Starting addiction treatment can feel intimidating. Many people hesitate because they worry about judgment, time away from life, or fear of withdrawal symptoms. Fortunately, much modern care for substance use is respectful, collaborative, and focused on helping you feel better safely. At BrightView, we use a patient‑first approach, so you are treated like a person, not a problem. You can explore what to expect and learn about our addiction treatment programs before you take the first step.
How doctors treat addiction today
How doctors treat addiction todayIn clinical settings, an addiction is called a “substance use disorder.” A substance use disorder is a chronic illness that affects brain circuits involved in reward, stress, and decision-making. In medical settings, it is treated like any other health condition. A healthcare provider works with you to set recovery goals, track progress, and adjust your care plan as your needs change.
Clinicians use guidance from the American Psychiatric Association’s Diagnostic and Statistical Manual (DSM-5) to understand and diagnose substance use disorder.
Recovery is an ongoing process, and research shows that combining medications, counseling, and support groups helps many people reduce substance use and overcome addiction.
Step 1: What happens when you first reach out for treatment
When you contact a clinic, staff will guide you through intake, answer questions, and schedule your first visit. At your first visit you’ll go through a thorough evaluation that covers:
- Physical health and medical history
- Mental health screening
- Substance use history and recent drug use patterns
- Medications you take now and any past treatments or programs you tried
- Personal strengths, life stressors, and goals you have for treatment and recovery
Together, you and your healthcare provider create a treatment plan that fits your life. Read more about what to expect at a first appointment at BrightView.
We have over 70 treatment centers across North Carolina, Virginia, Maryland, Kentucky, and Ohio and treat a wide variety of substance use disorders. You can also find treatment resources throughout the U.S. through the SAMHSA National Helpline.
Step 2: Medication and withdrawal support
For some substances, stopping suddenly can cause withdrawal symptoms such as nausea, sweating, anxiety, insomnia, or pain. Medication assisted treatment (MAT) uses FDA‑approved medications to ease withdrawal and stabilize brain chemistry so you can focus on counseling and daily life.
- For opioid use disorder, options may include Sublocade (buprenorphine), Suboxone (buprenorphine/naloxone) or Vivitrol (extended‑release naltrexone). Methadone is provided through specialized opioid treatment programs.
- For alcohol use disorder, medications like naltrexone or acamprosate may help reduce cravings and support recovery.
- For stimulants or other drugs, clinicians focus on symptom relief, sleep, nutrition, hydration, and structured behavioral therapies.
Medications are optional, and we respect your decision to use MAT or not. Many people find that starting medications makes it easier to sleep, reduce drug cravings, and participate in therapy. Your healthcare provider will discuss risks and benefits with you so you can make an informed decision.
Step 3: Counseling, therapy, and social support
Counseling is key to successful addiction treatment. BrightView integrates emotional health, life skills, and community connections into our care. Your plan may include:
- Individual counseling to explore goals, triggers, and behaviors related to substance use
- Group counseling to practice coping skills and build a support network
- Family therapy to strengthen communication and bonds among family members
- Case management to connect you with medical care, housing resources, employment help, or community-based organizations
Therapy teaches practical tools for preventing relapse, developing healthy coping strategies, and building new routines.
Many people also attend support groups and self-help meetings, such as Narcotics Anonymous and Alcoholics Anonymous, which can add connection between therapy sessions.
Step 4: Building stability and long‑term support
As stability grows, treatment plans shift toward continuing care. You and your provider will review progress and update goals, such as returning to school or work, reconnecting with family, and continuing therapy for co-occurring conditions like anxiety or depression.
You will develop and practice a plan to avoid relapse, including identifying early warning signs and mapping out triggers. Consistent follow-up care visits help maintain momentum and keep you connected for when issues arise.
Relapse can happen; treatment continues
Relapse can be part of the recovery process. It does not mean you failed. If substance use returns, your team will reassess and adjust your plan. This may include more frequent visits, different medications, finding a support group, or a short period of higher‑intensity services. The goal is to help you regain stability with compassion and without shame.
Staying connected to your addiction treatment provider after your outpatient program is over is one of the best ways to prevent setbacks and avoid relapse.
What makes BrightView’s approach different
BrightView focuses on respectful, accessible care that meets you where you are. Our outpatient model allows you to keep up with responsibilities while you engage in treatment and recovery. We offer:
- Evidence‑based care that combines medications, counseling, and support
- A patient‑first culture where you are heard and involved in decision-making
- Coordination with medical care and mental health services when needed
- Clear communication and guidance at each step in the treatment process
- 24/7 phone accessibility, telehealth options, and fast intake for more accessible care
We are also committed to making addiction treatment affordable. We accept most commercial health insurance plans, as well as Medicaid, and we’ll work with you to find a financial solution for care whether you have insurance or not.
Find treatment for a substance use disorder today
You can start by calling a clinic, walking in during open hours if available, or requesting an appointment online. No referral is required in many outpatient settings. Staff can help you understand treatment options, discuss goals, and explain next steps. Find treatment options across the U.S. by location through SAMHSA or find a BrightView treatment center location near you in Virginia, Kentucky, Ohio, North Carolina, or Maryland. We accept walk-ins during open hours and can often get you started with treatment the same day you come in or contact us.
FAQs about substance use disorder treatment
What is the most effective treatment for addiction?
There is no single best method for every person. Effective care often combines medications, counseling, and support groups. For opioid use disorder, medications like buprenorphine or naltrexone reduce withdrawal symptoms and cravings, while therapy builds coping skills. For alcohol use disorder, medications and counseling can help you move past drinking.
How do doctors decide on a diagnosis and level of care?
Clinicians use criteria from the American Psychiatric Association and the Diagnostic and Statistical Manual of Mental Disorders to assess symptoms and severity. The process considers how substance use affects health, work or school, relationships, and safety. This guides treatment planning, from outpatient visits to referral to higher‑intensity programs when needed.
How do I prevent relapse?
Skills learned in counseling, regular follow-up care, medications when appropriate, and support groups all play a role in preventing relapse. Many people use written plans to handle stressful situations and a list of contacts to reach out to if cravings return.
How do I treat drug addiction for myself or a loved one?
Start by talking with a healthcare provider who can explain treatment options. Ask about counseling, medications, and social support services. If safety is a concern, especially if there’s an opioid overdose risk, request education on naloxone. You can also contact the SAMHSA National Helpline for local resources.