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Understanding the Signs of Opioid Addiction

Amity BH Clinical Team
6 min read
Understanding the Signs of Opioid Addiction
Recognizing the signs of opioid addiction early can be life-saving. Learn about physical symptoms, behavioral changes, and when to seek professional help.

Understanding the Signs of Opioid Addiction

Opioid addiction has become one of the most pressing public health crises in America. With over 100,000 overdose deaths annually, recognizing the signs of opioid use disorder early can literally save lives. Whether you're concerned about yourself or a loved one, understanding what to look for is the first step toward getting help.

What Are Opioids?

Opioids are a class of drugs that include prescription pain medications like oxycodone (OxyContin), hydrocodone (Vicodin), morphine, and codeine, as well as illegal drugs like heroin and synthetic opioids like fentanyl. While these medications can be prescribed legitimately for pain management, they carry a high risk of dependency and addiction.

Physical Signs of Opioid Addiction

Immediate Physical Symptoms

When someone is using opioids, you may notice:

  • Constricted pupils (pinpoint pupils that don't respond to light)
  • Drowsiness or sedation (nodding off at inappropriate times)
  • Slurred speech and slow movements
  • Flushed skin or itching
  • Constipation (a very common side effect)
  • Nausea and vomiting
  • Shallow or slow breathing

Withdrawal Symptoms

When regular opioid use is interrupted, withdrawal symptoms can appear within 6-12 hours:

  • Muscle aches and pain
  • Restlessness and agitation
  • Excessive sweating
  • Dilated pupils
  • Insomnia
  • Diarrhea and stomach cramps
  • Rapid heartbeat
  • Goosebumps ("cold turkey")

Behavioral and Psychological Signs

Changes in Daily Life

  • Doctor shopping: Visiting multiple doctors to obtain prescriptions
  • Increased secrecy: Being evasive about whereabouts or activities
  • Social withdrawal: Isolating from family and friends
  • Neglecting responsibilities: Missing work, school, or family obligations
  • Financial problems: Unexplained need for money, selling possessions
  • Loss of interest: Abandoning hobbies and activities once enjoyed

Psychological Symptoms

  • Anxiety and panic attacks
  • Depression and mood swings
  • Irritability and aggression
  • Poor judgment and decision-making
  • Confusion and memory problems
  • Intense cravings for the drug

Risk Factors for Opioid Addiction

Understanding risk factors can help identify who may be more vulnerable:

  1. Personal or family history of substance abuse
  2. Mental health conditions (depression, anxiety, PTSD)
  3. History of trauma or adverse childhood experiences
  4. Chronic pain conditions requiring long-term pain management
  5. Young age (especially teens and young adults)
  6. Previous substance abuse treatment
  7. Easy access to prescription opioids

The Progression of Opioid Addiction

Stage 1: Prescription Use

Often begins with a legitimate prescription for pain management after surgery or injury.

Stage 2: Tolerance

The body adapts to the drug, requiring higher doses to achieve the same effect.

Stage 3: Dependence

Physical dependence develops, and withdrawal symptoms occur when not using.

Stage 4: Addiction

Compulsive use continues despite negative consequences; life revolves around obtaining and using opioids.

When to Seek Help

If you recognize these signs in yourself or someone you care about, it's crucial to seek professional help immediately:

  • Daily use or inability to stop despite wanting to quit
  • Withdrawal symptoms when attempting to stop
  • Using despite consequences (health problems, relationship issues, legal troubles)
  • Escalating dose or switching to stronger opioids
  • Neglecting important activities for drug use
  • Risky behavior while using (driving, combining with other substances)

Treatment Options at Amity Behavioral Health

At Amity Behavioral Health, we offer comprehensive opioid addiction treatment including:

Medical Detoxification

Safe, medically supervised withdrawal management with 24/7 monitoring and comfort medications to ease symptoms.

Medication-Assisted Treatment (MAT)

FDA-approved medications like buprenorphine (Suboxone) and naltrexone (Vivitrol) combined with counseling and behavioral therapies.

Residential Treatment

Immersive 24/7 care in a structured environment with individual therapy, group counseling, and holistic activities.

Outpatient Programs

Flexible PHP, IOP, and standard outpatient options allowing you to maintain work, school, and family commitments while receiving intensive treatment.

Dual Diagnosis Treatment

Integrated care for co-occurring mental health conditions like depression, anxiety, or PTSD alongside opioid addiction.

The Importance of Early Intervention

The earlier opioid addiction is addressed, the better the outcomes. Don't wait until rock bottom—help is available now. At Amity Behavioral Health, we provide:

  • 24/7 admissions with same-day admission available
  • Free insurance verification to understand your coverage
  • Compassionate, judgment-free care from experienced professionals
  • Evidence-based treatment proven effective for opioid use disorder
  • Aftercare planning and alumni support for long-term success

Take the First Step Today

If you or a loved one is struggling with opioid addiction, please don't wait. Our compassionate team is available 24/7 to answer your questions and help you start the path to recovery.

Call us now at (888) 833-3228 for a free, confidential consultation.


The information in this article is for educational purposes and is not a substitute for professional medical advice. If you or someone you know is experiencing a medical emergency related to opioid use, call 911 immediately.


Frequently Asked Questions

Can you become addicted to opioids after just one use?

While physical addiction typically requires repeated use over time, some individuals may experience strong cravings after just one dose, especially with highly potent opioids like fentanyl. Risk of addiction increases with each use.

How long does opioid withdrawal last?

Acute withdrawal symptoms typically peak within 72 hours and subside within 7-10 days for short-acting opioids. Long-acting opioids may have a longer withdrawal timeline. Post-acute withdrawal symptoms (PAWS) can persist for months.

Is medication-assisted treatment (MAT) just replacing one drug with another?

No. MAT uses FDA-approved medications at therapeutic doses that don't produce euphoria, help normalize brain chemistry, and allow individuals to engage in therapy and rebuild their lives without the compulsion to use illicit opioids.

What should I do if I suspect someone is overdosing?

Call 911 immediately. Signs of overdose include unconsciousness, blue lips/fingernails, slow or no breathing, and inability to wake up. If available, administer naloxone (Narcan) and stay with the person until help arrives.

How can I support a loved one with opioid addiction?

Educate yourself, express concern without judgment, encourage professional treatment, set healthy boundaries, consider family therapy, and take care of your own mental health. Avoid enabling behaviors like providing money or making excuses for their addiction.

AB

Amity BH Clinical Team

Amity BH Clinical Team is part of the clinical team at Amity Behavioral Health, dedicated to providing evidence-based treatment and compassionate care for individuals struggling with addiction and mental health challenges.

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