What Are the Long-Term Effects of Opioid Use?

Opioid abuse in the U.S. has reached levels that officials across the board agree can no longer go unnoticed or untreated. President Donald Trump in 2017 formally declared the opioid crisis a public health emergency, which observers say is an important step in addressing the epidemic of opioid misuse.

An estimated two million people in the United States suffered from substance use disorders related to prescription opioid pain medicines in 2015, according to the National Survey on Drug Use and Health for that year. And data from the report show that treatment admissions linked to these medications more than quadrupled between 2002 and 2012, although only 18 percent received treatment for prescription opioid use disorders.

What Are Opioids?

Opioids are a class of prescription medications that are used to treat moderate-to-severe pain. Drugs in this class, which include the illegal drug heroin, interact and bind with opioid receptors on the nerve cells in the body and brain. They reduce pain messages to the brain and thus the feelings of pain in users.

These medications are intended for short-term use and are cOpioids in pill bottlesonsidered safe when taken as prescribed by a doctor for a short time. However, the feelings of euphoria and relaxation in addition to pain relief make them easy to misuse and abuse. This means users take more than the quantity prescribed, take them without a prescription, or take them in a way that is inconsistent with how they are supposed to be taken. Even users who have legitimate prescriptions and use the drugs regularly can still develop a dependence on them, and dependence can lead to addiction.

What Happens If Opioid Abuse Continues?

When taken at higher doses than what is therapeutically necessary, opioids produce a strong sense of euphoria. When this happens, the brain is flooded with neurochemicals such as dopamine and serotonin, which activate the reward and pleasure pathways in the brain. This makes the use of opioids pleasurable and reinforces the behavior of taking high doses as the action is associated with pleasure.

Continued opioid abuse over a prolonged time can lead to building a high physical tolerance to the pain relievers. When people take large doses of opioids, they will have more of the drug in their systems than they have opioid receptors with which the drug can bond. However, with prolonged, habitual, and heavy use of the drugs, the brain begins developing additional opioid receptors that can bind with more and more of the drug.

As a result, people who use opioids in this manner will find themselves increasing the dose of the opioid they are taking to achieve the desired effects. At this point, they have developed a dependence and are on the road to an addiction that can lead to overdose or death.

Long-Term Effects of Opioid Abuse for Addicts

The “desired effects” that users set out to get when they abuse opioids harm the body and mind and come with serious, life-threatening risks.

Here are some specific opioids and the long-term effects they can have on users’ physical and mental health.

Codeine – Prolonged use of codeine can cause a number of effects on the body that can lead to death. Respiratory depression, when a person’s breathing becomes shallow or dangerously labored, is possible. Other medical complications include cardiac damage to body’s vital organs and coma. Using this drug for long periods can quickly cause physical dependence and can lead to addiction.

Fentanyl – This powerful synthetic opioid is estimated to be 80 to 500 times stronger than morphine. DrugAbuse.com warns that first-time users experimenting with this Schedule II drug or using it recreationally are in extreme danger of overdosing on it. Chronic fentanyl use increase users’ risk for significantly damaging decreased oxygen in the body’s tissues and damage of multiple organ systems. Long-term use can also result in users exhibiting poor judgment in personal and professional situations.

Heroin – The long-term effects of repeated heroin use include physical structure and physiological changes in the brain. This results in imbalances in neuronal and hormonal systems that are not easily reversed, according to data cited by the National Institute on Drug Abuse. Chronic users also may find problems with making decisions and regulating their behavior. These conditions have been linked to the breakdown of white matter in the brain that results from regular heroin use. Addiction, of course, results from prolonged use. People who use methods that allow the substance to reach the brain quickly are at increased risk of developing an addiction to it.

dont let addiction win

Hydrocodone – Frequent use of this opioid, which is sold under the names Vicodin, Norco, and Lortab, can result in several physical health problems, such as acetaminophen toxicity, liver damage, and sensorineural hearing loss. Mental health is at risk as well with chronic use.

Hydromorphone (Dilaudid) – Chronic hydromorphone users are at risk of developing physical and psychological problems. Anxiety, depression, mood swings, and reckless behavior are some of the challenges that come with the long-term use of this drug. Prolonged abuse could lead people to move on to heroin, which commonly happens when prescription opioids are abused. Severe side effects include chest pain, breathing problems, and seizures.

Methadone – Methadone dependence is difficult to break once established, even for those who use it as a substitute for opioid addiction treatment. It is estimated that about 5,000 people die yearly from abusing this drug. Its effects have been likened to those of the illegal addictive opioid heroin.

Morphine – People who chronically use or abuse morphine can cause irreversible damage to their vital organs. Excessive use threatens the respiratory system, putting users at risk of breathing problems, and the cardiovascular system, which brings on chest pains, collapsed veins, and abnormally low blood pressure. Chronic morphine users may have a hard time passing urine or feel pain while urinating. They also may have renal damage.

Oxycodone – Chronic oxycodone users may develop a physical and psychological dependence over the long-term. Users may have trouble sleeping, experience changes in balance, depersonalization, and mood swings, among other problems. Paranoia, depression, and hallucinations have been associated with long-term oxycodone use. Serious consequences can result from long-term use of oxycodone that contains acetaminophen. Kidney and liver failure have been associated with the use of this drug as well as cardiac arrest, heart failure, low blood pressure, seizures, suicidal ideations, and more.

Percocet – Prolonged use of Percocet, a combination of oxycodone and acetaminophen, can cause structural and functional changes in the brain. Chronic users may experience lightheadedness, difficulty concentrating, or memory loss as a result of changes in the brain. Psychological challenges include depression, paranoia, confusion, insomnia, hallucinations, and personality disorder. Users also could exhibit mood swings, introverted behavior, and other behavioral changes.

call to action find freedom

Long-term effects of opioid use also can trigger structural and functional changes in the brain that cause users to lose much of their ability to cope with pain naturally without the use of pain medication. In other words, long-term opioid use has been found to cause significantly decreased pain tolerance. Additionally, users begin to experience pain more intensely since they don’t consistently have high levels of opiate painkillers in their systems.

Many people who misuse and abuse prescription opioid medications may find they need professional help at an addiction rehabilitation or treatment center to get off the drugs and on the path to recovery.

Effects of Opioids Can Linger Beyond Recovery

Once opioid users become and remain sober, their brain chemistry and neurological functioning will begin to stabilize and return to a relatively normal state. However, there are lingering effects that can remain with a person in recovery from opioid addiction for months or even years after their use has stopped. These effects, or symptoms, are known as Post-Acute Withdrawal Syndrome (PAWS), and they are an unfortunate consequence of having been a habitual substance abuse for a prolonged period.

The lasting psychological effects brought on by prolonged opioid use are arguably the most persistent. Without the daily, habitual abuse of opioid pain relievers, individuals are confronted with their undiluted emotions, which can be overwhelming at first. It takes time to adjust to this as the return of one’s emotional sensitivity often feels like an emotional flood. Additionally, many people who have overcome an opioid addiction will be prone to experiencing depression. Ongoing treatment that involves counseling and methods, such as a 12-step program, can help people manage their PAWS symptoms as needed.

The Palm Beach Institute is a Resource for All Things Recovery

Opioids are some of the most highly addictive and dangerous chemical substances that exist. While opioids can be beneficial when used correctly, the misuse and abuse of the medications have cost many people their lives. At the Palm Beach Institute, we believe that everyone deserves the chance to return to a life of health and happiness.

call today

The Effects of Long-Term Heroin Use

The opioid heroin has been around for literally hundreds of years in various forms, including at one point serving as a cough medicine, of all things. Heroin was originally derived to serve as a less-addictive alternative to morphine, but unfortunately, addiction rates instead quickly skyrocketed.

Currently, it is estimated that more than 500,000 people in the United States are suffering from a dependency on heroin. Heroin is a significant contributor to the country’s opioid crisis, having been responsible for nearly 16,000 overdose deaths in 2016.

However, while the chances of fatal overdose are frightening enough, this is only one of many consequences of heroin addiction. The habitual use of heroin causes many other negative and, in many cases, irreversible effects that only increase in severity the longer an individual abuses it.

The effects of regular heroin abuse on your body and brain are debilitating and often deadly enough on their own that overdosing doesn’t even have to enter the picture as a fatal danger of using heroin.

What Effects Does Heroin Have on the Brain?

Heroin acts on the central nervous system and brain in order to produce its main effects, heightened senses of pleasure and euphoria, as well as sedation. The body naturally produces its own opioid-like substances, but heroin is much more potent, creating a significantly amplified effect.

Heroin works by quickly binding to the brain’s opioid receptors, blocking pain signals and stimulating dopamine levels by inhibiting a neurotransmitter called GABA that regulates the production and release of dopamine. Without the GABA neurotransmitters able to do their job, heroin floods the brain with dopamine, serotonin, and other “feel-good” chemicals, causing a spike that activates the reward and pleasure circuits of the brain.

Over time, with repeated use, the brain adjusts to the presence of heroin by creating additional opiate receptors with which heroin can bond. As it’s bombarded over and over again with high levels of heroin, the brain begins creating more places to put the heroin, so to speak. This is what causes an individual’s tolerance to increase, as they have to start escalating their dosage in order to achieve the desired effects.

Heroin’s constant stimulation of the brain’s pleasure center cements the association of heroin use with feelings of intense pleasure. Repeated use, therefore, creates psychological and physical dependence. The brain will stop producing its own dopamine and rely instead on heroin as the sole source of neurochemical production, which creates uncomfortable withdrawal symptoms when someone who has been regularly using heroin for long periods of time stops taking it.

These effects can cause serious, often permanent alteration and damage to the brain, including:

  • Inability to regulate neurochemical levels
  • Deterioration of white and gray matter brain cells
  • Impaired decision-making abilities
  • Inability to regulate behavior
  • Inability to respond to stress
  • Impaired processing of information

While many of these effects have been proven to be reversible in the short-term, the longer someone abuses heroin, the less likely their brain will ever function the way it did before they started using.

What Effects Does Heroin Have on the Body?

The physical effects of long-term heroin use are as serious as they are varied and far-ranging. While the obvious effects include an overall decline in hygiene and addressing basic needs such as eating and sleeping regularly in favor of sustaining their habits, other damage that heroin inflicts on a user’s body includes:

  • Significantly weakened immune system
  • Swollen gums and damaged teeth
  • Insomnia
  • Decreased sex drive
  • Impotence
  • Severe constipation
  • Depression
  • Liver disease
  • Kidney damage

The different ways heroin can be ingested also affects the kinds of health problems that can arise. If heroin is smoked, it can lead to serious lung problems and leave the user more susceptible to illnesses like pneumonia, which has a greater lethal potential than normal due to the dangerously slow and shallow breathing heroin use induces.

If someone is instead regularly injecting heroin intravenously, it opens them to an even wider array of physical damage to the body, including blood clots, inflammation of the valves and lining of the heart, collapsed veins, and more. Injecting heroin also leaves users vulnerable to bloodborne illnesses that are unrelated to the drug itself but caused by sharing needles, such as hepatitis and HIV or AIDS.

Many users will attempt to avoid these problems by snorting heroin instead, but this just creates another avenue for heroin to deteriorate an individual’s body. The effects of snorting heroin can range from chronic sinusitis and nosebleeds to a total loss of sense of smell, perforation of the nasal septum, and even a collapse of the nasal cavity.

Heroin abuse has the power to take an otherwise perfectly healthy person and leave them with severe health problems and potential diseases. Overdosing on heroin is obviously a serious danger that should not be hand-waved away, but it is also vitally important that people are aware of the long-term effects of heroin and how regular abuse can ruin your body and mind without ever once overdosing.

Find Freedom from Addiction at the Palm Beach Institute

There are many options available for those in need of treatment for heroin dependency. However, it’s important for each individual to receive treatment in a program that effectively addresses each of their needs.

If you or someone you love is struggling with heroin addiction and would like a free consultation and assessment, call the Palm Beach Institute at 855-960-5456 or contact us online. We are available anytime, day or night, to help anyone in need begin their journey back to a life of happiness and health.

6 Signs of a Heroin Relapse

Spotting the signs of a heroin relapse can save someone’s life before they overdose on drugs. The duration of time someone has been in recovery before relapsing can also put them at higher risk for heroin overdose because their levels of tolerance have decreased. Plus, more reports are affirming fentanyl-laced heroin are being sold on the streets unknowingly, meaning people may overdose without realizing they are using stronger opioids.

While some people are quick to judge when someone in recovery relapses and returns to a life of substance abuse, there are many factors that determine why someone has a relapse. From daily stress to trauma to simple availability, people with heroin addiction have to be incredibly strong to remain in recovery and not succumb to temptation.

If you are concerned that a loved one may have relapsed to heroin addiction, here are a few signs to indicate that immediate action needs to be taken:

1. Becoming Withdrawn from Relationships

Addiction makes even the most social individuals withdrawn and distant. Especially when it comes to family members and friends who are concerned about drug use and safety, recovered heroin addicts who have relapsed will quickly become distant. This affords them a buffer between themselves and others, allowing them to recreationally abuse heroin without worrying that their loved ones notice they’re intoxicated.

Keep watch on their social media profiles as well. If they were routinely active and suddenly go into a quiet spell, that’s something to keep watch for. Pay attention to what pages they like, new “friends” they’ve made, and whether they avoid replying back to your messages through these mediums.

2. Financial Problems and Lack of Money

Financing a drug addiction will inevitably drain a person’s bank account, no matter how rich they are. The need for more drugs will exceed the supply of money and may then take more priority than paying bills, buying groceries, supporting families, etc. If you notice a loved one is struggling to pay rent, afford a car payment, gas, insurance, or food despite having a place of employment, it may be something to keep your eyes on.

People struggling with addiction also ask to borrow money, which means your loved one may be asking for your money a little too much. Take note of this and whether they ever pay it back. Also, keep watch of where they go to obtain their income. Some people deep into addiction will resort to gambling, prostitution, or drug dealing themselves to afford their addiction, but they are also liable to get into deeper financial debt, arrested, or in trouble with the wrong people.

3. Track Marks or Small Bruises on Limbs

One of the most apparent signs of heroin use is the appearance of track marks on a person’s arms. Track marks can appear like ink pen marks smudged on the skin or like thumbprint-sized bruises, indicating the site of a heroin injection.

If a heroin user has relapsed, they will have track marks if they are an intravenous user. If they are wearing unseasonable clothing that covers their arms and legs, it’s possible that the individual is trying to hide track marks. Some people may even attempt to use skin foundation or concealer makeup to cover their track marks.

4. Unexplained Drowsiness and Lethargy

Another very common symptom of a heroin relapse is pronounced drowsiness. Opioids act on the body as depressants, making individuals incredibly drowsy and lethargic. By appearances, heroin users appear inexplicably tired and will often have difficulty staying awake. It’s not uncommon to see heroin users falling asleep while sitting up or even standing, which is one of the most telltale signs of an opioid problem.

Heroin users also tend to fall into incredibly heavy and deep sleep from which they are very, very difficult to wake. If a recovered heroin addict appears to be so excessively drowsy that they are on the verge of falling asleep while standing or sitting up, it’s very likely that a heroin relapse may have occurred. Seek medical help immediately, especially if a respiratory collapse or depressed heartbeat occurs.

5. Becoming Defensive or Argumentative

When a person is developing a substance abuse problem that they are trying to hide from others, they readily become very defensive and argumentative when they are questioned. Whether it’s about their behavior, appearance, or even just small talk, heroin and drug users quickly become defensive and readily create excuses to justify the observations.

In some instances, defensiveness can become quite aggressive or violent; doors are often slammed, glasses or plates broken, and other messes made. This should be a warning especially if they are not usually physically threatening to others. This behavior is an inverse reaction to the guilt and shame that they feel at the thought of others noticing their unusual behaviors. People in recovery who view their heroin relapse as a sign of “failure” will also go to great lengths to hide their actions.

6. Uninterested in Interests and Hobbies

After becoming addicted to alcohol or drugs, a person will soon show decreasing interest in things that he or she used to enjoy. For instance, hobbies frequently fall by the wayside. Extracurricular activities are suddenly much less interesting. The reason for this is that addicts suffer from a persistent and unrelenting concern as they wonder when and how they will obtain their next fix. Their focus may be more on drugs and not necessarily healthy activities without them.

Family members and close friends are more likely to notice when their loved one suddenly stops playing basketball on the weekends or doesn’t pick up the paint brush again because “they don’t have any more ideas.” This can be a sign of mental illness, including substance use disorder. Pay attention to the small details of loved ones and you may be able to realize that heroin relapses can be more obvious than you think.

Need Treatment After a Heroin Relapse? Call the Palm Beach Institute

The Palm Beach Institute encourages anyone battling a heroin or opioid addiction to seek treatment as soon as possible, even if it’s not your first time around the block. Sometimes recovery means going to rehab a few times, but that doesn’t mean it’s a failure on drug treatment.

The Palm Beach Institute recognizes every individual is different, which means every client that walks through our doors will be treated like family and be given extra attention. We want to find out what worked and what doesn’t so that you can start your recovery on the right foot. We’re here to support you as long as you are ready to support yourself.

If you or a loved one is struggling with addiction, feel free to call our 24-hour helpline at (844) 318-0071. One of our call agents will gladly answer any questions you may have about addiction treatment and will guide you through the process of admission. Start your recovery today.

Diseases Resulting from Heroin Addiction

A heroin habit brings its share of highs and lows, and those lows include diseases, infections, and other health complications that many users likely are not aware of when they start using.

Recreational use of heroin, an illegal opioid drug synthesized from morphine that is taken from the seed pod of the Asian opium poppy plant, appeals to users who want to suppress pain or feel an intense, pleasurable, immediate “rush” that happens when the street drug enters the brain and converts back to morphine. How strong this wave of intense sensations depends on how much of the drug is taken and how fast it enters the brain and attaches itself to the opioid receptors there.

According to the National Institute on Drug Abuse, users may experience warm flushing of the skin, dry mouth, and heavy feelings in their arms and legs when the rush happens. Afterward, they may find themselves feeling sick, vomiting, and itching severely. Other effects that linger include clouded mental functioning, and slow breathing and slow heart function, which are both life-threatening.

How heroin is taken is up to the person who is using it. It can be eaten, smoked, snorted, or injected, which is a popular way to take it. It is also a method that leads to infections and diseases.

Effects of chronic heroin use are addiction and overdose. The longer one uses, the more serious the medical consequences are. People who share injection equipment or fluids risk contracting diseases.

As VeryWell.com explains, heroin, the drug itself, does not increase users’ risks of contracting diseases or viruses. It is the activities and behaviors that lead to these consequences. Here are five medical conditions that can result from risky heroin use practices.


People who share needles or other equipment used to inject drugs and those who have unprotected sex are vulnerable to getting an HIV (human immunodeficiency virus) infection, which can lead to AIDS (Acquired Immunodeficiency Syndrome) if HIV is left untreated.

Government data show that in 2015, six percent (2,392) of the 39,513 diagnoses of HIV in the United States were attributed to intravenous drug users (IDUs) and another three percent (1,202) to male-to-male sexual contact and IDU. Of the 18,303 AIDS diagnoses in 2015, 10 percent (1,804) were attributed to IDU, and another four percent (761) were attributed to male-to-male sexual contact and IDU.

HIV.gov explains, “HIV is a virus spread through certain body fluids that attacks the body’s immune system, specifically the CD4 cells, often called T cells. Over time, HIV can destroy so many of these cells that the body can’t fight off infections and disease. These special cells help the immune system fight off infections. Untreated, HIV reduces the number of CD4 cells (T cells) in the body. This damage to the immune system makes it harder and harder for the body to fight off infections and some other diseases.”

According to the website Avert.org, syringes either have a high or low “dead-space” area, a place where fluids, including blood, collect after an injection has occurred. It explains that while high dead-space syringes are popular because they are cheaper and more widely available, this type of syringe collects more fluid, which creates an environment that allows the HIV infection to survive. Low dead-space syringes, however, collect 1,000 times less fluid, which doesn’t allow the HIV infection to last long.

“The risk of HIV infection is reduced if someone uses a low dead-space syringe after an HIV-positive person. Unfortunately, access to low dead-space syringes is sparse,” the site says.

HIV can be controlled, but to date, there is no effective cure for it. Even with treatment, the human body can’t get rid of HIV completely, according to HIV.gov. “So once you get HIV, you have it for life,” it writes.


Endocarditis is an infection of the heart’s valves and inner lining, according to WebMD. The condition is usually caused by bacteria and happens when germs get inside of the bloodstream and settle inside the heart, particularly the valve. According to HeroinHelper.com, there are two types of endocarditis—acute infectious endocarditis and subacute infectious endocarditis, which it says is the most common form.

Heroin users are a higher risk of getting endocarditis if they inject heroin using dirty needles or if they use the needles without cleaning the skin. Using contaminated needles means users may also inject bacteria or fungi into their bodies, which gets into the bloodstream.

Symptoms can appear quickly, or within a few days after infection sets in; in other cases, symptoms may develop more slowly. Some warning signs include blood in the urine, flu-like conditions, including fever, chills, and night sweats, and fatigue, muscle and joint pain, and weight loss, among other signs.

Endocarditis damages the heart and causes heart failure, an abscess in the heart, heart rhythm issues, and heart attack or stroke. The infection can spread to other organs, such as the lungs, brain, or kidney. If not treated right away, it can be fatal.

Hepatitis B, C

Hepatitis is an inflammation of the liver. Viral hepatitis is caused by viruses that are labeled by several letters of the alphabet. The more common ones are hepatitis B (HBV) and hepatitis c (HCV). According to NIDA, about 800,000 to 1.4 million people are living with HBV in the United States; 2.7 million to 3.9 million people are living with HCV, it says. If this condition is left untreated, cirrhosis of the liver can occur. Hepatocellular carcinoma, a type of liver cancer, is also a possibility.

Sharing needles and injection paraphernalia make heroin users susceptible to being exposed to hepatitis. Engaging in these practices puts heroin users in contact with bodily fluids from infected people. According to NIDA, injection drug users (IDUs) are the highest-risk group for acquiring hepatitis C infection. According to data it cited, each IDU infection with hepatitis C is likely to infect 20 other people.

Yellowing of the eyes, abdominal pain, and dark-colored urine are signs of hepatitis B. According to the Mayo Clinic, hepatitis c can remain a “silent” infection for many years until the disease’s symptoms become noticeable. Those symptoms include bleeding or bruising easily, fatigue, poor appetite, itchy skin, weight loss, and many other symptoms.

The U.S. Centers for Disease Control and Prevention recommends all drug users to be tested for hepatitis b and hepatitis c as part of a routine medical examination. There are medications for both chronic HBV and HCV infections. Medical monitoring is important for chronic patients because it detects whether the disease is progressing to liver damage or cancer, NIDA writes.

Pulmonary Edema

Pulmonary edema is when the lungs have too much fluid in them. When it occurs, numerous air sacs in the lungs began to fill in, decreasing lung capacity and making it hard to breathe. This condition should be treated immediately as it can be fatal. According to the Mayo Clinic, many drugs, including heroin, are known to cause noncardiogenic pulmonary edema, which is when excess fluid in the lungs isn’t caused by increased pressures in the heart.

“In this condition [noncardiogenic pulmonary edema], fluid may leak from the capillaries in your lungs’ air sacs because the capillaries themselves become more permeable or leaky, even without the buildup of back pressure from your heart,” the Mayo Clinic explains.

Heroin users who experience a shortness of breath, especially one that comes on suddenly, should see a doctor. Other symptoms include trouble breathing, a bubbly, wheezing or gasping sound when you breathe, and a major drop in blood pressure that causes sweating, lightheadedness, or dizziness are among the symptoms of pulmonary edema.


Tetanus is a poisonous bacterial infection that seriously affects the nervous system. The bacteria’s spores are found in soil, dust, and animal feces. If those spores enter a deep flesh wound, they produce tetanospasmin, a potent toxin that causes painful muscle spasms and stiffness, which are tell-tale signs that one has the infection. Stiff jaw or “lockjaw” are also key markers of the infection. A person with tetanus can have difficulty with breathing, swallowing, and stiffness in muscles of the neck and abdomen.

Tetanus cases are rare in the United States, according to the Mayo Clinic. However, intravenous heroin users are at risk of the infection when they inject the drug into the skin or the muscle. This condition is seen among black tar heroin users. Symptoms include headaches, fever, sweating, high blood pressure and a rapid heart rate. People with the condition may exhibit irritability and restlessness. Tetanus is not curable. Treatment for it involves managing symptoms until the effects of the tetanus toxin resolve, the Mayo Clinic says.

Get Help for Heroin Addiction Today

Using heroin, or any other substance for the high it brings, may seem like a good idea at first, but people who use it may not realize what they are signing up for long-term. Many people are living with heroin addiction and believe there is no way out, but you don’t have to be one of them.

If you or someone you know needs help for ending heroin addiction or dependence, Palm Beach Institute is standing by ready to help. If you or someone you love would like a free consultation, call the Palm Beach Institute today at 1-855-960-5456. Our specialists can help anyone find the treatments and programs they need to beat a deadly substance abuse problem. Call us to begin your journey to sobriety now.