Conditions
Opioid use disorder.
Outpatient treatment for opioid use disorder — prescription opioids, heroin, fentanyl — for adults in Maryland. Coordinated medication-assisted treatment when it’s clinically right, dual-diagnosis support always, and the slow rebuild of a life you can stay in.
The shape of opioid use disorder is different.
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.
When outpatient PHP or IOP makes sense.
- You’ve completed detox or residential and need a structured step-down.
- You’re medically stable on MAT and need the clinical work alongside it.
- You’re not in active acute withdrawal and don’t need 24/7 medical supervision.
- You have co-occurring mental-health conditions to address in parallel.
If you’re actively withdrawing or using fentanyl daily, outpatient is not the first step — you need detox first. We’ll help coordinate that.
How we treat it
Without shame, without performance.
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.
Ready to figure out next steps?
One short message. We’ll help you sort out detox, MAT coordination, and the right level of outpatient care.