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But there is one recovery option that both treats the addiction and reduces the associated harm—Medication-Assisted Therapy. MAT utilizes FDA-approved prescription medications to augment and support other treatment approaches such as education, individual counseling, and peer group therapy. The ultimate treatment goal of MAT is completely abstinent recovery, and the medications help support the person’s continued progress while they work toward that positive outcome.
MAT is very effective—up to 70% of patients remain abstinent for a year or longer. MAT also helps patients to:
Why is MAT So Effective?
Decades of research has shown us that chronic substance abuse affects the parts of the brain associated with reward, pleasure, memory, learning, motivation, and impulse control. These changes impair the person’s ability to control their drinking and drug use, even when they suffer negative consequences. It becomes a compulsion that they cannot resist.
Just as with other chronic diseases such as diabetes, high blood pressure, or asthma, the combination of medication, individualized medical treatment, lifestyle changes, and ongoing support can arrest the progress of SUD. And while there is no cure, the symptoms can be managed.
MAT addresses SUD the right way:
Unfortunately, MAT is not a completely-viable treatment option for every manifestation of SUD. For example, while there are medications that can significantly reduce cravings for heroin and other opioids, alcohol, and cocaine, there are currently no prescription meds that specifically help with cravings for benzodiazepine tranquilizers, methamphetamine, marijuana, prescription stimulants, or inhalants.
This is why psychosocial counseling and other treatment strategies are so important.
What Drugs are Used in MAT?
“Medications are the beginning of how you make the psychological change that needs to occur.”
~ Gerard Schmidt, President, Association for Addiction Professionals.
Right now, as there are over two dozen approved medications that support recovery by:
Alcohol
Abrupt, “cold turkey” withdrawal from alcohol can be fatal. This means that MAT under the close supervision of a medical specialist is always recommended.
Benzodiazepines
As with alcohol, abruptly quitting benzo tranquilizers is extremely dangerous. The safest way is to gradually taper the dosage. There are currently no approved medications for benzodiazepine addiction.
Cocaine
Opioids
What Does This Mean to You?
The biggest takeaway from all of this is the fact that the treatment of addictive disorders is an evolving science. And the more we learn about how various substances affect the brain, the better we will eventually be able to offer targeted treatment strategies and medications.
The second thing that we can learn is that there is no such thing as “one-size-fits-all” addiction treatment that is 100% of the time with 100% of the people. This is why the best drug and alcohol rehab programs offer individualized treatment that can be tailored to the person. Even then, adjustments often need to be made at some point during the course of treatment.
Next, although harm reduction programs provide some benefits, they are not a solution on their own for the continuing drug crisis in America. They are more of a stopgap measure until more effective remedies can be found.
Finally, complete freedom from alcohol and drugs should be the ultimate goal of any recovery program. Unfortunately, however, that may not always be a realistic early goal for struggling substance abusers who are still experiencing withdrawal symptoms and powerful cravings.
Meditation-Assisted Therapy is considered the best addiction treatment option available today because it provides newly-sober, still-fragile substance abusers the help they need to overcome the cravings and withdrawal symptoms that could sabotage their successful recovery.