Kratom2025-07-10T12:01:23+00:00

Kratom Addiction Treatment in St. Louis

Kratom, or Mitragyna speciosa, has been a staple in traditional medicine in Southeast Asia for hundreds of years. Though it’s legal on the federal level and has become a popular herbal remedy in the U.S. for its opioid- and stimulant-like effects, kratom can have serious risks – including addiction.

Because kratom activates the opioid receptors in the brain – the same as opioid drugs – it can be extremely difficult to overcome kratom abuse and addiction without professional help. Our comprehensive kratom addiction treatment programs at Engage Wellness provide personalized, integrative care to address substance abuse and build a foundation for lasting recovery.

Key Points

  • Kratom is an herbal substance derived from the leaves of a plant native to Southeast Asia.

  • The active compound mitragynine in kratom can produce opioid- and stimulant-like effects.

  • Though kratom is used recreationally and as a remedy, it’s been linked to serious side effects and possible addiction.

  • Kratom addiction requires comprehensive treatment that addresses the physical, emotional, and psychological factors.

What Is Kratom?

Kratom (Mitragyna speciosa) is a tropical tree native to Southeast Asia. It belongs to the coffee family and has been used in Asian countries for traditional medicine, particularly for its stimulant and opioid properties.[1] It’s grown in Thailand, Myanmar, Malaysia, and other parts of Southeast Asia. It has been used as a stimulant to help laborers overcome muscle pain and exhaustion.

The active compound in kratom is mitragynine, which can produce effects similar to morphine or heroin.[2] It’s sometimes viewed as a safer alternative to highly addictive opioid painkillers, but it’s not without risks on its own.

The phytochemicals in kratom can have different therapeutic effects and toxicological properties. Mitragynine and 7-hydroxymitragynine, which are exclusive to the plant, are responsible for the effects of kratom.[3] Kratom may be used in many ways, including as a liquid, tablet, capsule, or loose leaves that may be chewed or brewed into tea. At low doses, kratom acts as a stimulant, but higher doses bring euphoria and pain relief.

Kratom Addiction and Abuse

Kratom has been viewed as a safe alternative to opioid painkillers, but kratom abuse and addiction have become more of a concern. Its uses have extended beyond remedies to recreational drug use, with people seeking out the drug to get high.

The active compounds in kratom interact with opioid receptors in the brain, causing feelings of euphoria and relieving pain. This is similar to the effects of opioids. Continued kratom use can lead to physical dependence and withdrawal that’s similar to opioid withdrawal, including muscle aches, irritability, insomnia, and intense cravings.

Without treatment, kratom dependence can develop into an addiction or substance use disorder. With prolonged use, especially at high doses, kratom can have serious side effects like psychosis, constipation, and liver damage.[4] Kratom addiction can have similar negative effects to other drugs of abuse, such as strained interpersonal relationships, depression, anxiety, and problems in life.

Kratom Risks and Side Effects

Kratom is often used as a remedy for pain, fatigue, or anxiety, but the substance isn’t regulated. It’s difficult to predict its effects without knowing its potency or the concentration of active ingredients, leading to some unpredictable effects and risks like:[5]

  • Weight loss
  • Dry mouth
  • Changes in urination
  • Chills
  • Nausea and vomiting
  • Liver damage
  • Muscle pain
  • Drowsiness

  • Dizziness
  • Hallucinations
  • Depressed breathing
  • Seizures

Though rare, kratom use can lead to coma and death. Without regulation, it’s difficult for researchers to determine the toxic dose of kratom. There have been cases of fatal overdoses, but they typically involve multiple substances or contaminated kratom products rather than a toxic dose of the substance itself.

Can You Get Addicted to Kratom?

Yes, kratom can be addictive. Though it’s not classified as a controlled substance by the Drug Enforcement Administration (DEA), its active compounds interact with the opioid receptors in the brain and produce reinforcing effects. Regular use of kratom can cause physical dependence, meaning the body gets used to the presence of the substance and needs it to function normally. Once this occurs, intense withdrawal symptoms like cravings, muscle pain, nausea, and insomnia make it difficult to quit.

Kratom Withdrawal

Kratom withdrawal symptoms can vary based on the dose, use habits, and other factors. However, there are some common symptoms:[6]

  • Irritability
  • Insomnia
  • Nausea
  • Diarrhea

  • Mood swings
  • Joint pain
  • Runny nose

  • Muscle aches

Kratom Addiction Treatment in St. Louis

Kratom’s complex effects on the brain and body can make it difficult to overcome addiction. At Engage Wellness, we take a comprehensive approach to kratom addiction treatment to address the physical, emotional, and psychological factors that contribute to it.

Depending on the severity of withdrawal, treatment may begin with detox placement to coordinate a medically supervised detox. Kratom withdrawal can be intense and uncomfortable, which increases the risk of relapse. Medical detox offers support and supervision to ensure you have a strong foundation for recovery.

Once detox is complete, the next step is a full treatment program for substance abuse. Depending on your needs, this may include an intensive outpatient program (IOP) for kratom addiction, which provides structured therapy several times a week without requiring a residential stay. Outpatient treatment is also available if you need a more flexible schedule while balancing your daily responsibilities.

Both IOP and outpatient treatment use a range of evidence-based therapies tailored to your needs and goals, including:

01

Focuses on healing family dynamics by addressing past wounds, improving communication, and building a strong support system for recovery.

02

Provides a supportive environment where peers share experiences, offer encouragement, and create a sense of accountability and community.

03

Based on the principles of Alcoholics Anonymous (AA) and Narcotics Anonymous (NA), 12-Step programs encourage self-reflection, personal responsibility, and mutual support.

04

Helps identify and change harmful thought patterns and behaviors that fuel substance use, replacing them with healthier coping strategies.

05

Combined CBT techniques with mindfulness and emotional regulation to better manage cravings and impulsive behaviors.

06

Strengthens internal motivation for recovery by helping individuals resolve ambivalence about quitting kratom.

07

A specialized therapy designed to help process past trauma that may contribute to substance use.

08

Teaches skills to recognize triggers, manage high-risk situations, and maintain long-term sobriety.

09

Focuses on treating the whole person with complementary therapies like meditation, mindfulness, acupuncture, and yoga to support emotional and physical healing.

10

Specifically designed to address the unique challenges veterans face, including trauma, substance use, and post-traumatic stress disorder (PTSD) during their transition back to civilian life.

Frequently Asked Questions About Kratom Addiction Treatment in St. Louis

How Is Kratom Used in Asian Medicine?2025-06-23T22:55:15+00:00

In Southeast Asia, kratom is used as a traditional remedy to relieve pain, boost energy, and improve libido, much like coca or khat. The extract is also used for wound healing and topical pain relief. There’s little research evaluating kratom’s effectiveness as an herbal remedy.

How Long Does It Take to Get Addicted to Kratom?2025-06-23T22:58:20+00:00

There’s no exact timeline for kratom addiction because it varies by many factors, including the potency of the substance, how often it’s used, and the individual health factors of the person using it. Some people may become addicted to kratom quickly, while others may use the substance regularly without dependence or addiction.

Where Does the FDA Stand on Kratom?2025-06-23T22:58:26+00:00

The FDA issued a warning to consumers about kratom use and its potential risks, including possible addiction. The concern for the FDA is the activity of kratom on the opioid receptors, which may indicate a higher potential for addiction like that of opioid drugs.

Is Kratom Legal in Southeast Asia?2025-06-23T22:56:56+00:00

Kratom trees are grown in Southeast Asian countries, and it’s legal to use in many areas. Thailand had prohibited kratom under the Narcotics Act 2564 in 1979, but it was then removed in 2021 and remains legal to possess and consume.

[1,2] U.S. Department of Health and Human Services. (2023, April 24). Kratom. National Institutes of Health. Retrieved from https://nida.nih.gov/research-topics/kratom on 2025, April 25.

[3] Prozialeck, W. C., Edwards, J. R., Lamar, P. C., Plotkin, B. J., Sigar, I. M., Grundmann, O., & Veltri, C. A. (2020, July 30). Evaluation of the mitragynine content, levels of toxic metals and the presence of microbes in kratom products purchased in the western suburbs of Chicago. International journal of environmental research and public health. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7432033/#:~:text=Pharmacologic%20studies%20have%20shown%20that,hydroxymitragynine%20%5B7%2C8%5D on 2025, April 25.

[4] U.S. Department of Health and Human Services. (2023, April 24). Kratom. National Institutes of Health. Retrieved from https://nida.nih.gov/research-topics/kratom on 2025, April 25.

[5] Mayo Foundation for Medical Education and Research. (2022, June 3). Kratom: Unsafe and ineffective. Mayo Clinic. Retrieved from https://www.mayoclinic.org/healthy-lifestyle/consumer-health/in-depth/kratom/art-20402171 on 2025, April 25.

[6] Henningfield, J. E., Chawarski, M. C., Garcia-Romeu, A., Grundmann, O., Harun, N., Hassan, Z., McCurdy, C. R., McMahon, L. R., Sharma, A., Shoaib, M., Singh, D., Smith, K. E., Swogger, M. T., Vicknasingam, B., Walsh, Z., Wang, D. W., & Huestis, M. A. (2023). Kratom withdrawal: Discussions and conclusions of a scientific expert forum. Drug and alcohol dependence reports, 7, 100142. Retrieved from https://doi.org/10.1016/j.dadr.2023.100142 on 2025, April 25.

[7] [4] Kratom Mitragyna Speciosa Korth (street names: Thang, kakuam, thom … (n.d.). Retrieved from https://www.deadiversion.usdoj.gov/drug_chem_info/kratom.pdf on 2025, April 25

[8] Commissioner (n.d.). FDA and Kratom. U.S. Food and Drug Administration. Retrieved from https://www.fda.gov/news-events/public-health-focus/fda-and-kratom on 2025, April 25.

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