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First Step Counseling - Kingsport

First Step Counseling - Kingsport

Substance Use

Outpatient

4.9

(43)

Claimed

Substance Use

Outpatient

Insurance

First Step Counseling - Kingsport

4.9

•Substance Use•Outpatient

First Step Counseling - Kingsport

4.9

(43)

•Outpatient

(423) 328-8833

About First Step Counseling - Kingsport

Medication treatment and counseling work together at First Step Counseling’s Kingsport clinic for opioid dependence. Physicians use Suboxone, Sublocade, buprenorphine, and other medications to address withdrawal symptoms and cravings, including dependence involving heroin, OxyContin, Percocet, and Vicodin. Vivitrol is also available for alcohol dependence and to help prevent relapse to opioid dependence after detoxification.

Counseling and Recovery Planning

A board-certified physician and therapist take part in the initial visit, and the team develops a treatment plan based on each patient’s needs. Therapists provide 1-on-1 counseling focused on identifying triggers and ways to avoid them, while a weekly group addresses ongoing substance use concerns. The center also includes family involvement in treatment and gives patients local listings for Celebrate Recovery and Narcotics Anonymous (NA) meetings.

AT A GLANCE

Center Overview

Location

3550 Hwy. 75, Kingsport, TN 37663 View Map

Primary Focus

This center primarily treats substance use disorders, helping you stabil...

Substance Use We Treat

Alcohol, Drug Addiction, Heroin, Opioids +1 More

(423) 328-8833

1stepcounseling.com

MEDICATION ASSISTED TREATMENT

Supportive Medication for Recovery

Medication-Assisted Treatment (MAT) is an evidence-based approach that pairs FDA-approved medications with counseling to treat addiction. The medications are used to reduce cravings, ease withdrawal symptoms, or block the effects of substances. More about MAT

Methadone

(Dolophine®, Methadose®)

Reduces opioid cravings

Not Available

Methadone

Common Brand Names

Dolophine®, Methadose®

About this Medication

Methadone is a full opioid agonist, meaning it activates opioid receptors in the brain to produce effects like pain relief and euphoria. It is longer acting than many other opioids, making it useful in medication-assisted treatment for opioid use disorder.

How It Works

It reduces withdrawal symptoms and cravings by occupying opioid receptors without causing intense highs. Because it is a full agonist, it must be used carefully to avoid overdose, but it is highly effective when taken as prescribed within a structured program.

Common Side Effects

Summary

Methadone can cause side effects such as drowsiness, nausea, constipation, sweating, and mood changes. In rare cases, it may lead to serious issues like slowed breathing or heart problems, so it should be used exactly as prescribed.

Physical Side Effects

Drowsiness or sedation

Lightheadedness or dizziness

Nausea or vomiting

Constipation

Sweating

Dry mouth

Itching or rash

Mental/Emotional Effects

Mood changes (e.g., feeling unusually anxious, depressed, or euphoric)

Confusion or difficulty concentrating

Serious (Less Common) Side Effects – Seek Medical Attention

Slowed or difficult breathing

Irregular heartbeat

Fainting or severe dizziness

Swelling of the face, lips, or throat (possible allergic reaction)

Hallucinations

Important Note

Because methadone is a full opioid agonist, it carries a risk of overdose, especially when taken with other depressants like alcohol or benzodiazepines. It should always be taken exactly as prescribed.

Naltrexone

(Vivitrol®, Revia®)

Blocks opioid effects

Available

Naltrexone

Common Brand Names

Vivitrol®, Revia®

About this Medication

Naltrexone is an opioid antagonist, meaning it blocks opioid receptors in the brain and prevents opioids from producing effects like euphoria or sedation. It is used to treat both opioid and alcohol use disorders, but does not cause physical dependence or withdrawal.

How It Works

It helps reduce cravings and the rewarding effects of opioids or alcohol, supporting long-term recovery. Because it blocks opioid effects, it should only be started after a person has fully detoxed from opioids to avoid triggering withdrawal.

Common Side Effects

Summary

Nausea, headache, dizziness, fatigue, anxiety, trouble sleeping, joint or muscle pain, and in injectable form (Vivitrol®), injection site reactions such as swelling or redness.

Vivitrol® – Injectable Form

Injection site pain, redness, swelling, or itching

Nausea

Headache

Fatigue or low energy

Anxiety

Muscle or joint pain

Insomnia

Cold symptoms (e.g., runny nose, sore throat)

Revia – Oral Tablet Form

Dizziness

Anxiety or nervousness

Fatigue

Sleep disturbances (insomnia or vivid dreams)

Abdominal pain or cramps

Joint or muscle pain

Buprenorphine

(Suboxone®, Subutex®, Sublocade®, Zubsolv®)

Eases opioid withdrawal

Available

Buprenorphine

Common Brand Names

Suboxone®, Subutex®, Sublocade®, Zubsolv®

About this Medication

Buprenorphine is a partial opioid agonist used to treat opioid use disorder. It activates opioid receptors to reduce cravings and withdrawal but has a ceiling effect, meaning it produces less euphoria and respiratory depression than full opioids.

How It Works

Buprenorphine binds tightly to opioid receptors, blocking other opioids from attaching and reducing the risk of misuse. It's often combined with naloxone (as in Suboxone®) to discourage injection misuse and is available in daily or monthly forms.

Common Side Effects

Summary

Headache, nausea, constipation, sweating, insomnia, irritability, dizziness, and mouth numbness (for sublingual forms). Less common but serious risks include respiratory depression, especially when mixed with other sedatives.

Buprenorphine (Suboxone®, Zubsolv® – Sublingual Films/Tablets)

Headache

Nausea or vomiting

Constipation

Sweating

Insomnia

Dizziness or lightheadedness

Mouth numbness or irritation (from sublingual use)

Irritability or mood changes

Buprenorphine (Sublocade – Injectable Extended-Release)

Injection site pain, swelling, or redness (from injectable form)

Nausea

Fatigue

Increased liver enzymes (may show up on lab tests)

Sleep disturbances

Note: Treatment centers offer different forms of MAT—such as oral tablets, dissolvable films, or monthly injections—and their policies can vary based on state regulations, provider preferences, and insurance coverage. Because of these differences, it's best to contact the center directly to learn what options are available and what might be right for your situation.

How to pay

Insurance Accepted

Provider's Policy: First Step Counseling accepts insurance. Patients should bring their insurance card to their first visit and contact the Kingsport office to confirm coverage.

(423) 328-8833

Private Pay Option

Cash Pay Rates

We don't have pricing information for this center. Please contact the center for more information.

(423) 328-8833

Care Options

Levels of Care

Everyone's recovery journey is unique. Whether it looks like residential rehab for 30 days, an outpatient program, or virtual therapy, you can find a level of care that fits your needs.

Detox

Not Offered at This Center

Typically the initial stage of treatment for substance use, focusing on medically supervised management of withdrawal symptoms.

Residential Rehab

Not Offered at This Center

Offering intensive care with 24/7 monitoring, residential substance use treatment is typically 30 days. Length can range from 14 to 90 days.

Sober Living

Not Offered at This Center

Transitional housing designed to support individuals recovering from substance use disorders offering a safe, supportive and structured environment for practicing long-term sobriety, while reintegrating back into daily living.

Outpatient

Outpatient treatment offers flexible therapeutic and medical care without the need to stay overnight in a hospital or inpatient facility. Outpatient care typically offers a range of therapies and medical interventions individuals can attend alongside daily life.

Virtual & In-Home Care

Not Offered at This Center

The delivery of therapeutic services utilizing technology such as video conferencing, online messaging or phone calls, allowing for flexibility, comfort and increased access to care.

Treatment

Your Care Options

Specializations

Alcohol

Heroin

Opioids

Prescription Drugs

Who We Treat

Men

Women

Men and Women

Approaches

Evidence-Based

Family Involvement

Individual Treatment

Medical

Therapies

1-on-1 Counseling

Group Therapy

Medication-Assisted Treatment

Relapse Prevention Counseling

Languages

English

Substances We Treat

Alcohol

Drug Addiction

Heroin

Opioids

Prescription Drugs

Aftercare

Support Meetings

Relapse Prevention Planning

Experience

Care Designed for Your Needs

Special Considerations

Wheelchair Accessible

Smoking and Vaping Policy

Smoking Allowed

Vaping Allowed

(423) 328-8833

Frequently Asked Questions

Further Research

What therapies does First Step Counseling - Kingsport offer?

The following therapies are included: group therapy, 1-on-1 counseling and more.

Where is First Step Counseling - Kingsport located?

Kingsport, Tennessee, United States.

What insurance does First Step Counseling - Kingsport accept?

First Step Counseling accepts insurance. Patients should bring their insurance card to their first visit and contact the Kingsport office to confirm coverage.

What levels of care does First Step Counseling - Kingsport offer?

First Step Counseling - Kingsport provides outpatient, outpatient therapy and more.

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Easily search by condition, location, and other programs tailored to meet your needs.

First Step Counseling - Kingsport

First Step Counseling - Kingsport

First Step Counseling - Kingsport

About First Step Counseling - Kingsport

Counseling and Recovery Planning

Center Overview

Supportive Medication for Recovery

Methadone

Naltrexone

Buprenorphine

Disulfiram

Naltrexone

Acamprosate

Insurance Accepted

Cash Pay Rates

Levels of Care

Your Care Options

Specializations

Who We Treat

Approaches

Therapies

Languages

Substances We Treat

Aftercare

Care Designed for Your Needs

Special Considerations

Smoking and Vaping Policy

Further Research

What therapies does First Step Counseling - Kingsport offer?

Where is First Step Counseling - Kingsport located?

What insurance does First Step Counseling - Kingsport accept?

What levels of care does First Step Counseling - Kingsport offer?

Explore More

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