Franklin · Nashville · Middle Tennessee · Telehealth Statewide
Kratom Detox and
Withdrawal Treatment
in Tennessee
Physician-led outpatient care. Same-day appointments often available.
Struggling to stop kratom or 7-OH products can feel confusing, frightening, and physically uncomfortable. InSight Recovery & Wellness provides physician-led outpatient care for kratom dependence, withdrawal symptoms, cravings, and co-occurring anxiety, depression, or sleep problems. You don’t have to figure this out alone.
Board-Certified Providers
Confidential & Non-Judgmental
Telehealth Available Statewide
access
Same Day
APPOINTMENTS OFTEN AVAILABLE
Physician-Led Care
3 MDs
+9 NP CLINICIANS
Telehealth Coverage
All TN
HIPAA-Compliant Statewide
Understanding Kratom
Kratom Dependence Is Real and Treatable
Kratom (Mitragyna speciosa) is a plant native to Southeast Asia whose active compounds — mitragynine and 7-hydroxymitragynine (7-OH) — act on the brain’s mu-opioid receptors, producing opioid-like and stimulant-like effects. Many people begin using kratom to manage pain, low energy, anxiety, or withdrawal from other substances. Over time, regular use can lead to physical dependence.
What about 7-OH products? Concentrated 7-hydroxymitragynine — sometimes sold as standalone “7-OH kratom” — carries more potent opioid-like effects than traditional kratom and may increase the risk of dependence and more severe withdrawal. If you have been using 7-OH products, tell your provider — it affects clinical assessment and treatment planning.
The FDA has warned consumers about kratom’s risks, including substance use disorder and serious adverse events. There are currently no FDA-approved kratom products. Physician-supervised evaluation is important — especially for patients who have been using heavily or for a long time.
- Physical Dependence — the body adapts and reacts when kratom is reduced or stopped
- Kratom use disorder — loss of control over use despite physical, social, or occupational harm
- Co-occurring conditions — anxiety, depression, insomnia, and chronic pain commonly co-occur and require treatment alongside withdrawal
What to expect
Common Kratom and 7-OH Withdrawal Symptoms
Kratom withdrawal typically begins within 12–24 hours of stopping or significantly reducing use, with peak discomfort in the first few days. Duration and severity depend on how long and heavily kratom was used, whether other substances are involved, and individual factors. Many patients find withdrawal unexpectedly difficult — especially those who began using kratom to manage withdrawal from other opioids.
PHYSICAL
Muscle Aches & Pains
Generalized myalgia, joint pain, and flu-like body aches are among the most common and uncomfortable kratom withdrawal symptoms.
PHYSICAL
Nausea & GI Distress
Nausea, vomiting, diarrhea, and abdominal cramping are common during the early phase of withdrawal.
PHYSICAL
Sweating & Chills
Diaphoresis (excessive sweating), hot and cold flashes, and fever-like sensations are frequently reported.
PHYSICAL
Restless Legs
Uncomfortable crawling sensations in the legs — especially at night — can severely disrupt sleep and prolong withdrawal distress.
PSYCHOLOGICAL
PSYCHOLOGICAL
PSYCHOLOGICAL
Depression
PSYCHOLOGICAL
Cravings
Emergency warning: If you experience chest pain, seizures, confusion, or are unable to keep fluids down, call 911 or go to your nearest emergency room. Kratom withdrawal is rarely life-threatening on its own, but polysubstance use and underlying medical conditions can increase risk. A medical evaluation is always the right first step.
Our Approach
How InSight Treats Kratom Use Disorder
Treatment is individualized. Your InSight provider will conduct a comprehensive assessment before recommending a care plan. Most patients receive a combination of the following services, coordinated under one roof.
Symptom-targeted outpatient management of kratom withdrawal — including medical assessment, monitoring, and supportive medications to reduce physical discomfort. For most patients, inpatient detox is not required.
When clinically appropriate, our providers may use medication-assisted treatment strategies — including buprenorphine-based treatment — to manage opioid-like withdrawal symptoms and cravings. All medications are prescribed individually based on full clinical assessment.
Co-occurring anxiety, depression, sleep disorders, and trauma are evaluated and treated alongside addiction care — by a team in direct communication with your prescribing provider. Individual therapy and group counseling available.
Level of Care
Outpatient Kratom Detox vs. Inpatient Detox
Most patients with kratom dependence do not need hospitalization and can be safely treated in an outpatient setting. Your InSight provider will conduct a full clinical assessment to determine the right level of care for your specific situation. If a higher level of care is needed, we can assist with referrals to appropriate residential or inpatient programs and coordinate care.
right for most patients
Outpatient Treatment at InSight
- No hospitalization or residential stay required
- Flexible scheduling — morning, afternoon, and telehealth options
- Maintain work, family, and daily responsibilities
- Physician-supervised care and medication management
- Integrated psychiatric and counseling support on the same team
- Statewide telehealth available when clinically appropriate
May Need Higher Level of Care
Outpatient Treatment at InSight
- No hospitalization or residential stay required
- Polysubstance dependence (e.g., kratom + benzodiazepines or alcohol)
- Active suicidality or self-harm risk
- Pregnancy with complex dependence
- History of seizures
- Unsafe home environment or no support system
InSight can assist with referrals to appropriate programs and facilitate care coordination when inpatient treatment is the right choice.
Treatment Medications
Medication Options, Including Buprenorphine When Clinically Appropriate
Because kratom acts on opioid receptors, medications that target those same receptors may help manage withdrawal and cravings in some patients. No single medication protocol is right for everyone — all decisions are made through individual clinical assessment.
Buprenorphine / Buprenorphine-Naloxone
May Be Considered Off-Label
Case reports and clinical experience suggest buprenorphine (Suboxone) may help manage opioid-like withdrawal symptoms in patients with kratom dependence. Buprenorphine treatment for kratom dependence is individualized and may be considered off-label, based on your symptom severity, use pattern, medical history, and clinical risk factors. Your provider will discuss whether this is appropriate for you.
Supportive & Symptom-Targeted Medications
Standard Withdrawal Care
For many patients, withdrawal management centers on supportive medications that target specific symptoms — including medications for muscle pain, anxiety, sleep disruption, nausea, and autonomic symptoms. These can meaningfully improve comfort and safety during withdrawal, whether or not buprenorphine is part of the plan.
A note on clinical language: InSight does not promise any specific medication protocol for kratom withdrawal. Treatment is evidence-informed, individualized, and supervised by licensed medical providers. If you have questions about which medications may be appropriate for you, a clinical evaluation is the right first step — not a webpage.
Integrated Mental Health
Treatment for Anxiety, Depression, Sleep, and Co-Occurring Symptoms
Many patients who develop kratom dependence have underlying anxiety, depression, chronic pain, or sleep disorders that kratom was inadvertently managing. When kratom stops, those symptoms can return — sometimes intensified. At InSight, we treat the full picture.
Our integrated model means your prescribing provider and your psychiatric team work from the same care plan. You don’t get handed off between departments — you get coordinated, cohesive treatment from providers who know your complete history.
- Anxiety & panic disorders — evaluated and treated alongside withdrawal care
- Depression & mood disorders — psychiatric evaluation and medication management when indicated
- Sleep disorders — medical and psychiatric approaches to insomnia and protracted sleep disruption
- Individual & group counseling — addressing behavioral and emotional dimensions alongside medical care
Ready to Talk With Someone?
Our intake team answers questions, explains what to expect, and helps you find the right starting point — whether you’re ready to schedule or just beginning to consider your options.
Tennessee Telehealth
Kratom Treatment Across Tennessee, Without Leaving Home
InSight offers HIPAA-compliant telehealth for patients located anywhere in Tennessee. When clinically appropriate, your kratom withdrawal evaluation, medication management, psychiatric care, and follow-up visits can all take place by secure video — on your schedule, from wherever you are.
Telehealth is especially valuable for patients in rural Tennessee, those with transportation challenges, or anyone who wants to start treatment without the barrier of an in-person visit. Not every service or situation is appropriate for telehealth — your provider will determine the right approach together with you.
- Physical Dependence — the body adapts and reacts when kratom is reduced or stopped
- Kratom use disorder — loss of control over use despite physical, social, or occupational harm
- Co-occurring conditions — anxiety, depression, insomnia, and chronic pain commonly co-occur and require treatment alongside withdrawal
Franklin, TN
Franklin, TN
Brentwood
Murfreesboro
Middle Tennessee
Statewide Tennessee
For Referring Providers
Fast Access for Kratom Use Disorder Referrals
We make it easy to refer patients with kratom dependence, kratom withdrawal, or 7-OH use.
Same-week and often same-day intake available.
Refer by phone or fax
What Your Patients Receive
- Medically supervised kratom withdrawal management
- Buprenorphine-based MAT when clinically appropriate (off-label per clinical assessment)
- Integrated psychiatric evaluation and treatment
- HIPAA-compliant telehealth statewide in Tennessee
- Judgment-free intake — no case is too complex
Get Started
Franklin, TN 37067
Mon – Fri · 9:00 AM – 5:00 PM
Saturday · By appointment
We Accept Referrals From
Primary Care Providers
Emergency Medicine
Therapists & Counselors
Detox / Residential Programs
Drug Court & Probation
College Counseling Centers
Recovery Community Organizations
Common questions
Frequently Asked Questions
Can kratom cause withdrawal?
Yes. Regular kratom use can lead to physical dependence. When reducing or stopping use, some patients experience opioid-like withdrawal symptoms including muscle aches, anxiety, insomnia, nausea, and irritability. Severity depends on duration and amount of use and whether other substances are involved.
What is 7-OH and is it different from kratom?
7-hydroxymitragynine (7-OH) is a compound found naturally in kratom, but it is also sold in concentrated standalone forms. These products carry more potent opioid-like effects than traditional kratom powder or capsules and may increase risk of dependence and more severe withdrawal. If you have been using 7-OH products, tell your provider — it affects assessment and treatment planning.
Do you prescribe Suboxone for kratom withdrawal?
When clinically appropriate, InSight providers may consider buprenorphine-based treatment (Suboxone) as part of an individualized plan for kratom withdrawal. This use may be considered off-label — there are no FDA-approved indications for buprenorphine specifically for kratom. The decision depends on your symptoms, use pattern, medical history, and risk factors. Not every patient is a candidate, and your provider will discuss risks and benefits with you directly.
How long does kratom withdrawal last?
Kratom withdrawal typically begins within 12–24 hours of stopping or significantly cutting down, with the most intense physical symptoms occurring in the first few days. Physical symptoms often improve within a week, but anxiety, depression, insomnia, and cravings can persist for several weeks or longer. Medical supervision and appropriate medications can help manage the experience.
Is kratom detox outpatient or do I need a hospital?
Most patients with kratom dependence can be treated safely outpatient without hospitalization. Inpatient or residential care may be more appropriate if you have severe medical or psychiatric instability, use multiple substances (especially benzodiazepines or alcohol), have active suicidality, or a history of seizures. Your InSight provider will conduct a full assessment to determine the right level of care.
Do you offer telehealth for kratom treatment in Tennessee?
Yes. InSight offers HIPAA-compliant telehealth for patients located in Tennessee — including Nashville, Brentwood, Murfreesboro, and rural areas statewide. When clinically appropriate, evaluations, medication management, psychiatric care, and follow-up visits can be conducted via secure video. Call (615) 326-9918 to find out if telehealth is the right starting point for you.
Will I be judged or reported?
No. InSight provides confidential, non-judgmental care. We understand that kratom dependence often develops gradually — many patients began using it to manage pain, anxiety, or cope with withdrawal from other substances. Your care is private and handled with the same professionalism as any other medical condition. We will not report you to law enforcement for seeking treatment.
Can a family member refer someone or call on their behalf?
Yes. Family members and caregivers are welcome to call our intake line at (615) 326-9918 or use our contact form to ask questions and start the process. The patient will need to consent to and participate in their own care. We can often provide guidance on how to talk with a loved one about seeking treatment.
