A qualitative study was undertaken with five people on methadone maintenance treatment (MMT) to better understand their experiences and daily routines. Through an in-depth exploration of their everyday occupations, we sought to reveal the ongoing challenges and barriers they face to accessing treatment. The concept of occupation refers to 'all that people need, want and are required to do' but also extends further to encompass 'how doing contributes to processes of being, becoming and belonging ' (Huot and Laliberte Rudman, 2015). This research employed a qualitative intrinsic case study methodology (Stake, 2005). Using an occupational perspective informed by a framework for occupational justice (Stadnyk et al., 2005), the participants' narratives are presented according to four themes highlighting key aspects of their experiences: (a) descent into chaos; (b) MMT as a bridge to recovery from addiction; (c) a new normal daily life; and (d) hopes for moving forward. The findings illustrate how structural factors and contextual factors interact to create occupational injustices. Thus, MMT practices and policies should consider the occupational implications described in this article to enhance patients' experiences and further support their recovery.