breathing and responsiveness, giving the person time to receive medical care (CDC, 2025).

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How Does Narcan Work?

Narcan is an opioid antagonist. This means it attaches to the same receptors in the brain as opioids, but instead of activating them, it blocks them (DEA, n.d.).

By doing this, Narcan:

• Stops opioids from binding to receptors
• Reverses slowed or stopped breathing
• Helps restore consciousness

Its effects typically last between 30 and 90 minutes. Because many opioids outlast naloxone, overdose symptoms can return after it wears off. This is why medical follow-up is always needed.

What Narcan Is Used For

Narcan is used to reverse opioid overdoses. It can be given when someone shows signs of slowed breathing or unresponsiveness related to opioid use.

It may be used for overdoses involving:

• Fentanyl
• Heroin
• Oxycodone
• Hydrocodone
• Morphine
• Other opioids

Narcan does not treat overdoses from non-opioid substances, but it is safe to use if the cause is uncertain.

When Should You Use Narcan?

Narcan should be used immediately if an opioid overdose is suspected.

Common signs include:

• Unresponsiveness or inability to wake
• Slow, shallow, or stopped breathing
• Constricted (pinpoint) pupils
• Blue or purple lips or fingernails
• Extreme drowsiness or unconsciousness

These symptoms are widely recognized clinical signs of opioid overdose (NIDA, 2022).

If you notice these signs, call 911 first, then give Narcan immediately.

What Do You Do After Using Narcan?

Narcan is a temporary measure. Even if the person improves, medical care is still required.

After giving Narcan:

• Call 911 immediately
• Stay with the person and monitor breathing
• Administer additional doses if symptoms return
• Watch for withdrawal symptoms such as nausea, sweating, or increased heart rate

Continue monitoring the person closely until emergency services arrive.

Why Access to Narcan Is Expanding

Healthcare providers and public health agencies are expanding access to Narcan to help reduce overdose deaths.

Community naloxone distribution programs are a key part of this effort. These programs provide Narcan to people who may be at risk of overdose or likely to witness one (The Naloxone Project, 2026).

The goal is to:

• Increase access to life-saving medication
• Provide education on overdose recognition and response
• Help reduce fatal overdoses in high-need communities

Narcan may be available at low or no cost through community programs, public health departments, and some healthcare providers (CDC, 2025).

How Community Distribution Helps Save Lives

Rather than limiting access to clinical settings alone, Narcan is often placed directly into the hands of people most likely to need it.

Patients receive:

• Narcan kits during clinic visits
• Education on how to recognize an overdose
• Step-by-step instructions on how to respond

They are also encouraged to share Narcan with trusted people in their lives, including family members and friends. This peer-based approach helps extend access beyond the individual and into the environments where overdoses are more likely to occur.

By improving availability and preparedness, this approach increases the likelihood of timely overdose reversal.

Why Do People Carry Narcan?

Narcan is widely used by first responders, caregivers, and community members because it is:

Fast-acting

It can begin working within minutes to reverse overdose symptoms.

Easy to use

The nasal spray format allows people to respond quickly, even without medical training.

Accessible

Narcan is available at many pharmacies and healthcare providers, and often through community programs at no cost.

Having naloxone available allows bystanders to intervene during an overdose and prevent death (CDC, 2025).

How Long Does Narcan Last?

Narcan typically works for 30 to 90 minutes. However, some opioids remain active in the body longer than Narcan.

Because of this:

• Overdose symptoms may return
• Multiple doses may be needed
• Medical care is always necessary

Narcan helps stabilize the situation, but it does not replace professional treatment.

Learn More About Support for Opioid Use Disorder

Narcan can help in emergencies, but long-term support is also important.

At BAART Programs, care focuses on stability, health, and ongoing recovery. Treatment may include medication-assisted treatment (MAT), counseling, and supportive services designed to help you manage opioid use disorder and improve daily functioning.

With outpatient care options available near you, you can receive support while continuing work, family life, and daily responsibilities.

Frequently Asked Questions About Narcan

Can Narcan be used on someone who is not overdosing?

Yes. Narcan is safe even if opioids are not present. It will not cause harm if opioids are not in the system. When in doubt, use it and call for medical help.

Does Narcan work on all opioids, including fentanyl?

Narcan works on most opioids, including fentanyl. Stronger opioids may require multiple doses, so it’s important to call emergency services and monitor the person closely.

How many doses of Narcan can you give?

You can give additional doses every 2 to 3 minutes if there is no response. Continue until breathing improves or help arrives. Always seek medical care.

Get Support When You Need It

If opioid use disorder is affecting your life or someone you care about, support is available.

BAART Programs provides addiction treatment that combines medication, counseling, and supportive services to help you move forward with stability and confidence.

Resources and Citations

1. Centers for Disease Control and Prevention (2025) ‘Lifesaving naloxone’, Stop Overdose. Available at: https://www.cdc.gov/stop-overdose/caring/naloxone.html (Accessed 17 April 2026).
2. Drug Enforcement Administration (n.d.) ‘Save lives with naloxone’, DEA. Available at: https://www.dea.gov/onepill/save-lives (Accessed 17 April 2026).
3. National Institute on Drug Abuse (2022) ‘Naloxone DrugFacts’, National Institutes of Health. Available at: https://nida.nih.gov/publications/drugfacts/naloxone (Accessed 17 April 2026).
4. The Naloxone Project (n.d.) ‘About’, The Naloxone Project. Available at: https://www.naloxoneproject.com/ (Accessed 17 April 2026).

The post What Is Narcan? What It Does and How It Saves Lives appeared first on BAART Programs.

Across California, BAART Programs is working to remove those barriers. With multiple treatment centers, telehealth admissions at California locations, and outpatient care designed for real-world routines, BAART helps more people start care sooner.

Why Access Matters

Effective treatment for opioid use disorder often includes medication alongside counseling and behavioral support. Public health guidance continues to emphasize outpatient care and telehealth as key ways to help people begin and stay engaged in treatment (CDC, 2024; CDPH, 2026).

California has also invested heavily in expanding medication-assisted treatment (MAT) and support services across the state, with a focus on improving access and reducing stigma (DHCS Opioid Response, 2025).

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How BAART Is Expanding Access in California

More California Locations

BAART’s growing presence across California makes care easier to reach in key regions, including:

• San Francisco Bay Area
• Los Angeles Area
• Sacramento Area
• San Joaquin Area

This includes affiliated treatment centers in Fairfield, Fresno, Hayward, Los Angeles, Sacramento, Stockton, and Vallejo.

A broader network gives people more options closer to where they live, work, or already have support systems, making it easier to stay consistent with care.

Telehealth Admissions at California Centers

BAART’s California locations also offer telehealth admissions. This means you can complete a secure video visit with a certified provider while physically present at the clinic, with same-day entry into care available when appropriate.

This reduces delays without compromising on safety or structure. It streamlines the intake process while still providing the in-person support many people need when starting treatment.

Outpatient Care That Supports Daily Life

BAART’s model is built around outpatient medication-assisted treatment, making it easier to stay engaged in care without stepping away from everyday responsibilities.

Alongside medication, BAART emphasizes personalized care, counseling, and support services delivered in a respectful, structured environment.

What People Can Expect From BAART Programs in California

BAART’s approach goes beyond medication alone. The goal is to help people build long-term stability, not just manage symptoms.

Depending on your needs and location, support may include:

• Methadone or buprenorphine as part of MAT
• Required individual counseling
• Case management and community referrals
• Relapse-prevention education
• Pregnancy coordination and support
• Guest medication services for travel
• A first visit that may include assessment, paperwork, counseling, and dosing

This whole-person approach reflects what effective treatment access should be: practical, evidence-based, and easy to navigate.

National guidance continues to support methadone and buprenorphine as effective treatments for opioid use disorder. BAART pairs these medications with day-to-day support that helps people stay engaged and make progress (NIDA, 2025; CDC, 2024).

What to Do Next

If you are comparing methadone clinics or medication-assisted treatment options in California, focus on a few practical questions:

• Is the location close enough for regular visits early in care?
• Do they offer methadone, buprenorphine, or both?
• How quickly can you start?
• What counseling and support services are included?
• Do they accept your insurance, Medicare, Medicaid, VA coverage, or self-pay?

BAART Programs helps simplify that process with multiple California locations, telehealth admissions, and a care model that combines medication, counseling, and support.

To get started, visit the California locations page, find the center nearest you, and call directly to verify insurance and next steps.

References

Centers for Disease Control and Prevention (2024) Treatment of Opioid Use Disorder. Available at: https://www.cdc.gov/overdose-prevention/treatment/opioid-use-disorder.html 

California Department of Public Health (2026) Treatment. Available at: https://www.cdph.ca.gov/Programs/CCDPHP/opioids/Pages/Treatment.aspx 

DHCS Opioid Response (2025) MAT Access Points. Available at: https://californiaopioidresponse.org/matproject/mat-access-points/ National Institute on Drug Abuse (2025) Medications for Opioid Use Disorder. Available at: https://nida.nih.gov/research-topics/medications-opioid-use-disorder

The post How BAART Is Expanding Access in California appeared first on BAART Programs.