March 28, 2025

The Truth About Kratom Addiction: What You Need to Know

Struggling with Kratom addiction? Learn why it’s addictive, the risks involved, and how to find the right treatment to reclaim your life.

Frame 1077241737Medically Reviewed by Dr. Fayz Yar Khan, MD FACP

kratom addiction

Kratom is often marketed as a natural alternative for pain relief, anxiety management, or even easing opioid withdrawal.

Many people see it as a safer option, but the reality is more complicated.

What starts as an attempt to find relief can quickly turn into dependence and addiction.

Despite its “natural” label, Kratom can be highly addictive, leading to intense cravings and withdrawal symptoms when use is reduced or stopped.

That’s why it’s essential to understand Kratom’s effects, the signs of dependency, and the long-term risks. 

What is Kratom?

Kratom is a plant from Southeast Asia that has been used for centuries.

Its leaves contain compounds that produce stimulant effects in small doses and sedative effects in larger doses.

In low doses, Kratom increases energy and focus; in higher doses, it produces sedative effects like opioids.

Some cultures have used Kratom for pain management and fatigue relief.

The legal status of Kratom in the US is unclear; it’s legal at the federal level, but some states and municipalities have banned or restricted it due to safety concerns.

According to the US Food and Drug Administration (FDA), Kratom is not approved for medical use and is risky when misused. 1

Is Kratom Addictive?

Many people think Kratom is a safer alternative to opioids, but its addiction potential is significant.

The active compounds in Kratom, mitragynine and 7-hydroxy mitragynine, bind to opioid receptors in your brain and produce effects like prescription painkillers.

These interactions can produce feelings of euphoria and pain relief, which can lead to psychological or physical dependency.

Research from the National Institute on Drug Abuse (NIDA) shows that regular Kratom use can lead to tolerance, dependence, and withdrawal symptoms.2

Journal of Addiction Medicine studies show users experience cravings and withdrawal when they try to stop; addiction risk varies depending on dose, frequency, and the individual using it.3

Signs and Symptoms of Kratom Addiction

Kratom addiction can manifest both physically and psychologically.

Recognizing the signs early can make a significant difference in getting the right help.

Here are some common signs and symptoms:

Physical Signs:

  • Increased Tolerance: Needing higher doses to achieve the same effects.
  • Withdrawal Symptoms: Irritability, muscle aches, nausea, and insomnia when not using Kratom.
  • Changes in Appearance: Unexplained weight loss, neglecting personal hygiene, or looking visibly tired and unwell.
  • Physical Dependence: Experiencing cravings and withdrawal when cutting back or stopping use.

 

Psychological and Behavioral Signs:

  • Obsessive Thoughts: Constantly thinking about obtaining or using Kratom.
  • Mood Swings: Irritability, agitation, or depression when not using.
  • Neglecting Responsibilities: Skipping work, school, or social events to use Kratom.
  • Social Isolation: Withdrawing from loved ones or activities that once brought joy.

 

If you or someone you love is experiencing these signs, it may be time to seek professional help. 

Quick Tip: Know the Risks Before You Use!

Before you use kratom, know that while it may give you short-term relief, it has long-term risks of dependence and withdrawal. Kratom interacts with opioid receptors, making it potentially addictive. If you or someone you know is experiencing symptoms of dependency, get professional help to avoid long-term health problems.

Risks of Long-Term Kratom Use

Using Kratom for a long time can cause serious problems with your body and mind.

It might seem harmless at first, but the risks add up over time.

Here’s what you need to know:

Physical Health Risks:

  • Liver and Kidney Damage: Over time, Kratom can put a lot of stress on your liver and kidneys, which might lead to serious health issues.
  • Heart Problems: Regular use can raise your heart rate and blood pressure, making heart issues more likely.
  • Stomach Troubles: You might deal with nausea, constipation, or other stomach problems if you use Kratom a lot.
  • Withdrawal Symptoms: Your body can get used to Kratom, making it hard to quit without feeling sick. Symptoms like muscle pain, trouble sleeping, and feeling restless are common when trying to stop.4

 

Mental Health Risks:

  • Mood Swings: Kratom can make your moods unpredictable. You might feel anxious, angry, or sad without knowing why.
  • Brain Fog: Some people have a hard time focusing or feel mentally cloudy after using Kratom for a long time.
  • Addiction: As your body gets used to Kratom, you might find yourself craving it even if it’s causing problems in your life.5
  • Social and Emotional Impact: Relationships with friends and family can suffer as using Kratom becomes your main focus.

 

If you or someone you care about is dealing with Kratom addiction, know that help is available.

Getting support early can make a big difference in finding freedom and living a healthier life.

Treating Kratom Addiction

If you or someone you love is struggling with Kratom addiction, know that help is available.

Here are some effective treatment options to support recovery:

  • Behavioral Therapy: Cognitive Behavioral Therapy (CBT) and other evidence-based therapies help address the root causes of addiction. Therapy helps develop healthier coping mechanisms and teaches skills to manage cravings and triggers.
  • Support Groups: Groups like Narcotics Anonymous (NA) or Kratom-specific support groups provide community and peer encouragement. Sharing experiences with others who understand the struggle can make recovery feel more attainable.
  • Professional Counseling: One-on-one therapy with a licensed counselor helps address emotional triggers and build a relapse prevention plan. Counseling sessions offer a safe space to explore feelings, challenges, and progress in recovery.

 

Taking the first step toward recovery can be daunting, but you don’t have to do it alone.

With the right support and guidance, overcoming Kratom addiction is possible.

Frequently Asked Questions

Is Kratom addictive, and how addictive is Kratom?

Yes, Kratom is a very addictive drug. Its active compounds bind to the opioid receptors in your brain, which can lead to dependence over time. Regular use can cause you to gain tolerance, requiring higher doses to get the same effect. Many users experience withdrawal symptoms when they try to quit, and it’s hard to stop without help.
Kratom withdrawal symptoms are nausea, muscle aches, irritability, fatigue, and insomnia. You may experience mood swings, anxiety, and intense cravings. Symptoms start within a day of stopping and can last several days to a week, depending on your level of dependence.
Yes, long-term Kratom use can cause physical and mental health problems. Chronic use has been linked to liver damage, high blood pressure, and digestive issues. Mental health issues include anxiety, depression, and cognitive impairment. In severe cases, users may experience hallucinations or psychosis.
Kratom addiction is treated with medical detox, therapy, and support groups. Medical detox helps manage withdrawal symptoms safely, and behavioral therapies like cognitive-behavioral therapy (CBT) address the underlying causes of addiction. Support groups provide peer support to help you maintain long-term recovery and prevent relapse.
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Key Takeaways

Seek Support for Kratom Addiction at Cornerstone

Understanding Kratom addiction is the first step toward reclaiming your life. If you or someone you care about is struggling, don’t wait to seek help.

At Cornerstone Healing Center, we offer compassionate, personalized treatment designed to address the unique challenges of Kratom addiction and support lasting recovery.

Our approach combines individualized therapy, evidence-based practices, and ongoing support to help you build a healthier, more fulfilling life.

Reaching out for help is a courageous choice, and with the right guidance, healing is possible. You don’t have to face this journey alone—Cornerstone is here for you every step of the way.

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Author & Reviewers

lionel estrada lisac clinical director
CLINICAL DIRECTOR & REVIEWER

Lionel is the Clinical Director of Cornerstone’s Scottsdale treatment facilities. He has had over 4 years at Cornerstone. He is personally in recovery and passionate about helping others overcome substance abuse and mental health challenges; he is trained as an EMDR, adopting a trauma-informed approach to treat the underlying issues.

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