Addiction Medicine Care

Office based evaluation and treatment of substance use disorders including:

  • - Treatment of opioid use disorder with sublingual and injectable buprenorphine products  (Generic buprenorphine-naloxone film {formerly Suboxone}, buprenorphine-naloxone tablets, Zubsolv, Sublocade, and Brixadi)
  • - Treatment of alcohol use disorder with anti-craving and abstinence maintenance products after completion of medically supervised withdrawal  (Acamprosate, Naltrexone tablets, Vivitrol injections and Disulfuram)
  • - Treatment of tobacco use disorder with medication assisted smoking cessation products (Chantix and Zyban)
  • - Treatment of benzodiazepine use disorder utilizing a substitution and taper protocol utilizing non-addictive medications (phenobarbital and carbamazepine)
  • - Motivational interviewing
  • - Cognitive behavioral therapy

Gender Affirming Care

Medical treatment for transgender and gender diverse patients.

Gender affirming treatment including:

  • - Hormonal treatments to facilitate gender affirmation
  • - Gender letters and documentation to facilitate name and gender marker changes on driver's license, passports and birth certificates
  • - Referral  resources for gender affirming surgery, psychological counseling and family therapy

DOT SAP Evaluations

The Substance Abuse Professional (SAP) is a person who evaluates employees who have violated a DOT drug and alcohol program regulation and makes recommendations concerning education, treatment, follow-up testing, and aftercare.

The SAP represents the major decision point (and in some cases the only decision point) an employer may have in choosing whether or not to place an employee behind the steering wheel of a school bus, in the cockpit of a plane, at the helm of an oil tanker, at the throttle of a train, in the engineer compartment of a subway car, or at the emergency control valves of a natural gas pipeline. A SAP's responsibility to the public is enormous!

A SAP is an advocate for neither the employer nor the employee. Its function is to protect the public interest in safety by professionally evaluating the employee and recommending appropriate education and/or treatment, follow-up tests, and aftercare.