Are 12 Step Programs Hindering Medication-Assisted Treatment in Recovery?

The 12 step model of recovery has long been a cornerstone for many individuals struggling with substance use disorders. However, the relationship between these programs and medication-assisted treatment (MAT) is complex and often contentious. In this article, we explore the challenges and potential drawbacks of integrating MAT with 12 step programs, drawing on personal experiences and expert insights.

The Underlying Discrepancies in 12 Step Programs

I have firsthand experience with both 12 step meetings and MAT. During my participation in traditional 12 step meetings, I experienced ostracization when I admitted to using suboxone or methadone as prescribed. Interestingly, while individuals on anti-psychotic medications were treated differently, there seemed to be a general stigma against those using MAT. I was discouraged from sharing my treatment methods in meetings, and it would have been less risky to discuss my use of antipsychotics.

Despite the presence of methadone-friendly Narcotics Anonymous (NA) groups in major metropolitan areas, these groups are not prominently listed in meeting directories. Information about these groups often comes from treatment clinic counselors. It is disheartening to see that, in general, 12 step programs tend to be unsupportive of MAT, which exacerbates the challenges faced by those seeking a combination of traditional and medically assisted recovery.

Common Misunderstandings and Snobberies

Some members of 12 step programs exhibit a degree of snobbery towards individuals on methadone reduction programs. These attitudes are counterproductive but can stem from years of recovery. People who have achieved significant periods of abstinence may develop a sense of superiority, leading to criticism of other people's methods. This can include those who require MAT to manage their addiction.

My personal journey involved a transition from a high dose injectable methadone regimen to complete abstinence within a few days through the use of various downers. The primary motivation for this change was a desire to no longer be controlled by doctors and prescriptions. Although it was a challenging process, taking about three months to achieve natural sleep, it was feasible. I acknowledge that many individuals require a gradual taper due to psychological, psychiatric, and emotional factors, but I firmly believe that all efforts to find a path out of addiction should be met with support, not criticism.

The Role and Perception of 12 Step Programs

While 12 step programs have been invaluable to me, I have witnessed their limitations firsthand. I found that many members were quite critical of different approaches to recovery, including MAT. However, I understand that these programs offer a structured framework and community support that can be instrumental for some individuals.

It is important to recognize that 12 step programs are not the only solution, far from it. Personal experiences often vary, and what works for one person may not work for another. This diversity of approaches is crucial for inclusivity and effective recovery. The divide between meditation-assisted and traditional 12 step recovery programs can create additional barriers for individuals seeking comprehensive support.

The Need for Tolerance and Understanding

We need more support and understanding for those who require MAT as part of their recovery journey. It is crucial to remind people that addiction is a complex disease that requires various forms of treatment. MAT is not a replacement for one drug with another but rather a tool to manage symptoms and reduce the risk of relapse. Open dialogue and education can help bridge the gap between those who advocate for MAT and those who are more skeptical of its benefits.

Conclusion

In conclusion, the relationship between 12 step programs and MAT is multifaceted and often fraught with challenges. While 12 step programs have been a vital support system for many, they must recognize the importance of MAT and the diverse needs of individuals in recovery. By promoting tolerance, understanding, and the recognition of addiction as a disease, we can create a more inclusive and effective recovery landscape.