“Working as a substance abuse counselor is challenging, yet rewarding work. Working as a substance abuse counselor in a setting that offers methadone maintenance therapy is a special challenge, given the prevalence of common misinformation surrounding methadone as opioid replacement therapy. Nevertheless, as our patients and staff can attest, it is a valid, legal and effective tool to be used on the road to abstinence and sobriety, and methadone clinics need substance abuse counselors who understand addiction, relapse and recovery. We need counselors who can articulate the efficacy of methadone and educate patients, their families, and the general public about its usefulness in harm reduction. This is a special challenge that includes educating other substance abuse counselors in the field, as well as doctors, and mental health and social service professionals, who don’t always understand how methadone works. Methadone is a tool that allows patients to hold jobs, attend school, care for children, and meet other responsibilities. We need counselors who believe in this treatment and can educate others, so that we can continue to facilitate a widespread attitude of increasing acceptance of methadone as a legitimate and effective treatment modality for opiate addicts. For some, we are their last hope.”

LYNN SIKOSKI, M.ED.
Treatment Services Coordinator

Concord Metro Treatment Center
Concord, New Hampshire