She seems fine but I know this will happen again. Today it was a fight with Peter Pan that triggered it. She cannot handle anything that rocks her boat. I think it is time for a residential long term inpatient hospital but she is saying she won't go. It also means we will have to use a large portion of our retirement money.
What else can we do?
~Kathy
Any possibility you could get her onto suboxone and supervise her taking it? If you see her taking it once a day, you know she won't be craving heroin, and even if she's silly enough to use it she is extremely unlikely to overdose. At least in my case, it's what worked to keep me off heroin with only 9 weeks of relapse over the last 9 years (and without any inpatient rehab).
It might not work for everyone, but I do think heroin addiction is one of the easier drug addictions to treat because of the existence of maintenance drugs. There is a US federal government website that can provide a list of buprenorphine / suboxone providers in your state. They usually provide a month's supply, it's next to impossible to overdose on buprenorphine / suboxone (due to the 32mg ceiling effect), and it does mean that if she is simply willing to try it, with you supervising her taking it each morning, you'll be able to feel that she's not using for the next 24 hours after the dose.
Rumpole