Surviving Fentanyl Is Possible. So Is Recovery.
Outpatient medication-assisted treatment and counseling for fentanyl use disorder. Real medical care, real overdose prevention, and a team that won't give up on you β no matter how many times you've tried before.
FDA-Approved Care
Evidence-based MAT
Outpatient
Live at home, keep working
Same-Day Help
Don't wait β call today
Since 2006
Nearly 20 years of care
β οΈ If Someone Is Overdosing Right Now
Call 911 immediately. Don't wait. Fentanyl overdoses progress quickly and can be fatal within minutes without intervention.
While Waiting for Help:
- Administer naloxone (Narcan) if available β fentanyl often requires multiple doses
- Lay the person on their side to prevent choking if they vomit
- Stay with them β naloxone can wear off and overdose can return
- Don't leave until paramedics arrive, even if they wake up
Tennessee's Good Samaritan Law and Virginia's Safe Reporting Law protect people who call 911 during overdose emergencies β even if drugs are present at the scene. Your call could save a life. Please call.
If you're not in immediate danger but need crisis support, call the 988 Suicide & Crisis Lifeline. We're here for the rest of the journey β long-term recovery support, medication-assisted treatment, and a path forward.
If You're Using Fentanyl, You're Already Surviving Something Most Don't.
If you're reading this, you've already survived something many haven't. Fentanyl has become the deadliest drug crisis in American history β and yet here you are, looking for a way out. That matters. You matter.
Maybe you started with prescription painkillers. Maybe with heroin. Maybe you didn't even know what was in your supply. The road that brought you here doesn't determine whether recovery is possible β and recovery is possible, even from fentanyl.
At Emmaus, we've been helping people recover from opioid use disorder since 2006. We've watched the crisis evolve from prescription painkillers to heroin to fentanyl. We've adapted. And we've kept showing up. Whatever you've tried before, whatever shame you're carrying, whatever you think we'll judge you for β we won't. Come as you are.
What Makes Fentanyl Different
Understanding fentanyl matters β because recovery from it requires a slightly different approach than other opioids.
Extreme Potency
Fentanyl is approximately 50-100 times more potent than morphine. Doses that would be safe for other opioids can be lethal with fentanyl.
Unpredictable Dosing
Street fentanyl is rarely consistent β even within the same batch. Two pills from the same source can contain vastly different amounts.
Contaminated Supply
Fentanyl now contaminates the supply of cocaine, methamphetamine, counterfeit prescription pills, and other substances β often without users knowing.
Faster Onset & Tolerance
Fentanyl builds tolerance quickly and creates physical dependence faster than other opioids β making withdrawal more intense and quitting alone more difficult.
Higher Overdose Risk
Fentanyl overdoses progress fast and may require multiple doses of naloxone (Narcan) to reverse. This is why same-day medical treatment matters.
Effective Medical Treatment
Despite all of this, medication-assisted treatment is effective for fentanyl use disorder. The medications used in MAT work β and they save lives.
Signs You May Need Help
You don't need to be at "rock bottom" to reach out. With fentanyl, waiting can be the deadliest mistake of all. Earlier help means more of your life intact β and significantly lower overdose risk.
- Using fentanyl daily or near-daily to feel normal
- Strong cravings β constant thoughts about your next dose
- Needing more to get the same effect
- Withdrawal symptoms when not using
- Failed attempts to quit on your own
- Using despite recent overdoses (yours or someone you know)
- Fear about what's actually in your supply
- Using alone (which dramatically increases overdose death risk)
- Hiding use from family, friends, or coworkers
- Using to manage pain that was never properly addressed
- Spending most of your money on drugs
- Friends or family expressing serious concern
What Fentanyl Withdrawal Feels Like
Knowing what to expect β and that medical support can ease it dramatically β makes the process more manageable. You don't have to white-knuckle this alone.
Fentanyl withdrawal typically begins within 8-24 hours of last use, peaks at 2-4 days, and gradually improves over 7-14 days β sometimes longer than other opioids because fentanyl can store in body tissues. Trying to detox alone from fentanyl is one of the leading causes of relapse and overdose β both because withdrawal is brutal, and because reduced tolerance after a few days dry dramatically increases overdose risk if relapse happens. Medical support changes this equation completely.
πͺ Physical Symptoms
Severe muscle aches, restless legs, sweating, chills, goosebumps, runny nose, watery eyes, yawning, dilated pupils. Often more intense than other opioid withdrawal.
π€’ GI Symptoms
Severe nausea, vomiting, diarrhea, stomach cramps. Risk of dangerous dehydration is real β this is one reason medical supervision helps.
π° Emotional Symptoms
Intense anxiety, depression, panic, mood swings, restlessness, and feelings of hopelessness. The mental withdrawal often hits harder than the physical.
π΄ Sleep Disruption
Profound insomnia is common β and can last for weeks. Vivid dreams, restless sleep, and exhaustion that interferes with daily life.
π§ Intense Cravings
Powerful, intrusive urges to use that peak around days 3-5. This is where MAT makes the biggest difference for fentanyl recovery specifically.
β οΈ Tolerance Loss Risk
If you go a few days without fentanyl, your tolerance drops fast. Returning to your previous dose can cause overdose. This is why supervised tapering with MAT is safer.
How We Treat Fentanyl Use Disorder
Our approach combines medical care, counseling, and ongoing support β all in an outpatient setting so you can continue your life while you recover.
Comprehensive Assessment
We evaluate your use, withdrawal status, overdose history, and goals to build a treatment plan β and to ensure outpatient care is medically appropriate for your situation.
Medication-Assisted Treatment
FDA-approved medications dramatically reduce cravings, ease withdrawal, and lower overdose risk. MAT is the gold standard for fentanyl use disorder per the FDA, SAMHSA, and major medical organizations.
Counseling & Support
Individual and group therapy that addresses underlying causes β pain, trauma, mental health, family relationships β because lasting recovery requires more than medication alone.
Long-Term Care
Fentanyl use disorder is a chronic medical condition. We stay with you for the long haul β adjusting your plan as life evolves and recovery takes shape.
For Families Watching This Crisis Unfold
If you have a loved one using fentanyl, you've probably been terrified for a long time. We see you. Here's what we know β and what we can do together.
π« You're Not Alone
Thousands of families across the Tri-Cities region are living with this same fear. Our free Thursday night family support group on Zoom is open to anyone β no patient required.
π Get Naloxone (Narcan)
If your loved one uses opioids, having naloxone in your home could save their life. It's available over-the-counter in most pharmacies in TN and VA. Carry it. Know how to use it.
π You Can Call Us First
Family members are welcome to call us directly β even if your loved one isn't ready yet. We can walk through options, share resources, and help you prepare for the conversation.
π« Don't Wait for "Ready"
Many people enter treatment ambivalent. Waiting for someone to be 100% ready often means waiting for a tragedy. Treatment can begin during ambivalence β that's normal.
Why Choose Emmaus for Fentanyl Recovery?
We've been treating opioid use disorder since 2006. We've adapted as the crisis evolved. Here's what makes us different.
π€ No Judgment, Ever
You won't be lectured. You won't be shamed. Whatever brought you here β including overdoses, relapses, or jail β you're welcome.
π Outpatient Means Real Life
Keep your job, your home, your routines, your privacy. No 30-day residential stay. No leaving your family.
π€οΈ We Don't Give Up
Relapse isn't failure β it's information. We've helped people who've been through multiple programs that didn't stick.
π Faith-Supported, Not Forced
Faith informs our compassion, not our requirements. We respect every patient's background and beliefs.
π³ Affordable Care
Medicare, Medicaid, TennCare, and most major insurance accepted. Self-pay rates start at $150 for your intake visit.
π» Virtual Visits Available
Don't live near our clinics? Telehealth options across Tennessee and Virginia β same care, no driving.
What Our Patients Say
Real stories from real people in recovery. These reviews come from Emmaus patients walking the road of opioid recovery.
I love this place β they're truly awesome! I've been to a few other doctors that just weren't a good fit for me. Either had to wait all day or just felt like another number. But here, everyone is amazing! They care about you and your recovery and will help you in any way possible. I would recommend this place to anyone serious about their recovery.
I absolutely love it here. They are so welcoming and make you feel important. They don't judge you for anything you share with them. They are very kind, caring, and understanding. They genuinely care about you and what goes on in your life. I'm so thankful for this family-like doctors office!
I highly recommend this place to anyone who is serious about their recovery. I know for a fact they will go out of their way to do whatever they need to do to accommodate you and help you. I honestly have never been to a place that cares about their patients the way they do. If you are looking for a place to get serious and get your life back, don't wait another day β give them a call.
Fentanyl Treatment Across the Tri-Cities Region
Our fentanyl 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
Fentanyl use disorder treatment available at our Johnson City clinic on Old Gray Station Road, accessible from I-26.
π Kingsport, TN
Kingsport patients access fentanyl treatment at our Weber City clinic β minutes across the state line β or via telehealth.
π Bristol, TN/VA
Bristol residents have two convenient options for fentanyl treatment based on which side of town they prefer.
π Elizabethton, TN
Carter County residents access fentanyl treatment through our Johnson City clinic, a short drive away.
π Greeneville, TN
Greene County residents typically use our Bulls Gap clinic on Highway 11E for fentanyl treatment.
π Morristown, TN
Our Bulls Gap location serves many Hamblen County residents seeking fentanyl recovery care.
π Erwin, TN
Unicoi County residents access fentanyl care through our Johnson City clinic β a short drive up the road.
π Gray, TN
Gray is one of our closest fentanyl treatment service areas β minutes from our Johnson City clinic.
π Jonesborough, TN
Tennessee's oldest town is just minutes from our Johnson City fentanyl treatment services.
π Rogersville, TN
Hawkins County residents in Rogersville find our Bulls Gap fentanyl clinic convenient along Highway 11E.
π Mosheim, TN
Mosheim residents have one of the shortest commutes to fentanyl treatment in our service area.
π Bloomingdale, TN
Sullivan County's Bloomingdale community is well-served by our Weber City clinic for fentanyl care.
π Mt. Carmel, TN
Mt. Carmel patients have convenient access to our Weber City clinic for fentanyl treatment.
π Weber City, VA
The heart of our Southwest Virginia fentanyl treatment services β accessible, welcoming, centrally located.
π Gate City, VA
Scott County residents in Gate City are minutes from our Weber City fentanyl clinic.
π Big Stone Gap, VA
Wise County patients often combine in-person visits with telehealth for ongoing fentanyl care.
Frequently Asked Questions About Fentanyl Treatment
If you don't see your question here, just call us β we're happy to talk through anything, no judgment.
What is fentanyl use disorder?
I overdosed recently. Should I come in?
How quickly can I start treatment?
Can MAT really work for fentanyl, given how strong it is?
Do you offer medical detox?
What if I'm using fentanyl mixed with other substances?
Will my insurance cover fentanyl treatment?
How much does fentanyl treatment cost without insurance?
Will my employer find out I'm in treatment?
I've relapsed before. Will I be turned away?
How long will I be in treatment?
Can my family come with me?
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. Fentanyl recovery is possible β and faster than you think.
You've Survived This Far. Let Us Help You Keep Going.
You don't have to figure this out alone. You don't have to be ready, sure, or fully sober before you call. You don't have to come in with a plan. Just reach out β we'll take it from there.
Confidential β’ Evidence-Based β’ Outpatient β’ No Judgment
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Bulls Gap, TN
Tel
423-393-4146
Address
273 Hwy. 11E Suite E
Bulls Gap, TN 37711
Fax
423-393-4377
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Johnson City, TN
Tel
423-202-3008
Address
1730 Old Gray Station Rd
Johnson City, TN 37615
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