Medically reviewed by Kevin Wandler, MD, Chief Medical Advisor
Opioid addiction treatment at Promises DFW is available for adults 18+ at 400 Highland Dr, Lewisville, TX 75067. Serving Dallas-Fort Worth, the facility provides medical detox, residential addiction treatment and care for co-occurring conditions. PHP in Lewisville, virtual IOP for Texas residents and aftercare can support continued recovery when they fit your assessed needs.
Opioid use may involve prescription pain medicines, heroin, fentanyl or more than one substance. Describe your current use to admissions, including anything you are uncertain about. The team can help you understand the assessment process and begin reviewing coverage for the care being considered.
Who should consider opioid treatment
An assessment may help if opioid use is becoming harder to manage or affecting your health and responsibilities. You might be concerned about the amount you take, feeling unwell without a dose or repeatedly returning to use after trying to stop. Treatment decisions consider the pattern and your current condition together.
- You take opioids more often or in greater amounts than intended.
- Cravings make it difficult to follow through on other plans.
- You miss responsibilities because of using or recovering from use.
- You continue despite health problems or conflict with loved ones.
- You need more of a substance to feel the same effect.
- You feel ill when you stop or reduce your use.
Tell a clinician if the opioid was originally prescribed and whether you are still following the instructions. Physical dependence needs medical review, and a diagnosis of addiction requires assessment of more than a single symptom. You can ask for help understanding the concern without deciding in advance what diagnosis applies.
Opioid risks that need medical attention
Opioids can slow breathing and cause overdose. A person who cannot be awakened or is breathing abnormally after use needs immediate emergency care. Treat that as an urgent medical situation rather than waiting for an appointment. NIDA describes opioid overdose signs.
During an assessment, give the team a full picture of your recent substance use, including alcohol and benzodiazepines. Share any emergency treatment or other health concerns. Accurate information helps clinicians evaluate the appropriate setting; the name of the drug alone does not settle the care recommendation.
Opioid use can also disrupt finances, employment and relationships. Explain which effects are making everyday life difficult now. Problems with concentration, mood or sleep can be included in the same discussion, along with any previous mental health treatment. Avoid assuming that a substance use history makes another health concern unimportant.
Opioid detox and withdrawal assessment
Withdrawal can bring muscle aches, sweating, stomach problems, anxiety and difficulty sleeping. Our medical detox program provides withdrawal care in Lewisville when clinically appropriate. The assessment considers recent use, medical history and symptoms before deciding how to begin. MedlinePlus outlines opiate and opioid withdrawal.
If you already have a prescriber, discuss changes to a current prescription with that clinician or another medical professional. Tell admissions about attempts to stop and whether other drugs were involved. The team needs to understand both the withdrawal concern and the treatment support you may require afterward.
Detox does not address every part of opioid addiction. Once immediate needs are assessed, the next conversation should consider continued care, your living situation and the challenges you expect outside treatment. Ask which decisions can be made now and what the clinical team needs to review further.
What treatment looks like at Promises DFW
Promises DFW offers medication-assisted treatment (MAT) for opioid use disorder when clinically appropriate. Before recommending medication, a clinician completes a medical assessment of your substance use and health. Your treatment options may include Suboxone or naltrexone. The plan combines MAT with counseling for opioid use. Share your prescription list and ask how a medication recommendation relates to the addiction care being considered.
Residential opioid addiction care
During residential addiction treatment at Lewisville, you live at the campus and take part in therapeutic care. Individual sessions and group counseling can address substance use patterns and recovery skills. The plan should account for the concerns that brought you to treatment, including previous attempts to stop.
CBT can help you examine thoughts and decisions around opioid use. DBT skills support work on emotional distress and communication. You might discuss how to respond when cravings interrupt a routine, how to ask for help or how to approach a difficult family conversation. Specific situations give that work a practical purpose.
Moving between addiction care levels
Lewisville’s in-person PHP can follow residential treatment or provide a step up from less intensive care. The team reviews whether you can manage outside program hours while continuing structured treatment. Ask what the recommendation means for attendance and travel.
Virtual intensive outpatient treatment is available to Texas residents. Its online format may fit continued addiction care when residential support is no longer required. Aftercare planning considers the period beyond those programs. Your path through treatment may include some of these levels, depending on assessed needs.
When opioid use occurs with mental health symptoms
Dual diagnosis services address substance use and co-occurring mental health conditions. Depression, anxiety and PTSD or trauma concerns may be part of the assessment. Explain when symptoms began and how they relate to changes in your use.
Previous diagnoses and care can help the team understand your history. Share what was helpful and what remained difficult. With your permission, family involvement can be considered as part of treatment and transition planning. Ask how you can set preferences about participation and sharing information.
Planning the first conversation and the return home
Before calling, gather your insurance card and a list of current prescriptions if you can. Describe the opioids you use, the last time you took them and any recent symptoms. If you cannot identify a substance, say so; uncertainty is information the clinical review needs to account for.
Discuss your living situation and who can help with practical arrangements. Ask what is needed before admission, including an assessment and authorization when required. For continued care, consider whether you can travel to Lewisville or participate privately online. These details affect the plan’s practicality without replacing the clinical recommendation.
Coming from Dallas, Fort Worth or North Texas
Promises DFW is located in Lewisville, with regional information in our Dallas treatment service guide and Fort Worth regional guide. Find other communities through North Texas areas served.
For substance-specific local questions, visit fentanyl and opioid rehab near Dallas or opioid and fentanyl care near Fort Worth. The facility address stays the same regardless of the city you are coming from. Confirm arrangements before departing for treatment.
Insurance and Medicaid for opioid rehab
Our insurance options directory explains commercial coverage information. Admissions verifies your specific benefits for the recommended opioid care level. Ask which services the review includes and whether approval for additional care will need a separate authorization.
Texas Medicaid at DFW covers substance use treatment only. Check the Texas Medicaid guide for addiction care and Medicaid rehab information near Dallas-Fort Worth. Eligibility, medical necessity and your plan’s authorization affect covered treatment, so the plan name alone cannot establish an admission’s coverage.
Opioid treatment questions for DFW residents
Where is opioid addiction treatment near Dallas?
Adult opioid addiction care is available at Promises DFW in Lewisville. Admissions can help determine which services need evaluation based on current use and symptoms.
Can Fort Worth residents receive opioid treatment?
The Lewisville campus serves the Fort Worth community as part of the DFW region. Discuss your needs and the steps toward an arranged admission before planning the trip.
What does opioid detox involve?
Detox addresses withdrawal and medical stabilization following clinical assessment. The plan is based on your substance use and health rather than a general schedule applied to every person.
Does the program address fentanyl and heroin use?
Promises DFW has fentanyl addiction treatment and heroin addiction treatment information. Describe all relevant substances so clinicians can review the full treatment need.
Is opioid rehab available online in Texas?
Virtual IOP is the online addiction care option for Texas residents. Medical detox and residential care require a different setting, and assessment establishes whether remote treatment is appropriate.
What comes after opioid withdrawal care?
The team discusses continued addiction treatment and recovery planning after stabilization. Residential care or an outpatient level may be considered according to the support your assessment identifies.
Does Promises DFW offer medication-assisted treatment?
Yes. After a medical assessment, Promises DFW can provide MAT for opioid use disorder when clinically appropriate. Treatment includes counseling alongside medication, and the medication options may include Suboxone or naltrexone.
Check your benefits
Ask about opioid treatment benefits at (469) 546-9303. Review the insurance resource page or contact Promises DFW to discuss opioid care.