substance abuse10 min readJuly 23, 2026

Kratom in Tennessee: Is It Addictive, What Are the Withdrawal Symptoms, and When to Get Help in Knoxville

Learn how kratom addiction treatment addresses dependence, withdrawal symptoms, cravings, taper support, and when Knoxville residents should seek care promptly.

NH

New Hope Health

Editorial Team

Kratom in Tennessee: Is It Addictive, What Are the Withdrawal Symptoms, and When to Get Help in Knoxville

Kratom has gained popularity as a herbal extract that some people use to manage pain, reduce anxiety, improve energy, or support self-medication during opioid addiction or chronic pain.

However, growing reports of possible kratom addiction, substance dependence, adverse effects, and poison control calls have raised concerns among healthcare professionals, the Drug Enforcement Administration (DEA), and the National Institute on Drug Abuse (NIDA).

This guide explains what kratom is, how it affects the body, withdrawal symptoms, treatment options, and when professional addiction treatment may be the safest next step.

What Is Kratom and Why Do People Use It?

Kratom comes from the leaves of a tropical tree native to Southeast Asia.

It contains psychoactive compounds, primarily:

  • Mitragynine
  • 7-hydroxymitragynine

These compounds interact with opioid receptors in the brain.

People use kratom for a variety of reasons, including:

  • Pain relief
  • Increased energy
  • Improved mood
  • Reduced anxiety
  • Self-management of opioid withdrawal
  • Improved focus
  • Relief from chronic pain

Although some people report benefits, regular use can lead to:

  • Tolerance
  • Physical dependence
  • Withdrawal symptoms
  • Addiction

Professional treatment may become necessary for some individuals.

Potential Benefits and Reported Uses of Kratom

Some people use kratom as self-medication for physical or emotional symptoms.

Reported uses include:

  • Pain relief
  • Increased energy
  • Greater alertness
  • Improved mood
  • Relaxation
  • Reduced opioid cravings
  • Self-managed opioid withdrawal
  • Improved focus
  • Better work performance

Kratom is not approved by the U.S. Food and Drug Administration (FDA) to treat any medical condition.

Although some people report positive effects, kratom can also increase the risk of:

  • Tolerance
  • Dependence
  • Withdrawal
  • Addiction
  • Serious health complications

Is Kratom Addictive?

Yes.

Kratom can become addictive, especially when used:

  • Regularly
  • In large doses
  • As concentrated extracts
  • For recreational purposes

Its active compounds affect opioid receptors, which may lead to:

  • Tolerance
  • Physical dependence
  • Strong cravings
  • Withdrawal symptoms
  • Continued use despite harmful consequences

Research published in the Journal of Psychoactive Drugs and information from DEA drug fact sheets also describe concerns about repeated kratom use.

Risks increase when kratom is combined with:

  • Alcohol
  • Opioids
  • Benzodiazepines
  • Other substances

How Kratom Dependence Develops

Kratom dependence develops as the brain and body adapt to repeated exposure.

Over time, people often:

  • Increase their dose
  • Use kratom more frequently
  • Switch to stronger extracts
  • Need more kratom to achieve the same effects

When use is reduced or stopped, withdrawal symptoms may develop.

As dependence progresses, avoiding withdrawal often becomes the primary reason for continued use.

Some people eventually lose control of their kratom use and develop addiction.

Signs and Symptoms of Kratom Addiction

Common signs include:

  • Using kratom daily
  • Using kratom multiple times each day
  • Needing larger doses
  • Strong cravings
  • Withdrawal symptoms when not using
  • Unsuccessful attempts to quit
  • Spending excessive money on kratom
  • Hiding or lying about kratom use
  • Using kratom to avoid withdrawal
  • Missing work
  • Missing school
  • Neglecting family responsibilities
  • Continuing use despite health problems
  • Continuing use despite relationship problems
  • Mixing kratom with alcohol or other drugs
  • Returning to kratom after trying to quit

Kratom Tolerance, Cravings, and Escalating Use

Tolerance occurs when the body becomes less responsive to kratom.

As tolerance develops, people often:

  • Increase the amount they use
  • Use kratom more often
  • Switch to stronger extracts
  • Seek highly concentrated products

Cravings may become stronger over time.

Many people begin planning their day around kratom use or feel unable to function normally without it.

How Kratom Addiction Affects Sleep, Work, and Relationships

Kratom addiction can interfere with healthy sleep by causing:

  • Insomnia
  • Excessive drowsiness
  • Nighttime withdrawal symptoms

Poor sleep may worsen:

  • Concentration
  • Anxiety
  • Irritability
  • Overall health

Kratom addiction may also:

  • Reduce work performance
  • Increase financial stress
  • Damage relationships
  • Create conflict with family
  • Lead to secrecy
  • Cause repeated broken promises
  • Increase failed attempts to quit

Kratom Withdrawal Symptoms and Timeline

Withdrawal symptoms may begin within several hours to two days after the last dose.

The exact timing depends on:

  • Dose
  • Frequency of use
  • Length of use
  • Overall health

Symptoms often improve within several days, although cravings, anxiety, mood changes, and sleep problems may continue longer.

Common withdrawal symptoms include:

  • Anxiety
  • Irritability
  • Restlessness
  • Depression
  • Insomnia
  • Muscle aches
  • Runny nose
  • Sweating
  • Tremors
  • Nausea
  • Vomiting
  • Diarrhea
  • Reduced appetite
  • Fatigue
  • Strong cravings

How Kratom Affects the Brain and Body

Kratom contains mitragynine and 7-hydroxymitragynine.

These compounds interact with:

  • Opioid receptors
  • Other brain signaling systems

Lower doses may produce:

  • Increased energy
  • Alertness
  • Stimulant-like effects

Higher doses may produce:

  • Sedation
  • Relaxation
  • Opioid-like effects

Kratom may also affect:

  • Digestion
  • Liver function
  • Heart function
  • Blood pressure
  • Coordination
  • Mood
  • Breathing

Because kratom products vary greatly in strength and purity, effects may differ from one product to another.

Prevalence of Kratom Use in Tennessee and the United States

Millions of Americans report using kratom for:

  • Chronic pain
  • Increased energy
  • Mood support
  • Self-managed opioid withdrawal

As stronger extracts become more widely available online and in retail stores, kratom use has increased.

In Tennessee, healthcare providers have also reported:

  • Poison control calls
  • Emergency department visits
  • Overdose cases

Many severe cases involve kratom mixed with:

  • Opioids
  • Alcohol
  • Benzodiazepines
  • Stimulants
  • Other substances

Effects and Risks of Kratom Use

Short-Term Effects

  • Increased energy
  • Pain relief
  • Relaxation
  • Nausea
  • Constipation
  • Dizziness
  • Sweating
  • Drowsiness
  • Increased heart rate

Long-Term Effects

  • Tolerance
  • Dependence
  • Kratom addiction
  • Withdrawal
  • Sleep problems
  • Anxiety
  • Depression
  • Liver injury
  • Seizures
  • Work problems
  • Relationship problems
  • Increased overdose risk when mixed with other substances

Mixing Kratom With Opioids, Alcohol, or Benzodiazepines

Mixing kratom with other substances can significantly increase health risks.

High-risk combinations include:

  • Alcohol
  • Opioids
  • Xanax
  • Valium
  • Other benzodiazepines
  • Sedatives
  • Cocaine
  • Methamphetamine

Possible complications include:

  • Excessive drowsiness
  • Slowed breathing
  • Overdose
  • Coma
  • Death
  • Seizures
  • High blood pressure
  • Rapid heart rate
  • Cardiovascular complications

Because many overdose cases involve multiple substances, combining kratom with any drug should be avoided.

Kratom Overdose, Contamination, and Emergency Warning Signs

Although fatal kratom overdoses are uncommon when kratom is used alone, serious poisoning can occur.

Some kratom products have been found to contain:

  • Heavy metals
  • Salmonella
  • Prescription medications
  • Unexpectedly high concentrations of active compounds

Seek emergency medical care immediately if someone experiences:

  • Difficulty breathing
  • Severe drowsiness
  • Loss of consciousness
  • Seizures
  • Chest pain
  • Hallucinations
  • Severe confusion
  • Blue lips
  • Blue fingertips
  • Inability to wake the person

Co-Occurring Anxiety, Depression, PTSD, and Other Substance Use Disorders

Many people with kratom addiction also have co-occurring mental health conditions, including:

  • Generalized anxiety disorder
  • Panic disorder
  • Major depressive disorder
  • PTSD
  • Bipolar disorder
  • ADHD
  • Obsessive-compulsive disorder
  • Chronic insomnia

Some individuals begin using kratom to cope with emotional distress.

Long-term use may worsen:

  • Anxiety
  • Depression
  • Mood instability
  • Dependence

Kratom addiction may also occur alongside:

  • Opioid use disorder
  • Alcohol use disorder
  • Prescription opioid misuse
  • Benzodiazepine dependence
  • Cocaine addiction
  • Methamphetamine addiction
  • Cannabis use disorder
  • Nicotine dependence
  • Polysubstance use

Treating addiction and underlying mental health conditions together often improves recovery outcomes.

Benefits of Kratom Addiction Treatment

Treatment may:

  • Safely manage withdrawal
  • Reduce cravings
  • Address mental health conditions
  • Lower relapse risk
  • Improve physical health
  • Improve emotional well-being
  • Rebuild healthy relationships
  • Develop coping skills
  • Improve stress management
  • Connect patients with long-term recovery support

Medical Assessment, Taper Support, and Withdrawal Management

A medical assessment reviews:

  • Kratom dependence
  • Withdrawal symptoms
  • Physical health
  • Current medications
  • Mental health conditions
  • Appropriate level of care

Treatment may include:

  • Supervised tapering
  • Hydration
  • Sleep support
  • Medical monitoring
  • Symptom-directed medications

Although kratom withdrawal is often milder than opioid withdrawal, symptoms may last weeks and, in some cases, up to three months.

Clinicians may prescribe medications such as:

  • Clonidine
  • Anti-nausea medications
  • Buprenorphine (when clinically appropriate)

Complete detoxification is generally required before starting naltrexone.

Therapy for Cravings, Triggers, and Relapse Prevention

Behavioral therapies help people:

  • Identify triggers
  • Manage cravings
  • Change unhealthy thought patterns
  • Develop healthier coping skills

Treatment may include:

  • Individual therapy
  • Group counseling
  • Family therapy
  • Cognitive Behavioral Therapy (CBT)
  • Motivational Interviewing (MI)
  • Relapse prevention planning

These therapies support long-term recovery.

When to Seek Help for Kratom Addiction

Seek professional help if you:

  • Cannot stop using kratom
  • Experience withdrawal symptoms
  • Need larger doses
  • Continue using despite health problems
  • Continue using despite relationship problems
  • Experience work or school difficulties
  • Feel unable to function without kratom

Seek emergency medical care immediately for:

  • Overdose symptoms
  • Seizures
  • Difficulty breathing
  • Severe confusion
  • Loss of consciousness

Kratom Addiction Treatment Options

Medical Detox

Medical detox provides monitoring and support during withdrawal for people with significant dependence or polysubstance use.

Residential Treatment

Residential treatment offers 24-hour structured care for severe addiction or co-occurring mental health disorders.

Partial Hospitalization Program (PHP)

PHP provides intensive daytime treatment while allowing patients to return home at night.

Intensive Outpatient Program (IOP)

IOP combines multiple therapy sessions each week with flexibility for work, school, or family responsibilities.

Outpatient Treatment

Outpatient treatment provides:

  • Ongoing counseling
  • Relapse prevention
  • Recovery support
  • Continued care after higher levels of treatment

Aftercare and Peer Support

Aftercare may include:

  • Recovery groups
  • Alumni programs
  • Continued therapy
  • Long-term recovery planning

Does Insurance Cover Treatment?

Many private insurance plans and TennCare may cover medically necessary kratom addiction treatment.

Coverage may include:

  • Medical detox
  • Residential treatment
  • Partial Hospitalization Programs
  • Intensive Outpatient Programs
  • Outpatient care
  • Counseling
  • Dual diagnosis treatment

Coverage varies by plan.

Contact your insurance provider or treatment center to verify benefits before beginning treatment.

Conclusion

Although some people report reduced pain or relief from emotional symptoms while using kratom, long-term use and higher doses can increase the risk of:

  • Dependence
  • Strong cravings
  • Liver damage
  • Respiratory depression when combined with other drugs
  • Serious health complications

Researchers continue studying Mitragyna speciosa, its effects on opioid receptors, long-term safety, and treatment approaches.

If you or someone you love is experiencing possible kratom addiction, an addiction specialist can provide a medical evaluation and discuss evidence-based treatment options, including medication-assisted treatment when appropriate.

Seeking Treatment? We Can Help!

At New Hope Healthcare, we are an in-network provider and work with many insurance plans, including:

  • TRICARE
  • Magellan Health
  • First Health Network
  • Cigna
  • Anthem Blue Cross Blue Shield
  • Aetna
  • Humana
  • TriWest VA
  • UnitedHealthcare
  • Optum
  • UMR
  • Oscar
  • Celtic Insurance
  • Ambetter
  • And more

If you or a loved one is struggling with mental health challenges or substance abuse, seeking treatment and emotional support is important.

Consulting a doctor or treatment professional can provide the support and guidance needed to choose an appropriate level of care.

Reach out to New Hope Healthcare today. Our team of compassionate professionals is here to support your journey toward lasting well-being.

Effective medication management can be an important part of the treatment process and may help improve safety and long-term success.

Call us at 866-799-0806.

FAQs

Is Kratom Addictive?

Yes. Regular kratom use can lead to tolerance, physical dependence, cravings, and withdrawal symptoms.

What Are Common Kratom Withdrawal Symptoms?

Common symptoms include anxiety, irritability, insomnia, muscle aches, sweating, nausea, diarrhea, fatigue, and strong cravings.

How Is Kratom Addiction Treated?

Treatment may include medical assessment, supervised tapering, withdrawal management, counseling, behavioral therapy, and relapse prevention planning.

People Also Ask

How Long Does Kratom Withdrawal Last?

Symptoms often begin within one to two days after the last dose and may last several days or longer depending on use patterns, dosage, and overall health.

Can You Stop Taking Kratom Suddenly?

Stopping suddenly may cause significant withdrawal symptoms. Medical guidance can help create a safer tapering plan.

When Should Someone Seek Help for Kratom Use?

Seek help when kratom use causes withdrawal symptoms, repeated failed attempts to quit, health problems, relationship issues, or problems with daily responsibilities.

Sources

  • National Institute on Drug Abuse (NIDA): Kratom
  • U.S. Food and Drug Administration (FDA): FDA and Kratom
  • Drug Enforcement Administration (DEA): Kratom Drug Fact Sheet
  • Centers for Disease Control and Prevention (CDC): Morbidity and Mortality Weekly Report (MMWR)
  • Substance Abuse and Mental Health Services Administration (SAMHSA)

About the Author

New Hope Health

New Hope Health

Editorial Team

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