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Coping With Opiate Cravings

Updated: Jul 1


Here are some proven techniques for coping with opiate cravings, both immediate strategies and long-term approaches. These are often used in recovery programs and therapy, especially alongside medications like Suboxone.

šŸ”¹ Immediate Strategies (When a Craving Hits)

1. Delay – ā€œUrge Surfingā€

  • Cravings usually peak and fadeĀ within 15–30 minutes.

  • Don’t fight it or give in — observeĀ it like a wave you’re riding until it passes.

  • Say to yourself: ā€œThis feeling is temporary. I don’t have to act on it.ā€

2. Distraction

  • Do something physical or engaging to shift your focus:

    • Go for a walk

    • Take a cold shower

    • Call someone supportive

    • Play a game or watch a movie

    • Clean a room or organize something

  • Distraction helps break the cycle of obsession.

3. Deep Breathing or Grounding

  • Use a breathing technique (e.g., inhale 4 seconds, hold 4, exhale 6).

  • Or try grounding:

    • 5-4-3-2-1: Name 5 things you see, 4 you feel, 3 you hear, 2 you smell, 1 you taste.

  • These reset the stress response and bring you back to the present.

4. Call or Text Someone

  • Cravings grow stronger in isolation.

  • Reach out to a sponsor, friend, or recovery group member and talk honestly.

  • Even saying "I'm craving right now" helps reduce its power.

šŸ”¹ Long-Term Strategies (Prevent Future Cravings)

1. Identify Triggers

  • Keep a journal of when cravings happen — note the time, place, feelings, and thoughts.

  • Look for patterns (e.g., stress, boredom, certain people or places).

  • Once identified, plan how to avoid or copeĀ with those triggers.

2. Routine and Structure

  • A stable daily routine reduces uncertainty and boredom — two major craving triggers.

  • Schedule your day with meals, movement, meetings, and rest.

3. Exercise

  • Regular physical activity reduces stress, boosts mood, and supports brain healing.

  • Even walking daily can reduce cravings over time.

4. Recovery Support

  • Attend support groupsĀ (e.g., NA, SMART Recovery, Refuge Recovery).

  • These provide connection, accountability, and practical coping tools.

  • Consider working with a therapist, especially one trained in addiction treatment.

5. Nutrition and Sleep

  • A balanced diet and consistent sleep support emotional stability and brain repair, making cravings easier to manage.

šŸ”¹ If You’re on Suboxone

Suboxone can reduce cravings significantly, but cravings can still happen — especially if:

  • You’re under stress

  • Your dose is too low

  • You're exposed to strong triggers

If you're still having strong cravings while on Suboxone, talk to your prescriber about:

  • Adjusting the dose

  • Adding therapy

  • Checking for underlying depression or anxiety

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