Dr. Stephen Klein

speaker

550 appearances 1 recordings 1 series first heard Jun 2026 last heard 25 Jun

Dr. Stephen Klein’s voice in public audio — every appearance, attributed to the second.

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Recordings per month over the last 12 months — 1 in all, peaking in Jun 2026 with 1.

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RECOVERable: Mental Health and Addiction Experts Answer Your Questions · Naltrexone, Suboxone, Methadone: How Medications Treat Opioid Addiction · 25 Jun 2026 podcast

I think in a more contemporary sense, there's this real belief that Alcoholics Anonymous and Narcotics Anonymous offer a spiritual experience, and that spiritual experience is blocked by the use of mind-altering medications.

So when someone comes in on something like Suboxone, which is an opioid partial agonist, I think the fear is that they'll be blocked from doing that deeper work and having that spiritual experience again.

I don't share that belief.

I think that the idea is that the conversation about opioid use disorder is a conversation between patient and doctor.

And I think, again, the medical evidence is overwhelming that these decrease overdoses and retain participation in treatment.

So I think they have to be used.

I think where we get to this friction is really the idea that they're not

conducive to the work that happens in 12-step recovery groups.

I think there's really no evidence for that.

There's no biologic objectivity to the idea that these people are not sober.

I would say these people are sober.

These people are in recovery.

They're using all the tools that are available to them.

And in fact, I think in many ways, the use of buprenorphine is an incredible manifestation of the first step, which is that I'm powerless.

and therefore I need something that helps me.

I need something outside of myself.

I need something like a doctor and a medication and technology to help me on that path.

And, you know, I think the other part of it is that anytime that there's something new or that there's something that helps patients along, I think there's a little degree of threatening that happens.

If someone can do this with buprenorphine, do they need Narcotics Anonymous?

I think the answer, as always, is a little bit more nuanced.

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