The landscape of substance use in Florida has changed dramatically over the last several years. As we navigate the start of 2026, the clinical community is facing a new and formidable challenge known as the fourth wave of the opioid crisis. This era is defined by polysubstance use, which is the simultaneous consumption of multiple types of drugs, often without the user’s full knowledge. In the Florida Panhandle and throughout the Gulf Coast, we are seeing a significant rise in high potency synthetic opioids being mixed with stimulants like methamphetamine and cocaine.
In this environment, the old models of standard detox are no longer sufficient. When a patient is struggling with multiple dependencies at once, the physical and psychological withdrawal process becomes exponentially more dangerous. This shift has created an urgent need for a higher level of medical oversight. At Florida Springs Wellness and Recovery Center, we address this complexity through the leadership of our Medical Director, Dr. Raymond Pomm, who is Triple Board Certified in Psychiatry, Addiction Psychiatry, and Addiction Medicine.
The Rise of Frankensynthetics and Polysubstance Risk
One of the most concerning trends in 2026 is the prevalence of what some experts call frankensynthetics. These are illicitly manufactured substances like nitazenes and carfentanil that are often pressed into counterfeit pills or mixed into other drug supplies. These synthetic opioids can be dozens of times stronger than fentanyl. When these are combined with stimulants or benzodiazepines, the result is a physiological storm that a standard detox facility may not be equipped to handle.
Polysubstance use complicates every aspect of the detox process. It affects how the body metabolizes medication, how the heart and respiratory system respond to withdrawal, and how the brain manages acute psychological distress. Without expert medical intervention, the risk of seizures, cardiac events, and severe psychiatric episodes increases. This is why the “one size fits all” approach to detox is not only outdated but potentially life threatening in the current drug climate.
Why Triple Board Certification Matters for Complex Detox
Many addiction treatment centers are led by well meaning clinicians, but few possess the specialized, multi disciplinary credentials required to manage modern polysubstance cases. Triple Board Certification represents the highest level of expertise in the field. It means the medical leader has mastered the nuances of general psychiatry, the specific pathology of addiction, and the medical management of substance use disorders.
For a patient at Florida Springs, this means that their detox protocol is designed by someone who understands the complex interplay between mental health and physical dependency. Dr. Pomm’s background allows our team to look at the “whole person” rather than just the primary drug of choice. We are able to treat the psychiatric symptoms that often drive addiction while simultaneously managing the medical risks of withdrawal. This level of integrated care is what sets Florida Springs apart as a premier facility in Bay County.
Managing the Psychiatric Impact of Modern Withdrawal
Modern synthetics don’t just affect the body; they have a devastating impact on the brain’s chemistry. We are seeing higher rates of drug induced psychosis and severe clinical depression during the early stages of withdrawal in 2026. Because our medical leadership is board certified in psychiatry, we are uniquely prepared to stabilize these symptoms immediately.
At Florida Springs, we do not wait until a patient has completed detox to begin addressing their mental health. Our clinical team begins the work of stabilization on day one. By using advanced diagnostic tools and personalized medication management, we can reduce the intensity of psychological cravings and emotional volatility. This makes the transition from detox to residential treatment much smoother and more successful.
A Higher Standard of Safety and Accountability
Safety is the cornerstone of everything we do in Panama City. Our facility is credentialed by the Joint Commission, which is the gold standard for healthcare quality and safety. In an era where polysubstance trends are constantly evolving, being a Joint Commission accredited facility means we adhere to the most rigorous clinical protocols in the country.
Our medical team provides 24/7 oversight, ensuring that every patient is monitored for even the slightest changes in their vital signs or mental status. This level of vigilance is necessary when dealing with the unpredictable nature of modern synthetic drugs. When a family chooses Florida Springs, they are choosing the peace of mind that comes with knowing their loved one is under the care of a physician who has been recognized as a leader in addiction medicine for decades.
Choosing Expert Care for a Complex Problem
If you or a loved one is struggling with more than one substance, it is vital to seek a facility that treats the complexity of the situation. The days of simple withdrawal are largely over. The challenges of 2026 require a sophisticated, medically integrated response. At Florida Springs Wellness and Recovery Center, we combine the serenity of our North Florida location with the highest level of medical expertise available. We are prepared for the complexities of today’s drug trends, and we are committed to helping our patients navigate them safely toward a lasting recovery.
By Tim Cannon


