Orlando & Central Florida → Nassau

Addiction Treatment in Nassau for Orlando Residents

For U.S. residents: DeBinge advises patients to plan for the implant treatment and travel to The Bahamas as out-of-pocket expenses. The O’Neil Long-Acting Naltrexone Implant is not FDA-approved for standard clinical use in the United States, and U.S. health insurance generally does not cover this treatm

DeBinge opioid transition: When travelling to DeBinge in The Bahamas for OLANI treatment, there is no requirement to complete a separate opioid-free waiting window before arrival. DeBinge uses a medically supervised 4-to-5-day buprenorphine transition. Buprenorphine is introduced to bridge the patient away from full-agonist opioids, stabilised and tapered over the first several days, and the O’Neil Long-Acting Naltrexone Implant is typically inserted around day 4 or 5 while buprenorphine is still being tapered. The planned overlap continues as buprenorphine clears and the implant gradually releases naltrexone. This pathway is clinician-supervised because mistimed naltrexone exposure can precipitate withdrawal.

Based on DeBinge’s clinical experience in The Bahamas since 2018, the implant typically provides its strongest craving and relapse-prevention support on average 9 months, while clinically meaningful opioid-receptor blockade may persist for longer, in some patients up to about 15 months. This longer blockade may continue to reduce opioid effects and overdose risk.

Ongoing recovery: The implant is not a cure. The DeBinge programme includes a full year of professional counselling after implantation to address the behavioural and psychological side of addiction.

ent or associated travel. Patients should confirm any individual benefits directly with their insurer.

DeBinge provides private addiction treatment in Nassau for Orlando and Central Florida residents who are considering care outside their everyday environment. The process begins with a private consultation and clinical assessment from home before travelling to The Bahamas is considered.

Orlando International Airport (MCO) currently has nonstop service to Nassau (NAS), which means Central Florida residents can access Nassau directly without first travelling through Miami or Fort Lauderdale. Current nonstop connections are supported by Bahamasair, JetBlue and Southwest depending on schedule. Airline services change, so current availability should always be checked before travel.

DeBinge is located in Nassau, The Bahamas. We do not operate a treatment facility in Orlando.
This page is designed to help residents of Orlando and the wider Central Florida region understand how they can access treatment in Nassau. Consultation and planning can begin before any travel is arranged.
Looking outside the local routine

Considering Treatment Outside Orlando

Orlando and Central Florida have local addiction treatment services that may be appropriate for many patients. Staying near home can make it easier to continue with established doctors, therapists, family support and other local services.

Other people intentionally explore treatment outside the area because their everyday surroundings have become strongly connected with alcohol or drug use. The issue may not be Orlando itself, but patterns that have developed around work, relationships, social circles, particular places or repeated routines.

A temporary change of environment may provide space to focus on treatment and recovery planning. It does not remove the underlying causes of addiction and should not be treated as therapy in itself.

Local treatment

Remaining in Central Florida can make sense

Local care may be particularly useful when continuity with existing providers or immediate treatment is important.

Different environment

Some people value temporary distance

Stepping outside familiar routines may provide space to concentrate on medical care, counselling and practical recovery work.

Return home

The real-world plan still matters

Treatment planning should prepare the patient for work, relationships, responsibilities and familiar environments after returning to Central Florida.

Direct access from Central Florida

Central Florida to Nassau

Orlando residents do not necessarily need to travel south through Florida before flying to The Bahamas. Nonstop MCO–NAS service makes Nassau directly accessible from Central Florida when treatment travel is clinically appropriate.

MCO Orlando International Airport
Nonstop Orlando–Nassau service is currently available. Bahamasair, JetBlue and Southwest may operate nonstop connections depending on the travel date and schedule.
NAS Lynden Pindling International Airport, Nassau
Plan the clinical pathway before the journey. Convenient nonstop access should not determine when a patient travels. Medical assessment, preparation requirements and treatment timing should be considered first.
For passport planning, medication documentation, packing, travelling with a support person and return arrangements, read the U.S. patient guide to travelling to Nassau for addiction treatment .
The treatment pathway

How DeBinge Treatment Works for Orlando Residents

The first step happens while the patient is still in Central Florida. Travelling to Nassau comes later, after the proposed treatment pathway has been discussed.

1

Consult from home

Discuss substance use, current medications, previous treatment and what the patient wants to achieve.

2

Assessment and preparation

Consider whether DeBinge may be suitable and what clinical preparation may be required.

3

Travel to Nassau

Arrange treatment travel after the appropriate timing and individual plan have been established.

4

Return to Central Florida

Continue counselling, behavioural work and appropriate support after returning home.

Individual assessment first

Medical Assessment, Naltrexone and Recovery Support

Naltrexone may be useful for some people with opioid use disorder or alcohol use disorder, but suitability should be determined clinically rather than assumed.

Medical assessment

Substance use, medication, previous treatment, medical history, physical dependence and other relevant factors should be considered before treatment begins.

Learn about the DeBinge treatment setting

Long-acting naltrexone

For suitable patients, sustained-release naltrexone may form one component of treatment for alcohol use disorder or opioid use disorder.

Explore naltrexone research

Counselling and recovery planning

Medication does not automatically change routines, relationships, stress responses or other circumstances associated with substance use. Recovery work continues alongside medical treatment.

Learn about recovery after treatment
Naltrexone is an established medication used in opioid use disorder and alcohol use disorder. Implant formulations have formulation-specific evidence and regulatory status and are not FDA-approved for use in the United States. DeBinge treatment takes place in Nassau, The Bahamas.
Opioid use disorder

Opioid Treatment for Central Florida Residents

Naltrexone blocks opioid receptors and may form part of treatment for appropriately selected patients with opioid use disorder.

Patients who remain physically dependent on opioids require appropriate preparation before receiving naltrexone. Starting naltrexone too early can precipitate significant withdrawal, so timing must be determined clinically.

Methadone, buprenorphine, extended-release injectable naltrexone, residential rehabilitation, outpatient treatment and other approaches may also be appropriate depending on individual circumstances.

Explore opioid treatment information
Alcohol use disorder

Alcohol Treatment for Orlando Residents

Naltrexone may help some people with alcohol use disorder by reducing aspects of alcohol reward and supporting reduced drinking or abstinence as part of a broader treatment plan.

Naltrexone does not treat acute alcohol withdrawal. Someone who may be physically dependent on alcohol should not abruptly stop drinking and assume they can safely board an international flight.

Alcohol withdrawal can be medically serious. Appropriate medical assessment and treatment planning should therefore take place before travelling to Nassau.

Explore alcohol treatment information
Environment and recovery

Treatment Away From Everyday Triggers, Recovery Back at Home

For some people, repeated substance use becomes connected with a predictable set of situations: the same people, the same evenings, a particular route home from work, relationship conflict or established social habits.

Spending a period outside that normal environment may reduce immediate exposure to some familiar cues and provide more room for treatment and reflection.

However, the patient eventually returns to Central Florida. The important question is therefore not simply whether Nassau feels different. It is what the patient will do differently after returning home.

Recovery planning may consider:

  • People and places closely associated with substance use.
  • Times of day when use is most likely.
  • Work or relationship stress.
  • Changes to daily routines.
  • Continuing counselling.
  • Local medical or behavioral-health support.
  • How family members can help appropriately.
Start in Central Florida

You Can Discuss Treatment Before Arranging Travel

A consultation allows you to explain the current situation and understand whether DeBinge may be relevant before making airport, accommodation or travel arrangements.

Practical planning

Questions to Answer Before Travelling From Orlando

Direct access from MCO can simplify the journey, but practical convenience should come after medical planning.

Has clinical suitability been discussed?

Establish whether the programme may be appropriate and whether additional medical information is required.

Is preparation required before departure?

The substance involved and the patient’s current physical dependence can affect what must happen before naltrexone can be considered.

How flexible should the return journey be?

Do not assume every patient will follow an identical timetable. The proposed length of stay should be discussed before final travel arrangements are made.

Is a support person travelling too?

In some circumstances a partner, parent or other supportive person may wish to travel. Discuss what involvement is useful before making arrangements.

Also consider:

  • Current passport and Bahamas entry requirements.
  • Medication documentation.
  • Medical records requested by the team.
  • Accommodation arrangements.
  • Communication with family while away.
  • Work and family responsibilities at home.
  • Follow-up arrangements after returning.

Read the full U.S.–Nassau travel guide

Medical safety

Do Not Plan International Travel Around Untreated Withdrawal

A nonstop flight does not make travelling during significant withdrawal medically appropriate. Alcohol withdrawal can be dangerous in some circumstances, and opioid-dependent patients require appropriate preparation before receiving naltrexone.

Travel timing should be discussed with the clinical team where withdrawal may be medically significant. Urgent local medical care should not be delayed simply because treatment in Nassau is being considered.

The Nassau stage

What Happens After You Arrive?

The exact sequence depends on the individual treatment plan rather than a fixed schedule applied to every patient.

Assessment

Confirm readiness

Relevant clinical review, testing or assessment can be completed before treatment proceeds where required.

Treatment

Follow the individual plan

For suitable patients, treatment may include sustained-release naltrexone alongside appropriate medical and nursing care.

Preparation for home

Plan the return to Central Florida

Counselling and recovery work can address routines, family relationships, difficult environments and support after returning home.

How long does treatment require in Nassau? There is no single responsible answer for every patient. Medical preparation, the substance involved and the individual treatment plan can affect the required stay.
After Nassau

Recovery Continues in Central Florida

Returning home means returning to the environment where recovery must function in everyday life. Work, parenting, relationships, finances and social pressures do not disappear because treatment has taken place.

Medication should therefore be understood as one component of recovery rather than a substitute for counselling, behavioural change and appropriate ongoing care.

Depending on individual circumstances, the return plan may involve counselling, family support, local clinical services, healthier routines and specific strategies for situations associated with previous substance use.

Read the recovery-after-treatment guide

Before returning home, ask:

  • How will counselling continue?
  • Will a Florida clinician be needed?
  • What environments require particular planning?
  • Which routines should change first?
  • Who can provide reliable support?
  • How should family members respond to difficulties?
  • What is the plan if substance use resumes?
For Central Florida families

Families Can Ask Questions Before the Patient Decides

Parents, partners and spouses are often researching treatment before the person using alcohol or drugs is ready to make a decision. A family member can speak with DeBinge first to understand the process and what would be required if the patient agrees to an assessment.

Families can provide useful background about previous treatment, withdrawal, overdose history, changes in behavior and the impact on everyday life. The patient still requires direct clinical assessment before suitability can be determined.

Treatment should not be presented as something that can simply be forced on an unwilling competent adult. Families can provide support, communicate concerns clearly and maintain appropriate boundaries.

Read the DeBinge guide for families
Clinical transparency

Review the Clinical Background and Research

Patients and families should be able to review information about the proposed treatment, the clinical team and the available research before making a decision.

Dr Fergus Law

Review DeBinge’s clinical profile for Dr Fergus Law and information relating to his work in addiction psychiatry and substance misuse.

View Dr Fergus Law’s clinical profile

Naltrexone Implant Knowledge Library

Explore research and educational information concerning naltrexone, sustained-release formulations, alcohol use disorder and opioid use disorder.

Explore the naltrexone research library

Information for U.S. residents

Review the wider DeBinge U.S. treatment pathway, travel guidance, information for families and recovery planning resources.

View treatment information for U.S. residents
Frequently asked questions

Addiction Treatment From Orlando to Nassau: FAQs

Does DeBinge have an addiction treatment facility in Orlando?
No. DeBinge treatment takes place in Sandyport, Nassau, The Bahamas. Orlando and Central Florida residents can begin consultation and planning from home, but DeBinge does not operate an Orlando treatment facility.
Can Orlando residents travel nonstop to Nassau?
Orlando International Airport currently has nonstop service to Nassau. Bahamasair, JetBlue and Southwest may operate nonstop connections depending on current schedules. Airline service changes, so flights should be checked for the actual treatment dates being considered.
Do I need to travel through Miami for DeBinge treatment?
Not necessarily. Orlando currently has direct nonstop access to Nassau, so Central Florida residents may be able to travel from MCO without connecting through South Florida. Current schedules should always be checked before booking.
Should I book my flight before the medical consultation?
It is generally better to establish the proposed treatment pathway first. Medical assessment, preparation requirements and the anticipated stay can affect when it is appropriate to travel.
Can I fly to Nassau while withdrawing from alcohol or opioids?
You should not assume travelling during withdrawal is safe. Alcohol withdrawal can be medically serious in some people, while opioid-dependent patients require appropriate preparation before naltrexone can be considered. Travel timing should be discussed with the clinical team and local medical care used when necessary.
How do I know whether naltrexone is appropriate for me?
Suitability depends on individual clinical circumstances, including the substance involved, physical dependence, current medications, medical history and previous treatment. Naltrexone is not appropriate for everyone, and other evidence-based treatments may be more suitable for some patients.
What happens after I return to Central Florida?
Recovery planning continues after the Nassau stage. Depending on individual needs, this may include counselling, appropriate local healthcare, family support, healthier routines and planning for situations associated with previous substance use.
Private consultation from Central Florida

Find Out Whether Treatment in Nassau May Be Appropriate

Start by discussing the substance involved, previous treatment, current medical circumstances and what the patient wants to change. If DeBinge may be relevant, the clinical and practical steps can be considered before travel from Orlando is arranged.

Medical information: This page provides general educational information and does not replace individual medical assessment, diagnosis or treatment. Naltrexone may be appropriate for some people with alcohol use disorder or opioid use disorder, but treatment selection depends on individual clinical circumstances. Implant formulations have formulation-specific evidence and regulatory status. DeBinge treatment takes place in Nassau, The Bahamas.

Travel information: Airline routes, carriers, operating days and schedules can change. Confirm current MCO–NAS service before departure and only after treatment timing has been discussed. Passport and Bahamas entry requirements should be checked through current official government sources.

Emergency information: Suspected overdose, difficulty breathing, unconsciousness, seizures, severe withdrawal, severe confusion or another immediate medical emergency requires urgent local assistance rather than international travel. In the United States call 911. For an immediate suicide or mental-health crisis, call or text 988.

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