If you are experiencing a medical emergency, please dial 911 immediately. However, if you are not experiencing a medical emergency, visiting the emergency room (ER) may be unnecessary or even unfruitful. Many Emergency Departments are not equipped to help patients experiencing withdrawal from opioids and it is not uncommon for patients to wait in the ER for hours, finally to be seen by the doctor only to be told that they must see a Medication Assisted Treatment specialist, such as Recovery & Resilience Centers.

If you are experiencing withdrawal symptoms from any of the drugs listed on our Services & Pricing page, call us to schedule a visit with our addiction treatment providers. Patients are usually scheduled for a same-day or next-day appointment. Once in treatment, you choose your local pharmacy to pick up your prescription and feel relief from the cravings as soon as you start your medication.

When you call, our staff will ask questions to assess what treatment plan is best for you. It’s important to make sure the services and facility are a good fit for your needs. We are happy to answer any questions you and/or your family may have. Our expert staff members understand that this may be a stressful time and asking our Center questions until you feel comfortable is important.

Your call is confidential. Answering the questions honestly is important, and you will not be reported to law enforcement for talking about using illegal drugs. We do not share your information with anyone or any organization without your express written consent. All of our practices are HIPAA compliant.

We will work to schedule a time to meet with our providers within 48 hours.

Each patient is different. Your doctor will keep you on Medication Assisted Treatment as long as necessary to return your brain chemistry back to how it was before opioid use. For some, this can take months. For others, transforming brain chemistry can take years to accomplish. However, our providers strive to make the treatment as short as possible for the patient but it usually takes no less than 90-days.

Medication Assisted Treatment (MAT) includes an oral medication and optional counseling sessions. We provide a referral list of qualified counselors we recommend. You can learn more about MAT here.

We also offer intramuscular medication that is administered via injection (known as sublocade) or a procedure with an implant called Probuphine in the arm that slowly releases the medication over six months.

Probuphine is four rods about the size of matchsticks that are implanted just under the skin of the inside of your arm. The outpatient procedure usually takes only 15 minutes. The implant then releases Buprenorphine into your body over the course of six months.

Within 1-2 Days of the first appointment: To begin addiction treatment, the patient has to be in withdrawal. That means the patient will not have used substances for 12 to 24 hours (short acting opioids) or 24 to 48 hours (if using long acting opioids). This can be a very uncomfortable experience. However, only then, can the patient take a regular dose of Bupernorphine/Suboxone and will immediately feel relief from withdrawal symptoms, cravings, and other symptoms.

There are methods to forego this uncomfortable withdrawal period through the use of certain medications or more gradual tapering off. Speak to your doctor about what is right for you.

Within 7 or 10 Days of the first appointment: Gradual implementation of Buprenorphine/Suboxone.

First, stop taking long-acting opioids. However, you will continue taking short-acting opioids while microdosing Buprenorphine/Suboxone.

Second, stop the use of short-acting opioids and increase Buprenorphine/Suboxone to the regular dose.

In order to begin treatment, patients need to be in enough withdrawal to start safely taking medication. That means the patient will not use opioid substances for 12 to 24 hours (short-acting opioids) or 24 to 48 hours (if using long-acting opioids). This can be a very uncomfortable experience. However, only then, can the patient safely take a regular dose of Buprenorphine/Suboxone and will immediately feel relief from withdrawal symptoms, cravings, and other symptoms.

Typically, we are able to prescribe the same day but filling a prescription is dependent on how quickly the patient’s pharmacy of choice can fill the prescription.

No. Suboxone is taken orally and aside from the "bitter" taste of the film, it does not cause pain. Another option is to take monthly intramuscular shots that are administered via a needle.

No. Suboxone does not treat anxiety or depression, however, our providers are willing to prescribe anti-depressant medication. This way, our providers can be sure to avoid certain antidepressants that may induce adverse reactions. In addition to the extra safety measure, the patient also sees the benefit of not having the inconvenience of needing to visit an additional psychiatrist. You can get all of your needs met in one place.

Insomnia can be a companion issue with Opioid Use Disorder. Our doctors have expertise in the area and can help reduce insomnia.

Although Suboxone can potentially alleviate pain, it is not approved for use as a pain medication.

We offer a carefully curated list of trusted psychologists and addiction counselors for your consideration.

No, counseling is not mandatory. However, patients who combine counseling with Medication Assisted Treatment are much more likely to recover from their addiction in the long term.

Family and friends can support a loved one by providing unconditional support, not judging them, and avoiding labels such as “troublemaker” or “problem child”. It is also important to understand that this is a disease and not a character flaw. There will be relapses. It is a matter of "when" not "if." Family should make a commitment to a treatment course no matter how meandering a road it may be. Read more about Resilience in Relapse here.