At Aspire PDX, I provide office-based medication-assisted treatment for addiction disorders including opioids, heroin, alcohol, tobacco, and benzodiazepines. My services emphasize prevention, wellness, and evidence-based medicine. My clinical practice integrates preventive medicine, medical toxicology, and addiction medicine.
Office-Based Treatment
Office-based treatment is an option for people who recognize they have a substance abuse problem, and are ready to make significant changes in their lives. Frequent (at least weekly) office visits are usually necessary at first, to develop a recovery support and relapse prevention plan. Once you have stabilized on medication-assisted treatment, most patients are seen on a monthly basis.
Office-based treatment is not the right level of care for everyone. If you currently have a problem with more than one type of substance, or an untreated mental health condition, you might need a higher level of care than office-based treatment. Call me at (503) 894-9258 so I can better understand your needs and explain treatment options.
Suboxone Treatment
(buprenorphine)
Suboxone (buprenorphine/naloxone) is an FDA-approved medication for opioid dependence and opioid use disorders. Sublocade is a long-acting injectable formulation of buprenorphine that has recently received approval from the US FDA. There are also several other formulations of buprenorphine that are FDA-approved in the treatment of opioid use disorders, including Zubsolv and Bunavail.
Buprenorphine is very effective in treating acute opioid withdrawal symptoms and reducing cravings. Some patients benefit from long-term maintenance therapy with this medication, to help them achieve their goals of recovery. Other patients benefit most from a short-course of treatment, with a medically supervised and very gradual taper.
Vivitrol Treatment
(long-acting naltrexone)
Vivitrol is a FDA-approved medication for opioid as well as alcohol use disorders. Vivitrol effectively reduces cravings from opioids and alcohol, and lowers the risk of relapse. This medication is not a controlled substance, and can administered at our office as a monthly injection. Some patients on buprenorphine are able to gradually transition to Vivitrol, and achieve their goal of abstinence from opioids.
Tobacco Cessation
I use FDA-approved medications and provide counseling to help support patients seeking to end their dependence on tobacco products. Medical research has shown that people with substance use disorders who are able to successfully quit smoking have better long-term recovery outcomes. Let me help you achieve this goal!
Counseling
Medication-assisted treatment alone is not always effective in sustaining long-term recovery from substance use disorders. For some patients, counseling and participation in peer support groups can help improve outcomes. I will help you create a personalized recovery support and relapse prevention plan.
I use evidence-based counseling treatments including cognitive behavioral therapy (CBT) and mindfulness based relapse prevention (MBRP). For patients with more intensive needs, I assist in coordinating care by partnering with local professionals who have experience in the treatment of substance use and psychological disorders.
Telemedicine
For established patients who are stable and making progress in their recovery, Aspire PDX offers office visits via telemedicine. Telemedicine offers many patients the convenience of avoiding having to travel long distances to continue their treatment.
Substance Abuse Assessments
I am on the list of approved providers to perform substance abuse assessments for licensed health care professionals in Oregon. I perform diagnostic assessments and fitness for duty determinations for doctors, nurses, dentists, podiatrists, and other health care professionals.
