Patients with Substance Use and Alcohol Use Disorders often have other diagnoses that contributed to the use(s). We assess patients for dual diagnoses and treat those simultaneously. ,
All detoxification, withdrawal, counseling and treatments may be done in the comfort and privacy of the client's home.
Treatment modalities: After an evaluation that may include physical exam,
laboratory work, diagnostic radiology in addition to mental and neurological
exams, patients are treated for any nutritional/hormonal deficiencies/imbalances
with dietary modifications or hormone therapy; IM injections/IV infusions that
promote brain health - such as NAD, which is the mediator of brain functions – are
given; undergo extensive Self-Awareness Therapy via intense Self-Immersion
counseling and individualized experiential treatment that varies from exposure
therapy, retreats, to journeys; and creating new neural networks is achieved
through therapy such as Ketamine or TMS. Extensive research has demonstrated
that both Ketamine and TMS promote neural repair and induce neuroplasticity.
Complementary therapies like acupuncture or meditation are also proven methods
that may be elected. Group therapy is available as well for support.
Traditionally, pharmacotherapeutics have been recommended along with therapy,
but every person is unique and a new course of treatment is developed for each,
like excursions to Mexico, Costa Rica. If medication is prescribed, the person’s
physical health, genetics, stressors, other diagnoses, and neurochemical
imbalances are analyzed to select the best one.
The day before starting Suboxone or Naltrexone, we recommend detoxifying or
balancing electrolytes/vitamins/minerals with infusion(s). The high dose vitamins and
antioxidants help in minimizing withdrawal symptoms and make the transition easier.
For short acting opioids like oxycontin, hydrocodone, morphine and heroin, you will
need to abstain from using for 12-24 hours. For longer acting opioids like fentanyl and
methadone, you will need to abstain from using for 48 hours.
Day 1 (Induction):
It is important when starting Naltrexone or Suboxone that opioids and alcohol be
minimized in your system to prevent inducing withdrawal symptoms. For short-acting
opioids like oxycontin, hydrocodone, morphine and heroin, you will need to abstain
from using for 12-24 hours. For longer acting opioids like fentanyl and methadone, you
will need to abstain from using for 48 hours. You will feel like you are in early withdrawal
at this appointment but this is important to prevent worse withdrawal symptoms. We
also ask that you have someone provide transportation for you to this appointment as
you will likely not feel well enough to drive. You will be provided Naltrexone/Suboxone.
You will take one strip and wait 30 minutes as we monitor you for withdrawal symptoms.
If you are still feeling withdraw symptoms at this time, we will give you the second strip.
Once you are feeling better you will be provided with one weeks’ worth of
Suboxone/Naltrexone. This appointment is usually 60 minutes in length.
Day 2-7 (Stabilization)
After your fist week of Suboxone/Naltrexone you will return to clinic for a 30-minute re-
evaluation. The goal of stabilization is to optimize your Suboxone/Naltrexone to a dose
where you no longer have cravings and experience few, if any, side effects. Once the
optimal dose is obtained, you will be provided a two-week prescription.
Beyond First Week (Maintenance)
You will need to return to clinic every two weeks. The maintenance treatment with
Suboxone can be indefinite, helping to prevent future relapses. Depression, insomnia
and anxiety are often present in patients and Ketamine infusions can help with the
symptoms of depression without adding more medications to your regimen. Ketamine
also helps with withdrawal, cravings and healing the brain. Medical Cannabis may be an
option.
Although over 100 different types of neurotransmitters have been identified, a
few of the major ones in the brain include:
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Mind Body Medical Clinic & Spa
901 Dover Drive, Suite 214, Newport Beach, California, 92660, United States
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