Physicians: Too much negative talk in 12-step groups on medication use

A newly published perspective article in the Journal of Substance Use and Addiction Treatment, authored by physicians at Caron Treatment Centers, calls for greater acceptance of medication-assisted treatment (MAT), including medications for opioid use disorder (MOUD, such as buprenorphine), within 12-step recovery communities. Led by Steven Klein, M.D., Ph.D., alongside Caron physicians Juan Franco, M.D., and Adam Scioli, D.O., the article highlights a troubling disconnect between Alcoholics Anonymous’ official neutrality on medications and the stigma patients often experience from sponsors or peers.

Drawing from Caron’s clinical experience, the authors describe how negative messaging within some AA and NA circles can lead patients to prematurely discontinue life-saving medications, placing their recovery—and lives—at risk. One case example details a patient who left treatment without a MOUD plan due to pressure from his AA sponsor, despite medical stabilization at Caron.

The Caron physicians emphasize that MAT aligns with both evidence-based care and the spiritual foundations of recovery, noting that medications can provide the stability and time needed for meaningful personal growth. The article urges providers to approach MAT conversations with compassion, normalize medication as part of holistic recovery, and advocates for 12-step communities to evolve—just as they did with antidepressants—by embracing scientific evidence and patient outcomes.

Click Here to Read the Full Article - Physicians: Too much negative talk in 12-step groups on medication use