Commonwealth Counseling Centers

They offer outpatient and telemedicine. Which one fits is usually decided by how much structure the first few weeks need, and Prestonsburg has 8 other centers within 14 miles.

No, and nothing else within 14 miles of Prestonsburg offers one either, so that part will mean a longer drive or a referral.

They offer a program for veterans, which not every center around Prestonsburg does.

They do video appointments, which matters if Prestonsburg is a drive for you.

They prescribe buprenorphine and naltrexone. Medication and counseling together is the standard of care for opioid use rather than an either or, and not every place near Prestonsburg offers both.

What you take comes with you, in the original labeled containers, and is reviewed on arrival. Pill organizers are often refused at the door, because medication has to arrive labeled. Ask what their position is on prescribed medication generally, because positions differ.

Both can be treated at once, and programs that do are described as integrated or co-occurring. A program that tells you to come back once the mental health side is handled has effectively declined to treat you. Ask who to speak to if the mental health side gets worse mid program.

Documents and medication first. Everything else is a comfort question. Vitamins and anything over the counter are treated as medication and get checked the same way. Sort out who has your keys, your mail and your animals before the day itself.