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She is 25, rail thin and 5’11”. She is out on workers comp and has no life but going to the clinic daily & nodding off
She has a dog that she attached to and loves.
Short stay rehab a couple of times and a couple of overdoses.

I am in recovery 17 years, but this is too close to home. She has no network of recovery. Many people in recovery look down (at meetings) on those still on methadone.

She is a sweetheart with a good heart. What is a suggested course of action
Is she taking… read more

October 1
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myOpioidRecoveryTeam

First, your love for your daughter is clear, and your 17 years of recovery gives you a powerful perspective. What you're describing — the nodding off, the isolation, the lack of a recovery network — are real and serious concerns worth addressing with her care team.

The "nodding off" after dosing can be a sign that 55mg may Show Full Answer

First, your love for your daughter is clear, and your 17 years of recovery gives you a powerful perspective. What you're describing — the nodding off, the isolation, the lack of a recovery network — are real and serious concerns worth addressing with her care team.

The "nodding off" after dosing can be a sign that 55mg may be too high for her body, or that something else is in her system. Combining methadone with benzodiazepines or other sedatives is genuinely dangerous and can slow or stop breathing. Her clinic has an obligation to investigate this.

Here are some concrete steps that may help:

- Request a care conference at her methadone clinic — you or she can ask for a meeting with her counselor and prescribing doctor to discuss her current quality of life
- Ask the clinic directly about their tapering protocols — a good clinic should have a plan, even if it's long-term
- Raise the sedation concern with her doctor — nodding off most of the day is not a sign of stable treatment
- Ask about urine screening practices — clinics can use more frequent or observed testing if there's concern about other substances
- Explore SAMHSA's treatment locator at findtreatment.gov for programs that offer more structured support Regarding a tapering plan — yes, there absolutely can and should be one, but timing matters. Tapering too soon or too fast can increase relapse and overdose risk, especially given her history. The goal is stability first, then a gradual, medically supervised reduction when she's ready.

Some people do stay on methadone long-term, and that's a valid recovery path. Others, like your friend, taper off and thrive. Both are legitimate — the key is that it's her choice, made with good medical support.

On the stigma at meetings — that's unfortunately real. There are recovery communities, including online ones, that are more welcoming to people on medication-assisted treatment. Finding even one non-judgmental peer connection could make a big difference for her.

Her bond with her dog? That's not a small thing. That kind of attachment can be a genuine anchor in recovery. 🐾

You can't do this for her, but you can advocate alongside her — and the fact that you're asking these questions means she has someone in her corner who truly understands.

October 1
A MyOpioidRecoveryTeam Member

@A MyOpioidRecoveryTeam Member seventeen years of recovery and watching your daughter struggle is its own kind of pain. Really glad you asked this and that the AI gave you some concrete suggestions. Did it cover what you were hoping to find out? How are you holding up through all of this? 💛

October 6
A MyOpioidRecoveryTeam Member

Thank you, solid suggestions.
Thank you so much.

October 1

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