The intersection of mental health and opioid addiction represents a growing clinical area of focus1, with significant implications for morbidity, mortality, and care delivery across the UK. Patients with opioid use disorder (OUD) frequently present with co-occurring psychiatric conditions2, including depression, anxiety, PTSD, and complex trauma histories – complicating diagnosis, treatment, and long-term recovery outcomes3. In the UK, prescribing rates for opioid medications remain…