Opioid use disorder often begins invisibly — a prescription that is taken a little longer, a little more often — and progresses to a condition that dominates every aspect of life. Recognizing the signs early, in yourself or someone you love, can be the difference between treatment and overdose.

Behavioral Signs

Taking more than prescribed or running out early. Seeking prescriptions from multiple doctors. Preoccupation with obtaining and using. Secrecy and lying about use. Withdrawal from family and activities. Declining work or school performance. Financial problems. Stealing or selling possessions. Unexplained absences.

Physical Signs

Constricted (pinpoint) pupils. Drowsiness, nodding off, slurred speech. Flushed or itchy skin. Constipation. Weight loss. Track marks, bruising, or infections from injection. Slowed breathing. Sudden sedation.

Withdrawal Signs

When opioids are unavailable: dilated pupils, sweating, goosebumps, runny nose, yawning, muscle aches, nausea, diarrhea, anxiety, insomnia, and intense craving. Withdrawal beginning within hours of the last dose indicates physical dependence. See opioid withdrawal timeline.

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Fentanyl Changes the Stakes

Ohio’s opioid supply is predominantly fentanyl. Any sign of opioid use should be treated as urgent — overdose can happen with any use. Keep naloxone on hand. See naloxone.

Treatment

Medical detox with buprenorphine, residential care, and MAT. See opioid addiction and opioid treatment.

Treatment at The Recovery Village Columbus

The Recovery Village Columbus, located at 3964 Hamilton Square Blvd, Groveport, OH 43125, provides the full continuum of addiction and mental health care on one campus: medical detox, inpatient residential rehab, inpatient mental health treatment, partial hospitalization (PHP), intensive outpatient (IOP), outpatient care, medication-assisted treatment, and aftercare planning. Dual diagnosis treatment is integrated at every level of care. The 52,000-square-foot facility is Joint Commission accredited and physician-led, with board-certified psychiatrists providing medication management throughout treatment. Teletherapy through the Nobu app extends care to patients across Ohio.

Insurance and Admissions

The Recovery Village Columbus is in-network with Anthem BCBS Ohio, Aetna, Cigna, UnitedHealthcare/Optum, Medical Mutual, Humana, MultiPlan, Tricare East, and the Optum VA Community Care Network. Verify your insurance to confirm your coverage — the admissions team returns deductible, coinsurance, and out-of-pocket figures the same business day and handles prior authorization on your behalf. Walk-in admissions and same-day or next-day entry are available when medically appropriate. Learn more about the cost of rehab or read what to expect at The Recovery Village Columbus.

Serving Columbus and Central Ohio

The Groveport campus sits just off I-270 and US-33 in southeast Franklin County, minutes from downtown Columbus and John Glenn Columbus International Airport. Patients travel from Franklin, Delaware, Licking, Fairfield, Pickaway, Madison, and Union counties and from across Ohio. Ohio has ranked among the top five states for overdose mortality for over a decade — Franklin County alone recorded more than 700 overdose deaths in 2023, with fentanyl involved in the large majority. See the Ohio drug abuse and overdose statistics for regional data. Explore the facility or meet the care team.

Treatment at The Recovery Village Columbus

The Recovery Village Columbus, located at 3964 Hamilton Square Blvd, Groveport, OH 43125, provides the full continuum of addiction and mental health care on one campus: medical detox, inpatient residential rehab, inpatient mental health treatment, partial hospitalization (PHP), intensive outpatient (IOP), outpatient care, medication-assisted treatment, and aftercare planning. Dual diagnosis treatment is integrated at every level of care. The 52,000-square-foot facility is Joint Commission accredited and physician-led, with board-certified psychiatrists providing medication management throughout treatment. Teletherapy through the Nobu app extends care to patients across Ohio.

Insurance and Admissions

The Recovery Village Columbus is in-network with Anthem BCBS Ohio, Aetna, Cigna, UnitedHealthcare/Optum, Medical Mutual, Humana, MultiPlan, Tricare East, and the Optum VA Community Care Network. Verify your insurance to confirm your coverage — the admissions team returns deductible, coinsurance, and out-of-pocket figures the same business day and handles prior authorization on your behalf. Walk-in admissions and same-day or next-day entry are available when medically appropriate. Learn more about the cost of rehab or read what to expect at The Recovery Village Columbus.

Serving Columbus and Central Ohio

The Groveport campus sits just off I-270 and US-33 in southeast Franklin County, minutes from downtown Columbus and John Glenn Columbus International Airport. Patients travel from Franklin, Delaware, Licking, Fairfield, Pickaway, Madison, and Union counties and from across Ohio. Ohio has ranked among the top five states for overdose mortality for over a decade — Franklin County alone recorded more than 700 overdose deaths in 2023, with fentanyl involved in the large majority. See the Ohio drug abuse and overdose statistics for regional data. Explore the facility or meet the care team.

Treatment at The Recovery Village Columbus

The Recovery Village Columbus, located at 3964 Hamilton Square Blvd, Groveport, OH 43125, provides the full continuum of addiction and mental health care on one campus: medical detox, inpatient residential rehab, inpatient mental health treatment, partial hospitalization (PHP), intensive outpatient (IOP), outpatient care, medication-assisted treatment, and aftercare planning. Dual diagnosis treatment is integrated at every level of care. The 52,000-square-foot facility is Joint Commission accredited and physician-led, with board-certified psychiatrists providing medication management throughout treatment. Teletherapy through the Nobu app extends care to patients across Ohio.

Insurance and Admissions

The Recovery Village Columbus is in-network with Anthem BCBS Ohio, Aetna, Cigna, UnitedHealthcare/Optum, Medical Mutual, Humana, MultiPlan, Tricare East, and the Optum VA Community Care Network. Verify your insurance to confirm your coverage — the admissions team returns deductible, coinsurance, and out-of-pocket figures the same business day and handles prior authorization on your behalf. Walk-in admissions and same-day or next-day entry are available when medically appropriate. Learn more about the cost of rehab or read what to expect at The Recovery Village Columbus.

Serving Columbus and Central Ohio

The Groveport campus sits just off I-270 and US-33 in southeast Franklin County, minutes from downtown Columbus and John Glenn Columbus International Airport. Patients travel from Franklin, Delaware, Licking, Fairfield, Pickaway, Madison, and Union counties and from across Ohio. Ohio has ranked among the top five states for overdose mortality for over a decade — Franklin County alone recorded more than 700 overdose deaths in 2023, with fentanyl involved in the large majority. See the Ohio drug abuse and overdose statistics for regional data. Explore the facility or meet the care team.

Treatment at The Recovery Village Columbus

The Recovery Village Columbus, located at 3964 Hamilton Square Blvd, Groveport, OH 43125, provides the full continuum of addiction and mental health care on one campus: medical detox, inpatient residential rehab, inpatient mental health treatment, partial hospitalization (PHP), intensive outpatient (IOP), outpatient care, medication-assisted treatment, and aftercare planning. Dual diagnosis treatment is integrated at every level of care. The 52,000-square-foot facility is Joint Commission accredited and physician-led, with board-certified psychiatrists providing medication management throughout treatment. Teletherapy through the Nobu app extends care to patients across Ohio.

Insurance and Admissions

The Recovery Village Columbus is in-network with Anthem BCBS Ohio, Aetna, Cigna, UnitedHealthcare/Optum, Medical Mutual, Humana, MultiPlan, Tricare East, and the Optum VA Community Care Network. Verify your insurance to confirm your coverage — the admissions team returns deductible, coinsurance, and out-of-pocket figures the same business day and handles prior authorization on your behalf. Walk-in admissions and same-day or next-day entry are available when medically appropriate. Learn more about the cost of rehab or read what to expect at The Recovery Village Columbus.

Serving Columbus and Central Ohio

The Groveport campus sits just off I-270 and US-33 in southeast Franklin County, minutes from downtown Columbus and John Glenn Columbus International Airport. Patients travel from Franklin, Delaware, Licking, Fairfield, Pickaway, Madison, and Union counties and from across Ohio. Ohio has ranked among the top five states for overdose mortality for over a decade — Franklin County alone recorded more than 700 overdose deaths in 2023, with fentanyl involved in the large majority. See the Ohio drug abuse and overdose statistics for regional data. Explore the facility or meet the care team.