Substance use disorder has a way of sneaking up on you. One minute, you think you have it under control, the next minute, it’s taking control of your life. This story repeats many times and is more common than you think. According to the CDC, 11% of people in the United States struggle with substance use. The South Carolina Department of Environmental Control (DHEC) informs us that over 1,700 people lost their lives to opioid overdose in 2019. These were tragic deaths that could have been prevented with the help of substance use disorder treatment.

For some, seeking help is an afterthought. Treatment doesn’t feel like an option. It’s too expensive, too big of a time commitment, or inaccessible. Our job is to offer quality substance use disorder treatment that will give our patients the tools to recover.

Substance use disorder isn’t something to cause shame. Substance use can change how your brain is wired, often within days of first use. People often need help getting the brain back to a place of joy and independence. When you decide to lead a healthier life, the last thing you need is to feel judged or embarrassed. The choice to get healthy is strong, and that’s how you should be treated. That’s how we treat all of our clients. We see your struggle and understand how complex and cunning substance use disorder can be.


Despite popular opinion, addiction isn’t inevitable. You’re not destined for addiction from the day you’re born. It needs other factors to thrive, like mental illness, loneliness, rejection, financial distress, and more. Often, healing isn’t possible until those factors find a resolution. So when we talk about healing from a substance use disorder, we’re not just talking about getting you or your loved one away from toxic substances. We’re talking about going deeper and addressing the root issues as well.

This is why treatment for substance use disorder is effective. It isn’t just about getting you through the withdrawals. It’s about setting yourself up to work through the triggers that caused you to use drugs in the first place. Substance use treatment is effective. South Carolina currently has 378,000 people in recovery as proof that recovery is possible.


As effective as substance use treatment is, it has its limits. Some things need to be in place for it to work. Treatment like this has many years of history. Here at Axis I, we know what has worked in the past and what hasn’t. For treatment to work, it needs to follow these principles:

  1. Every person is unique, and their treatment should be, too. Every person who comes into treatment comes with their struggles, traumas, and past. This is why we create an individualized treatment plan for each patient at Axis I Center of Barnwell. Individualized treatment plans address the root causes of a person’s substance use disorder and consider the individual’s specific needs.
  2. Treatment needs to be accessible. Quality individualized treatment removes as many barriers as possible to help people recover. At Axis I Center of Barnwell, we accept most major insurers, including Medicaid, which means we can provide financial assistance to those unable to pay for treatment independently. We also accept cash and private medical insurance. We are committed to giving people in recovery access to quality care.
  3. All of your needs should be addressed in treatment. Physical and mental health go hand-in-hand, so your treatment needs to address both. At Axis I of Barnwell, our treatment seeks to identify triggers that cause substance use. We can then educate you on alternate methods of coping with your triggers. In treatment, your counselor will help you create achievable goals and progress toward recovery.
  4. Your clinician’s guidelines should be followed. Your counselor/provider has studied for years to learn how to make treatment work. That means that they will give you personalized recommendations tailored to you. It’s essential to follow their advice and stay in treatment. Leaving treatment early or a lack of participation might prevent you from getting healthy. It could also lead to relapse.
  5. Treatment services can help you recover! Our certified therapists can give you the tools you need to achieve long-term recovery. They will be able to help you identify the root causes of your substance use and how to cultivate healthy coping skills. Working with a counselor who understands substance use recovery will help you continue to meet your recovery goals.
  6. Your needs will change during treatment, so your treatment plan should change too. Healing is a process; for many, recovery is a long road. Your requirements will change throughout this process. Initially, your needs might be more physical (getting through withdrawals, adopting a healthy diet, etc.) Those needs can change as time goes on. For example, you may need less time to manage cravings and more time to create goals. This is just one example of how things can change. Your clinicians and your therapist need to work with you on keeping your treatment plan up-to-date.
  7. Medication is helpful alongside therapeutic treatment. Medication is a valuable tool used in substance use disorder recovery. Medication helps manage symptoms such as withdrawal and cravings. Medication-assisted treatment is not just replacing one substance with another. Instead, it provides a quality treatment option shown to reduce overdose deaths.
  8. Medication is nothing to be ashamed of, and sometimes it’s necessary. Treatment for the physical distress that comes with withdrawals is part of a patient’s needs. We don’t want your recovery halted by cravings or relapse. Medication is sometimes necessary. It can be an essential aspect of treatment.
  9. Treatment doesn’t need to be voluntary. Sometimes people are court-ordered to attend treatment. Quality treatment could help a person recover even if their introduction to treatment was not voluntary.
  10. Relapse could be part of the recovery process. A relapse is not a failure and can be a part of someone’s journey into recovery. Relapse shouldn’t carry shame or stigma.


All treatment centers vary as far as the medications they prescribe. At Axis I Center of Barnwell, we prescribe two medications in treatment (if needed). We utilize Suboxone for opioid use disorder and Vivitrol for alcohol and opioid use disorders.

Suboxone works by binding to the same receptors in the brain as other opiates. Suboxone also decreases cravings for opioid use. Suboxone comes in the form of an oral film or tablet. A doctor will determine the appropriate dosage and frequency of Suboxone use. Vivitrol works at preventing relapse and overdose by blocking the effects of opioids. Vivitrol is a once-monthly injection.

Taking a substance recreationally is very different than taking prescribed medication. When you take the medication in treatment, you’re not substituting one drug for another. Instead, you’re using the medication prescribed to get healthy and focus on your recovery.


In addition to medication and therapy, what else will I do during treatment?

We have multiple treatment options available, including medication-assisted treatment, individual treatment, group treatment, intensive outpatient program, and more. During your assessment, we’ll discuss what works best for you and your future. If you need a referral to residential treatment or detox, we can also provide that for you.


We have multiple treatment options available, including medication-assisted treatment, individual treatment, group treatment, intensive outpatient program, and more. During your assessment, we’ll discuss what works best for you and your future. If you need a referral to residential treatment or detox, we can also provide that for you.
If you can’t afford treatment, we will not turn you away. We want to serve all of the residents of Barnwell County that are struggling with substance use disorder. We offer several payment options, including Medicaid, payment plans, scholarships, and more. We also accept most insurance. If you can’t afford treatment, we have a scholarship application that can be completed.

For any questions about admission or a consultation, please call us at (803) 541-1245. We’re excited that you’re here, and we can’t wait to begin this journey with you.