Increased Precautions We're Taking in Response to COVID-19

LAST UPDATED ON 03/15/2021

As updates on the impact of the coronavirus continue to be released, we want to take a moment to inform you of the heightened preventative measures we have put in place at Sierra by the Sea to keep our patients, their families, and our employees safe. All efforts are guided by and in adherence to the recommendations distributed by the CDC.

Please note that for the safety of our patients, their families, and our staff, there are certain restrictions in place regarding on-site visitation at Sierra by the Sea.

  • These restrictions have been implemented in compliance with updated corporate and state regulations to further reduce the risks associated with COVID-19.
  • Options for telehealth visitation are continuously evaluated so that our patients can remain connected to their loved ones.
  • Alternate methods of communication for other services may be offered when deemed clinically appropriate.

For specific information regarding these changes and limitations, please contact us directly.

CDC updates are consistently monitored to ensure that all guidance followed is based on the latest information released.

  • All staff receives ongoing infection prevention and control training.
  • Thorough disinfection and hygiene guidance is provided.
  • Patient care supplies such as masks and hand sanitizer are monitored and utilized.
  • Temperature and symptom screening protocols are in place for all patients and staff.
  • Social distancing strategies have been implemented to ensure that patients and staff maintain proper distance from one another at all times.
  • Cleaning service contracts have been reviewed for additional support.
  • Personal protective equipment items are routinely checked to ensure proper and secure storage.
  • CDC informational posters are on display to provide important reminders on proper infection prevention procedures.

The safety of our patients, their families, and our employees is our top priority, and we will remain steadfast in our efforts to reduce any risk associated with COVID-19.

The CDC has provided a list of easy tips that can help prevent the spread of the coronavirus.

  • Avoid close contact with people who are sick.
  • Cover your cough or sneeze with a tissue and then immediately dispose of the tissue.
  • Avoid touching your eyes, nose, and mouth.
  • Clean and disinfect objects and surfaces that are frequently touched.
  • Wash your hands often with soap and water for at least 20 seconds.
  • Stay home when you are sick, except to get medical care.

For detailed information on COVID-19, please visit

Tolerance and Withdrawal from Opiates

One of the fastest growing areas of treatment has been recovery from dependence upon opioids.

Opioids include:

  • narcotics
  • analgesics
  • opium
  • morphine
  • heroin
  • codeine
  • methadone
  • Demerol
  • Dilaudid
  • Percodan
  • Vicodin
  • OxyContin
  • other pain killers

The term “opiate” comes from the Greek word, opion, which refers to poppy juice “joy” plant. Ancient civilizations knew of its pain relieving properties and also its dependence and withdrawal problems.

Withdrawal effects are caused by cessation of opiod use and abuse that has been heavy and prolonged that includes at least three of the following symptoms:

  • dysphoric mood
  • nausea
  • muscle aches
  • lacrimation
  • papillary dilation
  • sweating
  • yawning
  • anxiety
  • runny nose
  • insomnia

The term “kicking heroin” comes from the extreme muscle aches, cramps, and involuntary contractions of leg muscles during withdrawal from opiates.

Categories of Opiates

There are three different categories of opiates. The opiate group includes opium and opiate derivatives which are obtained from the Oriental poppy and synthetic drugs that have similar physiological and behavioral actions to opium.

The first category, natural opiates, is obtained directly from opium, like morphine and codeine. This alkaloid is obtained by drying the milky discharge of the cut, unripe seed of the opium poppy that appears after petals fall. The milky discharge is dried in the air to form a brown, gummy paste as opium.
The second category of opiates, semisynthetic opiates which are chemically created derivatives of opium or codeine such as heroin, dilaudid from morphine, and percodan from codeine.

The third category, synthetic opiates, are chemically synthesized analgesics with effects similar to morphine including methadone, Demerol, Darvon, Vicodine, Oxycontin, and Fentanyl.

Seeking Help for Opioid Addiction

It is important to get treatment for opiate dependence as soon as possible from a drug treatment facility such as Sierra by the Sea. The addiction experts at Sierra by the Sea have years of expertise in treating opiate addiction.

Although withdrawal from opiates is not fatal, the pain and discomfort may be so severe that the person may wish they were dead.

The major hazard at this point is relapse to ease withdrawal symptoms. The supportive environment, medication management, and psychological support at Sierra provides many options that can be personalized for every individual including Celebrate Recovery Christ-centered care.  Developing constructive coping strategies is a key to continued sobriety. We urge you to call us for more information: (949) 612-2210.

The desire for relief from pain and the experiencing of pleasure combined with tolerance, tissue dependence, and withdrawal are the main reasons for the the addictive nature of opioidsTolerance occurs when the body tries to neutralize the opiate, or any other psychoactive drug, by a variety of methods.  It may speed up the metabolism, particularly in the liver.  It may desensitize the nerve cells to the psychoactive drug’s effect.  It may excrete the drug more rapidly out of the body through urine, feces, or sweat.  Or, it may alter the brain and body chemistry to compensate for the effects of the drug.

The body’s adjustment requires the user to increase dosage if to achieve the same desired effect.  Since tolerance occurs rapidly with opioids, users might require ten times as much of the drug in as little as ten days to achieve the same effect.  There is almost no limit to the development of opioid tolerance.  After a year of opioid use one terminal cancer patient was using 5 fentanyl patches, 20 Demerol tablets, and continuous morphine suppositories.  The limitless tolerance compares to a drug such as nicotine where three packs a day are usually the limit.

Tolerance develops at different rates for different individual body systems.  High tolerance will develop for the opioid effects on pain relief, respiratory depression, sedation, vomiting, and euphoria.  However, there is little tolerance for constriction of pupils or for constipation.

Tissue Dependence

The adaptation of the body to the effects of a strong opioid will temporarily and sometimes permanently alter brain chemistry.  An animal study by Dr. Eric Nestler from Yale University showed that chronic administration of morphine to rats actually reduced the size of dopamine-producing cells by 25%.  This means that when chronic opiate use is stopped, the body has less ability to produce its own dopamine and therefore less ability to feel elated or even feel normal pleasure.  This dopamine depletion intensifies the desire to use the drug again, or relapse.

This and many other changes in body chemistry result in tissue or physical dependence since the body relies on the drug to feel normal.  Researchers also found that animals that became physically dependent, then were withdrawn from the drug, and then were re-administered the drug would redevelop tissue dependence more rapidly.

We Accept Insurance
The following are some of the providers with whom we work regularly
  • Cigna
  • Optum
  • United Behavioral Health
  • and many more...

Recovering from substance use disorders is a challenging journey that feels more doable in an environment that tends to each individual’s complex needs and strengths. Our goal is to foster a treatment experience that is built on compassion, hope, and caring, and fueled by excellence in the provision of evidence-based and trauma-informed care.

– Michelle Beaudoin, MA, MFA, NCC, CADC-II
Marks of Quality Care
These accreditations are an official recognition of our dedication to providing treatment that exceeds the standards and best practices of quality care.
  • American Society of Addiction Medicine (ASAM)
  • California Consortium of Addiction Programs and Professionals (CCAPP)
  • Commission on Accreditation of Rehabilitation Facilities (CARF)