Episode 89 | Understanding Opioid Use, Risk & Recovery

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This episode explores opioids through a behavioral health lens, with attention to pain, prescription opioid use, opioid misuse and opioid use disorder, diversion, overdose risk, and recovery. The discussion distinguishes tolerance and physical dependence from addiction, reviews signs of problematic opioid use, and examines how stigma, bias, prescribing practices, and inequities in pain treatment can shape clinical care.

The course also addresses the changing opioid landscape, including illicitly manufactured fentanyl, counterfeit pills, polysubstance use, naloxone, fentanyl test strips, and other harm-reduction strategies. Treatment approaches for opioid use disorder are reviewed, including methadone, buprenorphine, extended-release naltrexone, contingency management, motivational interviewing, CBT, ACT, DBT, peer support, and recovery resources. Throughout, the focus remains on what behavioral health clinicians need to recognize, assess, discuss, and respond to within their scope of practice.