Medication-assisted treatment (MAT) combines FDA-approved medications with counseling and behavioral therapies. It's considered the gold standard for treating opioid use disorder and is effective for alcohol use disorder as well.
How MAT Works
MAT medications help normalize brain chemistry, reduce cravings, block the effects of opioids, and relieve withdrawal symptoms. This allows people to focus on recovery without constant physical distress.
Medications for Opioid Addiction
Buprenorphine (Suboxone, Sublocade) is a partial opioid agonist that reduces cravings without producing a high. Methadone is a full agonist used in specialized clinics. Naltrexone (Vivitrol) blocks opioid effects entirely.
Medications for Alcohol Addiction
Naltrexone reduces the rewarding effects of alcohol. Acamprosate helps reduce cravings. Disulfiram creates unpleasant reactions when alcohol is consumed, deterring drinking.
MAT Myths vs. Facts
Myth: MAT is 'just replacing one drug with another.' Fact: MAT medications don't produce a high and allow normal functioning. Myth: You're not really sober on MAT. Fact: Major recovery organizations recognize MAT as legitimate recovery.
Finding MAT Providers
MAT is increasingly available through addiction specialists, primary care doctors with special certification, specialized opioid treatment programs, and many residential and outpatient programs.
MAT as Part of Comprehensive Treatment
Medications work best combined with counseling and support groups. MAT is a tool to support recovery, not a substitute for the work of personal growth and lifestyle change.