Frequently Asked Questions and Common Concerns
Updated 11/6/2017

Program and Appointment Questions:
Are you accepting new patients and is there a waiting list?
Yes. We are accepting new patients. We currently do not have a waiting list and new patient appointments are scheduled at first availability. First availability varies depending on how many patients are scheduled in the coming days.

What’s your contact information?
Phone: 828-772-1803 | Text: 828-772-6715 | Fax: 828-378-0223
Location: 25 Orange Street, Asheville, NC 28801
The office is located just off of Merrimon Avenue behind Staples.

What are your hours?
To accommodate a range of schedules, we work flexible hours Tuesday through Saturday. Most appointments with the doctor are scheduled on Tuesdays, Wednesdays, Thursdays, or Saturday mornings. Voicemails received after hours are returned during normal business hours.

Is this a clinic?
No. We are a private, office-based recovery program. Rather than requiring patients come in for dosing daily, we seek to provide patients with a high level of care. In general, we treat the patient, not the illness.

What services does your program provide?
Services included are psychiatry/medication management with Dr. Ilona Csapo, labs, case management and group therapy sessions facilitated by Kim Skelton, LPCS, LCAS.

What if I just need pain management?
Our psychiatrist specializes in treating dually-diagnosed conditions. If you experience pain and opioid dependence, we may be able to help.

How do I make an initial appointment?
To schedule your initial appointment, please call us at 828-772-1803 and leave a clear, detailed message, including your name, number where you may be reached, and which week you would like to schedule your initial appointment. Alternatively, you may email us at

Medication Questions:
What is Suboxone and how does it work?
From the Official Suboxone Medication Guide:
Suboxone is a prescription medicine used to treat adults who are addicted to (dependent on) opioid drugs (either prescription or illegal) as part of a complete treatment program that also includes counseling and behavioral therapy. Suboxone is a controlled substance (CIII) because it contains buprenorphine, which can be a target for people who abuse prescription medicines or street drugs.

How Buprenorphine Woks (NAABT)

Does Suboxone just trade one addiction for another?
“No – with successful buprenorphine treatment, the compulsive behavior, the loss of control of drug use, the constant cravings, and all of the other hallmarks of addiction vanish. When all signs and symptoms of the disease of addiction vanish, we call that remission, not switching addictions.” -NAABT | More info from NAABT

From our perspective, medication-assisted treatment can be a strong support for those wishing to rebuild their lives. If taken appropriately while in treatment, patients are able to address old habits and patterns as they practice new skills and gain personal insight about how to shift from addictive thinking towards recovery thinking.

Is Suboxone in pill form available?
In general, no. However, with documentation from insurance that the plan covers only the tablet, our physician will use her discretion.

Is Subutex available?
As a rule, we do not provide Subutex out of this office. However, if patients are able to provide sufficient documentation of medical necessity (labs and notes from other physicians, authorization of release of information), Subutex may be the preferred treatment.

Is Zubsolv available?
Most patients have told us that they prefer Suboxone, which is very similar structurally and in function. However, with documentation that your insurance plan prefers to cover Zubsolv, the physician may choose to prescribe it.

Is methadone available?
We do not provide methadone in this office.

What if I’m taking benzodiazepines?
Suboxone and benzodiazepines are both central nervous system depressants.  The combination has resulted in deaths. Generally, we avoid this combination. If someone is prescribed benzodiazepines for an anxiety disorder, we encourage a taper to the lowest effective dose with a goal of cessation.

What if I’m pregnant?
Preliminary studies suggest that Suboxone may not have an adverse effect upon the developing child, but we continue to provide Subutex for expecting mothers provided that the pregnancy is well-documented.

Insurance and Fees Questions:
How much does the program cost?
We offer flexible payment options. $90/week/$170 for 2 weeks/$325 for a month

Do you have a payment plan?
Payment is due upon first visit with physician.

Do you accept insurance or Medicaid?
As we are a small, office-based recovery program focused upon a high quality of care, we are unable to accept any insurance plans or Medicaid. Most plans, however, will cover medications prescribed from this office. You may sign up for invoices to personally submit to your insurance or Medicaid plan for possible reimbursement for out-of-network benefits once you have met your deductible.

Do you accept Medicare?
No. We are currently unable to accept Medicare patients due to Medicare regulation.

Is the medication included with the program fees?
No. Medication cost remains the responsibility of the patient. However, most insurance plans will cover the medication.

I have a busy schedule and don’t know if I can attend groups. You are expected to attend at least two groups per month. Often, those in early recovery are making significant changes to their schedules to regain stability. Groups are meant to offer a place of stability and accountability. Challenge old addictive thinking patterns!

I live too far away to come to group.
Group requirements are a vital part of our treatment program. If distance is a barrier for meeting the minimum group requirements, we suggest finding a more suitable provider for your location. Alternatively, if a patient lives 75 miles or more away from our office, group requirements may be waived if (1) you agree to meet with one of our therapists one-on-one at least once per month at additional cost OR (2) you are involved in a treatment program that has equal or higher treatment requirements and can provide both documentation and a release of information for staff to speak with the outside provider.

I don’t have transportation to get to group. 
We are centrally located and on the Asheville Rapid Transit bus line.
Asheville Rapid Transit Map

I get really nervous talking in group.
Initially, many patients find the idea of speaking with strangers uncomfortable. Being part of a group of people who have similar experiences helps people see that what they are going through is universal and that they are not alone. The group setting is also a great place to practice new behaviors. The setting is safe and supportive, allowing group members to experiment without the fear of failure. Recovery means trying new things!

Wow, that’s really expensive.
Many patients have shared that they often have spent well over the monthly program cost on illicit substances per day.

For Established Patients:
When are groups held?
Current Group Offerings

Who do I call in an emergency?
If you are experiencing an emergency, please call:
  • The closest ER or dial 911
  • NC Mobile Crisis Management at 1-888-573-1006
I left a voice message. How long until my call is returned?
Due to the volume of new patient calls, we request that you do not leave more than one voicemail. Calls will be returned within the week based on need. You may text our mobile office number – 828-772-6715 – at any time. 

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