My son has been in recovery from heroin/fentanyl for a little over 3 years with the help of a great trauma therapist and addiction psychiatrist. He is on medicated assisted treatment (MAT) and takes Suboxone for long term maintenance. When he first got sober from opiates, he was taking 32mg per day of Suboxone, and by this past summer he was down to 1-2mg per day. This all happened while he was living in Israel (he moved there 15 or so years ago). He had been doing really well and recently moved back to NYC to be closer to the family and work.
This being his first winter in so long, in addition to the adjustment to a new way of living has been hard on him. As a family we’re all so proud of him and how far he’s come, and kind of got to a place where the worry went away. However things have changed a bit. My son is not happy here and is contemplating moving back to Israel. But the main concern is he shared over the weekend that he has been thinking about using recently, and because of that started taking more Suboxone (8mg). We had a great discussion and spoke about him cutting back down, looking for an addiction psychiatrist in NYC, and ways to make life seem more fulfilling for him. And I also told him I love him and am here for him no matter what. This morning he told me he already started taper his dose of Suboxone down, and hopes to get back to 1-2mg per day.
A few thoughts:
- I’m happy he’s comfortable to be open and honest with me about this
- I thought I was in the clear and am a bit blindsided by all of this
- I’m concerned that increasing his Suboxone dosage will lead to him using opiates again
Has anyone else experienced anything like this? Feeling like you’re out of the chaos and then suddenly things become concerning again? Would appreciate any advice, feedback, perspective! Thanks!