Well it?s been a weird week. Posted a bit in blog but figured this spot here is a little more steady.
started a new position at a place I?ve always dreamed at working at/have done some work with them before, and was super nervous. First two days were ok and the subs were holding me, but I ended up only having 5 hours off (3 with commute) between the second day and third (today) to sleep as it was time sensitive, so yeah I just threw the towel in and skipped my sub dose and used. Not sure I felt it but I regret it now. Guess I have to pick it up again. Feeling dumb. Was so stressed last night I think I only slept 30 minutes despite ambien and 2mg Xanax and a bath and every trick in the book.
Hate the fear.
What is your taper plan like? It would be helpful if you posted your plan here so we have a better idea what you're trying to accomplish with it.
It sounds like your work is really taking a toll in terms of your energy.
Try not to be too hard on yourself about using. I mean, it is disappointing when I slip up like that, but to put it in perspective it's far from the end of the world. The most damaging part about slipping I find is that it fucks up my mood - either the effects of the drug use directly impacts my mood negatively, or the way I feel disappointed about slipping up tanks my mood.
If you have been slipping up recently, that's a really good sign you might explore (1) putting your taper on hold until you're more stable not using, especially given the toll your work schedule is taking on you, (2) consider increasing your dose, again to help you stabilize and deal with the fatigue of your current work schedule, and (3) think about planning ahead longer term, making a two-three year plan as opposed to a 2-6 month plan.
Unless it's absolutely unavoidable, I never recommend someone go ahead with an ORT taper if they have been struggling with avoiding slipping up with other opioid use. Having at least a month of no slip ups is probably a good idea before trying to continue tapering. Really having three months is much more preferable, but a month is still pretty good (as most people like to rush getting off ORT whenever possible
).
Look ahead to two or three years, you can identify where you feel you will need to be in order to have the best chances of coming off buprenorphine. So that could include having a more manageable work schedule, organizing outpatient treatment support, establishing a good supportive relationship with a one on one therapist, getting yourself physically healthy, and exploring your mental health and self care via more holistic approaches.
Then you can plan out what it will take to accomplish each of those things in terms of concrete steps. Sort of like "hey this is the place I want to be with my recovery down the road" (it's good to be flexible about the time line, I mean 2-3 years is only a first estimate, you'll probably have to make some adjustments as time goes on) and then work backwards to figure out what you can do now to orient around a path that maximizes your chances of success getting where you want to be (in recovery, but also life).