Virginia and opioid use disorder
A state with a significant access gap — especially outside the cities.
Learn more about how treatment works →
Virginia has significant geographic disparities in opioid-related harm. The challenge is concentrated in Southwest Virginia — Buchanan County, Wise County, Lee County, and surrounding rural Appalachian communities have had some of the highest opioid overdose fatality rates in the state and among the highest in the country. These are also the areas with the fewest in-person treatment providers.
Telehealth removes that geographic barrier entirely. A patient in Dickenson County or Buchanan County has the same access to physician-led care as a patient in Arlington — as long as they have a phone.
What we treat
Opioid Use Disorder — and the conditions that often come with it.
Opioid Use Disorder (often called opioid addiction)
Buprenorphine (Suboxone / Subutex) prescribed through online visits. FDA-approved, evidence-based. Same physician every visit. Prescription sent to your Virginia pharmacy same day if appropriate.
Depression & anxiety
Medication management alongside buprenorphine for established patients with a previous diagnosis.
ADHD
Present in 1 in 5 people with OUD. Medication management for established patients with a previous diagnosis.
Alcohol use disorder
FDA-approved medications for established patients with alcohol use disorder alongside OUD.
Kratom & 7-OH
Virginia kratom and 7-OH withdrawal treatment.
MyStreetHealth provides telehealth care for kratom withdrawal, kratom dependence, kratom use disorder, and concentrated 7-hydroxymitragynine (7-OH) withdrawal and dependence for Virginia patients. If you are looking for help getting off kratom or 7-OH and want a real clinical plan, we treat patients across Virginia by online visits. Same physician every visit. No insurance required.
What Virginia kratom and 7-OH treatment may include
Depending on what you are using (kratom leaf, kratom extracts, kratom capsules, or concentrated 7-OH tablets, shots, gummies, or drink mixes), how much, how often, how long, and your medical history, a Virginia kratom withdrawal treatment plan may include a structured kratom taper, supportive care during withdrawal symptoms, or buprenorphine (Suboxone) when medication treatment is clinically appropriate. Buprenorphine has been reported in published case reports and case series as a treatment option for kratom and 7-OH withdrawal in selected patients; the decision is individualized by a clinician. Concentrated 7-OH products often require a different treatment approach than natural kratom leaf because the withdrawal may be more opioid-like.
Help getting off kratom or 7-OH in Virginia
The right approach depends on the product, the dose, your history, and what else is going on. A telehealth visit lets us match the plan to your situation — whether that means a gradual kratom taper, supportive care during withdrawal, help managing 7-OH withdrawal, or medication treatment when clinically appropriate. We do not push every patient toward the same answer.
Common questions Virginia patients ask
- How to quit kratom / how to stop kratom — see the kratom withdrawal and tapering guide.
- How long does kratom withdrawal last? — kratom withdrawal timeline and symptoms.
- Kratom detox: what are the options? — gradual reduction, supportive care during withdrawal, or buprenorphine when clinically appropriate. See the treatment overview.
- How to get off 7-OH / 7-OH withdrawal help — 7-OH withdrawal: symptoms, timeline, and treatment.
- Does Suboxone block kratom? — the clinical answer.
- Does Suboxone block 7-OH? — timing, blocking, and precipitated withdrawal.
- How long does kratom stay in your system? — detection windows by test type.
- Kratom side effects and liver concerns — side effects · kratom and the liver.
- Can you overdose on kratom? — what the case literature shows.
Learn more about kratom and 7-OH treatment at MyStreetHealth →
Insurance and cost
Self-pay buprenorphine treatment in Virginia.
MyStreetHealth is a self-pay practice — a flat first-visit self-pay fee with monthly ongoing care (ongoing fees depend on your plan) once stable. No insurance required, no prior authorization, no delays. The cost of your buprenorphine prescription at your Virginia pharmacy is separate — most generic buprenorphine is available at low cost.
If cost is a barrier, ask about our pay-what-you-can option.
Pay-what-you-can available for patients already on buprenorphine who face an urgent gap in care. Ask your physician.
How it works
Simple to start. Continuous from there.
Call or text from anywhere in Virginia
Same-day visits usually available. Transferring from another provider? Same-day transfers accepted.
Meet your physician through online visits
Video visit from your phone, tablet, or computer. A real evaluation — your history, your situation.
Prescription sent to your Virginia pharmacy
If buprenorphine is appropriate, sent same day to the pharmacy of your choice anywhere in Virginia.
Ongoing care
Same doctor, same relationship, for as long as you need treatment.
Virginia-specific question
I live in rural Southwest Virginia. Are there really no providers near me?
Many patients in rural Southwest Virginia — including Lee, Scott, Wise, Dickenson, Buchanan, and surrounding counties — report difficulty finding nearby in-person buprenorphine care. Availability changes over time, so patients can also check findtreatment.gov or local resources. This is part of the gap MyStreetHealth was built to address. If you have a phone and a private space to talk, MyStreetHealth often has same-day telehealth visits available, subject to appointment availability, state eligibility, clinical appropriateness, and pharmacy availability.
About this practice
A real physician relationship.
MyStreetHealth is an independent physician-led practice — not a staffing platform or venture-backed app. You see the same doctor every visit, in Virginia or any of our other states.
Opioid use disorder is a condition, not a failing. You are met with respect and care without judgment.