Fentanyl and Heroin Addiction · Houston
Fentanyl and Heroin Addiction Treatment in Houston
Fentanyl has changed what opioid addiction looks like in Houston. We combine medication, therapy and daily structure so recovery can start this week.
01Suboxone and Naltrexone
02Psychiatric Care Built In
03Family and Naloxone Support
04Evening and Virtual Options
Understanding Fentanyl
Why fentanyl changed everything
Fentanyl is far stronger than heroin and now shows up in pills, powders and other drugs, often without the person knowing. That raises overdose risk for anyone using opioids and for people who do not think they are.
Read our guides to fentanyl in Houston and xylazine and nitazenes.
Recognizing the Pattern
Signs of opioid addiction
- Pinpoint pupils, nodding off, slowed breathing
- Needing more to feel the same effect
- Withdrawal sickness between uses
- Pills bought outside a pharmacy, or burnt foil and straws
- Pulling away from family and work
Mixing opioids with benzodiazepines or alcohol raises the danger further. Learn why mixing is so dangerous.
Medication
Medication for opioid use disorder
Prescribed and monitored by our own psychiatric team, as part of a full plan.
We offer buprenorphine (Suboxone) and naltrexone as part of a full treatment plan, prescribed by our psychiatric team. Medication steadies the body so therapy can do its work.
Learn more about Suboxone and naltrexone treatment at Heights.
Before You Start
Detox first, then treatment
You will not have to plan the next step on your own.
Fentanyl withdrawal can be severe. When medical detox is needed, we refer you to a trusted detox partner and plan your start with us before you leave.
Whole Person Care
What treatment includes
Fentanyl and heroin care builds on our opioid and prescription drug treatment.
- Psychiatric care and medication management
- Individual and group therapy, including relapse prevention
- Trauma therapy when trauma is part of the picture
- Recovery mentoring and family support
- Naloxone education for clients and families
Levels of Care
Levels of care for opioid addiction
Every plan starts with a clinical assessment. Intensity steps down as you stabilize, with the same team the whole way.
Most Individualized
Individualized Intensive Programming
A private plan built around one person, combining therapy, structure and recovery mentoring at the intensity you need.
Full Day Structure
Partial Hospitalization (PHP)
Full days of structured treatment on weekdays, with a chef prepared lunch, while you return home each evening.
Fits Your Week
Intensive Outpatient (IOP)
Groups and individual therapy several days a week, stepping down as you stabilize.
After Work
Evening IOP
Tuesday through Thursday, 5:15 to 8:15 pm, in person or virtual, so you can keep working.
Guides and Resources
Guides on opioids and fentanyl
Clinician-written articles on opioids, medication and what families need to know.
How Long Does Fentanyl Stay in Your System
How Long Does Weed Stay in Your System, and Why It Takes So Long
Ready When You Are
Recovery can start this week. Call admissions.
One confidential call can help you understand your options and the right starting point.
Start Confidentially
Prefer to start in writing?
Tell us a little about what is going on and the best way to reach you. A member of our admissions team will follow up personally. Please do not include sensitive medical details in the form.
Confidential Consultation Request
Common Questions
Fentanyl and heroin treatment, answered
For guidance about your situation, call admissions at (877) 549-5102.
Can I start Suboxone with you?
Yes, when it is clinically appropriate. Your psychiatrist will walk you through timing.
Is fentanyl treated differently from heroin?
The approach is similar, though fentanyl often needs more careful medication timing.
What if my loved one refuses help?
Many families start there. See Helping a Loved One and our intervention services.
Do you take insurance?
We are private pay and provide superbills you can submit for out-of-network reimbursement. You can check your benefits with our out-of-network benefits check.
What are the signs of an opioid overdose, and what should I do?
Slow or stopped breathing, blue lips or fingertips, pinpoint pupils and unresponsiveness. Call 911 immediately and give naloxone if you have it. Keep naloxone where you and the people around you can reach it.
Do I need detox before starting?
With opioids, often yes. A medical evaluation comes first, we help coordinate detox when it is needed, and care picks up as soon as you are medically stable.
How long does medication assisted treatment last?
There is no fixed length. Some people use buprenorphine or naltrexone for months, others for years. The decision is clinical, made with you, and revisited rather than set by a schedule.
Clinical Review
Written by Joni Ogle, LCSW, CSAT, CEO of Heights Behavioral Health, and clinically reviewed by Deborah Darnell-Drake, LCSW-S, ACSW, LMFT, Chief Clinical Officer. Heights Behavioral Health provides licensed outpatient behavioral health care for adults in Houston, Texas, delivered by master’s-level clinicians and licensed professionals. This page is intended to explain HBH services and does not replace an individualized clinical assessment. Last reviewed October 2026.
Explore Heights
Find the right care, faster
Every program, condition, and specialty at Heights connects to one coordinated outpatient team in the Houston Heights. Start wherever fits your situation, or call admissions and we will point you to the right place.
Client Reviews
Rated 5.0 across 11 Google reviews
Verified reviews from clients and families who have been through our programs. Read them in full on Google, or add your own.
Amber A.
“From my very first interaction, I felt welcomed, respected, and genuinely cared for. The staff took the time to listen, answer my questions, and create a treatment plan that fit my needs.”
Kate H.
“Heights offered treatment three evenings a week, which made it possible for them to work during the day and still get consistent support.”
Alyssa G.
“Our family was scared and unsure where to turn. From the first conversation with Jeff and Beckie to walking through the doors, we felt genuinely cared for.”
Contact Admissions
Speak with our admissions team
Call to discuss treatment for yourself or a loved one, talk through next steps, or refer a client. Confidential and judgment-free, every time.
Crisis Notice
Heights Behavioral Health provides scheduled outpatient care and is not an emergency or crisis service. This page is general information, not medical advice. If you are in crisis, call or text 988, or call 911 if someone is in immediate danger.