Opioid use disorders (OUD) exacerbate the complexity of neurocognitive impairments and neurodevelopmental disorders, with poorly understood molecular mechanisms at the intercellular communication level. This study utilized single-nuclei RNA sequencing (snRNA-seq) data from the SCORCH program, examining brain samples from 95 donors, including individuals with and without a history of opioid abuse, to explore the cellular communication networks within the ventral tegmental area (VTA). Our analysis, using CellChat to quantify interactions based on validated ligand-receptor pairs, revealed a significant reduction in overall cell-cell communication (CCC) in subjects with opioid abuse compared to controls. Intriguingly, despite this reduction, specific communication pathways, particularly involving NRXN signaling between non-dopaminergic neurons and oligodendrocyte progenitor cells, were markedly enhanced in the opioid group. These findings suggest opioid-induced selective alterations in synaptic networking, potentially contributing to the addiction pathology and offering new insights into the molecular underpinnings of opioid-related neurocognitive dysfunction.