Description of Clinic Services

Addicition & Psychotherapy Services is an outpatient facility designed for patients with opiate/opioid dependence who can function and work while in treatment and who have the ability to improve without the structure of a residential treatment center. If possible, all aspects of the patient's psychological-psychiatric problems are addressed. Significant others are encouraged to participate in treatment. The primary goal of the clinic is to move patients from a dysfunctional abuse/addiction pattern to a managed physical dependence without any drug abuse behavior, and at the appropriate time, to a completely drug-free state.

Synthetic narcotics (methadone, Suboxone) are used in treatment because of their proven effectiveness in reducing drug abuse behavior. Methadone concentrate and Suboxone are usually taken daily.

When taken in appropriate dosage, synthetic narcotics do not interfere with normal functioning, judgment, performance of complex tasks and psychological treatment. For opioid dependence treatment, methadone or Suboxone (buprenorphine) maintenance, combined with psychological-rehabilitative treatment, is far superior to conventional chemical dependency treatment.

Suboxone (buprenorphine) treatment (maintenance; rapid or three to six-month medical withdrawal/detox) is offered to appropriate patients, based on medical evaluation and treatment plan. Buprenorphine is less potent than methadone but psychologically more addicting and much more expensive. It is safer in overdose and regulations on buprenorphine are less restrictive. The size of habit is critical in determining qualification for buprenorphine treatment.

Our services include the following:

Methadone maintenance; rapid or six-month withdrawal, with daily dosage adjustments, as indicated

Suboxone maintenance; rapid or six-month withdrawal, with daily dosage adjustments, as indicated

Highly qualified staff provide integrated pharmacological/medical, case management, psychological/psychiatric, and rehabilitative services, including:

Evaluation: evaluation of chemical abuse, psychiatric and medical history, physical examination; laboratory evaluations; determination of qualification for services and/or referral; (special laboratory tests as indicated, available at Clinical Pathology Laboratory at moderate fee)

Individual, couple, and family counseling

Extensive group teaching by highly qualified staff, open to significant others, close relatives and friends of clients, and to former clients who completed treatment and are drug-free

Cognitive therapy and relapse prevention; education on a broad range of issues related to addiction, health, psychology and treatment approaches; relaxation, meditation, self-hypnosis, guided imagery, and pain management; yoga; spirituality; women's groups; parenting; grief; and other special focus groups

Access to a wide range of educational videos on health, psychiatric disorders and chemical dependency

Assistance in management of pain in established patients; consultation with patient's physician(s)

Psychiatric care: cognitive-behavioral and pharmacological treatment of mood and anxiety disorders, as well as other psychiatric disorders; Eye Movement Desensitization and Reprocessing (EMDR) for treatment of PTSD and other conditions

Auricular (ear) acupuncture for withdrawal, craving, and anxiety

Detoxification from other drugs while on methadone or buprenorphine

Counseling support and prescriptions of medications, as indicated, for medical withdrawal from methadone or buprenorphine.