Medication Assisted Treatment (MAT) in Charlotte, NC

MAT visits include scheduled medication management appointments with the on-site psychiatric provider and addiction-specialty counseling with the assigned licensed clinician.

The on-site psychiatric provider adjusts medications based on clinical response, side-effect profile, and clinical stabilization.

Virtual and in-person session formats are available for counseling sessions. Certain medication appointments require in-person attendance per applicable regulations.

Carolina Center for Recovery case management coordinates employment paperwork, legal-issue tracking, and family communication.

Medication Management Appointment: The client meets with the on-site psychiatric provider for medication review and dose adjustment based on clinical course since the prior visit. The provider reviews side-effect profile, craving level, and overall clinical stabilization. Medication refills and dose changes complete during the appointment.

Individual Therapy Session: The assigned licensed clinician conducts individual counseling. Sessions address substance use patterns, triggers, and current clinical content. Sessions apply CBT and DBT skills to employment stress, family dynamics, and relationship patterns.

Group Session (when clinically indicated): Group sessions deliver peer support and applied skill use among clients in MAT. Group content focuses on relapse prevention and recovery skill use in everyday situations.

Outside MAT visits, clients support clinical progress by:

– Taking prescribed medications on schedule as directed
– Attending mutual-aid meetings (AA, NA, SMART Recovery, or similar)
– Recording side-effect profile and craving patterns for the next visit
– Maintaining employment, family, and household routines
– Practicing CBT and DBT skills introduced in counseling
– Contacting the on-call clinical line in the event of a clinical crisis or medication concern

MAT is indicated for clients who require ongoing pharmacological treatment alongside addiction-specialty counseling:

Post-Detox Stabilization for Opioid Use Disorder: Clients who have completed medical detox and require buprenorphine or naltrexone to support sustained recovery from opioid use disorder.

Active Opioid Use With Employment Constraints: Clients with current opioid use who maintain employment and household functioning and require ongoing pharmacological treatment without inpatient or daily-programming structure.

Co-Occurring Mental Health Conditions: Clients managing major depressive disorder, generalized anxiety disorder, or post-traumatic stress disorder alongside opioid or alcohol use disorder, where integrated psychiatric and addiction care is clinically indicated.

Insufficient Stabilization at Counseling-Only Levels of Care: Clients who participated in counseling-only treatment without sustained stabilization and require the addition of FDA-approved medications.

Maintenance Phase: Clients in sustained recovery who require ongoing medication management and periodic counseling check-ins to support relapse prevention.