Medication is not a crutch. It's medicine.
Medication-assisted treatment (MAT) pairs FDA-approved medications with counseling and ongoing medical care. It is the most studied, most effective approach to opioid and alcohol use disorder. It stabilizes the brain chemistry that addiction disrupts, so you can do the real work of recovery without fighting withdrawal and cravings at the same time.
Because addiction is a chronic disease that is biological, psychological, and sociological, we treat it the way good medicine treats any chronic disease: with a personalized plan, the right medication at the right dose, and a doctor who follows your progress closely.
Medications we prescribe
| Medication | What it's for |
| Suboxone® (buprenorphine/naloxone) | The gold standard for opioid use disorder. Relieves withdrawal and cravings without the high. |
| Sublocade® | Once-monthly buprenorphine injection. No daily dosing, no refills to manage. |
| Subutex® (buprenorphine) | For patients who need buprenorphine without naloxone, including during pregnancy. |
| Naltrexone / Vivitrol® | Blocks the effects of opioids and reduces alcohol cravings, available as a daily tablet or monthly injection. |
| Methadone transitions | Structured, medically supervised transition from methadone clinics to office-based treatment. |
What your first visit looks like
Your first appointment is a real medical evaluation, not an intake queue. Plan for 30 minutes to as long as 3 hours. We review your full history, your health, and your goals, then build your treatment plan together. Most patients can begin medication the same day.
- Comprehensive medical and substance use history
- Physical evaluation and any needed lab work
- A clear, written treatment plan: medication, dose, and follow-up schedule
- Direct contact information for your care team
Why a board-certified specialist matters
Anyone with a DEA number can technically prescribe buprenorphine. Getting the dose, the taper, and the co-occurring mental health care right is another matter. Dr. Leach was among the first physicians globally to be board-certified in addiction medicine and now mentors the physicians, nurse practitioners, and physician assistants entering the field.
"Respectful & compassionate expert addiction medicine: individual, uninterrupted appointments, personalized to every patient."
The practice's standard of care