Medically reviewed by Kevin Wandler, MD, Chief Medical Advisor
Promises DFW in Lewisville provides medical detox and residential care to adults 18+ with fentanyl and opioid use disorders, approximately 20 to 25 minutes from Irving. An assessment considers withdrawal needs and the care that may be recommended afterward.
The question of what comes after detox is useful to raise at the beginning. You may be considering a facility stay, continued outpatient care or both at different stages. Our Irving treatment overview explains the services available for that discussion.
Signs opioids need a treatment assessment
Opioid use that repeatedly exceeds your intentions, strong cravings and difficulty stopping are reasons to ask for help. You may spend increasing time obtaining opioids or use to avoid feeling physically sick. Continuing despite problems with health or responsibilities is another concern.
Tell the clinician about prescription use and other opioids, including fentanyl when you know it is involved. Describe earlier attempts to stop and what happened after the withdrawal period. That history helps the review extend beyond the immediate symptoms you want relieved.
Our fentanyl rehab information and opioid use treatment page explain ongoing care. An unresponsive person or someone with slow breathing after use needs emergency assistance right away. Routine treatment planning should follow appropriate attention to immediate danger.
Opioid withdrawal and stabilization
Withdrawal can involve body aches, chills, digestive upset and restless sleep. Medical detox evaluates those symptoms, monitors health and helps manage withdrawal while the team considers continued treatment. Share other drug or alcohol use because those details can affect the safety assessment.
Early symptoms may begin within hours or start later, depending on the substance and use pattern. Physical discomfort can develop over days; cravings and sleep changes may continue after that period. This timeline varies by person. Feeling through the worst discomfort does not establish which ongoing care level is appropriate.
The detox program information introduces medical withdrawal care. Ask what is being assessed and how the team will discuss next steps. Detox and residential treatment are distinct services even when both are part of a proposed plan.
Connecting withdrawal care with continued treatment
Medical detox, residential treatment at the Lewisville campus and dual diagnosis care are available through Promises DFW. Residential addiction care involves a facility stay. Co-occurring mental health concerns should be discussed alongside opioid use during the assessment.
Promises DFW offers MAT as an opioid treatment option when clinically appropriate, starting with a medical assessment. Medication is combined with counseling through a plan based on your individual medical review. After the clinician reviews your needs, options may include Suboxone or naltrexone. Discuss current prescriptions and any prior medication experience. Those details belong in the individual assessment before the team recommends an approach to care.
Possible next levels include PHP provided in Lewisville and virtual IOP for Texas residents. Clinical suitability needs review before a transition is arranged. Ask about participation requirements and the benefits check for the proposed service.
Aftercare planning can address returning to Irving and continuing appointments. Ask which next step is recommended, whether arrangements are confirmed and what you need to do next. A clear discussion of the transition helps identify unresolved questions before leaving the current service.
Getting here from Irving
The destination for care is 400 Highland Dr, Lewisville, TX 75067. Irving’s estimated drive is 20 to 25 minutes, using I-35E north or TX-161 north to I-635 and I-35E. Las Colinas has an estimate of about 22 minutes; west Irving near TX-183 is approximately 25 minutes.
Confirm admission and arrival instructions before traveling to the campus. Ask someone to help with transportation if recent use or withdrawal affects driving. The travel estimate does not determine whether the clinical and benefits reviews are complete.
Paying for each stage of opioid care
Commercial insurance needs a service-specific review using your active policy. Read our insurance review overview and ask about required authorization. If detox is approved, clarify whether residential care or a later outpatient service needs another decision. Discuss possible costs at each proposed stage.
Accepted Medicaid plans at Promises DFW are for primary substance use treatment only and exclude primary mental health care. The Texas Medicaid plan information and Medicaid rehab guide for Dallas-Fort Worth explain related checks. Admissions reviews active eligibility and required authorization for individual services. One approval does not establish coverage for all subsequent care.
Irving public opioid treatment resources
Irving residents can investigate OSAR through NTBHA for information about public substance use assessment and treatment pathways. Ask what eligibility requirements apply and how to begin the referral process. Confirm the next step with the suggested service; this resource does not establish admission or benefits at Promises DFW.
Irving fentanyl and opioid rehab FAQs
Can Irving residents discuss continued opioid care before detox begins?
Ask about the possible treatment sequence at the start. The assessment helps determine what is appropriate, and needs can be reviewed as care progresses. You can raise questions about a residential stay, PHP or virtual IOP without choosing the next level yourself.
Does Promises DFW offer medication-assisted treatment?
Yes, clinically appropriate MAT starts with a medical assessment and is combined with counseling. Ask how medication options relate to the recommended opioid treatment plan. Share any existing prescriptions and earlier experiences with medication in addiction care.
Where can I learn about opioid detox near Irving?
Our Irving detox information describes withdrawal services. Explain current opioid use and symptoms when requesting assessment. The team determines whether detox should be considered and what continued care may be recommended afterward.
Is alcohol relevant when seeking opioid rehab from Irving?
Discuss drinking and other substances with the clinician so the full history is reviewed. The Irving alcohol rehab page covers related care. A main concern about opioids does not remove the need to evaluate alcohol withdrawal or use.
Will the same coverage pay for opioid care after I return to Irving?
Admissions needs to check benefits and required approval for the proposed next service. Do not assume a detox or residential approval covers later outpatient care. Ask what has been verified and which decision remains pending as aftercare arrangements are discussed.
Check your benefits
Call (469) 546-9303 for an Irving opioid or fentanyl treatment inquiry. Admissions is available 24/7. Review benefits review information or contact admissions about a treatment plan to begin.