Can You Work While in Opioid Addiction Treatment? Balancing Recovery and Daily Life

February 18, 2025

7 minutes

Stressed man at his desk with a laptop, holding his head in frustration, representing the challenges of balancing work and opioid addiction treatment

For many people struggling with opioid addiction, the fear of losing a job stops them from seeking treatment. You might wonder, Will my boss find out? Can I keep up with work while going through withdrawal? Will I have to take weeks off for rehab?

But you don’t have to choose between your job and your recovery. With flexible treatment options like TeleMAT (telehealth-based medication-assisted treatment), outpatient programs, and workplace protections, it’s possible to manage opioid addiction while staying employed.

This guide explains how to get treatment without quitting your job, how to use medical leave and workplace protections, and which treatment options fit into a busy work schedule. If fear of losing your income has been holding you back, know that you can recover while maintaining your career—and here’s how.

How to Get Opioid Addiction Treatment Without Quitting Your Job

Balancing work and recovery might seem challenging, but today’s treatment options are more flexible than ever. Whether you need medication-assisted treatment (MAT), therapy, or medical leave, there are ways to get help without putting your job at risk.

Here are the most effective options for working professionals seeking treatment:

  • TeleMAT (Telehealth-Based Medication-Assisted Treatment) – Get Suboxone or naltrexone prescriptions through virtual doctor visits, without missing work.
  • Outpatient Programs – Flexible treatment schedules that allow you to continue working while receiving counseling and support.
  • Workplace Protections – Laws like the Family and Medical Leave Act (FMLA) and the Americans with Disabilities Act (ADA) can protect your job while you seek treatment.
  • Confidential Support from HR – Many employers offer employee assistance programs (EAPs) that provide addiction treatment resources while keeping your medical information private.

By understanding these options, you can prioritize recovery while maintaining job security.

TeleMAT: A Flexible Treatment Option for Working Professionals

TeleMAT (telehealth-based medication-assisted treatment) is one of the most convenient ways to receive opioid addiction treatment without missing work. This approach allows you to meet with an addiction specialist online, receive a Suboxone or naltrexone prescription, and continue working as usual.

How TeleMAT Works for Busy Professionals

  • Virtual appointments – No need to travel to a clinic—see a doctor from home or during a work break.
  • Same-day prescriptions – Many patients receive Suboxone or naltrexone on the same day as their appointment.
  • Ongoing support via telehealth – Regular check-ins with a doctor to adjust dosage and monitor progress.
  • More privacy – No employer notification required since telehealth visits are private.

Pros of TeleMAT for Employees

  • No need to take time off work—appointments are quick and done remotely.
  • Discreet and confidential, with no employer involvement.
  • More affordable than inpatient rehab or traditional MAT clinics.
  • Continued access to work-based health insurance, which may cover treatment.

Best for: Employees who need medication support for opioid addiction but can’t take time off for inpatient rehab.

Outpatient Programs: Treatment That Fits Your Work Schedule

If you need structured addiction treatment but can’t step away from work for inpatient rehab, outpatient programs offer a flexible alternative. These programs provide therapy, counseling, and medical support while allowing you to continue working.

How Outpatient Treatment Works for Employees

  • Flexible scheduling – Sessions are offered before or after work, on weekends, or during lunch breaks.
  • Different levels of care – Options range from standard outpatient programs (a few hours a week) to intensive outpatient programs (IOPs) and partial hospitalization programs (PHPs), which offer more support without requiring overnight stays.
  • Can be combined with TeleMAT – Many outpatient programs work alongside Suboxone or naltrexone treatment, making it easier to manage cravings and withdrawal.

Pros of Outpatient Treatment for Employees

  • No need to take extended time off work – You can schedule treatment around your job.
  • Access to therapy and support while maintaining daily responsibilities.
  • More affordable than inpatient rehab, especially if covered by insurance.

Best for: Employees who need structured addiction treatment and counseling but can’t commit to inpatient rehab.

Can You Be Fired for Having a Drug Addiction?

Many people hesitate to seek opioid addiction treatment because they’re afraid of losing their job. You might wonder, If my employer finds out, can they fire me? Am I protected if I’m on Suboxone or in recovery? What if I need time off for treatment?

You do have legal protections, but there are also some situations where an employer can legally let you go. It all depends on whether you’re actively using opioids, if you disclose your treatment, and how addiction is affecting your job performance.

Let’s break down what the law actually says and how you can protect your job while getting the help you need.

Are You Protected Under the ADA?

The Americans with Disabilities Act (ADA) protects employees from being fired, demoted, or denied employment because of a past or current substance use disorder—but only if they’re not actively using illegal drugs (U.S. Equal Employment Opportunity Commission, 2022).

This means:

  • If you’re in recovery (including being on Suboxone, methadone, or naltrexone), your employer cannot fire you just for having a history of opioid addiction.
  • You can request accommodations—like a flexible schedule for medical appointments—if treatment affects your work hours.
  • If you voluntarily seek help before your job performance suffers, you are legally protected from being fired for addiction alone.

However, the ADA does NOT protect:

  • Current illegal drug use. If you fail a drug test for illicit opioids, your employer can fire you—even if you have a history of addiction.
  • Poor job performance. If your work is suffering and you haven’t disclosed your condition, your employer can take disciplinary action.
  • Company drug-free workplace policies. If your employer has a policy against opioid use—including prescription opioids—they may be allowed to enforce it.

Bottom line: You have legal protections if you’re in recovery and actively seeking treatment. If you’re currently misusing opioids, those protections may not apply.

When Can an Employer Fire You for Drug Use?

Even with ADA and FMLA protections, there are still situations where your employer can legally fire you:

  • Failing a drug test for illicit opioids.
  • Coming to work impaired, even if you have a prescription.
  • Declining job performance due to addiction-related issues.
  • Violating a company’s drug-free workplace policy, even if you’re on MAT.

Many employers support recovery but still enforce strict drug policies. If you’re on Suboxone or methadone, it’s a good idea to review your company’s policies or talk to HR to understand how they handle MAT.

The key takeaway: If you’re seeking treatment and not using opioids illegally, you are legally protected. If addiction is actively affecting your work, those protections may not apply.

How to Protect Your Job While Seeking Treatment

If you’re worried about balancing recovery and work, there are steps you can take to protect your job:

  • Know your rights. If you’re in recovery, the ADA protects you from being fired due to a history of addiction.
  • Consider using FMLA. If you need inpatient rehab or a medical leave of absence, FMLA can hold your job for up to 12 weeks.
  • Use TeleMAT or outpatient treatment. Online Suboxone prescriptions and virtual therapy allow you to get treatment without taking time off work.
  • Talk to HR (if comfortable). Many companies offer Employee Assistance Programs (EAPs) that provide free addiction support.
  • Check company policies. Some workplaces support MAT, while others have stricter drug-free workplace rules.

Seeking help doesn’t mean losing your job. In fact, getting treatment can improve your career, stability, and overall quality of life.

Get Treatment Without Putting Your Job at Risk with QuickMD

Balancing work and recovery is possible—you don’t have to choose between keeping your job and getting the help you need. With flexible treatment options like TeleMAT, outpatient programs, and workplace protections, you can take control of your health while maintaining your career.

QuickMD makes opioid addiction treatment more accessible than ever with fast, private, and convenient telehealth services. Whether you need Suboxone, naltrexone, or professional guidance, our licensed addiction specialists are available seven days a week to help you start your recovery—without disrupting your work schedule.

Why Choose QuickMD?

  • Same-day Suboxone prescriptions, sent directly to your pharmacy
  • Virtual appointments—no in-person clinic visits required
  • Confidential, judgment-free treatment from the comfort of home
  • Flexible scheduling, so you don’t have to take time off work
  • Affordable pricing, with insurance options available

Don’t let fear of losing your job keep you from seeking help. Start treatment today—on your terms.

Disclaimer

Disclaimer Articles on this website are meant for educational purposes only and are not intended to replace professional medical advice, diagnosis or treatment. Do not delay care because of the content on this site. If you think you are experiencing a medical emergency, please call your doctor immediately or call 911 (if within the United States). This blog and its content are the intellectual property of QuickMD LLC and may not be copied or used without permission.

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