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Addiction Treatment Services in Maine

Substances We Treat

Portland Treatment provides outpatient addiction treatment for people struggling with alcohol, opioids, stimulants, benzodiazepines, kratom, prescription medications and other substances.

Located at 6 Digital Drive in Biddeford, Maine, Portland Treatment is a Maine DHHS-licensed outpatient substance use and co-occurring mental health treatment provider. Our directly provided programs include partial hospitalization (PHP), intensive outpatient treatment (IOP), outpatient care, sober living and medication-assisted treatment continuation and clinical support. When medical detoxification or inpatient/residential treatment is needed first, we coordinate referral to an appropriate outside provider.

Addiction does not always fit neatly into one drug category. Some people are primarily struggling with one substance. Others use several substances together, have moved from one drug to another over time, or are dealing with newer products that do not fit the traditional idea of an illicit drug.

Our admissions team can help you understand what type of treatment may be appropriate based on what you are using, how frequently you are using it, withdrawal risk, your physical and mental health, and your current level of stability.

Addiction Treatment for Different Types of Substance Use

Portland Treatment treats a range of substance use disorders rather than limiting care to one specific drug.

Alcohol

Alcohol use disorder can range from patterns of drinking that are beginning to interfere with someone’s health, relationships or responsibilities to severe physical dependence.

Treatment can address:

  • Compulsive or uncontrolled drinking

  • Repeated unsuccessful attempts to cut back

  • Alcohol cravings

  • Drinking despite consequences

  • Relapse after previous periods of sobriety

  • Alcohol use alongside anxiety, depression or trauma

  • Alcohol use with other substances

Some people with alcohol dependence require medical detoxification before beginning outpatient treatment because alcohol withdrawal can become medically dangerous. Portland Treatment does not provide medical detox onsite but can help coordinate appropriate withdrawal-management care when it is necessary before PHP, IOP or outpatient treatment.

Opioids

Opioid addiction can involve illicit opioids, prescription pain medications or a combination of both.

Portland Treatment works with people struggling with opioid use involving substances such as:

  • Heroin

  • Fentanyl

  • Oxycodone

  • Hydrocodone

  • Morphine

  • Other prescription opioids

Treatment may include therapy, relapse-prevention planning, co-occurring mental health treatment and medication-assisted treatment continuation or coordination when clinically appropriate.

Heroin

Heroin can produce significant physical dependence, cravings and a persistent cycle of use and withdrawal.

Treatment focuses not only on stopping heroin use but also on understanding triggers, rebuilding stability and developing strategies that support continued recovery.

Fentanyl

Fentanyl has become an especially important part of opioid addiction treatment because people may knowingly use fentanyl or encounter it in a broader illicit drug supply.

Someone seeking treatment for fentanyl use may need withdrawal management or other medical stabilization before beginning outpatient programming.

After stabilization, PHP, IOP or outpatient treatment can provide continued clinical support for the behavioral, emotional and psychological components of opioid use disorder.

Prescription Painkillers

Dependence and addiction can also develop around medications originally prescribed for legitimate medical reasons.

Portland Treatment provides care for problems involving prescription opioids such as:

  • Hydrocodone

  • Oxycodone

  • Morphine

  • Other opioid pain medications

A person does not need to have used heroin or illicit fentanyl for opioid use to become a serious concern.

Benzodiazepines

Benzodiazepines are prescription medications commonly used for conditions such as anxiety, panic and insomnia.

Problems can develop when someone becomes physically dependent, takes more medication than intended, has difficulty reducing use or begins using benzodiazepines outside medical guidance.

Portland Treatment provides treatment for benzodiazepine-related substance use concerns, including problems involving medications such as:

  • Ativan

  • Valium

  • Other benzodiazepines

Physical dependence and addiction are not identical. Someone can become physically dependent on a benzodiazepine even when initially taking the medication as prescribed. Treatment should account for the person’s medication history, current use, mental health and withdrawal risk.

Do not abruptly stop benzodiazepines without appropriate medical guidance. Withdrawal can require medical management. If detoxification or a higher level of medical care is needed, Portland Treatment can coordinate a referral before outpatient treatment begins.

Kratom, 7-OH and Emerging Kratom-Derived Products

Kratom-related substance use has changed considerably as increasingly concentrated extracts and isolated or modified alkaloid products have entered the market.

Portland Treatment works with people struggling with:

  • Traditional kratom

  • Kratom extracts

  • 7-hydroxymitragynine (7-OH)

  • MGM-15

  • Pseudoindoxyl-containing products

  • Other emerging kratom-derived or opioid-like products

Some people begin using these products recreationally. Others begin using kratom while trying to manage pain, anxiety, opioid withdrawal or cravings and eventually find that they have developed another pattern of dependence.

Portland Treatment’s existing kratom program specifically addresses kratom, concentrated extracts, 7-OH, MGM-15, pseudoindoxyl and related substance-use concerns.

Because newer products can differ substantially in strength and composition, treatment begins by understanding what product is actually being used, how much, how often and what happens when the person tries to stop.

What About Tianeptine and “Gas Station” Products?

Portland Treatment can also assess problems involving tianeptine and other emerging products with opioid-like effects, particularly when use is connected to previous opioid addiction, withdrawal avoidance or polysubstance use.

If you do not recognize the substance you or your loved one is using—or it was sold under a brand name rather than a familiar drug name—contact admissions and tell us what you know about the product.

Cocaine

Cocaine is a stimulant that can produce intense reinforcement, cravings and repeated cycles of use despite negative consequences.

Treatment for cocaine addiction may address:

  • Cravings

  • Binge-use patterns

  • Emotional triggers

  • Sleep disruption

  • Depression or anxiety associated with use

  • Social or environmental triggers

  • Cocaine use alongside alcohol or other drugs

  • Relapse prevention

Outpatient addiction treatment can provide structure while helping clients understand the behaviors and circumstances that maintain stimulant use.

Methamphetamine

Methamphetamine use can significantly affect a person’s sleep, mood, judgment, relationships and ability to maintain stability.

Recovery often requires more than simply waiting for the immediate effects of the drug to wear off.

Treatment may focus on:

  • Cravings

  • Compulsive use

  • Changes in sleep and daily routines

  • Depression and anxiety

  • Emotional regulation

  • Stimulant-related triggers

  • Rebuilding healthy routines

  • Relapse prevention

  • Co-occurring mental health symptoms

Portland Treatment offers a dedicated methamphetamine addiction treatment resource within its current substance-use treatment structure.

Prescription Stimulants

Prescription stimulants such as Adderall and Ritalin have legitimate medical uses, but they can also become problematic when taken differently than prescribed or used compulsively.

Someone may need help when they:

  • Consistently take more than prescribed

  • Run out of medication early

  • Use stimulants to stay awake or increase productivity

  • Obtain medication from multiple sources

  • Feel unable to function without the drug

  • Experience cravings or compulsive use

  • Continue using despite physical or mental health consequences

Treatment should distinguish between appropriate prescribed medication use, physical effects associated with medication and a substance use disorder.

Portland Treatment currently maintains treatment resources for both prescription stimulant addiction generally and individual medications including Adderall and Ritalin.

Marijuana

Cannabis use does not result in the same pattern of addiction for everyone, but some people develop a cannabis use disorder characterized by difficulty controlling use despite negative effects.

Treatment may be appropriate when marijuana use begins affecting:

  • Motivation

  • Work or school

  • Relationships

  • Mental health

  • Daily responsibilities

  • Sleep

  • Finances

  • Attempts to remain abstinent from other substances

Some people also enter treatment because marijuana has become part of a broader pattern involving alcohol, stimulants, opioids or other drugs.

Prescription Drug Addiction

Prescription drug addiction is not limited to one medication category.

Problems can develop around:

Prescription Opioids

Including:

  • Hydrocodone

  • Oxycodone

  • Morphine

  • Other opioid pain medications

Prescription Stimulants

Including:

  • Adderall

  • Ritalin

  • Other stimulant medications

Benzodiazepines and Sedatives

Including:

  • Ativan

  • Valium

  • Other benzodiazepines

A prescription does not automatically make a medication harmless, but taking a controlled medication appropriately also does not automatically mean someone has an addiction.

Our clinical team looks at the pattern of use and its consequences, not simply whether a substance originated from a pharmacy.

Stimulant Addiction

Stimulant use disorders can involve both illicit and prescription drugs.

Examples include:

  • Cocaine

  • Crack cocaine

  • Methamphetamine

  • Adderall

  • Ritalin

  • Other amphetamine-type stimulants

Although these substances differ, treatment often needs to address recurring issues such as cravings, binge-use cycles, disrupted sleep, emotional changes, impulsivity, environmental triggers and relapse risk.

What If More Than One Substance Is Involved?

You do not need to fit into a single drug category to receive treatment.

Polysubstance use means using more than one substance, whether they are taken together or during different periods.

Examples might include:

  • Alcohol and cocaine

  • Opioids and benzodiazepines

  • Fentanyl and methamphetamine

  • Kratom after stopping prescription opioids

  • Cannabis alongside another primary substance

  • Prescription medications combined with alcohol

  • Multiple opioid products

  • Stimulants used to counter the effects of sedatives

The combination of substances can affect withdrawal risk, medication decisions and the appropriate starting level of care.

Tell admissions what you are actually using—even if one substance feels less important than another. That information can help the clinical team make a safer and more appropriate treatment recommendation.

What If the Substance Is Not Listed Here?

This page is not intended to be an exhaustive list of every substance that can become problematic.

New synthetic drugs, research chemicals, concentrated plant alkaloids and branded products continue to appear, and someone may not even know exactly what was contained in the product they used.

If your substance is not listed, contact Portland Treatment anyway.

Our admissions team can discuss:

  • What substance or product you are using

  • How often you use it

  • How much you use

  • Whether other substances are involved

  • What happens when you stop

  • Previous withdrawal symptoms

  • Current physical and mental health concerns

  • Previous treatment

  • Whether outpatient care appears appropriate

If Portland Treatment is not the appropriate starting point, we can help identify whether detoxification, residential stabilization or another service should occur first.

Addiction and Co-Occurring Mental Health Conditions

Substance use does not exist separately from the rest of a person’s mental health.

People entering addiction treatment may also experience concerns involving:

  • Anxiety

  • Depression

  • Trauma

  • PTSD

  • Mood symptoms

  • Attention-related symptoms

  • Sleep problems

  • Grief

  • Chronic stress

  • Other psychiatric or emotional concerns

In some cases, substance use begins as an attempt to manage those symptoms. In others, repeated substance use may worsen them.

Portland Treatment is licensed to provide outpatient substance use and co-occurring mental health treatment, allowing appropriate mental health concerns to be addressed as part of the larger recovery plan.

Does the Substance Determine What Treatment Program I Need?

Not by itself.

Two people using the same substance may need very different levels of care.

The clinical recommendation can depend on factors such as:

  • Frequency and amount of use

  • Length of substance use

  • Physical dependence

  • Withdrawal symptoms

  • Previous seizures or complicated withdrawal

  • Overdose history

  • Other substances being used

  • Physical health

  • Mental health symptoms

  • Previous treatment attempts

  • Living environment

  • Available support

  • Ability to remain safe outside treatment hours

Portland Treatment directly provides several outpatient levels of care so treatment intensity can be matched to the person’s clinical needs.

Partial Hospitalization Program

PHP provides the highest level of treatment intensity directly available at Portland Treatment, with structured daytime programming for people who can remain safely outside a 24-hour facility.

Intensive Outpatient Program

IOP provides structured treatment with greater flexibility, allowing appropriate clients to continue responsibilities such as employment, school or family life.

Outpatient Treatment

Standard outpatient care provides ongoing clinical support at a lower frequency for people who have established greater stability.

Sober Living

Sober living may provide a structured, substance-free environment while someone participates in outpatient treatment.

Medication-Assisted Treatment Support

When appropriate, treatment may also incorporate continuation or coordination of medications used in the treatment of substance use disorders.

Do I Need Detox Before Addiction Treatment?

Some people can begin outpatient treatment without a separate detoxification program.

Others should be medically stabilized first.

The need for detox depends on the substance, amount and frequency of use, physical dependence, previous withdrawal experiences, other substances involved and individual medical circumstances.

Alcohol and benzodiazepine withdrawal can be medically dangerous, while opioid withdrawal and withdrawal from other substances may also require medical assessment or support depending on the circumstances.

Portland Treatment does not provide medical detoxification onsite.

If your screening indicates that withdrawal management should happen first, admissions can help coordinate an appropriate detox referral and discuss transitioning into treatment at Portland Treatment afterward.

What Happens When You Call About Substance Use?

You do not need to diagnose yourself before contacting treatment.

1. Tell Us What Is Happening

Admissions will ask about your current substance use, previous use, withdrawal symptoms, medical and mental health concerns and what has led you to seek help.

2. Complete an Initial Screening

The information you provide helps determine whether Portland Treatment may be an appropriate fit and whether another evaluation or level of care should occur first.

3. Verify Insurance or MaineCare

If you plan to use insurance, admissions can verify your benefits and explain available coverage information.

4. Determine an Appropriate Level of Care

The clinical team can determine whether PHP, IOP, outpatient treatment or another level of care appears most appropriate.

5. Coordinate Other Care When Necessary

If medical detoxification, inpatient care, residential treatment or another service is needed before outpatient treatment, Portland Treatment can help coordinate the next step.

Find Substance Use Treatment in Maine

Whether you are struggling with alcohol, fentanyl, heroin, benzodiazepines, cocaine, methamphetamine, kratom, prescription drugs or multiple substances, the first question does not have to be “Which program do I need?”

Start by telling us what is happening.

Portland Treatment can assess your current needs, verify insurance or MaineCare benefits and help determine whether treatment should begin with PHP, IOP, outpatient care or another level of care.

If detoxification or residential stabilization is necessary first, we can help coordinate that step rather than placing you into an inappropriate level of treatment.

Portland Treatment
6 Digital Drive
Biddeford, ME 04005

Admissions: 855-449-7674

Frequently Asked Questions About the Substances We Treat

What addictions does Portland Treatment treat?

Portland Treatment provides outpatient treatment for substance use disorders involving alcohol, opioids, heroin, fentanyl, benzodiazepines, kratom, cocaine, methamphetamine, marijuana, prescription stimulants, prescription painkillers and other substances.

Treatment is based on the individual’s overall clinical needs rather than the drug name alone.

Does Portland Treatment treat fentanyl addiction?

Yes. Portland Treatment provides outpatient addiction treatment for people struggling with fentanyl and other opioids.

Some people may need detoxification or another higher level of care before beginning outpatient treatment. Portland Treatment can coordinate those referrals when necessary.

Does Portland Treatment treat alcohol addiction?

Yes. Alcohol use disorder is one of the substance use disorders treated through Portland Treatment’s outpatient programs.

People at risk of dangerous alcohol withdrawal may need medical detoxification before entering outpatient care.

Can Portland Treatment help with benzodiazepine dependence?

Yes. Portland Treatment treats benzodiazepine-related substance use concerns and recognizes the distinction between physical dependence and addiction.

Because benzodiazepine withdrawal can require medical management, some clients need medical stabilization or supervised withdrawal before outpatient treatment.

Does Portland Treatment treat kratom or 7-OH addiction?

Yes. Portland Treatment provides treatment for problems involving traditional kratom, extracts, 7-OH products and other emerging kratom-derived substances.

Can I get treatment for Adderall or prescription stimulant addiction?

Yes. Portland Treatment treats prescription stimulant use disorders, including problems involving Adderall and Ritalin.

Can someone become addicted to prescription medication?

Yes. Substance use disorders can develop around medications including prescription opioids, stimulants and benzodiazepines.

Treatment should consider how the medication is being used, physical dependence, cravings, loss of control, consequences and other individual factors.

Can you get treatment for marijuana addiction?

Yes. Portland Treatment provides treatment for cannabis or marijuana use when it has developed into a problematic pattern or substance use disorder.

What if I use several different drugs?

You can still seek treatment. Polysubstance use is common in addiction treatment, and it is important to tell the clinical team about all substances being used so withdrawal risks and treatment needs can be evaluated appropriately.

What if I don’t know what drug I was taking?

Contact admissions and provide as much information as possible, including product names, packaging, appearance, where it came from, frequency of use and what happens when you stop.

Not knowing the exact chemical does not prevent you from asking for help.

Does Portland Treatment provide detox for these substances?

No. Portland Treatment does not provide medical detoxification onsite.

When detox or medical withdrawal management is needed, Portland Treatment can help coordinate a referral before the person transitions into appropriate outpatient care.

Sources

National Institute on Alcohol Abuse and Alcoholism. Understanding Alcohol Use Disorder. https://www.niaaa.nih.gov/publications/brochures-and-fact-sheets/understanding-alcohol-use-disorder

National Institute on Drug Abuse. Opioids. https://nida.nih.gov/research-topics/opioids

National Institute on Drug Abuse. Kratom. https://nida.nih.gov/research-topics/kratom

U.S. Food and Drug Administration. Tianeptine. https://www.fda.gov/consumers/health-fraud-scams/tianeptine

Centers for Disease Control and Prevention. Polysubstance Use Facts. https://www.cdc.gov/stop-overdose/caring/polysubstance-use.html