Loudoun County Mental Health Center

They provide outpatient and telemedicine. Whichever one you start at the usual pattern is to step down through the levels rather than stop at once, and Great Falls is the closest place to carry that on if you move.

No detox here. A center can still take someone after a detox elsewhere, which is the common order of events, and the nearest one is 4.0 miles away in Ashburn.

They offer a telemedicine option. What that covers varies, and a first appointment in Sterling often still has to be in person.

They prescribe naltrexone, which is the part of treatment that is prescribed rather than attended. Of the 8 centers near Sterling, not all of them do.

They treat both. Confirm it for the specific diagnosis rather than in general, because transitional services and recovery support services covers a lot of ground and Sterling may have a narrower service than a bigger city would.

Sterling has 14 free AA meetings as well, which is not treatment but costs nothing and needs no referral.

A return to use is treated as information: something in the plan was not holding. A return to use that followed a move, a job loss or a death is a different problem from one with no obvious trigger. Ask whether medication is on the table this time if it was not before.

The documents matter: identification, insurance details, and anything a prescriber has written for you. Arrival normally involves a bag search, and the list of what is not allowed is longer than people expect. Leave anything valuable at home rather than arguing about it at intake.