Become a member of Allies in Recovery and we’ll teach you how to intervene, communicate and guide your loved one toward treatment.Become a member of Allies in Recovery today.

He’s Withdrawing from Suboxone at Home!

Dominique Simon July 24, 2018
withdrawal man at window
An Allies member is looking for guidance on supporting her boyfriend. He was released from a 7-day detox but is still withdrawing from opiates. He says he already knows what to do since he’s been through this before and plans to go to 90 meetings in 90 days. He’ll also meet with an addiction-specialist therapist once per week…What can his partner do to support this withdrawal process?

*This post originally appeared on our Member Site blog, where experts respond to members’ questions and concerns. To sign up for our special offer and benefit from the Allies in Recovery eLearning program, click here.


Dominique Simon-Levine guides this young woman through the process of detoxification and how she can support her boyfriend

An opiate detox is difficult. The protocol drops the person to 0mg on day 7 (a 200% drop from day 6). The high-percentage drops toward the end of the protocol (whether it’s a quick detox like your boyfriend just finished, or a slow titration off of suboxone maintenance), are hard to tolerate. The person feels it more at the end. Because buprenorphine (the agonist in suboxone) has one of the longest half-lives—much longer than illicit opioids—your boyfriend is going to experience withdrawal over a longer period than he would the heroin. It can be a nasty surprise. He’s going to have to hang on.

The symptoms, especially the insomnia, can last 2-5 weeks for those coming off of maintenance therapy. Discharging people precisely when they’re experiencing the hardest phase of withdrawal has never made much sense to me. Detoxification units are medical units designed to rid you of the drug, not necessarily its after effects. Insurance doesn’t pay for harmless physical withdrawal symptom supports in a medication unit. This is one huge reason relapse rates are so high when the person stops MAT (medication-assisted treatment). It’s a critically missing component in the system of care for people with opioid dependence. Reimbursable supportive inpatient care for this stage just doesn’t exist.


How to care for him during this withdrawal

I hope that just knowing this will be of help to both of you. As the family member, you are the unpaid, untrained person that will need to care for your boyfriend.

A few things that may help to ease his withdrawal at home:

  • Sitting in a hot bath alleviates the twitching body and joint pain.
  • I’m sure you’ve thought of what is available over the counter, sometimes referred to as “comfort medications.”
  • Exercising, despite the fatigue, will settle the anxiety to some extent, and the aches.
  • Eating despite the upset stomach will provide needed energy.
  • Knowing it will pass should help the depression. Each day should bring a little more relief.

Sitting in a 12-step or other peer support group every day will help your boyfriend stay motivated. Perhaps you drive the two of you to open meetings for the next couple days. Sitting at home staring at the wall is very dangerous in this moment. It sounds like your boyfriend has a plan, a good plan. He is fortunate to have someone who cares and isn’t judging him.

A membership at Allies in Recovery brings you into contact with experts in the fields of recovery and treatment for drug and alcohol issues. Our learning platform teaches you the CRAFT method and guides you through the best techniques for unblocking the situation. Together we will move your loved one towards recovery. Learn more here.

image © public domain pictures 18042 via pixabay

Categories: Aftercare, Recovery
Tagged: , , ,

Have a family member with a substance use disorder?

Become a member of Allies in Recovery and we’ll teach you how to intervene, communicate and guide your loved one toward treatment.

Get Started
Dominique Simon
Dominique launched Allies in Recovery in 2003. Her work has been featured on HBO and NPR. She is a facilitator and a trained speaker on issues of addiction and the family. She has worked extensively developing and evaluating federally-funded substance abuse programs for organizations and clinics throughout Massachusetts and New York. With an interest in recovery and substance abuse that spans 20 years, she sees a huge need to help families develop the skills to help a loved one recover fully in a supportive, whole, and lasting way in their families and in their communities. Her mission is to have Allies in Recovery fill that gap.

Related Posts from "Recovery"

He’s on Suboxone and Hiding Away for Most of the Day. We are Worried.

Her son was using heroin, and he just got out of jail. He reached out for mom’s help and asked to live at home as he starts recovery, and he is getting MAT (Medication Assisted Treatment), specifically Suboxone. But he’s secluding himself so much at home she can’t tell what he’s up to. He’s accessing counseling and groups remotely, but he stays holed up in his room all the time and rarely emerges. Mom worries about his isolating so much and whether he might be using. We weigh in with some thoughts about the varied aspects of early recovery, and with some reminders about practicing CRAFT (Community Reinforcement and Family Training.)

Dominique Simon April 14, 2023

Real Allies in Recovery Success Stories: Families Share How CRAFT Helped Their Loved Ones with SUD

Read real success stories from families who used the CRAFT approach to help their loved ones with Substance Use Disorder (SUD). Learn how CRAFT helped them engage their loved ones into treatment, and how it improved their relationships and reduced stress levels. Discover how you can use the CRAFT method to help your loved ones find recovery, and visit AlliesinRecovery.net for more stories and resources.

Dominique Simon March 31, 2023

He’s in a Recovery House and Struggling. What Can the Family Do?

A mom is worried about her son who is struggling in his recovery house setting. The family has been practicing CRAFT when engaging with him, in hopes of continuing to steer him towards recovery, but still feel this is a dangerous time for him. They would like to make their continued help with the rent contingent on some sort of counseling if he’s not using, or detox if he is. Or let the consequences happen…

Dominique Simon January 13, 2023

“Heads Up” Tips for Those New to SUD

Have you ever looked back on a particularly stressful time in your life and wished you’d known a few things ahead of the struggle? Or maybe you were offered some “heads up” advice when enduring a hard time and found that the advice you received drastically empowered you through the situation. This blog shares some helpful tips for parents and other family members who are new to facing the crisis of addiction, alcoholism or Substance Use Disorder (referred to as “SUD”) with a loved one.

annieunhooked January 6, 2023

3 Months into Recovery and He Doesn’t Show an Ounce of Gratitude

This mom has been able to successfully use CRAFT principles to shepherd her son into treatment and to support him during early recovery. However, her son’s lack of gratitude is beginning to feel unbearable. AlliesinRecovery.net Director Dominique Simon-Levine weighs in with a reminder to practice communications skills, and to take care of yourself – all part of the CRAFT curriculum at Allies.

Dominique Simon December 23, 2022
Hands - Arms - Support

In-Person & Virtual Recovery Resources for Your Loved One

ALCOHOLICS ANONYMOUS (AA World Services, Inc.) Alcoholics Anonymous is a fellowship of men and women who share their experience, strength and hope with each other, that they may solve their common problem and help others to recover from alcoholism. This is an informational website for anyone interested in learning more about their organization, 12-step program of recovery, and how to find local meetings. PHONE: 212.870.3400 Click here for Online AA Meetings What is AA? What to Expect in an AA Meeting  What is Anonymity in AA?  AA INTERGROUP ONLINE MEETING FINDER IN THE ROOMS In The Rooms offers over 150+ weekly live online meetings, a variety 12-Step and Non-12- Step Fellowships, and Specialty meetings. Some of our most popular meetings are AA, NA, ACA, Al-Anon, and Nar-Anon meetings, and much more. In The Rooms has 69 live online AA meetings weekly, so there’s bound to be one that fits your schedule! We have specialty AA meetings too, like AA Pride (LGBTQ). We also have an Agnostic AA meeting, if you’re seeking a meeting without a secular approach to recovery. We have 30 NA meetings on ITR weekly. Like AA, there’s also an NA Pride meeting (LGBTQ) and an Agnostic NA meeting. For support for the family, friends, and allies of those in recovery, In The Rooms has both Al-Anon and Nar-Anon meetings, which each meeting, 1-3 times a week. We also have many other 12-step fellowship groups, like Gamblers Anonymous, Overeaters Anonymous, and Sex Addicts Anonymous, CODA, Dual Diagnosis, and much more. If you can think of a Recovery fellowship, we probably have it.  FULL LISTING of LIVE VIRTUAL/ONLINE MEETINGS  12Step.Org We strive to provide information, tools, and resources for working a 12 Step program (or any program using 12 step principles for recovery) in as simple and effective way as possible. Online Meeting Calendar Online Video Meetings Phone Meetings Forums, Text Chats, and Email Meetings List RECOVERY DHARMA Recovery Dharma is a peer-led movement and community that is unified by our trust in the potential of each of us to recover and find freedom from the suffering of addiction. We believe that the traditional Buddhist teachings, often referred to as…

AlliesInRecovery December 16, 2022

His Need for Friends is Outweighing His Desire to Get Sober

It is difficult for our Allies member to see her son struggling to make friends while at the same time using alcohol to overcome his social anxiety. By following the CRAFT principles of effective communication, she is able to step back and allow him to experience the negative consequences of his drinking, and to focus on rewarding his positive choices. This is easier said than done, but her loving support and commitment to CRAFT is guiding him in the right direction.  

Dominique Simon November 11, 2022

He’s Relapsing – Are We Enabling Him? CRAFT and Encouraging Non-Use

A member of AlliesinRecovery.net wrote in to our “Pose a Question” blog with concerns about her son being stuck at home and struggling without his Suboxone program. Relapses continue to occur. His brother has thrown illicit drugs in the trash and insists that the family be stricter. The parents are feeling torn about whether they are enabling. Can the family be of any help? Read this blog for our insights on how applying CRAFT strategies and “encouraging non-use” through your actions in the face of your loved one’s substance use disorder can be helpful.

isabel October 21, 2022

My Loved One Also Struggles with Mental Health – Is CRAFT Right for Us?

One of our long-time Allies in Recovery members wrote in to our “Pose a Question” blog with an update on her loved one – her husband – who has given up harder substances but continues to struggle with alcohol and marijuana. Since our member first discovered CRAFT, her husband was diagnosed with serious mental illness. She wonders if CRAFT is a compatible approach to support his mental health issues.

Dominique Simon October 14, 2022

Our Son Moved Back Home But He’s Using: My Anxiety Is Off The Charts!

Her grown son has moved back home and is using cocaine, alcohol, and marijuana — and angrily denying it. Her husband has had enough and is ready to kick the son out. Our Allies in Recovery member wants peace for her family and healing for her son. To call the situation in this home stressful is a huge understatement. We help her sort through the challenges of her situation and offer guidance with communication using the time-tested strategies outlined in the CRAFT approach.

Laurie MacDougall October 7, 2022

9 CRAFT-y Guidelines to Break the Cycle of Addiction

An Allies member has her daughter living with her, which felt like a relief, at least at first. She had kicked her methamphetamine habit and completed detox and treatment. Now, they’ve slipped into a dance that doesn’t feel so great. She’s using less, but is substituting fentanyl for the methamphetamine. Mom sees that there’s a cycle that needs to be broken, but she wants to keep building on the positive aspects of their relationship. She’s also not sure if having her daughter at home is too enabling, but she promised to let her stay. 

Dominique Simon September 29, 2022
Flower in Mud Crack

Working on my Own Recovery

She is facing some hard truths as she looks back on the past ten years of her husband’s addiction. He is finally sober, but he has yet to acknowledge what he put the family through. What should she expect at this point in her loved one’s recovery.

Dominique Simon July 15, 2019
Woman Reading by Matisse

Her Boss Doesn’t Know What She is Dealing With

This mom received a harsh note about her work performance on the eve of her holiday break. Her loved one’s addiction has consumed so much of her energy and time that she hasn’t been able to devote as much attention to her work as she’s used to. Unable to share any of this with her boss, she feels anxiety and shame about his poorly timed message.

Dominique Simon January 24, 2019
mom showing son a brochure at table

I Fear Pushing Him Back to Heroin

She has successfully used CRAFT taught on our member site to help her son into treatment for heroin addiction. He is now 9 months out and has not relapsed…but he is at home, and mom worries about his pot use and fleeting motivation, despite his continued visits to a therapist.

Dominique Simon December 3, 2018
Learning to Mother Again

Learning to Mother Again

The family drug court is granting this mother in recovery more access to her child. But the grandparents, who are raising their granddaughter, are concerned that their daughter is not ready. How can they support their daughter when they themselves are unsure of her ability to return to parenting?

Dominique Simon February 14, 2018
David Sheff

An Extract from David Sheff’s ‘Beautiful Boy’

David Sheff’s story about his son’s addiction and recovery has led him to several realizations about himself as a parent his own need to recover from the experience. He found that his constant suffering and struggle through near crises with his son was easier to deal with than focusing on himself. Today, their relationship has evolved into one of independence, acceptance, compassion and always love.

an-air-member February 6, 2018
Allies in Recovery, AiR, Dominique Simon-Levine, dominique simon levine, addiction, addiction recovery, recovery, Craft, opiates, college, psychiatrist, therapy, relapse,, treatment,

Will She Relapse if She Goes Back to College?

When a child goes off to college while in recovery, a parent is justifiably worried. Suddenly their child is far from home, where there was a strong support system that guided them into recovery. Colleges today however, are much more aware of substance use disorders and many have adapted accordingly. With some planning ahead, students can maintain their sobriety in college.

Dominique Simon October 17, 2017
Al-Anon, AlAnon, Allies in Recovery, Addiction, Dominique Simon-Levine, Dominique Simon Levine, CRAFT method, Family Treatment Program, Intervention, Intervention approach, Interventionist, SUD, Opiate, Opiods, Treatment, Treatment for Addiction, Alcoholism, Recovery, Hazelden Betty Ford, Treatment Center, Support for Family, Family Support Group, IOP, Intensive Outpatient Program, Learn to Cope, The Addicts Mom, TAM, Support Group, Bob Meyers, Parent CRAFT, Annie Highwater, Unhooked, Laurie MacDougall, Substance Abuse, Alcohol, ACOA, Adult Children of Alcoholics, Parent of Addicted Child, Parent of Addict, Co-dependent parent, Alcoholic, Alcoholics Anonymous, CODA, Codependents Anonymous, Opiod Epidemic, Opiate Epidemic, Narcotics Anonymous, NA, marijuana, pot, weed, heroin, coke, crack, cocaine, painkillers, narcan, barbituates, divided house, family relations, manipulation, manipulate, support groups, struggle, advice, overdose, Rob Koebel, enabling, survival, coping mechanism, Pot, gateway drug, sober, Good-time Charlie

Podcast: “Good Time Charlies : A Conversation with Award-Winning Journalist Rob Koebel”

Special guest Rob Koebel, actor, writer and award-winning journalist joins Annie and Laurie to talk about about his descent into alcoholism starting at an early age, and the decades that went by without anyone noticing there was a serious problem. His journey to recovery has been a long struggle but one which he is putting to good use by helping others understand the reality behind the “Good-time Charlie” drinker.

AlliesInRecovery October 17, 2017
Al-Anon, AlAnon, Allies in Recovery, Addiction, Dominique Simon-Levine, Dominique Simon Levine, CRAFT method, Family Treatment Program, Intervention, Intervention approach, Interventionist, SUD, Opiate, Opiods, Treatment, Treatment for Addiction, Alcoholism, Recovery, Hazelden Betty Ford, Treatment Center, Support for Family, Family Support Group, IOP, Intensive Outpatient Program, Learn to Cope, The Addicts Mom, TAM, Support Group, Bob Meyers, Parent CRAFT, Annie Highwater, Unhooked, Laurie MacDougall, Substance Abuse, Alcohol, ACOA, Adult Children of Alcoholics, Parent of Addicted Child, Parent of Addict, Co-dependent parent, Alcoholic, Alcoholics Anonymous, CODA, Codependents Anonymous, Opiod Epidemic, Opiate Epidemic, Narcotics Anonymous, NA, marijuana, pot, weed, heroin, coke, crack, cocaine, painkillers, narcan, barbituates, divided house, family relations, manipulation, manipulate, support groups, struggle, advice, Family reaction, friends' reaction

Podcast: “Handling All of the Parallel Struggles”

Annie and Laurie open up about the parallel issues that can arise during the worst of times. With their sons’ addiction raging, they also had to deal with what was going on on other fronts: chaos, crises, judgement, family discord. They learned how to respond to other’s remarks, and not react to them, how to stay united and not sink.

AlliesInRecovery July 5, 2017
Al-Anon, AlAnon, Allies in Recovery, Addiction, Dominique Simon-Levine, Dominique Simon Levine, CRAFT method, Family Treatment Program, Intervention, Intervention approach, Interventionist, SUD, Opiate, Opiods, Treatment, Treatment for Addiction, Alcoholism, Recovery, Hazelden Betty Ford, Treatment Center, Support for Family, Family Support Group, IOP, Intensive Outpatient Program, Learn to Cope, The Addicts Mom, TAM, Support Group, Bob Meyers, Parent CRAFT, Annie Highwater, Unhooked, Laurie MacDougall, Substance Abuse, Alcohol, ACOA, Adult Children of Alcoholics, Parent of Addicted Child, Parent of Addict, Co-dependent parent, Alcoholic, Alcoholics Anonymous, CODA, Codependents Anonymous, Opiod Epidemic, Opiate Epidemic, Narcotics Anonymous, NA, marijuana, pot, weed, heroin, coke, crack, cocaine, painkillers, narcan, barbituates, manipulate, manipulation, manipulative, divided house, family relations, support groups, mental health, bipolar, Elliot

Podcast: “Interview with Annie’s Son Elliot”

On this week’s Coming Up for Air podcast, Annie and Laurie talk with Annie’s son Elliot, whose opiate dependency and recovery is detailed in Annie’s book “Unhooked.” Elliot opens up with an honest, raw perspective of where a son or daughter’s mind might be while in active addiction, what would have helped from his point of view, what to not take personally as the parent of someone struggling deep in substance use disorder. He also tells us what life looks like for someone in their 20’s pursuing sobriety yet wanting a fun, active lifestyle.

AlliesInRecovery June 26, 2017
Alone

I Found Comfort in the Chaos

When a loved one enters treatment, there is often a feeling of emptiness which comes suddenly after a prolonged period of anxiety and stress. The source of constant focus and worry has gone off into treatment but the strong emotions associated with their presence may linger. Laurie MacDougall shares how she coped in this situation, learning how to let go and take care of herself.

Laurie MacDougall June 9, 2017
Stress

Reaching Level 10 Stress…and Stepping Away

The long-term stress I experienced caused me to become very forgetful, hasty in my decisions, confused and socially awkward. I also noticed that during that time of my life I became very clumsy. It became obvious to me that I was heading for a crash if I didn’t get ahead of my stress. I knew I had to develop different responses. I knew that I didn’t want addiction, terror and chaos calling the shots anymore.

annieunhooked May 12, 2017
AiR, Allies in Recovery, Dominique Simon-Levine, dominique simon levine, addiction, recovery, intervention, alochol, opiates, opiods, sober housing, sober living,

Who Should Pay for Sober Housing?

Treatment doesn’t see its role as helping the newly sober person to manage financially. They rarely ask the question, “So where is the job?” … “How is this person going to pay for the sober house?” … “How is this person going to get to their appointments?” They certainly don’t see their role as providing inpatient treatment until such time as the person is financially stable.

Dominique Simon January 31, 2017

Report

Harassment or bullying behavior
Contains mature or sensitive content
Contains misleading or false information
Contains abusive or derogatory content
Contains spam, fake content or potential malware

Block Member?

Please confirm you want to block this member.

You will no longer be able to:

  • See blocked member's posts
  • Mention this member in posts
  • Invite this member to groups
  • Message this member
  • Add this member as a connection

Please note: This action will also remove this member from your connections and send a report to the site admin. Please allow a few minutes for this process to complete.

Report

You have already reported this .