Substance use
- Substance Use and Addiction Psychiatry
Substance use disorder is a treatable medical condition involving continued use of alcohol, opioids or other substances despite harm. Outpatient treatment combines FDA-approved medication (naltrexone, acamprosate or disulfiram for alcohol; buprenorphine or naltrexone for opioids), therapy, and treatment of co-occurring depression, anxiety or PTSD. Medication for opioid use disorder cuts the risk of overdose death roughly in half. - Alcohol Use Disorder
Alcohol use disorder is continued drinking despite harm, with loss of control, cravings and often tolerance or withdrawal. Effective outpatient treatment combines an FDA-approved medication, usually naltrexone or acamprosate, with cognitive behavioral or motivational therapy and treatment of co-occurring depression or anxiety. Most people reduce heavy drinking within weeks, and roughly one in three achieve lasting remission with treatment. - Opioid Use Disorder
Opioid use disorder is compulsive opioid use despite harm, with cravings, tolerance and withdrawal. The most effective treatment is medication: buprenorphine (Suboxone) or extended-release naltrexone (Vivitrol), which reduce overdose death by roughly half, combined with therapy and treatment of co-occurring mental health conditions. Buprenorphine can begin within a day of your first visit, including by telehealth.
You do not have to figure it out alone.
Tell us how to reach you and our scheduling team will help you explore appointment options. Most new patients are seen within one to two weeks, in person or by video. Medicare and most plans accepted; self-pay new-patient visits are $185.