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What Is MAT for Alcohol Use Disorder?

Medically Reviewed By

Written By

James Mikhail

Medication-Assisted Treatment (MAT) is a proven approach to help individuals recover from Alcohol Use Disorder (AUD). It combines FDA-approved medications with therapy and counseling to reduce cravings, manage withdrawal symptoms, and discourage drinking. The three primary medications used are:

  • Naltrexone: Blocks alcohol’s rewarding effects and reduces cravings.
  • Acamprosate: Eases withdrawal symptoms by restoring brain balance.
  • Disulfiram: Causes unpleasant reactions when alcohol is consumed, deterring drinking.

MAT works best when paired with behavioral therapies like Cognitive Behavioral Therapy (CBT) and aftercare support, addressing both the physical and emotional challenges of AUD. Despite its effectiveness, less than 4% of people with AUD currently use MAT. If you’re ready to start recovery, consult a healthcare provider to explore MAT options tailored to your needs.

How MAT Works for Alcohol Use Disorder

How MAT Medications Work

Medications used in Medication-Assisted Treatment (MAT) help people manage alcohol dependence by addressing both physical and mental aspects of addiction. Each medication operates differently in the brain: naltrexone reduces cravings by blocking alcohol’s rewarding effects, acamprosate helps with withdrawal symptoms, and disulfiram discourages drinking by causing unpleasant reactions when alcohol is consumed [1].

Naltrexone, for example, works by blocking opioid receptors in the brain, which are linked to alcohol’s pleasurable effects [1][2]. Knowing how these medications function helps clarify their role in treating Alcohol Use Disorder (AUD).

FDA-Approved Medications for AUD

The FDA has approved three medications for treating AUD, each with a unique purpose:

MedicationPrimary RoleBenefitsConsiderations
NaltrexoneBlocks opioid receptorsReduces cravings and alcohol’s effectsPossible side effects: nausea, headache, dizziness
AcamprosateRestores brain balanceEases withdrawal symptomsPossible side effects: diarrhea, nausea
DisulfiramCauses alcohol sensitivityDiscourages drinkingPossible side effects: drowsiness, metallic taste

Despite their effectiveness, fewer than 4% of people with AUD currently use MAT medications [2]. This low usage shows the need to increase awareness about these treatments and their availability.

Centers like Ikon Recovery Center in Saddle Brook, NJ, combine these medications with counseling and therapy. This type of integrated care tackles both the physical and mental challenges of alcohol dependence, offering patients a stronger path toward long-term recovery.

Who Can Benefit from MAT?

Eligibility Criteria for MAT

Medication-Assisted Treatment (MAT) is designed for individuals dealing with moderate to severe Alcohol Use Disorder (AUD) who are ready to cut back or stop drinking altogether. Despite its potential, fewer than 4% of people with AUD currently use medication-based treatments [2]. Studies have shown that MAT can greatly improve recovery outcomes for many.

Here’s a closer look at who might benefit the most:

Patient ProfileKey CharacteristicsTreatment Considerations
Severe AUD or Physical DependenceHeavy drinking, withdrawal symptoms, physical dependenceDetox may be necessary before starting MAT
Previous Treatment AttemptsSeveral failed recovery effortsMAT can offer extra support to sustain sobriety
Co-occurring ConditionsCo-existing mental health issuesBest suited for integrated care combining medication and therapy

After identifying eligible candidates, healthcare professionals evaluate additional medical and psychological factors to ensure MAT is a safe and effective option.

Medical and Psychological Considerations for MAT

Before recommending MAT, providers take into account several important factors. Medical considerations include:

  • Organ health, possible medication interactions, and history of substance use
  • Overall physical health and current condition

Psychological factors also play a big role in treatment success, such as:

  • The patient’s motivation and readiness to make changes
  • Support systems available to them
  • Ability to stick to treatment protocols

Facilities like Ikon Recovery Center in Saddle Brook, NJ, carry out detailed evaluations to craft customized MAT plans. This thorough approach ensures that treatment addresses each patient’s unique challenges and needs during recovery.

Medication Assisted Treatment (MAT) 101: Alcohol Use Disorder

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Combining MAT with Other Treatment Approaches

Pairing MAT with counseling and aftercare offers a comprehensive way to tackle both the physical and mental challenges of AUD recovery.

Role of Counseling and Behavioral Therapies

Therapies like counseling and behavioral interventions are key to successful MAT programs. These approaches help individuals by focusing on both their thought patterns and emotional health.

Therapy TypePrimary BenefitsFocus Areas
Cognitive Behavioral Therapy (CBT)Tackles harmful thought patternsIdentifying triggers, building coping skills
Dialectical Behavior Therapy (DBT)Enhances emotional regulationMindfulness, managing distress
Individual CounselingTailored, one-on-one supportProcessing trauma, setting personal goals

When combined with MAT, these therapies teach patients to recognize addiction triggers and build strategies for long-term recovery. However, adoption of MAT remains limited, highlighting the importance of integrated care. Beyond therapy, ongoing support plays a critical role in maintaining sobriety.

Additional Support and Aftercare

A strong recovery plan doesn’t stop at therapy – it includes aftercare and other supportive practices. At Ikon Recovery Center, patients gain access to:

  • Activities like yoga, art, and music therapy that encourage emotional growth and reduce stress
  • Aftercare services designed to support long-term sobriety, including:
    • Housing assistance
    • Job training
    • Financial planning
    • Continued therapy sessions

Conclusion and Key Takeaways

Overview of MAT Advantages

Medication-Assisted Treatment (MAT) is a proven method for addressing Alcohol Use Disorder. It combines FDA-approved medications with therapy and support services to create a well-rounded approach. Studies confirm that MAT boosts survival rates, keeps individuals engaged in treatment, and lowers alcohol-related criminal behavior [3].

Treatment ComponentMain Advantages
MedicationsEases withdrawal symptoms, curbs cravings
TherapyAddresses mental health and emotional challenges
Comprehensive CareSupports long-term recovery efforts
Aftercare ServicesHelps maintain sobriety over time

For those ready to take the first step toward recovery, knowing how to access MAT is essential.

How to Get Started

MAT works best when paired with a strong support system, starting with informed choices and expert guidance. Begin by learning about available treatments, consulting a healthcare provider, and enrolling in a well-rounded MAT program. Continued engagement with support services is key to lasting success.

Ikon Recovery Center, located in Saddle Brook, NJ, offers MAT alongside counseling, behavioral therapies, and other supportive practices to help individuals achieve and maintain long-term recovery.

FAQs

Here are answers to some common questions about medications used in alcohol use disorder (AUD) treatment.

What are MAT medications for alcohol?

The FDA has approved several medications for treating AUD, each designed to support recovery in different ways. The main options include:

  • Naltrexone: Available as daily tablets (ReVia, Depade) or a monthly injection (Vivitrol).
  • Acamprosate: Comes in oral tablet form.
  • Disulfiram: Taken as a daily oral tablet.

When combined with therapy and support services, these medications can play a key role in managing AUD. However, it’s worth noting that less than 4% of people with AUD currently use these treatments [2].

How does acamprosate work for alcoholism?

Acamprosate helps restore brain chemistry disrupted by long-term alcohol use. It reduces withdrawal symptoms and cravings, which are common hurdles in early recovery. This medication works best for individuals who have already completed detox and are committed to staying alcohol-free [2][4]. By easing physical challenges, acamprosate allows individuals to focus on their recovery plans, especially when used alongside counseling and ongoing support.

For more details about how each medication works, check out the "FDA-Approved Medications for AUD" section above.

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