Table of Contents

Medical Reviewer
Hillary Nolan, PMHNP-BC, Medical Director
Author
Matt Otto, LCADC, Program Director
Kentucky faces a devastating opioid crisis, with around 1,400 overdose deaths reported in 2024 alone—nearly 62% of those involving fentanyl. But here’s what matters most: recovery is possible, and you don’t have to walk this path alone.
At Roaring Brook Recovery, we specialize in compassionate, evidence-based opiate addiction treatment that addresses both the physical and emotional layers of dependency.
Understanding your addiction is the first step toward healing. Keep reading to learn about how opiates affect the brain and body, our personalized treatment approach, and what makes our opiate treatment in Lexington, KY, different.
Understanding Opiate Addiction
The term opiate is often used interchangeably with opioids, though opiate specifically refers to the chemical compounds that are naturally derived from the opium poppy plant. In contrast, opioids refer to the synthetic compounds that are produced in a lab. The term narcotic typically refers to either type of drug.
These substances interact with your brain’s reward system, progressively rewiring your brain’s chemistry. Opiates include:
- Opium
- Morphine
- Codeine
- Heroin
The synthetic opioids include both prescription painkillers and illicit drugs like:
- Oxycodone (OxyContin, Percocet)
- Hydrocodone (Vicodin, Norco)
- Hydromorphone (Dilaudid)
- Fentanyl (50-100x stronger than morphine)
- Carfentanil (extremely potent veterinary drug)
These substances bind to opioid receptors in the brain, spinal cord, and digestive system, providing pain relief but also creating intense euphoria. What often begins as legitimate pain management or experimental use can quickly spiral into dependency.
Recognizing the Signs of Opiate Addiction
Addiction manifests in three key ways: physical, behavioral, and psychological. Here are some of the signs to look for:
Physical signs often include:
- Frequent flu-like symptoms (withdrawal).
- Track marks or infections (if injecting).
- Slowed breathing and heart rate.
- Noticeable weight loss.
Behavioral change might look like:
- “Doctor shopping” for multiple prescriptions.
- Financial problems due to drug spending.
- Neglecting work, school, or family obligations.
- Social withdrawal from non-using friends.
- Risky behaviors to obtain drugs.
Psychological symptoms can appear as:
- Cravings that dominate thoughts.
- Continued use despite negative consequences.
- Loss of interest in former hobbies.
- Defensiveness about drug use.
At Roaring Brook Recovery, our opiate addiction treatment program understands these complexities. We don’t just treat the dependency—we help you rebuild a life where opiates no longer control your choices.
The Hidden Dangers of Opiate Use
Opiates pose severe risks that extend far beyond addiction, many of which can develop rapidly, sometimes after just a few uses. These powerful drugs suppress the central nervous system in ways that jeopardize both immediate health and long-term well-being.
Physical Risks
One of the most critical dangers is respiratory depression, where breathing slows to dangerous levels or stops completely. This effect causes the majority of fatal overdoses, particularly when combined with other depressants like alcohol or benzodiazepines. Long-term use also leads to hyperalgesia, a paradoxical condition where patients actually become more sensitive to pain.
Psychological & Neurological Impact
The neurological damage from chronic opiate use is equally concerning. These drugs rewire the brain’s reward system, impairing the prefrontal cortex (responsible for decision-making) while creating dependency on artificial dopamine surges. Many people who use opiates report being unable to experience normal pleasures like food, music, or social connection after prolonged use. Chronic opiate users can also experience an increase in anxiety and depression.
Roaring Brook Recovery addresses these dangers through comprehensive opiate addiction treatment. The sooner treatment begins, the sooner the body and mind can start healing from these profound effects.
Roaring Brook’s Holistic Opiate Addiction Treatment Approach
True healing from opiate addiction requires addressing the whole person—body, mind, and spirit. At Roaring Brook Recovery, we combine clinical expertise with compassionate care through multiple layers of specialized treatment designed for lasting recovery.
Personalized Levels of Care
Whether you’re transitioning from detox or need structured support while maintaining work/family commitments, our programs adapt to your needs:
- Partial Hospitalization (PHP) provides intensive daily therapy for those needing medical stabilization (5 days a week, 4 hours a day).
- Intensive Outpatient (IOP) offers evening groups and individual sessions (12 hours weekly).
- Aftercare that provides support and helps maintain progress.
Cutting-edge Clinical Therapies
We utilize evidence-based therapies in individual and group settings. We complement these talk therapies with medication-assisted treatment (MAT). MAT combines medications with therapy to help support recovery by managing withdrawal and craving. When appropriate, we incorporate FDA-approved medicines like:
- Suboxone (buprenorphine/naloxone) to curb cravings and withdrawal.
- Naltrexone to block opioid effects.
All MAT is carefully monitored and combined with psychotherapy for comprehensive care.
Experiential Healing
We believe recovery happens both in and outside the therapy room. Our Kentucky location allows for:
- Nature therapy, including guided hikes, which research shows reduces cortisol levels and cravings.
- Mind-body practices like trauma-informed yoga and breathwork to regulate the nervous system.
We also provide creative arts therapy sessions that help process emotions when words fail.
Community and Continuity
Recovery thrives on connection. We integrate:
- 12-step facilitation with peer support meetings.
- Sober living for those needing housing support.
- Family therapy to repair relationships and build healthy boundaries.
Every element of our opiate addiction treatment works together to help you rebuild—not just recover.
Why Choose Roaring Brook Recovery for Your Healing Journey?
Overcoming opiate addiction requires more than just treatment—it demands a partnership with clinicians who understand the complex physical, psychological, and emotional layers of recovery. At Roaring Brook Recovery, we’ve built our opiate addiction treatment program around three pillars you won’t find everywhere:
- Personalized care: From medication-assisted protocols to trauma therapies, your treatment plan adapts as you grow.
- Clinical excellence: Our master’s-level team specializes in cutting-edge therapies like ART and neurofeedback.
- Lasting support: With transitional housing and alumni networks, we stay connected long after program completion.
What truly sets us apart is how we treat people, not just addictions. Every therapy session, every hike through our Kentucky landscape, every community meeting is designed to help you rediscover the strength you may have forgotten you had.
Find Relief from Opiate Abuse with Roaring Brook Recovery
Opiate rehab programs are a vital resource for members of our community who are struggling to find the help and guidance they need to heal. For more information on our 12-step rooted recovery programs in Lexington, KY, reach out to our team today.
Your recovery starts with one brave decision. Call us today or visit our website to speak with an addiction specialist about our PHP, IOP, or outpatient programs. Day or night, we’re here to help you take that first step toward freedom.
FAQs About Opiate Addiction Treatment at Roaring Brook Recovery
The acute detox phase typically lasts 5-7 days for short-acting opiates like heroin or oxycodone, and up to 10 days for long-acting opioids like methadone. However, post-acute withdrawal symptoms (PAWS) like fatigue or mood swings may persist for weeks. Our medical team creates personalized tapering plans to maximize comfort and safety throughout the process.
Absolutely. Our intensive outpatient program schedules sessions in the mornings, evenings, and weekends. Many clients maintain full-time employment while attending the required 12 therapy hours weekly. We’ll help design a schedule that fits your commitments.
Relapse doesn’t mean failure—it means your treatment plan needs adjusting. We respond by:
- Medical reassessment (checking for overdose risks)
- Therapy intensification (adding ART or individual sessions)
- Root cause analysis (identifying triggers)
Our team never punishes relapse; we use it as data to strengthen your recovery strategy.