In the battle against addiction, one of the most effective and research-backed approaches is medication-assisted treatment, also known as MAT. By combining FDA-approved medications with counseling and behavioral therapies, MAT can help people restore stability, ease cravings, and rebuild their lives after addiction. But one question remains on the minds of many in recovery and treatment circles: should you use medication-assisted treatment long-term?
The answer isn’t a straightforward yes or no. Whether to continue or stop MAT will vary based on the individual, their health needs, and their long-term recovery goals. At Seven Arrows Recovery, we understand that recovery looks different for everyone, and whether you stay on MAT for months, years, or longer, your efforts and commitment to healing matter most.
Why Medication-Assisted Treatment Exists
MAT exists to help individuals overcome the physical and psychological challenges of addiction. It reduces withdrawal symptoms and cravings and allows people to focus on their mental health, relationships, and rebuilding a sober life. For example, people recovering from opioids may benefit from methadone, buprenorphine (Suboxone), and naltrexone. To treat alcohol use disorder, disulfiram, acamprosate, and naltrexone are common MAT medications.
These drugs do not simply swap one addiction for another. They work with the body and brain to restore balance, block the euphoric effects of drugs or alcohol, and allow individuals to move forward with recovery. MAT can often mean the difference between relapse and long-term success.
The Benefits of Long-Term MAT Use
MAT use can help people make the transition from addiction to a stable recovery and provide a foundation for ongoing abstinence and sobriety. Some will use MAT medications for a few months and taper off. For others, long-term use is essential. Here are some specific benefits:
1. Longer Lasting Recovery and Reduced Risk of Relapse
Studies have repeatedly found that those who take MAT medications long-term have lower relapse rates. Addiction alters the chemistry of the brain, and long-term treatment helps restore balance while providing people the time and support necessary to learn coping skills and lifestyle changes that prevent relapse.
2. Better Mental and Physical Health
Long-term MAT can also help with co-occurring conditions like depression, anxiety, or post-traumatic stress disorder, which often accompany and perpetuate substance use. MAT also reduces the stress on the body and mind that comes with relapse and withdrawal, allowing individuals to focus on overall wellness and emotional healing.
3. Improved Quality of Life
Stability is a crucial element of recovery. Long-term MAT can help people stay employed, rebuild family and social relationships, and move forward with personal goals. It allows people to function in their communities and take care of themselves without constantly battling cravings or withdrawal symptoms.
4. Option for Gradual Tapering
When the time is right, a gradual taper under medical supervision can reduce or eliminate medications with minimal discomfort. Long-term MAT use can provide options for people in recovery, allowing them and their providers to determine when it is safe and appropriate to reduce or stop medication.
The Downside of Long-Term MAT Use
MAT use is not always without some side effects and risks. It’s important to be aware of potential downsides—not because they mean MAT won’t work for you—but so you can weigh pros and cons when making decisions about your treatment plan.
1. Physical Dependence
Physical dependence is a real risk for long-term MAT, as medications like methadone and buprenorphine are opioids that the body gets used to over time. If an individual were to suddenly stop taking medication, they would likely experience withdrawal symptoms. This is why MAT is most effective under medical supervision.
2. Stigma from the Wider Community
There is still some stigma in the community regarding MAT, and unfortunately, even in recovery circles. A common misconception is that a person on MAT is not truly “clean” or “sober.” Nothing could be further from the truth. MAT is a medically recognized addiction treatment modality and is supported by all major health organizations, including SAMHSA and the World Health Organization. However, this does not mean others may not judge you, which can make your recovery more difficult.
3. Side Effects
Any medication comes with potential side effects. In the case of MAT, some people experience constipation, drowsiness, or side effects to mood and libido. Most people can manage these side effects, and for many, they are preferable to ongoing drug or alcohol use. Still, it’s essential to be informed and work with your healthcare provider to manage side effects.
4. Possibility for Misuse
MAT medication can, in some cases, be misused or abused, although it’s extremely rare when taken under medical supervision. Strict monitoring and control of MAT are essential to mitigate misuse, which is why structured programs like Seven Arrows Recovery are vital.
Determining What MAT Use Is Right for You
No two recovery journeys are the same, which means what MAT use is right for you will also be unique to your circumstances. Some people need the stability of long-term MAT use, while others may taper and stop taking medication as part of their journey. Both options represent successful recovery in their own right.
MAT should always be a collaborative decision between the individual, their medical providers, and their mental health and therapy team. A person’s physical health, emotional preparedness, and overall quality of life should be considered before making any changes to a treatment plan.
Our goal at Seven Arrows Recovery is to help people understand that recovery isn’t about being perfect. As long as you are working toward healing and personal growth, you are in recovery, whether that path includes medication for six months or six years.
Supportive MAT Options at Seven Arrows Recovery
Whether you or someone you love is considering MAT or is unsure about what long-term recovery options are best for you, Seven Arrows Recovery is here to help. Our team offers evidence-based MAT programs, individualized care, and continued support to veterans, first responders, and anyone who wants to break the hold of addiction for good.
We work with you to create a treatment plan that supports your recovery goals and honors your unique journey, helping you build a stable, peaceful life. Recovery is possible—and you don’t have to go it alone.
Contact Seven Arrows Recovery today to learn more about our MAT options and begin the first step on your long-term recovery journey.
