Opioid Addiction Treatment Medical Care for a Medical Condition
Whether it started with a prescription after surgery or progressed to fentanyl or heroin, opioid dependence is a brain disease—not a moral failure. Withdrawal is real, cravings are real, and trying to white-knuckle it alone is dangerous. Our outpatient program combines structured therapy, relapse prevention, and MAT-informed planning with psychiatric support—while you live at home in North Texas or San Antonio.
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- Dual Diagnosis Experts
- Open Every Day, 8–8
- 4.8★ · 62 Google reviews
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Opioid use disorder is treatable—and outpatient care can work
Opioids hijack the brain’s reward and pain systems. What begins as relief after injury or surgery can become daily dependence, then illicit use when prescriptions run out. Fentanyl has made the risk profile sharper: potency varies, overdose is easier, and withdrawal can be brutal without medical support.
Outpatient treatment at RD means structured PHP or IOP with therapy, group work, relapse prevention, and MAT-informed medication planning when appropriate—plus dual diagnosis care when depression, trauma, or chronic pain sit underneath the use.
Prescription to illicit useFentanyl exposureFailed detox beforePain + depression
How opioid dependence takes hold
Knowing the pattern helps explain why willpower alone rarely works—and why clinical care does.
- 01
Tolerance and escalation
The same dose stops working; people take more or switch to stronger opioids to avoid withdrawal.
- 02
Withdrawal fear
Flu-like sickness, agitation, and pain when opioids wear off drive continued use even when someone wants to stop.
- 03
Craving and triggers
People, places, stress, and pain flares reactivate urge long after acute withdrawal passes.
- 04
Fentanyl risk
Illicit pills and powders often contain fentanyl at unpredictable doses—raising overdose risk dramatically.
- 05
Co-occurring depression or trauma
Many people use opioids to numb emotional pain; treating only the substance leaves the driver intact.
- 06
Isolation and shame
Secrecy and stigma keep people from getting help until the crisis is acute.
Evidence-based opioid recovery
Effective treatment combines medical support, therapy, and long-term relapse planning.
- 01
Medical detox coordination
When withdrawal is unsafe to manage alone, we help connect you to supervised detox before outpatient care.
- 02
MAT-informed medication planning
Buprenorphine-based options and other MAT approaches when clinically appropriate—paired with therapy, not as a standalone fix.
- 03
Relapse prevention and trigger mapping
Identify high-risk situations and build concrete plans before cravings hit.
- 04
Motivational interviewing and CBT
Work through ambivalence and the thought patterns that precede use.
- 05
Psychiatric care
Treat depression, anxiety, PTSD, and sleep disruption that often accompany opioid use disorder.
- 06
Dual diagnosis integration
One team addressing substance use and mental health together.
Build recovery where your life actually happens
Residential programs remove triggers temporarily—but the same dealers, pain flares, and stressors wait at home. Outpatient care lets you practice sobriety in your real environment with daily clinical support.
That’s especially important for people who can’t leave jobs, custody arrangements, or family responsibilities for 30 days.
Keep work and homeEvening IOPReal-world trigger workStep-down planningFrom detox through maintenance
Your path depends on withdrawal status, use severity, and co-occurring conditions.
- 01
Detox coordination
Medical supervision when physical dependence requires it.
- 02
Partial Hospitalization (PHP)
Intensive daily structure in early recovery after stabilization.
- 03
Intensive Outpatient (IOP)
Ongoing therapy and accountability with flexible scheduling.
- 04
Continuing care
Step-down frequency with long-term relapse prevention planning.
Early recovery is structured on purpose
The first weeks emphasize stability: managing cravings, showing up consistently, building honest connection in group, and addressing sleep and mood. Medication decisions happen alongside therapy—not in a silo.
You’ll work on practical pieces too: what to do when offered pills, how to talk to prescribers about pain, and how to rebuild trust at home.
Daily structureGroup accountabilityIndividual planningMedical coordination
Our Texas clinics
Two Texas outpatient clinics—same clinical team, same hours, same phone number.
- 01
Dallas & Richardson, TX
1251 S. Sherman St., Suites #101–#103, Richardson, TX 75081—serving the Dallas–Fort Worth metro. Open every day 8am–8pm.
- 02
San Antonio, TX
11318 Sir Winston St, San Antonio, TX 78216—serving San Antonio and South Texas. Open every day 8am–8pm.
- 03
Call 469-747-1201
Confidential assessment and free insurance verification—often same-day or next-day start.
How to get started
Four steps, and a real person with you at every one.
- 01
Confidential assessment
A licensed clinician learns your history and recommends the honest level of care.
- 02
Insurance verified for you
We confirm your benefits and explain coverage before you commit.
- 03
- 04
Build skills that last
Relapse prevention and step-down planning so progress holds after treatment.
What clients say
Rated 4.8 out of 5 across 62 Google reviews from clients across North and South Texas.
“Real Deal is without a doubt the most structured and therapeutic rehab program I have ever attended. It has brought me to one year in sobriety and I don't know what I would have done had I not participated in the program. I highly recommend Real Deal to anyone struggling with alcohol and/or drugs. It's amazing. Just try it and you will see for yourself!”
“Realdeal wellness and therapy will always have a special place in my heart for all the opportunities and care they've provided. They helped pave the way for me to achieve sobriety and build a better life for myself and when I needed them the most they were there in a heartbeat. Extremely grateful for their services and the environment they provide for recovery.”
“Real deal is a truly rare place that has instrumental in my rehabilitation. The staff truly cares deeply about you and wants you to succeed. Also Real Deal is one of not many outpatient rehab places that takes primary mental health cases. Highly recommend this place and thank you to everyone who helped me.”
“I love all of these guys. These guys made me feel better. They made me think better. I don't feel those ways anymore. Before I came here, I was certain I wouldn't be alive for much longer. These guys fixed that.”
“The Real Deal is an incredible program that prioritizes accessibility more than almost any other PHP, IOP, and Housing program. With housing fees at lower price point than a majority of sober livings, the option to have your pet with you, and a supportive recovery community, they really do try to eliminate barriers to care as much as possible.”
“Real Deal is different then the others. It offers flexible support for recovery, allowing you to live at home while attending therapy and counseling sessions. It's designed to fit your schedule and provides tools to maintain sobriety and prevent relapse. The focus on mental health is a great way to get to the root of what's gone wrong time and time again. Cannot recommend enough!”
“Real Deal is full of people who are passionate in helping others obtain and maintain their sobriety. They are always willing to lend a helping hand without judgement. They also have employees with real world experience using their own experiences to help others heal.”
Related treatment pages
- 01
Drug Rehab
Overview of all substance treatment
- 02
Alcohol Rehab
When alcohol is part of the picture
- 03
Addiction Treatment
Full addiction program overview
- 04
Detox & Next Steps
Medical detox coordination
- 05
Dual Diagnosis
Opioids and mental health together
- 06
Stimulant Treatment
Cocaine and meth recovery
Common questions about opioid recovery
Straight answers before you call.
Often yes when physical dependence is present. We assess withdrawal risk and help coordinate medical detox before PHP or IOP.
Yes. MAT-informed planning—including buprenorphine-based options when clinically appropriate—is integrated with therapy, not instead of it.
Yes. We treat all opioids including prescription painkillers, fentanyl, and heroin.
Many people in our program have tried detox or rehab previously. Outpatient structure with dual diagnosis care addresses what last time missed.
It can be severe. Medical supervision for withdrawal is important—we don’t recommend doing it alone.
Yes. Evening IOP is designed for people with full-time jobs.
Most major plans cover outpatient addiction treatment. We verify benefits for free.
Call 469-747-1201 for a confidential assessment.