Prescription Drugs addiction treatment

Personalized Prescription Drug Addiction Treatment

Brian Chasin
Written by Brian Chasin
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    Prescription drug misuse can be difficult to recognize, since so many times it starts as a legitimate medication. Someone starts with an opioid for chronic pain after an injury, stimulants for ADHD, or a benzodiazepine for anxiety.

    Usage starts as directed and then, over time, the relationship with the medication begins to change. Tolerance builds, leading to misuse and withdrawal symptoms between doses. What once was a helpful prescription slowly becomes something that is hard to control.

    No matter how prescription drug addiction started, it deserves real care and attention. Treatment gives clients the chance to stabilize physically, understand how their medication use became unmanageable, and begin building healthier ways to cope with pain, stress, anxiety, sleep issues, ADHD symptoms, or other challenges that may have played a role.

    Key Points
    Prescription drug misuse happens when a person takes medication in a way other than their doctor intended, such as taking higher doses, taking someone else's medication, or using the medication for its effects and not its purpose.
    The most commonly misused prescription medications include opioids, stimulants, benzodiazepines, sedatives, and tranquilizers.
    Because withdrawal symptoms vary in severity depending on which substance was being taken, medical oversight during withdrawal is often needed.
    There are several forms of treatment available to those suffering from prescription drug misuse, including detoxification, cognitive behavioral therapy (CBT), group therapy, family therapy, outpatient treatment, inpatient treatment, medication-assisted treatment, and aftercare.
    Prescription opioids may be treated with medications for opioid use disorder like methadone, buprenorphine, and naltrexone.

    What Are Prescription Drugs?

    A prescription drug is a drug that requires a physician’s order before it can be dispensed. These drugs are designed to treat various medical conditions or mental health disorders. But while some prescription drugs are absolutely required for a patient’s well-being, others can lead to dependency or misuse.

    Misuse can happen in numerous ways, including taking a prescribed medication at a higher dose or more frequently than ordered, using someone else’s prescribed medication, mixing a prescribed medication with alcohol or other substances, or taking prescribed medications for reasons other than as intended, such as relaxation, weight loss, sleep, concentration, or euphoria.

    Examples of common categories of prescription drugs that may be misused include:

    • Prescription opioids: This category includes pain relievers like OxyContin, Percocet, morphine, and hydrocodone, and other medications used for pain management.
    • Stimulants: Adderall, Ritalin, and Concerta, which are used to treat attention-deficit hyperactivity disorder (ADHD), narcolepsy, and other similar conditions.
    • Benzodiazepines and sedatives: Diazepam (Valium), alprazolam (Xanax), tranquilizers, and other medications that were originally used to treat anxiety, panic disorder, insomnia, muscle tension, and sleep disorders.

    Begin Your Journey

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    Prescription Drug Addiction and Abuse

    Prescription drug addiction develops over time.

    Most often, it happens while the person is using a medication that affects the body’s reward, stress, pain, sleep, or focus systems. Initially, there may be an obvious reason for the medication. For example, an opioid might be prescribed to relieve pain from a recent injury, a stimulant may be prescribed to help with attention deficit hyperactivity disorder (ADHD) symptoms, or a sleeping pill may be prescribed to help with insomnia.

    Over time, the body and brain start to adjust to the effects of the medication. When this happens, tolerance and physical dependence can develop. Tolerance means that even though the dosage remains constant, the same amount of medication no longer produces the same effect.[1] In turn, the person may resort to increasing the dosage to achieve the desired result. Physical dependence often follows; once a person stops taking the medication (missing a dose or lowering the dosage), withdrawal symptoms occur because the body has adapted to having the medication present.

    This creates a vicious cycle that can be difficult for people to escape. People who misuse prescription medications may use them not just to treat their medical problem, but also to prevent withdrawal symptoms. They may also feel like they have to keep using them just to feel normal or start to plan their days around how much medication they have available. They may increase their dosage and start looking for additional sources of medication once their prescription is no longer enough. Many people continue to misuse prescription medications, even when they realize that the medication is creating problems in their lives. And stopping can be both physically and emotionally overwhelming.

    But it is important to remember that prescription drug addiction is a substance use disorder and not a failing of a person’s character. It can affect those who were originally prescribed a legitimate prescription for a valid medical condition. It can affect people who started with a valid prescription, people who used someone else’s medication, and people who began taking prescription drugs recreationally. Ultimately, what is most important is providing those struggling with prescription drug addiction proper support before things escalate further.

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    Signs of Prescription Drug Addiction

    Signs of prescription drug addiction can differ based on whether the misused medication was an opioid, a stimulant, a benzodiazepine, or a sedative.

    For instance, some signs of opioid misuse are sedation, drowsiness, withdrawal, or preoccupation with pain pills. Some signs of stimulant misuse are being awake for extended periods of time, weight loss, irritability, or feeling unable to function without medication. Benzodiazepine and sedative misuse signs include confusion, forgetfulness, unsteadiness, excessive sleepiness, or feeling emotionally detached.

    Other possible indicators of prescription drug misuse include:

    • Increasing amounts of medication above what was prescribed
    • Using up prescriptions quickly and looking for new ones well before they’re due for refill
    • Feeling anxious, ill, or unable to function without their medication
    • Using their medication for managing stress, emotions, sleep, energy, or to avoid withdrawal
    • Mood swings, insomnia, drowsiness, secrecy, or isolation
    • Visiting several physicians or pharmacies to get more medication, a practice known as “doctor shopping”
    • Combining their prescription medications with alcohol, opioids, or other substances
    • Continuing to use their prescription medications regardless of problems resulting from them, such as health issues, damaged relationships, financial difficulties, or problems at work or school

    A loved one may hide their use because they feel ashamed, afraid of losing access to the medication, or convinced that prescription drugs are safer than other substances. But prescription drug misuse can still lead to serious health problems, overdose, withdrawal symptoms, and addiction, making early treatment more important than ever.

    Prescription Drug Abuse Statistics

    Prescription drug misuse remains a major public health issue. National survey data shows that 9.9 million people aged 12 or older misused prescription psychotherapeutic drugs in the past year.[2]

    The most commonly misused category was prescription pain relievers. In 2023, 8.6 million people aged 12 or older misused prescription pain relievers, compared with 3.7 million who misused prescription stimulants and 4.7 million who misused prescription tranquilizers or sedatives.[3] Prescription misuse can also overlap with serious substance use disorders. The same national report found that 5.7 million people aged 12 or older had an opioid use disorder in the past year, which includes prescription opioid use disorder or heroin use disorder.[4]

    These statistics demonstrate the scale of the problem in America, yet they do not convey how much it affects family members. For family members, a loved one’s struggle with prescription use often creates an atmosphere of fear, secrecy, and worry about relapse. The amount of time spent trying to find effective treatment can feel endless. If you have difficulty controlling your prescription use, professional treatment can help.

    Prescription Drug Withdrawal, Detox, and Safety

    The withdrawal process can vary person to person, depending on which medication was being misused, how much was taken per day, and for how long.

    01

    Opioid withdrawal

    may involve a range of physical side effects, such as chills, muscle cramps, loss of appetite, diarrhea, vomiting, restlessness, and dehydration, which can be medically dangerous.

    02

    Benzodiazepines or sleeping pill withdrawal

    may cause anxiety attacks, hallucinations, confusion, slurred speech, lack of coordination, and convulsions.

    03

    Stimulant withdrawal

    may cause lethargy, mood swings, poor sleep or excessive sleeping, weight gain or loss, irritability, and extreme cravings.

    Because of these risks, it is very important to go through the withdrawal process under a doctor’s supervision. This is especially true for people using benzodiazepines, sedatives, alcohol, opioids, or multiple substances.[5] Medical detox can provide safe conditions where patients are monitored during withdrawal and given information about further treatment options.

    But although medical detox can help a patient physically stabilize and reduce the severity of withdrawal symptoms, it is not complete addiction treatment. While medical detox gives a patient a starting point, therapy and follow-up support services are generally required to truly overcome prescription drug addiction. This continued care helps address the underlying emotional and behavioral issues tied to craving, build healthy coping mechanisms, prevent relapse, manage any co-occurring psychological disorders, and support sustained recovery.

    Medication-Assisted Treatment for Prescription Medications

    Medication-assisted treatment (MAT) is a component of care for some people experiencing addiction to prescription opioids.

    Common medications for opioid use disorder include:

    • Methadone: A medication that can reduce withdrawal symptoms and cravings through federally regulated opioid treatment programs.
    • Naltrexone: A medication that blocks opioid effects and may help support relapse prevention after detoxification.
    • Buprenorphine: A medication that can reduce cravings and withdrawal symptoms.

    MAT does not replace one addiction with another. Rather, when used as prescribed and monitored by medical professionals, MAT medications can serve as a component of evidence-based treatment for prescription opioid use disorder. Combining MAT with behavioral treatments such as counseling, group therapy, family therapy, and aftercare can provide a comprehensive approach to addressing all aspects of the person’s condition.[6]

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    Some of our clients require medical detox before they can truly participate in therapy Two people holding hands, one in a dark sweater, the other in a light sweater, on a white table.

    Treating Mental Health and Prescription Drug Misuse Together

    Most people who struggle with prescription drug misuse often have a co-occurring disorder that necessitated the medication in the first place.[7]

    • For example, some people may experience chronic pain that leads to the misuse of opioids.
    • Prescription stimulant misuse often starts with a diagnosis for attention-deficit hyperactivity disorder (ADHD).
    • Benzodiazepine or sedative use often begins with a legitimate prescription to treat anxiety, stress, panic attacks, or insomnia.

    Treating only the substance use disorder leaves the underlying reason the medication was taken in the first place unaddressed. Effective treatment requires that both the person’s substance use issues and the underlying mental health issues be treated. This could involve ongoing therapy sessions for anxiety, learning new coping skills and strategies to improve executive function for ADHD, improving sleep hygiene through support, identifying appropriate referrals for pain management, and coordinating with other healthcare professionals involved in the person’s treatment.

    Effective treatment for prescription drug misuse should never aim to shame a person for requiring medication. Rather, the focus should be on supporting safe medication use, treating the root causes of their misuse, and helping them achieve long-term recovery from substance use disorders.

    Frequently Asked Questions About Prescription Drug Addiction Treatment

    01

    What is prescription drug addiction?

    Prescription drug addiction is a substance use disorder involving compulsive medication misuse despite harm. It may include cravings, loss of control, physical dependence, withdrawal symptoms, or continued use despite negative consequences.

    02

    What is prescription drug misuse?

    Prescription drug misuse means taking medication in a way other than prescribed. This may include taking higher doses, using someone else’s prescription, mixing medications with other substances, or using medication to get high.

    03

    Which prescription drugs are commonly misused?

    Commonly misused prescription drugs include opioids, stimulants, benzodiazepines, sedatives, and tranquilizers. Examples include OxyContin, Percocet, morphine, fentanyl, Adderall, Ritalin, Concerta, Valium, and diazepam.

    04

    Do I need detox for prescription drug addiction?

    Some people need detox, especially if they experience withdrawal symptoms or use opioids, benzodiazepines, sedatives, or multiple substances. A clinical assessment can help determine the safest level of care.

    05

    What treatment options help with prescription drug abuse?

    Treatment may include detoxification, CBT, group therapy, individual therapy, family therapy, outpatient treatment, inpatient treatment, medication-assisted treatment for opioid use disorder, support groups, and aftercare.

    06

    Can SOBA help with prescription drug addiction and mental health?

    Yes. SOBA helps adults with prescription drug addiction, substance use disorder, co-occurring mental health disorders, withdrawal concerns, relapse prevention, and recovery planning.

    Find A Safer Way Forward

    If your relationship with prescription drugs has changed into something that is impairing your health, relationships, job, or functioning, SOBA can help. Our team supports adults struggling with prescription drug addiction and can provide services to help you manage withdrawal symptoms, cravings, and any co-occurring mental health disorders that present with it.

    Whether you are looking for treatment for prescription drug abuse, support after detox, or help for a loved one, you do not have to figure it out alone.

    Reach out to SOBA New Jersey today to speak with an admissions specialist and learn how prescription drug addiction treatment can help you take the next step.

    Sources

    [1] National Institute on Drug Abuse. (2018, June 6). Understanding drug use and addiction. https://nida.nih.gov/publications/drugfacts/understanding-drug-use-addiction 

    [2] [3] [4] Substance Abuse and Mental Health Services Administration. (2024). Key substance use and mental health indicators in the United States: Results from the 2023 National Survey on Drug Use and Health. U.S. Department of Health and Human Services. https://www.samhsa.gov/data/sites/default/files/reports/rpt47095/National%20Report/National%20Report/2023-nsduh-annual-national.pdf

    [5] Mayo Clinic. (2022). Prescription drug abuse: Diagnosis and treatment. https://www.mayoclinic.org/diseases-conditions/prescription-drug-abuse/diagnosis-treatment/drc-20376818

    [6] National Institute on Drug Abuse. (2026). How can prescription drug addiction be treated? National Institutes of Health. https://nida.nih.gov/publications/research-reports/misuse-prescription-drugs/how-can-prescription-drug-addiction-be-treated

    [7] National Institute on Drug Abuse. (2026, March 6). Overview: Misuse of prescription drugs. https://nida.nih.gov/publications/research-reports/misuse-prescription-drugs/overview