“Archangels gave me my life back. Their team is the most amazing, caring people I have ever met. The housing they sent me to was amazing, the groups are amazing, and this whole project is amazing. If you're tired of being sick and tired, reach out and save your life.”
Medication-Assisted Treatment (MAT): What It Is, How It Works
Archangel Reviews For Medication-Assisted Treatment (MAT)
“This facility is run by some of the best people you could ever ask for. They are extremely professional and truly dedicated to helping those struggling with mental health and addiction. They truly saved my life. I will be forever grateful for everything they did for me.”
“I had the honor of touring this facility, and it was absolutely beautiful, clean, and thoughtfully designed. But more than how it looked, you could feel the love in every detail. Watching the staff interact with clients genuinely touched my heart.”
In 30 seconds
Plain, fact-first answers about how care works here. Want to talk to a person? Call (888) 464-2144.
- The Archangel Centers is a licensed outpatient addiction treatment provider.
- The Archangel Centers operates clinics in Tinton Falls, NJ and Charlotte, NC.
- Medication-assisted treatment (MAT) is part of the outpatient continuum at The Archangel Centers.
- Medication-assisted treatment (MAT) includes Suboxone, Vivitrol, and Sublocade.
- The Archangel Centers works with most major commercial insurance plans with free benefits verification.
Tour The Archangel Centers
A 60-second walkthrough of the Tinton Falls clinic, the space where the program actually runs.
Medication-assisted treatment (MAT, also called medications for opioid use disorder, or MOUD, when applied to opioids) combines FDA-approved medication with counseling and behavioral therapy to treat substance use disorders. For opioid use disorder and alcohol use disorder, the medications work. The clinical evidence is among the strongest in addiction medicine. The barrier to MAT in most cases is not whether it works; it is stigma, access, and lingering belief in older models that treated medication as somehow incompatible with "real" recovery.
This page covers the medications available at The Archangel Centers, how each works, the choices clients face, and the most common myths.
What MAT is, exactly
MAT is treatment that includes a medication, prescribed and monitored by a medical provider, alongside therapy and recovery community participation. The medication is not the entire treatment. It is one tool that, for the conditions where it works, dramatically improves outcomes.
The medications are FDA-approved for specific conditions:
The Archangel Centers' formulary includes buprenorphine (Suboxone and Sublocade) and naltrexone (Vivitrol) for opioid use disorder, and naltrexone, acamprosate, and disulfiram for alcohol use disorder. Methadone is not in our formulary; clients who need methadone are referred to a federally licensed opioid treatment program in their region.
- For opioid use disorder: buprenorphine, methadone, and naltrexone
- For alcohol use disorder: naltrexone, acamprosate, and disulfiram

Medications for opioid use disorder
Buprenorphine (Suboxone, Subutex, Sublocade)
A partial mu-opioid receptor agonist. At appropriate doses, it suppresses opioid withdrawal and craving and blocks the effect of additional opioids. Because it is a partial agonist, the respiratory depression risk is much lower than with full agonists like methadone or heroin; the dose-response curve flattens out.
Buprenorphine is The Archangel Centers' primary MAT option for opioid use disorder.
- Suboxone: buprenorphine combined with naloxone, taken sublingually (under the tongue) once daily. The naloxone deters injection misuse. The most widely used form.
- Subutex: buprenorphine alone, used in specific clinical situations (pregnancy, naloxone allergy).
- Sublocade: monthly injectable buprenorphine. Removes the daily medication ritual and supports long-term retention.
Naltrexone / Vivitrol
An opioid antagonist. Blocks the effect of opioids entirely. Requires a period of opioid abstinence before initiation (typically 7 to 10 days), or precipitated withdrawal will occur. Available as oral naltrexone (daily) or extended-release injection (Vivitrol, monthly).
Vivitrol is the option most often used at The Archangel Centers for clients who choose an antagonist approach after a sufficient opioid-free period, often after detox or an inpatient stay.
Methadone (referred out)
A full mu-opioid receptor agonist with decades of evidence for opioid use disorder. Dispensed only through federally licensed opioid treatment programs (OTPs), with daily dosing at the clinic for most patients. Methadone is not in our formulary; clients who need methadone are referred to a federally licensed OTP in their region. Methadone is a legitimate, evidence-based treatment, simply not one we deliver.
A Place Built for Recovery
Group rooms, private therapy offices, the medical office, family programming rooms, and the wellness space, designed for clinical depth and nervous-system regulation.




Medications for alcohol use disorder
Naltrexone
An opioid antagonist that reduces alcohol cravings and the rewarding effect of drinking. Available as oral naltrexone (daily) or injectable Vivitrol (monthly). The injectable form removes the daily adherence question and improves retention.
Acamprosate
Acts on glutamate and GABA systems. Helps people who have already stopped drinking maintain abstinence by reducing post-acute withdrawal symptoms (sleep disturbance, anxiety, low mood). Taken three times daily.
Disulfiram
Produces an unpleasant physical reaction if alcohol is consumed (flushing, nausea, racing heart). Useful for highly motivated patients with social support; effectiveness depends on adherence.
Common myths about MAT
Myth: "MAT is trading one addiction for another."
The most common misperception, often repeated even in recovery communities. MAT medications, used as prescribed, do not produce the cycle of impairment, craving, and harm that defines an addiction. They restore function. Buprenorphine at therapeutic doses does not produce a "high" in opioid-dependent users. Naltrexone has no abuse potential at all. The American Society of Addiction Medicine, the American Medical Association, and SAMHSA all explicitly recommend MAT as the standard of care.
Myth: "Real recovery means medication-free."
Many people in long-term recovery use MAT for years or indefinitely and consider themselves fully recovered. Decisions about discontinuation are made carefully with the medical provider; for many, longer is safer.
Myth: "If I take MAT, I will be high all the time."
Buprenorphine at therapeutic maintenance doses does not produce impairment. People on MAT work, drive, parent, and live ordinary lives.
Myth: "MAT undermines 12-step recovery."
12-step communities vary in their stance on MAT. The official position of most major 12-step organizations is that MAT is a personal medical matter, not a barrier to membership. Many people in 12-step recovery are on MAT.
Myth: "I should be able to do it without medication."
There is no moral hierarchy of recovery paths. The most consistent finding in opioid use disorder treatment is that MAT-supported recovery produces dramatically better outcomes than abstinence-only approaches, including a substantial reduction in overdose deaths. Choosing the path that works is not a moral failure.
How MAT decisions are made at The Archangel Centers
The medical provider, in collaboration with the client and the broader treatment team, makes the MAT decision based on:
Medication is one piece. Therapy (CBT, DBT, trauma-informed care), group work, family programming, and recovery community participation carry the rest.
- The specific substance (opioid use disorder, alcohol use disorder, both)
- The clinical picture (severity, prior treatment history, co-occurring conditions, pregnancy status, other medications)
- The client's preference, after a thorough informed conversation about the options
- Insurance coverage and access realities
Licensed clinicians. Evidence-based modalities.
Treatment integrates cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), motivational interviewing, narrative therapy, and trauma-informed care with EMDR available in individual therapy. The medical provider manages MAT (Suboxone, Vivitrol, Sublocade) and psychiatric medications when indicated.
Intake uses the full evidence-based battery: ASAM Criteria, LOCUS for mental health acuity, PHQ-9, GAD-7, the Columbia Suicide Severity Rating Scale, plus biopsychosocial, nutrition, and pain screens. The assessment drives the treatment plan from day one.
See Our ModalitiesMAT across the levels of care
MAT continues through the outpatient continuum:
- **Detox or inpatient** (at a partner facility, coordinated by Archangel): MAT can be initiated here for many clients
- **PHP and PHP at Charlotte**: MAT integrated with full clinical day programming
- **IOP and IOP at Charlotte**: MAT alongside structured group and individual therapy
- **OP and OP at Charlotte**: MAT maintenance with continuing therapy
How long should I stay on MAT?
There is no universally correct answer. For many clients, longer is safer; the relapse and overdose risk associated with premature discontinuation, particularly of buprenorphine for opioid use disorder, is significant. Discontinuation should be a planned clinical decision, not a reaction to outside pressure.
Frequently Asked Questions
Do I have to be in detox before starting buprenorphine?
Can I drink alcohol while on naltrexone?
What about pregnancy?
Can I be on MAT and still attend 12-step meetings?
Will MAT show up in a drug test?
Is MAT covered by insurance?
A program built by people who have been there
“I came back from rock bottom. I'm here because I want to show others they can too. This isn't just a business. It's my mission.”- Mike Sorrentino, Founder
Mike and Lauren Sorrentino did not set out to build a generic treatment center. They wanted a recovery-grounded program that mixes lived experience, licensed clinical expertise, and family programming that actually moves the needle for the people who love someone in active addiction.
The clinic that resulted is small enough that each client knows their primary therapist by name, but resourced enough to deliver the full ASAM continuum from Partial Care through outpatient continuing care, with MAT and EMDR available when clinically indicated.
Read the Full StoryDon't wait, start the assessment today
Most clients leave the first admissions call with a clinical assessment, an insurance verification, and a scheduled start date. Recovery starts with a decision, not a commitment. The admissions line is staffed around the clock.
Start Your Recovery Today
Confidential, 24/7 admissions. Same-week placement is often available. Verify your insurance free of charge before any commitment.
(888) 464-2144Verify Your Insurance





