“I was nervous about medication, but you respected that, and made me very comfortable with the options. Throughout my treatment you were clear and reassuring and were always attentive to what I wanted to do. That made all the difference.”
Whether you’ve been on a bunch of meds and aren’t sure what has helped or harmed, or you are someone who questions the status quo you need an expert who listens. Quite often a co-morbid medical issue has been missed, like hormonal concerns, sleep disorders, epilepsy or nutritional conditions.
We will start with your wants, consider interactions, individual variability and how to measure success. Sometimes the right thing is less, or no medications.
There are so many medications for addiction now but it’s definitely a specialist thing. Most doc- tors won’t know much about them. We will review latest findings and decades of experience and help you pick medicines that can reduce cravings, relapse, withdrawal, insomnia, anxiety and more without increasing your risks.
Suboxone and Vivitrol:
While it’s possible to use abstinence-based treatment, that choice should flow from deep knowledge of risks and benefits rather than dogma. Opiate replacement by buprenorphine (e.g. Suboxone) or methadone is far more successful than abstinence- or naltrexone-based approaches such as Vivitrol. By relieving withdrawal, cravings and the ability to get high, the medicine permits lasting change. Vivitrol’s an option for us to discuss and we won’t oppose your decision but we will make sure you are correctly informed.
Sadly, many doctors prescribe buprenorphine irresponsibly. We will expertly assess, advise and monitor you, but therapy is crucial and without it you’ll relapse, so we insist on it – with us or with someone we trust. We offer individual and group therapy in 3 recovery phases and balance the need to get back to life with the need to learn how to live safely and without relapse.
Pain and Addiction:
Pain leads to addiction, anxiety and depression and it has to be addressed. But it works the other way too. Of course! These are problems of the stress regulatory system and that’s what we need to address. People need a multifaceted approach to find relief, working with trainers, mindfulness experts, therapists to change coping strategies, a doctor to guide you to the right medication combination… You need pain relief and this may mean opiates. But often not. Opiates can make pain and disability worse and we need to have a careful review of the pros and cons together.
Dr. Green has developed and run comprehensive pain programs and lectured nationally on this topic.
Expect careful, collaborative, thoughtful approaches: sometimes conservative, sometimes out of the box, always making sense to you.
Dr. Green has specialized in many areas and is expert in:
- Anxiety including OCD, panic, social anxiety and PTSD
- Mood disorders including bipolar disorder and depression
- Psychotic Disorders including schizophrenia and schizoaffective disorders
- Cognitive Issues including ADHD
We commonly use these, blending them with meds and therapies. Most we do with you ourselves, but for some we send you to trusted collage that does it better:
- Fatty acids including omega 3
- Vitamins including D, E, B6, folate supplements
- Light exposure and sleep deprivation protocols
- Fisher Wallace Device
- Mindfulness Based Stress Reduction