I see what you mean. I just for some reason am scared of going loony more than anything else, yes even losing everything I have for opiates. However, that will most likely not happen as I have been taking opiates with extreme caution for nearly a decade now, not constantly, obviously. And further more I only now take Tram, occasional vics, rarely oxy's, and VERY rarely dillys. Like holiday type of rare occasion.
(And I've tried nearly every opiate, and yes including IVing which I have only done a handful of times in my whole life, IVing that is, and the times I did IV are very spread out on my timeline.)
As for how I've managed, around 7 years ago at what I consider the most stressful time of my life, I was on the brink of full on addiction, after using oxy's for almost 6 months, but I managed to catch myself, with the help of some friends, and detox by myself and THAT one time of going through those w/ds I grew my respect and caution for opiates. I now, and have been for the past few years, have been taking onyl enough vicoden for my ptefered euphoria occasionally like once a month or maybe even twice. And at the most depressed times I get, which are rare, I will IV AN oxy or dilly If I manage to get one. I've always had a iron grip on myself and always had/have strong self control over myself and I've nearly always have been able to say no to something that I know and understand will only bring negativity into my life. That said at this point I don't even have the urge to take more than my occasional chill out session only a small want to take more that I've learned to shut out completely and have done so successfully for a very long time now. I really hope I don't sound like I'm boasting or being cocky I just want to prove that there are some people, like myself, who can "responsibly" take opiates on occasion for years and managed to stay productive in life while doing so. And also at this point you'd be surprised that these smaller opiates even still work for my tolereance but going a month and more without taking one or two and repeat actually keeps my tolereance significantly low. Yet again I take opiates rarely and only when I feel down, I do instead of drinking heavily or taking risks with New things That could potentially ruin my life. I've managed so far and I plan to keep taking to help me get through my tough times instead of resorting to something more irrational, stupid, dangerous etc.
And yet another reason why this has worked out for me is because a full bottle of vics, oxy's, or tram has lasted me for almost a year.
Again not boasting or trying to sound like an asshole, I know how dangerous opiates are and how you basically gamble when you take them constantly, which is exactly why I started taking them more and more rarely, I would never suggest someone opiates and use my life experience to make it seem ok, like how I manage with them as I have a near decade of careful experience with them and have a strong self control of myself, I would, have not, and never will do this to anyone. The only reason I am even posting this is because I hate people assume that there is now way to carefully take opiates with have a perception-wise successful and productive life. But as I said opiates are not for anyone and I have never suggested for someone to take them, even at what they perceived as a last resort. I really hope I'm not coming off as an arrogant, narcissistic ass but I really wanted to share my success in defeating the demon that is opiate dependence.

(And psychedelics irrationally scare me even with the smallest of chances. Plus they don't seem worth it imo and I don't if I should have to try them just because they're 'safe' , I'm fine without them and happy with my opiate operation I've had going and familiarise with 100% again I fear psychosis more than anything else, including a corrupt life of opiates, that I thankfully have managed to avoid.)