You felt a huge sense of relief when your loved one started treatment. You thought this was it—the turning point. Then, you discover they are still using other drugs, even while on methadone or Suboxone. It can be a deeply confusing and discouraging moment, leaving you to wonder, “Is this even working? What am I supposed to do?”
TL;DR:
If you have a loved one who you find out was using while in treatment, please know two things: first, this is a very common part of the recovery process. Second, it does not mean the treatment has failed. Understanding why this happens and how you can respond effectively is key to supporting your loved one and protecting your own well-being.
Starting Opioid Agonist Treatment (OAT) is a huge, life-saving step. It stabilizes a person, stops opioid withdrawal, and reduces cravings. However, it doesn’t instantly solve every underlying issue. There are several reasons why a person might continue to use other substances:
It’s natural to see continued drug use as a failure, but it’s more helpful to reframe it. Instead of seeing OAT as a simple “on/off” switch for all drug use, think of it as a powerful tool that makes recovery possible.
Harm Reduction in Action: Even if they are still using sometimes, being on OAT is providing a massive benefit. Their risk of a fatal opioid overdose is drastically reduced. They are connected to healthcare, often for the first time in years. This is the core of harm reduction—it keeps people alive and creates a platform for positive change.
Success is Not a Straight Line: Recovery is a journey with ups and downs. A “slip” or a period of continued use is not the end of the story. It’s a sign that the treatment plan may need to be adjusted, not abandoned.
Your response can either open the door to communication or shut it down.
AVOID:
TRY INSTEAD:
The most constructive thing your loved one can do is be honest with their doctor at Arrow Medical. We are here to help, not to punish.
When a patient tells us they are still using, it gives us critical information.
Encourage your loved one to be honest. Reassure them that the clinic is a safe, non-judgmental space and that honesty is the fastest path to feeling better.
Q: Will they get kicked out of the clinic for using other drugs?
No. At Arrow Medical, we practice harm reduction. We would never discharge a patient for relapsing or using other drugs. Our response is to increase their support and adjust their treatment plan to better meet their needs.
Q: How long should this last? When should they be completely “clean”?
There is no magic timeline. Every person’s journey is unique. For some, concurrent use stops quickly as their dose stabilizes. For others, it can be a longer process. The focus should be on progress, not perfection. Any reduction in street drug use is a victory.
Q: What if they are using stimulants like meth or cocaine?
This is very common. While OAT doesn’t treat stimulant use directly, the stability it provides can help a person address it. Being honest with the doctor is key, as they can provide strategies and referrals for the stimulant use as well.
This is a challenging situation, but it is a normal part of the recovery process. Your patience, compassion, and firm, loving boundaries can make a world of difference. Encourage your loved one to lean on the support available at their Arrow Medical clinic.
