Structured outpatient care for addiction and mental health

Medication-assisted treatment (MAT), therapy, and co-occurring mental health care, built for real life, not perfect timing.

Hickory Recovery and Wellness builds treatment around stability, so recovery has something solid to stand on.

Clear Plans

Transparent treatment pathways

Measured Progress

Track your recovery journey

Coordinated Care

Integrated treatment approach

Who We Help

If something feels off, that counts.

You might be suffering mentally, using more than you meant to, hiding it, bargaining with yourself, or just exhausted from managing it.

Hickory Health and Wellness helps:

We treat anyone struggling with mental health, addiction, and co-occurring disorders. Care does not require crisis.

Nothing is ruined, you just need a safe solution.

People don't fail treatment, they fail unsupported plans. Stabilization creates traction. We build a plan you can actually follow, with the support that builds a strong recovery.

pexels valeria ushakova

Our Services

Comprehensive care designed to meet you where you are

Medication-Assisted Treatment (MAT)

Medication-Assisted Treatment (MAT)

Reduce withdrawal and cravings so you can function and think clearly.

Learn about MAT
Mental Health + Addiction Treatment

Mental Health + Addiction Treatment

Evidence-based care that treats what's underneath, not just the behavior.

Talk to someone today
Co-occurring Mental Health Care

Co-occurring Mental Health Care

Anxiety, depression, trauma, and substance use treated together, not in separate silos.

Learn how treatment works

Return to Safety

Here’s what happens next

Reach out

Reach out

Request a private evaluation.

document

Assessment and plan

We schedule you when it's convenient, then give you a written plan.

Stabilize and strengthen

Stabilize and strengthen

Medication support, therapy, and structured follow-up.

If your current approach was working, you wouldn't be here. Respect does not require performance. We meet you where you are.

White-knuckling is not a plan. Shame is not a strategy. We replace guessing with structure that supports your growth.

What Hickory Health and Wellness is Known For

Hickory is known for practical, structured care that's easier to start and easier to stick with, especially when life is busy and things feel unstable.

We move quickly, put the plan in writing, protect your privacy, and treat substance use and mental health together in one coordinated approach, without pressure or judgment, built to hold up over time.

Fast access to care

3 seeds

Fast access to care

document

branches

Clear written plans

Privacy with structure

canopy

Privacy with structure

Integrated mental health support

rings of a tree

Integrated mental health support

Respectful, practical care

roots

Respectful, practical care

Frequently Asking Questions

Do I have to be “ready” to start treatment?

No. Many people begin care while still unsure about what they want long-term. At Hickory, ambivalence is treated as part of the clinical picture, not a barrier to care. Treatment begins with stabilization and a clear plan. We believe respect does not require performance.

What is MAT, and how do I know if it’s right for me?

Medication-Assisted Treatment (MAT) uses medications such as buprenorphine, suboxone, and vivitrol to reduce withdrawal symptoms and cravings while treatment addresses the underlying patterns driving substance use. It is not required for every patient, but it can be an effective tool when clinically appropriate. During your evaluation, we review your history and determine whether MAT fits your treatment plan. We belive care does not require collapse.

Can you treat mental health and substance use at the same time?

Yes. Anxiety, depression, trauma, and substance use often influence each other. Hickory evaluates and treats both from the beginning so care is coordinated rather than fragmented. This integrated approach allows one treatment plan to address the full picture. We believe care should not separate what is connected.

Do you require abstinence to begin care?

No. Many patients begin treatment while still using substances or unsure about stopping completely. Our focus is stabilization first, which often includes reducing risk, improving safety, and building structure. Progress happens step by step, not through ultimatums. We believe treatment does not require crisis

What happens at the first appointment?

The first visit is a structured clinical evaluation. We review your substance use history, mental health symptoms, medical background, and current risks. Before you leave, you will receive a clear treatment plan outlining next steps, possible medication options, and follow-up scheduling. We believe structured care strengthens outcomes.

How fast can I be seen?

In many cases, new patients can be scheduled quickly. Because the clinic operates during evening hours, appointments are designed to fit around work and family responsibilities. The goal is to reduce delays so stabilization can begin sooner. We believe access should fit real life.

What if I’ve tried treatment before?

Many patients coming to Hickory have tried treatment previously. Sometimes the missing piece was structure, coordinated mental health care, or medication support when appropriate. Past attempts are useful clinical information that help shape a better treatment plan moving forward. We believe people don’t fail treatment, they fail unsupported plans.

Do you accept insurance, and what if I’m self-pay?

Transparent pricing and payment options are discussed before care begins so there are no surprises. Our goal is to make starting treatment straightforward and predictable. We believe clinical integrity is a non-negotiable.

Is this private, and who will know I’m here?

Your care is confidential and protected under medical privacy laws. Information about treatment is not shared without your written permission except in limited situations required by law. Many patients choose Hickory specifically because care is professional, discreet, and structured. We believe treatment does not require compromising your reputation.

Do you document treatment for legal purposes?

Yes. When appropriate and authorized by the patient, Hickory can provide documentation confirming participation in treatment. This may be useful for probation requirements, legal matters, or professional verification. Documentation reflects actual attendance and clinical participation. We believe access should fit real life.

Start with a conversation, leave with a plan.