Fentanyl Addiction Treatment in Hawaii

• Drowsiness & Sedation: Fentanyl depresses the central nervous system, leading to extreme fatigue, nodding off, or difficulty staying awake.
• Confusion & Disorientation: Users may appear mentally foggy, have trouble concentrating, or seem unaware of their surroundings.
• Slowed or Shallow Breathing: One of the most dangerous effects of fentanyl is respiratory depression, which can lead to fatal overdose.
• Pinpoint Pupils (Miosis): Unlike other drugs that dilate the eyes, opioids like fentanyl cause pupils to constrict to tiny dots.
• Nausea & Vomiting: Even small doses can trigger severe stomach discomfort, dizziness, and vomiting.
• Constipation: Chronic opioid use disrupts digestive function, leading to persistent gastrointestinal issues.
• Itching or Flushed Skin: Some users experience skin irritation or a warm, flushed face due to histamine release.

• Social Withdrawal: A person abusing fentanyl may isolate themselves from friends and family, avoiding social interactions they once enjoyed.
• Neglecting Responsibilities: Work, school, and household duties often fall by the wayside as drug use takes priority.
• Doctor Shopping or Secretive Behavior: Those addicted may visit multiple doctors to obtain prescriptions or go to great lengths to hide their drug use.
• Financial Problems: Fentanyl addiction is expensive, leading to unexplained money troubles, borrowing or stealing cash, or selling possessions.
• Risk-Taking Behaviors: Users may engage in dangerous activities, such as driving under the influence or mixing fentanyl with other substances.

• Intense Cravings: A hallmark of addiction is an overwhelming urge to use, even when aware of the harm it causes.
• Anxiety & Depression: Fentanyl disrupts brain chemistry, often worsening or triggering mood disorders.
• Irritability & Mood Swings: Withdrawal between doses can cause agitation, anger, or emotional instability.
• Loss of Control: Despite attempts to quit, users find themselves unable to stop, even when facing health, legal, or relationship consequences.
• Denial & Defensiveness: Many individuals struggling with addiction downplay their usage or become hostile when confronted.

At Mana Recovery, our Day Treatment Program (PHP) provides a structured, therapeutic environment for those who need comprehensive support while maintaining the flexibility to return home each evening. This program is ideal for individuals transitioning from inpatient detox or residential treatment, or for those who require more intensive care than traditional outpatient therapy can offer.

Clients participate in therapy sessions, medical check-ins, and holistic activities 5-6 days per week, with a strong focus on relapse prevention, coping skills, and mental health stabilization. Our PHP integrates evidence-based therapies, medication-assisted treatment (if needed), and our signature Recover Strong fitness program—all within Maui’s serene, healing setting.

For those ready to take steps toward independent living while still receiving robust clinical support, our Intensive Outpatient Program (IOP) offers the perfect balance. Clients attend therapy sessions 3-5 days per week, allowing time for work, school, or family commitments while prioritizing recovery.

Our IOP includes individual counseling, group therapy, life skills training, and access to holistic wellness practices like yoga and mindfulness. With the inclusion of our Recover Strong fitness regimen, clients build physical and mental resilience in a supportive community. Whether stepping down from PHP or seeking an alternative to residential treatment, Mana Recovery’s IOP provides the tools and accountability needed for sustainable sobriety in the heart of Maui’s restorative landscape.

One-on-one therapy helps address the root causes of addiction. Our evidence-based approaches include:

• • Cognitive Behavioral Therapy (CBT): Identifies and changes negative thought patterns
  • Motivational Interviewing (MI): Enhances commitment to recovery
  • Trauma-Informed Therapy: Addresses past trauma contributing to addiction

Group sessions provide community and accountability. Our outpatient program includes:

• Process groups to share experiences and coping strategies
• 12-Step or SMART Recovery meetings for structured peer support
• Relapse prevention workshops to build long-term recovery skills

Hawaii’s natural beauty enhances healing. We incorporate:

• Mindfulness & Meditation: Reduces stress and improves emotional regulation
• Yoga & Fitness: Promotes physical and mental wellness
• Nutritional Counseling: Supports brain and body recovery

Addiction affects the whole family. We offer:

• Family therapy sessions to repair relationships
• Education on addiction and recovery to foster understanding
• Support groups for loved ones

Maui’s breathtaking beaches, lush mountains, and tranquil ocean waves provide a calming backdrop for recovery. Studies show that spending time in nature reduces stress, anxiety, and depression, key triggers for addiction. Unlike crowded urban rehab centers, our outpatient program allows clients to engage in therapy while enjoying Maui’s restorative surroundings.

Physical wellness is a crucial part of addiction recovery. Maui offers endless opportunities for healthy, sober adventures, including:

• Ocean therapy (swimming, snorkeling, paddleboarding)
• Hiking (promoting mindfulness and endurance)
• Sunrise yoga on the beach (enhancing mental clarity and relaxation)

At Mana Recovery, we encourage clients to embrace these activities as part of their healing journey.

One of Mana Recovery’s signature offerings is the Recover Strong Program, which uses exercise as a powerful tool for addiction recovery. Research shows that regular physical activity:

• Reduces cravings by boosting endorphins (natural mood enhancers)
• Improves mental health by lowering anxiety and depression
• Rebuilds self-discipline and confidence
• Our program includes:
• Personalized fitness plans tailored to each client’s needs
• Group workouts (beach boot camps, hiking groups, functional training)
• Nutrition guidance to support physical and mental recovery

By combining structured exercise with therapy, clients develop healthy habits that replace addictive behaviors.

Maui has a thriving sober community, offering:

• 12-Step and alternative recovery meetings
• Sober social events (volunteering, group outings, wellness workshops)
• Peer accountability through Mana Recovery’s group therapy sessions

This network ensures clients never feel alone in their journey.

For many, leaving a high-stress environment is crucial for recovery. Maui’s island setting provides physical and emotional distance from negative influences, allowing clients to focus entirely on healing.