Fentanyl Exposure Symptoms

Prescription bottle labeled "Fentanyl" with white pills spilled on a reflective surface, illustrating the dangers of fentanyl exposure and overdose in the context of the opioid crisis.

Fentanyl Exposure and Overdose Symptoms The opioid crisis in the United States is well-known. Fentanyl, a synthetic form of this class of drugs, is one of the deadliest. At around 50 times stronger than heroin, it accounts for a significant amount of both fatal and non-fatal overdoses. Whether intentional or unintentional, fentanyl exposure can result … Read more

Is Percocet an Opiate?

Prescription medication bottle filled with white tablets, surrounded by additional white pills, representing the opioid crisis and prescription drug abuse.

All About Percocet Percocet is the brand name of a narcotic combination analgesic legally available only by prescription. Especially over the past few years, counterfeit products resembling Percocet and its generic equivalents have been sold on the black market. These products often contain the far more powerful synthetic opioid fentanyl, disguised as pills illegally pressed … Read more

How Long Does a 12 Step Program Take?

Two women embracing in a supportive environment, symbolizing recovery and connection, with a group of individuals observing, in a warm, inviting space.

The Time Frame of a 12-Step Program Several factors play a role in how long it takes to complete a 12-step program if you are suffering from substance use disorder (SUD). Not every person or situation is the same, and in mild cases, it can take up to 90 days. For severe cases, it can … Read more

What is The 12th Step of AA

Man sitting in a support group meeting, focused expression, surrounded by diverse individuals, emphasizing themes of addiction recovery and community support.

Embracing Recovery: Understanding the 12th Step of Alcoholics Anonymous Alcohol addiction is a complex challenge that affects individuals from all walks of life. It can lead to significant personal, social, and legal problems, impacting not only the individuals struggling with addiction but also their families and communities. Among the various support systems available, Alcoholics Anonymous … Read more

Does Heroin Cause Diabetes?

Man in a hoodie kneeling on a wooden floor, with a syringe and a strip of material nearby, symbolizing the struggles of addiction and recovery.

Does Heroin Use Cause Diabetes? Heroin does not cause diabetes. What heroin does do, however, is create what’s known as hyperinsulinemia. This is a state where there is too much insulin in the blood even without glucose intolerance. According to the Mayo Clinic, the treatment is simply to treat the problem that’s causing the hyperinsulinemia. … Read more

Does Heroin Affect the Brain?

Woman in a plaid shirt sitting against a wall, depicting two contrasting states: one side showing a defensive pose with hands raised, the other side showing a somber expression while injecting heroin, illustrating the impact of addiction on mental health.

How Does Heroin Use and Addiction Affect the Brain? Heroin, also known as diamorphine or diacetylmorphine, is an opioid substance made from the opium poppy. This substance harms the brain and the body and has been labeled an illegal or controlled substance in several countries worldwide. Heroin is an addictive substance that can lead to … Read more

How Do Painkillers Know Where the Pain Is?

Colorful assortment of pain relief capsules in jars, highlighting various types of painkillers relevant to discussions on medication effects and opioid dangers.

How Do Painkillers Pinpoint Pain? From mild over-the-counter analgesics to the powerful drugs administered during surgical procedures, all painkillers have a few things in common. They work by blocking the neural pathways that cause pain, but have you ever wondered why they only seem to work on the affected area? Why doesn’t your entire body … Read more

Dangers of Opioids While Pregnant

Fetus surrounded by various colorful pills, illustrating the dangers of opioid use during pregnancy.

Understanding the Dangers of Opioids While Pregnant Opioid abuse is destructive to anyone, but it can have devastating effects on a fetus during pregnancy. An expectant mother who currently takes prescription or non-prescription opioids may be unaware of how these drugs can impact her unborn child; learning the effects, risks, and importance of getting treatment … Read more

Can Benzos cause Depression?

Woman sitting against a wall, wrapped in a blanket, with a distressed expression, symbolizing feelings of depression and anxiety related to benzodiazepine use.

Benzodiazepines for Depression Benzodiazepines have been used to treat a variety of conditions for many years. Healthcare providers have prescribed this type of psychoactive drug to people with anxiety, insomnia, and muscle spasms, among other conditions, because of its ability to affect the central nervous system. It can make people feel calmer, which is useful … Read more

What is the Opioid Crisis in Massachusetts?

Prescription pill bottles labeled with opioid medications, highlighting potential risks and warnings related to opioid use during pregnancy, relevant to discussions on addiction and treatment.

The Massachusetts Opioid Crisis Is One of the Most Severe in the Nation Over the past two decades, the opioid crisis in Massachusetts has increased exponentially. The crisis is worse in the commonwealth than in many other areas of the United States, as evidenced by many statistics. In 2020, over 2,000 people died in Massachusetts … Read more

Dr. Salah Alrakawi

Dr. Salah Alrakawi brings over 30 years of expertise in clinical medicine, academia, and administration. He is dual board-certified in Internal Medicine and Addiction Medicine, reflecting his deep commitment to providing comprehensive, patient-centered care.

Currently serving as the Medical Director at Charles River Recovery, Dr. Alrakawi also holds roles as an Attending Physician in the Department of General Internal Medicine at Brigham and Women’s Hospital, Atrius Health, and the Massachusetts Alcohol and Substance Abuse Center (MASAC). His multifaceted work underscores his dedication to advancing both the treatment of addiction and general internal medicine.

Dr. Alrakawi earned his medical degree from Damascus University and completed his Internal Medicine residency at Woodhull Medical Center. He is also a valued member of the teaching faculty at Harvard Medical School, where he helps shape the next generation of physicians.

Throughout his career, Dr. Alrakawi has been recognized with numerous awards and honors from the Massachusetts Department of Public Health, Tufts University School of Medicine, Tufts Medical Center, Lemuel Shattuck Hospital, and Brigham and Women’s Hospital, highlighting his contributions to public health, education, and patient care.

Beyond his professional endeavors, Dr. Alrakawi is an avid traveler who enjoys hiking, playing soccer, and immersing himself in diverse cultures around the world.

Steven Barry

Steven Barry holds a B.A. in Economics from Bates College with extensive professional experience in both financial and municipal management. In his role as Director of Outreach, Steve leads the Charles River team in fostering relationships across the recovery community, local cities and towns, labor partners, and serving as a general resource for anyone seeking help.

Steve’s Charles River Why – “Anything I have ever done in my professional career has been rooted in helping people.  There is no more direct correlate to that end than assisting people find their path to reclaim their life from the grips of addiction”. 

Jillian Martin
Jillian Martin, the Director of Clinical Services, brings over 15 years of experience in behavioral healthcare and more than a decade in national executive clinical leadership. She holds a Bachelor’s degree in Behavioral Science from Concordia College in Bronxville, NY, combining psychology and sociology, and a Master of Science in Marriage and Family Therapy from Eastern Nazarene College. Licensed as an LADC I and LMHC, she is also EMDR-trained. Her diverse background spans patient care in various settings, including inpatient treatment for underserved populations, utilizing an eclectic approach and innovative therapies to enhance patient experiences across levels of care. Jillian enjoys planning adventures, living life to the fullest, and spending quality time with her son.