Stephanie Almada’s journey to opioid addiction began with a prescription to relieve her premenstrual symptoms and accelerated after she had a cesarean section. “The pain pills came, you know, very quickly and I had bottles at home anyway,” she said. “And then it became energy for me. It became the way I coped with life.” Today Almada, 44, is a peer recovery specialist at Wheeler Clinic in Plainville, where she helps women get off opioids. Americans are using opioids at record rates.