He started using opiates before he got out of high school, and on opiates, he is symptom free.
When we realized what was going on, we cut off his supply & he started the suboxone treatment.
That lasted for probably 6 years, but he came to hate it - it’s very hard on your body.
He used benzos along with the suboxone - prescribed - but I’m sure he became dependent on it.
Those 2 drugs kept him out of active psychosis until this year when he tried to come off them faster than recommended - along with stopping his Zyprexa.
A few days before his first hospitalization this year, he stopped them both cold turkey. He never had any physical withdrawal symptoms, but combined, he was thrown into psychosis and lost his insight. The treatment providers know about all this, and they had already transferred him in his outpatient program (not his suboxone dr) from substance abuse to the medical unit. Their opinion was that the substance abuse was very secondary to his psychosis after about 6 months of evaluation.
To be honest, if he felt normal, I do not think he would be more than a social drinker, maybe not even that.
When I say at any turn, I mean that’s when his mental health is acting up. I have literally lost track of all the prescription drugs they have tried over the years with varying results, but he will say the only thing that ever worked was the opiates - and because he can’t get the opiates he wants, he tries what ever else he can get, which isn’t very much. We’ve talked about it at length and honestly, because I know enough drug addicts that I know when it’s the addiction talking & I call him on it, and I truly believe he is trying to feel normal rather than high.
He’s chasing that comfortable feeling where everything was OK and he didn’t worry about every little thing. That’s the way “normal” people feel pretty often and how he never felt, no matter how good things were going.
Sorry if that doesn’t explain it well enough because it’s complicated. I’m not in denial, but it’s where I am right now. I have no doubt that on his own, on the streets, with money & a contact, he would be a heroin addict.
However, this new intensive program will also adjust any substance abuse issues as well, so I’m once again hoping for the best and preparing for disappointment.