"Natural" Doesn't Mean Non-Addictive. Help Is Here.
Outpatient treatment for adults with 7-OH and kratom use disorder. Evidence-based care across East Tennessee and Southwest Virginia. Same-day appointments. We take kratom dependence seriously β even when sellers don't.
MAT Can Help
FDA-approved medications
Outpatient Care
Live your life while you recover
No Judgment
Same-day appointments
Telehealth Available
Across TN & VA
β οΈ What You're Buying Acts on Opioid Receptors
Kratom (Mitragyna speciosa) contains alkaloids β particularly 7-hydroxymitragynine (7-OH) and mitragynine β that bind to opioid receptors in the brain. Despite being marketed as a "natural supplement" or "safe alternative to opioids," kratom can produce significant physical dependence and withdrawal that closely resembles opioid withdrawal. The FDA has issued warnings about kratom's addiction potential, liver toxicity, and overdose risk.
Concentrated 7-OH products and kratom extracts carry higher risks than traditional leaf preparations. If you're using kratom daily, increasing your dose to feel the same effects, or experiencing withdrawal between doses β you're dealing with a substance use disorder. The good news: because kratom acts on opioid receptors, MAT can be effective for kratom recovery.
You Bought a Supplement. You Got an Opioid Dependency. That's Not Your Fault.
Most people who end up dependent on kratom didn't expect that to happen. The product was sold at a gas station, a smoke shop, a "wellness store." It was marketed as natural, herbal, a safer alternative to opioids β maybe even as a way to get off opioids. The labels didn't say "highly addictive." The reality is that 7-OH and the concentrated kratom extracts being sold today can produce dependence as quickly as prescription opioids.
Maybe you started taking kratom for legitimate reasons β chronic pain, anxiety, opioid cravings, fatigue, depression. Maybe it worked at first. Maybe you've watched the dose creep up. Maybe you can't function in the morning without it. Maybe you've spent more money on kratom than you ever thought possible. Maybe you've tried to quit and the withdrawal sent you straight back. You're not crazy. This is a recognized medical condition with effective treatment.
At Emmaus, we take kratom dependence seriously β even when the industry that sold it to you doesn't. Because 7-OH and kratom act on opioid receptors, FDA-approved medications for opioid use disorder can be effective. We can help you stop the daily kratom cycle and treat the underlying issues that brought you to it in the first place.
Signs of 7-OH & Kratom Use Disorder
If you recognize these signs in yourself or someone you love, it's time to consider getting help. Treatment works β and the earlier you start, the better the outcomes.
- Using kratom or 7-OH daily, often multiple times per day
- Increasing dose to get the same effect (tolerance)
- Withdrawal symptoms when you skip or delay a dose
- Strong cravings between uses
- Spending significant money on kratom products
- Switching to more concentrated forms (extracts, shots, 7-OH tablets)
- Can't start your day without kratom
- Using to cope with anxiety, depression, or pain
- Hiding use from family or friends
- Failed attempts to quit or cut back
- Continuing despite negative consequences
- Mixing kratom with alcohol, prescription drugs, or other substances
What 7-OH & Kratom Withdrawal Feels Like
7-OH and kratom withdrawal is intensely uncomfortable, closely resembling opioid withdrawal. With FDA-approved medications, the worst of it can be avoided entirely.
Acute 7-OH and kratom withdrawal typically begins 12-24 hours after the last use, peaks at 24-72 hours, and subsides over 5-10 days. However, post-acute symptoms (cravings, depression, sleep issues) can last weeks or months. This is exactly why MAT works so well β FDA-approved medications can eliminate most withdrawal symptoms and dramatically reduce cravings, giving you the breathing room to focus on actual recovery work instead of just surviving day to day.
πͺ Physical Symptoms
Muscle aches, sweating, chills, runny nose, watery eyes, restless legs. Closely resembles opioid withdrawal since kratom acts on opioid receptors.
π€’ Stomach Issues
Nausea, vomiting, diarrhea, abdominal cramps. Common during the first few days of withdrawal.
π° Anxiety & Irritability
Severe anxiety, agitation, mood swings. Many patients describe being unable to sit still or focus.
π― Strong Cravings
Intense cravings, especially in the morning. The brain has come to expect kratom and signals strongly when it doesn't arrive.
π΄ Sleep Disruption
Severe insomnia, restless sleep, vivid dreams. Can persist for weeks beyond acute withdrawal.
π Depression
Profound sadness, hopelessness, lack of motivation. The brain's natural reward systems take time to recover.
How We Treat 7-OH & Kratom Use Disorder
Our approach combines FDA-approved medications with counseling and ongoing support β all in an outpatient setting so you can rebuild your life while you recover.
Comprehensive Assessment
We evaluate your use history, current dose, health, and goals to determine the right starting point β including whether you need supervised detox first or can start with us directly.
Medication-Assisted Treatment
FDA-approved medications dramatically reduce cravings and eliminate most withdrawal symptoms. This is the most effective evidence-based treatment for opioid use disorder.
Counseling & Behavioral Therapy
Medication alone isn't enough. Individual and group counseling help you address the why, build coping skills, repair relationships, and create a sustainable recovery.
Long-Term Support
Opioid recovery isn't a 30-day fix. We stay with you for as long as you need β months, years, however long supports your stability.
π Why MAT Can Help With Kratom Recovery
Unlike many other substances, opioid use disorder has highly effective FDA-approved medications that can dramatically reduce cravings, prevent withdrawal symptoms, and block the high if you were to use again. According to SAMHSA, medication-assisted treatment significantly improves survival, retention in treatment, and quality of life outcomes.
MAT is recognized as the gold standard by the FDA, NIDA, ASAM, and the World Health Organization. Read more about our MAT program at Emmaus β
π₯ If You Need Medical Detox First, We Can Help You Get There
Emmaus is an outpatient clinic β we don't provide medically supervised detox ourselves. However, some kratom patients with severe dependence benefit from starting in a detox facility, especially for severe or long-term use. We work with trusted detox partners who provide the medical monitoring needed during the most acute phase of withdrawal.
If you're unsure whether you need detox first, just call us. We'll talk through your situation honestly and help you figure out the right next step β whether that's starting MAT directly with us or starting with a detox referral, then continuing your recovery here.
Who We Help
7-OH and kratom use disorder affects all demographics. Here are the most common patient situations we see.
πΏ Started for Anxiety or Pain
You started kratom for legitimate reasons β chronic pain, anxiety, depression, fatigue. It worked, then it didn't, and now you can't stop.
π Tried to Quit Opioids With Kratom
You used kratom as a "natural" alternative to opioids β and ended up with a new dependence. We see this pattern often. MAT can address both.
πͺ Daily Heavy Users
You're taking kratom multiple times a day, increasing doses, using extracts or 7-OH tablets. The line between use and dependence has been crossed.
π¨βπ©βπ§ Family Members Calling for Loved Ones
Many of our first calls come from a worried family member who didn't realize kratom was addictive. We'll help you understand what's happening and what's next.
Why Choose Emmaus for Kratom Recovery?
Our outpatient approach combines proven medical care with the kind of relationship that helps people actually stick with recovery.
β‘ Same-Day Appointments
The window of "I'm ready" can be short. We don't make you wait. Most patients can start within 24 hours of reaching out.
π Outpatient Means Real Life
Keep your job, your home, your family, your privacy. No 30-day residential stay. Rebuild your life while you recover.
π€ No Judgment, Ever
You won't be lectured or shamed. We've treated thousands of patients β there's nothing you can tell us that we haven't heard before.
π§ Co-Occurring Mental Health
Most kratom patients have underlying anxiety, depression, chronic pain, or trauma. We treat both at once β because that's how recovery actually sticks.
π³ Affordable Care
Medicare, Medicaid, TennCare, and most major insurance accepted. Free benefits verification available.
π» Telehealth Available
Don't live near our clinics? Virtual visits across TN and VA β same care, no driving.
What Our Patients Say
Real stories from real patients walking the road of recovery with Emmaus.
By far the best place I've been to in 10 years. Emmaus has been a positive change for me. I'm treated like I matter β everyone here is nice and caring. I love that it's a non-judgmental place.
My husband had tried two other programs. What's different about Emmaus is that they didn't give up when he relapsed. They just adjusted the plan. He's been stable for over a year now.
This place is a true life saver. Their professional advice has even saved me from myself. The staff will do anything they can for you, and the doctor and entire team sincerely cares about making your quality of life the best.
Kratom & 7-OH Treatment Across the Tri-Cities Region
Our kratom and 7-OH use disorder treatment is available at all three Emmaus clinic locations and via virtual telehealth β covering communities across East Tennessee and Southwest Virginia.
π Johnson City, TN
Kratom and 7-OH use disorder treatment available at our Johnson City clinic on Old Gray Station Road.
π Kingsport, TN
Most Kingsport patients access kratom treatment at our Weber City clinic across the state line.
π Bristol, TN/VA
Bristol residents have two convenient options for kratom treatment based on travel preference.
π Elizabethton, TN
Carter County residents access kratom treatment through our Johnson City clinic.
π Greeneville, TN
Greene County residents use our Bulls Gap clinic on Highway 11E for kratom care.
π Morristown, TN
Our Bulls Gap location serves many Hamblen County residents seeking kratom recovery.
π Erwin, TN
Unicoi County residents access kratom treatment through our Johnson City clinic.
π Gray, TN
Gray is one of our closest service areas β just minutes from our Johnson City clinic.
π Jonesborough, TN
Tennessee's oldest town is just minutes from our Johnson City kratom treatment services.
π Rogersville, TN
Hawkins County residents in Rogersville find our Bulls Gap clinic conveniently located.
π Mosheim, TN
Mosheim residents have one of the shortest commutes to kratom treatment in our area.
π Bloomingdale, TN
Sullivan County's Bloomingdale community is well-served by our Weber City clinic.
π Mt. Carmel, TN
Mt. Carmel patients have convenient access to our Weber City clinic for kratom care.
π Weber City, VA
The heart of our Southwest Virginia kratom treatment services β centrally located.
π Gate City, VA
Scott County residents in Gate City are minutes from our Weber City kratom clinic.
π Big Stone Gap, VA
Wise County patients often combine in-person visits with telehealth for ongoing kratom care.
Frequently Asked Questions About 7-OH & Kratom Treatment
If you don't see your question here, just contact us β we're happy to talk through anything.
What is 7-OH?
Is kratom actually addictive?
How does 7-OH withdrawal feel?
Can you use MAT for kratom dependence?
Is kratom legal?
I take kratom for anxiety or pain. Should I quit?
Is kratom dangerous?
What if I'm using kratom alongside other substances?
How long does kratom recovery take?
Will my insurance cover kratom treatment?
How much does treatment cost without insurance?
How quickly can I start treatment?
Authoritative Resources on Kratom & 7-OH Use Disorder
For deeper research from federal agencies and professional medical organizations, these are the trusted sources we reference in our clinical practice.
FDA and Kratom
FDA warnings and information about kratom safety, addiction potential, and regulatory status.
Kratom Research
National Institute on Drug Abuse research on kratom effects, dependence, and treatment.
Medications for OUD
Federal substance abuse authority on MAT effectiveness β applicable to kratom dependence.
Kratom Facts
DEA fact sheet on kratom β uses, effects, and current legal status.
Addiction Medicine
American Society of Addiction Medicine β clinical guidelines our practice follows.
Crisis Support
If you're in crisis, call or text 988 anytime. Free, confidential, 24/7.
Take the First Step Toward Recovery
Whether you're seeking help for yourself or someone you love, we'll listen. No pressure, no judgment, no obligation.
You're Still Here. That Matters.
If you've made it to this page, something in you is fighting for a different future. That's enough. You don't need to figure it all out β just reach out. We'll take it from there, one step at a time.
Confidential β’ Evidence-Based β’ Outpatient β’ Since 2006