If a person has major surgery chances are they were prescribed opioids.

Hydrocodone, oxycodone, methadone and many others are all different types of opioids typically prescribed by doctors to treat severe or consistent pain. An opioid is a substance derived from a poppy plant and can be synthetic or semi-synthetic, meaning certain ingredients can be chemically-made in a lab.

Police say painkillers brought 39-year-old Jessica Lockwood and Terence Ray together. Lockwood had been suffering from chronic pain from neck surgeries and had been purchasing the painkillers from Ray, police said. Lockwood’s burning body was discovered April 27 along Club 40 Road in Hazleton and Ray faces homicide charges.

Opiates, however, differ from opioids in that they do not consist of synthetic ingredients, although both can be just as addictive.

Addiction to opioids typically stems from a legitimate prescription from a doctor to help with pain due to surgery, accident or chronic condition.

“As the person continues to take the substance their tolerance to the substance increases, requiring the person to need more of the pain pills to get the same desired effect,” said Eileen Panzarella, Prevention Director at Pathway to Recovery in Hazleton. “This often leads to misuse of prescription medications as the person begins to use more than prescribed. Due to regulations on the amount of prescription pain medications a doctor can now prescribe a person may try to purchase pills from another source.”

According to The National Center for Drug Abuse Statistics, 59.5% of individuals who are prescribed pain medications are currently abusing them. Additionally, 3.4% of Americans aged 12 and older misuse opioids at least once over a 12-month period. Hydrocodone is the most popular opioid with 5.1 million misusers.

“Some warning signs that we see in people who become addicted include lying about their use, trying to hide their use, taking their substance despite having negative consequences in their life, taking more of the medication than what is prescribed or becoming anxious about running out of their medication,” said Kristie Scheib, LPC, Clinical Director at Pathways to Recovery. “They may be asking to borrow money for reasons not related to buying pills.”

Pathway to Recovery LPC, Clinical Director Kristie Scheib and Prevention Director Eileen Panzarella at the center on Thursday May 8, 2025 in Hazleton. (John Haeger / Staff Photographer)
Pathway to Recovery LPC, Clinical Director Kristie Scheib and Prevention Director Eileen Panzarella at the center on Thursday May 8, 2025 in Hazleton. (John Haeger / Staff Photographer)

People may not think of an opioid addiction as having many physical clues but plenty do exist and can be spotted. Some physical signs would include a change in sleeping habits, drowsiness, a change in hygiene habits, gastrointestinal issues, irritability, isolation from friends and family, and not maintaining social or work obligations.

Panzarella calls addiction a “family disease” because it affects every member of a family differently and how you want to get involved is up to you.

“You can offer support to someone who is addicted and let them know that you are ready to help them when they want help, but ultimately it will be their decision when and how they get help,” she added.

The opioid addiction recovery process is different for every individual.

A person seeking detox can generally stay in a facility for up to a week. They could then be recommended to an inpatient facility where a typical stay can range from 30-90 days whereas outpatient therapy is typically six months or more.

Some of the best ways for people to seek help for an opioid addiction would be to contact your local county drug alcohol office or a local substance abuse counseling facility, or search online for rehab facilities that can help.

“It is important to note that recovery does not end when treatment is over,” Scheib said. “Recovery is a life-long journey and something that an individual will need to be aware of for the rest of their life. Recovery is a change in lifestyle and a person must keep up with that new lifestyle in order to avoid slipping back into active addiction.”

They stress how important stopping the stigma of substance abuse is. Noting that addiction is a brain disease and needing everyone to look at it just like they would any other disease.

“Many people will not seek treatment because they think it is a weakness to ask for help or that others will look down on them. We know treatment can and does work.”