Outpatient Opioid Addiction Treatment with Co-Occurring Mental Health Care

Treating both conditions together addresses the root causes of opioid use, not just the substance itself. When depression, anxiety, or trauma go untreated, the risk of relapse goes up. Integrated care gives you tools to manage emotional pain without relying on opioids — which is why dual diagnosis treatment has better long-term outcomes than treating either condition alone.

MAT uses FDA-approved medications combined with therapy to treat opioid use disorder. At DMHBH, we offer Suboxone (buprenorphine/naloxone) and Vivitrol (naltrexone). Suboxone reduces cravings and withdrawal symptoms; Vivitrol blocks the effects of opioids entirely. Both are office-based — you don’t need to visit a separate methadone clinic.

Suboxone is a daily medication that partially activates opioid receptors, reducing cravings and withdrawal. Vivitrol is a once-monthly injection that blocks opioid receptors entirely, so opioids won’t produce a high if used. Which is right for you depends on your history, preferences, and clinical picture — we’ll figure that out together at your evaluation.

There is no fixed timeline. Some people taper off medication after a year or two; others benefit from long-term maintenance. Research shows longer durations are associated with better outcomes, and there’s no rush. We revisit the plan with you regularly.

Yes. We meet you where you are. Whether you’re ready to taper off, considering MAT, or still figuring out what you want, we’ll help you build a plan that works for you — no judgment.

Yes. Suboxone and Vivitrol are effective regardless of which opioid you’ve been using. With fentanyl’s presence in the supply, many people start MAT with our help after non-fatal overdoses or emergency visits. Starting MAT typically requires a short period of abstinence first; we’ll walk you through exactly what that looks like.

Yes — that’s the point of outpatient care. Our IOP runs during structured blocks that most people can fit around work and family. Standard outpatient therapy is even more flexible. We’ll help you find the schedule that lets you recover without shutting down the rest of your life.

Your treatment is protected by HIPAA and federal 42 CFR Part 2 (which adds extra privacy for substance use records). We do not share information about your care with anyone — employer, family, or otherwise — without your written consent.

When you want it to be. Family counseling is available and often helpful — but it’s your call. We work on your terms, not theirs.

Call either location to schedule an intake evaluation. At that first visit, we’ll talk about your opioid use, your mental health, your goals, and your current situation. We’ll build a preliminary plan together — which may or may not include MAT — and schedule your next appointment. No commitments beyond the first visit.