Project VBOT provides comprehensive, virtual substance use disorder treatment — including medication-assisted treatment (MAT) for opioid and alcohol use disorder — delivered by licensed clinicians across North Carolina, Virginia, Mississippi, Alabama, and Tennessee.
Medication-assisted treatment (MAT) is an evidence-based approach to treating substance use disorders that combines FDA-approved medications with clinical counseling, behavioral support, and ongoing monitoring. It is recognized by SAMHSA, ASAM, and the National Institutes of Health as a gold-standard treatment for opioid use disorder.
Medications used in MAT work by reducing cravings, preventing withdrawal symptoms, and — in the case of opioid use disorder — blocking the euphoric effects of opioids. This allows individuals to stabilize physically so they can engage meaningfully in counseling and recovery work.
At Project VBOT, MAT is delivered entirely virtually. Prescriptions are sent to a pharmacy of your choice. Visits are typically 20 minutes and scheduled around your life — never more than once a week.
MAT is not a substitute for one addiction with another. When used as prescribed under clinical supervision, MAT medications do not produce euphoria, are not associated with intoxication, and are safe for long-term use as part of a comprehensive treatment plan.
Every patient receives ongoing clinical oversight — not just an initial assessment. Treatment is monitored and adjusted as needed throughout the care relationship.
No two treatment plans are the same. Care is tailored to each individual's needs, history, goals, and circumstances.
Virtual delivery removes barriers — transportation, scheduling, privacy, distance — that prevent people from starting or staying in treatment.
Medication-assisted treatment (MAT) for opioid use disorder combines buprenorphine/naloxone (Suboxone) with clinical oversight and ongoing support to help individuals stabilize and sustain recovery. At Project VBOT, MAT is delivered entirely virtually and integrated into a comprehensive care plan guided by licensed clinicians.
Medications prescribed: Buprenorphine/naloxone (Suboxone), extended-release naltrexone (Vivitrol) where appropriate. All medications sent to a pharmacy of your choice.
Learn how treatment works →We provide virtual treatment and medication management for individuals experiencing challenges related to alcohol use. Care may include clinical assessment, individualized treatment planning, and ongoing support — all designed to help individuals reduce harm, manage dependency, and build toward lasting stability.
Medications prescribed: Naltrexone (oral or extended-release), acamprosate, disulfiram. Medication selection is determined by clinical assessment.
Project VBOT offers virtual treatment and support for individuals struggling with kratom use or dependency. Our approach focuses on safe, evidence-based care tailored to the unique challenges associated with kratom — delivered by clinicians experienced with its specific withdrawal patterns and treatment needs.
Learn more about kratom treatment →For individuals using more than one substance, treatment requires careful coordination and individualized planning. Project VBOT provides virtual support for polysubstance use, focusing on comprehensive assessment, clinical oversight, and a care plan that addresses the full picture — not just one substance in isolation.
When required, Project VBOT provides court-ordered or legally mandated substance use evaluations and related services. These are delivered virtually when appropriate and conducted in accordance with applicable legal and clinical standards. Our team can provide documentation and reports as required.
Project VBOT's services may be appropriate for individuals who:
Our team helps determine the most appropriate services through a confidential assessment — no pressure, no commitment required.
Choosing the right treatment path begins with understanding your options. A confidential assessment allows our team to listen to your situation, answer your questions, and recommend the most appropriate path forward.
Request a Confidential Assessment Call (838) 438-8268What medications does Project VBOT prescribe for opioid use disorder?
The primary medication used for opioid use disorder at Project VBOT is buprenorphine/naloxone (brand name Suboxone). This FDA-approved medication is taken sublingually (under the tongue) and works by reducing cravings and blocking the effects of opioids. Extended-release naltrexone (Vivitrol) may also be appropriate in some cases. Your clinician will determine the best option based on your individual clinical picture.
Do I need to detox before starting Suboxone?
Buprenorphine (Suboxone) induction requires that you be in mild-to-moderate withdrawal before your first dose — typically 12–24 hours after your last opioid use. Full medical detox is not always required. Your clinician will walk you through the process safely and may use low-dose induction techniques to make the start as comfortable as possible.
How long does MAT treatment last?
Duration varies by individual. SAMHSA guidelines recommend against arbitrary time limits on MAT. Some individuals benefit from treatment for months; others for years. The decision to taper or discontinue medication is made collaboratively between you and your clinician based on your progress and stability.
Is MAT covered by insurance?
Yes. Medication-assisted treatment is covered by Medicaid, Medicare, and most commercial insurance plans under federal mental health parity laws. Project VBOT accepts NC Medicaid, Medicare, most commercial plans, and Tricare. Self-pay options are available. Our team verifies your benefits before your first appointment.
Will my employer or family find out I'm in treatment?
No. Treatment records are protected by HIPAA and 42 CFR Part 2 — one of the strongest federal privacy protections that exists. Information is only disclosed when legally required or when you provide written consent. Your employer, family, and community will not be notified.
Is Suboxone just substituting one drug for another?
No. This is a common misconception. When used as prescribed under clinical supervision, buprenorphine does not produce intoxication or euphoria. It stabilizes brain chemistry to reduce cravings and withdrawal, allowing people to function normally. This is consistent with how medications work for other chronic conditions like diabetes or hypertension — it is treatment, not substitution.
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