In addiction, the nod refers to the uncontrollable, drowsy state that individuals may experience after using certain drugs, particularly opioids. This behaviour is characterised by the user drifting in and out of consciousness, sometimes even while engaged in conversation or activities. The nod is a classic indication of the sedative effect that drugs have on the central nervous system. Nodding is not limited to any specific drug but it is most commonly associated with opioid use, including prescription painkillers and illicit drugs like heroin.

During the nod, you might notice someone’s eyes closing and their head dropping forward, only to quickly jerk back up as they try to stay awake. This repetitive motion is typical of the nod and is caused by the alternating state of sedation and alertness triggered by the drugs’ effects.

Nodding Out

“Nodding Out,” is a term commonly associated with heroin or opioid use, leading to a state that often results in overdose and death. This state begins with a euphoric rush after heroin enters the brain, followed by a trance-like phase where the user alternates between drowsiness and wakefulness. “Nodding out” is likened to a sleepy student in class whose head nods off as they struggle to stay awake. It’s caused by the sedative effects of heroin and painkillers, leading users into a deep sleep from which they cannot be awakened. This can appear as a blissful state but often leads to falling asleep and not waking up again.

The danger of “nodding out” increases when heroin or painkillers are mixed with substances like alcohol or benzodiazepines. Users may enter a comatose state, leading to an overdose where only the heart and lungs function. This can slow breathing to the point of depriving the brain of oxygen, resulting in death.

Despite efforts to combat the opiate epidemic, heroin and opioid-related overdoses have been rising, becoming the leading cause of unintentional death in Americans. In 2015, the CDC reported a record high in heroin overdose deaths with opioids involved in 82% of all drug overdose fatalities. Treatment centers are witnessing an increasing number of people seeking recovery from heroin and opioid addictions.

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    Founded in 2008, WeDoRecover has evolved from an advisory service for addiction treatment into a comprehensive provider of care, following its 2019 merger with Changes Addiction Rehab in Johannesburg. Specialising in connecting patients to top-tier addiction treatment centers in the UK, South Africa and Thailand, WeDoRecover supports individuals globally, including those from the United Arab Emirates and Europe. Accepting both South African medical aid and international health insurance our organisation facilitates access to high-quality treatment for substance and alcohol use disorders, offering individualised care that addresses the physical, mental and social needs of patients.

    Our team, led by Gareth Carter, offers empathetic and professional support, guiding you through every step of the treatment process. Whether you're in South Africa or abroad, our acceptance of various insurance plans makes quality care accessible, providing a platform for lasting recovery and a healthier future.

    Inpatient Rehab

    Rehab care is a good option if you are at risk of experiencing strong withdrawal symptoms when you try stop a substance. This option would also be recommended if you have experienced recurrent relapses or if you have tried a less-intensive treatment without success.


    If you're committed to your sobriety but cannot take a break from your daily duties for an inpatient program. Outpatient rehab treatment might suit you well if you are looking for a less restricted format for addiction treatment or simply need help with mental health.


    Therapy can be good step towards healing and self-discovery. If you need support without disrupting your routine, therapy offers a flexible solution for anyone wishing to enhance their mental well-being or work through personal issues in a supportive, confidential environment.

    Mental Health

    Are you having persistent feelings of being swamped, sad or have sudden surges of anger or intense emotional outbursts? These are warning signs of unresolved trauma mental health. A simple assesment by a mental health expert could provide valuable insights into your recovery.

    Finding the right rehab close to you is simple with WeDoRecover. Our network includes the finest rehab centers, ensuring personalised, quality care for your recovery needs. Let Gareth Carter and our empathetic team help guide you to a center that feels right for you, offering expert care and support. Start your healing today by choosing a rehab that's not just close to you, but also that truly cares about your loved ones recovery.

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