Joshua Rivera

Tianeptine is an unapproved drug sometimes sold in gas stations, smoke shops, and online. It has opioid-like effects at high doses and has been linked to dependence, withdrawal, overdose, and serious harm.

Medetomidine is a potent veterinary sedative increasingly detected in the illicit fentanyl supply. It can cause profound sedation, slow heart rate and blood pressure, and severe withdrawal when regular exposure stops.

Xylazine is a non-opioid veterinary sedative increasingly found in illicit fentanyl. It can deepen sedation, slow breathing, lower blood pressure, and contribute to severe wounds and overdose risk.

Nitazenes are highly potent synthetic opioids increasingly detected in illicit fentanyl, heroin, and counterfeit pills. Their hidden presence can sharply increase overdose risk.

Shared decision-making is a collaborative process in which clinicians and patients review treatment options, evidence, risks, benefits, goals, preferences, and circumstances together before choosing a care plan.

SBIRT stands for Screening, Brief Intervention, and Referral to Treatment, a public-health approach used to identify risky substance use early, provide brief counseling, and connect people who need more care with specialty addiction treatment.

Measurement-based care is a structured approach that uses repeated standardized measures to track symptoms, cravings, functioning, treatment response, and other outcomes so clinicians and patients can adjust care based on change over time.

Care coordination in addiction treatment is the organized communication and planning that connects substance use treatment with medical care, mental health services, medications, housing, insurance, recovery support, and transitions between levels of care.

You may be able to transfer from one rehab center to another, but the receiving program must assess your current needs, confirm eligibility, coordinate records and medications, and address insurance authorization before the transfer is complete.

Contingency management is a behavioral treatment that provides structured, tangible reinforcement for meeting specific recovery goals such as stimulant abstinence or treatment attendance.