There is probably no chronic disease which requires such frequent contact over such a long time as is the case in people depending on methadone replacement therapy.
Inevitably, as any two humans who communicate with each other, you get to know
each other, and this will hopefully lead to the installation of a climate of trust. That process is called the therapeutic relationship.
I, from my side, will be looking for chances to do whatever is required during the particular stage the patient
is in, to help him or her along. Let’s take two instances.
One example might be a woman needing to break out of an abusive relationship which perpetuates her addiction. Maybe she can be encouraged to do so by some kind of empowerment, and the
message that violence and abuse can never do any good.
The next patient may be someone who struggles with the consequences of past damage. It may be something difficult to express and it may take a lot of time before the unspeakable can be said. In
the meantime all we can do is offer trust and empathy, and never hurry.
There is always a story, and it is always different. The individual approach, tailored to the needs and means of the patient, will therefore obtain the best results.
substitution therapy in ambulatory settings can be offered, meeting all the requirements of the harm reduction strategy, but goes beyond that approach, in order to provide global and integral care, available and accessible to all who need it.
harm reduction there may be healing, in a holistic sense.