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More than a medicine: Personal insights on mat, stigma, and the road to recovery
Journal article   Peer reviewed

More than a medicine: Personal insights on mat, stigma, and the road to recovery

Michael Minauro and Nili Gesser
Journal of substance use and addiction treatment, v 177, 209770
01 Oct 2025
DOI: https://doi.org/10.1016/j.josat.2025.209770
PMID: 40744437

Abstract

Addiction MAT Medication-assisted treatment Methadone Recovery Stigma Substance use
Medication-assisted treatment (MAT) is often misunderstood and stigmatized, despite its proven effectiveness in supporting recovery from opioid use disorder. This manuscript presents the lived experience of Michael, who navigated addiction, relapse, and recovery with the help of MAT. Through an in-depth interview, Michael shares his journey from early substance use to multiple attempts at sobriety, highlighting the critical role of MAT in stabilizing his life.11The story is being told through a series of discussions, which started as interview questions, between Nili Gesser, a researcher who studies substance abuse and peer support, and Michael Minauro. These discussions took place over several separate conversations. The stem questions are quoted directly, but the responses included additional details in response to follow-up questions by the second author. The final manuscript was reviewed and revised for clarity by both authors. The opinions stated in this manuscript are those of the authors and not of their respective institutions. His story challenges common misconceptions about MAT, both from the general public and recovery communities. Michael’s experiences underscore the systemic barriers within MAT clinics, including outdated regulations and inadequate patient support, which can hinder recovery. He also reflects on the importance of advocacy, professionalization within treatment settings, and the need for universal behavioral health coverage. By shedding light on these challenges and successes, this narrative provides valuable insights for individuals in recovery, service providers, and policymakers seeking to improve access to and perceptions of MAT. Ultimately, this work affirms that MAT is more than just a medical intervention— it is a tool for reclaiming stability, purpose, and dignity in the face of addiction.

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