Breaking the Stigma Debunking Common Misconceptions About Addiction Treatment and Medication-Assisted Treatment

Addiction is a complex and multifaceted disease that affects millions of individuals and families worldwide. Despite significant advancements in understanding and treating addiction, numerous misconceptions persist, particularly regarding addiction treatment and medication-assisted treatment (MAT). Dr. Matthew Goldenberg, D.O., a renowned expert in addiction psychiatry, is committed to breaking these stigmas and providing accurate information to those in need. Dr. Goldenberg is based in Santa Monica but sees patients by telehealth all across California and the State of Alaska.

Understanding Addiction

Addiction is a chronic brain disease characterized by the compulsive use of substances despite harmful consequences. It alters brain chemistry, affecting decision-making, behavior, and emotional regulation. Effective treatment requires a comprehensive approach, addressing the physical, psychological and social/spiritual aspects of the disease.

Common Misconceptions About Addiction Treatment

Misconception 1: Addiction is a Choice
One of the most pervasive myths is that addiction results from a lack of willpower or moral failure. In reality, addiction is a complex disease influenced by genetic, environmental, and psychological factors. Just as we would not blame someone for developing diabetes or heart disease, we should not blame individuals for having an addiction.

Misconception 2: Detox is the Only Treatment Needed
While detoxification can be an essential first step to help get someone treatment ready, detox itself is NOT an addiction treatment. Detox helps manage withdrawal symptoms and safely removes substances from the body and can safely get an individual ready to start addiction treatment. However, effective addiction treatment, and long-term recovery, includes ongoing treatment, including therapy, counseling, and support groups.

Misconception 3: Treatment is One-Size-Fits-All
Effective addiction treatment must be personalized to address the unique needs, history and goals of each individual. Factors such as the type of substance used, duration of addiction, co-occurring mental health disorders, and personal circumstances all influence the best course of treatment.

The Role of Medication-Assisted Treatment (MAT)

Medication-assisted treatment (MAT) combines FDA-approved medications with counseling and behavioral therapies to provide a “whole-patient” approach to the treatment of substance use disorders. MAT is primarily used for the treatment of opioid and alcohol dependence to decrease cravings, decrease the risk of relapse/recurrence and to protect from accidental overdose.  

Misconception 4: MAT is Just Replacing One Drug with Another
MAT uses medications such as methadone, buprenorphine, and naltrexone to stabilize brain chemistry, reduce cravings, and prevent relapse. These medications do not provide a “high” and are much more stabilizing than the addictive substance. They are also carefully regulated and administered to support recovery.

Misconception 5: MAT is Only for Severe Cases
MAT can benefit individuals at various stages of addiction. Early intervention with MAT can prevent the progression of addiction and reduce the risk of overdose. It is an effective tool that can be integrated into a broader treatment plan at any stage.

Misconception 6: MAT Should be Short-Term
The duration of MAT varies depending on individual needs. Some individuals may benefit from long-term MAT, while others may gradually taper off medication as they achieve sustained recovery. The decision should be made collaboratively between the patient and their healthcare provider.

Comprehensive Q&A with Dr. Matthew Goldenberg, D.O.

Q: What is the success rate of MAT?
Dr. Goldenberg: Studies have shown that MAT can significantly increase the chances of long-term recovery. It reduces opioid use, decreases the risk of overdose, and improves social functioning and retention in treatment programs.

Q: Are there side effects of MAT medications?
Dr. Goldenberg: Like all medications, MAT medications can have side effects. However, these are generally manageable and far outweighed by the benefits of reducing substance use and preventing relapse. Common side effects may include nausea, constipation, and sleep disturbances, which typically diminish over time.

Q: Can MAT be used for substances other than opioids?
Dr. Goldenberg: Yes, MAT is also effective for treating alcohol dependence. Medications like naltrexone and acamprosate help reduce cravings and maintain sobriety. Research is ongoing to explore MAT options for other substances.

Q: How do you address the stigma associated with addiction and MAT?
Dr. Goldenberg: Education and awareness are key. By providing accurate information and sharing success stories, we can challenge misconceptions and highlight the effectiveness of evidence-based treatments like MAT. It’s crucial to treat addiction as the medical condition it is, deserving of compassion and comprehensive care.

Q: What should someone look for in an addiction treatment program?
Dr. Goldenberg: Look for programs that offer an individualized and comprehensive approach, including medical care, therapy, counseling, and support groups. It is important to have a personalized treatment plan tailored to individual needs, with access to experienced and licensed healthcare providers who specialize in addiction treatment.You also want to seek out a program that has a milieu of patients that you can relate to and feel supported by. 

Q: How do I know if MAT is right for me or my loved one?
Dr. Goldenberg: MAT is suitable for many individuals with opioid or alcohol dependence. During your initial comprehensive assessment, I always evaluate your specific situation, history and goals and then work with you to determine if MAT is an appropriate part of your treatment plan. I tailor my approach to meet each patient’s unique needs and goals.

Q: Will I be on MAT forever?
Dr. Goldenberg: The duration of MAT varies from person to person. Some may require long-term medication to maintain recovery, while others may gradually taper off in the short or medium term under medical supervision. The decision is made collaboratively between the patient and myself focusing on what ensures the best chance of sustained recovery and their needs and goals.

Q: What can I expect during my first visit?
Dr. Goldenberg: During your first visit, you will undergo a comprehensive psychiatric and substance use disorder evaluation, including a review of recent circumstances, past medical history, social history, family history, developmental and social history and other sources of information. We will discuss your treatment goals and develop a personalized plan that may include MAT, other medication options, therapy, and support services as needed.

Q: How do I support a loved one undergoing addiction treatment?
Dr. Goldenberg: Supporting a loved one involves being patient, understanding, and encouraging. Educate yourself about addiction and recovery, attend family therapy sessions, and participate in support groups. Providing a non-judgmental, supportive environment can make a significant difference in your loved one’s recovery journey.

Seeking Help

If you or a loved one is struggling with addiction, it is important to seek help from a well trained and experienced healthcare provider who can offer a comprehensive treatment plan tailored to individual needs. Addiction is a treatable disease, and with the right support, recovery is possible.

At the practice of Dr. Matthew Goldenberg, D.O., he is dedicated to providing compassionate, evidence-based care for individuals battling addiction. Dr. Goldenberg’s approach integrates medication-assisted treatment with therapy, counseling, and support services to address the physical, emotional, and social/spiritual aspects of recovery.

Comprehensive Care at Dr. Matthew Goldenberg, D.O.

Personalized Treatment Plans
Every individual’s journey with addiction is unique. Dr. Goldenberg develops personalized treatment plans that consider the specific substance use, co-occurring mental health conditions, and personal circumstances of each patient. His goal is to create a supportive and effective path to recovery.

Medication-Assisted Treatment (MAT)
Dr. Goldenberg’s MAT program includes the use of FDA-approved medications such as buprenorphine and naltrexone. These medications are prescribed and monitored directly by Dr. Goldenberg who has the experience and training to provide optimal safety and efficacy. MAT helps to stabilize brain chemistry, reduce cravings, and support long-term recovery.

Counseling and Therapy
Therapy and counseling are integral components of our treatment approach. Dr. Goldenberg can offer individualized referrals to top specialists that can provide individual and group therapy sessions to help patients address the underlying psychological aspects of addiction, develop coping strategies, and build a strong support network.

Support Services
Recovery extends beyond medical treatment. Dr. Goldenberg provides access to a range of support services, including family therapy, educational resources, and community support groups. These services are designed to help patients and their families navigate the challenges of recovery and build a healthier future.

Conclusion

Breaking the stigma surrounding addiction and medication-assisted treatment is vital for ensuring that those in need receive the care and support they deserve. At the practice of Dr. Matthew Goldenberg, D.O., he is committed to providing compassionate, evidence-based treatment to help individuals achieve lasting recovery. By debunking misconceptions and offering comprehensive care, he aims to empower his patients and their families on their journey to health and wellness.

If you or someone you know is struggling with addiction, do not hesitate to reach out for help. Contact the office today to schedule a consultation and take the first step toward recovery. Together, you can overcome addiction and build a brighter future.

Matthew Goldenberg D.O.

2708 Wilshire Blvd
Santa Monica, CA 90403

Phone: (424) 276-0777

Business Hours

Monday – Friday: 8:30 am – 5:00 pm
Saturday, Sunday: Closed

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