Opioid Use Disorder

(Medication-Assisted Treatment)

Opioid Use Disorder 1

Opioid Use Disorder is a medical condition — not a moral failing.

For many individuals, opioid dependence develops in the context of pain, trauma, stress, or untreated mental health conditions. It is not a reflection of character, willpower, or personal failure. It is a complex, treatable medical condition that affects the brain, the nervous system, and behavior.

At Willow & Stone Health, we approach opioid use disorder with clarity, compassion, and clinical precision. We believe that recovery is not about punishment or control — it is about stabilization, safety, and rebuilding a sustainable relationship with your body and mind.

Medication-Assisted Treatment (MAT) is one of the most effective tools available to support this process. When combined with thoughtful psychiatric care and a trauma-informed framework, it can significantly reduce overdose risk, stabilize cravings, and create the conditions necessary for long-term recovery.

What Is Medication-Assisted Treatment (MAT)?

Medication-Assisted Treatment (MAT) is an evidence-based approach that uses FDA-approved medications, alongside medical and psychiatric care, to treat opioid use disorder.

Rather than forcing abrupt cessation — which can destabilize both the brain and body — MAT works by gently regulating the same systems opioids affect. This allows individuals to regain stability without the intense cycles of withdrawal, craving, and relapse.

At Willow & Stone Health, we primarily use:

Suboxone (buprenorphine/naloxone)

Suboxone is a partial opioid agonist, meaning it activates opioid receptors in a controlled and limited way. This helps:

Because of its pharmacological properties, Suboxone also has a “ceiling effect,” which significantly reduces the likelihood of misuse compared to full opioid agonists.

MAT is not about replacing one substance with another — it is about restoring physiological balance so that deeper healing can occur.

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Why MAT Matters

Without stabilization, the nervous system remains in a constant state of dysregulation. This makes it extremely difficult to engage in therapy, maintain relationships, or make sustainable behavioral changes.

MAT provides:

  • Biological stabilization of opioid receptors
  • Reduction in compulsive use patterns
  • Improved cognitive clarity
  • Decreased risk of overdose and death
  • Greater capacity to engage in treatment and life

Research consistently shows that individuals receiving MAT have significantly better outcomes than those attempting abstinence-only approaches, particularly in terms of relapse prevention and mortality reduction.

Our Approach at Willow & Stone Health

We do not treat opioid use disorder as a standalone issue. Instead, we recognize it as part of a broader system — one that includes the nervous system, past experiences, current stressors, and mental health.

Our care model is structured, individualized, and trauma-informed.

1. Comprehensive Evaluation

We begin with a thorough assessment that includes:

Substance use history

Mental health history

Trauma exposure

Current stressors and life context

Nervous system patterns (e.g., hyperarousal, shutdown, instability)

This allows us to understand not just what is happening, but why.

2. Careful Induction and Stabilization

Starting medication is a critical phase that requires precision and monitoring.

We provide:

Guided Suboxone induction

Close follow-up during early stabilization

Adjustment of dosing based on response

Ongoing education about how the medication works

Our goal is not rapid escalation, but steady, sustainable stabilization.

3. Ongoing Monitoring and Support

We begin with a thorough assessment that includes:

We offer:

Regular medication management visits

Symptom tracking and adjustment

Monitoring for side effects or complications

Coordination of care when needed

This structured support reduces the risk of destabilization and helps maintain forward progress. 

4. Trauma-Informed Psychiatric Care

Many individuals with opioid use disorder have underlying trauma histories or chronic stress exposure.

Without addressing these layers, relapse risk remains high.

Our approach includes:

Understanding how trauma impacts the brain and body

Avoiding re-traumatization in care

Supporting emotional regulation and safety

Integrating psychiatric treatment when needed

This is not optional — it is central to effective care.

5. Treatment of Co-Occurring Conditions

Opioid dependence often exists alongside:

Without addressing these layers, relapse risk remains high.

Our approach includes:

Anxiety disorders

Depression

Post-traumatic stress disorder (PTSD)

Sleep disturbances

Chronic pain

Untreated psychiatric symptoms can drive substance use and make recovery unstable.

We provide integrated care to address:

Mood regulation

Anxiety management

Trauma symptoms

Sleep and nervous system balance

6. Long-Term Recovery Planning

There is no single “correct” timeline for recovery.

Some individuals benefit from longer-term MAT, while others may eventually taper under medical guidance.

We work collaboratively to develop a plan that reflects:

Your goals

Your stability

Your life context

Your readiness for change

Our priority is not speed — it is sustainability.

Treating the Nervous System

One of the most overlooked aspects of opioid use disorder is the role of the nervous system.

Chronic opioid use — and withdrawal — both profoundly affect how the body regulates stress, emotion, and safety.

Many individuals experience:

  • Persistent anxiety or agitation
  • Emotional numbing
  • Difficulty tolerating distress
  • Heightened sensitivity to stress
  • Cycles of overwhelm and shutdown

These patterns are not simply psychological — they are physiological.

At Willow & Stone Health, we recognize that:
Recovery requires nervous system stabilization, not just behavioral change.

By combining MAT with psychiatric care and a trauma-informed lens, we help support:

  • Increased emotional regulation
  • Greater resilience to stress
  • Improved sense of safety in the body
  • Reduced reactivity and impulsivity

Addressing Trauma and Chronic Stress

A significant number of individuals with opioid use disorder have experienced:

  • Early life trauma
  • Relational instability
  • Chronic stress environments
  • Medical trauma or chronic pain

Substances often become a way to cope with overwhelming internal states.

Without addressing these underlying drivers, treatment remains incomplete.

Our approach allows space to:

  • Understand the role substances have played
  • Develop safer coping strategies
  • Reduce shame and self-blame
  • Build a more stable internal foundation

Reducing Risk and Preventing Relapse

Relapse is not a failure — it is often a signal of unmet needs or instability.

MAT significantly reduces relapse risk by:

  • Stabilizing cravings
  • Preventing withdrawal cycles
  • Supporting consistent functioning

In addition, our model reduces risk by:

  • Providing consistent follow-up
  • Addressing co-occurring conditions
  • Supporting nervous system regulation
  • Creating a non-judgmental care environment

The goal is not perfection — it is progress with support.

A Non-Judgmental, Collaborative Model

Many individuals seeking treatment have had prior negative experiences with healthcare systems.

We actively work to create a different experience.

At Willow & Stone Health, you can expect:

  • Respectful, non-stigmatizing care
  • Collaborative decision-making
  • Clear communication
  • Thoughtful pacing of treatment
  • A focus on long-term well-being

You are not treated as a problem to be fixed, but as a person navigating a complex condition.

Common Questions About MAT

Is MAT just replacing one addiction with another?

No. MAT medications like Suboxone are carefully dosed and medically supervised. They stabilize brain chemistry without producing the same cycle of intoxication and withdrawal.

How long will I need to stay on medication?

This varies. Some individuals benefit from longer-term use, while others may taper over time. Decisions are made collaboratively based on stability and readiness.

Will I still feel like myself?

Most individuals report improved clarity, stability, and functioning once properly stabilized.

Yes — and in many cases, addressing both simultaneously leads to better outcomes.

Most individuals report improved clarity, stability, and functioning once properly stabilized.

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Who We Work With

We support individuals who:

  • Are currently using opioids and seeking help
  • Have experienced relapse and want a more stable approach
  • Are already on MAT and want more thoughtful psychiatric care
  • Struggle with co-occurring mental health conditions
  • Have a history of trauma or chronic stress

Whether you are early in the process or have tried treatment before, we meet you where you are.

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Related Resources

Why Patients Seek Care at Willow & Stone

Many patients come to Willow & Stone after feeling that previous treatment experiences were rushed or focused only on medication changes. Our practice is designed to provide a more thoughtful approach to mental health care, with time to understand each person’s history and the factors affecting their symptoms.

Who We Work With

Appointments are structured to allow time for meaningful discussion rather than brief medication visits. This approach helps patients feel heard and gives clinicians the opportunity to understand the full context of their mental health history.

Integrative Mental Health Evaluation

Our approach looks beyond symptoms alone and considers the biological, psychological, and lifestyle factors that influence depression. Evaluating these areas together helps create a more complete understanding of what may be affecting mood and treatment response.

Collaborative Treatment Planning

Treatment decisions are made collaboratively with each patient. Care plans are developed with attention to symptoms, treatment history, and personal goals, allowing strategies to evolve as progress becomes clearer.

A Path Forward

Recovery is possible.

Not because it is easy, but because the right conditions can make it sustainable.

With structured, medically sound care — combined with a deeper understanding of the nervous system, trauma, and mental health — individuals can move toward greater stability, safety, and long-term change.

You do not have to navigate this alone.

At Willow & Stone Health, we provide care that is:

Grounded in evidence

Informed by trauma awareness

Centered on the whole person

Designed for long-term success

Compassionate, structured treatment can make recovery not only possible — but safer and more sustainable.

Common Questions

How do you treat opioid use disorder?

With evidence-based medication-assisted treatment (MAT), including Suboxone, combined with integrative psychiatric care and support — delivered largely by telehealth.

Is treatment confidential?

Yes. Care is private and provided directly by Dr. Stacey Forbes, DNP, PMHNP-BC.

Do I have to come in person?

Most care is delivered by secure telehealth, in line with current regulations for MAT.

Related Articles

Anxiety, Depression, and Substance Use: A Path to HealingIs Long-Term Suboxone Safe? Facts on Maintenance MATMAT vs Abstinence: Choosing Your Recovery PathMedication-Assisted Treatment: What to Expect from Suboxone

Where We Serve

Willow & Stone provides integrative, cash-pay telehealth psychiatry to patients across Texas and New Mexico — from major metros to rural communities with few local providers.

Popular areas: Dallas · Fort Worth · Houston · Austin · San Antonio · Plano · Albuquerque · Santa Fe · Las Cruces · Rio Rancho

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