Opioid MAT (Medication Assisted Treatment)

So….we live in the time where Opioid MAT is a thing. Let’s explore it. Opioid MAT stands for Medication Assisted Treatment and, in this case, refers to drugs that work on the opioid receptors in the brain that are used to ease/prevent opioid withdrawal in folks who are physically dependent on them. Opioid MAT are often taken along with therapy and/or support groups, such as Narcotics Anonymous, S.M.A.R.T. Recovery, etc. Opioid MAT drugs prevent cravings and withdrawal, while simultaneously not getting the person “high” while taking it.

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The Power of Breath

What is something that you know that you think the world needs more knowledge of?

For me it is BREATHWORK. Breathing… everyday breath.

Seems silly? Yes. But also, the work of our breath is so important and sometimes we forget to just catch our breath.

When going through a stressful day, we need to calm ourselves down with breathing. When anxiety begins to rise, we need to focus on our breathing. If we feel trapped, we need to lengthen our breathing.

Breathing is a part of our everyday living, but the way we use techniques actually can help us better our mental health, but also depending on the length of breath you can change your energy from calm to awake or vice versa.

Our nervous system is made up of two factors: the sympathetic nervous system and the parasympathetic nervous system. Our SNS is involved with excitement, flight, fight or freeze. Whereas our PNS is calm, relax, rest and digest.


While using the breathwork system and focusing within our breath we are able to create either more energy, relaxation or just simple balance.

You want to keep it simple. Box breathing is a great technique to come back to the present moment. This is where you imagine there are 4 points (like a box). You’d breathe in for 4, hold for 4, breathe out for 4 and hold for 4, then repeat. You would repeat this until you have come back to center and a stillness wave.

When learning how to regulate our nervous system, we are developing a connection between our mind and body.

When using drugs, we sometimes have outer body experiences. This may be great for some, but others may not enjoy. It is keen to remember the power of breathing to bring us back to our center. If feeling overwhelmed, use the box breathing technique. Take longer breaths to calm your nervous system.

If you are out and trying a sober night but need energy, quicker breaths will form a more upbeat rhythm to keeping us awake.

We use our breath to survive.

Breathe In. Breathe Out.

By: Nicole N, a Trip! Peer 

Decriminalization: A Not-So-Hot Take

Image from Kristal Menguc/The Varsity

There’s been a pretty big development in drug decriminalization in Canada! By now many of you have probably heard the announcement made by the federal government that British Columbia will be the first province to decriminalize small amounts of some drugs for personal use. More specifically, “Canadians 18 years of age and older will be able to possess up to a cumulative 2.5 grams of opioids, cocaine, methamphetamine and MDMA within B.C. as of Jan. 31, 2023.” This is a pilot project, where the BC government intends to keep this law in place for three years, until January 31, 2026 unless otherwise “…revoked or replaced with another exemption before that date.

This is definitely a step in the right direction! We know that any forward movement in decriminalizing substances helps to decriminalize and destigmatize those who use drugs. BC overall, and Vancouver more specifically, have both been leading the charge in the country towards this end with the introduction of a safe supply program last summer and Vancouver’s filing for drug possession exemptions last November. Since then Toronto has filed a similar exemption request, and the same is being considered by various municipalities across the country, most notably in Hamilton, Edmonton, and Saskatoon. Also in favour of decriminalizing drugs for personal use is the Ontario NDP, which is something they say they will work towards now that they are once again the official opposition in the provincial government. The federal government has also come out saying they are open to working with various jurisdictions to expand decriminalization efforts across the country, and even the Conservatives claim to support a health-based rather than criminal approach to all substance use. However, we have yet to see progress in creating such a policy at the federal level, which is crucial given the number of opioid related deaths and continued stigma experienced across the country.
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Sleep, Supplements and Sleep Hygiene:

Sleep can be a tricky thing; whether it’s falling asleep, staying asleep, being comfortable in bed, or dealing with constant fatigue. In this blogpost, we’ll cover the basics of sleep neurobiology, tips, common sleep disorders, over the counter & herbal remedies that may encourage better sleep, and additional online resources to check out.

Why is sleep important?

  • Your body repairs its cells during sleep, important for wound healing, cellular regeneration, etc.
  • Digestion and metabolism are affected by sleep.
  • Your brain consolidates information and memories.
  • People who are deprived of sleep are at a significantly higher risk for obesity, diabetes, heart disease, high blood pressure, kidney disease, and stroke.
  • Too little sleep, or poor quality sleep can aggravate gastrointestinal disorders and mental health issues.

What happens when we sleep? Continue reading

Part 2: ADHD Brains

In this second part of our series on ADHD and substance use (read Part 1 here), we will be discussing the neurological aspects of ADHD. Harm reduction exists in many facets of life, and can take on many forms. Here at Trip! Project, one of the ways we practice harm reduction is through the spreading of knowledge and awareness of various substances, and phenomena related to taking/using these substances. The idea behind this is that knowledge is power! Having an awareness and understanding of the substances we take and the ways in which they interact with our brains is one way to make more informed and hopefully safer choices when it comes to substance use. The same can be said about our own brain chemistry and structure! Knowing how or why we experience the things we do can help us make informed choices and take better care of our brains. 

This next installment aims to share some of the neurological aspects of ADHD to inform not only why those of us with ADHD gravitate towards the substances we do, but also to undo some of the shame and stigma associated with those habits. Some of these habits are wired into us on a neurological level! That’s not to say we have no control over our decisions or choices. Understanding why we make certain choices can go a long way in overcoming the shame many of us feel around our actions and impulses. Sometimes we all need a little reminder not to stigmatise the way that different brains operate, and to remember that trying to make changes to your mental wiring (if that’s what you want for yourself) can be incredibly challenging! So, with that, we hope to share some info on what specifically is happening on a neurological level when it comes to the ADHD experience.

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Mutual-Aid Harm Reduction: Black History & Future is Love

For this February: May we not only celebrate and honour Black histories, but may we invest in Black futures also. For this Valentine’s day, may we give back, may we gift each other the flowers that we deserve, and may we love deeper in solidarity. For all of this month and beyond, let us continue to seed for change through care, as mutual-aid is indeed harm reduction in a world where it feels like there’s not enough love to live. Black folks in our communities deserve rest, justice, and recovery. We will not celebrate resilience without resistance to systematic violence. We shall remember to care for, invest in, and heartfully cherish Black presence, in all timelines and beyond, as we love towards a future that we all deserve.

Check out these upcoming events (Feb 24 & Feb 28) at NIA Centre for the Arts, a Toronto org that supports & showcases Black artists and artwork.  

2 GoFundMes to Support & Share:
Justice for Moses Erhirhie

Help Shar Get Therapy & Heal

Care for Our Queer & Trans Black Friend

Black Trans Couple’s Affirmation & Survival Fund

Myles’ Gender Affirming Procedure Fund

Therapy Fund: Black, trans, ND & traumatized

Help Antea Rest and Recover

Cleo’s Top Surgery

Help My Mom and Her Fight against Cancer

Regis4Ever

Justice for Moka

In Memory of D’Andre A. Campbell

Written and compiled by Leon Tsai, a Trip! Peer 

Part 1: ADHD and Substance Use

Welcome to the first installment in a multi-part series on ADHD and substance use (read Part 2 here)! In this series we will be going in-depth on topics specific to adult ADHD and substance use including: common symptoms and behaviours of ADHD, the neurological aspects of ADHD, common habits around recreational drug use and self-medicating, and the prescription medications most commonly used by people with ADHD. This first part of the series hopes to give a brief overview clarifying common ideas and misconceptions about ADHD and how substance use can become a part of the ADHD lived experience.

You may have heard or read somewhere that it’s more likely for people with Attention Deficit Hyperactivity Disorder (ADHD) to develop substance use issues or even just generally struggle with self-moderation when it comes to substances. In fact, as many as a quarter of adults seeking treatment for substance use related disorders also have an ADHD diagnosis

That also doesn’t account for all the people that may suspect they have ADHD but are undiagnosed, or those that maybe don’t even realize they have it to begin with. But how does that actually present itself in real life? What does it look like to be an adult with ADHD trying to help mitigate some of those symptoms with substances and self-medicating? First we have to start with outlining what some of those symptoms are. Continue reading

Housing Harm Reduction: Community Solidarity & Resources


Photo by Jeff Bierk

Housing is a human right, however…

“It’s estimated that 1500 people sleep outside in Toronto as the result of a housing crisis that saw 102,049 households waitlisted for social housing in 2019 and over 9000 people homeless” – Encampment Support Network (E.S.N.) Toronto

Housing instability and the lack of shelter resources continue to be a violent factor to marginalized folks living in the city. From locally to globally, harm reduction values and practices are both necessary and essential while reaching towards safer and stable housing for all. Not to mention the restrictions or stigmatizations against substance use often turn people who use drugs away from community housing and shelters altogether. Especially, according to E.S.N. Toronto, “as of June 5 there were 14 current COVID-19 outbreaks and 528 confirmed cases in shelters. 4 People have died. In the encampments that have been tested for COVID-19, there were zero cases.” Housing is a human right, and it should not be at the compromise of any person’s dignity, autonomy, or survival. This pandemic should be a reminder of how much care we all deserve and not an opportunity for anyone to be left behind.

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Prescription Sedatives & Tranquilizers

Xannies, tictacs, bars, oh my! All the ins and outs of benzodiazepines (benzos) and z-drugs! Commonly used prescription drugs for anxiety and insomnia, and are also used recreationally without a prescription. Even when they’re prescribed, they still have unique risks! Benzos have been infiltrating the illicit drug trade, increasing the risk of overdose and uncomfortable side effects. This piece covers the differences, dosages and routes of administration and other harm reduction strategies to keep you and your friends as safe as possible.

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