Opioid treatment, Portland, Oregon
Opioid addiction treatment in Portland, Oregon
Opioid addiction can start with a prescription or with street drugs, and it can happen to anyone. Crestview offers a full continuum of care, from residential treatment through outpatient care and aftercare.
Talk with Garrett, Tuni or another member of our admissions team.
Medically reviewed by Medical Director Dave Cundiff, MD, MPH, FASAM · Updated
If someone may be overdosing, call 911 now
Signs include slow or stopped breathing, blue lips or fingertips, pinpoint pupils and not waking up. Naloxone (Narcan) can reverse an opioid overdose. Keep it on hand and follow the instructions that come with it.
What opioid addiction is
Opioids include prescription pain relievers such as oxycodone and hydrocodone, and illicit drugs such as heroin and fentanyl. They relieve pain, but they also change the brain's reward system, which makes misuse and dependence likely with repeated use.
Misuse can mean taking more than prescribed or more often. Addiction means losing control: using continues even as it harms health, work and relationships. Today many street drugs contain fentanyl, which makes every use more dangerous.
Signs and withdrawal
Signs of opioid addiction
Withdrawal can bring muscle aches, sweating, nausea, diarrhea, anxiety, insomnia and strong cravings. It is rarely life-threatening on its own, but it is a common reason people return to using.
How treatment works
Evaluation, medication options, then therapy
Every plan starts with a medical evaluation. Medication-assisted treatment, when it is appropriate, is combined with counseling and therapy.
Medical evaluation
The clinical team reviews health, other substance use and the risk of overdose at intake.
Medication options
Options such as buprenorphine, naltrexone and methadone are discussed with the clinical team, based on the assessment.
Therapy
Individual, group and family therapy, with cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT) and mindfulness skills.
Step-down and aftercare
Partial hospitalization, intensive outpatient, sober living and aftercare protect progress after residential care.
Levels of care
Care that steps down as you progress
Your assessment sets the starting level. Care can move between levels as your needs change.
Residential treatment
Live-in care with around-the-clock support.
Partial hospitalization
Full days of treatment, home or sober living at night.
Intensive outpatient
Several days a week, around work and family.
Sober living
Structured, substance-free housing after treatment.
Detox
Detox is handled by referral
Crestview does not provide medical detox on site. Once a person is medically stable, we welcome them into residential or outpatient care, and admissions helps arrange the detox referral.
How opioids affect the brain
Why opioid addiction is so hard to stop alone
Opioids flood the brain's reward system with dopamine. Over time the brain makes less of its own, so a person needs the drug just to feel normal.
Without it, withdrawal brings muscle and bone pain, nausea, vomiting, insomnia and strong cravings, which is a common reason people return to using.
Tolerance falls quickly after a break from use, so returning to a previous dose carries a high risk of overdose.
Medication saves lives
Why medication matters for opioid use disorder
Research shows that medication for opioid use disorder, such as buprenorphine or methadone, lowers the risk of overdose death and helps people stay in treatment. At Crestview, medication options are discussed with the medical team and combined with counseling and therapy.
For families
Supporting someone using opioids
Families play a big part in recovery.
Keep naloxone on hand
Naloxone (Narcan) can reverse an opioid overdose. Learn how to use it.
Call for them
Family members can call admissions to talk through options for a loved one.
Family therapy
Learn how to support recovery without enabling, and look after yourself too.
Watch
Opioid treatment and medication
Choosing a treatment program, and how medication helps.
Not sure which level of care fits?
Talk it through with Garrett, Tuni or another member of our admissions team. The call is free and confidential, and there is no obligation.
Ask about opioid treatment today
Confidential, no obligation. We will explain the evaluation and the options.
Questions
Common questions
Still have a question?
Garrett, Tuni and the admissions team can answer anything that is not here. Confidential, no obligation.
Call (866) 262-0531Do you offer medication for opioid addiction?
Medication options are discussed with the clinical team as part of your assessment, and combined with counseling and therapy when they are appropriate.
What if I need detox first?
Crestview does not provide detox on site. Admissions helps arrange a detox referral and then welcomes you into treatment once you are medically stable.
What should I do if I think someone has overdosed?
Call 911 right away. Give naloxone if you have it, and stay with the person until help arrives.
What is the difference between opioid misuse and addiction?
Misuse means taking opioids in ways not prescribed, such as higher doses or more often. Addiction is a chronic condition where a person has lost control over use, has strong cravings and keeps using despite serious harm.
How long does opioid treatment take?
It depends on your needs and progress. Many people start in residential care or PHP and step down to intensive outpatient and aftercare, and medication can continue long term.