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Wise, Virginia

Medication-AssistedTreatmentNearYouMedicationandCounselinginWise

Modern medicine and genuine compassion in one place, close to home.

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    Outpatient care

Local care

Medication-Assisted Treatment close to home
in Wise.

Medication-assisted treatment in Wise is not trading one drug for another. It is evidence-based medicine that stabilizes your brain so recovery is possible.

Local, confidential care for Wise and the surrounding Virginia region starts here. We serve patients across Wise County and the nearby communities. That includes Duffield, Abingdon, Pounding Mill, and Wytheville and other nearby Virginia towns. A Crossroads center is located right in Wise. Crossroads operates 19 centers across Virginia.

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We understand

What you are facing
and what you get.

We understand what you are facing

  • Splitting medication and therapy across different providers makes treatment fall apart.
  • Repeated relapses without medical support chip away at hope and self-worth.
  • Detox-only programs send people home without the medication that prevents relapse.
  • Medication without counseling, or counseling without medication, leaves gaps that lead to relapse.

What you get at Crossroads

  • Help navigating prior authorizations so insurance hurdles do not delay your start.
  • A provider who explains the options, buprenorphine, methadone, or naltrexone, in plain language.
  • Counseling and peer support included, so you treat the causes, not just the cravings.
  • FDA-approved medication matched to you, whether buprenorphine, methadone, or naltrexone.
Why us

Why people choose Crossroads

Treatment is fully outpatient, so you can keep working, parenting, and living while you recover.

Our programs are accredited and meet the highest national standards for addiction care.

Our providers are licensed clinicians who specialize in addiction medicine and treat you with dignity.

  • Flexible appointment times mean treatment fits your work and family schedule.
  • Language assistance is available so care is clear in your own words.
  • Telehealth options keep you connected to care between in-person visits.
  • Your first visit includes a full health assessment, not a rushed sign-up.
  • Counseling and peer support are part of every patient's plan, not an add-on.
Provider consulting with a patient in an outpatient clinic
Learn more

Treatment details
for Wise.

In-depth answers to the questions people search before they call.

01

Staying Well Over the Long Haul in Wise

Recovery is not a single event; it is an ongoing process, and Crossroads is built to support you through all of it. After you stabilize, your care team helps you stay on track with regular check-ins, medication management, and counseling tuned to where you are in your journey. Relapse-prevention planning and coping strategies are part of your care, so you are prepared for the hard days as well as the good ones.

Setbacks, if they happen, are treated as part of the process rather than a reason for shame. Your team helps you learn from a hard stretch and get back on track quickly, because that is how chronic conditions are managed. Staying engaged with care in Wise, through the highs and the lows, is what makes recovery last.

There is no countdown clock on your recovery at Crossroads. Some patients need close support for months and others for years, and both are completely normal. Your care team in Wise follows your lead, adjusting the intensity of treatment as your life stabilizes rather than forcing you toward an arbitrary finish line.

02

How Medication-Assisted Treatment Works

MAT is not trading one addiction for another, a myth that keeps too many people from getting help. Under the care of a provider, these medications stabilize your brain chemistry so you can think clearly, hold a job, and reconnect with the people you love. Your dose is carefully managed and adjusted as your recovery progresses, always with your safety and your long-term goals in mind.

Opioids rewire the brain's reward and stress systems over time, which is why willpower alone so often fails. MAT works by gently restoring balance to that chemistry, quieting the relentless cravings that drive relapse. With the physical pull of opioids finally under control, the deeper work of rebuilding a life in Wise becomes genuinely possible.

The evidence behind MAT is overwhelming: patients on medication are far more likely to stay in treatment and far less likely to overdose. At Crossroads in Wise and throughout Virginia, that is exactly why we lead with it. This is simply modern medicine applied to a medical condition, delivered by clinicians who specialize in addiction care.

03

Starting Medication-Assisted Treatment in Wise: Your First Appointment

There is very little you need to prepare for your first medication assisted treatment appointment beyond showing up. Bring a photo ID and your insurance card if you have one, but if you do not, come anyway. Our Wise team would rather sort out the details with you in person than let a missing form keep you from starting.

Many people put off that first call for months, imagining the worst. In reality, the visit is a straightforward medical appointment with someone trained to help, not to judge. Patients in Wise often tell us afterward that the hardest part was the worry beforehand, and that the appointment itself felt like a relief.

You are welcome to bring a trusted friend or family member to your first visit if that helps you feel more at ease. Our Wise team wants you comfortable enough to be honest, because the more we understand your situation, the better your plan will fit. There is no script you have to follow and no detail too small to mention.

04

The Power of Peer Support in Wise

The shame that surrounds addiction loses much of its power in a room full of people who get it. In Wise, Crossroads helps patients find that sense of belonging, where setbacks are met with understanding instead of judgment. Knowing you are accepted as you are makes it safer to keep showing up.

Isolation feeds addiction, and connection helps heal it. At Crossroads in Wise, medication assisted treatment is paired with opportunities to connect with others who understand what you are going through. Hearing someone say they have felt the same fear and found their way forward can be the encouragement that keeps you going.

Peer support specialists are part of recovery at Crossroads in Wise because lived experience offers something unique. These are people who have faced opioid use disorder themselves and built lasting recovery. Their presence on your path is living proof that the goal you are working toward is real and reachable.

05

Getting Through Withdrawal With Medical Support

Trying to detox alone is not only miserable, it can be genuinely dangerous. Under medical care in Wise, withdrawal becomes something to be managed rather than feared, with medication that takes the sharpest edges off the process. That difference is often what allows people to get through early recovery instead of giving up.

You will not be left to white-knuckle through the hardest part alone. Your care team monitors how you are feeling and adjusts your treatment to keep you comfortable and safe. Knowing that withdrawal will be managed by medical professionals removes one of the biggest reasons people delay getting help. The sooner you reach out, the sooner that relief begins.

The fear of withdrawal stops many people from seeking help, but it does not have to. A central goal of medication assisted treatment is to ease withdrawal symptoms and cravings so the early days of recovery are as comfortable and manageable as possible. Your provider in Wise uses proven medication to stabilize you quickly, reducing the physical distress that makes quitting on your own so difficult and so dangerous.

06

Recovery Without Shame at Crossroads Wise

The language around addiction has done real harm, framing a medical condition as a personal flaw. We reject that framing completely. At Crossroads in Wise, you are a patient seeking care, full stop, and you will be spoken to and treated accordingly from the moment you reach out.

Knowing your care is confidential takes much of the fear out of seeking help. In Wise, the privacy protections around treatment exist precisely so worry about who might find out never keeps someone away. You can pursue recovery without putting your reputation or your job on the line.

The words we use shape how people see themselves, which is why our Wise team uses person-first language: you are a person with a condition, not a label. That small shift matters. Being spoken about with respect helps undo years of messages that told you otherwise.

07

Seeing Opioid Use Disorder as a Treatable Illness

Opioid use disorder often develops gradually, which is part of what makes it so hard to recognize from the inside. What begins as managing pain or stress can quietly become dependence. Understanding that progression helps remove the sense of personal failure and replaces it with a clear-eyed view of a treatable condition.

Like other chronic conditions, opioid use disorder tends to be relapsing, which means setbacks can happen even when someone is doing the work. That does not mean treatment failed or that recovery is impossible. In Wise, we treat it the way medicine treats any chronic illness: with ongoing care, adjustment, and patience.

Opioid use disorder shows up in recognizable ways: needing more to feel the same effect, struggling to cut back, and continuing to use despite real harm. Recognizing these signs in Wise is not cause for shame but a reason to reach out. Naming the condition is often the first step toward treating it.

08

How Families Can Support Recovery in Wise

Boundaries and compassion are not opposites; the healthiest support usually involves both. Learning where to hold a line and where to offer grace is difficult, and you do not have to figure it out alone. Crossroads helps families in Wise find that balance so they can support recovery while protecting their own wellbeing.

Family involvement, when a patient wants it, can strengthen recovery, and Crossroads in Wise can include loved ones in education and counseling. Learning about opioid use disorder together helps replace blame with understanding. Families who understand the illness often become some of recovery's most powerful allies.

Recognizing the signs that a loved one is struggling, withdrawal from family, changes in mood, or new secrecy, can be frightening and confusing. Our Wise team can help you make sense of what you are seeing and figure out how to respond. You do not have to have the right words before you reach out for guidance.

09

The Difference Experience and Compassion Make

Experience, compassion, and accessibility rarely come together in addiction care, but in Wise they do. Crossroads pairs serious clinical expertise with the kind of warmth that makes people feel safe enough to stay in treatment. That combination, sustained over nearly twenty years, is what has helped so many people get well.

What truly sets Crossroads apart in Wise is the way you are treated as a person. Same-day access, accredited programs, and a team that includes people in long-term recovery all matter, but so does being met with dignity instead of judgment. We built our programs around one belief: that everyone deserves effective, respectful care and a real chance at lasting recovery.

Crossroads has spent nearly two decades helping people reclaim their lives from opioid and substance use disorders, serving tens of thousands of patients across nine states since 2005. That experience shapes everything we do, from how quickly we get you in the door to how carefully we tailor your care. We combine medical expertise with genuine compassion, because both are essential to recovery.

10

Coverage and Cost for Medication-Assisted Treatment in Wise

We believe in being straight with you about money. In Wise, you will get a clear explanation of any costs before they happen, with no surprise fees buried in the fine print. Treatment is hard enough without financial anxiety, so we keep the cost side as transparent as the care itself.

The cost of untreated opioid use disorder, in health, work, and relationships, is far higher than the cost of treatment. Crossroads keeps medication assisted treatment in Wise affordable precisely because we know how much is at stake. Investing in recovery is one of the most valuable decisions a person can make for their future.

Whatever your financial situation in Wise, we encourage you to reach out before assuming care is out of reach. Coverage options change, assistance exists, and our team would rather help you find a way than see cost turn you away. The first step is a conversation, and that conversation is always free.

11

Safe, Closely Monitored Medication in Wise

Before and during treatment, your Wise provider screens for interactions between your medication and anything else you take, including over-the-counter products and supplements. Many dangerous combinations are easy to avoid once they are known. That careful review is one of the clearest reasons to be in supervised care.

Storage and adherence are part of safety too, so your Wise care team will talk with you about how to take and keep your medication securely. These conversations are practical, not preachy, and they exist to protect you and the people around you. Good treatment includes the everyday details, not just the prescription itself.

If you ever feel something is off with your medication in Wise, your team wants to hear about it right away. Open communication is a safety feature, and no concern is too small to raise. The goal of medication assisted treatment is steady, sustainable recovery, and that only happens when your medication is managed carefully every step of the way.

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Speak with someone about Wise treatment today

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Medications

Medications available in Wise

MethadoneA daily medication that reduces cravings and withdrawal
Methadone is taken once daily at our clinic. It works by reducing withdrawal symptoms and cravings so your body can stabilize. It has been used safely and effectively to treat opioid use disorder for decades.
Suboxone®A combination medication that eases withdrawal and blocks opioid effects
Suboxone contains buprenorphine and naloxone. It reduces withdrawal symptoms and cravings while also blocking the effects of other opioids. It is typically taken as a film that dissolves under the tongue.
Sublocade®A once-monthly injectable option for consistent dosing
Sublocade is a monthly injection of buprenorphine administered by your care team. It removes the need for daily medication management — one appointment a month keeps your treatment on track.
Brixadi®A flexible injectable buprenorphine available weekly or monthly
Brixadi is an injectable form of buprenorphine that can be administered weekly or monthly depending on your treatment plan. It offers flexibility and consistent medication levels without daily dosing.
Vivitrol®A monthly injection that blocks opioid effects entirely
Vivitrol is a monthly naltrexone injection that works by blocking the effects of opioids. It contains no opioids itself and is a strong option for patients who have already completed withdrawal and want ongoing protection against relapse.
Your journey

How it works

Three steps to start outpatient care at a Crossroads clinic near you.

  1. 1

    Step 01

    Call or start Instant Intake®

    Speak with a provider in as little as 10 minutes.

  2. 2

    Step 02

    Get a personalized treatment plan

    Built around your life, your history, and your goals.

  3. 3

    Step 03

    Begin outpatient care

    Start treatment at our clinic on your schedule.

Coverage

Insurance & cost in Wise

Most Wise-area patients pay little or nothing out of pocket. We accept:

  • Medicaid
  • Medicare
  • Medicare Advantage
  • TRICARE
  • VA CCN
  • Most commercial insurance
  • Self-pay options available
FAQ

Wise Medication-Assisted Treatment FAQ

Can I do MAT while working full time?
Absolutely. MAT is fully outpatient, and our Wise visits are scheduled around your job, school, and family responsibilities.
Which medications are used in MAT?
Buprenorphine (Suboxone, Sublocade), methadone, and naltrexone (Vivitrol). Your Wise provider helps choose the right fit for your history and goals.
What is medication assisted treatment?
Medication-assisted treatment, or MAT, combines FDA-approved medication with counseling and behavioral therapy to treat opioid use disorder. In Wise, Crossroads provides every piece in one outpatient program.
Does MAT include therapy or just medication?
Both. Counseling and peer support are part of every plan in Wise, because medication works best when paired with behavioral support.
Does the Wise clinic accept Medicaid?
Yes. We accept Medicaid, Medicare, Medicare Advantage, TRICARE, VA CCN, most commercial insurance, and offer self-pay options. Our team handles the insurance conversation for you.
What should I bring to my first visit?
Bring a photo ID and your insurance card if you have one. If you are uninsured, our team will review affordable self-pay and assistance options with you.
Next step

Your Recovery Can Begin Now

Reach out today and a Crossroads provider in the Wise area will help you build a plan.

  • No appointment fees
  • HIPAA confidential
  • Same-day starts
  • Available 24/7/365