Meg, 23

Diagnosed with moderate opioid use disorder

Hasenpfeffer Incorporated

Meg recalls always feeling like a loner, and was not engaged in healthy, prosocial activities throughout childhood and adolescence. In high school she began using alcohol and marijuana, the usage of which increased steadily over the years.

She initiated opioid use with stolen pain relievers at twenty-one, and quickly progressed to using heroin twice a day to stave off withdrawal symptoms. Six months into her opioid usage her parents learned about her substance use and implored her to initiate treatment.

Meg went to an inpatient detox facility, but, suffering from post-acute withdrawal syndrome and with no aftercare plan in place, began using heroin again immediately upon her release.

She suffered an opioid overdose, was revived with naloxone and transported by EMS to the Emergency Department.

The ED physician assessed her and initiated buprenorphine induction with a rapid referral to a local medication assisted treatment provider for ongoing care, while a peer recovery coach supported Meg and helped her to engage in an intensive outpatient program.

Meg thrived in the different levels of addiction treatment, and after eighteen months expressed desire to slowly taper off buprenorphine. Once the taper was complete she initiated extended-release naltrexone, and remains engaged in 12-step recovery support.



Intensive Outpatient Program (nine months)
Cognitive Behavioral Therapy (three years)


Buprenorphine (eighteen months)
Extended-release naltrexone (one year)

Recovery Support

Narcotics Anonymous (ongoing)