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Opioid treatment · Arlington, VA
Suboxone and Vivitrol, PHP and IOP, and dual-diagnosis therapy for fentanyl, heroin, and prescription painkiller use — for adults in Arlington, Washington, DC, and Northern Virginia who need treatment that starts this week, not next month.
Medically reviewed by the VABH Medical Team
When treatment helps
Prescription painkillers, heroin, and fentanyl all land in the same place physically. You don't need to have lost everything to qualify for treatment.
Oxycodone, Percocet, hydrocodone, or tramadol that started with a surgery or back injury and became something you plan your day around. Most of the people we treat in Arlington started in a doctor's office, not on a street corner.
Almost everything sold as a pill, heroin, or powder in the DC region now carries fentanyl. Tolerance climbs faster, withdrawal hits harder, and overdose risk is unpredictable dose to dose.
Sweats, chills, restless legs, cramping, and dread that lift the moment you use. When avoiding withdrawal is the reason you keep going, that's physical dependence — and it's treatable with medication.
The high stopped being the point a long time ago. You're dosing to work, to sleep, to get through the morning — and the window between doses keeps shrinking.
White-knuckle tapers, cutting pills in half, buying a few days' worth to "do it right this time." Unmedicated opioid withdrawal has one of the highest relapse rates in medicine. It isn't willpower.
A reversal, an ER visit, or a night someone had to check your breathing. After a nonfatal overdose the following weeks are the highest-risk period there is — and the best time to start medication.
How we treat opioid use
Medication for opioid use disorder is the most effective treatment in addiction medicine, and it cuts overdose death roughly in half. Our medical staff may prescribe it without shame, without an arbitrary end date, and always with real clinical work around it.
The first-line medication for opioid use disorder. Our physicians handle induction — including low-dose starts for people coming off fentanyl — then maintain and adjust your dose. Suboxone stops withdrawal, blocks cravings, and dramatically reduces overdose death. There is no time limit on how long you can stay on it.
A monthly injection that blocks opioid receptors entirely, for people who are fully detoxed and want a non-opioid option. Requires 7–10 days opioid-free first, and we coordinate that step rather than leaving you to figure it out.
Comfort medications and close monitoring for outpatient starts. When inpatient detox is the safer route — high fentanyl tolerance, benzodiazepines in the mix, unstable housing — we place you with a vetted partner and hold your outpatient spot.
Medication handles the receptors; therapy handles the life. Individual and group work on trigger mapping, refusal skills, sleep, pain coping without opioids, and the routines that fill the hours using used to take.
Board-certified evaluation and medication management for the depression, anxiety, PTSD, or chronic pain underneath the opioid use — treated at the same time, by the same team.
Free naloxone (Narcan) and training for you and your family, fentanyl test strip guidance, and honest conversation about tolerance loss after any break in use.
Levels of care
Most people step down through levels as stability builds — and step back up if things get shaky. The assessment tells us where to start.
Our most structured outpatient opioid treatment. Daily groups, individual therapy, and daily medical oversight during induction and stabilization — while you sleep at home. Common right after detox or a residential stay.
Several sessions a week with morning and evening tracks, paired with ongoing Suboxone or Vivitrol management. The most common level of care once withdrawal is under control and you're back at work.
Long-term buprenorphine or naltrexone management with counseling, drug screening, and alumni support. Many people stay on medication for years — that's a success, not an unfinished treatment.
Heavy fentanyl use, polysubstance use with benzodiazepines or alcohol, or failed outpatient starts may call for supervised inpatient detox first. We coordinate placement and the handoff back to us.
Across the river from Maryland
Our Arlington center is a short drive from Montgomery County, Prince George's County, and the broader Maryland suburbs. Many clients choose in-person PHP and IOP here because the commute is manageable and the program fits around work. Telehealth is available for Virginia residents between in-person visits.
Common questions
Fentanyl stores in body fat and lingers, so a standard induction can trigger precipitated withdrawal. Our physicians use low-dose (micro-dose) induction protocols designed specifically for fentanyl, which let you start buprenorphine gradually with far less risk. We walk you through the timing hour by hour.
As long as it's helping. Buprenorphine and naltrexone are maintenance medications, not a 30-day course — leading addiction medicine guidance supports indefinite treatment. Some people taper after a year or two; many don't, and that's a clinically sound choice.
Not for Suboxone — you start in mild withdrawal, not after it. Vivitrol does require 7–10 days fully opioid-free. If your use is heavy or mixed with benzodiazepines or alcohol, our assessment will flag whether supervised detox is the safer first step.
Most major commercial plans cover outpatient opioid treatment, including PHP, IOP, and MAT. Our admissions team verifies your benefits and gives you an expected cost before you commit. Self-pay options are available if you're uninsured.
Yes. IOP runs day and evening tracks specifically so Arlington and DC professionals can get treatment without stepping away from work, and office-based MAT visits are brief. PHP is a larger time commitment, and we can explain FMLA options if you need them.
Yes. Substance use records carry federal protection under 42 CFR Part 2 on top of HIPAA — nothing is shared with an employer, family member, or anyone else without your written consent.
Yes, for Virginia residents — our clinicians are licensed in Virginia, so telehealth sessions and buprenorphine management are available statewide. In-person care at our Arlington center is open to Virginia, Maryland, and Washington, DC residents.
In-person opioid treatment at 5400 Shawnee Road, Arlington, VA for VA, MD, and DC residents. Telehealth for Virginia residents only.
Get help today
Whether you're calling for yourself or for someone you love, the first conversation is free and completely confidential.
Insurance accepted
Medication-assisted treatment and outpatient opioid care are covered by most commercial plans in Virginia and the DC area, including Anthem, CareFirst BlueCross BlueShield, Aetna, Cigna, UnitedHealthcare, Optum, Sentara Health Plans, UMR, and Johns Hopkins Health Plans. We confirm both your therapy and medication benefits so there are no billing surprises.
Don't see your plan? Call us — we also work with out-of-network benefits and self-pay.