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Heroin: Addiction Signs, Symptoms and Treatments

Heroin addiction remains one of the most serious public health challenges in Maryland and nationwide.[1] This fast-acting opioid hijacks the brain’s reward system, leading to rapid development of tolerance and strong physical dependence. Attempting to quit is marked by painful withdrawal and long-term damage to both emotional and physical well-being. [2] Trying to stop using heroin without professional help can be overwhelming and, in some cases, may even be life-threatening.

Heroin addiction treatment in Maryland provides the medical care, therapy, and support systems people need to recover safely. At The Freedom Center, patients receive personalized and compassionate treatment services that support them throughout the healing process.

Amanda Stevens, B.S.

Written By

Amanda Stevens, B.S.

On May 17, 2021

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Key Points

What Is Heroin?

Heroin is one of the most dangerous opioids used on the street.[3] This illegal drug hijacks the brain’s reward system, flooding the brain with dopamine and creating a powerful high that’s hard to forget. 

Whether it’s injected, smoked, or snorted, the initial rush often gives way to drowsiness, slowed breathing, and, over time, a desire to repeat the high, which leads to total dependence. Heroin binds directly to the brain’s opioid receptors—the same ones that control pain, mood, and pleasure.[4]  After repeated use, the brain stops making its own feel-good chemicals. 

That’s when the real trap sets in: a person is no longer getting high to feel good—they’re using just to avoid feeling sick. This cycle of dependence and withdrawal, characteristic of a substance use disorder, can be brutal and incredibly hard to break alone.

To make matters worse, heroin is increasingly laced with fentanyl, a synthetic opioid that’s far more potent than heroin or morphine and often causes deadly overdose. [5] Many people are unaware of fentanyl in the drugs they’re using until it’s too late and an overdose has already occurred. Just a tiny amount of fentanyl, the size of a grain of rice, can trigger a fatal overdose.

This is why heroin addiction treatment in Maryland is so important—and urgent. 

At The Freedom Center, clients receive more than just a place to detox. They get a compassionate team that understands exactly what they’re going through, from the physical pain of withdrawal to the emotional wreckage left behind from years of addiction. With medical supervision, evidence-based therapy, and long-term addiction recovery support, The Freedom Center’s treatment programs are designed to help patients not only survive heroin addiction but actually heal deep down.

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Signs and Symptoms of Heroin Addiction

Heroin doesn’t only affect the body physically. It also alters how a person thinks, feels, and acts. While early signs of drug addiction might be easy to miss, heroin addiction has a way of becoming increasingly harder to hide over time. 

Knowing what to look for can be the difference between watching someone spiral out of control and stepping in to provide help.

Physically, the warning signs of heroin use can be striking. Needle marks (often referred to as “track marks”) on the arms, sudden weight loss, persistent drowsiness, and slowed speech are common symptoms.[6] Many users silently struggle with constipation, while poor coordination or regularly “nodding off” in the middle of a conversation becomes commonplace.

It’s not just the physical signs that raise red flags—heroin use often shows up in a person’s behavior long before they admit there’s a problem. An outsider might notice their loved one pulling away from friends or family, skipping out on work or responsibilities, or becoming unusually secretive about their day-to-day life. 

Financial problems associated with addiction tend to follow close behind, often accompanied by unexplained borrowing, missing items, or dishonesty.

A person may swing from being numb or distant to irritable and defensive with little warning. Depression, anxiety, and emotional shutdowns are common, especially as the cycle of addiction deepens.

Heroin rehab in Maryland, including the compassionate programs at The Freedom Center, is designed to help break that cycle. Recovery is hard, but with the right support, it’s absolutely within reach.

Amanda Stevens, B.S.

Amanda Stevens, B.S.

Medical Content Writer

Amanda Stevens is a highly respected figure in the field of medical content writing, with a specific focus on eating disorders and addiction treatment. Amanda earned a Bachelor of Science degree in Social Work from Purdue University, graduating Magna Cum Laude, which serves as a strong educational foundation for her contributions.

We Accept With Most Major Insurance

If you or a loved one is ready to get help but finances are holding you back, give us a call. We can work with your health insurance provider.

Why a Professional Addiction Treatment Program Is Crucial

Trying to quit heroin without help isn’t just tough—it can be risky. Withdrawal symptoms like relentless body aches, nausea, sleeplessness, and dehydration can hit hard and fast, making it incredibly difficult to get through without help. [7]

What’s more, if someone relapses after detoxing, their lowered tolerance can make overdose more likely, even if they’re using the same amount as before.

That’s why professional heroin addiction treatment in Maryland is so important. 

At The Freedom Center, detox isn’t something you’ll face alone. Medical staff and clinicians are available 24/7 to monitor withdrawal symptoms, provide comfort medications, and ensure safety during this vulnerable time.

Detox is only the beginning of the healing process. Real recovery requires structure, support, and therapy to dig into the root causes of addiction—whether it’s trauma, mental health struggles, or years of unhealthy coping. 

The Freedom Center offers personalized treatment plans tailored to each person’s unique story, so they’re not just getting clean—they’re building a foundation for lasting, real change.

Heroin Rehab Programs in Maryland

Recovery from heroin addiction isn’t one-size-fits-all. The best outcomes occur when a person can choose a treatment path aligning with their needs, symptoms, and support system. 

At The Freedom Center, there is a comprehensive continuum of care through our heroin rehab programs in Maryland, meeting individuals where they are and helping them move forward with confidence.

Inpatient rehab is ideal for a severe addiction, those experiencing severe withdrawal, or a person struggling with co-occurring mental health disorders. At the Buckeystown location, clients receive 24/7 supervision, medical care, and daily therapy sessions in a safe and structured setting that fosters healing and stability.

For those transitioning from residential treatment or requiring flexible, high-level support while living at home, Partial Hospitalization (PHP) and Intensive Outpatient Programs (IOP) are available at our Gaithersburg campus. These programs offer daytime therapy, group counseling, and medication management, while allowing clients to maintain responsibilities outside of treatment.

Recovery doesn’t stop when formal treatment ends. The Freedom Center’s heroin rehab in Maryland includes aftercare planning, alumni programs, and access to sober living resources. 

The Freedom Center helps clients build a strong foundation and stay connected to the support they need to maintain sobriety long after they leave our doors.

Therapies Used at The Freedom Center Heroin Addiction Treatment Center

Getting off heroin is just the beginning. Real healing means learning how to live without it—how to manage stress, rebuild trust, and reconnect with one’s sense of self. That’s why heroin addiction treatment in Maryland goes far beyond detox.

At places like The Freedom Center, treatment includes proven, personalized therapies that help each person work through the emotional and behavioral patterns behind addiction.[8] Staying sober takes more than willpower—it takes support, tools, and a new way forward.

Dual Diagnosis and Mental Health Support

Heroin addiction rarely exists in isolation. Many individuals also struggle with mental health conditions like depression, PTSD, or anxiety, which can fuel substance use and make recovery more complex. 

These co-occurring disorders need to be addressed alongside addiction for treatment to truly stick.

That’s where dual diagnosis care comes in. [9] At The Freedom Center, clients receive integrated treatment for both mental health and substance use, because one affects the other. 

This approach may include psychiatric evaluations, medication management, and therapies specifically designed to help process trauma or manage emotional instability.

From the very first assessment, The Freedom Center’s team works to understand the full picture of a person’s mental and behavioral health. Whether they’re dealing with unresolved trauma, chronic anxiety, or mood swings, the goal is to create a plan that supports healing on every level—not just physically, but mentally and emotionally too.

This kind of comprehensive, dual diagnosis support isn’t just beneficial—it’s essential for achieving and maintaining long-term sobriety and stability.

What to Expect at a Heroin Rehab Center in Maryland

Starting treatment for heroin addiction isn’t just about checking into a facility—it’s about getting real support for everything a person is carrying. At The Freedom Center, that process begins with a full intake assessment, where a team takes the time to understand their substance use history, mental health, physical wellness, and what they’re up against. 

The goal? A substance abuse treatment plan that fits their unique needs, not just a standard script.

If detox is needed, a patient will start in a safe, supervised environment where medical staff monitor their symptoms 24/7. Heroin withdrawal can bring intense pain, restlessness, anxiety, and sleep issues, so medications and comfort-focused care are used to make the process more manageable and less risky.

Once they’re stabilized, treatment shifts to the core of recovery: therapy, group support, and skill-building. They’ll work with professionals who help them identify their triggers, manage stress, and establish healthier habits. They’ll also start mapping out a long-term plan to avoid relapse once they’re out in the world again.

Before discharge, The Freedom Center helps prepare each patient for what’s next—whether that’s stepping into outpatient treatment, entering sober living, or staying connected through alumni programs. This isn’t just about getting clean. At one of the top heroin rehab centers in Maryland, it’s about giving the structure, tools, and support they need to stay that way.

The goal? A substance abuse treatment plan that fits their unique needs, not just a standard script.

If detox is needed, a patient will start in a safe, supervised environment where medical staff monitor their symptoms 24/7. Heroin withdrawal can bring intense pain, restlessness, anxiety, and sleep issues, so medications and comfort-focused care are used to make the process more manageable and less risky.

Once they’re stabilized, treatment shifts to the core of recovery: therapy, group support, and skill-building. They’ll work with professionals who help them identify their triggers, manage stress, and establish healthier habits. They’ll also start mapping out a long-term plan to avoid relapse once they’re out in the world again.

Before discharge, The Freedom Center helps prepare each patient for what’s next—whether that’s stepping into outpatient treatment, entering sober living, or staying connected through alumni programs. This isn’t just about getting clean. At one of the top heroin rehab centers in Maryland, it’s about giving the structure, tools, and support they need to stay that way.

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Editorial Guidelines at The Freedom Center

All content produced by The Freedom Center undergoes a detailed evaluation process to ensure accuracy and quality. We only work with medical professionals and individuals with extensive experience in the field, and all content produced undergoes a review process to ensure accuracy. Our goal is to be a reliable resource the recovery community can turn to for information they can trust.

Amanda Stevens, B.S.

Amanda Stevens, B.S.

Medical Content Writer

Amanda Stevens is a highly respected figure in the field of medical content writing, with a specific focus on eating disorders and addiction treatment. Amanda earned a Bachelor of Science degree in Social Work from Purdue University, graduating Magna Cum Laude, which serves as a strong educational foundation for her contributions.

We Accept With Most Major Insurance

If you or a loved one is ready to get help but finances are holding you back, give us a call. We can work with your health insurance provider.

Frequently Asked Questions About Heroin Rehab in Maryland

Common signs include frequent drowsiness, pinpoint pupils, sudden weight loss, needle marks, isolation, mood swings, and neglect of personal or work responsibilities. [10]

[1] Baltimore drug dealer, selling fatal doses of heroin in Maryland cities, will now spend 10 years in prison. (2019, September 5). DEA. https://www.dea.gov/press-releases/2019/09/05/baltimore-drug-dealer-selling-fatal-doses-heroin-maryland-cities-will-now

[2] Overview | National Institute on Drug Abuse. (2021, August 3). National Institute on Drug Abuse. https://nida.nih.gov/publications/research-reports/heroin/overview

[3][4][10] National Library of Medicine. (n.d.-b). Heroin. https://medlineplus.gov/heroin.html

[5] MacMillan, C. (2024, March 18). Why is fentanyl driving overdose deaths? Yale Medicine. https://www.yalemedicine.org/news/fentanyl-driving-overdoses

[6] What are the immediate (short-term) effects of heroin use? | National Institute on Drug Abuse. (2021, April 13). National Institute on Drug Abuse. https://nida.nih.gov/publications/research-reports/heroin/what-are-immediate-short-term-effects-heroin-use

[7] [11] Opiate and opioid withdrawal: MedlinePlus Medical Encyclopedia. (n.d.). https://medlineplus.gov/ency/article/000949.htm

[8] What are the treatments for heroin use disorder? | National Institute on Drug Abuse. (2021, April 13). National Institute on Drug Abuse. https://nida.nih.gov/publications/research-reports/heroin/what-are-treatments-heroin-use-disorder

[9] National Library of Medicine. (n.d.-b). Dual diagnosis. https://medlineplus.gov/dualdiagnosis.html

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