Opioid use disorder.

Opioids change brain chemistry in ways that make “just stop” medical advice that mostly causes relapse. Treatment that takes opioid use disorder seriously usually involves some combination of:

• Stabilization — often through detox or coordinated MAT (buprenorphine/Suboxone, methadone, naltrexone) before outpatient work begins.
• Ongoing medication management when MAT is part of the plan.
• Process and individual therapy to address the conditions that led to opioid use in the first place.
• Dual-diagnosis support, because opioids almost always sit on top of pain, trauma, depression, anxiety, or all of the above.

We don’t prescribe MAT onsite, but we coordinate closely with prescribers and detox partners so the medical and clinical pieces line up.

The opioid epidemic created an entire generation of people whose first contact with these drugs was a prescription. The shame layer in opioid recovery is brutal, and it gets in the way of the work.

We don’t do shame. We do depth. The work is figuring out the underlying pain, trauma, or wiring that the opioids were managing — and building enough structure around you to make staying off them feel possible.