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Signs and Symptoms of Opioid Addiction: Risks, Effects & Treatment

woman showing signs and symptoms of opioid addiction

Opioid addiction is a serious, life-threatening condition that affects millions worldwide. Identifying the signs and symptoms of opioid addiction is essential for early intervention. Opioids—including oxycodone, morphine, codeine, and heroin—alter brain chemistry by triggering a surge of endorphins, leading to euphoria and pain relief. However, continued opioid use increases tolerance and dependence, making addiction highly likely.

Understanding how opioid addiction develops is crucial to recognizing when casual use transitions into dependency.

Risk Factors for Opioid Addiction

Opioid addiction results from a combination of genetic, environmental, and psychological factors. Some individuals become addicted after being prescribed pain medication, while others are influenced by their surroundings or underlying mental health conditions.

Common Risk Factors:

  • Prescription opioid use after an injury or surgery
  • Family history of substance use disorder or mental illness
  • Exposure to trauma, PTSD, or chronic stress
  • Mental health disorders, such as anxiety, depression, or bipolar disorder
  • Low socioeconomic status and limited healthcare access
  • Social influences, including peer pressure or environments where opioid use is common

Distinguishing opioid dependence from addiction is key, as not everyone who takes opioids develops a substance use disorder.

The Effects of Opioid Addiction

The consequences of opioid addiction can be devastating, affecting nearly every aspect of a person’s life. Many individuals experience:

  • Job loss or declining performance at work
  • Strained relationships with family and friends
  • Financial instability due to spending on opioids
  • Health complications, including respiratory issues, heart problems, and infectious diseases like HIV/AIDS
  • Overdose, which can be fatal without immediate intervention

Medication-assisted treatment (MAT) has proven effective in managing withdrawal symptoms and reducing opioid cravings.

Signs and Symptoms of Opioid Addiction

Behavioral Symptoms

  • Missing work, school, or social activities
  • Lying about pain levels to obtain more opioids
  • Stealing medications or money
  • Visiting multiple doctors for additional prescriptions (doctor shopping)
  • Isolating from friends and family

Psychological Symptoms

  • Severe mood swings and irritability
  • Unprovoked aggression or paranoia
  • Increased anxiety or depressive episodes
  • Emotional numbness or lack of motivation

Cognitive Symptoms

  • Difficulty concentrating or making decisions
  • Impaired memory and slowed thinking
  • Poor judgment and lack of awareness

Physical Symptoms

  • Pinpoint pupils (abnormally small pupils)
  • Drowsiness and poor motor coordination
  • Gastrointestinal issues, including nausea, vomiting, and constipation
  • Injection marks or sores from intravenous drug use
  • Neglecting personal hygiene or significant weight changes

Recognizing these symptoms can help determine when a person may need professional help. Understanding how to support someone with opioid addiction can be a critical first step.

bottle of opioids

Treatment Options for Opioid Addiction

Effective treatment for opioid addiction includes a combination of medication, therapy, and structured rehabilitation programs.

  • Medication-assisted treatment (MAT) with FDA-approved medications like methadone, buprenorphine, or naloxone
  • Behavioral therapy, including cognitive-behavioral therapy (CBT) and contingency management
  • Inpatient and outpatient rehabilitation programs, which provide structured care based on individual needs
  • Harm reduction strategies to prevent overdose and other health complications

More details on opioid addiction treatment approaches can help individuals and families make informed decisions.

Get Help Today at Vanguard Behavioral Health

Opioid addiction can feel overwhelming, but recovery is possible. At Vanguard Behavioral Health, we offer personalized inpatient and outpatient opioid treatment in Tucson, AZ, and Albuquerque, NM. Our expert team provides evidence-based care in a compassionate, supportive environment.

Take the first step toward recovery—contact Vanguard Behavioral Health today.

References

American Psychiatric Association. (2021). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: American Psychiatric Publishing.

Centers for Disease Control and Prevention. (2023). Understanding the opioid overdose epidemic. Retrieved from https://www.cdc.gov/opioids/basics/epidemic.html

National Institute on Drug Abuse. (2023). Opioid overdose crisis. Retrieved from https://nida.nih.gov/research-topics/opioids/opioid-overdose-crisis

Substance Abuse and Mental Health Services Administration. (2022). Medications for opioid use disorder (MOUD). Retrieved from https://www.samhsa.gov/medications-substance-use-disorders

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Joshua Peralta Primary Therapist
Joshua Peralta is a Licensed Master Social Worker. He graduated from New Mexico State University with a Master of Social Work in 2024. He has been working in the recovery field for 3 years. Joshua has a passion for walking along the path of recovery with his clients and trying to contribute to a better New Mexico. He is married, loves to hike, be outdoors, and has four children.