# The Coleman Institute for Addiction Medicine > Outpatient Detox Services > Contact: makenna@thecolemaninstitute.com ### Posts #### At the Coleman Institute for Addiction Medicine, the Road to Recovery From Drugs or Alcohol is Supportive, Discreet and Promises a Better Long-Term Outcome. Since 2011, the state of Ohio has led the country in the number of deaths caused by opioid overdoses. In fact, last year, Ohioans were five times more likely to die from an overdose than a car accident. A growing number of treatment facilities and methods aim to turn the tide on addiction. The program started in 1998, and The Coleman Institute for Addiction Medicine in Willoughby offers an outpatient medical detox program that has helped thousands of people free themselves from addiction to opioid pain medications, heroin, fentanyl, methadone and alcohol.   Read the full article on Mimi Magazine. #### Can I Have Surgery Without Opioid Pain Meds? We recently had a patient who had been off of opiates and in recovery for around 12 months. He was receiving regular naltrexone treatment and feeling very good. Unfortunately, he hurt his back and needed surgery with a lumbar laminectomy - a very painful procedure. He was terrified that if he was exposed opiates, he would relapse, so he requested that he continue on his naltrexone treatment and go through the surgery without any opioid pain medicines at all.  He did beautifully. Of course it was painful, but he found that the pain was actually quite tolerable once he set his mind to getting through it. The truth is that we humans have been dealing with broken bones and other painful conditions for over 200,000 years without opiates. We are certainly capable of handling and tolerating pain. While I'm not recommending this for all patients, it is certainly possible to do it. Most of the time, we recommend that if opiates are needed, our patients use the smallest doses of opiates for the smallest amount of time possible. We also recommend that they have someone else dispensing the medicines so that they do not have unlimited access. When people follow this approach they almost always do very well. #### Dr. Coleman Discusses Naloxone on NBC12 Dr. Peter Coleman was recently featured on the Richmond NBC affiliate discussing the drug Naloxone. The drug Naloxone is a medication used to block the effects of an opioid overdose; it is now much easier to get Naloxone, which can bring a person back from the brink of death and save their life. Every day, 76 people die of opiate overdoses in the U.S. In 2014, more people in the state of Virginia died of an opiate overdose than a car crash. This is why it is so critical that Naloxone be available to friends and loved ones that may be near a person as they overdose on heroin or other opioid substances. #### Dr. Coleman Discusses Opiate Epidemic on NBC 12 Dr. Peter Coleman was recently featured on the Richmond NBC affiliate discussing the opiate epidemic. The makers of Suboxone®, based out of Chesterfield, are facing a lawsuit brought on by 35 states - including Virginia. The lawsuit alleges that the manufacturer changed their formula, pushing generic manufacturers out of the market.  #### Dr. Coleman Discusses Virginia Drug Safety Initiative on WRIC Dr. Peter Coleman was featured on the Richmond ABC affiliate discussing the recently announced prescription drug safety initiative, set up by Attorney General Mark Herring. The Virginia AG has secured the donation of 80,000 drug deactivation kits capable of safely disposing of 3.6 million leftover prescription pills. Dr. Peter Coleman was interviewed for his take on the reasons why opioid addiction is such a strong epidemic. He believes part of it stems from young people having easy access to their parent's medicine cabinets, and part of it comes from doctors over-prescribing opiates.    #### Dr. Coleman Voted Top Addiction Doc for 10th Consecutive Year Congratulations to our founder, Peter Coleman, MD, on being recognized as a Top Doc in Addiction Medicine in Richmond magazine for the 10th consecutive year (every year since the category began)! This recognition is based on voting by area healthcare professionals. The Coleman Institute for Addiction Medicine has been Richmond’s leading outpatient addiction treatment center for over 20 years, helping people overcome their opioid, alcohol, and benzodiazepine use. Read the full article on Richmond Magazine here. #### Dr. Peter Coleman Discusses Opiate Epidemic on WRIC Dr. Peter Coleman, National Medical Director of The Coleman Institute, was featured in a segment about Henrico County parent's increasing concern over opiate abuse. The PTSA at Mills E. Godwin High School in Henrico reached out to Dr. Coleman to seek education about the growing epidemic. #### Dr. Peter Coleman Discusses Poppy Tea on WRIC Dr. Peter Coleman was featured on the WRIC in Richmond, VA discussing the dangerous drug known as "poppy tea." It was recently discovered that a JMU student overdosed from drinking this substance. It's made from combining just two ingredients - poppy seeds and water - which can become addictive and deadly. Dr. Coleman has detoxed patients that drank poppy tea as a substitute for heroin. However, poppy tea can make users even more addicted to opiates and for that reason is extremely dangerous.   #### Dr. Peter Coleman Selected Top Doc for Third Consecutive Year Dr. Peter Coleman, National Medical Director of The Coleman Institute, has been voted one of the Top Addiction Medicine Specialists for the third year in a row in Richmond Magazine’s 2016 “Top Doctors” survey. The Richmond Magazine survey asks local physicians to recommend their peers in 85 categories. Dr. Coleman again made the list in the Addiction Medicine category. See the full list here. Since founding the Coleman Institute in 1998, Dr. Coleman has helped thousands of patients achieve long-term recovery and sobriety. In addition to their Richmond, Virginia center, the Coleman Institute has 9 convenient locations across the United States and is actively seeking like-minded physicians for expansion to more US markets. The Coleman Institute continues to be one of the most successful and innovative centers for addiction treatment in the country. Since 1998, The Coleman Institute has been helping patients with addiction on their road to recovery. The Coleman Institute, under the direction of Dr. Peter Coleman, has developed a suite of unique outpatient treatments that help people detoxify and stabilize from the effects of opiates (heroin, Methadone, Suboxone, OxyContin, etc.), alcohol and benzodiazepines. These accelerated, outpatient detox treatments can be completed in as little as 3 days and have achieved remarkable results with successful completion rates of 98+%. For more information, including the network of offices across the United States, visit www.thecolemaninstitute.com. #### Dr. Peter Coleman Voted Top Addiction Doc The Coleman Institute is honored to have National Medical Director and company founder Dr. Peter Coleman voted a Top Addiction Medicine Doc for 2018 in Richmond, VA. Richmond Magazine included the category of Addiction Medicine for the first time in 2014. Every year since then, Dr. Coleman has been included among the top 5 physicians, indicating his continued level of excellence in the field. #### Dr. Peter Coleman Voted Top Addiction Doc by Richmond Magazine for 8th Consecutive Year The Coleman Institute for Addiction Medicine, a BayMark Health Services company, is honored to have company founder Dr. Peter Coleman voted a Top Doc in Addiction Medicine for 2021. Richmond Magazine introduced the category of Addiction Medicine into its Top Docs feature for the first time in 2014. Since then, Dr. Coleman has been selected every year as one of the top 5 addiction specialists based on voting by other medical professionals, indicating his continued excellence in the field. View the full list on Richmond Magazine, here. #### Dr. Peter Coleman Voted Top Addiction Doc by Richmond Magazine for 9th Consecutive Year For the 9th consecutive year, Dr. Peter Coleman, company founder of the Coleman Institute for Addiction Medicine, a BayMark Health Services company, is voted Top Doc in Addiction Medicine for 2022 by Richmond Magazine. Dr. Coleman has been selected every year as one of the top 5 addiction specialists since the introduction of the Addiction Medicine category in 2014. This list is based on voting by other medical professionals, indicating Dr. Coleman's continued excellence in the field.   View the full list on Richmond Magazine here. #### Emotionally Naked Interviews Dr. Peter Coleman - Part One Ann Moss Rogers of Emotionally Naked interviews Dr. Peter Coleman to learn more about the Coleman Institute and opioid addiction. The Coleman Institute believes it is important for families to be well educated on the treatment options that are available so they can help their loved ones find the road to recovery.   Watch part one of the interview between Ann Moss Rogers and Dr. Peter Coleman to learn more about opioid addiction, the Coleman Institute's detox program and the best approach to take as a family member of a loved one who is addicted to opioids.   #### Emotionally Naked Interviews Dr. Peter Coleman - Part Two Ann Moss Rogers of Emotionally Naked interviews Dr. Peter Coleman to learn more about the Coleman Institute and Addiction.    Watch part two of the interview between Ann Moss Rogers and Dr. Peter Coleman to learn more about Medication-Assisted Treatment (MAT), in addition to more information on Benzodiazepine and Alcohol addiction.    #### Gaming and fentanyl: How one addiction may feed into the other If you’ve ever undergone surgery and had anesthesia, chances are you might have taken fentanyl — a narcotic analgesic that when combined with a sleep agent, helps your body survive the trauma of being opened up. But fentanyl has a deadly side. It’s largely considered the worst of the worst of addictive opioids that are part of a crisis that’s killing Americans nationwide. Read The Southside Daily Article Here. #### National Medical Director Dr. Peter Coleman Voted Top Addiction Doc by Richmond Magazine The Coleman Institute for Addiction Medicine, a BayMark Health Services company, is honored to have National Medical Director and company founder Dr. Peter Coleman voted a Top Doc in Addiction Medicine for 2020. Richmond Magazine introduced the category of Addiction Medicine into its Top Docs feature for the first time in 2014. Since then, Dr. Coleman has been selected every year as one of the top 5 addiction specialists based on voting by other medical professionals, indicating his continued excellence in the field. Read the full release, here. View the full list on Richmond Magazine, here. #### What is CBD? There are two main active ingredients in marijuana plants. Actually, there are a total of over 100 active ingredients, called cannabinoids, but there are two that are the most important. Everyone has heard of Tetrahydrocannabinol - THC, which is the drug that gets people high. Cannabidiol, or CBD, is the other main ingredient. CBD has almost no psycho-active properties, so it doesn't get people high, but it seems to have some quite powerful medical effects. There are no comprehensive studies yet done on CBD, but a number of preliminary studies have shown some quite exciting results. CBD may be very helpful for seizure disorders, pain and anxiety problems. A CBD product was recently approved here in the US for Dravet Syndrome, which is a rare condition that causes intractable seizures starting in infancy. Hopefully, continued research of this compound will uncover more about its usefulness and how it can help people. #### What Is The New Buprenorphine Injection? Recently, the FDA gave its approval to a new treatment for patients with an opioid substance use disorder. It is a monthly injection of an old medicine - buprenorphine. The new treatment is called Sublocade® and it reliably gives a steady dose of the buprenorphine for a whole month. Buprenorphine is the active ingredient in Suboxone, Bunavail®, and Zubsolv®. It is a long lasting partial agonist which means that it partially turns on the brain's opiate receptors. But, it does this in such a slow and controlled fashion that people don't get high when they take it. Indivior, the manufacturer of Sublocade, has now taken the buprenorphine and put it into a slow release formula which lasts a month - at one of the highest prescribed doses of Suboxone. There are number of reasons why this may be a very useful treatment. It should reliably decrease cravings. Because it is a monthly injection by a healthcare provider, it will be impossible for the addict to sell the medicine or swap it for other addictive drugs - which happens more than we would like to think. It will likely help patients in a psychological way, too. Receiving a once-monthly treatment allows patients to focus on their recovery instead of always thinking and wondering if the dose is correct, or if they need more medicine. We see this pattern with our two-month naltrexone implants. Patients relax and don't focus on their medicine, and instead, focus on the changes they need to make to stay in long-term recovery. One more place that Sublocade® may be very helpful is in the ER, right after a near fatal overdose. Some studies are underway to see whether it may be helpful to put patients onto Sublocade® at a time when patients have come face to face with the reality that they have a disease that almost killed them. One shot of Sublocade® can provide 30 days or so of protection from another overdose while helping patients proceed with counseling and treatment. Of course, one of the challenges with Sublocade® is that it is still an addictive opioid. Patients can use it to stabilize their opioid problem, but if they chose to be abstinent and on naltrexone, they will have to go through a detox process. Fortunately, here at the Coleman Institute, we have an Accelerated Detox program to support long-term abstinence. Currently, we are seeing more and more patients who have done well with Suboxone but are unable to stop on their own. Our program can shorten the detox process from an 18-month taper, down to an 8-day outpatient treatment with a 98% completion rate. Sublocade® is an interesting new treatment option. It may well be a very helpful addition to available treatment options for opiate dependence or addiction. With over 120 fatalities per day, we certainly need continue to develop all treatment options. #### Why Is It So Hard To Detox Off Opioids? The symptoms of detoxing off of any drug are always the exact opposite of the effects that the drug delivers when it is used properly and as prescribed. For example, a drug like alcohol is a sedative that makes people calm and relaxed and will even put them into a coma if enough is taken. Withdrawal off of alcohol is the exact opposite of this: it is characterized by anxiety, tremors, shakes, agitation, rapid pulse rate, sweating, high blood pressure, and insomnia. Opioids are extremely strong painkillers. They relieve the intense pain of broken bones, surgery, kidney stones, etc. They can relieve almost any physical pain. Opiates also relieve emotional pain, like loneliness, anxiety, and boredom. So, the main symptom of withdrawal off opiates is extreme pain. The intensity of the pain of withdrawal is the equal but the opposite of the pain relief which the opiates provide. Because patients who come to detox are typically using such high doses of opioids, the pain they feel if they tried to go cold-turkey is quite extreme. Most patients cannot stand it. Some patients have described it to me that it is like having your bones scraped. Opiates also give people a strong burst of energy. Therefore, withdrawal from opiates leads to a very profound feeling of fatigue and lack of energy. The pain of opioid withdrawal is so powerful that most people are unable to do it on their own. Even when they go to detox in a hospital and receive 24-hour attention and comfort meds, about 25% of people leave against medical advice before their detox is completed. This is why I am so proud of our detox method. We are able to comfortably and successfully get 98 percent of our patients though the detox phase and onto the blocking drug naltrexone. Once our detox is completed, people have a real opportunity to begin their journey into long-term recovery. ### Pages #### About the Coleman Institute [et_pb_section fb_built="1" fullwidth="on" _builder_version="4.16" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_fullwidth_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2018/11/abouttcihdr.jpg" _builder_version="4.16" global_colors_info="{}"][/et_pb_fullwidth_image][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" global_colors_info="{}"]About The Coleman Institute "The Coleman Institute is dedicated to developing treatments that are safe, comfortable and affordable for patients, enabling them to take that first step towards recovery and a drug-free life."- Dr. Peter Coleman Since 1998, our mission has been to help patients achieve freedom from addiction. Under the direction of our founder, Dr. Peter Coleman, we have developed a suite of unique, customized programs that help people detoxify and stabilize from the effects of opiates (heroin, methadone, Oxycontin, etc.) and alcohol in as few as three days. We’re proud to say that 95% of our patients successfully complete their detox. We believe part of our success comes from the fact that Dr. Coleman has a unique perspective on addiction, since he lived through it himself. In recovery for over 30 years, Dr. Coleman distinctly understands the challenges associated with breaking free from addiction — and staying free of it for life. With his mind for science and passion for helping others, Dr. Coleman has formed a large network of doctors and professionals from across the United States. Each Coleman Institute physician is dedicated to helping patients begin their recovery and get back to enjoying life. The Coleman Institute treats patients across the United States and is run by compassionate professionals who truly care about your health and future. If you're ready to take the next step toward an addiction-free life, send us an email or give us a call today. You can find freedom from addiction — and we’re ready to help.[/et_pb_text][et_pb_sidebar area="et_pb_widget_area_3" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="0px|0px|51px|0px" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_4" show_border="off" _builder_version="4.16" text_orientation="center" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Accelerated Opiate Detox [et_pb_section fb_built="1" admin_label="Header" module_class="header on-dark spaced centered" _builder_version="4.16" background_image="https://www.thecolemaninstitute.com/wp-content/uploads/2019/04/tci-happy-man-smiling.jpg" background_position="top_center" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" global_colors_info="{}"]Accelerated Opioid Detox The Coleman Method is a safer, faster, and more comfortable way to start your journey toward recovery. Call Now at 877-773-3869[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner List" module_class="banner list on-dark centered" _builder_version="4.16" background_color="#053a72" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" global_colors_info="{}"] Minimize Withdrawal Symptoms Detox in as Little as 3 Days Convenient Outpatient Treatment [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="CTA Banner" module_class="banner cta" _builder_version="4.27.0" background_color="#f5f5f5" custom_padding="4px|||||" da_disable_devices="off|off|off" global_module="14958" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/Anthem-1.png" alt="anthem blue cross blue shield logo" title_text="Anthem-1" align="right" align_tablet="center" align_phone="center" align_last_edited="on|tablet" _builder_version="4.27.4" custom_margin_tablet="" custom_margin_phone="" custom_margin_last_edited="on|tablet" custom_padding="25px||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/sentra-1.png" alt="sentara health plans logo" title_text="sentra-1" align="left" align_tablet="center" align_phone="center" align_last_edited="on|phone" _builder_version="4.27.4" custom_padding="25px||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.17.4" _module_preset="default" custom_padding="25px||||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.17.4" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.4" text_orientation="center" custom_margin="25px||||false|false" locked="off" global_colors_info="{}"]Now accepting many Anthem Blue Cross Blue Shield and Sentara Health Plans. We also welcome self-pay patients. Financing options are available.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.19.1" _module_preset="default" custom_margin="||50px||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.19.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.19.5" global_colors_info="{}"]Outpatient Accelerated Opioid Detox Treatment[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" global_colors_info="{}"]Why Choose Accelerated Opioid Detox? Opioids can cause dependency or addiction after just a few uses and withdrawal can be a miserable experience, which is why patients are often unsuccessful at self-detoxing. That’s why we’ve developed the Coleman Method – an outpatient detox program that has a 98% completion rate and can be finished in as little as 3 days. If you or a loved one are suffering from opioid addiction, it’s important to remember: You are not alone. Opioid addiction has developed a stigma and is often seen as a sign of weakness, but this couldn’t be further from the truth. At the Coleman Institute, we know that opioid addiction is a chronic disease, and we treat it as such. Call Now[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.26.0" global_colors_info="{}"]How Does the Coleman Method For Accelerated Opioid Detox Work? Our Accelerated Opioid Detox treatment using the Coleman Method removes the opioids from your brain in the fastest, most comfortable way possible. Rather than the typical 10 days you’d spend self-detoxing, the Coleman Method detoxification process takes as little as 3 days, and most importantly, it’s a much safer option. With the Coleman Method, in just a few days you can rid your body of opioids and be ready to reclaim control over your life. Because this outpatient treatment only takes a few days, there’s very little disruption to your life. Plus, you won’t face the discomfort that causes many people to relapse after a few days when they go it alone. LEARN MORE[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.19.1" _module_preset="default" custom_margin="||50px||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.19.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.19.5" global_colors_info="{}"]Opioid Use Disorder[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.19.5" global_colors_info="{}"]How Does Opioid Use Become an Addiction? Some people started using opioids simply because they were curious. Other people started on opioids because their doctor prescribed them for legitimate pain conditions, and they likely took the medicine just as prescribed. It doesn’t take long to become physically dependent on opioids and, in truth, it doesn't matter how people originally develop a dependence on or addiction to opioids—the result is the same. Having to take opioids, whether prescribed drugs or street drugs, simply to function and feel normal is devastating, and it can feel like an endless doom loop until they get help.[/et_pb_text][et_pb_text _builder_version="4.21.0" global_colors_info="{}"]What Are The Signs Of Opioid Addiction? Addiction is a serious disease that impacts the brain, body, and soul. And like many diseases, Opioid Use Disorder can be treated. Just as you can see the signs of a cold, there are signs of opioid addiction to be aware of: Change in hygiene or personal appearance Injuries related to falls or fights Behavioral changes and moodiness Depression or anxiety Irritability or agitation Lack of personal hygiene or concern for appearance Inability to fulfill personal responsibility Disrupted sleep patterns Slurred speech Itchy, flushed skin Constricted pupils GET THE FREE GUIDE[/et_pb_text][et_pb_text _builder_version="4.26.0" global_colors_info="{}"]Opioid Detox Treatment: What To Expect The Coleman Method for medical opioid detox is a safer, faster and more comfortable process. This method limits the pain associated with withdrawal and can be completed in as few as 3 days so you can reclaim your life with little disruption to your day-to-day responsibilities. The Accelerated Opioid Detox program at the Coleman Institute starts by asking patients to stop taking their opioids 16-48 hours before their first scheduled appointment, based on guidance from our physician. Day 1 of Detoxing Off Of OpioidsDuring the initial phase of opioid withdrawal, patients may experience mild discomfort. To alleviate these symptoms, a qualified healthcare professional will prescribe a tailored set of comfort medications. In addition, a small amount of Naltrexone is administered to speed up the healing process. Intermediate Day(s)The intermediate days of an opioid detox treatment are comparable to the first day in that patients will continue to receive comfort medications around the clock. Dosages will be tailored to the individual's needs to ensure maximum comfort. Once again, micro-dose Naltrexone is used to support the detoxification process. Final Day of Detoxing Off Of OpioidsBy the final day of the detox, patients have made considerable progress. While they rest in a bed in our office, any remaining opioids in the patient’s brain are gently removed over a period of six to eight hours. Following the completion of the detox, patients receive long-acting Naltrexone, and can leave the facility with the assurance that all opioids have been removed from their system. Naltrexone helps reduce cravings and the risk of relapse.[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.26.0" global_colors_info="{}"]Facts About Opioids Opioids are a broad class of drugs that can be natural or synthetic. Common opioids include fentanyl, oxycodone (OxyContin), hydrocodone (Vicodin), and codeine. The impact of the opioid epidemic on American society and the economy is huge. It has caused enormous suffering, overdoses, deaths, broken families, and emotional distress in those suffering from Substance Use Disorder —and their loved ones— across the country. The toll of America’s opioid crisis is devastating: According to the National Institute on Drug Abuse, 130 Americans die from overdosing on opioids daily. In 2017, there were 70,237 drug overdose deaths, of which 47,600 (67.8%) involved opioids 11.1 million people aged 12 or older misused prescription pain relievers in the past year. 3 out of 4 people who used heroin in the past year misused prescription opioids first. Approximately 2.1 million people have been diagnosed with Opioid Use Disorder (OUD). [/et_pb_text][et_pb_text _builder_version="4.27.4" global_colors_info="{}"]What Are The Symptoms Of Opioid Withdrawal? Most people cannot stop using opioids without a severe withdrawal reaction. This occurs because escalating doses of opioids change how parts of the brain function over time, creating both tolerance and dependence. Without opioids present in the brain, people experience symptoms that are opposite of the pleasurable sensation they had when they first tried opioids. Managing these withdrawal symptoms without a professional medical detox can be difficult and painful. Common opioid withdrawal symptoms include: Soreness and body aches Trouble sleeping Nausea Diarrhea Fatigue Fever and sweating Many people worry about how to manage withdrawal symptoms when they stop taking opioids. As a leading addiction treatment provider, one of our top priorities during a detox is to help patients manage any withdrawal symptoms that might appear. Over the past 25 years, we have developed a customized set of comfort medications and expertise in using them to quickly address any symptoms that might emerge. We also encourage patients to engage in self-care practices like staying hydrated, getting plenty of rest, and practicing mindfulness meditation. Additionally, emotional support from a support person or family can help patients feel empowered and motivated to continue their path toward recovery. Call Now[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Successful Detox CTA" module_class="banner cta centered" _builder_version="4.16" background_color="#f9f9f9" custom_padding="||" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.17.3" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_margin_tablet="" custom_margin_phone="" custom_margin_last_edited="on|phone" custom_padding="|25px|50px|25px|false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.0" global_colors_info="{}"]More than 8,500 Patients Treated with the Coleman Method[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" global_colors_info="{}"][/et_pb_text][et_pb_text _builder_version="4.21.0" text_font_size="18px" width="80%" module_alignment="center" global_colors_info="{}"]The Coleman Method Explained Dr. Peter Coleman discusses the Coleman Method for outpatient opiate detoxification (ambulatory withdrawal management).[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" custom_margin_tablet="" custom_margin_phone="50px||||false|false" custom_margin_last_edited="on|phone" global_colors_info="{}"][/et_pb_text][et_pb_text _builder_version="4.17.1" text_font_size="18px" width="80%" module_alignment="center" global_colors_info="{}"]Long Term Opioid Use Can Make Pain Worse Dr. Peter Coleman of the Coleman Institute for Addiction Medicine explains why long term opioid use can actually make pain worse.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner CTA - Opioid Detox Guide" module_class="banner cta expanded" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_5,3_5" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="2_5" module_class="desktop-only" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" global_colors_info="{}"][/et_pb_text][/et_pb_column][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="centered" _builder_version="4.27.4" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"]Recovery Starts With Finding the Right Detox Option For You. Download our free Guide to Understanding Accelerated Opioid Detox for an in-depth look at the fight against America's opioid crisis using industry-leading detox methods and addiction recovery treatment options. Get the Free Guide[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Locations" _builder_version="4.17.1" _module_preset="default" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.17.1" _module_preset="default" custom_padding="||50px||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.25.0" global_colors_info="{}"]Find An Outpatient Detox Near You   The Coleman Institute offers a variety of outpatient detox treatment options at locations nationwide. Our ground-breaking Coleman Method has helped thousands of patients recover from the effects of addiction. Whether you want to detox from opiates or alcohol, we can help.   FIND A LOCATION[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="FAQS" _builder_version="4.17.1" _module_preset="default" background_color="#f1faff" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.17.1" _module_preset="default" custom_padding="||50px||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"]Featured Accelerated Opioid Detox FAQs[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_4,1_2,1_4" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" locked="off" global_colors_info="{}"][et_pb_column type="1_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.17.1" text_font_size="18px" custom_padding="||||false|false" global_colors_info="{}"]What has been your success rate?What is Narcotic dependence?What are the different ways to detoxify from narcotics?How Does the Accelerated Opiate Detox Program work and what should be expected?What is Naltrexone therapy, and why is it important for opiate addiction?[/et_pb_text][et_pb_text _builder_version="4.17.1" text_font_size="18px" custom_padding="||||false|false" global_colors_info="{}"]View All Accelerated Opioid Detox FAQs[/et_pb_text][/et_pb_column][et_pb_column type="1_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="off|off|off" admin_label="Testimonials" module_class="testimonials-container centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.17.1" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_padding="||50px||false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.17.1" custom_padding="||20px" global_colors_info="{}"]See What Other Patients are Saying about Coleman Institute...[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" _builder_version="4.17.1" _module_preset="default" custom_padding="||50px||false|false" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.0" _module_preset="default" text_font_size="18px" global_colors_info="{}"] Whitney - Former Opioid User "This couldn't have been a better experience - there's so much personalized attention"[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.0" _module_preset="default" text_font_size="18px" global_colors_info="{}"] Dustin - Former Opioid User “I'm free and clear of the bondage of my addiction”[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" custom_padding="||50px||false|false" global_colors_info="{}"]See More Patient Experiences[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Benefits" module_class="banner on-dark centered spaced" _builder_version="4.16" background_color="#053a72" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row use_custom_gutter="on" gutter_width="1" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="100%" width_tablet="100%" width_phone="" width_last_edited="on|desktop" max_width="100%" max_width_tablet="100%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" text_text_color="#003974" global_colors_info="{}"]What are the Benefits of Accelerated Opioid Detox?[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" use_custom_gutter="on" gutter_width="1" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="100%" width_tablet="100%" width_phone="" width_last_edited="on|desktop" max_width="100%" max_width_tablet="100%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="benefits-section" _builder_version="4.16" global_colors_info="{}"]Outpatient Care Detox in as little as 3 days 98% detox completion rate No hospital stay required[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="benefits-section" _builder_version="4.16" global_colors_info="{}"]Minimal Discomfort Safe, assisted withdrawal process Customized medications to reduce discomfort Caring, compassionate medical professionals who specialize in addiction treatment[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="benefits-section" _builder_version="4.25.0" global_colors_info="{}"]Recovery Support Naltrexone therapy to reduce cravings and the risk of relapse Access to recovery support services[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" global_colors_info="{}"]Call Now[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Drug Name Modules" module_class="banner centered spaced" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row use_custom_gutter="on" gutter_width="1" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="100%" width_tablet="100%" width_phone="" width_last_edited="on|desktop" max_width="100%" max_width_tablet="100%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="centered" _builder_version="4.16" text_text_color="#003974" text_font_size="18px" text_line_height="4em" text_orientation="center" locked="off" global_colors_info="{}"]What Opioids Does the Coleman Institute Treat?[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row custom_padding_last_edited="on|tablet" admin_label="Row" _builder_version="4.16" _module_preset="default" custom_margin_tablet="" custom_margin_phone="" custom_margin_last_edited="on|desktop" custom_padding="||25px||false|false" custom_padding_tablet="||||true|false" custom_padding_phone="" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.25.0" text_text_color="#003974" text_font_size="18px" text_orientation="center" locked="off" global_colors_info="{}"]These are just some of the opioids we treat. For a full list of opioids treated at the Coleman Institute, please call 877-773-3869.[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" use_custom_gutter="on" gutter_width="1" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="100%" width_tablet="100%" width_phone="" width_last_edited="on|desktop" max_width="100%" max_width_tablet="100%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="benefits-section" _builder_version="4.16" text_text_color="#414141" background_layout="dark" global_colors_info="{}"]Buprenorphine Codeine Cough Syrup Demerol Dilaudid Duragesic Fentanyl Heroin[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="benefits-section" _builder_version="4.16" text_text_color="#414141" global_colors_info="{}"]Hydrocodone Hydromorphone Kratom Lean Methadone Morphine Norco Oxycodone[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="benefits-section" _builder_version="4.25.0" text_text_color="#414141" global_colors_info="{}"]Oxycontin Percocet Purple Drank Suboxone Subutex Tiana Tramadol Vicodin[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="off|off|off" admin_label="Form" module_class="centered spaced" _builder_version="4.21.0" custom_padding="||||false|false" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" global_colors_info="{}"]Ready to Reclaim Your Life? Get back to being yourself with our safe and effective method for accelerated opioid detox. Call Now at 877-773-3869[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] #### Accelerated Opiate Detox FAQs [et_pb_section fb_built="1" fullwidth="on" _builder_version="4.16" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_fullwidth_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2018/11/accelopdetoxhdr-1.jpg" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}"][/et_pb_fullwidth_image][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"]Accelerated Opiate Detox (AOD) FAQs What has been your success rate with rapid opiate detox? What is Opioid dependence? What are the available detox programs and different ways to detoxify from narcotics? How Does the Accelerated Opiate Detox Program work and what should be expected? What is Naltrexone therapy, and why is it important for opiate addiction? How long should I be on Naltrexone Therapy after rapid opiate detox? Is AOD effective for detoxing from methadone, Suboxone (buprenorphine) and Subutex? Are there any risks and side effects? How do patients feel during rapid opiate detox? What happens after the detoxification? What is the risk of overdosing after completing an opioid detox treatment? What is the follow up with your facility? What does Accelerated Opiate Detox cost? Does rapid Fentanyl Detox work? Is Accelerated Opiate Detox with Naltrexone right for me?      1. What has been your success rate with rapid opiate detox?   We have been performing the Accelerated Opiate Detox since 2001. Our comfortable outpatient detox program has a 98% completion rate. Whether you want to detox from opiates or alcohol, we can help.    2. What is Opioid dependence?   Opioid dependence is a medical condition where a person has been taking an opioid (Fentanyl, Heroin, Methadone, Suboxone or other painkillers) and their body becomes physically dependent on the substance. Drug dependence often happens very quickly: Heroin can be addictive after only one use, and other narcotics can take as little a week or two for a user to become dependent. After someone develops a narcotic tolerance, they’ll experience very painful withdrawal symptoms if they don’t use it. Without medical assistance, withdrawal typically takes about 10 days and includes extreme discomfort and pain, diarrhea, sweats, sleeplessness and abdominal cramps. Most people are unable to tolerate the symptoms without professional help.    3. What are the available detox programs and different ways to detoxify from narcotics?   There are a number of detox methods and treatment programs available when detoxing from opioids.   Accelerated Opioid Detox: This outpatient approach uses sedative medicines and Naltrexone to help patients safely and comfortably detox with fewer withdrawal symptoms in as little as three days. At our clinics, 98% of patients successfully complete their detox, without the risks and costs of general anesthesia, or the need to take an extended break from their daily responsibilities.   Self Detox: Stopping suddenly is known as “going cold turkey,” and this can be extremely uncomfortable and dangerous. Most people try tapering or weaning down themselves, but this is almost never successful. This approach is usually so uncomfortable that most patients are unable to tolerate the pain and resort to using opiates again. Self-detox from long-acting medication such as Methadone or Buprenorphine can be even more drawn out and uncomfortable. Performing an opiate detox yourself is not generally recommended due to the high probability of relapse and potential safety concerns.   Ultra Rapid Opioid Detoxification (URD or UROD): This inpatient, hospital-based method involves putting patients under General Anesthesia and intravenously administering opioid antagonists such as Naltrexone. This process of flushing the drugs out of their system can take place in as few as five minutes. UROD comes with a high cost and serious medical risks — and there have been fatalities reported. Inpatient Detoxification: Unlike accelerated or rapid opioid detox, inpatient detox takes place in a hospital or rehab facility for several days to upwards of 30 days in order to fully rid the body from opiates. Medical professionals supervise and administer the medications for pain and discomfort during the detox, as well as monitor the patient for safety. This method can be very expensive and often interrupts daily responsibilities. With inpatient detox, it is important to be aware that health insurance may not cover the full length of stay it requires to fully detox. The number of days required will vary with each patient.   Methadone or Buprenorphine: This common approach uses opiates to help people detox from another opiate. As opposed to an 8-day program for withdrawing from methadone or buprenorphine, a clinic guides patients through a weeks-long taper period, where the individual begins using Methadone or Buprenorphine in place of another, more dangerous opiate. Unfortunately, while they are completely legal, both of these medications are also highly addictive opiates — so many people end up trading one addiction for another. That said, they are both valuable, evidence-based medications used for ongoing Medication-Assisted Treatment for opioid use disorder; they just can be hard to detox off of, for those patients who are trying to do so.    4. How Does the Accelerated Opiate Detox Program work and what should be expected?   Before the Accelerated Opiate Detox Program Begins:   Decide on dates you would like to come in for treatment. We do not have a waiting list and can typically begin your treatment within a week of scheduling. Once availability has been confirmed, a non-refundable deposit is collected to secure your treatment dates. Before arriving, you will be given instructions on how to complete our online medical screening form. A practitioner will call you directly to review your medical history. Patients stop taking their opioids 16-48 hours before their first scheduled appointment, based on guidance from our physician. We require each patient to have a support person who stays with them throughout the duration of the rapid opiate detox and 48 hours after their detox. Patients are not allowed to drive and must be monitored at all times. Day 1: Because they stopped taking opioids the previous evening, patients will be in mild withdrawal. A licensed and experienced healthcare provider will administer sedatives and other comfort medications in the office and prescribe medications to take throughout the day. They will administer a micro-dose of Naltrexone to speed up the healing process and make it more manageable. Intermediate Day(s): The second day of the detox program is similar to the first in that patients continue to receive more sedatives and comfort medications throughout the day. Physicians will adjust dosages to make it as comfortable as possible. Again, micro-dose Naltrexone helps the detox process. Final Day: By the third and final day of the detox, patients will have made significant progress. Under light sedation, the remaining opioids are gently removed from their brain, typically over six to eight hours. They stay in a private and comfortable room with a bed where we monitor the patient closely. At this point the detox is complete, we administer long-acting Naltrexone, and the patient can return home knowing that all of the opioids have been removed from their brain.    5. What is Naltrexone therapy, and why is it important for opiate addiction?   Our ultimate goal with Accelerated Opiate Detox (AOD) is for patients to begin a life of abstinence — rather than treating addiction with a maintenance program that uses other opiates, such as Suboxone or methadone. We recognize that recovery is a challenging path to walk, filled with many opportunities for relapse. So, after rapid opioid detox, in certain locations, we use Naltrexone therapy to help patients focus on their psychological healing without the temptations to use again. Naltrexone is a non-addictive, non-narcotic medicine that attaches to the brain’s opiate receptors and completely blocks them. As a result, patients feel no effect from opiates while on Naltrexone and experience virtually no drug cravings. We believe that 12 months of Naltrexone therapy gives patients the best chance for lasting recovery. This support allows their brain to physically heal from the opiates’ damage while they build the psychological tools and strength they need to Stay Clean for life.    6. How long should I be on Naltrexone Therapy after opioid detox?   Naltrexone is a medicine that blocks the opioid receptors in a person’s brain — which means it dramatically reduces cravings when they’re taking it. In certain locations, we offer ongoing support, long-lasting naltrexone therapy treatments, and case management to keep patients on the path to sobriety. It is non-addictive and does not block the body’s natural endorphins. And if someone uses an opioid while they are on Naltrexone, the medicine can help reduce the patient’s ability to feel high. The Coleman Institute has historically been a leader in the use of long-acting formulations of Naltrexone and Vivitrol® is an injectable form of naltrexone that is FDA-approved for use in the treatment of both Opioid Use Disorder (OUD) and Alcohol Use Disorder (AUD). For the best chance of a successful opiate detox and lifelong recovery, we recommend that most patients continue with their Naltrexone therapy for a year after completing detox to give them enough time to develop new, healthy habits.    7. Is AOD effective for detoxing from methadone, Suboxone (buprenorphine) and Subutex?   We have found that this detox works particularly well for methadone, Suboxone (buprenorphine) and Subutex, as long as we extend the Accelerated Detox Program from its standard 3-8 days. We are able to safely and comfortably detox patients from even very high doses of these long-acting opiates.    8. Are there any risks and side effects?   As with any medical procedure, there are some possible risks if patients: Do not follow through with the physician’s instructions, Do not come in for their scheduled appointments, or Take more medicine than prescribed. Unlike Ultra Rapid Detox — which we do not offer because it has caused a number of deaths — the Accelerated Opiate Detox procedure is extremely safe.    9. How do patients feel during our unique form of rapid outpatient detox?   On the initial detox day, patients will be in mild to moderate opioid withdrawal, but we will give them medicine to dramatically reduce any symptoms. Throughout the rest of the detox, patients typically sleep a lot, eat well, have mild amnesia and report feeling quite comfortable. Following the detox, patients often experience post-acute withdrawal symptoms (PAWS). During this recuperation period after detox, the brain receptors are healing and endorphin levels are rising back to a normal level. No matter which route a patient chooses to detox, there will always be a post-acute withdrawal phase. These vary a lot from person to person but tend to only last a few weeks. If a patient is having difficulty with post-acute withdrawal, our physicians can call in medications to help.    10. What happens after the detoxification?   We strongly believe that detoxification without appropriate follow up and treatment is almost always unsuccessful. Because of this we encourage and assist all of our patients to find a treatment program that will best suit their needs and begin mental health therapy with an appropriate substance abuse facility in their area as soon as possible following detoxification. In certain locations, we combine our highly successful detox approach with ongoing case management to educate patients and their support systems.    11. What is the risk of overdosing after completing an opioid detox treatment?   Studies show that patients can commonly overdose and even die following periods of abstinence from narcotics. This can occur because their tolerance is much lower than when they were actively using. Naltrexone is extremely good at making people abstinent, but when the Naltrexone wears off, patients will have very low opiate tolerance. Following any Naltrexone therapy, it is extremely easy for them to use too much heroin and have an overdose, which can be fatal. The Naltrexone is not causing the low tolerance, but instead the length of abstinence. Patients need to clearly understand that if they choose abstinence, their lowered narcotic tolerance means that any relapse could be fatal.    12. What is the follow up with your facility?   Our team members can work with patients on a number of areas, including:   Naltrexone therapy and support system for the patient during the rapid opioid detox, certain ongoing naltrexone treatments, and case management in certain locations. Education on the family dynamics of addiction Identifying Post-Acute Withdrawal Symptoms (PAWS) and developing tools and resources to manage them Planning lifestyle changes to reduce the risk of relapse    13. What does Accelerated Opiate Detox cost?   The treatment cost varies somewhat based on each patient’s specific usage patterns and treatment needs. Some commercial insurance plans now cover the cost of rapid detox at select Coleman Institute locations. Other commercial plans will reimburse a portion of your detoxification procedure. We can provide supporting documentation to help you seek reimbursement after your detox. We accept all major credit cards and offer third-party financing for each of our treatment options to make treatment as financially feasible as possible. We are dedicated to providing the most effective, affordable treatment option available. For more specifics about rapid detox cost, pricing and other financial information, please contact us today at 804-294-2212 or schedule a callback.    14. Does rapid Fentanyl Detox work?   Like any detox or addiction treatment, program efficacy and how well a rapid fentanyl detox works depends on you, the patient. If you attend your appointments, follow the recommended program using the Coleman Method, there’s no reason you can’t join the 98% of patients who have completed their detox.   15. Is Accelerated Opiate Detox with Naltrexone right for me?   An individual struggling with opioid dependence who is interested in a safe and relatively comfortable detoxification to start their journey toward recovery can be a good candidate for rapid opiate detox with Naltrexone. If you or someone you know has a history of struggling with opioid addiction, including dependence on substances such as fentanyl, heroin, prescription drugs, or pain medications, contact us today to schedule a callback with our addiction medicine specialists at the Coleman Institute.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Addiction Myths [et_pb_section fb_built="1" fullwidth="on" _builder_version="4.16" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_fullwidth_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2018/11/addictionmythhdr.jpg" _builder_version="4.16" global_colors_info="{}"][/et_pb_fullwidth_image][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.1" global_colors_info="{}"]Common Myths About Addiction Understanding addiction is the first step toward recovery. Unfortunately, harmful myths and misinformation about addiction persist in our society, unnecessarily confusing and frustrating those who struggle with opioid or alcohol dependency. Here are some common addiction myths—and facts—surrounding Substance Use Disorder. Myth: Addiction is not treatable. Fact: You can treat addiction. Too often, people who are suffering from addiction feel as if there is no way out. What they don’t know is that addiction doesn’t have to be a death sentence or a lifelong curse. You can always find help, hope and healing. At the Coleman Institute, our accelerated outpatient detox provides a highly effective way to begin recovery. Our patients detox in a safe and comfortable environment, and we support their long-term success through our innovative Naltrexone Therapy. Myth: Addiction could never happen to me. Fact: Addiction can affect anyone. Drug or alcohol addiction and dependency have nothing to do with race, gender or education level. Like many other chronic diseases, addiction is a hereditary disease that is often impacted by a family history of substance or alcohol use. Although no one chooses to have an addiction, certain behaviors and choices are more likely to lead to one. At the Coleman Institute, we have successfully treated thousands of people from a variety of backgrounds, including business executives, teenagers, senior citizens, parents and even doctors. Although their individual stories may be different, all are united in their desire to break free from addiction. Myth: Addiction is just a lack of willpower. Fact: Addiction is a disease. Just as a person doesn’t choose to have an addiction, they also cannot simply choose to stop being addicted. In reality, addiction is a chronic brain disease that requires intensive and thorough treatment. Once a person becomes dependent on drugs or alcohol, their brain adjusts to the excessive amount of chemicals entering their body. As their body’s tolerance for the drug grows, they need to use higher and stronger doses just to function normally. This vicious cycle is almost impossible to stop without effective medical treatment. Myth: Addiction and dependence are one and the same. Fact: Addiction and dependence are different. There is often confusion between addiction and dependence. When someone is dependent on a substance, this means they experience withdrawal symptoms if they decrease or stop the use of that substance. You can be dependent on drugs or alcohol without being addicted. Addiction is a disease that can involve dependence, but not in every case. Like dependence, addiction is associated with chemical changes in the brain but addiction also involves elements such as changes in behavior that impact quality of life, increased substance use, fixation on the drug/substance despite negative consequences, and more. Myth: You have to wait a long time for an open spot in a detox program. Fact: There is currently no wait to get into detox at the Coleman Institute. You don't have to wait to get the assistance you need—with clinics around the country and a diverse team of experienced addiction medicine experts, the Coleman Institute is ready to help you get into detox. We offer outpatient detox options for Alcohol Use Disorder and Substance Use Disorder. Spots are open now! Request a callback here or call 877-773-3869 to speak with us right away. Myth: All types of detox (withdrawal management) are the same. Fact: There are many different types of detoxes available. Detoxing on your own can be extremely difficult, as both alcohol and opioids can cause physical changes in your brain. Most people cannot stop using alcohol or opioids without severe withdrawal and may need to seek out professional help through medical detoxification. Common detox methods include: Self Detox: Stopping suddenly is known as “going cold turkey,” and this can be extremely uncomfortable. Most people try tapering or weaning themselves down, but this is rarely successful. This approach is usually so uncomfortable that most patients are unable to tolerate the pain and resort to using opiates or alcohol again. Self detox is not generally recommended due to the high probability of relapse and potential safety concerns. Ultra Rapid Opioid Detoxification (URD or UROD), Anesthesia Detox, or Sedation Detox: This inpatient, hospital-based method involves putting patients under general anesthesia and intravenously administering opioid antagonists such as Naltrexone. This process of flushing the drugs out of their system can take place in as few as five minutes. The UROD methodology comes with a high cost and serious medical risks, and can potentially be fatal. Inpatient Detoxification: Inpatient detox can take place in a hospital or rehab facility. Medical professionals supervise and administer the medications for pain and discomfort during the detox, as well as monitor the patient for safety. This method can be very expensive and often interrupts daily responsibilities. With inpatient detox, it is important to be aware that health insurance may not cover the full length of stay required to detox completely. The number of days required will vary with each patient. Outpatient Detoxification using The Coleman Method: Our unique approach provides a comfortable and successful alternative so that the whole detoxification can be conducted on an outpatient basis. Patients tell us that they love being in their own homes, and not in a sterile hospital environment. At the Coleman Institute for Addiction Medicine, 98% of patients successfully complete their detox without the risks and costs of general anesthesia, or the need to take an extended break from their daily responsibilities. We recognize that completing a detox is just the first step toward recovery; the brain must fully recover physically, and there are significant behavioral and environmental changes that are necessary. After the detox is completed, we use long-acting Naltrexone to help patients reduce their cravings and begin their recovery. Naltrexone is highly effective in bridging the gap between detox and recovery. [/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Successful Detox CTA" module_class="banner cta centered" _builder_version="4.16" background_color="#f9f9f9" custom_padding="||" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.17.3" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_margin_tablet="" custom_margin_phone="" custom_margin_last_edited="on|phone" custom_padding="|25px|50px|25px|false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.0" global_colors_info="{}"]More than 8,500 Patients Treated with the Coleman Method[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" global_colors_info="{}"][/et_pb_text][et_pb_text _builder_version="4.17.1" text_font_size="18px" width="80%" module_alignment="center" global_colors_info="{}"]The Coleman Method Explained Dr. Peter Coleman discusses The Coleman Method for outpatient opiate detoxification (ambulatory withdrawal management).[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" custom_margin_tablet="" custom_margin_phone="50px||||false|false" custom_margin_last_edited="on|phone" global_colors_info="{}"][/et_pb_text][et_pb_text _builder_version="4.17.1" text_font_size="18px" width="80%" module_alignment="center" global_colors_info="{}"]Long Term Opioid Use Can Make Pain Worse Dr. Peter Coleman of the Coleman Institute for Addiction Medicine explains why long term opioid use can actually make pain worse.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner CTA - Opioid Detox Guide" module_class="banner cta expanded" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" global_colors_info="{}"][et_pb_text module_class="centered" _builder_version="4.16" text_orientation="center" custom_padding="||50px||false|false" custom_padding_last_edited="off|desktop" global_colors_info="{}"]Recovery Starts WithFinding The Right Detox Option For You.[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text disabled_on="on|on|off" _builder_version="4.16" text_font_size="18px" custom_margin="||0px||false|false" global_colors_info="{}"][/et_pb_text][et_pb_text module_class="centered" _builder_version="4.16" text_orientation="center" text_font_size_tablet="" text_font_size_phone="" text_font_size_last_edited="on|desktop" global_colors_info="{}"]Understanding Accelerated Opioid Detox Download our free Guide to Understanding Accelerated Opioid Detox for an in-depth look at the fight against America's opioid crisis using industry-leading detox methods and addiction recovery treatment options. Get the Opioid Detox Guide[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text disabled_on="on|on|off" _builder_version="4.16" custom_margin="||0px||false|false" custom_margin_tablet="" custom_margin_phone="" custom_margin_last_edited="on|desktop" global_colors_info="{}"][/et_pb_text][et_pb_text module_class="centered" _builder_version="4.16" text_orientation="center" global_colors_info="{}"]Understanding Alcohol Detox Download our free Guide to Understanding Alcohol Detox to learn about the prevalence of Alcohol Use Disorder (AUD) in American society and available treatment options. Get the Alcohol Detox Guide[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.21.0" custom_padding="50px|0px|50px|0px|false|false" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_4" show_border="off" _builder_version="4.16" text_orientation="center" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Addiction Resources [et_pb_section fb_built="1" fullwidth="on" _builder_version="4.16" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_fullwidth_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2018/11/staycleanhdr-1.jpg" _builder_version="4.16" global_colors_info="{}"][/et_pb_fullwidth_image][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.21.0" global_colors_info="{}"]Addiction Resources Center Ready to break free from addiction and reclaim your life? The Coleman Institute’s Addiction Resources Center can help. Our curated collection of addiction resources provides valuable information for patients and loved ones, from substance-specific insights and treatment options to the science of dependency and addiction. Explore these guides and websites and get the knowledge you need to make informed decisions about detox and recovery.   Explore Opioid & Alcohol Addiction Resources   The Guide to Understanding Accelerated Opioid Detox Getting through the withdrawal symptoms of opioid use on your own is extremely difficult, since opioids cause physical changes in your brain. Most people cannot stop using opioids without a severe and intolerable withdrawal reaction, and many seek out professional help through medical detoxification. Detoxification (more accurately, withdrawal management) can be the first step on the road to recovery from opioid addiction. Get our free, comprehensive guide to learn about available opioid detox and addiction treatment options.   The Guide to Understanding Alcohol Detox Detoxing after sustained alcohol use on your own can be scary and uncomfortable, but it also has the potential to be extremely dangerous and even fatal. The persistent use of alcohol changes the brain in powerful ways. If withdrawal is not managed carefully there can be seizures, permanent brain damage, and possibly death. The extent and severity of alcohol withdrawal symptoms are related to the intensity of the individual’s level of dependency. Get our free comprehensive guide to learn about available alcohol detox and addiction treatment options.   The Guide to Understanding Fentanyl Detox Fentanyl—a powerful synthetic opioid—is a significant contributor to the opioid crisis in the United States. It is readily available on the streets because it is cheap to manufacture and up to 50 times more potent than heroin. In many cases, people do not even realize the drug they are purchasing contains deadly Fentanyl, and addiction can occur after only a few uses. Get our free comprehensive guide to learn more about fentanyl detox and addiction treatment options.   The Guide to Understanding Heroin Detox Heroin addiction can happen to anyone—roughly one million people reported using heroin in the past year, according to the 2016 National Survey on Drug Use and Health. Most people cannot stop using heroin without a severe withdrawal reaction and must seek out professional help through medical detoxification. Detox can be key to getting your life back from opioid addiction. Get our free comprehensive guide to learn more about heroin detox and addiction treatment options.   The Guide to Understanding Pain Medication Detox Living with chronic pain can be incredibly difficult. This condition is often made worse by having to manage powerful prescription opiate painkillers, which can create dependency over time and lead to withdrawal symptoms even when taken as prescribed. Detoxing off of pain medication on your own can be extremely challenging, as opioid-based pain medications can cause physical changes in your brain. Get our free comprehensive guide for more information about available pain medication detox and addiction treatment options.   The Guide to Understanding Prescription Drug Detox When used as directed, prescription opioid medications provide many benefits, including pain relief. Unfortunately, many commonly prescribed medications are also highly addictive. What begins as a simple treatment for a medical condition can lead to a debilitating opioid dependence and could eventually result in addiction. Detoxing off prescription drugs on your own can be extremely difficult, but there is hope. Get our free comprehensive guide to learn about available prescription drug detox and addiction treatment options.   The Guide to Understanding Naltrexone Therapy for Opioids and Alcohol Detoxing on your own is an extremely dangerous and painful process. Opioids like heroin, morphine, and codeine, as well as pain medications and excessive alcohol consumption, can have a dramatic physical impact on a patient’s brain. Most people cannot stop taking these substances without a severe withdrawal experience, and many require expert professional care while detoxing. Naltrexone Therapy is an effective way to mitigate withdrawal symptoms and provide critical assistance during opioid and alcohol detox. Learn more with this comprehensive guide to detoxing using Naltrexone Therapy.   The Guide to Detoxing Off Suboxone Suboxone (buprenorphine/naloxone) can help people stop using and purchasing street drugs, but buprenorphine itself is an opioid. For patients who are stable on Suboxone, there is no reason to stop taking it. For people who are ready to detox off Suboxone, this comprehensive guide can help explain their options.   The Guide to Detoxing Off Methadone Many people have successfully used methadone in order to stop using heroin, fentanyl, or other dangerous opioids and have begun to recover their normal lives. One complication is that methadone is also a mood-altering opioid that is incredibly addictive. Detoxing off methadone can even be harder than heroin and many prescription opiates, but it is possible. Get our free comprehensive guide to learn more.   National Institute on Drug Abuse The National Institute on Drug Abuse’s mission is to “advance science on drug use and addiction and to apply that knowledge to improve individual and public health.” With ample research initiatives, tools, articles and more, the National Institute on Drug Abuse is paving the way for scientific research on drug use and addiction.   Substance Abuse and Mental Health Services Administration (SAMHSA) The Substance Abuse and Mental Health Services Administration (SAMHSA), part of the U.S. Department of Health and Human Services, was established to “make substance use and mental disorder information, services, and research more accessible.” Their vision is to help ensure that those at risk for mental health and substance use conditions have equitable access to care.   DrugFree.org DrugFree.org is an organization dedicated to the prevention, early action, and treatment of addiction that seeks to help individuals with recovery. They also empower families and shape public policy as it relates to Substance Use Disorder.   National Institutes of Health (NIH) As part of the U.S. Department of Health and Human Services, the National Institutes of Health (NIH) medical research agency for the United States. Their goal is to apply learnings from research into living systems and apply them toward improving human life.   Just Think Twice Just Think Twice is a joint effort between the United States Government and the Drug Enforcement Administration (DEA) that seeks to educate the public on the dangers of drugs by sharing studies, research, and articles related to drug use and addiction.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Successful Detox CTA" module_class="banner cta centered" _builder_version="4.16" background_color="#f9f9f9" custom_padding="||" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.17.3" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_margin_tablet="" custom_margin_phone="" custom_margin_last_edited="on|phone" custom_padding="|25px|50px|25px|false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.0" global_colors_info="{}"]More than 8,500 Patients Treated with the Coleman Method[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" global_colors_info="{}"][/et_pb_text][et_pb_text _builder_version="4.17.1" text_font_size="18px" width="80%" module_alignment="center" global_colors_info="{}"]The Coleman Method Explained Dr. Peter Coleman discusses The Coleman Method for outpatient opiate detoxification (ambulatory withdrawal management).[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" custom_margin_tablet="" custom_margin_phone="50px||||false|false" custom_margin_last_edited="on|phone" global_colors_info="{}"][/et_pb_text][et_pb_text _builder_version="4.17.1" text_font_size="18px" width="80%" module_alignment="center" global_colors_info="{}"]Long Term Opioid Use Can Make Pain Worse Dr. Peter Coleman of the Coleman Institute for Addiction Medicine explains why long term opioid use can actually make pain worse.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner CTA - Opioid Detox Guide" module_class="banner cta expanded" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" global_colors_info="{}"][et_pb_text module_class="centered" _builder_version="4.16" text_orientation="center" custom_padding="||50px||false|false" custom_padding_last_edited="off|desktop" global_colors_info="{}"]Recovery Starts WithFinding The Right Detox Option For You.[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text disabled_on="on|on|off" _builder_version="4.16" text_font_size="18px" custom_margin="||0px||false|false" global_colors_info="{}"][/et_pb_text][et_pb_text module_class="centered" _builder_version="4.16" text_orientation="center" text_font_size_tablet="" text_font_size_phone="" text_font_size_last_edited="on|desktop" global_colors_info="{}"]Understanding Accelerated Opioid Detox Download our free Guide to Understanding Accelerated Opioid Detox for an in-depth look at the fight against America's opioid crisis using industry-leading detox methods and addiction recovery treatment options. Get the Opioid Detox Guide[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text disabled_on="on|on|off" _builder_version="4.16" custom_margin="||0px||false|false" custom_margin_tablet="" custom_margin_phone="" custom_margin_last_edited="on|desktop" global_colors_info="{}"][/et_pb_text][et_pb_text module_class="centered" _builder_version="4.16" text_orientation="center" global_colors_info="{}"]Understanding Alcohol Detox Download our free Guide to Understanding Alcohol Detox to learn about the prevalence of Alcohol Use Disorder (AUD) in American society and available treatment options. Get the Alcohol Detox Guide[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.21.0" custom_padding="50px|0px|50px|0px|false|false" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_4" show_border="off" _builder_version="4.16" text_orientation="center" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Alcohol Detox [et_pb_section fb_built="1" admin_label="Header" module_class="header on-dark spaced centered" _builder_version="4.16" background_image="https://www.thecolemaninstitute.com/wp-content/uploads/2019/04/tci-happy-man-smiling.jpg" background_position="top_center" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" global_colors_info="{}"]Alcohol Detox The Coleman Method offers a safer and more comfortable option to detox—and commit to your recovery. Call Now at 877-773-3869[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner List" module_class="banner list on-dark centered" _builder_version="4.16" background_color="#053a72" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" global_colors_info="{}"] Minimize Withdrawal Symptoms Detox in as Little as 3 Days Convenient Outpatient Treatment [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="CTA Banner" module_class="banner cta" _builder_version="4.27.0" background_color="#f5f5f5" custom_padding="4px|||||" da_disable_devices="off|off|off" global_module="14958" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/Anthem-1.png" alt="anthem blue cross blue shield logo" title_text="Anthem-1" align="right" align_tablet="center" align_phone="center" align_last_edited="on|tablet" _builder_version="4.27.4" custom_margin_tablet="" custom_margin_phone="" custom_margin_last_edited="on|tablet" custom_padding="25px||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/sentra-1.png" alt="sentara health plans logo" title_text="sentra-1" align="left" align_tablet="center" align_phone="center" align_last_edited="on|phone" _builder_version="4.27.4" custom_padding="25px||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.17.4" _module_preset="default" custom_padding="25px||||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.17.4" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.4" text_orientation="center" custom_margin="25px||||false|false" locked="off" global_colors_info="{}"]Now accepting many Anthem Blue Cross Blue Shield and Sentara Health Plans. We also welcome self-pay patients. Financing options are available.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.19.1" _module_preset="default" custom_margin="||50px||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.19.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.19.5" global_colors_info="{}"]Outpatient Alcohol Detox Treatment[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" global_colors_info="{}"]Why Choose Outpatient Alcohol Detox? Although alcohol is a legal and common part of our society, it’s also one of the most addictive and widely abused drugs in the world. In the U.S., 7% of adults have an Alcohol Use Disorder (AUD) and almost 88,000 people die each year from alcohol-related causes — the third largest cause of preventable deaths in the country. If you’re struggling with alcoholism, you may have tried to cut back or quit on your own. But serious withdrawal symptoms, ranging from uncomfortable to deadly, can make self-detoxing both challenging and risky. At the Coleman Institute, we take these risks seriously and want to treat your addiction as safely and as comfortably as possible. That’s why we’ve developed the Coleman Method, a safe method to restore brain and body function in an outpatient setting. Call Now[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.21.0" global_colors_info="{}"]How Does the Coleman Method For Alcohol Detox Work? The sustained use of alcohol deprives the brain of crucial nutrients and, when left untreated, can lead to brain damage and seizures. The Coleman Method for alcohol detox begins by replenishing the vitamins and minerals your brain needs, then we offer medication to keep you calm, comfortable, and safe as your blood alcohol level drops. After a few hours of careful monitoring and supervision, you’ll be able to go home. For the next two days, you’ll return to our office regularly as you continue to completely detox. Once your body is free of alcohol, we offer a comprehensive recovery program in select locations. This includes Naltrexone Therapy to reduce cravings, individual counseling, and/or a regular 12-step program. LEARN MORE[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.19.1" _module_preset="default" custom_margin="||50px||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.19.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.19.5" global_colors_info="{}"]Alcohol Use Disorder[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.21.0" global_colors_info="{}"]How Does Alcohol Use Become an Addiction? Alcohol is one of the most commonly abused drugs in the United States. This is largely due to the societal acceptance of alcohol use and widespread convenient access to it (grocery stores, restaurants, gas stations, etc). Drinking is entwined in American culture. It is used to celebrate wins, grieve losses, and even as a therapeutic tool for stress, trauma, anxiety, or depression. Many adults can have a drink or two without developing alcohol dependence. However, when alcohol begins interfering in your daily life, such as straining relationships, making going to work difficult, and impacting finances, it may have progressed into Alcohol Use Disorder.[/et_pb_text][et_pb_text _builder_version="4.21.0" global_colors_info="{}"]What Are The Signs Of Alcohol Addiction? Signs of you or a loved one may be suffering from Alcohol Use Disorder or alcohol dependence can include: Drinking more or longer than intended Craving or having s strong urge/need to drink Drinking interfere with taking care of your family or caused problems at work More than once wanted to cut down or stop drinking, or tried to, but couldn’t? Continued to drink even though it was causing trouble with your family or friends Drinking until the point of blacking out or getting sick Spent a lot of time drinking? Or being sick or getting over the after-effects? Given up or cut back on activities that were important or interesting to you, or gave you pleasure, in order to drink Had to drink much more than you once did to get the effect you want GET THE FREE GUIDE[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" global_colors_info="{}"]Facts About Alcohol Alcohol addiction is a disease. When a person with Alcohol Use Disorder (AUD) stops drinking, there are physiological withdrawal symptoms resulting from the chemical dependence on alcohol. Those suffering from alcohol addiction have an increased risk of poor health. Long-term alcohol use can negatively impact almost every aspect of the human body. According to the National Institute on Alcohol Abuse and Alcoholism (NIAAA), an estimated 16 million people in the United States have Alcohol Use Disorder. An estimated 88,000 Americans die annually from alcohol-related causes, making alcohol the third leading preventable cause of death in the United States. In 2017, 26.4% of people ages 18 or older reported that they engaged in binge drinking in the past month. In 2015, 47% of the 78,529 liver disease deaths among individuals ages 12 and older involved alcohol. More than 10% of U.S. children live with a parent with alcohol problems according to a 2012 study. [/et_pb_text][et_pb_text _builder_version="4.27.4" global_colors_info="{}"]What Are The Symptoms Of Alcohol Withdrawal? When someone becomes dependent or addicted to alcohol, the brain’s internal wiring changes. Abruptly stopping alcohol use can lead to dangerous withdrawal symptoms. If not managed carefully, alcohol withdrawal can cause seizures, brain damage, and even death. Navigating alcohol withdrawal symptoms without professional medical assistance can be difficult and risky. Common symptoms of alcohol withdrawal include: Headaches Tremors Anxiety Fatigue Insomnia Gastrointestinal Disturbances Heart Palpitations Hyperthermia Hallucinations Seizures Mood Changes Call Now[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Successful Detox CTA" module_class="banner cta centered" _builder_version="4.16" background_color="#f9f9f9" custom_padding="||" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.17.3" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_margin_tablet="" custom_margin_phone="" custom_margin_last_edited="on|phone" custom_padding="|25px|50px|25px|false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.0" global_colors_info="{}"]More than 8,500 Patients Treated with the Coleman Method[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" global_colors_info="{}"][/et_pb_text][et_pb_text _builder_version="4.21.0" text_font_size="18px" width="80%" module_alignment="center" global_colors_info="{}"]Dr. Coleman Explains Alcohol Detox Using the Coleman Method Dr. Peter Coleman shares what makes the outpatient alcohol detox treatment using the Coleman Method unique and effective.[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" custom_margin_tablet="" custom_margin_phone="50px||||false|false" custom_margin_last_edited="on|phone" global_colors_info="{}"][/et_pb_text][et_pb_text _builder_version="4.17.1" text_font_size="18px" width="80%" module_alignment="center" global_colors_info="{}"]How to Stay Off Alcohol Forever Dr. Peter Coleman, a physician who has been in recovery himself since 1964, shares his insight on kicking these habits.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner CTA - Alcohol Detox Guide" module_class="banner cta expanded" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_5,3_5" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" hover_enabled="0" make_fullwidth="on" global_colors_info="{}" sticky_enabled="0"][et_pb_column type="2_5" module_class="desktop-only" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"][/et_pb_text][/et_pb_column][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="centered" _builder_version="4.27.4" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"]Recovery Starts With Finding The Right Detox Option For You. Our program in Virginia also includes 12 months of Naltrexone Therapy and supportive care management to assist in your early recovery. Download our free Guide to Understanding Alcohol Detox to learn about the prevalence of Alcohol Use Disorder (AUD) in American society and available treatment options. Get the Free Guide[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Locations" _builder_version="4.17.1" _module_preset="default" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.17.1" _module_preset="default" custom_padding="||50px||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.25.0" global_colors_info="{}"]Find An Outpatient Detox Near You   The Coleman Institute offers a variety of outpatient detox treatment options at locations nationwide. Our ground-breaking Coleman Method has helped thousands of patients recover from the effects of addiction. Whether you want to detox from opiates or alcohol, we can help.   FIND A LOCATION[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="FAQS" _builder_version="4.17.1" _module_preset="default" background_color="#f1faff" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.17.1" _module_preset="default" custom_padding="||50px||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"]Featured Alcohol Detox FAQs[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_4,1_2,1_4" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" locked="off" global_colors_info="{}"][et_pb_column type="1_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" text_font_size="18px" custom_padding="||||false|false" global_colors_info="{}"]What is Alcohol Dependence? What are alcohol withdrawal symptoms? What is the Outpatient Alcohol Detoxification Program? Does the Alcohol Detoxification Program have any risks or side effects? How do we reduce the risk of relapse?[/et_pb_text][et_pb_text _builder_version="4.17.1" text_font_size="18px" custom_padding="||||false|false" global_colors_info="{}"]View All Alcohol Detox FAQs[/et_pb_text][/et_pb_column][et_pb_column type="1_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="off|off|off" admin_label="Testimonials" module_class="testimonials-container centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.17.1" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_padding="||50px||false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.17.1" custom_padding="||20px" global_colors_info="{}"]See What Other Patients are Saying about Coleman Institute...[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" _builder_version="4.17.1" _module_preset="default" custom_padding="||50px||false|false" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.0" _module_preset="default" text_font_size="18px" global_colors_info="{}"] Gene – Former Alcohol Patient "Life is best when you can enjoy it clean and sober"[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.0" _module_preset="default" text_font_size="18px" global_colors_info="{}"] Ryan – Alcohol Detox Patient “Using the Coleman Method was the only one that has worked for me for a long period of time.”[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" custom_padding="||50px||false|false" global_colors_info="{}"]See More Patient Experiences[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Benefits" module_class="banner on-dark centered spaced" _builder_version="4.16" background_color="#053a72" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row use_custom_gutter="on" gutter_width="1" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="100%" width_tablet="100%" width_phone="" width_last_edited="on|desktop" max_width="100%" max_width_tablet="100%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" global_colors_info="{}"]What are the Benefits of Alcohol Detox?[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" use_custom_gutter="on" gutter_width="1" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="100%" width_tablet="100%" width_phone="" width_last_edited="on|desktop" max_width="100%" max_width_tablet="100%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="benefits-section" _builder_version="4.16" global_colors_info="{}"]Outpatient Care Detox in as little as 3 days No hospital stay required[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="benefits-section" _builder_version="4.16" global_colors_info="{}"]Minimal Discomfort Safe, assisted withdrawal process Customized medications to reduce discomfort Caring, compassionate medical professionals who specialize in addiction treatment[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="benefits-section" _builder_version="4.25.0" global_colors_info="{}"]Recovery Support Naltrexone therapy to reduce cravings and reduce the risk of relapse Access to recovery support services[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" global_colors_info="{}"]Call Now[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Testimonial and Blog Post" module_class="banner gutterless on-dark" _builder_version="4.16" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="1_2,1_2" use_custom_gutter="on" gutter_width="1" make_equal="on" module_class=" et_pb_row_fullwidth" _builder_version="4.27.0" background_image="https://www.thecolemaninstitute.com/wp-content/uploads/2019/04/tci-man-smiling-at-camera.jpg" width="100%" width_tablet="100%" width_phone="" width_last_edited="on|desktop" max_width="100%" max_width_tablet="100%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" module_class="centered overlay wistia-override" _builder_version="4.27.0" background_image="https://www.thecolemaninstitute.com/wp-content/uploads/2019/04/tci-man-smiling-at-camera.jpg" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" global_colors_info="{}"]Join the Hundreds of Patients Who Successfully Completed Their Detox. View Patient Testimonials[/et_pb_text][/et_pb_column][et_pb_column type="1_2" module_class="blog-cta" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" global_colors_info="{}"] How to Stop Drinking Alcohol: A Step-By-Step Guide By Addison Clark Deciding to seek help for alcohol dependence or addiction can be a difficult process. If you are struggling with excessive... Read More 1 2 3 … 41 Next » [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Form" module_class="centered spaced" _builder_version="4.16" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" global_colors_info="{}"]Ready to Reclaim Your Life? Get back to being yourself with our safe and effective method for outpatient alcohol detox. Call Now at 877-773-3869[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] #### Alcohol Detox Ad SAFELY & COMFORTABLY DETOX IN AS LITTLE AS 3 DAYS ALCOHOL DETOX Outpatient Detox Treatment Program With A 95% Completion Rate Call Now Effective Outpatient Detoxification Safe, fast alcohol detox without the need for hospitalization or inpatient care. Flexible & Convenient Treatment Fast intake, no waitlists, and minimal disruption to work & family life. Finish in just three days. Comfort-Focused Treatment Abstinence-based, compassionate medical support throughout the entire detox process. Medical Detox for Alcohol Addiction Why Choose Outpatient Alcohol Detox? Although alcohol is a legal and common part of our society, it’s also one of the most addictive and widely abused drugs in the world. According to the 2024 National Survey on Drug Use and Health, over 27 million U.S. adults, more than 10%, had Alcohol Use Disorder (AUD). Alcoholism is one of the leading causes of preventable deaths in the country.If you’re struggling with alcoholism, you may have tried to cut back or quit on your own. But serious withdrawal symptoms, ranging from uncomfortable to deadly, can make self-detoxing both challenging and risky. At The Coleman Institute, we take these risks seriously and want to treat your addiction as safely and as comfortably as possible. That’s why we’ve developed a safe method to restore brain and body function in an outpatient setting. How Does Our Approach to Alcohol Detox Work? The sustained use of alcohol deprives the brain of crucial nutrients and, when left untreated, can lead to brain damage and seizures.Our approach to alcohol detox begins by replenishing the vitamins and minerals your brain needs. After, we offer medication to keep you calm, comfortable, and safe as your blood alcohol level drops. After a few hours of careful monitoring and supervision, you’ll be able to go home. For the next two days, you’ll return to our office regularly as you continue to detox completely.Once your body is free of alcohol, naltrexone therapy is available to help with cravings. Learn About Alcohol Recovery Outpatient Alcohol Detox Using The Coleman Method What Happens During An Outpatient Alcohol Detox? When Is Medical Detox Important For Alcohol? Can You Detox Off Alcohol At Home? Why Is Outpatient Alcohol Detox So Effective? How Do You Sleep After Quitting Alcohol? What's Worse: Alcohol or Marijuana? Is There An Alcohol Blocker? Naltrexone Helps Alcoholic Liver Disease How Can You Deal With Fatigue After Alcohol Withdrawal? Discover more about alcohol detox & how to pick the right treatment. Download our free, comprehensive Guide to Understanding Alcohol Detox to learn more about the prevalence of Alcohol Use Disorder (AUD) and options for recovery. Download The Alcohol Detox Guide Find An Outpatient Detox Center For Alcohol We offer outpatient alcohol detox at locations nationwide. Our ground-breaking approach has helped thousands of patients recover from alcoholism. The Coleman Institute uses non-addictive comfort medications, and detoxification can be completed in only three days.Instead of checking into inpatient or residential care, our treatment lets people recover quickly on an outpatient basis. Whether you’re worried about the cost associated with long hospitalization stays or can’t spend an extended period of time away from work, family, or other personal reasons, we give individuals a fast, convenient solution to achieving sobriety. Virginia Colorado California Georgia Florida Alcohol Detox Reviews Alcohol Detox Patient - 2022★★★★★ The Coleman Institute offers a safe haven and respite from whatever chaos that is going on your life with concerned, caring professionals and offering continued aftercare post a painless detox. Alcohol Detox Patient - 2018★★★★★ I felt genuinely cared for. The staff was wonderful. It was not as stressful as I expected a detox to be. The detox process was rapid with minimal discomfort. Wonderful, respectful staff. Alcohol Detox Patient - 2018★★★★★ Immediately after detox, I knew I had done the right thing by going for my treatment at The Coleman Institute. I came away feeling like a winner already, and now 65 days sober, I know my choice was right. Alcohol Detox Patient - 2017★★★★★ I had been drinking daily for a few years & I really wanted to stop but could not do it on my own. The program really helped! Alcohol Detox Patient - 2017★★★★★ I have been on naltrexone for 8 1/2 months and feel it has been an important tool for my recovery. Thanks to The Coleman Institute for my sobriety and enjoying a life finally sober and happy. Alcohol Patient Testimonials Ryan's Alcohol Recovery Walt's Alcohol Recovery Gene's Alcohol Recovery Insurance & Financing We accept many Anthem Blue Cross Blue Shield and Sentara plans, along with HSA funds. Self-pay options and medical loan financing are available to help make care more accessible. Learn More About Financing Options Begin Your Recovery Journey Today Reach out to take the first step toward lasting sobriety if you or a loved one is struggling with alcohol addiction. Call Now #### Alcohol Detox FAQs [et_pb_section fb_built="1" fullwidth="on" _builder_version="4.16" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_fullwidth_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2018/11/alcoholhdr.jpg" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}"][/et_pb_fullwidth_image][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"]Alcohol Detox FAQs What is the Outpatient Alcohol Detoxification Program? What is Alcohol Dependence? When should a person detox from alcohol? How soon after stopping drinking can the first symptoms of withdrawal be expected? What are alcohol withdrawal symptoms? How does alcohol addiction affect blood pressure and heart rate? How does prolonged alcohol use impact brain functions? Does the Alcohol Detoxification Program have any risks or side effects? Is it safe to undergo the detox process without professional help? How do we reduce the risk of relapse? 1. What is the Outpatient Alcohol Detoxification Program? The Coleman Institute’s three-day outpatient program is a safe, effective alternative to inpatient detoxification or potentially dangerous self-detox. After screening a patient to ensure they’re a good fit for our approach, we begin by replenishing all of the vitamins and minerals that alcohol has depleted from their body. We stabilize their condition and give them medicine to calm them and reduce withdrawal symptoms. We’ll monitor the patient closely and determine the optimal medicine dosing that will keep them comfortable and safe as they detox. At the end of the first day, we discharge the patient into the care of a trusted family member or friend, following detailed instructions that we provide. They return to our office for monitoring over the next two days until they complete their detox and are ready to begin recovery. 2. What is Alcohol Dependence? Alcohol Dependence, or alcoholism, is a distinct disease. Our bodies have a system that helps us deal with stress and calm down, but regularly drinking alcohol can suppress this system. As a result, when a person depends on alcohol, their body cannot calm itself, so they need to drink to feel “normal.” They experience withdrawal symptoms as they digest the alcohol, because their body is not able to calm itself down. The only way to reduce withdrawal symptoms and feel better is to drink more. 3. When should a person have a medical detox from alcohol? If you find yourself experiencing alcohol withdrawal symptoms when you stop drinking, such as tremors, nausea, or anxiety, it is a sign that your body has become dependent on alcohol and detox might be necessary. Additionally, if your alcohol consumption negatively impacts your daily life, relationships, or responsibilities, it could be time to explore medical detox and recovery options. Detoxing from alcohol can be dangerous without proper supervision due to potential severe withdrawal symptoms. If you are unsure, it's best to consult a healthcare provider for personalized guidance. 4. How soon after stopping drinking can the first symptoms of withdrawal be expected? Mild symptoms of withdrawal can appear as early as 6 to 12 hours after the last drink. These symptoms might include anxiety, nausea, sweating, and a slightly increased heart rate. While these might be termed as 'mild', it's essential to note that alcohol withdrawal can progress to more severe stages, and it's crucial to seek medical care if considering stopping heavy drinking. 5. What are alcohol withdrawal symptoms? Alcohol withdrawal symptoms are uncomfortable and can be deadly. Characteristic reactions include: tremors agitation sweating nervousness insomnia elevated pulse elevated blood pressure In addition, the nervous system becomes so agitated that sometimes it short-circuits and triggers a seizure. In the worst stages of alcohol withdrawal, the brain can become very confused or delirious. When this confusion occurs along with agitation or tremors, people develop Delirium Tremens (DTs) — which can be life-threatening. 6. How does alcohol addiction affect blood pressure and heart rate? Alcohol addiction can have profound effects on the cardiovascular system. Heavy drinking can lead to elevated blood pressure, putting stress on the heart and increasing the risk of heart disease. Moreover, excessive alcohol use can lead to irregular heart rhythms. When an individual decides to stop drinking, the sudden absence of alcohol can lead to fluctuations in both blood pressure and heart rate, making medical care vital during the alcohol detox process. 7. How does prolonged alcohol use impact brain functions? Chronic alcohol use disorders have detrimental effects on brain functions. The central nervous system, which controls most body functions, can be severely disrupted by heavy drinking. Over time, alcoholism can impair cognitive functions, affect decision-making, and alter mood and behavior. When an individual ceases to drink alcohol abruptly, the brain struggles to readjust, leading to symptoms of alcohol withdrawal. 8. Does the Alcohol Detoxification Program have any risks or side effects? Throughout the process, we closely monitor patients to reduce withdrawal reactions. We also give appropriate medication doses to reduce problems. Our outpatient Alcohol Detoxification is very safe, but as with any medical procedure, some risks and potential complications exist. These include: Discomfort: Some patients experience minor discomfort during the detox. If this occurs, we provide additional medication for comfort. Seizures: Patients very rarely experience seizures while detoxing. 9. Is it safe to undergo the detox process without professional help? While some individuals with milder forms of alcohol addiction might experience only mild symptoms when they stop drinking, others, especially those with a history of heavy drinking or underlying health conditions, can experience severe and potentially life-threatening withdrawal symptoms. When a person is ready to get into recovery and start an alcohol detox, seeking professional medical care is always recommended. 10. How do we reduce the risk of relapse? We recommend that all patients use Naltrexone therapy for at least six months following their Alcohol Detox. Long-acting Naltrexone therapy is available after detox. To learn more about how this revolutionary approach helps encourage lasting recovery, check out our Naltrexone Therapy page and Naltrexone Therapy for Alcohol FAQs.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_9" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" custom_padding="100px|||" global_colors_info="{}"] Let's Take the Next Step Together. Have questions or want to learn more? Contact us today at 888-705-9615. [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] #### Ask The Doctor [et_pb_section fb_built="1" module_class="askdoctor" _builder_version="4.16" custom_padding="51px|0px|51px|0px" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_row _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="askdoctor" _builder_version="4.21.0" custom_margin="||0px|" global_colors_info="{}"]Ask The Doctor: Questions and Answers from Addiction Medicine Experts 1. What is lean? 2. How Long Do Opioids Stay In Your System? 3. How Can I Get Energy Back After Opioid Withdrawal? 4. How Long Does It Take To Get Energy Back After Opioid Withdrawal? 5. Can a Doctor Refuse to Prescribe Medication? 6. Can I Use Kratom To Detox Off Heroin? 7. What If I Never Stop Taking Suboxone? 8. Does Naltrexone Really Help With Cravings? 9. Why Is Naltrexone Therapy So Important for Opioid Addiction? 10. What Does It Mean To Drink Alcohol in Moderation? 11. How Do You Detox Safely from Kratom and Poppy? 12. When Does Energy Come Back After Opioid Pain Medication Withdrawal? 13. What Is Dopamine and How Does It Keep Me Using Opioids? 14. Is Recovery Possible for Fentanyl Addiction? 15. Why is it So Hard to Detox Off of Suboxone and Other Forms of Buprenorphine? 16. What Is to Blame for Low Energy After Opioids? 17. How Do I Know It Is Safe to Stop Drinking Alcohol? 18. What Does It Mean to Hit Rock Bottom? 19. Who Should You Surround Yourself With in Recovery? 20. Can I Really Be Addicted To Tramadol? 21. Should I Date in Early Recovery? 24. What Is The New Buprenorphine Injection? 25. Why Is It So Hard To Detox Off Opioids? 26. Can I Have Surgery Without Opioid Pain Meds? 1. What Is Lean?  An opioid-based drink called "lean" has skyrocketed in popularity among teens and young adults in recent years, with one study suggesting that nearly seven percent of college-aged students have tried the concoction. Also known as "purple drank," "sizzurp," or "dirty Sprite," lean has raised concerns among parents, doctors, and lawmakers due to its potential risks and the negative impact it can have on a person’s health. Read More 2. How Long Do Opioids Stay In Your System? Opioids encompass a wide range of substances, including powerful prescription medications like fentanyl, oxycodone and hydrocodone, as well as illicit drugs such as heroin or street fentanyl. Each opioid has unique characteristics, including varying half-lives and rates of metabolism, which affect the duration of its presence in the body. Read More 3. How Can I Get Energy Back After Opioid Withdrawal? Long-term opioid use can have life threatening side effects that range far beyond the difficulty of withdrawal. Such long term consequences include increased risk of cardiovascular complications, hyperalgesia, increased risk of infections, and even psychological and cognitive deficits. After extended use of opioid pain medications, stopping is no easy matter. Neither is the first several weeks afterward. Cessation of these opioid medications leaves the brain with a deficit of dopamine, the neurotransmitter associated with pleasure and reward. Not only is there a lack of dopamine to contend with, but many patients who have been using opioids for an extended time have not focused on other important aspects of their health. Eating, sleeping, and moving have often been compromised and impaired. Read More 4. How Long Does It Take To Get Energy Back After Opioid Withdrawal? With over 2 million Americans abusing opioids, and the loss from overdose growing by the day, many are experiencing the difficulty that comes with dependency and withdrawal. When you stop taking opiates your body goes through withdrawal. The body's endorphin receptors take a dive and the body feels this in many unpleasant ways. For some, unpleasant symptoms may persist even after the body has detoxed. Having low energy and feeling very irritable are common complaints from those in recovery. Read More 5. Can a Doctor Refuse to Prescribe Medication? Medical providers find themselves in an increasingly difficult position when treating pain. Doctors are responsible for prescribing pain medication. However, they can also face serious legal issues for inappropriate prescribing, including malpractice liability, medical board discipline, and criminal convictions. A fascinating article in the American Journal of Law and Medicine describes why physicians are turning away from prescribing pain medications, even for "legitimate" patients. According to a report by The American Medical Association (AMA), there has been a nationwide decrease in opioid prescriptions of over 44%. Read More 6. Can I Use Kratom To Detox Off Heroin? At one time, researchers thought it would make sense that Kratom would help with opioid withdrawal. But, if you think about it, for a person withdrawing from heroin, heroin will “help” with the opioid withdrawal. So will oxycodone, fentanyl, Percocet, etc. The problem is that you are simply perpetuating the situation. Read More 7. What If I Never Stop Taking Suboxone? Many individuals are prescribed opioid pain medication for their pain conditions. When their specialist stops prescribing their medication, they might need additional treatment for their physical dependence on these medications. In many cases, addiction specialists will treat this with Suboxone. However, this medication (along with other Buprenorphine medications) can lead to an entirely new dependency. Read More 8. Does Naltrexone Really Help With Cravings? We often get asked whether long-acting naltrexone really does eliminate cravings for opioids. And that has been pretty much our experience, where, of course, eliminates a strong word where there's no cravings at all. But almost all of our patients are amazed at how low their cravings are when they're taking either Vivitrol, the one-month injection, or the implants that we use, the naltrexone implants that last two months. Read More 9. Why Is Naltrexone Therapy So Important for Opioid Addiction? Naltrexone's really important for opioid addiction for the main reason that it works. Because without naltrexone, people just don't do very well. Patients really need some form of medication-assisted treatment (MAT); and the options, of course, are buprenorphine or methadone. But for 20 years, we've been specializing in naltrexone because it's a long-acting version of the drug, and it's completely non addictive. Read More 10. What Does It Mean To Drink Alcohol in Moderation? Moderation is difficult to achieve for most people with moderate to severe Alcohol Use Disorder (AUD). However, some can achieve moderate drinking without it resulting in a full-blown relapse. Without any work or intervention, the chances of success in moderating drinking are much lower. Read More 11. How Do You Detox Safely from Kratom and Poppy? Kratom, a tropical evergreen plant from Southeast Asia, and the residue in unwashed poppy seeds contain opioid compounds with strong binding affinity, like scheduled pain medications. Both substances, if taken in high enough amounts for a long enough time will create physical dependency. Both can cause a person to experience withdrawal if the substance is not available. Read More 12. When Does Energy Come Back After Opioid Pain Medication Withdrawal? Many people express frustration with the lack of energy that ensues following an opioid detox. Working with our counselors, support groups, and other reliable resources can help people get through this tough period. This is a time when patients are particularly vulnerable to cravings and triggers and why working with experts trained in helping people with Substance Use Disorders is so valuable. Read More 13. What Is Dopamine and How Does It Keep Me Using Opioids? Dopamine is known as a pleasure molecule that is released in the nucleus accumbens area of the brain when we do pleasurable things—like eat food, have sex, or even take prescription opioids (drugs). When dopamine releases in the brain, we experience a strong sensation of pleasure and, of course, we will want to repeat that experience. Read More 14. Is Recovery Possible for Fentanyl Addiction? Relapses can occur because fentanyl is a powerful synthetic opioid that is similar to morphine but is 50 to 100 times more potent. It also has to do with the way the brain adapts to the drug. Naltrexone, which is a pure opiate/opioid blocker (or antagonist) and therefore does not create physical dependence or tolerance, resides on the opiate receptors, thus blocking the drug from occupying these receptors. Read More 15. Why is it So Hard to Detox Off of Suboxone and Other Forms of Buprenorphine? Detoxing off of Suboxone can be quite difficult. Suboxone can be a great option for use disorders as it binds to the same opiate receptors in the brain and turns on the same “switch” an opioid would. Suboxone is slow acting and doesn’t cause the patient to feel high. Because of this, there are low cravings and it’s relatively safe. Interestingly, the more Suboxone in the body the more it becomes an even bigger blocker to the opioid receptors in the brain. This prevents overdose as receptors are kept extremely full, but it’s also why it’s so hard to detox off of. Read More 16. What Is to Blame for Low Energy After Opioids? Because opioids flood our brain with more dopamine than it was ever meant to have, most people who stop opioids, whether prescription medication from a doctor or drugs bought off the street, will feel a great loss of energy, especially in the early part of the brain’s recovery. Read More 17. How Do I Know It Is Safe to Stop Drinking Alcohol? Not everyone needs a medical detox off alcohol, but it can be dangerous to stop drinking abruptly if your body has developed a strong tolerance. Some people have mild to moderate tremors or sweating until they get a drink in their system. It’s important to check with your doctor if you are concerned or unsure. Read More 18. What Does It Mean to Hit Rock Bottom? We have been led to believe that someone can only change their substance use patterns when they hit “rock bottom.” Maybe this black and white thinking was helpful back in the day when 12 Step recovery programs were relatively new. It provided context to know when enough was enough. Don’t wait until you hit this imaginary “rock bottom.” Read More 19. Who Should You Surround Yourself With in Recovery? People in recovery from drug or alcohol addiction need to take steps to protect their sobriety every single day. This often involves severing ties with people who drink or use drugs—even if they're longtime friends. Staying friends with active substance users could put you in difficult situations that trigger cravings and lead to relapse. Read More 20. Can I Really Be Addicted To Tramadol? Tramadol is used to treat pain in adults that is severe enough to require an opioid analgesic and for which other treatments do not work. It is sold under brand names including Ultram, Conzip, and Rybix. In addition to acting as the opioid pain receptor, tramadol also inhibits the uptake of two neurotransmitters, norepinephrine and serotonin, which may add to its pain-relief effects. What others tend to not realize is that Tramadol, similar to opiates such as morphine, fentanyl, or oxycodone, has many of the same effects as an opioid and can result in just the same dangerous dependencies. Read More 21. Should I Date in Early Recovery? With recovery and sobriety comes vulnerability, especially in the early stages. The feelings and bad past experiences that you have been self-medicating away are coming to the surface. It can be very painful and it would be easy to focus on love rather than your difficult feelings. But that is the really worst thing you can do. A relationship gone badly can completely derail you. You have one main goal in early recovery—to remain sober. Read More 24. What Is The New Buprenorphine Injection? Recently, the FDA gave its approval to a new treatment for patients with an opioid substance use disorder. It is a monthly injection of an old medicine – buprenorphine. The new treatment is called Sublocade® and it reliably gives a steady dose of the buprenorphine for a whole month. Read More 25. Why Is It So Hard To Detox Off Opioids? The symptoms of detoxing off of any drug are always the exact opposite of the effects that the drug delivers when it is used properly and as prescribed. For example, a drug like alcohol is a sedative that makes people calm and relaxed and will even put them into a coma if enough is taken. Withdrawal off of alcohol is the exact opposite of this: it is characterized by anxiety, tremors, shakes, agitation, rapid pulse rate, sweating, high blood pressure, and insomnia. Read More 26. Can I Have Surgery Without Opioid Pain Meds? We recently had a patient who had been off of opiates and in recovery for around 12 months. He was receiving regular naltrexone treatment and feeling very good. Unfortunately, he hurt his back and needed surgery with a lumbar laminectomy – a very painful procedure. He was terrified that if he was exposed opiates, he would relapse, so he requested that he continue on his naltrexone treatment and go through the surgery without any opioid pain medicines at all.  Read More[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] #### Atlanta Accelerated Fentanyl Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.19.4" global_colors_info="{}"]Accelerated Fentanyl Detox The Coleman Institute offers Accelerated Fentanyl Detox in Atlanta, GA Fentanyl is an extremely potent opiate. It is 50 times stronger than heroin. Because of its potency, it acts quickly and it shuts off the breathing control centers in the brain even faster than other opiates. Often patients get addicted to Fentanyl quite innocently. They are prescribed Fentanyl patches by their physician, typically as a treatment for chronic pain. Fentanyl’s highly addictive qualities can cause dependency after just one use, and it is frequently fatal. When someone becomes addicted to Fentanyl, the drug takes over the brain’s chemical production, causing a drastic decrease in the amount of endorphins the brain produces. Endorphins are needed to feel happy and reduce pain. Without them, users have to increase the Fentanyl dosage just to function daily. Our Accelerated Fentanyl Detox in Atlanta, GA removes opiates from the brain in the most comfortable way possible, so endorphin levels can return to normal again. Our outpatient program is one of the most effective, safest, and most convenient ways to free yourself from addiction. Instead of the typical 10 days other programs require, our detox only takes about five days. No general anesthesia No hospital stay required As few as five days to complete the process Following an Accelerated Fentanyl Detox at our Atlanta, GA location, our caring professionals will offer long-term support through Naltrexone therapy, a plan for maintaining sobriety, and access to recovery support services. Check out these helpful resources for more details: Accelerated Opiate Detox FAQs Naltrexone Therapy FAQs Dangers of FentanylYou can free yourself from addiction. Add your name to the 98% of patients who successfully completed their detox. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Atlanta Accelerated Hydrocodone Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.19.4" global_colors_info="{}"]Accelerated Hydrocodone Detox The Coleman Institute offers Accelerated Hydrocodone Detox options in Atlanta, GA Accelerated Hydrocodone Detox at the Coleman Institute in Atlanta, GA is a safe, effective, and comfortable way to free yourself from the grips of opiate addiction. An opiate, such as Hydrocodone, is a powerful drug that hijacks the brain’s chemical production. As a result, the brain stops making enough of the endorphins needed to feel happy and reduce pain. Detox removes these harmful chemicals, so endorphin levels can eventually return back to normal. We are committed to helping you get clean and stay clean through our innovative detox program. With the help of our medical team, you don’t have to go it alone or suffer the agony of self-detoxing. Our Accelerated Hydrocodone Detox program takes place at our clinic in Atlanta, GA. It is a three-day outpatient care treatment with no hospital stays required. This safe, assisted detoxification process means you can start the addiction-free life you deserve as soon as possible. The benefits of our Accelerated Hydrocodone Detox program: Outpatient Care As few as three days to complete the process No general anesthesia No hospital stays required Minimal Discomfort Safe, assisted withdrawal process Medicine to reduce discomfort Caring support from medical professionals who understand addiction Long-Term Support Naltrexone therapy to reduce cravings and prevent relapse Plan for maintaining sobriety Access to recovery support services Check out these helpful resources for more details: Accelerated Opiate Detox FAQs Naltrexone Therapy FAQs You can free yourself from addiction. Add your name to the 98% of patients who successfully completed their detox. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Atlanta Accelerated Kratom Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.19.4" global_colors_info="{}"]Accelerated Kratom Detox The Coleman Institute offers Accelerated Kratom Detox in Atlanta, GA Kratom is an herbal product from Southeast Asia. It has both opioid effects and stimulant effects. The exact way in which it works is not known, but its addictive nature is very similar to that of Heroin and other opiates. It has been associated with at least 15 deaths in the U.S. since 2014. If you or a loved one are suffering from an addiction to Kratom, you are not alone. People are using Kratom to try and detox themselves from opiates like oxycodone or Heroin. More than half of regular users develop a severe dependency to the drug that is extremely difficult to withdraw from. When someone becomes addicted to Kratom, the drug hijacks the brain’s chemical production by binding to opioid receptors in the brain. In small doses, the drug produces a stimulant effect, but as dependence grows it begins to act as a sedative, often prompting depression and anxiety symptoms. Our Accelerated Kratom Detox in Atlanta removes these harmful chemicals from the brain as quickly and comfortably as possible. The misery you feel from trying to detox on your own is natural. But it’s not the only path toward the addiction-free life you deserve. How does the Accelerated Kratom Detox work? Our Kratom detox removes the opiates from the brain in the most comfortable way possible. Rather than the typical 10 days you’d spend self-detoxing, our three-step treatment in Atlanta takes only five days. The process is a much more effective and safer way to free yourself from addiction. Check out these helpful resources for more details: Accelerated Opiate Detox FAQs Naltrexone Therapy FAQs Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Atlanta Accelerated Opana Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.19.4" global_colors_info="{}"]Accelerated Opana Detox The Coleman Institute offers Accelerated Opana Detox options in Atlanta, GA Opana is an extremely powerful opiate – similar to hydrocodone, oxycodone, and morphine. Patients can become addicted to Opana as a treatment for chronic pain, or because of street drug use. Most users are unaware of how dangerous the drug is, and it is a major cause of many opioid overdoses and deaths throughout the country. Accelerated Opana Detox at the Coleman Institute in Atlanta, GA is a safe, convenient way to detox on an outpatient basis. Our compassionate medical professionals understand the intricacies of addiction and are here to help every step of the way. The benefits of our Accelerated Opana Detox include: Naltrexone Therapy to reduce cravings and prevent relapse Plan for maintaining sobriety Access to recovery support services Our program has helped thousands of patients free themselves from the destructive effects of addiction. After safely detoxing, we help patients find the resources they need to stay clean. Check out these helpful resources for more details: Accelerated Opiate Detox FAQs Naltrexone Therapy FAQs You can free yourself from addiction. Add your name to the 98% of patients who successfully completed their detox. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Atlanta Accelerated Opiate Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.19.4" global_colors_info="{}"]Accelerated Opiate Detox The Coleman Institute offers outpatient opiate detox options in Atlanta, GA Opiates are used medically for pain relief, but they are the most addictive drugs available. When used, the drug attaches itself to the endorphin receptors in the brain. This portion of the brain naturally produces hormones that, when released, make us feel better, increase pleasure, minimize pain, and improve our overall mood. The problem, however, is that opiates cause the brain to stop producing endorphins naturally. The body becomes completely dependent on opiates to perform the role of natural endorphins. The body becomes completely dependent on opiates to perform the role of natural endorphins. Any feeling of pain relief or pleasure comes from the opiates instead of the body. At the Coleman Institute in Atlanta, GA, we offer a solution. Our Accelerated Opiate Detox lets patients rid themselves of an opiate dependence or addiction without the fear of painful withdrawal symptoms or lengthy rehab stays. Our Atlanta, GA office provides: Safe, assisted withdrawal process Medicine to reduce discomfort  Caring support from medical professionals who understand dependency and addiction Detox appointments occur in our Atlanta, GA clinic, not a rehab facility. Using non-addictive drugs and sedatives, we can push out the opiates in as few as 3 days, without the discomfort you'd experience in a typical detox process.  Once the detox is completed, our staff can provide long-term support as you begin rebuilding your life and creating new, healthier habits.  Check out these helpful resources for more details: Accelerated Opiate Detox FAQs Naltrexone Therapy FAQs Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Atlanta Accelerated Oxycodone Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" global_colors_info="{}"]Accelerated Oxycodone Detox The Coleman Institute offers Accelerated Oxycodone Detox options in Atlanta, GA Accelerated Oxycodone Detox at the Coleman Institute in Atlanta, GA is a safe, effective, and comfortable way to free yourself from the grips of opiate addiction. Oxycodone is a powerful opiate that hijacks the brain’s chemical production. As a result, the brain stops making enough of the endorphins needed to feel happy and reduce pain. Detox removes these harmful chemicals, so endorphin levels can eventually return back to normal. We are committed to helping you detox through our innovative program. With the help of our medical team, you don’t have to go it alone or suffer the agony of self-detoxing. Our Accelerated Oxycodone Detox program takes place at our clinic in Atlanta, GA. It is a three-day outpatient care treatment with no hospital stays required. This safe, assisted detoxification process means you can start the addiction-free life you deserve as soon as possible. The benefits of our Accelerated Oxycodone Detox program: Outpatient Care As few as three days to complete the process No general anesthesia No hospital stays required Minimal Discomfort Safe, assisted withdrawal process Medicine to reduce discomfort Caring support from medical professionals who understand addiction Long-Term Support Naltrexone Therapy to reduce cravings and reduce the risk of relapse Plan for maintaining sobriety Access to recovery support services Check out these helpful resources for more details: Accelerated Opiate Detox FAQs Naltrexone Therapy FAQs You can free yourself from addiction. Add your name to the 98% of patients who successfully completed their detox. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Atlanta Accelerated Percocet Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.19.4" global_colors_info="{}"]Accelerated Percocet Detox The Coleman Institute offers Accelerated Percocet Detox options in Atlanta, GA Percocet is a potent highly addictive opiate that binds itself to receptors in a person’s brain, decreasing the natural production of endorphins and requiring higher and higher doses in order to achieve any kind of relief. Some consider Percocet as a safe way to get high since it is often prescribed as a painkiller by doctors. Although it is used in certain cases to treat pain, its addictive qualities can quickly lead to dependency. Quitting the drug on your own is dangerous and painful. Luckily, there is another path toward the addiction-free life you deserve. At the Coleman Institute’s Atlanta location, we offer an Accelerated Percocet Detox that pushes the opiates out of your body in as little as three days. Patients are able to detox without the painful withdrawal symptoms involved in other programs. Our outpatient care can be completed with no hospital stays required, so you can get back to your daily life as quickly as possible. Once the detox is completed, our staff can provide long-term support as you begin rebuilding your life and creating new, healthier habits. The benefits of our Accelerated Percocet Detox include: Outpatient Care As few as three days to complete the process No general anesthesia No hospital stays required Minimal Discomfort Safe, assisted withdrawal process Medicine to reduce discomfort Caring support from medical professionals who understand addiction Long-Term Support Naltrexone therapy to reduce cravings and prevent relapse Plan for maintaining sobriety Access to recovery support services Check out these helpful resources for more details: Accelerated Opiate Detox FAQs Naltrexone Therapy FAQs You can free yourself from addiction. Add your name to the 98% of patients who successfully completed their detox. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Atlanta Accelerated Roxicodone Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.19.4" global_colors_info="{}"]Accelerated Roxicodone Detox The Coleman Institute offers Accelerated Roxicodone Detox options in Atlanta (Dawsonville), GA Roxicodone is an opiate and narcotic pain reliever that works in the brain and nervous system to alleviate pain. Dependency on Roxicodone can develop frighteningly fast. The drug hijacks the brain’s chemical production, reducing natural endorphins that are needed to feel happy and reduce pain. As natural endorphins decrease, higher and higher doses of Roxicodone are needed to achieve any kind of relief. Quitting the drug on your own is dangerous and painful. Luckily, there is another path towards the addiction-free life you deserve. At the Coleman Institute in Atlanta (Dawsonville), GA, we offer an accelerated detox that pushes all opiates out of your body in as few as 3 days. Patients are able to detox without the painful withdrawal symptoms involved in other programs. Our outpatient care can be completed with no hospital stays required, so you can get back to your daily life as quickly as possible. Once the detox is completed, our staff can provide long-term support as you begin rebuilding your life and creating new, healthier habits. The Benefits of Accelerated Roxicodone Detox at the Coleman Institute: Outpatient Care As few as 3 days to complete the process No general anesthesia No hospital stays required Minimal Discomfort Safe, assisted withdrawal process Medicine to reduce discomfort Caring support from medical professionals who understand addiction Long-Term Support Naltrexone therapy to reduce cravings and prevent relapse Plan for maintaining sobriety Access to recovery support services Check out these helpful resources for more details: Accelerated Opioid Detox Guide Naltrexone Therapy Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Atlanta Accelerated Tramadol Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.19.2" global_colors_info="{}"]Accelerated Tramadol Detox "The Coleman Network offers Accelerated Tramadol Detox options in Atlanta (Dawsonville), GA Tramadol is an opioid agonist used for pain relief. This means that it binds to endorphin receptors in the brain to produce a response in the body. Because Tramadol occupies these receptors, the brain thinks it has already produced enough endorphins and halts production. Rather than relying on itself, your brain now relies on Tramadol. Physical dependency can happen quickly, often in the first use. Withdrawal from Tramadol can be severe. Our outpatient Accelerated Tramadol Detox in Atlanta (Dawsonville), GA removes these harmful chemicals, so endorphin levels can return to normal. Our process is safe, effective, and comfortable. Most can complete it in as few as 5 days. And because our treatment takes only a few days, you don’t need to pause your life to complete your detox. The Benefits of Our Accelerated Tramadol Detox in Atlanta (Dawsonville), GA: Outpatient Care As few as five days to complete the process No general anesthesia No hospital stays required Minimal Discomfort Safe, assisted withdrawal process Medicine to reduce discomfort Caring support from medical professionals who understand addiction Long-Term Support Naltrexone therapy to reduce cravings and prevent relapse Plan for maintaining sobriety Access to recovery support services Check out these helpful resources for more details: Accelerated Opioid Detox Guide Naltrexone Therapy You can free yourself from addiction. Add your name to the 98% of patients who successfully completed their detox. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Atlanta Accelerated Ultram Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.20.2" global_colors_info="{}"]Accelerated Ultram Detox The Coleman Institute offers Accelerated Ultram Detox options in Atlanta (Dawsonville), GA Ultram, the brand name for tramadol, is a powerful pain medication used to treat moderate to severe pain in adults. It is an opioid agonist, meaning it activates opioid receptors in the brain, making it highly addictive. The drug attaches itself to the opioid receptors in the brain, taking over the body’s natural chemical production and leading to dependency, and even addiction. Ultram is most often used following surgery however an extended-release version called Ultram ER can be used for severe chronic pain situations. Developing a physical dependence after one use is possible. Accelerated Ultram Detox in Atlanta (Dawsonville), GA removes the opiates from the brain in the most comfortable way possible. Using an accelerated approach, we are able to detox patients on an outpatient basis in as few as five days. Unlike detoxing on your own, our Accelerated Ultram Detox is safe, effective, and much more convenient. You don’t need to take a long break from your daily life to complete your detox. At The Coleman Institute in Atlanta (Dawsonville), GA, it is possible to gain your life back from the grips of Ultram over the course of a long weekend. In addition to detox, our goal is to support lifelong recovery in every way we can. Our three-step treatment plan includes Naltrexone therapy to help our patients during the challenging first few weeks of recovery and our caring medical professionals are also available to provide ongoing aftercare support. Don’t let Ultram addiction rule your life. Check out these helpful resources for more details: Accelerated Opioid Detox Guide Naltrexone Therapy Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Atlanta Accelerated Vicodin Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.19.4" global_colors_info="{}"]Accelerated Vicodin Detox The Coleman Institute offers Accelerated Vicodin Detox options in Atlanta, GA Vicodin is a powerful opioid that is used for pain relief. It is also one of the most frequently abused drugs in America due to its highly addictive qualities. Like most opiates, Vicodin binds to the endorphin receptors in the spinal cord to reduce pain. However, the body quickly begins to build up a tolerance to the drug, requiring more and more doses in order to feel relief. Withdrawal from Vicodin can be severe. That is why the Coleman Institute in Atlanta, Georgia, offers a safe, assisted Accelerated Vicodin® Detox. Our program has treated thousands of patients with stunning results. Accelerated Vicodin Detox removes the opiates from the brain in the most comfortable way possible. Best of all, it can be done in 3 days, so you can clear the opiates from your body without lengthy hospital stays. Through our innovative treatment, we provide our patients with exceptional outpatient care and long-term recovery support. By using non-addictive, non-narcotic medication to reduce discomfort and cravings, we are able to prevent the temptation to relapse that often accompanies a detox. Our team is ready to help you or your loved one get clean and stay clean through our unique suite of addiction services. Check out these helpful resources for more details: Accelerated Opiate Detox FAQs Naltrexone Therapy FAQs You can free yourself from addiction. Add your name to the 98% of patients who successfully completed their detox. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Atlanta Alcohol Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.19.4" global_colors_info="{}"]Alcohol Detox The Coleman Institute offers Alcohol Detox options in Atlanta, GA Alcohol is such a common part of our society that 7% of Americans, 18 years old and older, have an Alcohol Use Disorder. In the United States, almost 88,000 people die each year from alcohol-related causes – the third largest cause of preventable deaths. Using alcohol for a sustained period of time can deplete crucial nutrients from your brain, and when left untreated, can lead to brain damage. At the Coleman Institute in Atlanta, GA we offer an outpatient detox program that allows you to safely and comfortably detox, while replenishing the vitamins and minerals your brain needs. The Coleman Institute Alcohol Detox in Atlanta, GA: Can be completed in only 3 days with no required hospital stays Is safe and comfortable with minimal withdrawal symptoms Offers Naltrexone therapy to prevent relapse, as well as a comprehensive plan for maintaining sobriety Once your body is free of alcohol, we’ll help you begin your new life in recovery. The caring medical professionals at our Atlanta location offer complete access to recovery support services, Naltrexone therapy, individual counseling, and/or a regular 12-step program. Check our these helpful resources for more details: Alcohol Detox FAQs Naltrexone Implants for Alcohol FAQs You can free yourself from addiction. Add your name to the 98% of patients who successfully completed their detox. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Atlanta Buprenorphine Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.19.4" global_colors_info="{}"]Buprenorphine Detox The Coleman Institute offers Buprenorphine Detox options in Atlanta (Dawsonville), GA The Coleman Institute in Atlanta (Dawsonville), GA offers Buprenorphine Detox to help you free yourself from the destructive effects of opiate addiction. Often, opiate addiction is viewed as a sign of weakness, but we understand that line of thinking couldn’t be further from the truth. Opiate addiction is not a personality flaw — it’s a chronic disease. With our Buprenorphine Detox process in Atlanta (Dawsonville), GA, you don’t have to go it alone or suffer through the agony of self-detoxing. Unlike traditional rehab, our program doesn’t take weeks or months to complete. In fact, most can complete it in a few as eight days on an outpatient basis. This shortened treatment time allows our patients to detox safely without taking an extended break from their daily responsibilities. Benefits of Our Buprenorphine Detox in Atlanta (Dawsonville), GA: Outpatient Care Outpatient care in as few as eight days No general anesthesia or hospital stays required Safe, assisted withdrawal with non-addictive medication Caring support from medical professionals Long-term recovery support with a plan for maintaining sobriety Check out these helpful resources for more details: Accelerated Opioid Detox Guide Naltrexone Therapy Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Atlanta Heroin Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.19.4" global_colors_info="{}"]Heroin Detox The Coleman Institute offers Heroin Detox options in Atlanta, GA Heroin Detox at the Coleman Institute in Atlanta, GA is a safe, effective, and comfortable way to free yourself from the grips of heroin addiction. Heroin is a powerful opiate that hijacks the brain’s chemical production after a single dose. The first time you used heroin, you obviously didn’t intend to become dependent on the drug. But in no time, a dose that caused euphoria when you first started using barely stops the withdrawal symptoms. So you need to take larger doses to experience the same high or any high at all. Because the body builds tolerance to heroin so quickly, this need for larger and larger doses becomes an evil cycle that often ends in overdose. Over 10,000 people die of an overdose each year in the United States. At the Coleman Network in Atlanta, GA we are committed to helping people find the road to recovery and live addiction-free lives. With our innovative detox program and expert medical team, you don’t have to go it alone or suffer the agony of self-detoxing. Our Heroin Detox program takes place at our clinic in Atlanta, GA. It is a five-day outpatient care treatment with no hospital stays required. This safe, assisted detox program means you can start the addiction-free life you deserve as soon as possible. Check our these helpful resources for more details: Accelerated Opiate Detox FAQs Naltrexone Therapy FAQs You can free yourself from addiction. Add your name to the 98% of patients who successfully completed their detox. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Atlanta Methadone Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.1" global_colors_info="{}"]Methadone Detox The Coleman Institute offers Methadone Detox options in Atlanta, GA Methadone is a medication used to treat withdrawal symptoms in people addicted to heroin or other opiates. It can be a lifesaver, in some cases. The problem is that methadone is highly addictive itself and can be even harder to detox from than heroin! One dose of methadone can take well over a month to leave your body. At the Coleman Network in Atlanta, GA we offer methadone detox options, so you don’t have to choose between a painful detox or methadone for the rest of your life. We understand the unique qualities of methadone addiction and how difficult it can be to detox. Because of this, we extend our outpatient detox treatment to eight days instead of the typical three. This allows our patients to safely detox with minimal discomfort. While most other detox programs typically offer treatment for patients currently on 30 mg of methadone or less, our outpatient program at the Coleman Institute can detox patients from methadone doses up to 300 mg. In addition to outpatient care at our Atlanta, GA location, we also offer Naltrexone therapy to reduce cravings and reduce the risk of relapse following detox. This non-narcotic, non-addictive medication makes the transition to recovery easier, more comfortable, and far more likely to last. The road to long-term recovery starts with becoming addiction free. Our caring professionals will stand by your side throughout the entire process, providing access to recovery support and sobriety maintenance. You can free yourself from addiction. Add your name to the 98% of patients who successfully completed their detox. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Atlanta Naltrexone Therapy [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.19.4" global_colors_info="{}"]Naltrexone Therapy The Coleman Institute provides Naltrexone Therapy options in Atlanta, GA Naltrexone Therapy is a vital part of the three-step addiction treatment process at the Coleman Network in Atlanta, GA. This valuable tool makes the transition to sobriety easier, more comfortable, and far more likely to last. Naltrexone is a medicine that blocks the opiate receptors in a person’s brain, acting as a powerful buffer during the initial and most challenging parts of recovery. We advocate for Naltrexone Therapy because it: Dramatically reduces cravings Does not inhibit natural endorphins Prevents highs if relapses occur Is non-addictive Our uniquely compounded formula consists of a small, painless Naltrexone implant that is placed under the skin where it slowly releases a dose for 2 months. Depending on a patient’s needs, we also provide Vivitrol, an FDA-approved, branded version of injectable Naltrexone. Freed from intense cravings and unable to get high, patients at the Coleman Network in Atlanta, GA are able to focus on the important aspects involved in staying clean — without having to remember to take a pill. Check out Naltrexone Therapy for Opiates and Alcohol FAQs for more information. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Atlanta Pain Medication Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.19.4" global_colors_info="{}"]Pain Medication Detox The Coleman Institute offers Accelerated Pain Medication Detox in Atlanta, GA Living with chronic pain can be daunting and make even the simplest task feel impossible. Wanting to find relief for your pain is normal but turning to opioids and other addictive pain medications can make the situation much worse as it introduces a drug dependency. If you have developed a dependency on your pain medication, the Coleman Network in Atlanta (Dawsonville), GA can help. The Coleman Network in Atlanta (Dawsonville), GA helps chronic pain patients detox off their medications with a safe, effective, and comfortable process called The Coleman Method. The Coleman Method for pain medication detox in Atlanta (Dawsonville), GA is a medication-assisted treatment (MAT) program that is completed on an outpatient basis in as few as 3-8 days. The Coleman Network in Atlanta (Dawsonville), GA uses non-addictive comfort medications to completely eliminate the addictive pain medication from your body. This means you won’t experience the discomfort that is found in a regular detox process. The Benefits of Our Pain Medication Detox in Atlanta (Dawsonville), GA: Outpatient Care As few as three days to complete the process No general anesthesia No hospital stays required Minimal Discomfort Safe, assisted withdrawal process Medicine to reduce discomfort Caring support from medical professionals who understand addiction Long-Term Support Naltrexone therapy to reduce cravings and prevent relapse Plan for maintaining sobriety Access to recovery support services Check out these helpful resources for more details: Accelerated Opioid Detox Guide Naltrexone Therapy Pain Medication Detox You can free yourself from addiction. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Atlanta Prescription Drug Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.1" global_colors_info="{}"]Prescription Drug Detox "The Coleman Network offers Accelerated Kratom Detox in Atlanta, GA While prescription drugs are used for their healing properties, many are highly addictive. A simple prescription to manage pain from an injury, accident, or medical condition can turn into a drug dependency. If you have a dependency on your prescription drug, the Coleman Network in Atlanta (Dawsonville), GA can help you address your prescription drug addiction with a comfortable and safe detox so you can have the best possible chance of a lasting recovery. Prescription drugs can produce a chemical reaction in the brain that can make it difficult to stop taking the drug on your own. Plus, abruptly stopping use can result in severe withdrawal symptoms. Our Prescription Drug Detox in Atlanta (Dawsonville), GA is an outpatient process that is safe, comfortable, and effective. Many of our patients can complete the process in as few as 3-8 days. This is possible because we use non-addictive drugs and sedatives to eliminate all prescription drugs from your body, significantly reducing the discomfort that causes most people who attempt to self-detox to relapse. The Benefits of Our Prescription Drug Detox in Atlanta (Dawsonville), GA: Outpatient Care As few as three days to complete the process No general anesthesia No hospital stays required Minimal Discomfort Safe, assisted withdrawal process Medicine to reduce discomfort Caring support from medical professionals who understand addiction Long-Term Support Naltrexone therapy to reduce cravings and prevent relapse Plan for maintaining sobriety Access to recovery support services Check out these helpful resources for more details: Accelerated Opioid Detox Guide Naltrexone Therapy Prescription Drug Detox You can free yourself from addiction. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Atlanta Suboxone Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.19.4" global_colors_info="{}"]Suboxone Detox The Coleman Institute offers Suboxone Detox options in Atlanta, GA Suboxone is a medication used to treat withdrawal symptoms in people addicted to heroin or other opiates. In certain cases, it can be an effective solution but its addictive qualities have caused a problem of its own. At the Coleman Network in Atlanta, GA we offer Suboxone detox options, so you don’t have to choose between addictions. We understand the unique qualities of Suboxone addiction and how difficult it can be to detox. Because of this, we extend our outpatient detox treatment to eight days instead of the typical three. This allows our patients to safely detox with minimal discomfort. In addition to outpatient care at our Atlanta, GA location, we also offer Naltrexone therapy to reduce cravings and prevent relapse following detox. This non-narcotic, non-addictive medication makes the transition to recovery easier, more comfortable, and far more likely to last. The road to long-term recovery starts with becoming addiction free. Our caring professionals will stand by your side throughout the entire process, providing access to recovery support and sobriety maintenance. You can free yourself from addiction. Add your name to the 98% of patients who successfully completed their detox. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Benzo Detox [et_pb_section fb_built="1" admin_label="Header" module_class="header on-dark spaced centered" _builder_version="4.16" background_image="https://www.thecolemaninstitute.com/wp-content/uploads/2019/04/tci-happy-man-smiling.jpg" background_position="top_center" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"]Rapid Benzodiazepine Detox The Coleman Method offers a comfortable, quicker, safer option to detox – and commit to your recovery. Call Now at 877-773-3869[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner List" module_class="banner list on-dark centered" _builder_version="4.16" background_color="#053a72" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" global_colors_info="{}"] Minimize Withdrawal Symptoms Detox in as Little as 8 Days Convenient Outpatient Treatment [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="CTA Banner" module_class="banner cta" _builder_version="4.27.0" background_color="#f5f5f5" da_disable_devices="off|off|off" global_module="14958" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/Anthem-1.png" alt="blue cross blue shield vector logo" title_text="Anthem-1" align="right" align_tablet="center" align_phone="center" align_last_edited="on|tablet" _builder_version="4.27.4" custom_margin_tablet="" custom_margin_phone="" custom_margin_last_edited="on|tablet" custom_padding="25px||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/sentra-1.png" alt="optima health logo edit" title_text="sentra-1" align="left" align_tablet="center" align_phone="center" align_last_edited="on|phone" _builder_version="4.27.4" custom_padding="25px||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.17.4" _module_preset="default" custom_padding="25px||||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.17.4" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.4" text_orientation="center" locked="off" global_colors_info="{}"]Now accepting many Anthem Blue Cross Blue Shield and Sentara plans. We also welcome self-pay patients. Financing options are available.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.17.4" global_colors_info="{}"]Why Choose Rapid Benzo Detox? Medications like Xanax® and other benzodiazepines are commonly prescribed by doctors to help reduce anxiety, treat panic attacks, or improve sleep. Although these drugs can be effective, they also create a physical dependence for many patients that can be very difficult to overcome. The Coleman Institute now offers advanced medical treatment for addiction to benzodiazepines like Xanax®. Our comfortable, outpatient detox program helps patients take back control of their own lives in a safe and supportive environment.[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.21.0" global_colors_info="{}"]How Does the Coleman Method For Rapid Benzo Detox Work? Dr. Coleman’s method for benzo detox includes using Flumazenil to help flush the benzodiazepines out of your system as comfortably as possible. By using low doses of Flumazenil, many patients experience much milder withdrawal symptoms. The best part? Instead of spending months slowly and painfully weaning down your dosages, The Coleman Institute can help patients complete their detox in as little as 8 days. After the detox is complete, our team works with you to treat any post-acute withdrawal symptoms to ensure that you’re on the best path to complete healing.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Locations" _builder_version="4.17.1" _module_preset="default" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.17.1" _module_preset="default" custom_padding="||50px||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.25.0" global_colors_info="{}"]Find An Outpatient Detox Near You   The Coleman Institute offers a variety of outpatient detox treatment options at locations nationwide. Our ground-breaking Coleman Method has helped thousands of patients recover from the effects of addiction. Whether you want to detox from opiates or alcohol, we can help.   FIND A LOCATION[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Stop Suffering" module_class="banner centered gutterless" _builder_version="4.16" background_color="#f1faff" custom_padding="||" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="1_4,1_2,1_4" use_custom_gutter="on" gutter_width="1" make_equal="on" module_class="gutterless et_pb_row_fullwidth" _builder_version="4.16" width="100%" width_tablet="100%" width_phone="" width_last_edited="on|desktop" max_width="100%" max_width_tablet="100%" max_width_phone="" max_width_last_edited="on|desktop" hover_enabled="0" make_fullwidth="on" global_colors_info="{}" sticky_enabled="0"][et_pb_column type="1_4" _builder_version="4.16" background_image="https://www.thecolemaninstitute.com/wp-content/uploads/2019/04/tci-family-smiling.jpg" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"]Reclaim Your Life. Get Back to Being Yourself.[/et_pb_text][/et_pb_column][et_pb_column type="1_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"]Call Now at 877-773-3869[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Benefits" module_class="banner on-dark centered spaced" _builder_version="4.16" background_color="#053a72" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row use_custom_gutter="on" gutter_width="1" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="100%" width_tablet="100%" width_phone="" width_last_edited="on|desktop" max_width="100%" max_width_tablet="100%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" global_colors_info="{}"]What are the Benefits of Benzo Detox?[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" use_custom_gutter="on" gutter_width="1" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="100%" width_tablet="100%" width_phone="" width_last_edited="on|desktop" max_width="100%" max_width_tablet="100%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="benefits-section" _builder_version="4.16" global_colors_info="{}"]Outpatient Care Detox in as little as 8 days No hospital stay required[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="benefits-section" _builder_version="4.17.4" global_colors_info="{}"]Less Discomfort Safe, assisted withdrawal process Customized medications to reduce discomfort Caring, compassionate medical professionals who specialize in addiction treatment[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="benefits-section" _builder_version="4.16" global_colors_info="{}"]Recovery Support Plans to treatpost acute withdrawal symptoms as the brain continues to heal Access to recovery support services[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"]Call Now[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Benzodiazepines" module_class="banner centered spaced" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row use_custom_gutter="on" gutter_width="1" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="100%" width_tablet="100%" width_phone="" width_last_edited="on|desktop" max_width="100%" max_width_tablet="100%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" global_colors_info="{}"]What Benzodiazepines Does The Coleman Institute Treat?[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" use_custom_gutter="on" gutter_width="1" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="100%" width_tablet="100%" width_phone="" width_last_edited="on|desktop" max_width="100%" max_width_tablet="100%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" global_colors_info="{}"]Alprazolam Ambien®* Ativan® Chlordiazepoxide Clonazepam Diazepam Klonopin®[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" global_colors_info="{}"]Librium® Loprazolam Lorazepam Lormetazepam Mogadon® Nitrazepam Oxazepam[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" global_colors_info="{}"]Restoril® Rivotril® Serenid® Temazepam Valium® Xanax®[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.16" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.16" global_colors_info="{}"]*Although Ambien is not classified as a benzodiazepine, it works on the same GABA receptors as benzodiazepines and therefore the RBD is an effective treatment.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" custom_padding_last_edited="on|desktop" admin_label="More Info" module_class="banner gutterless" _builder_version="4.16" custom_padding="||||false|false" custom_padding_tablet="" custom_padding_phone="" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="1_4,1_2,1_4" use_custom_gutter="on" gutter_width="1" make_equal="on" module_class="gutterless et_pb_row_fullwidth" _builder_version="4.16" width="100%" width_tablet="100%" width_phone="" width_last_edited="on|desktop" max_width="100%" max_width_tablet="100%" max_width_phone="" max_width_last_edited="on|desktop" custom_padding="||||false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_4" _builder_version="4.16" background_image="https://www.thecolemaninstitute.com/wp-content/uploads/2019/04/tci-man-reading-tablet.jpg" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="||||false|false" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" custom_padding="20px||20px||false|false" global_colors_info="{}"]Looking for more information regarding benzo detox? Check out these helpful resources for more details.[/et_pb_text][/et_pb_column][et_pb_column type="1_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" custom_padding="20px||||false|false" global_colors_info="{}"]Rapid Benzodiazepine Detox FAQs[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Testimonial and Blog Post" module_class="banner gutterless on-dark" _builder_version="4.16" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="1_2,1_2" use_custom_gutter="on" gutter_width="1" make_equal="on" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="100%" width_tablet="100%" width_phone="" width_last_edited="on|desktop" max_width="100%" max_width_tablet="100%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" module_class="centered overlay wistia-override" _builder_version="4.16" background_image="https://www.thecolemaninstitute.com/wp-content/uploads/2019/04/tci-man-smiling-at-camera.jpg" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" global_colors_info="{}"]Join the Hundreds of Patients Who Successfully Completed Their Detox. View Patient Testimonials[/et_pb_text][/et_pb_column][et_pb_column type="1_2" module_class="blog-cta" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" global_colors_info="{}"] Flumazenil for Benzo Withdrawals – The Coleman Institute’s Outpatient Detox Approach By Makenna Benzodiazepines, commonly known as benzos, are medications frequently prescribed to manage anxiety, panic disorders, and sleep issues. Drugs such as... Read More 1 2 3 … 12 Next » [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Form" module_class="centered spaced" _builder_version="4.16" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"]Ready to Reclaim Your Life? Get back to being yourself with our safe and effective method for outpatient benzo detox. Call Now at 877-773-3869[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] #### Blog [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_3,1_3" module_class="tciblog" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" global_colors_info="{}"]The Coleman Institute for Addiction Medicine Blog 2 Jul 26 July 2, 2026 7-OH Ban: Is 7-Hydroxymitragynine Illegal Now? By Makenna On July 1st, 2026, the U.S. Drug Enforcement Administration (DEA) announced action to temporarily place certain 7-hydroxymitragynine (7-OH) substances and related synthetic compounds into Schedule I of the Controlled Substances Act. The announcement has left many consumers asking the same question: Is 7-OH illegal now? No, not yet. While the DEA has announced its intent to temporarily place certain high-potency 7-hydroxymitragynine (7-OH) products and related synthetic compounds into Schedule I of the Controlled Substances Act, the agency has initiated the scheduling process rather than finalized it. The action targets certain enhanced 7-OH products and does not mean all kratom products are federally banned. The federal action focuses on enhanced 7-OH products, including products with 7-OH above a specified threshold, as well as synthetic derivatives such as mitragynine pseudoindoxyl, MGM-15, and MGM-16. These are not the same as traditional kratom leaf products that contain only trace levels of naturally occurring 7-OH. For people who regularly use 7-OH products, those who have developed physical dependence may experience withdrawal symptoms. Understanding what the DEA’s action means, what products are affected, and when to seek medical help is critical. What Is 7-OH? 7-hydroxymitragynine, often called 7-OH, is an alkaloid associated with the kratom plant. In the natural kratom leaf, 7-OH occurs only in trace amounts. The products raising concern today are different. Many contain isolated, enhanced, synthesized, or highly concentrated 7-OH. These products may be sold as tablets, capsules, gummies, liquid shots, drink mixes, powders, or other concentrated extracts. Because these products can contain much higher levels of 7-OH than traditional kratom leaf, they may produce stronger opioid-like effects and carry a greater risk of tolerance, dependence, and withdrawal. What Did the DEA Announce? The DEA announced two Notices of Intent related to 7-OH and kratom-derived synthetic compounds. One notice addresses the temporary placement of 7-OH above a specified threshold into Schedule I. The second notice addresses three synthetic 7-OH derivatives: Mitragynine pseudoindoxyl (MP) Dihydro-7-hydroxymitragynine (MGM-15) MGM-16, the 9-fluoro derivative of 7-hydroxymitragynine According to HHS and FDA, MP, MGM-15, and MGM-16 do not occur naturally in the kratom plant. MP is described as a chemical rearrangement product of 7-OH, while MGM-15 and MGM-16 are synthetic derivatives of 7-OH. Does This Mean All Kratom Will Be Banned? No. The DEA’s action is not intended to regulate natural kratom leaf that does not contain enhanced levels of 7-OH. Traditional kratom leaf contains trace levels of naturally occurring 7-OH, but the federal action is focused on enhanced, concentrated, and synthetic 7-OH products. The DEA is targeting high-potency 7-OH products and related synthetic compounds, not every single product made from the kratom plant. What Kratom Products Are Affected? The DEA action targets products containing certain high-potency or synthetic kratom-related substances, including: 7-hydroxymitragynine (7-OH) exceeding the DEA's proposed threshold of more than 0.050% by weight or more than 1 mg per product Mitragynine pseudoindoxyl MGM-15 MGM-16 These compounds may appear in products marketed as kratom extracts, 7-OH tablets, gummies, capsules, powders, liquid shots, and other enhanced formulations. The HHS also noted that mitragynine pseudoindoxyl (MP), MGM-15, and MGM-16 are synthetic or chemically modified compounds that do not naturally occur in the kratom plant. Why Did Federal Agencies Take Action? Federal regulators are concerned because enhanced 7-OH products are significantly different from and more dangerous than the traditional kratom leaf. These products pose public health concerns because of their potency, addictive potential, and opioid-like effects. The FDA had already issued warning letters in July 2025 to companies selling illegal products containing 7-OH, including tablets, gummies, drink mixes, and liquid shots. In December 2025, the FDA, the DOJ, and the U.S. Marshals Service seized approximately $1 million worth of unlawful 7-OH dietary supplements and food products from three Missouri firms. The DEA’s action is a response to an emerging public safety threat involving highly concentrated synthetic 7-OH products. What This Means If You Use 7-OH If you use traditional kratom products, this announcement may not affect you in the same way it affects someone using high-potency 7-OH tablets, shots, or synthetic derivatives. However, if you regularly use concentrated 7-OH, MGM-15, pseudoindoxyl, or similar products, this federal action could affect availability. Products will become harder to purchase, retailers may remove them, and online sellers may stop carrying them. For people who are physically dependent, suddenly losing access can trigger withdrawal. Common 7-OH withdrawal symptoms may include: Anxiety Restlessness Insomnia Sweating Nausea Muscle aches Irritability Cravings Depression or mood changes Withdrawal severity can vary depending on the specific product, dose, frequency of use, and overall health. Should You Quit 7-OH Cold Turkey? Quitting suddenly can be extremely difficult if your body has become dependent on 7-OH or related synthetic compounds. Some people may be able to stop on their own. Others may experience significant withdrawal symptoms that make it hard to function, sleep, work, or avoid returning to use. If you have been using 7-OH products daily or in high amounts, consider medically detoxing at The Coleman Institute to prevent relapse and reclaim your sobriety. Treatment for 7-OH Dependence If you’ve become dependent on 7-OH, you may assume your only options are a 30-day inpatient rehab program or long-term medication-assisted treatment. But those aren’t your only options. At The Coleman Institute for Addiction Medicine, we provide a five-day outpatient medical detox program designed to detox patients from 7-OH and other opioid-like substances without requiring an extended residential stay. Treatment begins with a comprehensive medical screening performed by one of our medical providers. During this evaluation, we assess your medical history, current medications, substance use patterns, withdrawal risk, and any other factors that may affect your care. Based on that assessment, we develop an individualized detox plan tailored to your needs. Our approach is also abstinence-based. Rather than replacing one opioid-like substance with another, our goal is to help patients safely stop using kratom products without starting long-term maintenance medications such as Suboxone. Instead, we use non-addictive comfort medications and evidence-based medical protocols to help manage withdrawals throughout the detox process. If changing laws have made you reconsider your kratom or 7-OH use, or you’ve been trying to quit but haven’t been able to on your own, you don’t have to go through this alone. Frequently Asked Questions Is 7-OH illegal now? Not yet. The DEA has announced its intent to temporarily schedule certain high-potency 7-OH products and related synthetic compounds. The proposed action applies only to specific enhanced 7-OH products and does not ban traditional kratom leaf or all kratom products. Will the DEA ban apply to MGM-15? Yes. MGM-15, also called dihydro-7-hydroxymitragynine, is one of the synthetic derivatives included in the DEA’s temporary scheduling action. Will the DEA ban apply to pseudoindoxyl? Yes. Mitragynine pseudoindoxyl, also called MP, is specifically included in the DEA’s action. Will this ban all kratom? No. HHS stated that the action is not intended to regulate natural kratom leaf that does not contain enhanced levels of 7-OH. Can 7-OH cause withdrawal? Yes. Regular use of concentrated 7-OH products can lead to tolerance, physical dependence, and withdrawal symptoms when use stops. Final Thoughts The DEA’s action marks a major turning point for high-potency 7-OH products and related synthetic compounds, such as MGM-15, MGM-16, and mitragynine pseudoindoxyl. For consumers, the most important takeaway is that the federal action targets enhanced 7-OH and synthetic kratom-related compounds, not traditional kratom leaf as a whole. For people who have become dependent on these products, the bigger concern may be withdrawal. If you or your loved one is worried about stopping 7-OH, professional recovery support can help make the process safer and more comfortable. 22 Jun 26 June 22, 2026 Kava vs. Kratom: Are They Addictive? By Makenna Kava and kratom have become increasingly popular as plant-based products used for relaxation, stress relief, mood enhancement, and overall wellness. While they are sometimes mentioned together, and even combined in the same products, they are still fundamentally different substances. Understanding how they work, their potential risks, and whether they can lead to dependence is critical for anyone considering their use. In this blog article, we'll compare kava and kratom, discuss their addiction potential, and examine the growing popularity of products that combine the two. What Is Kava? Kava is derived from the roots of the Piper methysticum plant, which has been used for centuries throughout the South Pacific. It's traditionally consumed during social gatherings and ceremonies; kava is known for producing feelings of relaxation, calmness, and reduced anxiety. The active compounds in kava are called kavalactones, which interact with neurotransmitter systems involved in mood and relaxation. People most commonly use kava to: Reduce stress Promote relaxation Support sleep Ease social anxiety Replace alcohol Kava is available as teas, powders, capsules, extracts, and ready-to-drink beverages. Is Kava Addictive? Kava is generally considered to have a relatively low risk of addiction. While some people may develop a habit of using kava regularly or become psychologically attached to its calming effects, kava does not typically produce the same pattern of tolerance, physical dependence, and withdrawal associated with opioids, alcohol, benzodiazepines, stimulants, or kratom. Most people who stop using kava do not experience significant withdrawal symptoms. However, like any substance that affects your mood, excessive or prolonged use can still become problematic for some individuals. What Is Kratom? Kratom comes from the leaves of the Mitragyna speciosa tree, a plant native to Southeast Asia. Unlike kava, kratom contains alkaloids that interact directly with opioid receptors in the brain. The two primary active compounds, mitragynine and 7-hydroxymitragynine (7-OH), can produce stimulant-like effects at lower doses and opioid-like effects at higher doses. People most commonly use kratom for: Pain relief Increased energy Improved mood Anxiety relief Self-medicating opioid withdrawal Today, kratom is sold in a variety of forms, including powders, capsules, extract shots, enhanced alkaloid products, and highly concentrated formulations such as 7-OH, MGM-15, pseudoindoxyl, and nano kratom products. Is Kratom Addictive? Yes, kratom can be addictive, says the American Psychiatric Association. Because kratom acts on opioid receptors, repeated use can lead to tolerance and physical dependence. Over time, many individuals find themselves needing larger amounts to achieve the same effects or using kratom simply to avoid feeling withdrawal symptoms. Common kratom withdrawal symptoms include: Anxiety Restlessness Irritability Fatigue Cravings At The Coleman Institute, we've helped those struggling recover from kratom dependence since 2018. Many of these patients initially viewed kratom as a natural alternative for pain management or mood support but later found themselves struggling to stop. What Happens When Kava and Kratom Are Combined? In recent years, manufacturers have introduced products that combine kava and kratom into a single beverage or supplement. These products are often marketed as wellness tonics, alternatives to alcohol, social beverages, or mood-enhancing drinks. While consumers may be attracted to the calming effects of kava, the inclusion of kratom significantly increases the risk of dependence. This can create confusion for users who may not realize which ingredient is responsible for the effects they experience or the withdrawal symptoms they develop when attempting to stop. Why Have Kava Products Like Feel Free Generated Controversy? One of the most widely recognized examples of a product combining kava and kratom is Feel Free. The beverage gained popularity as a botanical wellness tonic. Still, it later became the subject of growing concern among consumers who reported developing dependence, spending significant amounts of money to maintain daily use, and experiencing withdrawal symptoms when attempting to quit. While products like Feel Free contain both kava and kratom, addiction specialists generally point to the kratom component as the primary factor associated with dependence and withdrawal. The controversy surrounding these products serves as a reminder that natural ingredients do not equate to being risk-free. Consumers need to understand exactly what they are taking before assuming a product is harmless. One of the common things we hear from patients struggling with kratom use is ‘I didn’t know it was addictive’. Kava vs. Kratom: Which Is More Addictive? When comparing the two directly, kratom carries a significantly greater risk of addiction, physical dependence, and withdrawal. Kava is generally considered to have a low risk of dependence. Kava may become part of a person's routine and can be habit-forming for some users, but it generally does not produce the same cycle of escalating tolerance and withdrawal symptoms associated with kratom. When Should You Seek Help? You may benefit from medically detoxing off of kratom if: You use kratom daily Your dose continues to increase You've tried to quit unsuccessfully You experience withdrawal symptoms when stopping Kratom use is affecting your health, finances, work, or relationships Outpatient Kratom Detox at The Coleman Institute The Coleman Institute has helped thousands of patients from around the United States and beyond safely detox from opioids, kratom, and other substances through our medical detox programs. Our kratom detox program is designed to help patients safely stop using kratom without hospitalization or inpatient treatment. Most patients complete treatment in just five days, allowing them to return to their normal routines with minimal disruption to work, family life, and other responsibilities. Since 2018, we've helped patients overcome dependence on all different types of kratom products. Our program has a 95% completion rate and provides fast intake with no waitlists. Unlike many other treatment providers, we do not use addictive medications or opioid-based medications such as Suboxone. Instead, we provide an abstinence-based approach with compassionate medical support throughout the entire detoxification. For patients who want additional protection against relapse, naltrexone therapy may be available after detox; this includes long-acting Vivitrol injections, which can help prevent relapse, reduce cravings, and support lasting recovery. If you or a loved one is struggling with kratom dependence, contact The Coleman Institute today to learn more about our safe, fast, outpatient kratom detox program. 19 Feb 26 February 19, 2026 What Is MGM-15? – Accelerated Outpatient Detox For Kratom By Makenna Kratom products today are far more potent and complex than they were only a few years ago. What had begun as regular Mitragyna speciosa has transformed into concentrated extracts, enhanced formulas, and synthetic compounds created to intensify effects and extend duration. One of these concerning, newer substances is MGM-15, which is a semi-synthetic derivative of 7-hydroxymitragynine; 7-hydroxy is a powerful naturally occurring alkaloid found in kratom. While often advertised as a stronger or more effective alternative, what isn’t as well known is that MGM-15 carries opioid-like risks that can lead to physical dependence and challenging withdrawal symptoms. What Is MGM-15? MGM-15 is a chemically modified form of 7-hydroxymitragynine (7-OH). 7-OH occurs naturally in small amounts in kratom leaves, but it is significantly more potent than mitragynine, the primary alkaloid in kratom. MGM-15 is lab-formulated to increase potency, prolong effects, and intensify opioid receptor binding. MGM-15 does not occur naturally in kratom, and it's typically sold as tablets and liquid extract forms. How MGM-15 Affects The Brain MGM-15 acts primarily on the mu-opioid receptors, the same receptors involved in prescription opioid pain medications, heroin, and fentanyl. Repeated activation of these receptors causes the brain to adapt by reducing its own natural opioid production. Over time, using MGM-15 can lead to: Needing higher doses for the same effect Physical & psychological dependence Withdrawal symptoms when use stops Cravings driven by a neurochemical imbalance What determines withdrawal severity is not whether a substance is labeled natural, but how it activates the brain’s opioid receptors. This receptor-driven process explains why kratom and its derivatives can produce withdrawal symptoms that closely resemble opioid withdrawal. MGM-15 & The Evolution of Kratom Products MGM-15 represents the latest in the evolution of kratom products. Over time, manufacturers have moved away from raw leaf toward formulations designed to give a more intense high, including nano kratom, which is engineered for faster absorption, and pseudoindoxyl kratom compounds, a rearrangement of 7-OH to give stronger effects. Why MGM-15 Use Is So Dangerous While kratom already carries dependence risks, MGM-15 introduces additional concerns, including: Increased Potency By enhancing 7-hydroxy, MGM-15 has stronger and longer-lasting opioid receptor activation, increasing the risk of addiction. Unpredictable Dosing Because MGM-15 products are unregulated, their potency can vary widely, labeling may be inaccurate or misleading, and users may unknowingly consume excessive doses. Accelerated Dependence With high-potency kratom derivatives like MGM-15, physical dependence can develop very fast. What once could take months with traditional kratom may occur in only a few weeks, even in individuals with no prior history of substance misuse. Opioid-Like Withdrawals Stopping MGM-15 can result in withdrawal symptoms similar to those seen with opioid dependence, including but not limited to cravings, body pain, gastrointestinal distress, anxiety, and insomnia. The Withdrawal Symptoms of MGM-15 Withdrawal from MGM-15 often includes significant mental and emotional symptoms in addition to physical discomfort. These effects are tied to opioid receptor disruption and can be just as distressing. Common symptoms may include: Depressive symptoms Mood swings or panic Emotional numbness Brain fog & difficulty concentrating Reduced ability to experience pleasure These symptoms are consistent with what is observed during 7-hydroxymitragynine withdrawal, reinforcing that kratom derivatives impact the same neurochemical systems involved in opioid dependence. Can MGM-15 Lead to Addiction? Yes. Because MGM-15 directly stimulates opioid receptors, it can lead to: Physical & psychological dependence Loss of control over use Continued use despite negative consequences Repeated failed attempts to stop Many individuals attempt to taper kratom or kratom derivatives on their own, only to find that withdrawal symptoms intensify or persist. This is not a lack of willpower; it is a sign of sustained opioid receptor dependence. Why Stopping MGM-15 Feels So Difficult Detoxing from high-potency kratom derivatives can be particularly difficult due to: Prolonged withdrawal timelines Severe physical & psychological symptoms High relapse risk during self-taper attempts Traditional tapering strategies, such as going ‘cold turkey’, often fail because they do not adequately address opioid receptor dysregulation. As a result, many individuals continue using simply to avoid withdrawal. Outpatient Detox for Kratom & MGM-15 Effective kratom detox requires addressing the underlying opioid receptor activity, not replacing one substance with another, like Suboxone, which is an opioid. Our abstinence-based medically supervised outpatient detox focuses on: Quickly stabilizing the brain’s opioid receptors Minimizing withdrawals with non-addictive comfort medications Supporting long-term sobriety rather than substitution This approach is especially impactful for individuals struggling with potent kratom derivatives like MGM-15. The Bottom Line of MGM-15 Products MGM-15 is a semi-synthetic, opioid-acting compound. It's dangerous because of its potency, unpredictability, and impact on opioid receptors, making it especially difficult for individuals attempting to stop on their own. If using kratom products has become difficult to control, or stopping leads to severe withdrawals, medical detox may be necessary. Get Medical Help for Kratom or MGM-15 Use The Coleman Institute for Addiction Medicine provides physician-led, outpatient detox care for individuals struggling with kratom and other opioid-acting substances. We’ve been performing kratom detoxes since 2018 with a 95% completion rate. The Coleman Institute provides Accelerated Outpatient Detox programs at convenient locations across the United States, including: Richmond, Virginia - Insurance Accepted Atlanta, Georgia Tampa, Florida Denver, Colorado Orange County, California Free, confidential consultations are available for those seeking a safe and effective recovery! Call 888-705-9615 to connect with a compassionate staff member to learn more. 28 Jan 26 January 28, 2026 Does the Military Test for Kratom? By Makenna Kratom use in the United States military has shifted from a gray area to a growing concern. While kratom is often marketed as a legal supplement, recent actions by the Department of Defense and individual service branches make it clear that kratom use is prohibited in military service and subject to enforcement. For service members, the real question is no longer just whether kratom appears on a routine drug test, but whether continued use, and how someone chooses to stop, could affect their life, including their health and career. The Military is Paying Closer Attention to Kratom Recently, the Department of Defense has taken a stronger stance on substances that may impair readiness, judgment, or health, even if those substances are not federally scheduled drugs. In September 2025, the Defense Department declared kratom use a violation of the Uniform Code of Military Justice (UCMJ), enforceable under Article 92, effective December 31st. Individual branches have reinforced this position through official communications. The Navy and Marines issued an All Navy Message (ALNAV 003/26) prohibiting kratom and kratom-derived compounds, citing health risks, potency concerns, and the unregulated nature of modern kratom products. The Air Force has made a public warning to service members that kratom is on the DoD’s prohibited substance list. The Army Criminal Investigation Command has warned that kratom use may result in serious consequences under the UCMJ as well. What Kratom Products Did The Military Ban? Use of any substance derived from kratom is not allowed in the U.S. military. The military’s scrutiny includes kratom’s active compounds, such as Mitragynine and 7-hydroxymitragynine (7-OH). The ban includes all forms, including naturally derived, semi-synthetic, and fully synthetic forms. Many modern kratom products are no longer simply leaves or powder. Selections range from gummies, vapes, capsules, and more. They are often sold as enhanced or concentrated formulas, including nano kratom and psuedoinoxyl. Some of these products contain highly concentrated 7-OH, which the military has specifically flagged as especially potent and risky. Can the Military Test for Kratom? Yes, the military can test for kratom. While kratom may not appear on every standard drug test panel, specialized laboratory testing can detect kratom alkaloids when testing is ordered. The idea that ‘kratom is safe because it isn’t tested for’ is a very risky assumption, especially as the military tightens oversight of substances it considers a threat. The Issue for Kratom Users in the Military For many service members, kratom use begins as a way to cope with pain, stress, fatigue, or trauma, and gradually becomes part of a daily routine. With regular use, individuals may experience physical and/or psychological dependence, withdrawal symptoms, or escalation to more potent forms of kratom due to an increased tolerance. Kratom use now carries severe risks within the military due to the military's crackdown on mind-altering substances. Treatment Approach Matters in the Military Choosing a treatment approach is where many service members encounter an unexpected issue. Many treatment programs respond to kratom dependence by transitioning patients onto opioid replacement medications, such as Suboxone or methadone. But at the end of the day, those drugs are still opioids. Service members generally cannot continue serving while prescribed opioid-based maintenance medications. Being placed on these medications may lead to duty restrictions, medical disqualification, or administrative separation. For military personnel, swapping kratom for an opioid-based medication may stop kratom use, but it can also create a new barrier to continuing service. The Coleman Institute for Addiction Medicine uses an abstinence-based approach with non-addictive comfort medications. Our approach ensures that you’re not swapping one addiction for another. Seek Help and Begin Recovery Across military guidance, one message is consistent: early intervention and action are encouraged. Seeking help before enforcement, testing, or disciplinary action protects your health, reduces career and legal risks, allows you to enter treatment on your own terms, and prevents your kratom use from continuing to spiral out of control. For many service members, the challenge isn’t deciding to stop kratom but finding a way to stop that aligns with military expectations. The Coleman Institute’s kratom detox can be completed in just 5 days, whereas other treatment facilities will typically require you to be admitted inpatient for a minimum of thirty days; when you’re serving the military, most aren’t able to step away from their everyday life for a whole month. Kratom Detox at The Coleman Institute For individuals seeking a fast, effective, and safe treatment option, The Coleman Institute offers a medically supervised, abstinence-based, 5-day outpatient kratom detox program. Unlike many programs, The Coleman Institute does not use any opioid replacement medications such as Suboxone or methadone. Instead, we focus on using non-addictive comfort medications and providing an outpatient structure that allows for flexibility. Our approach allows individuals to quit kratom without substituting another medication that could interfere with their ability to serve. Following detox, we offer Naltrexone Therapy to help with cravings and prevent relapse. Naltrexone and its extended form, Vivitrol, are opioid antagonists and do not show up on urine drug screens, unlike Suboxone. If you or a loved one needs to stop using kratom products, we’re here to help. Call us now to take the first step toward lasting recovery. 20 Nov 25 November 20, 2025 What is Nano Kratom? – Accelerated Outpatient Detox for Kratom By Makenna Nano kratom has emerged as one of the latest forms of kratom on the market. This reformulated powder is promoted as a ‘more advanced’ version of traditional kratom, created using nanotechnology to increase absorption and deliver a faster onset of more intense effects. Faster absorption means nano kratom can feel stronger and act more quickly than traditional kratom, but wears off sooner. Over time, its intensity can heighten the risk of opioid-like physical withdrawal or Kratom Use Disorder (KUD). At The Coleman Institute for Addiction Medicine, we’ve seen a growing number of our patients struggling with dependence and withdrawal from concentrated kratom formulations, including nano kratom. Understanding how these reformulated products affect your or your loved one's brain is key to finding the best path to recovery. How Does Nano Kratom Work? Nano kratom is not a new strain or chemical compound; it’s a reformulated version of standard kratom powder that’s been processed into extremely small particles, often less than 100 nanometers in diameter. This increased absorption via nanotechnology enhances how the body absorbs kratom’s active alkaloids, mitragynine and 7-hydroxymitragynine. While this process doesn’t change kratom’s chemistry, it alters how quickly the body responds. Faster absorption can make the effects feel stronger, increasing the likelihood of tolerance and dependence. Kratom’s alkaloids, especially 7-hydroxymitragynine (7-OH), bind to opioid receptors in the brain, explaining the physical withdrawal symptoms many people experience after regular use. Why Nano & Other Enhanced Kratom Products Are Riskier These ‘ultra-enhanced’ nano kratom formulations deliver higher concentrations of kratom alkaloids than natural leaf powder. Because these forms are absorbed more efficiently, they act more strongly on the brain’s mu-opioid receptors, increasing the risk of dependence and withdrawal. Other emerging derivatives, such as pseudoindoxyl (pseudo), may be even more potent due to their altered chemical structure. These synthetic variants can be especially difficult to stop using because of their strong opioid-like effects and prolonged activity in the body. Although some manufacturers market nano kratom as a ‘cleaner high’ or ‘more effective’, what they’re really describing is its increased potency, and that also means increased risk. Because long-term safety data on nano-processed kratom is extremely limited, medically monitored detox remains the safest and most reliable option for stopping use. Common Nano Kratom Withdrawal Symptoms Withdrawal from nano kratom can vary depending on dose, frequency, and individual factors, but commonly includes: Intense cravings Anxiety & restlessness Muscle aches & body pain Fatigue or insomnia Irritability or mood swings Sweating & chills Nausea, vomiting, or diarrhea Runny nose & watery eyes Because of its enhanced absorption and shorter high, nano kratom may cause stronger or faster-onset withdrawal than other standard kratom products. Our Abstinence-Based Approach to Treatment At The Coleman Institute, we use an abstinence-based approach to help people safely stop using kratom, including nano kratom, without relying on replacement medications like methadone or Suboxone. The Coleman Institute’s Outpatient Kratom Detox program makes detox quicker, safer, more comfortable, and effective through the use of non-addictive comfort medications that ease withdrawal symptoms. Using our Accelerated Opioid Detox protocols, patients can complete detox in as few as five days, without the need for inpatient hospitalization. This approach allows patients to begin recovery completely free from kratom and opioid-replacement therapies, establishing a solid foundation for long-term recovery. Nano Kratom Myths versus Facts Myth Fact “Nano kratom is not addictive.” Just like regular kratom, nano kratom is addictive. Kratom’s alkaloids activate the same brain receptors as opioids, which can cause physical dependence and withdrawal. “Kratom products help people detox from opioids naturally.” While some use kratom to manage opioid withdrawal, it usually leads to cross-dependence that requires medical detox. “You don’t need medical help to stop using kratom products.” Withdrawal can be extremely uncomfortable and destabilizing; professional medical detox services ensure safety and comfort. The Dangers of Detoxing Cold Turkey Even though kratom is legal in many states, that doesn’t mean it’s safe to quit without help. Sudden discontinuation, especially from more potent forms like nano kratom, can cause significant withdrawal symptoms that increase the risk of relapse. A supervised medical detox program provides structure, comfort, and accountability, helping patients begin recovery with professional clinical support. Nationwide Outpatient Kratom Detox Locations The Coleman Institute provides Accelerated Outpatient Detox programs at convenient locations across the United States, including: Richmond, Virginia Atlanta, Georgia Tampa, Florida Denver, Colorado Orange County, California Our experienced team of professionals has helped thousands of patients across the country safely detox from kratom and other addictive substances through compassionate, evidence-based care. Break Free From Kratom Withdrawal Today If you or someone you love is struggling with kratom products, you don’t have to face this alone. Call 888-705-9615 or schedule a callback to start your recovery journey from kratom today. 1 2 3 … 56 Next » [/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_11" show_border="off" disabled_on="off|off|off" _builder_version="4.27.4" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Chronic Pain FAQs [et_pb_section fb_built="1" fullwidth="on" _builder_version="4.16" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_fullwidth_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2018/11/painmeddetoxhdr-1.jpg" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}"][/et_pb_fullwidth_image][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"]Chronic Pain FAQs How does pain affect my body? Is it possible to develop an addiction to painkillers when taken as prescribed by a doctor? Why do opiates (narcotics) make Chronic Pain worse? How will stopping opiate use improve my chronic pain? How can chronic pain patients manage pain without relying on opiates? What is the best way to detox from opiates? Why use Naltrexone therapy? What should I do if my chronic pain worsens? What happens if I must take opiate painkillers during Naltrexone therapy? Will I experience any risks or side effects?     1. How does pain affect my body?   There are two very different types of pain: acute and chronic. Acute Pain: Acute pain is the body’s way of responding to a wide range of physical dangers. For example, say you touch a hot stove. When you do this, your pain receptors (nociceptors) will detect a dangerous situation and relay that information to your brain — which then makes you act appropriately. So, you remove your hand before it badly burns. While the pain may hurt, your reaction is an important protective device. Chronic Pain: Chronic pain does not function in the same way as acute pain. When you experience pain for an extended period of time, your nociceptors overload and are more sensitive to pain signals. They fire off at lower levels, making you feel more pain than what actually exists. So, while your body may not be in danger, your pain receptors continue overreacting, resulting in the potential need for prolonged medication use or other pain management strategies.   2. Is it possible to develop a dependence or addiction to pain medication when taken as prescribed by a doctor?   The risk of developing a dependence or addiction to pain medication exists even when they are taken strictly as prescribed by a physician. The addictive properties of opioids can lead to a compulsion to continue using the drug, surpassing the recommended dosage. Transparent and ongoing communication between patients and healthcare providers is crucial. Open dialogues about the risks involved, the progression of treatment, any experiences of side effects, and the exploration of alternative pain management strategies are essential components in preventing dependency and addressing any emerging issues promptly.   3. Why do opiates (narcotics) make Chronic Pain worse?   When you first begin taking opiates to treat chronic pain, they provide relief, energy, a sense of well-being, and even euphoria. They achieve these results by attaching to your brain’s endorphin receptors. Unfortunately, after you take narcotics for an extended time, your brain reduces the amount of endorphins it produces, thus decreasing your body’s natural painkillers. Without natural endorphins, you have to take opiate painkillers just to avoid withdrawal and feel normal. To make matters worse, the opiates confuse your brain’s pathways. So, you have a reduced ability to decipher which pain needs attention to protect you and which you can ignore. Ultimately, the same medicine you take to avoid withdrawal symptoms and provide pain relief steadily makes your chronic pain worse — creating a cyclical relationship.   4. How will stopping opiate use improve my chronic pain?   When you stop taking opiates through rapid detox or other treatment programs, your brain and body can return to a normal state. Your body will begin producing its own endorphins again, and you can expect:   Less intense pain Less frequent pain No more opiate side effects No more withdrawal symptoms   This process can take months to complete, but our patients almost always report that they have less pain within a few weeks of completing their detox.   5. How can chronic pain patients manage pain without relying on opiates?   Chronic pain sufferers can try to avoid reliance on opiates with multifaceted approaches that can combine non-opiate medications, lifestyle modifications, physical therapy, and psychological support. Engaging in regular, moderate exercise and implementing stress-reduction techniques, such as mindfulness and meditation, can also help to improve pain management. Psychological support and counseling can aid in addressing the mental and emotional aspects of chronic pain, providing coping strategies, and enhancing resilience.   6. What is the best way to detox from opiates?   We believe an outpatient Accelerated Opiate Detoxification (AOD) method is the safest, most convenient way to detox from opiates. Rather than spending several months tapering your dosages — and experiencing uncomfortable opioid withdrawal symptoms the whole time — AOD helps you comfortably detox in as little as three days. With this approach, we have a 98% detox completion rate.   7. Why use Naltrexone therapy?   Naltrexone is a non-addictive medication that binds to your brain’s opiate receptors, reducing any cravings you may experience after detox. From our experience, patients who use Naltrexone therapy for at least six months after detoxing recover more easily and permanently from their opiate dependency and chronic pain. At many locations, we use specially formulated Naltrexone injections that last for weeks, so you don’t have to worry about remembering to take a pill each day.   8. What should I do if my chronic pain worsens?   After dealing with chronic pain, worrying about your pain returning if you don’t take opiates is completely understandable. Thankfully, many effective non-narcotic medicines exist for pain. In addition, other treatments can dramatically reduce your chronic pain without medication, such as massage therapy, physical therapy and spinal cord stimulators. In our experience, many of these options prove very helpful to patients once they detox completely and their body no longer craves narcotics.   9. What happens if I must take opiate painkillers during Naltrexone therapy?   If a patient experiences a painful, life-threatening, or other traumatic event or emergency, such as a car accident or escalating pain, and needs opiate painkillers while taking Naltrexone. They would be able to take an opiate painkiller within 6 to 12 hours.   10. Will I experience any risks or side effects?   Our outpatient Accelerated Opiate Detox is very safe, but as with any medical procedure, some side effects, risks and potential complications exist. These include:   Discomfort: While our rapid outpatient opiate detox program can reduce the severity of many withdrawal symptoms, some patients experience minor discomfort during the detox. If this occurs, we provide additional medication for comfort. Overdose Risk: The risk of overdose is high if patients abuse opiates after an extended period of abstinence. [/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.16" custom_margin="100px|||" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" global_colors_info="{}"] Let's Take the Next Step Together. Have questions or want to learn more? Contact us today at 804-294-2212. [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] #### Colorado Rapid Benzo Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.19.4" global_colors_info="{}"]Rapid Benzo Detox in Colorado The Coleman Institute offers Rapid Benzodiazepine Detox options in Denver, CO Benzodiazepines, also known as “benzos”, are highly addictive psychoactive drugs that affect the body’s central nervous system. Medical doctors may prescribe them in cases of anxiety disorders, insomnia, or panic attacks. Typically, benzodiazepines are considered safe to take for short-term use, but they possess addictive qualities that can lead to lifelong dependence. The Coleman Institute can help. Our Benzodiazepine Detox in Denver, CO offers a safe, effective way to detox from benzodiazepines — like Xanax, Valium, Klonopin, or Ativan — without the misery of tapering. The Coleman Institute is the only facility in the United States that offers this type of treatment. Our method includes using Flumazenil to flush the benzodiazepines out of your system quickly. Patients are usually able to complete the detox in eight days, instead of the weeks or months involved in tapering. By using low doses of Flumazenil, many patients experience much milder withdrawal symptoms, fewer panic attacks, and minimal insomnia. For patients who do experience withdrawal symptoms, we can provide medications that help with the symptoms. At the Coleman Institute in Denver, CO, we are committed to helping people find the road to recovery and live addiction-free lives. With our innovative detox program and expert medical team, you don’t have to go it alone or suffer the agony of tapering. Check out these helpful resources for more details: Rapid Benzodiazepine Detox FAQs Flumazenil for Benzo Withdrawals You can free yourself from addiction. Add your name to the thousands of patients who completed their detox. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### COVID-19 Safe Care Protocol [et_pb_section fb_built="1" admin_label="Header" module_class="header on-dark spaced centered wistia-override" _builder_version="4.16" background_color="#f1faff" background_enable_image="off" background_position="top_center" global_colors_info="{}"][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="80%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.16" text_font="||||||||" header_text_align="left" header_text_color="#003974" header_line_height="0.9em" header_2_text_align="left" header_3_text_align="left" header_3_text_color="#003974 " global_colors_info="{}"]COVID-19 Safe Care Protocol at the Coleman Institute We're taking extra care—so you don't have to delay your treatment Schedule a Callback[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2020/07/TCI_CovidBadge_v1.webp" alt="TCI Covid Badge" title_text="TCI Covid Badge" align="center" _builder_version="4.16" _module_preset="default" max_width="400px" custom_padding="15%||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Keep You Safe" module_class="spaced centered" _builder_version="4.16" global_colors_info="{}"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.16" text_font="||||||||" global_colors_info="{}"]Keeping You Safe at Our Offices The health and safety of our patients and team members remain our top priority, that's why we've created the COVID-19 Safe Care Protocol. In addition to offering limited in-person visits at our offices so patients can avoid crowded hospitals, we've introduced new preventive measures and innovative offerings, including: [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Icons" module_class="spaced centered" _builder_version="4.16" background_color="#f5f5f5" global_colors_info="{}"][et_pb_row column_structure="1_4,1_4,1_4,1_4" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="80%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2020/07/TCI_EnchancedCleaning.webp" alt="TCI Enhanced Cleaning" title_text="TCI Enhanced Cleaning" url="#bullet-list" align="center" _builder_version="4.16" _module_preset="default" width="100%" max_width="150px" global_colors_info="{}"][/et_pb_image][et_pb_text _builder_version="4.16" _module_preset="default" text_font="|700|||||||" text_text_color="#000000" text_font_size="20px" text_orientation="center" link_option_url="#bullet-list" global_colors_info="{}"]Enhanced Cleaning[/et_pb_text][/et_pb_column][et_pb_column type="1_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2020/07/TCI_MasksRequired.webp" alt="TCI Masks Required" title_text="TCI Masks Required" url="#bullet-list" align="center" _builder_version="4.16" _module_preset="default" max_width="150px" global_colors_info="{}"][/et_pb_image][et_pb_text _builder_version="4.16" _module_preset="default" text_font="|700|||||||" text_text_color="#000000" text_font_size="20px" text_orientation="center" link_option_url="#bullet-list" global_colors_info="{}"]Required Masks[/et_pb_text][/et_pb_column][et_pb_column type="1_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2020/07/TCI_TouchFreeProtocol.webp" alt="TCI Touch Free Protocol" title_text="TCI Touch Free Protocol" url="#bullet-list" align="center" _builder_version="4.16" _module_preset="default" max_width="150px" global_colors_info="{}"][/et_pb_image][et_pb_text _builder_version="4.16" _module_preset="default" text_font="|700|||||||" text_text_color="#000000" text_font_size="20px" text_orientation="center" link_option_url="#bullet-list" global_colors_info="{}"]Reduced-Touch Protocols[/et_pb_text][/et_pb_column][et_pb_column type="1_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2020/07/TCI_CovidScreening.webp" alt="TCI Covid Screening" title_text="TCI Covid Screening" url="#bullet-list" align="center" _builder_version="4.16" _module_preset="default" max_width="150px" global_colors_info="{}"][/et_pb_image][et_pb_text _builder_version="4.16" _module_preset="default" text_font="|700|||||||" text_text_color="#000000" text_font_size="20px" text_orientation="center" link_option_url="#bullet-list" global_colors_info="{}"]COVID Screening[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_4,1_4,1_4,1_4" custom_padding_last_edited="on|phone" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="80%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_padding="50px||||false|false" custom_padding_tablet="" custom_padding_phone="0px||||false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image alt="TCI Enhanced Cleaning" title_text="TCI Enhanced Cleaning" align="center" _builder_version="4.16" _module_preset="default" width="100%" max_width="200px" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="1_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2020/07/TCI_VirtualWaitingRooms.webp" alt="TCI Virtual Waiting Rooms" title_text="TCI Virtual Waiting Rooms" url="#bullet-list" align="center" _builder_version="4.16" _module_preset="default" max_width="150px" global_colors_info="{}"][/et_pb_image][et_pb_text _builder_version="4.16" _module_preset="default" text_font="|700|||||||" text_text_color="#000000" text_font_size="20px" text_orientation="center" link_option_url="#bullet-list" global_colors_info="{}"]Alternative Waiting Areas[/et_pb_text][/et_pb_column][et_pb_column type="1_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2020/07/TCI_VirtualCare.webp" alt="TCI Virtual Care" title_text="TCI Virtual Care" url="#bullet-list" align="center" _builder_version="4.16" _module_preset="default" max_width="150px" global_colors_info="{}"][/et_pb_image][et_pb_text _builder_version="4.16" _module_preset="default" text_font="|700|||||||" text_text_color="#000000" text_font_size="20px" text_orientation="center" link_option_url="#bullet-list" global_colors_info="{}"]Virtual Care / Telehealth Options[/et_pb_text][/et_pb_column][et_pb_column type="1_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image alt="TCI Covid Screening" title_text="TCI Covid Screening" align="center" _builder_version="4.16" _module_preset="default" max_width="200px" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][et_pb_row module_id="bullet-list" _builder_version="4.16" _module_preset="default" custom_padding="50px||||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" _module_preset="default" global_colors_info="{}"][et_pb_text admin_label="Text" _builder_version="4.16" text_font="||||||||" header_text_align="left" header_line_height="0.9em" header_2_text_align="left" global_colors_info="{}"]Schedule a Callback[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Bulleted List" module_class="banner cta expanded" _builder_version="4.16" background_color="#f5f5f5" global_colors_info="{}"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" global_colors_info="{}"][et_pb_text module_class="centered" _builder_version="4.16" custom_padding="||||false|false" custom_padding_last_edited="off|desktop" global_colors_info="{}"]A Snapshot Of Our Updated Protocols[/et_pb_text][et_pb_text module_class="covid-list" _builder_version="4.16" _module_preset="default" text_font="||||||||" text_text_color="#000000" text_font_size="20px" custom_css_main_element="||" global_colors_info="{}"] Enhanced Cleaning — Including increased disinfection throughout our offices. Required Masks — For all patients, approved visitors, and staff and will be provided if necessary. Reduced-Touch Protocols — To avoid unnecessary in-person interaction with staff. COVID Screening — For all patients, approved visitors and staff based on CDC guidelines, including temperature checks before every visit and at all entry points. Alternative Waiting Areas — To help prevent patients and support people from coming into contact with others. Virtual Care/Telehealth Options — Available for certain procedures when applicable. [/et_pb_text][et_pb_text _builder_version="4.16" _module_preset="default" text_orientation="center" global_colors_info="{}"]Schedule a Callback[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="off|off|off" admin_label="Form" module_class="centered spaced" _builder_version="4.16" global_colors_info="{}"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" global_colors_info="{}"]Ready to Reclaim Your Life? Get back to being yourself with our safe and effective method for accelerated opioid detox. Call Us Now at 877-773-3869 Or Schedule a Callback[/et_pb_text][et_pb_code disabled_on="on|on|on" _builder_version="4.16" disabled="on" global_colors_info="{}"][/et_pb_code][/et_pb_column][/et_pb_row][/et_pb_section] #### Denver Accelerated Fentanyl Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.19.4" global_colors_info="{}"]Accelerated Fentanyl Detox The Coleman Institute offers Accelerated Fentanyl Detox in Denver, CO Fentanyl is a powerful opioid that is used for pain relief, primarily in terminally ill patients. The drug binds to the receptors in the brain and spinal cord to reduce pain. However, like most opiates, physical dependency on Fentanyl can begin after just one use. The potency of this drug quickly leads to a tolerance, which causes users to use more and more of the drug in order to achieve that initial high. Withdrawal from Fentanyl can be severe. That is why we offer a safe, assisted Accelerated Fentanyl Detox at the Coleman Institute in Denver, CO. Our detox program has treated thousands of patients with stunning results. Accelerated Detox removes the opiates from the brain in the most comfortable way possible. Best of all, it can be done in as few as 5 days, so you can clear the opiates from your body without lengthy hospital stays. Through our innovative treatment, we provide our patients with exceptional outpatient care and long-term recovery support. By using non-addictive, non-narcotic medication to reduce discomfort and cravings, we are able to prevent the temptation to relapse that often accompanies a detox. Our team is ready to help you or your loved one get clean and stay clean through our unique suite of addiction services. Check out these helpful resources for more details: Accelerated Opiate Detox FAQs Naltrexone Therapy FAQs Dangers of Fentanyl Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Denver Accelerated Hydrocodone Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" global_colors_info="{}"]Accelerated Hydrocodone Detox The Coleman Institute offers Accelerated Hydrocodone Detox options in Denver, CO Hydrocodone is a highly addictive opiate that can begin the process of dependence after the first use. Often, people judge Hydrocodone addiction as a sign of weakness. But this couldn’t be further from the truth. Hydrocodone addiction is not a personality flaw — it’s a chronic disease. When someone becomes addicted to Hydrocodone, the opiates within the drug hijack the brain’s chemical production. As a result, the brain stops making enough of the endorphins needed to feel happy and reduce pain. Detox removes these harmful chemicals, so endorphin levels can eventually return to normal. The misery you feel from trying to detox on your own is natural. But it’s not the only path toward the addiction-free life you deserve. Our Accelerated Hydrocodone Detox treatment in Denver, CO removes the opiates from your brain in the most comfortable way possible. Rather than the typical 10 days you’d spend self-detoxing, our treatment takes about 3 days. The process is a more effective, safer, and more convenient way to free yourself from addiction. The benefits of our Accelerated Hydrocodone Detox in Denver, CO: Outpatient Care As few as three days to complete the process No general anesthesia No hospital stays required Minimal Discomfort Safe, assisted withdrawal process Medicine to reduce discomfort Caring support from medical professionals who understand addiction Long-Term Support Naltrexone therapy to reduce cravings and reduce the risk of relapse Plan for maintaining sobriety Access to recovery support services Check out these helpful resources for more details: Accelerated Opiate Detox FAQs Naltrexone Therapy FAQs Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Denver Accelerated Kratom Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.19.4" global_colors_info="{}"]Accelerated Kratom Detox The Coleman Institute offers Accelerated Kratom Detox in Denver, CO Kratom is a plant-based drug that is native to Thailand, Malaysia, Indonesia, and Papua New Guinea. Because small doses of it can create a stimulant effect, it is thought to increase energy and stamina. In the U.S., it is often presented as an herbal product that can aid in the treatment of opiate addiction. The truth is that Kratom is just as addictive as opiates. Large doses of the drug produce a sedative effect very similar to opiates. Kratom is difficult to wean oneself off of, as withdrawal symptoms (like opiates) can turn severe and dangerous. Our Accelerated Kratom Detox program in Denver, CO removes Kratom from the body in the most comfortable way possible. Using an accelerated approach, we are able to detox patients on an outpatient basis in as little as five days. Unlike the misery of detoxing on your own, our Accelerated Kratom Detox is safe, effective, and much more convenient. You don’t need to take a long break from your daily life to complete your detox. At the Coleman Institute in Denver, CO, it is possible to gain your life back from the grips of addiction within the course of a long weekend. In addition to detox, our goal is to support lifelong recovery in every way we can. Our three-step treatment plan includes Naltrexone Therapy to help our patients during the challenging first few weeks of recovery and our caring medical professionals are also available to provide ongoing aftercare support. Don’t let addiction rule your life any longer. Check out these helpful resources for more details: Accelerated Opiate Detox FAQs Naltrexone Therapy FAQs Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Denver Accelerated Opana Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.19.4" global_colors_info="{}"]Accelerated Opana® Detox The Coleman Institute offers Accelerated Opana® Detox options in Denver, CO At its best, Opana®, a prescription opioid painkiller, can provide healing and relief. Unfortunately, it is also extremely addictive. Just one use can affect the chemical production in the brain, decreasing natural endorphins and catapulting a user down the road of addiction. At the Coleman Network in Denver, CO we offer a solution. Our Accelerated Opana® Detox lets patients rid themselves of an Opana® dependency without the fear of painful withdrawal symptoms or lengthy rehab stays. Our Denver, CO office provides: Safe, assisted withdrawal process Medicine to reduce discomfort Caring support from medical professionals who understand dependency Detox appointments take place in our Denver, CO clinic, not a rehab facility. Using non-addictive drugs and sedatives, we are able to push out the opiates in as few as 3 days, without the discomfort you’d experience in a typical detox process. The road to recovery starts with getting clean. Let our medical professionals help you take the first step. Check out these helpful resources for more details: Accelerated Opiate Detox FAQs Naltrexone Therapy FAQs You can free yourself from addiction. Add your name to the 98% of patients who successfully completed their detox. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Denver Accelerated Opiate Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.20.2" global_colors_info="{}"]Accelerated Opiate Detox The Coleman Network provides opiate detox options in Denver, CO Opiates are used medically for pain relief, but they are the most addictive drugs available. When used, the drug attaches itself to the endorphin receptors in the brain. This portion of the brain naturally produces hormones that, when released, make us feel better, increase pleasure, minimize pain, and improve our overall mood. The problem, however, is opiates cause the brain to stop producing endorphins naturally. The body becomes completely dependent on opiates to perform the role of natural endorphins. Any feeling of pain relief or pleasure comes from the opiates instead of the body. At the Coleman Institute in Denver, CO we offer a solution. Our Accelerated Opiate Detox lets patients rid themselves of an opiate dependence or addiction without the fear of painful withdrawal symptoms or lengthy rehab stays. Our Denver, CO office provides: Safe, assisted withdrawal process Medicine to reduce discomfort Caring support from medical professionals who understand dependency and addiction Detox appointments take place in our Denver, CO clinic, not a rehab facility. Using non-addictive drugs and sedatives, we are able to push out the opiates in as few as 3 days, without the discomfort you’d experience in a typical detox process. Once the detox is completed, our staff can provide long-term support as you begin rebuilding your life and creating new, healthier habits. Check out these helpful resources for more details: Accelerated Opiate Detox FAQs Naltrexone Therapy FAQs You can free yourself from addiction. Add your name to the 98% of patients who successfully completed their detox. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Denver Accelerated Oxycodone Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" global_colors_info="{}"]Accelerated Oxycodone Detox The Coleman Institute offers Accelerated Oxycodone Detox options in Denver, CO Accelerated Oxycodone Detox at the Coleman Institute in Denver, CO is a safe, effective, and comfortable way to free yourself from the grips of opiate addiction. Oxycodone is a powerful opiate that hijacks the brain’s chemicals production. As a result, the brain stops making enough of the endorphins needed to feel happy and reduce pain. Detox removes these harmful chemicals, so endorphin levels can eventually return back to normal. We are committed to helping you get clean and stay clean through our innovative detox program. With the help of our medical team, you don’t have to go it alone or suffer the agony of self-detoxing. Our Accelerated Oxycodone Detox program takes place at our clinic in Denver, CO. It is a three-day outpatient care treatment with no hospital stays required. This safe, assisted detoxification process means you can start the addiction-free life you deserve as soon as possible. The benefits of our Accelerated Oxycodone Detox program Outpatient Care As few as three days to complete the process No general anesthesia No hospital stays required Minimal Discomfort Safe, assisted withdrawal process Medicine to reduce discomfort Caring support from medical professionals who understand addiction Long-Term Support Naltrexone Therapy to reduce cravings and reduce the risk of relapse Plan for maintaining sobriety Access to recovery support services Check out these helpful resources for more details: Accelerated Opiate Detox FAQs Naltrexone Therapy FAQs You can free yourself from addiction. Add your name to the 98% of patients who successfully completed their detox. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Denver Accelerated Percocet® Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" global_colors_info="{}"]Accelerated Percocet® Detox The Coleman Institute offers Accelerated Percocet® Detox options in Denver, CO The Coleman Institute in Denver, CO offers a safe, convenient, and comfortable Accelerated Percocet® Detox program that can be completed in as few as three days. Percocet® is an addictive painkiller that can start a drug problem the first time it is taken. Like most opioids, Percocet® takes over the brain’s chemical production and makes it harder for your body to produce endorphins – the body’s natural pain medication. Once your body becomes dependent on Percocet®, it becomes impossible to function without it. If this is something you or a loved one is struggling with, we can help! Our Denver, CO location specializes in Accelerated Percocet® Detox, a process designed to remove the harmful chemicals from your body in an accelerated and pain-free method. The benefits of our Accelerated Percocet® Detox include: Outpatient care Minimal discomfort Long-term support Our medical professionals understand addiction and are ready to help you take the first step on the road to recovery. Our three-step treatment plan includes Naltrexone Therapy to reduce cravings and reduce the risk of relapse, as well as long-term access to recovery support services. Check out these helpful resources for more details: Accelerated Opiate Detox FAQs Naltrexone Therapy FAQs You can free yourself from addiction. Add your name to the 98% of patients who successfully completed their detox. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Denver Accelerated Roxicodone Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.19.4" global_colors_info="{}"]Accelerated Roxicodone Detox The Coleman Institute offers Accelerated Roxicodone Detox options in Denver, CO Roxicodone is an opiate and narcotic pain reliever that is often prescribed to alleviate severe pain which occurs by changing the way your body and brain respond to pain. When you take Roxicodone, it changes the way your brain perceives pain throughout your central nervous system. It can also trigger an emotional response because it releases a flood of dopamine which is the neurotransmitter that is largely responsible for how we feel and interpret pleasure. Dependency on Roxicodone can develop frighteningly fast. Your brain can crave the effects of Roxicodone; higher and higher doses are needed to appease those cravings. Quitting Roxicodone on your own can be painful and even life-threatening. But there is a proven path to the addiction-free life you deserve. At the Coleman Institute in Denver, CO, we offer an outpatient Accelerated Roxicodone Detox that pushes Roxicodone out of your body in as few as 3 days. Patients are able to detox without the painful withdrawal symptoms involved in other programs. The Benefits of Accelerated Roxicodone Detox at the Coleman Institute: Outpatient Care As few as 3 days to complete the process No general anesthesia No hospital stays required Minimal Discomfort Safe, assisted withdrawal process Medicine to reduce discomfort Caring support from medical professionals who understand addiction Long-Term Support Naltrexone therapy to reduce cravings and prevent relapse Plan for maintaining sobriety Access to recovery support services Check out these helpful resources for more details: Accelerated Opioid Detox Guide Naltrexone Therapy You can free yourself from addiction. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Denver Accelerated Tramadol Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" global_colors_info="{}"]Accelerated Tramadol Detox The Coleman Institute offers Accelerated Tramadol Detox options in Denver, CO While Tramadol is intended to relieve moderate to severe pain, if taken inappropriately or abused, you can develop a drug dependency and actually end up in more pain. This is because Tramadol is similar to opioids in that it is a controlled substance that has a high risk of addiction. It can help relieve pain following a surgery or serious injury but over time, Tramadol can actually make you more sensitive to pain, making mild pain such as stubbing your toe, feel exorbitant. Like all opioids, Tramadol binds to the opioids receptors in your brain. Your body continues to try to pass pain signals by creating more receptors making the Tramadol less effective. This drives many people to increase their dosage while their body increases its opportunity to feel pain. Additionally, Tramadol floods your body with endorphins to the point where your body stops producing its own, reducing your ability to reduce your own pain. This cycle can feel endless and overwhelming, but the Coleman Institute can help. If you are suffering from a dependency on Tramadol, our Accelerated Tramadol Detox can help you get your life back. The Accelerated Tramadol Detox at the Coleman Institute in Denver, CO is an outpatient process that is safe, comfortable, and effective. It can be completed in as few as 5 days. We use non-addictive medications to eliminate Tramadol from your body to ease withdrawal symptoms. The Benefits of Our Accelerated Tramadol Detox in Denver, CO: Outpatient Care As few as five days to complete the process No general anesthesia No hospital stays required Minimal Discomfort Safe, assisted withdrawal process Medicine to reduce discomfort Caring support from medical professionals who understand addiction Long-Term Support Naltrexone therapy to reduce cravings and reduce the risk of relapse Plan for maintaining sobriety Access to recovery support services Check out these helpful resources for more details: Accelerated Opioid Detox Guide Naltrexone Therapy You can free yourself from addiction. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Denver Accelerated Ultram® Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.19.4" global_colors_info="{}"]Accelerated Ultram® Detox The Coleman Institute offers Accelerated Ultram® Detox options in Denver, CO Ultram® is an opioid agonist used for pain relief. This means that it binds to endorphin receptors in the brain to produce a response in the body. Because Ultram® occupies these receptors, the brain thinks it has already produced enough endorphins and halts production. Rather than relying on itself, your brain now relies on Ultram®. Physical dependency can happen quickly, often in the first use. Withdrawal from Ultram® can be severe. Our outpatient Accelerated Ultram® Detox in Denver, CO removes these harmful chemicals, so chemical levels can return to normal. Our process is safe, effective, and comfortable. Using an accelerated approach, we are able to detox patients on an outpatient basis in as few as five days. Unlike detoxing on your own, our Accelerated Ultram® Detox is safe, effective, and much more convenient. You don’t need to take a long break from your daily life to complete your detox. At The Coleman Institute in Denver, CO, it is possible to gain your life back from the grips of Ultram® over the course of a long weekend. Don’t let Ultram® addiction rule your life. Check out these helpful resources for more details: Accelerated Opioid Detox Guide Naltrexone Therapy You can free yourself from addiction. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Denver Accelerated Vicodin® Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.19.4" global_colors_info="{}"]Accelerated Vicodin® Detox The Coleman Institute offers Accelerated Vicodin® Detox options in Denver, CO Vicodin® can lead to addiction after just a few uses. Although often prescribed by doctors, Vicodin® is an extremely addictive prescription drug that takes over the body’s natural chemical production. As the body’s natural response to pain is dulled, more and more doses of Vicodin are required in order to feel relief. Our Accelerated Vicodin® Detox treatment in Denver, CO removes the drug from the brain in the most comfortable way possible. Using an accelerated approach, we are able to detox patients on an outpatient basis in as little as three days. Unlike the misery of detoxing on your own, our Accelerated Vicodin® Detox is safe, effective, and much more convenient. You don’t need to take a long break from your daily life to complete your detox. At the Coleman Institute in Denver, CO, it is possible to gain your life back from Vicodin® dependency over the course of a long weekend. In addition to detox, our goal is to support lifelong recovery in every way we can. Our three-step treatment plan includes Naltrexone Therapy to help our patients during the challenging first few weeks of recovery. Our caring medical professionals are also available to provide ongoing aftercare support. Don’t let a Vicodin® dependency control your life any longer. Free yourself from addiction at the Coleman Institute, Denver, CO. Check out these helpful resources for more details: Accelerated Opiate Detox FAQs Naltrexone Therapy FAQs You can free yourself from addiction. Add your name to the 98% of patients who successfully completed their detox. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Denver Alcohol Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" global_colors_info="{}"]Alcohol Detox The Coleman Institute offers Alcohol Detox options in Denver, CO In the United States, close to 88,000 people die each year from alcohol-related causes. It is the third largest cause of preventable deaths. Drinking is such a common part of our society that most people don’t realize how quickly an alcohol dependence, or alcoholism, can develop. Cutting back or quitting cold turkey can be extremely difficult and, in some cases, have severe withdrawal symptoms. At its worst, detoxifying off of alcohol can lead to seizures or a life-threatening condition known as Delirium Tremens (DTs). In the past, patients were hospitalized to detox from alcohol in order to reduce these risks. At the Coleman Institute in Denver, CO, we’ve found another way. Our innovative alcohol detox program offers a path towards the addiction-free life you deserve and is done on a completely outpatient basis. Our program begins by replenishing your body with the vitamins and minerals that have been depleted over time due to alcohol use. After restoring these nutrients, we’ll give you medicine to keep you calm, comfortable and safe as your blood alcohol level drops. After a few hours, you’ll go home. Then, for the next 2 days, you’ll return to our office until you complete the detox. Once your body is free of alcohol, we’ll help you begin your new life in recovery. Our long-term recovery services include: Naltrexone Therapy to reduce cravings and reduce the risk of relapse Plan for maintaining sobriety Access to recovery support services Check our these helpful resources for more details: Alcohol Detox FAQs Naltrexone Implants for Alcohol FAQs You can free yourself from addiction. Add your name to the 98% of patients who successfully completed their detox. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Denver Buprenorphine Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.21.0" global_colors_info="{}"]Buprenorphine Detox The Coleman Institute offers Buprenorphine Detox options in Denver, CO Buprenorphine is a prescription drug that is commonly prescribed in traditional treatment and detox environments to help people with a heroin or opioid dependency. As a partial opioid agonist, it is used to treat pain and opioid addiction. But Buprenorphine itself is still a highly addictive substance. It works by imitating the effects of heroin or opioids but the effects are much weaker. For many patients of this more traditional approach for treating a Substance Use Disorder, they find themselves transferring their addiction from one opioid to another. At the Coleman Institute in Denver, CO, we offer a Buprenorphine Detox to help you rid your body and your life of all opioid-based substances. Your comfort and safety is our priority. That’s why we created the Coleman Method. Our Buprenorphine Detox using the Coleman Method removes the opioids from your brain in the fastest, most comfortable way possible. We are able to complete your Buprenorphine Detox in as few as 8 days so you can keep your life on track. Benefits of Our Buprenorphine Detox in Denver, CO: Outpatient Care Outpatient care in as few as eight days No general anesthesia or hospital stays required Safe, assisted withdrawal with non-addictive medication Caring support from medical professionals Long-term recovery support with a plan for maintaining sobriety Check out these helpful resources for more details: Accelerated Opioid Detox Guide Naltrexone Therapy You can free yourself from addiction. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Denver Heroin Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.19.4" global_colors_info="{}"]Heroin Detox The Coleman Institute offers Heroin Detox options in Denver, CO Heroin Detox at the Coleman Institute in Denver, CO is a safe, effective, and comfortable way to free yourself from the grips of heroin addiction. Heroin is a powerful opiate that hijacks the brain’s chemical production after a single dose. The first time you used heroin, you obviously didn’t intend to become dependent on the drug. But in no time, a dose that caused euphoria when you first started using barely stops the withdrawal symptoms. So you need to take larger doses to experience the same high or any high at all. Because the body builds tolerance to heroin so quickly, this need for larger and larger doses becomes an evil cycle that often ends in overdose. Over 10,000 people die of an overdose each year in the United States. At the Coleman Institute in Denver, CO we are committed to helping people find the road to recovery and live addiction-free lives. With our innovative detox program and expert medical team, you don’t have to go it alone or suffer the agony of self-detoxing. Our Heroin Detox program takes place at our clinic in Denver, CO. It is a five-day outpatient care treatment with no hospital stays required. This safe, assisted detox program means you can start the addiction-free life you deserve as soon as possible. Check our these helpful resources for more details: Accelerated Opiate Detox FAQs Naltrexone Therapy FAQ You can free yourself from addiction. Add your name to the 98% of patients who successfully completed their detox. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Denver Methadone Detox The Coleman Institute provides Methadone Detox Options in Denver, CO Methadone is commonly used to treat opiate addictions, but due to its highly addictive qualities, most patients end up trading one addiction for another. A lifetime of methadone dependency is not the only option! At The Coleman Institute in Denver, CO we offer an outpatient methadone detox treatment that can be completed in as few as eight days. Our process involves using non-addictive drugs and sedatives to completely remove the narcotics attached to your brain receptors in the safest and most comfortable way possible. Our caring staff understands the unique qualities of methadone and will stand by your side throughout the process. [sidebar name="Other Pages Sidebar"] The Benefits of the Coleman Institute's Methadone Detox in Denver, CO Outpatient Care Eight days to complete the process No general anesthesia No hospital stays required   Minimal Discomfort Safe, assisted withdrawal process Medicine to reduce discomfort Caring support from medical professionals who understand addiction   Long-Term Support Naltrexone therapy to reduce cravings and reduce the risk of relapse Plan for maintaining sobriety Access to recovery support services   You can free yourself from addiction. Add your name to the 98% of patients who successfully completed their detox. Let’s take the next step together. Call us at 877-773-3869. #### Denver Methadone Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.1" global_colors_info="{}"]Methadone Detox   Methadone is a mood-altering narcotic that can be helpful in stopping someone from using street drugs, but it is also a prescription painkiller that is extremely difficult to detox from – even more so than heroin or prescription drugs. One dose of methadone can stay in your body for well over a month, which means a normal detox can take much longer than that. Our methadone detox in Denver, CO removes the drugs from your system much faster and much more comfortably. Using an accelerated approach designed specifically for methadone, we are able to detox patients on an outpatient basis in as few as eight days. Unlike the misery of detoxing on your own, our Accelerated Methadone Detox is safe, effective, and much more convenient. In addition to detox, our goal is to support lifelong recovery in every way we can. Our treatment plan includes Naltrexone Therapy to help our patients during the challenging first few weeks of recovery and our caring medical professionals are also available to provide ongoing aftercare support. While most other detox programs typically offer treatment for patients currently on 30 mg of methadone or less, our outpatient program at the Coleman Institute can detox patients from methadone doses up to 300 mg. Don’t let addiction rule your life any longer. Free yourself from the cycle at the Coleman Institute, Denver, CO. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Denver Naltrexone Therapy [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.19.4" global_colors_info="{}"]Naltrexone Therapy The Coleman Institute provides naltrexone therapy options in Denver, CO Naltrexone Therapy is a vital part of the three-step addiction treatment process at the Coleman Institute in Denver, CO. This valuable tool makes the transition to sobriety easier, more comfortable, and far more likely to last. Naltrexone is a medicine that blocks the opiate receptors in a person’s brain, acting as a powerful buffer during the initial and most challenging parts of recovery. We advocate for Naltrexone Therapy because it: Dramatically reduces cravings Does not inhibit natural endorphins Prevents highs if relapses occur Is non-addictive Our uniquely compounded formula consists of a small, painless Naltrexone implant that is placed under the skin where it slowly releases a dose for 2 months. Depending on a patient’s needs, we also provide Vivitrol®, an FDA-approved, branded version of injectable Naltrexone. Freed from intense cravings and unable to get high, patients at the Coleman Institute in Denver, CO are able to focus on the important aspects involved in staying clean — without having to remember to take a pill. Check out our Naltrexone Therapy for Opiates and Alcohol FAQs for more information. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Denver Pain Medication Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" global_colors_info="{}"]Pain Medication Detox The Coleman Institute offers Pain Medication Detox options in Denver, CO Millions of Americans take pain medications every year and many of these pain medications are addictive opioids. Wanting to find relief for your pain is normal but your pain medication dosage can turn into a drug dependency. If you have developed a dependency on your pain medication, the Coleman Institute in Denver, CO can help. The Coleman Institute in Denver, CO helps chronic pain patients detox off their medications in a safe, effective, and comfortable way. Our pain medication detox in Denver, CO is a medication-assisted treatment (MAT) program that is completed on an outpatient basis in as few as 3-8 days. The Coleman Institute in Denver, CO uses non-addictive comfort medications to completely remove the addictive pain medication from your body, letting the chemical levels in your brain normalize. The Benefits of Our Pain Medication Detox in Denver, CO: Outpatient Care As few as three days to complete the process No general anesthesia No hospital stays required Minimal Discomfort Safe, assisted withdrawal process Medicine to reduce discomfort Caring support from medical professionals who understand addiction Long-Term Support Naltrexone therapy to reduce cravings and reduce the risk of relapse Plan for maintaining sobriety Access to recovery support services Check out these helpful resources for more details: Accelerated Opioid Detox Guide Naltrexone Therapy Pain Medication Detox You can free yourself from addiction. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Denver Prescription Drug Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" global_colors_info="{}"]Prescription Drug Detox The Coleman Institute offers Prescription Drug Detox options in Denver, CO Suffering from chronic pain can manifest both physically and emotionally, making even the simplest of tasks, like getting out of bed in the morning, seem impossible. Many people with chronic pain turn to prescription drugs to help them manage pain and make it through the day. But the highly addictive nature of prescription drugs can quickly turn them into a drug dependency. Many prescription drugs are chemically similar to endorphins in that they relieve stress and pain. When opioid-based prescription drugs, such as Vicodin® and OxyContin® drugs are taken, they bind onto the opioid receptors in the brain that are normally occupied by naturally made endorphins. It is through these receptors that prescription drugs take effect in the brain and body. But prescription drugs are much stronger than the endorphins naturally produced in the body so the reaction they trigger is much stronger. Your brain can begin to crave the strength and response of a prescription drug, resulting in a drug dependency and addiction. If you are suffering from a dependency on your prescription drug, the Coleman Institute in Denver, CO can help. We offer a safe and comfortable Prescription Drug Detox to help you get your life back. Our Prescription Drug Detox in Denver, CO is an outpatient process that is safe, comfortable, and effective. Many of our patients can complete the process in as few as 3-8 days. This is possible because we use non-addictive drugs and sedatives to eliminate all prescription drugs from your body, significantly reducing the discomfort that causes most people who attempt to self-detox to relapse. The Benefits of Our Prescription Drug Detox in Denver, CO: Outpatient Care As few as three days to complete the process No general anesthesia No hospital stays required Minimal Discomfort Safe, assisted withdrawal process Medicine to reduce discomfort Caring support from medical professionals who understand addiction Long-Term Support Naltrexone therapy to reduce cravings and reduce the risk of relapse Plan for maintaining sobriety Access to recovery support services Check out these helpful resources for more details: Accelerated Opioid Detox Guide Naltrexone Therapy Prescription Drug Detox You can free yourself from addiction. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Denver Suboxone® Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.19.4" global_colors_info="{}"]Suboxone® Detox The Coleman Institute offers Suboxone® Detox options in Denver, CO Suboxone® is primarily used in the treatment of opiate addiction. While it is able to reduce the symptoms of opiate withdrawal, it only works if you keep taking the narcotic. Because of this, many people end up recovering from one addiction only to fall into a lifelong Suboxone® dependency. There is another way. At the Coleman Institute in Denver, CO we offer Suboxone® detox options that can be completed in as few as eight days, on an outpatient basis. With our help, you can detox safely, comfortably, and quickly. Our process involves non-addictive drugs and sedatives that make you comfortable while the narcotics are completely removed from your system. From there, you’re on the road to long-term recovery as quickly as possible. We specialize in providing: Outpatient detox treatment Safe, assisted withdrawal process Naltrexone therapy to reduce cravings A recovery plan for maintaining sobriety Access to recovery support services Caring support from medical professionals You can free yourself from the grips of addiction. The road to recovery starts at the Coleman Institute in Denver, CO. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Detox Programs [et_pb_section fb_built="1" _builder_version="4.16" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" custom_margin="||61px|" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" global_colors_info="{}"]The Coleman Institute offers many detox programs nationwide: Select a program from the list below to learn more.[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" module_class="xmap" _builder_version="4.16" global_colors_info="{}"][et_pb_column type="1_3" admin_label="Column" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" custom_padding="||0px|||" global_colors_info="{}"] Richmond, Virginia Naltrexone Therapy Accelerated Opiate Detox Accelerated Fentanyl Detox Accelerated Kratom Detox Accelerated Opana® Detox Accelerated Percocet® Detox Accelerated Roxicodone Detox Accelerated Tramadol Detox Accelerated Vicodin® Detox Accelerated Ultram® Detox Rapid Benzodiazepines Detox Pain Medication Detox Buprenorphine Detox Prescription Drug Detox Hydrocodone Detox Oxycodone Detox Methadone Detox Alcohol Detox Heroin Detox Suboxone® Detox Stimulant Detox [/et_pb_text][/et_pb_column][et_pb_column type="1_3" admin_label="Column" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" custom_padding="||0px|||" global_colors_info="{}"] Denver, Colorado Accelerated Fentanyl Detox Accelerated Hydrocodone Detox Accelerated Kratom Detox Accelerated Opana® Detox Accelerated Opiate Detox  Accelerated Oxycodone Detox Accelerated Percocet® Detox Accelerated Roxicodone Detox Accelerated Tramadol Detox Accelerated Ultram® Detox Accelerated Vicodin® Detox Alcohol Detox Buprenorphine Detox   Heroin Detox Methadone Detox Naltrexone Therapy  Pain Medication Detox Prescription Drug Detox Rapid Benzodiazepine Detox Suboxone® Detox Stimulant Detox [/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" custom_padding="||0px|||" global_colors_info="{}"] Tampa, Florida Accelerated Fentanyl Detox Accelerated Hydrocodone Detox Accelerated Kratom Detox Accelerated Opana® Detox Accelerated Opiate Detox Accelerated Oxycodone Detox Accelerated Percocet® Detox Accelerated Roxicodone Detox Accelerated Tramadol Detox Accelerated Ultram® Detox Accelerated Vicodin® Detox  Alcohol Detox Buprenorphine Detox Heroin Detox  Methadone Detox Naltrexone Therapy Pain Medication Detox Prescription Drug Detox Suboxone® Detox  Stimulant Detox [/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" module_class="xmap" _builder_version="4.19.2" custom_margin="50px||||false|false" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.27.4" custom_padding="||6px|||" global_colors_info="{}"] Atlanta, Georgia Accelerated Fentanyl Detox  Accelerated Hydrocodone Detox Accelerated Kratom Detox  Accelerated Opana® Detox  Accelerated Oxycodone Detox Accelerated Percocet® Detox Accelerated Roxicodone Detox Accelerated Tramadol Detox Accelerated Ultram® Detox  Accelerated Vicodin® Detox Accelerated Opiate Detox Alcohol Detox  Buprenorphine Detox Heroin Detox Methadone Detox Naltrexone Therapy Pain Medication Detox Prescription Drug Detox Suboxone® Detox Stimulant Detox [/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text disabled_on="off|off|off" _builder_version="4.27.4" global_colors_info="{}"] Orange County, California Accelerated Fentanyl Detox Accelerated Hydrocodone Detox Accelerated Kratom Detox Accelerated Opana® Detox Accelerated Opiate Detox Accelerated Oxycodone Detox Accelerated Percocet® Detox Accelerated Roxicodone Detox Accelerated Tramadol Detox Accelerated Ultram® Detox Accelerated Vicodin® Detox Alcohol Detox Buprenorphine Detox Heroin Detox Methadone Detox Naltrexone Therapy Pain Medication Detox Prescription Drug Detox Suboxone® Detox Stimulant Detox [/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text disabled_on="on|on|on" admin_label="Text" _builder_version="4.27.4" disabled="on" global_colors_info="{}"] San Francisco, California Accelerated Fentanyl Detox Accelerated Hydrocodone Detox Accelerated Kratom Detox Accelerated Opana® Detox Accelerated Opiate Detox Accelerated Oxycodone Detox Accelerated Percocet® Detox Accelerated Roxicodone Detox Accelerated Tramadol Detox  Accelerated Ultram® Detox Accelerated Vicodin® Detox Alcohol Detox Buprenorphine Detox Heroin Detox Methadone Detox Naltrexone Therapy Pain Medication Detox Prescription Drug Detox Suboxone® Detox Stimulant Detox [/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" disabled_on="off|off|off" module_class="xmap" _builder_version="4.27.4" custom_margin="50px||||false|false" global_colors_info="{}"][et_pb_column type="1_3" admin_label="Column" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text disabled_on="on|on|on" _builder_version="4.22.1" disabled="on" global_colors_info="{}"] Seattle, Washington Accelerated Fentanyl Detox Accelerated Hydrocodone Detox Accelerated Kratom Detox Accelerated Opana® Detox Accelerated Opiate Detox Accelerated Oxycodone Detox Accelerated Percocet® Detox Accelerated Roxicodone Detox Accelerated Tramadol Detox Accelerated Ultram® Detox Accelerated Vicodin® Detox Buprenorphine Detox Methadone Detox Naltrexone Therapy Pain Medication Detox Prescription Drug Detox Suboxone® Detox Xanax Detox [/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text disabled_on="on|on|on" _builder_version="4.27.4" disabled="on" global_colors_info="{}"] Indianapolis, Indiana Accelerated Fentanyl Detox Accelerated Hydrocodone Detox Accelerated Kratom Detox Accelerated Opana® Detox Accelerated Opiate Detox Accelerated Oxycodone Detox Accelerated Percocet® Detox Accelerated Roxicodone Detox Accelerated Ultram® Detox Accelerated Vicodin® Detox Alcohol Detox Buprenorphine Detox Heroin Detox Methadone Detox Naltrexone Therapy Pain Medication Detox Prescription Drug Detox Suboxone® Detox [/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][/et_pb_column][/et_pb_row][/et_pb_section] #### Dr. Coleman Explains Accelerated Detox Using the Coleman Method [et_pb_section fb_built="1" admin_label="Header" module_class="header on-dark spaced centered" _builder_version="4.16" background_color="#053a72" background_position="top_center" custom_padding="30px||30px" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" global_colors_info="{}"]Dr. Coleman Explains Accelerated Detox Using the Coleman Method[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Successful Detox CTA" module_class="banner cta centered" _builder_version="4.16" background_color="#f9f9f9" custom_padding="||" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" global_colors_info="{}"][/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Stop Suffering" module_class="banner centered gutterless" _builder_version="4.16" background_color="#f1faff" custom_padding="||" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="1_4,1_2,1_4" use_custom_gutter="on" gutter_width="1" make_equal="on" module_class="gutterless et_pb_row_fullwidth" _builder_version="4.16" width="100%" width_tablet="100%" width_phone="" width_last_edited="on|desktop" max_width="100%" max_width_tablet="100%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_4" _builder_version="4.16" background_image="https://www.thecolemaninstitute.com/wp-content/uploads/2019/04/tci-family-smiling.jpg" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" global_colors_info="{}"]Reclaim Your Life. Get Back to Being Yourself.[/et_pb_text][/et_pb_column][et_pb_column type="1_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" global_colors_info="{}"]Ask For Help Or Call Us Now at 877-773-3869[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] #### Dr. Coleman Explains Alcohol Detox Using the Coleman Method [et_pb_section fb_built="1" admin_label="Header" module_class="header on-dark spaced centered" _builder_version="4.16" background_color="#053a72" background_position="top_center" custom_padding="30px||30px" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" global_colors_info="{}"]Dr. Coleman Explains Alcohol Detox Using the Coleman Method[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Successful Detox CTA" module_class="banner cta centered" _builder_version="4.16" background_color="#f9f9f9" custom_padding="||" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" global_colors_info="{}"] [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Stop Suffering" module_class="banner centered gutterless" _builder_version="4.16" background_color="#f1faff" custom_padding="||" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_row column_structure="1_4,1_2,1_4" use_custom_gutter="on" gutter_width="1" make_equal="on" module_class="gutterless et_pb_row_fullwidth" _builder_version="4.16" width="100%" width_tablet="100%" width_phone="" width_last_edited="on|desktop" max_width="100%" max_width_tablet="100%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_4" _builder_version="4.16" background_image="https://www.thecolemaninstitute.com/wp-content/uploads/2019/04/tci-family-smiling.jpg" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" global_colors_info="{}"]Reclaim Your Life. Get Back to Being Yourself.[/et_pb_text][/et_pb_column][et_pb_column type="1_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" global_colors_info="{}"]Ask For Help Or Call Us Now at 877-773-3869[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] #### FAQs [et_pb_section fb_built="1" fullwidth="on" _builder_version="4.16" global_colors_info="{}"][et_pb_fullwidth_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2018/11/faqhdr.jpg" _builder_version="4.16" global_colors_info="{}"][/et_pb_fullwidth_image][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" global_colors_info="{}"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.1" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"]Frequently Asked Questions 1. Where is the Coleman Institute for Addiction Medicine located? Our headquarters are in Richmond, Virginia with additional locations across the United States. Please contact us to find treatment near you.   2. What types of addiction and dependency does the Coleman Institute treat? We offer treatment options for opiate dependency, including fentanyl, heroin, and prescription drugs. We also offer detox services for Suboxone®, methadone, benzodiazepines and alcohol.   3. How does the Coleman Institute typically detox patients? We use an Accelerated Detox Technique combined with Naltrexone therapy to give our patients the best possible chance at recovery. This is typically an outpatient treatment that lasts from 3 – 8 days, which we customize to each patient’s needs. You can learn more about our Accelerated Opiate Detox and Alcohol Detox approaches.   4. What is Naltrexone therapy? After a patient successfully completes their detox, we use Naltrexone therapy to help reduce the risk of relapse. Delivered as either a long-lasting injection or a small, time-release implant, Naltrexone helps reduce the cravings that a patient would typically have during recovery. Visit our Naltrexone Therapy page to learn more about this revolutionary treatment.   5. How much does an Accelerated Detox cost? The treatment cost largely depends on the type of drug a person is using, their medical history, as well as which location they will be visiting. We offer financing for each of our treatment options to make detox as financially feasible as possible. Certain offices are in-network with many commercial insurance plans, including Blue Cross Blue Shield, Tufts, and Humana commercial plans.   6. Is Accelerated Detox painful? Unlike self-detoxing or ultra-rapid detoxification, our Accelerated Detox approach is relatively comfortable. Through customized medications and hands-on support, we help our patients stay comfortable and manage their withdrawal symptoms. You can read more about our detox process for each type of dependency: Accelerated Opiate Detox Heroin Detox Prescription Drug Detox Fentanyl Detox Chronic Pain Management Suboxone® Detox Methadone Detox Alcohol Detox 7. Why does the Coleman Institute no longer offer Ultra-Rapid Opiate Detoxification (UROD or URD)? Our founder, Dr. Peter Coleman, performed over 300 URD procedures in a hospital and had no major complications. However, we found that this technique: Is very expensive Can be uncomfortable for patients Includes serious health risks Because of these factors, we developed a new technique known as Accelerated Detoxification, or The Coleman Method. This treatment type is just as successful as a URD, but avoids its problems — and doesn’t require hospitalization or the risks associated with general anesthesia. We have now performed thousands of Accelerated Detoxifications since 2001 and find the technique is vastly superior to our experience with URD.   9. Is there a long wait to get into detox? Not at the Coleman Institute! We have clinics around the country with no wait to get in! We offer outpatient detox options for Alcohol Use Disorder and Substance Use Disorder. Spots are open now! Request a callback here or call 877-773-3869 to speak with us right away.  [/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_11" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="0px|0px|51px|0px" global_colors_info="{}"][et_pb_row _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_4" show_border="off" _builder_version="4.16" text_orientation="center" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Fentanyl Detox [et_pb_section fb_built="1" admin_label="Header" module_class="header on-dark spaced centered" _builder_version="4.16" background_image="https://www.thecolemaninstitute.com/wp-content/uploads/2019/04/tci-happy-man-smiling.jpg" background_position="top_center" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" global_colors_info="{}"]Fentanyl Detox The Coleman Method is a safer, faster, and more comfortable way to start your journey toward recovery. Call Now at 877-773-3869[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner List" module_class="banner list on-dark centered" _builder_version="4.16" background_color="#053a72" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" global_colors_info="{}"] Minimize Withdrawal Symptoms Detox in as Little as 5 Days Convenient Outpatient Treatment [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="CTA Banner" module_class="banner cta" _builder_version="4.27.0" background_color="#f5f5f5" custom_padding="4px|||||" da_disable_devices="off|off|off" global_module="14958" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/Anthem-1.png" alt="anthem blue cross blue shield logo" title_text="Anthem-1" align="right" align_tablet="center" align_phone="center" align_last_edited="on|tablet" _builder_version="4.27.4" custom_margin_tablet="" custom_margin_phone="" custom_margin_last_edited="on|tablet" custom_padding="25px||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/sentra-1.png" alt="sentara health plans logo" title_text="sentra-1" align="left" align_tablet="center" align_phone="center" align_last_edited="on|phone" _builder_version="4.27.4" custom_padding="25px||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.17.4" _module_preset="default" custom_padding="25px||||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.17.4" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.4" text_orientation="center" custom_margin="25px||||false|false" locked="off" global_colors_info="{}"]Now accepting many Anthem Blue Cross Blue Shield and Sentara Health Plans. We also welcome self-pay patients. Financing options are available.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.19.1" _module_preset="default" custom_margin="||50px||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.19.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.19.1" global_colors_info="{}"]Outpatient Fentanyl Detox Treatment[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" global_colors_info="{}"]Why Choose a Medical Detox off of Fentanyl? Fentanyl—a significant contributor to the opioid crisis—is a powerful synthetic opioid. It is readily available on the streets because it is cheap to manufacture and up to 50 times more potent than heroin. In many cases, people do not even realize the drug they are purchasing contains deadly Fentanyl. Fentanyl addiction can occur after only a few uses, and withdrawal is painful. That’s why the Coleman Institute created an outpatient rapid Fentanyl Detox treatment. Our outpatient Fentanyl Detox has a 98% completion rate and can be finished in as little as 5 days. Call Now[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.21.0" global_colors_info="{}"]How Does the Coleman Method For Fentanyl Withdrawal Management Work? The Coleman Method uses non-addictive drugs and comfort medications to remove Fentanyl from the brain in the fastest, most comfortable way possible. Our Fentanyl Detox is medically supervised and is a safer, more comfortable experience than self-detoxing. Plus, with no hospital stay required, there’s minimal disruption to your life. Patients who live nearby are able to spend nights at home in the comfort of their bed. After completing your rapid Fentanyl Detox, we work with you to treat any post-acute withdrawal symptoms so you can strengthen your recovery and sobriety. LEARN MORE[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.19.1" _module_preset="default" custom_margin="||50px||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.19.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.19.1" global_colors_info="{}"]Substance Use Disorder for Fentanyl[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.21.0" global_colors_info="{}"]How Does Fentanyl Use Become an Addiction? Many patients within healthcare facilities become dependent on or addicted to Fentanyl by accident. They may have been given Fentanyl by a physician after an accident, surgery, or other condition that has caused chronic pain, and took their medicine as prescribed. But even after taking the prescribed synthetic opioid for a short period, they can become dependent on it. Even those using street opioids like heroin can find themselves dependent on or addicted to Fentanyl. This is because it is so powerful and cheap to manufacture that many street drugs have been cut with, or even replaced by Fentanyl. This dangerous, highly addictive opioid often becomes a new addiction for those already suffering from a dependence on opioids.[/et_pb_text][et_pb_text _builder_version="4.21.0" global_colors_info="{}"]Facts About Fentanyl Fentanyl is a powerful synthetic opioid that is driving the recent increase in opioid-related deaths and cases of Substance Use Disorder (SUD). The Opioid Crisis has already caused enormous waves of suffering due to overdoses, broken families, and nation-wide emotional upheaval, with an economic toll estimated to be $78 billion per year. There are various reasons for the rise of Fentanyl use and dependence in the U.S. Perhaps the most impactful is that it is less expensive than heroin and much more potent, making it easier to produce, smuggle, and store. Many individuals using heroin, cocaine, opioids, benzodiazepines, and even marijuana do not realize that the drugs they have purchased on the black—or gray—market contain Fentanyl. A lot of our detox patients are stunned that we detect Fentanyl in their urine. The DEA has seized 1.8 million counterfeit pills containing Fentanyl over a recent 2 month period. In 2021, 70,000 passed away due to overdoses on synthetic opioids—primarily Fentanyl. Fentanyl is 50 to 100 times more potent than morphine. Over 9 million Americans misused pain pills in 2020, many of which contained Fentanyl. The American Rescue Plan Act, signed into law in 2021, sets aside funds for mental health and Substance Use Disorder programs addressing the Opioid Crisis fueled by Fentanyl. GET THE FREE GUIDE[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.21.0" global_colors_info="{}"]What Are The Signs Of Fentanyl Addiction? Just like other opioids, an individual taking Fentanyl—legally or not—can develop a tolerance over time. Since Fentanyl is short-acting, and very potent, abruptly stopping can lead to painful withdrawal symptoms. Fentanyl binds tightly to the brain’s opioid receptors, which makes self-detox extremely difficult. Fentanyl is also lipophilic (meaning it likes to hide in fat cells), which means it can take a long time for all of the Fentanyl in someone’s body to wear off. Obsession and fixation on securing more Fentanyl Anxiety and depression Inability to maintain life responsibilities Disinterest in former passions Using higher doses of the drug, and in higher frequency, to maintain the same feeling Lying about usage Experiencing withdrawal symptoms when the drug isn’t available [/et_pb_text][et_pb_text _builder_version="4.27.4" global_colors_info="{}"]What Are The Symptoms Of Fentanyl Withdrawal? When someone is dependent on or addicted to Fentanyl, the brain’s chemical makeup has changed. Abruptly stopping Fentanyl use can lead to withdrawal symptoms. Although these symptoms can vary, they are painful, uncomfortable, and can be dangerous. Navigating withdrawal symptoms can be a long, difficult and painful path—even more so when attempted without professional medical assistance. Common Fentanyl withdrawal symptoms can include: Aches and pains throughout the body, including within the muscles and bones Dilated pupils Severe abdominal cramping Runny nose Fatigue Confusion Nausea, vomiting, and diarrhea Insomnia Fever Sweating, including cold sweats Call Now[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Successful Detox CTA" module_class="banner cta centered" _builder_version="4.16" background_color="#f9f9f9" custom_padding="||" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.17.3" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_margin_tablet="" custom_margin_phone="" custom_margin_last_edited="on|phone" custom_padding="|25px|50px|25px|false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.21.0" global_colors_info="{}"]More than 8,500 Patients Treated with the Coleman Method[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" global_colors_info="{}"][/et_pb_text][et_pb_text _builder_version="4.17.4" text_font_size="18px" width="80%" module_alignment="center" global_colors_info="{}"]The Coleman Method Explained Dr. Peter Coleman discusses the Coleman Method for outpatient opiate detoxification (ambulatory withdrawal management). [/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" custom_margin_tablet="" custom_margin_phone="50px||||false|false" custom_margin_last_edited="on|phone" global_colors_info="{}"][/et_pb_text][et_pb_text _builder_version="4.17.4" text_font_size="18px" width="80%" module_alignment="center" global_colors_info="{}"]Why Is Fentanyl So Bad? Dr. Peter Coleman shares his perspective on what makes fentanyl so uniquely dangerous and what to do about it. [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner CTA - Opioid Detox Guide" module_class="banner cta expanded" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_5,3_5" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="2_5" module_class="desktop-only" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.0" global_colors_info="{}"] [/et_pb_text][/et_pb_column][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="centered" _builder_version="4.20.2" global_colors_info="{}"]Recovery Starts With Finding The Right Detox Option For You. Download our free Guide to Understanding Fentanyl Detox or an in-depth look at fentanyl addiction, industry-leading detox methods, and addiction recovery treatment options. Get the Free Guide[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Locations" _builder_version="4.17.1" _module_preset="default" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.17.1" _module_preset="default" custom_padding="||50px||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.25.0" global_colors_info="{}"]Find An Outpatient Detox Near You   The Coleman Institute offers a variety of outpatient detox treatment options at locations nationwide. Our ground-breaking Coleman Method has helped thousands of patients recover from the effects of addiction. Whether you want to detox from opiates or alcohol, we can help.   FIND A LOCATION[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="FAQS" _builder_version="4.17.1" _module_preset="default" background_color="#f1faff" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.17.1" _module_preset="default" custom_padding="||50px||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.17.4" _module_preset="default" global_colors_info="{}"]Featured Fentanyl Detox FAQs [/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_4,1_2,1_4" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" locked="off" global_colors_info="{}"][et_pb_column type="1_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.20.0" text_font_size="18px" custom_padding="||||false|false" global_colors_info="{}"]What has been your success rate?Are there any risks and side effects?How do patients feel during the detox?What happens after the detoxification?What is the risk of overdosing after completing treatment?Does rapid Fentanyl Detox work?[/et_pb_text][et_pb_text _builder_version="4.17.4" text_font_size="18px" custom_padding="||||false|false" global_colors_info="{}"]VIEW ALL FENTANYL DETOX FAQS [/et_pb_text][/et_pb_column][et_pb_column type="1_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="off|off|off" admin_label="Testimonials" module_class="testimonials-container centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.17.1" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_padding="||50px||false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.17.1" custom_padding="||20px" global_colors_info="{}"]See What Other Patients are Saying about Coleman Institute... [/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" _builder_version="4.17.1" _module_preset="default" custom_padding="||50px||false|false" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.0" _module_preset="default" text_font_size="18px" global_colors_info="{}"] Whitney - Former Opioid User "This couldn't have been a better experience - there's just so much personalized attention."[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.0" _module_preset="default" text_font_size="18px" global_colors_info="{}"] Dustin - Former Opioid User “I'm free and clear of the bondage of my addiction.”[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" custom_padding="||50px||false|false" global_colors_info="{}"]See More Patient Experiences [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Benefits" module_class="banner on-dark centered spaced" _builder_version="4.16" background_color="#053a72" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row use_custom_gutter="on" gutter_width="1" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="100%" width_tablet="100%" width_phone="" width_last_edited="on|desktop" max_width="100%" max_width_tablet="100%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.17.4" global_colors_info="{}"]What are the Benefits of Fentanyl Detox? [/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" use_custom_gutter="on" gutter_width="1" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="100%" width_tablet="100%" width_phone="" width_last_edited="on|desktop" max_width="100%" max_width_tablet="100%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="benefits-section" _builder_version="4.17.4" global_colors_info="{}"]Outpatient Care Detox in as little as 5 days 98% detox completion rate No hospital stay required[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="benefits-section" _builder_version="4.16" global_colors_info="{}"]Minimal Discomfort Safe, assisted withdrawal process Customized medications to reduce discomfort Caring, compassionate medical professionals who specialize in addiction treatment [/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="benefits-section" _builder_version="4.25.0" global_colors_info="{}"]Recovery Support Naltrexone therapy to reduce cravings and reduce the risk of relapse Access to recovery support services[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" global_colors_info="{}"]Call Now[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Testimonial and Blog Post" module_class="banner gutterless on-dark" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="1_2,1_2" use_custom_gutter="on" gutter_width="1" make_equal="on" module_class=" et_pb_row_fullwidth" _builder_version="4.17.1" width="100%" width_tablet="100%" width_phone="" width_last_edited="on|desktop" max_width="100%" max_width_tablet="100%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" module_class="blog-cta" _builder_version="4.17.1" background_enable_image="off" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" global_colors_info="{}"] How To Get Fentanyl Out of Your System and Get Your Life Back By Addison Clark Fentanyl, a synthetic opioid and a major driver of the ongoing opioid crisis in America, has garnered widespread attention due... Read More 1 2 3 … 15 Next » [/et_pb_text][/et_pb_column][et_pb_column type="1_2" module_class="blog-cta" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" global_colors_info="{}"] From Bad Habit to Full Fentanyl Recovery By Addison Clark We answer “what good can come from a bad fentanyl habit?” and how the Coleman Institute can help you live... Read More [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="off|off|off" admin_label="Form" module_class="centered spaced" _builder_version="4.16" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" global_colors_info="{}"]Ready to Reclaim Your Life? Get back to being yourself with our safe and effective method for rapid fentanyl detox. Call Now at 877-773-3869[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] #### Fentanyl: Good, Bad and Getting Ugly The opioid epidemic has been making headlines for the last few years as overdose deaths reach crisis levels. Overprescribing of pain medication was at fault for much of the issue, while heroin use surged as well. As legislation begins to change prescribing practices for physicians, more and more opioid users have turned to illicit drugs for relief. Those drugs can include illegally obtained prescription drugs, heroin and the newest threat making news…fentanyl. According to the CDC, Fentanyl is up to 100 times more potent than morphine with effects similar to heroin. While fentanyl has legitimate medical applications and can be prescribed legally, the fentanyl problem in this country is driven by the explosion of inexpensive, imported fentanyl available in the illegal drug market. It is being blended into both illicit opiates and other drugs such as cocaine and benzodiazepines make it a silent killer that users may not see coming.   The Good: A brief history of fentanyl Fentanyl was introduced in 1959 as an intravenous anesthetic. It was very effective in this regard and a number of brand name versions were created for use. Due to its effectiveness and fast-acting nature, clinical trials were performed in the 1990’s to test a fentanyl patch as a mechanism to administer strong pain relief slowly, over a period of time. The success of these trials lead to the creation of Durgesic® and Actiq®, patches which offer relief to those suffering from severe, chronic pain. Currently accepted applications for prescription use of fentanyl include relief for patients with cancer, post-surgical patients in the hospital and patients for which other opioids offer no relief. Its effectiveness, working in just minutes to relieve pain, is aided by how easily it can be delivered. Fentanyl can be given as: An injection An oral or nasal spray An adhesive patch A lollipop Lozenges Because fentanyl is so incredibly potent and effective, using it to manage chronic pain and other conditions can become a slippery slope. Unfortunately, this opioid can also be highly addictive and very dangerous.   The Bad: The brain and body takeover When taken properly and administered by trained medical professionals, fentanyl is both a relatively safe and effective opioid. However, an accidental overdose can occur quite easily due to its potency. In fact, users of fentanyl can develop a tolerance to high doses of the opiate fairly quickly, which means that more of the drug is needed to achieve any pain relief. As patients seek relief, they may choose to use prescriptions differently than prescribed, and even with the best of intentions may experience addiction and overdose as a result. A key part of the dangers of fentanyl are due to how the opiate works in the brain. In addition to sending out dopamine, it prevents pain signals from reaching the brain and spinal cord. Fentanyl also travels quickly through the fat in the brain and binds to opioid receptors so tightly that even a tiny amount triggers effects in the body. Once the brain gets used to having an opioid present, chemical messengers like dopamine stop behaving normally. In turn, the body will look to the opiate to feel balanced. So when fentanyl wears off, withdrawal symptoms begin, which can include: Agitation Anxiety Depression Flu-like symptoms Insomnia Abdominal pain Nausea Vomiting To ward off these symptoms, more fentanyl is taken. This can become a vicious cycle of not being able to control how much to take or how often, putting a user at greater risk for an overdose. Fentanyl also affects the brain in another way. Receptors that control your breathing rate are also found in the same area as opioid receptors. So if you take a high dosage of fentanyl, you can trigger receptors that can cause your breathing to slow down considerably or stop completely which can result in death.   The Ugly: Illicit fentanyl The sharp increase in overdose deaths related to fentanyl are due in very large part to the availability of illicit fentanyl on the streets, imported from places like China and Mexico. It is inexpensive to produce and is often found mixed into other drugs including heroin and cocaine, or pressed into fake prescription pills. Individuals buying drugs off the street may not even know that they contain fentanyl. The Netflix documentary “Dope” illustrates this practice, showing dealers intentionally adding fentanyl to their drug supply. When added to heroin, it intensifies the high significantly, often making that “product” very popular amongst users for its potency. Because there is no standard unit of measure when it’s made illegally, the amount of fentanyl that’s included in heroin or other drugs varies widely. The version that’s sold on the street is also less pure, so its effects on the body tend to be more unpredictable. Because of its high potency, a little goes a long way. When added to an illicit drug, the risk for overdose greatly increases since even a tiny amount could potentially be deadly. As little as .25 mg of fentanyl can be lethal. That amount is comparable to cutting one 81 mg baby aspirin tablet into 324 pieces, with one of those pieces equaling .25 mg. An estimated 2 mg is lethal for a full-sized adult. In comparison, about 30 milligrams of heroin would be lethal. In 2017, a Centers for Disease Control and Prevention (CDC) report cited that in 7 out of 10 states participating in the Enhanced State Opioid Overdose Surveillance Program, fentanyl was involved in at least 50% of overdose deaths due to opioids. Signs of overdose may include: Slowed pulse Drop in body temperature Mental confusion Drowsiness Lethargy Small pupils Loss of consciousness The danger that fentanyl poses is not just limited to users. Since the drug can be inhaled through the nose or absorbed through the skin, it can pose a threat to anyone that makes contact with it, particularly first responders. Exposure may produce a sudden slowing of breathing, nausea and other symptoms. If a fentanyl overdose is not lethal, the potential long-term harm it can cause can be extensive. It can damage the brain as well as the cardiovascular and respiratory systems. It also carries with it the same risks as other opiates including the risk of contracting HIV/AIDS or hepatitis if injected. Opioid misuse wreaks havoc in other areas of life as well. Damage to personal relationships, inability to get and keep jobs, loss of home and stability and worsening mental health conditions are just some of the lasting effects of addiction. Although fentanyl can be an effective treatment option for those experiencing severe, chronic pain when used as prescribed, its dangers when used illicitly are undeniable. The DEA, legislators and local law enforcement are all working to try and decrease the availability of the drug while first responders, health care workers and addiction specialists work to help those struggling with addiction to get help and decrease the demand for fentanyl and other opioids. While it may seem an impossible task, the work must continue to put an end to this deadly crisis.   #### Financing [et_pb_section fb_built="1" fullwidth="on" _builder_version="4.16" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_fullwidth_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2018/11/financinghdr.jpg" _builder_version="4.16" global_colors_info="{}"][/et_pb_fullwidth_image][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"]Financing An Affordable Path to Recovery Many of our patients and their loved ones are concerned about the cost of our accelerated detox services. But we would never want money to keep you from turning your life around. At the Coleman Institute, our pricing varies somewhat based on each patient’s specific addiction and treatment needs. Many commercial insurance plans cover our treatments and our Care Advocates are available by phone to discuss specifics and to verify your insurance benefits. We also accept all major credit cards and offer financing options through several independent companies. In some cases, even if your insurer won’t cover the procedure in advance, it is possible that your insurer may reimburse part of the cost after the fact. We can help show you how to make the powerful step toward an addiction-free life — with a financial commitment that works for you. Call our patient support team today at 877-773-3869.     At Other Locations Some commercial insurance companies may be willing to reimburse you for portions of your detox procedure after the fact. We can provide supporting documentation to help you seek reimbursement after your detox. We are actively working to expand commercial insurance coverage.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="0px|0px|51px|0px" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_4" show_border="off" _builder_version="4.16" text_orientation="center" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Freedom+ Get Help [et_pb_section fb_built="1" fullwidth="on" _builder_version="4.16" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_fullwidth_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2018/11/gethelphdr.jpg" _builder_version="4.16" global_colors_info="{}"][/et_pb_fullwidth_image][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" global_colors_info="{}"]Get Help Congratulations!By simply visiting us for information, you’ve taken the first step toward the next chapter of your life. Whether you think you may be struggling with substance abuse — or you know you have a drug dependency and are ready to make a change — you’ve come here seeking answers to some very hard questions. We’re ready to help.Asking for support is rarely easy. But with , we’ll show you how to get the guidance and care you need, so you can live the fulfilling life you deserve. And it all starts with a phone call. Introductory Phone CallBefore beginning the Accelerated Opiate Detoxification process, we’ll first consult with you to determine if our services fit your needs. What to ExpectYou’ll have your introductory conversation over the phone with Jennifer, our Director of Clinical Services; or Amy, our Clinical Supervisor. Jennifer and Amy have nearly two decades of experience in the field of addiction and caringly provide support and information to potential patients and their families.We understand that the thought of “detoxing” can evoke fear — but it doesn’t have to. Often, when patients come to The Coleman Institute, they have either tried to detox before and failed, or they’ve experienced the painful symptoms of self-detox. We’ll help you take the mystery out of detox by thoroughly discussing the process with you and answering every question you or your loved ones may have.During our initial conversation, you’ll learn more about , including our: 98% detox completion rate Details and requirements Fees Ongoing treatment options  Pre-Treatment AssessmentAfter our first conversation, you will then be able to speak with a physician to review your medical history by telephone. During this time, the physician will also give instructions on how to prepare for the detox treatment.Once the pre-treatment assessment has been completed, we will discuss scheduling, financing and lodging information, as needed. We are here to support you each step of the way and ensure the most comfortable and safest detox possible. [/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="0px|0px|51px|0px" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_row _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_4" show_border="off" _builder_version="4.16" text_orientation="center" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Guide to Detoxing Off of Methadone [et_pb_section fb_built="1" admin_label="Header with Form" module_class="header" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="3_5,2_5" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}" min_height="893.1px"][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text content_tablet="" content_phone="" content_last_edited="on|phone" _builder_version="4.24.0" width="%22217%22" height="%22300%22" custom_margin="||0px||false|false" custom_padding="||0px||false|false" locked="off" global_colors_info="{}"]Your Guide to Detoxing Off of Methadone For decades, methadone has proven useful in helping people struggling with opioid addiction by transitioning them from heroin or other street opioids over to this legal (when prescribed) alternative. However, methadone maintenance therapy can leave those suffering from Substance Use Disorder with the new challenge of detoxing off of methadone itself when or if they decide to do so. At the Coleman Institute, we have developed an outpatient detox specifically to help people transition from methadone over to long-acting formulations of the non-addictive opioid blocker called Naltrexone. That’s why we created the Guide to Detoxing Off Methadone. In this guide, you will learn: Facts about methadone and its role in opioid addiction treatment. Why some patients may want to stop using Methadone. Why detoxing off of Methadone might be difficult. The 4 major dimensions that support recovery. Available support services for person-centered aftercare. Complete the form to get your free guide today![/et_pb_text][/et_pb_column][et_pb_column type="2_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||" admin_label="Column"][et_pb_text module_class="centered" _builder_version="4.27.4" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"]Complete The Form To Get Your Free Guide[/et_pb_text][et_pb_code raw_content_tablet=" " raw_content_phone=" " raw_content_last_edited="off|phone" _builder_version="4.27.4" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"][/et_pb_code][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner Link List" module_class="banner list on-dark centered" _builder_version="4.16" background_color="#053a72" custom_padding="||" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" max_width="89%" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.24.0" text_font="||||||||" global_colors_info="{}"] 25+ Years Experience Recommended by 9 of 10 Patients 9 Locations Nationwide [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Opioid Crisis" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.24.0" width="89%" max_width="89%" custom_padding="||50px||false|false" make_fullwidth="on" locked="off" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.0" text_font="||||||||" global_colors_info="{}"]In the Guide: An In-Depth Look at Methadone Use and Our Industry-Leading Detox Program Many individuals have found success using methadone to quit heroin, fentanyl, or other dangerous opioids, and have been able to start getting their life back. Methadone maintenance therapy, under medical supervision, can be safe and effective. But since methadone is a mood-altering opioid itself, it can leave you with the new challenge of detoxing off of methadone. In fact, detoxing off of methadone can be more difficult than other opioids like heroin. Here’s more about what you can learn in our free Guide to Detoxing Off of Methadone:[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" max_width="89%" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.0" text_font="||||||||" global_colors_info="{}"]How Did We Get Here? The consequences of the opioid crisis in America have been horrendous. It has caused enormous suffering with overdoses, broken families, and emotional upheaval all across the country. But how did we reach this point? [/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.0" text_font="||||||||" global_colors_info="{}"]Choosing a Detox Method Detoxing off opioids addiction on your own is extremely difficult, so many people need to seek out professional help through detox. Learn about the most common detox options. [/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.0" text_font="||||||||" global_colors_info="{}"]The Right Type of Support Detoxification without appropriate follow up and treatment is almost always unsuccessful. We encourage all of our patients to find a treatment program that will best suit their needs. Learn about the types of treatment modalities. [/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" max_width="89%" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" text_font="||||||||" global_colors_info="{}"]Download the Free Guide[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="off|off|off" admin_label="Testimonials" module_class="testimonials-container centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.17.1" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_padding="||50px||false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.17.1" custom_padding="||20px" global_colors_info="{}"]See What Other Patients are Saying about Coleman Institute...[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" _builder_version="4.17.1" _module_preset="default" custom_padding="||50px||false|false" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.17.1" _module_preset="default" text_font_size="18px" global_colors_info="{}"]  Ronnie - Methadone "I feel good. I feel clean. I am going to stay that way."[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.17.1" _module_preset="default" text_font_size="18px" global_colors_info="{}"]  Ben - Methadone “There was no possible way to get off drugs on my own.”[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" custom_padding="||50px||false|false" global_colors_info="{}"]See More Patient Experiences[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] #### Guide to Detoxing Off of Suboxone [et_pb_section fb_built="1" admin_label="Header with Form" module_class="header" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="3_5,2_5" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text content_tablet="" content_phone="" content_last_edited="on|phone" _builder_version="4.24.0" width="%22217%22" height="%22300%22" custom_margin="||0px||false|false" custom_padding="||0px||false|false" locked="off" global_colors_info="{}"]Guide to Detoxing Off Suboxone Nowadays, Suboxone (aka buprenorphine/naloxone) is commonly used to treat opioid dependence by transitioning someone from street opioids to this legal (when prescribed) alternative. Some patients are reluctant to use Suboxone for fear of replacing one addiction with another. Others are intimidated by the challenge that they’ll face in trying to taper off of Suboxone or other forms of buprenorphine. It’s important to note that for many people who are stable on Suboxone, there is no reason to try to get off of it. However, for people who feel ready, or are looking to be fully off of opioids, a detox off of Suboxone could be the right next step in the path to recovery. That’s why we created the Guide to Detoxing Off Suboxone. In this guide, you will learn: Facts about Suboxone and its role in treating opioid addiction. Why some patients may want to stop using Suboxone. Why detoxing off of Suboxone might be difficult. The 4 major dimensions that support recovery. Available support services for person-centered aftercare. Complete the form to get your free guide today![/et_pb_text][/et_pb_column][et_pb_column type="2_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="centered" _builder_version="4.18.0" global_colors_info="{}"]Complete The Form To Get Your Free Guide[/et_pb_text][et_pb_code raw_content_tablet=" " raw_content_last_edited="off|desktop" _builder_version="4.27.4" custom_padding="||0px|||" global_colors_info="{}"][/et_pb_code][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner Link List" module_class="banner list on-dark centered" _builder_version="4.16" background_color="#053a72" custom_padding="||" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" max_width="89%" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.24.0" text_font="||||||||" global_colors_info="{}"] 25+ Years Experience Recommended by 9 of 10 Patients 9 Locations Nationwide [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Opioid Crisis" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.24.0" width="89%" max_width="89%" custom_padding="||50px||false|false" make_fullwidth="on" locked="off" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.1" text_font="||||||||" global_colors_info="{}"]In the Guide: An In-Depth Look at Suboxone and Our Industry-Leading Detox Program Suboxone is a medication made up of a mixture of buprenorphine and naloxone, and it’s been a very useful tool for Medication-Assisted Treatment (MAT) of Opioid Use Disorder. But Suboxone is still an opioid. Because each Suboxone dose stays in the body for weeks, when you stop taking it, severe withdrawal symptoms can occur. Many of our patients have told us that trying to detox off of Suboxone can be more difficult than trying to detox from other opioids. If you or someone you know is ready to detox off of Suboxone, we’re here to help. Here’s more of what you’ll learn in our free Guide to Detoxing Off of Suboxone:[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" max_width="89%" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.0" text_font="||||||||" global_colors_info="{}"]How Did We Get Here? The consequences of the opioid crisis in America have been horrendous. It has caused enormous suffering with overdoses, broken families, and emotional upheaval all across the country. But how did we reach this point? [/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.0" text_font="||||||||" global_colors_info="{}"]Choosing a Detox Method Detoxing from opioid addiction on your own can be extremely difficult, so many people need to seek out professional help for withdrawal management. Learn about the most common detox options.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.0" text_font="||||||||" global_colors_info="{}"]The Right Type of Support Detoxification without appropriate follow up and treatment is almost always unsuccessful. We encourage all of our patients to find a treatment program that will best suit their needs. Learn about the types of treatment modalities. [/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" max_width="89%" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" text_font="||||||||" global_colors_info="{}"]Download the Free Guide[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="off|off|off" admin_label="Testimonials" module_class="testimonials-container centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.17.1" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_padding="||50px||false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.17.1" custom_padding="||20px" global_colors_info="{}"]See What Other Patients are Saying about Coleman Institute...[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" _builder_version="4.17.1" _module_preset="default" custom_padding="||50px||false|false" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.17.1" _module_preset="default" text_font_size="18px" global_colors_info="{}"]  Brandon - Suboxone "Addicted to Suboxone for 6 years, this was the best thing I've ever done."[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.17.1" _module_preset="default" text_font_size="18px" global_colors_info="{}"]  Bert - Parent of Patient “I got my family back.”[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" custom_padding="||50px||false|false" global_colors_info="{}"]See More Patient Experiences[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] #### Guide to Understanding Accelerated Opioid Detox [et_pb_section fb_built="1" admin_label="Header with Form" module_class="header" _builder_version="4.16" background_color="#f1faff" custom_margin="||-107px|||" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="3_5,2_5" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_margin="|auto|54px|auto||" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="3_5" admin_label="Column" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text content_tablet="The Guide to Understanding Accelerated Opioid Detox It doesn’t really matter how people originally become addicted to opioids — the outcome is the same. Having to take prescription pills or street drugs simply to function and feel normal is a horrible imprisonment, and it doesn’t go away until they get help. That’s why we created the Guide to Understanding Accelerated Opioid Detox. In this guide, you will learn: Facts about opioid addiction and America’s opioid crisis. Common opioid detox options and how to decide which is right for you. How our Accelerated Opioid Detox using the Coleman Method works. The 4 major dimensions that support recovery. Available support services for person-centered aftercare. Complete the form to get your free guide today!" content_phone="The Guide to Understanding Accelerated Opioid Detox It doesn’t really matter how people originally become addicted to opioids — the outcome is the same. Having to take prescription pills or street drugs simply to function and feel normal is a horrible imprisonment, and it doesn’t go away until they get help. That’s why we created the Guide to Understanding Accelerated Opioid Detox. Complete the form to get your free guide today!" content_last_edited="on|phone" admin_label="Text" _builder_version="4.27.4" custom_margin="||0px||false|false" custom_padding="||0px||false|false" global_colors_info="{}"]The Guide to Understanding Accelerated Opioid Detox It doesn’t really matter how people originally become addicted to opioids — the outcome is the same. Having to take prescription pills or street drugs simply to function and feel normal is a horrible imprisonment, and it doesn’t go away until they get help. That’s why we created the Guide to Understanding Accelerated Opioid Detox.   In this guide, you will learn: Facts about opioid addiction and America’s opioid crisis. Common opioid detox options and how to decide which is right for you. How our Accelerated Opioid Detox using the Coleman Method works. The 4 major dimensions that support recovery. Available support services for person-centered aftercare. Complete the form to get your free guide today![/et_pb_text][/et_pb_column][et_pb_column type="2_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text content_tablet="Complete the form to get your free guide" content_phone="Complete the form to get your free guide" content_last_edited="on|phone" module_class="centered" _builder_version="4.27.4" custom_padding="||||false|false" global_colors_info="{}"]Complete the form to get your free guide[/et_pb_text][et_pb_code raw_content_tablet=" " raw_content_last_edited="off|desktop" admin_label="Code" _builder_version="4.27.4" min_height="399px" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"][/et_pb_code][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner Link List" module_class="banner list on-dark centered" _builder_version="4.16" background_color="#053a72" min_height="102px" custom_padding="||" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" max_width="89%" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.27.4" text_font="||||||||" global_colors_info="{}"] 25+ Years Experience Recommended by 9 of 10 Patients 5 Locations Nationwide [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Opioid Crisis" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.24.0" width="89%" max_width="89%" custom_padding="||50px||false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.0" text_font="||||||||" global_colors_info="{}"]In the Guide: America’s Opioid Crisis and Our Industry-Leading Detox Program The United States is suffering from an epidemic of opioid addiction. In fact, approximately 2.1 million people have been diagnosed with Opioid Use Disorder (OUD). This opioid crisis has caused enormous suffering with overdoses, broken families, and emotional upheaval all across the country. Most people suffering from Opioid Use Disorder cannot stop using opioids without a severe and intolerable withdrawal reaction, so an opioid detox overseen by an addiction specialist is needed. That’s why we’re here to help. Here’s more about what you’ll find in our free Guide to Understanding Accelerated Opioid Detox:[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" max_width="89%" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" text_font="||||||||" global_colors_info="{}"]How Did We Get Here? The consequences of the opioid crisis in America have been horrendous. It has caused enormous suffering with overdoses, broken families, and emotional upheaval all across the country. But how did we reach this point?[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" text_font="||||||||" global_colors_info="{}"]Choosing a Detox Method Detoxing from opioid addiction on your own is extremely difficult — if not impossible — and potentially dangerous, so most people need to seek out professional help through detox. Learn about the most common detox options.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" text_font="||||||||" global_colors_info="{}"]The Right Type of Support Detoxification without appropriate follow up and treatment is almost always unsuccessful and encourage all of our patients to find a treatment program that will best suit their needs. Learn about the types of treatment modalities.[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row custom_padding_last_edited="off|desktop" module_class=" et_pb_row_fullwidth" _builder_version="4.24.0" width="89%" max_width="89%" custom_padding="||50px||false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" text_font="||||||||" global_colors_info="{}"]Download the Free Guide[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="off|off|off" admin_label="Testimonials" module_class="testimonials-container centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.17.1" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_padding="||50px||false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.17.1" custom_padding="||20px" global_colors_info="{}"]See What Other Patients are Saying about Coleman Institute...[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" make_equal="on" module_class="testimonials" _builder_version="4.16" width="89%" max_width="89%" max_width_tablet="" max_width_phone="" max_width_last_edited="on|desktop" custom_margin="|auto|36px|auto||" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" global_colors_info="{}"] Gene Former Alcohol Patient "Life is best when you can enjoy it clean and sober."[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" global_colors_info="{}"] Whitney Former Opioid User "This couldn't have been a better experience – there's so much personalized attention."[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" global_colors_info="{}"] Walt Alcohol Detox Patient "If you have the desire to stop, it's not easy, but you can do it."[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" custom_padding="||50px||false|false" global_colors_info="{}"]See More Patient Experiences[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] #### Guide to Understanding Alcohol Detox [et_pb_section fb_built="1" admin_label="Header with Form" module_class="header" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="3_5,2_5" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text content_tablet="" content_phone="" content_last_edited="on|phone" _builder_version="4.27.4" width="%22217%22" height="%22300%22" custom_margin="||0px||false|false" custom_padding="||0px||false|false" locked="off" global_colors_info="{}"]The Guide to Understanding Alcohol Detox The social acceptance of alcohol abuse makes drinking one of the most commonly abused drugs in the United States. In fact, more people are addicted to alcohol than to all illicit substances combined. Many people use alcohol to cope with stress; it is normalized in our culture. But when alcohol consumption becomes an addiction, it interferes with every aspect of your daily life. Alcohol addiction is a disease so it's important to approach this addiction like you would any other — with a safe and stable detox. That’s why we created the Guide to Understanding Alcohol Detox.   In this guide, you will learn: Facts about alcohol addiction and America’s overlooked epidemic. Common alcohol detox options and how to decide which is right for you. How our Alcohol Detox works. Available support services for person-centered aftercare. Complete the form to get your free guide today![/et_pb_text][/et_pb_column][et_pb_column type="2_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="centered" _builder_version="4.16" global_colors_info="{}"]Complete the form to get your free guide[/et_pb_text][et_pb_code raw_content_tablet=" " raw_content_phone=" " raw_content_last_edited="off|desktop" disabled_on="off|off|off" _builder_version="4.27.4" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"][/et_pb_code][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner Link List" module_class="banner list on-dark centered" _builder_version="4.16" background_color="#053a72" custom_padding="||" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" max_width="89%" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.24.0" text_font="||||||||" global_colors_info="{}"] 25+ Years Experience Recommended by 9 of 10 Patients 9 Locations Nationwide [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="The Culture of Alcohol Abuse" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.24.0" width="89%" max_width="89%" custom_padding="||50px||false|false" make_fullwidth="on" locked="off" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.1" text_font="||||||||" global_colors_info="{}"]In the Guide: Alcohol Use Disorder in America and Our Industry-Leading Detox Program In 2022, 29.5 million people in the US over the age of 12 suffered from some form of Alcohol Use Disorder. That’s 10.5% of all people over 12 in the US. It is also estimated there are more than 140,000 deaths each year that can be attributed to excessive alcohol use. This makes alcohol a leading cause of preventable death in the US, behind tobacco use, poor diet and lack of exercise, and illegal drug use. If you or someone you know is suffering from Alcohol Use Disorder, we’re here to help. Here’s more about what you’ll find in our free Guide to Understanding Alcohol Detox:[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" max_width="89%" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.0" text_font="||||||||" global_colors_info="{}"]How Did We Get Here? The desensitization of excessive alcohol consumption is pervasive throughout the United States. This social acceptance makes the addictive nature of alcohol, and Alcohol Use Disorder, dangerously easy to ignore—but how did we reach this point?[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" text_font="||||||||" global_colors_info="{}"]Choosing a Detox Method Detoxing from alcohol on your own is riddled with uncertainty and risks. It can even be fatal if handled incorrectly. It is universally recommended to seek out professional help. Learn about the most common alcohol detox options.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" text_font="||||||||" global_colors_info="{}"]The Right Type of Support Detoxification without appropriate follow up and treatment is almost always unsuccessful. We encourage all of our patients to find a treatment program that will best suit their needs. Learn about the types of treatment modalities.[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" max_width="89%" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" text_font="||||||||" global_colors_info="{}"]Download the Free Guide[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="off|off|off" admin_label="Testimonials" module_class="testimonials-container centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.17.1" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_padding="||50px||false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.17.1" custom_padding="||20px" global_colors_info="{}"]See What Other Patients are Saying about Coleman Institute...[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" _builder_version="4.17.1" _module_preset="default" custom_padding="||50px||false|false" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.17.1" _module_preset="default" text_font_size="18px" global_colors_info="{}"]  Gene – Former Alcohol Patient "Life is best when you can enjoy it clean and sober"[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.17.1" _module_preset="default" text_font_size="18px" global_colors_info="{}"]  Ryan – Alcohol Detox Patient “Using the Coleman Method was the only one that has worked for me for a long period of time.”[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" custom_padding="||50px||false|false" global_colors_info="{}"]See More Patient Experiences[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] #### Guide to Understanding Fentanyl Detox [et_pb_section fb_built="1" admin_label="Header with Form" module_class="header" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="3_5,2_5" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text content_tablet="" content_phone="" content_last_edited="on|phone" _builder_version="4.24.2" width="%22217%22" height="%22300%22" custom_margin="||0px||false|false" custom_padding="||0px||false|false" locked="off" global_colors_info="{}"]The Guide to Understanding Fentanyl Detox Doctors often prescribe fentanyl to treat chronic pain or post-surgical pain. Even if taken exactly as prescribed, many patients accidentally become dependent on fentanyl. Fentanyl's highly addictive qualities can create dependence after just one dose, which sometimes leads to fatal consequences. Because it is a short-acting and very potent opioid, abruptly stopping it without medical support can cause debilitating withdrawal symptoms. That’s why we created the Guide to Understanding Fentanyl Detox. In this guide, you will learn: Startling facts about the ongoing fentanyl epidemic in the United States. Common fentanyl detox options and how to decide which is right for you. How our Fentanyl Detox using the Coleman Method works. The 4 major dimensions that support recovery. Available support services for person-centered aftercare. Complete the form to get your free guide today![/et_pb_text][/et_pb_column][et_pb_column type="2_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="centered" _builder_version="4.18.0" global_colors_info="{}"]Complete The Form To Get Your Free Guide[/et_pb_text][et_pb_code raw_content_last_edited="off|phone" _builder_version="4.27.4" hover_enabled="0" global_colors_info="{}" admin_label="Code" sticky_enabled="0"][/et_pb_code][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner Link List" module_class="banner list on-dark centered" _builder_version="4.16" background_color="#053a72" custom_padding="||" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" max_width="89%" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.24.0" text_font="||||||||" global_colors_info="{}"] 25+ Years Experience Recommended by 9 of 10 Patients 9 Locations Nationwide [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Opioid Crisis" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.24.0" width="89%" max_width="89%" custom_padding="||50px||false|false" make_fullwidth="on" locked="off" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" text_font="||||||||" global_colors_info="{}"]In the Guide: America’s Fentanyl Crisis and Our Industry-Leading Detox Program Fentanyl is a synthetic opioid that is over 50x stronger than heroin and 100x stronger than morphine, and it has played a huge role in driving America’s opioid epidemic. Overdose deaths involving fentanyl have risen every year since 2012, and fentanyl can be very difficult to avoid. There is no quality control on the street, so drugs like heroin, cocaine, benzodiazepines, and even marijuana can often contain fentanyl without the buyer’s knowledge. Many of the people we treat in our clinic are shocked when we find fentanyl in their system. Given the potential dangers, that’s a frightening discovery. If you or someone you know have been using fentanyl, or if you suspect the drugs that you are using contain fentanyl, we’re here to help. Here’s more about what you can learn in our free Guide to Understanding Fentanyl Detox:[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" max_width="89%" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.0" text_font="||||||||" global_colors_info="{}"]How Did We Get Here? The consequences of the opioid crisis, which includes fentanyl, in America have been horrendous. It has caused enormous suffering with overdoses, broken families, and emotional upheaval all across the country. But how did we reach this point? [/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.0" text_font="||||||||" global_colors_info="{}"]Choosing a Detox Method Detoxing off fentanyl on your own can be extremely difficult, so many people need to seek out professional help for withdrawal management. Learn about the most common detox options.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.0" text_font="||||||||" global_colors_info="{}"]The Right Type of Support Detoxification without appropriate follow up and treatment is almost always unsuccessful. We encourage all of our patients to find a treatment program that will best suit their needs. Learn about the types of treatment modalities.[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" max_width="89%" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" text_font="||||||||" global_colors_info="{}"]Download the Free Guide[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="off|off|off" admin_label="Testimonials" module_class="testimonials-container centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.17.1" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_padding="||50px||false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.17.1" custom_padding="||20px" global_colors_info="{}"]See What Other Patients are Saying about Coleman Institute... [/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" _builder_version="4.17.1" _module_preset="default" custom_padding="||50px||false|false" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.17.4" _module_preset="default" text_font_size="18px" global_colors_info="{}"]  Whitney - Former Opioid User "This couldn't have been a better experience - there's just so much personalized attention." [/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.17.4" _module_preset="default" text_font_size="18px" global_colors_info="{}"]  Dustin - Former Opioid User “I'm free and clear of the bondage of my addiction.” [/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" custom_padding="||50px||false|false" global_colors_info="{}"]See More Patient Experiences [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] #### Guide to Understanding Heroin Detox [et_pb_section fb_built="1" admin_label="Header with Form" module_class="header" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="3_5,2_5" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text content_tablet="" content_phone="" content_last_edited="on|desktop" _builder_version="4.24.2" width="%22217%22" height="%22300%22" custom_margin="||0px||false|false" custom_padding="||0px||false|false" locked="off" global_colors_info="{}"]The Guide to Understanding Heroin Detox Nowadays, Heroin dependence often begins with prescription painkillers like oxycodone or hydrocodone. When legal means of getting painkillers or prescription drugs are exhausted, many turn to illegal substances such as Heroin. This dangerous opioid can be found in communities and groups across the United States, regardless of age, gender, or economic status and it doesn't take long to develop a Heroin dependency. If you or a loved one are suffering from heroin addiction, it's important to remember: You are not alone. That’s why we created the Guide to Understanding Heroin Detox. In this guide, you will learn: Startling facts about heroin’s role in America’s ongoing opioid epidemic. Common heroin detox options and how to decide which is right for you. How our Heroin Detox using the Coleman Method works. The 4 major dimensions that support recovery. Available support services for person-centered aftercare. Complete the form to get your free guide today![/et_pb_text][/et_pb_column][et_pb_column type="2_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="centered" _builder_version="4.17.4" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"]Complete The Form To Get Your Free Guide[/et_pb_text][et_pb_code raw_content_last_edited="off|desktop" _builder_version="4.27.4" hover_enabled="0" global_colors_info="{}" admin_label="Code" sticky_enabled="0"][/et_pb_code][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner Link List" module_class="banner list on-dark centered" _builder_version="4.16" background_color="#053a72" custom_padding="||" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" max_width="89%" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.24.0" text_font="||||||||" global_colors_info="{}"] 25+ Years Experience Recommended by 9 of 10 Patients 9 Locations Nationwide [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Opioid Crisis" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.24.0" width="89%" max_width="89%" custom_padding="||50px||false|false" make_fullwidth="on" locked="off" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" text_font="||||||||" global_colors_info="{}"]In the Guide: Heroin Use in America and Our Industry-Leading Detox Program Heroin is a major driver of America’s opioid epidemic. Originally developed for medical use, Heroin has been banned since the 1920's. But it’s use in the medical setting over 100 years ago was enough to start a wave of addiction and dependence among individuals throughout the country. Furthermore, one of the hidden dangers of heroin use is that what you think is heroin could be fentanyl. Heroin sold on the street is often mixed with fentanyl or just fentanyl being sold as heroin. Many of our patients are shocked when we tell them that we found fentanyl in their system during their pre-treatment drug screening. If you or someone you know is using heroin and wants to stop, we’re here to help. Here’s more of what you’ll learn in our free Guide to Understanding Heroin Detox:[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" max_width="89%" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.0" text_font="||||||||" global_colors_info="{}"]How Did We Get Here? The consequences of the opioid crisis, which includes Heroin, in America have been horrendous. It has caused enormous suffering with overdoses, broken families, and emotional upheaval all across the country. But how did we reach this point?[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.0" text_font="||||||||" global_colors_info="{}"]Choosing a Detox Method Detoxing off heroin on your own can be extremely difficult, so many people need to seek out professional help for withdrawal management. Learn about the most common detox options.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.0" text_font="||||||||" global_colors_info="{}"]The Right Type of Support Detoxification without appropriate follow up and treatment is almost always unsuccessful. We encourage all of our patients to find a treatment program that will best suit their needs. Learn about the types of treatment modalities.[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" max_width="89%" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" text_font="||||||||" global_colors_info="{}"]Download the Free Guide[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="off|off|off" admin_label="Testimonials" module_class="testimonials-container centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.17.1" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_padding="||50px||false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.17.1" custom_padding="||20px" global_colors_info="{}"]See What Other Patients are Saying about The Coleman Institute...[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" _builder_version="4.17.1" _module_preset="default" custom_padding="||50px||false|false" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.17.1" _module_preset="default" text_font_size="18px" global_colors_info="{}"]  Charlie - Opiates (Heroin) "Life is good. Being clean brings me lots of joy."[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.17.1" _module_preset="default" text_font_size="18px" global_colors_info="{}"]  Jason - Heroin “This detox was definitely the easiest one I've tried.”[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.17.1" custom_padding="||50px||false|false" global_colors_info="{}"]View More Patient Experiences[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] #### Guide to Understanding Naltrexone Therapy for Opioids and Alcohol [et_pb_section fb_built="1" admin_label="Header with Form" module_class="header" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="3_5,2_5" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text content_tablet="" content_phone="" content_last_edited="on|phone" _builder_version="4.27.6" width="%22217%22" height="%22300%22" custom_margin="||0px||false|false" custom_padding="||0px||false|false" hover_enabled="0" locked="off" global_colors_info="{}" sticky_enabled="0"]The Guide to Understanding Naltrexone Therapy for Opioids and Alcohol Completing a detox treatment is a monumental milestone often followed by anxious worry about what lies ahead. It can be challenging to maintain sobriety, and relapse can be a constant concern. That's why the Coleman Institute for Addiction Medicine offers Naltrexone Therapy following its Accelerated Opioid Detox and Outpatient Alcohol Detox. Naltrexone is a non-addictive opioid blocker that helps reduce the risk of relapse among people with alcohol or opioid dependency. The Coleman Institute for Addiction Medicine has been a national leader in the use of Naltrexone for over twenty years. With Naltrexone Therapy, patients can find the strength they need to begin a life free from addiction. That’s why we created the Guide to Understanding Naltrexone Therapy. In this guide, you will learn: Startling facts about the impact of substance use disorders in the United States How Naltrexone Therapy can reduce cravings for opioids and alcohol Common detox options and how to decide which is right for you. The 4 major dimensions that support recovery. Available support services for person-centered aftercare. Complete the form to get your free guide today![/et_pb_text][/et_pb_column][et_pb_column type="2_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="centered" _builder_version="4.18.0" global_colors_info="{}"]Complete The Form To Get Your Free Guide[/et_pb_text][et_pb_code _builder_version="4.27.4" global_colors_info="{}"][/et_pb_code][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner Link List" module_class="banner list on-dark centered" _builder_version="4.16" background_color="#053a72" custom_padding="||" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.27.4" width="89%" max_width="89%" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.27.4" text_font="||||||||" global_colors_info="{}"] 25+ Years Experience Recommended by 9 of 10 Patients 5 Locations Nationwide [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Opioid Crisis" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.24.0" width="89%" max_width="89%" custom_padding="||50px||false|false" make_fullwidth="on" locked="off" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.1" text_font="||||||||" global_colors_info="{}"]In the Guide: Naltrexone Therapy and Our Industry-Leading Detox Program Naltrexone is a medication that can be a powerful buffer during the challenging months of early recovery. It is a long-acting non-addictive, opioid-blocking medication that attaches to opioid receptors in the brain without activating them which means it can dramatically reduce opiate and alcohol cravings when they’re taking it. Without intense cravings or the ability to get high, our patients find it much easier to take the steps they need to take to live an addiction-free life. If you or someone you know is dependent on opioids or alcohol, we’re here to help. Here’s more of what you can learn in our free Guide to Understanding Naltrexone Therapy for Opioids and Alcohol:[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" max_width="89%" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.0" text_font="||||||||" global_colors_info="{}"]How Did We Get Here? The consequences of the opioid crisis in America have been horrendous. Combined with the desensitization of excessive alcohol consumption in the United States, these situations have led to enormous suffering with overdoses, broken families, and emotional upheaval. But how did we reach this point?[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.0" text_font="||||||||" global_colors_info="{}"]Choosing a Detox Method Detoxing off of opioid or alcohol on your own can be extremely difficult, so many people need to seek out professional help for withdrawal management. Learn about the most common detox options.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.0" text_font="||||||||" global_colors_info="{}"]The Right Type of Support Detoxification without appropriate follow up and treatment is almost always unsuccessful. We encourage all of our patients to find a treatment program that will best suit their needs. Learn about the types of treatment modalities.[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" max_width="89%" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" text_font="||||||||" global_colors_info="{}"]Download the Free Guide[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="off|off|off" admin_label="Testimonials" module_class="testimonials-container centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.17.1" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_padding="||50px||false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.17.1" custom_padding="||20px" global_colors_info="{}"]See What Other Patients are Saying about Coleman Institute...[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" _builder_version="4.17.1" _module_preset="default" custom_padding="||50px||false|false" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.17.1" _module_preset="default" text_font_size="18px" global_colors_info="{}"]  Whitney - Former Opioid User "This couldn't have been a better experience - there's so much personalized attention."[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.17.1" _module_preset="default" text_font_size="18px" global_colors_info="{}"]  Dustin - Former Opioid User “I'm free and clear of the bondage of my addiction.”[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" custom_padding="||50px||false|false" global_colors_info="{}"]See More Patient Experiences[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] #### Guide to Understanding Pain Medication Detox [et_pb_section fb_built="1" admin_label="Header with Form" module_class="header" _builder_version="4.16" background_color="#f1faff" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_row column_structure="3_5,2_5" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text content_tablet="" content_phone="" content_last_edited="on|phone" _builder_version="4.24.1" width="%22217%22" height="%22300%22" custom_margin="||0px||false|false" custom_padding="||0px||false|false" locked="off" global_colors_info="{}"]The Guide to Understanding Pain Medication Detox Living with pain is incredibly frustrating and difficult. Unfortunately, using opioid pain medications as a long-term option to treat pain can result in dependence on that drug. What starts as an innocent prescription by your doctor with the goal of living without pain can lead to a life of anxiety, dependence, and dangerous situations. That’s why we created the Guide to Understanding Pain Medication Detox. In this guide, you will learn: Startling facts about how pain medications have contributed to America’s ongoing opioid epidemic. Common pain medication detox options and how to decide which is right for you. How our Pain Medication Detox using the Coleman Method works. The 4 major dimensions that support recovery. Available support services for person-centered aftercare. Complete the form to get your free guide today![/et_pb_text][/et_pb_column][et_pb_column type="2_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="centered" _builder_version="4.18.0" global_colors_info="{}"]Complete The Form To Get Your Free Guide[/et_pb_text][et_pb_code raw_content_last_edited="off|desktop" _builder_version="4.27.4" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"][/et_pb_code][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner Link List" module_class="banner list on-dark centered" _builder_version="4.16" background_color="#053a72" custom_padding="||" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" max_width="89%" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" hover_enabled="0" global_colors_info="{}" custom_padding__hover="|||" sticky_enabled="0"][et_pb_text admin_label="Text" _builder_version="4.27.4" text_font="||||||||" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"] 25+ Years Experience Recommended by 9 of 10 Patients 5 Locations Nationwide [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Opioid Crisis" module_class="spaced centered" _builder_version="4.16" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.24.0" width="89%" max_width="89%" custom_padding="||50px||false|false" make_fullwidth="on" locked="off" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.1" text_font="||||||||" global_colors_info="{}"]In the Guide: Pain Medication Addiction in the United States and Our Industry-Leading Detox Program Opioid addiction is one of the biggest public health issues in America today, and opioid pain medications like Fentanyl, Oxycodone, Percocet®, Tramadol, and others have been a major contributor to the problem. In 2019, a strong correlation was found between a major increase in the clinical use of opioid pain medications between 2000 and 2010 and a 300% increase in overdose deaths involving opioids during that period. People often start taking these medications for legitimate reasons, but opioids are powerful and developing a dependence on them is easy. Here’s more about what you can learn in our free Guide to Understanding Pain Medication Detox:[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" max_width="89%" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.0" text_font="||||||||" global_colors_info="{}"]How Did We Get Here? Even if legally prescribed, pain medication has played a role in America’s opioid crisis. The consequences have been horrendous. It has caused enormous suffering with overdoses, broken families, and emotional upheaval all across the country. But how did we reach this point?[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.0" text_font="||||||||" global_colors_info="{}"]Choosing a Detox Method Detoxing off of opioid medication on your own can be extremely difficult. Opioid-based pain medications can cause physical changes in your brain so many people need to seek out professional help for withdrawal management. Learn about the most common detox options.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.0" text_font="||||||||" global_colors_info="{}"]Recovery Support We strongly believe that detoxification without appropriate follow up and treatment is almost always unsuccessful. Because of this we encourage all of our patients to find a treatment program that will best suit their needs. Learn about the types of treatment modalities.[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" max_width="89%" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" text_font="||||||||" global_colors_info="{}"]Download the Free Guide[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="off|off|off" admin_label="Testimonials" module_class="testimonials-container centered" _builder_version="4.16" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.17.1" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_padding="||50px||false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.17.1" custom_padding="||20px" global_colors_info="{}"]See What Other Patients are Saying about Coleman Institute...[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" _builder_version="4.17.1" _module_preset="default" custom_padding="||50px||false|false" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.17.1" _module_preset="default" text_font_size="18px" global_colors_info="{}"]  Stacy - Opiates (Painkillers) "I"m free from drugs now."[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.17.1" _module_preset="default" text_font_size="18px" global_colors_info="{}"]  Neile - Opiates (Painkillers) “I had enough of being sick and tired of being sick and tired.”[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" custom_padding="||50px||false|false" global_colors_info="{}"]See More Patient Experiences[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] #### Guide to Understanding Prescription Drug Detox [et_pb_section fb_built="1" admin_label="Header with Form" module_class="header" _builder_version="4.16" background_color="#f1faff" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_row column_structure="3_5,2_5" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text content_tablet="" content_phone="" content_last_edited="on|phone" _builder_version="4.24.1" width="%22217%22" height="%22300%22" custom_margin="||0px||false|false" custom_padding="||0px||false|false" locked="off" global_colors_info="{}"]The Guide to Understanding Prescription Drug Detox In the right situations and with medical professional oversight, prescription opioid medications can provide pain relief and other benefits. Unfortunately, many of the commonly prescribed drugs are highly addictive opioids. What starts as a simple treatment for a medical condition or an injury can quickly lead to a debilitating opioid dependency. That’s why we created the Guide to Understanding Prescription Drug Detox. In this guide, you will learn: Startling facts about prescription drugs and their contribution to the ongoing opioid epidemic. Common prescription drug detox options and how to decide which is right for you. How our Prescription Drug Detox using the Coleman Method works. The 4 major dimensions that support recovery. Available support services for person-centered aftercare. Complete the form to get your free guide today![/et_pb_text][/et_pb_column][et_pb_column type="2_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="centered" _builder_version="4.18.0" global_colors_info="{}"]Complete The Form To Get Your Free Guide[/et_pb_text][et_pb_code raw_content_tablet=" " raw_content_last_edited="off|desktop" _builder_version="4.27.4" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"][/et_pb_code][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner Link List" module_class="banner list on-dark centered" _builder_version="4.16" background_color="#053a72" custom_padding="||" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" max_width="89%" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.27.4" text_font="||||||||" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"] 25+ Years Experience Recommended by 9 of 10 Patients 5 Locations Nationwide [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Opioid Crisis" module_class="spaced centered" _builder_version="4.16" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.24.0" width="89%" max_width="89%" custom_padding="||50px||false|false" make_fullwidth="on" locked="off" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.1" text_font="||||||||" global_colors_info="{}"]In the Guide: Prescription Drug Addiction and Our Industry Leading Detox Program Prescription drug dependence and addiction is more prevalent in the United States than many understand, in fact, prescription drugs are the third-most misused illegal substance. Many people who become addicted to opioids started using them because a doctor prescribed an opioid medication like Fentanyl, Oxycodone, Percocet, or Tramadol for a legitimate medical purpose, such as pain relief after surgery or relief from chronic pain. However because these opioid medications stimulate powerful reward centers in the brain, addiction or dependence can form. That’s why we’re here to help. Here’s more about what you’ll find in our free Guide to Understanding Prescription Drug Detox:[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" max_width="89%" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.0" text_font="||||||||" global_colors_info="{}"]How Did We Get Here? The opioid epidemic has led to stricter laws on physicians administering opioid-based prescription drugs, leading many doctors to no longer prescribe these drugs. This means many patients no longer have legal access to the prescription medication they inadvertently developed a dependence on, making them at risk for intense withdrawal symptoms.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.0" text_font="||||||||" global_colors_info="{}"]Choosing a Detox Method Opioid-based prescription drugs can cause physical changes in your brain. Most people cannot stop using these prescription drugs without a severe and intolerable withdrawal reaction, so many people need to seek out professional help for withdrawal management. Detox can be the first step on the road to recovery from opioid addiction.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.0" text_font="||||||||" global_colors_info="{}"]Recovery Support We strongly believe that detoxification without appropriate follow up and treatment is almost always unsuccessful. Because of this we encourage all of our patients to find a treatment program that will best suit their needs. Learn about the types of treatment modalities.[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" max_width="89%" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" text_font="||||||||" global_colors_info="{}"]Download the Free Guide[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="off|off|off" admin_label="Testimonials" module_class="testimonials-container centered" _builder_version="4.16" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.17.1" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_padding="||50px||false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.17.1" custom_padding="||20px" global_colors_info="{}"]See What Other Patients are Saying about Coleman Institute...[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" _builder_version="4.17.1" _module_preset="default" custom_padding="||50px||false|false" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.17.1" _module_preset="default" text_font_size="18px" global_colors_info="{}"]  John K - Former Prescription Medication User "I'm free again. I have my life back again."[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.17.1" _module_preset="default" text_font_size="18px" global_colors_info="{}"]  Diane - Opiates (Painkillers) “You're a new mommy now and I love my new mommy”[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" custom_padding="||50px||false|false" global_colors_info="{}"]See More Patient Experiences[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] #### Heroin Detox [et_pb_section fb_built="1" admin_label="Header" module_class="header on-dark spaced centered" _builder_version="4.16" background_image="https://www.thecolemaninstitute.com/wp-content/uploads/2019/04/tci-happy-man-smiling.jpg" background_position="top_center" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"]Heroin Detox The Coleman Method offers a safer, faster, and more comfortable option to detox – and commit to your recovery. Call Now at 877-773-3869[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner List" module_class="banner list on-dark centered" _builder_version="4.16" background_color="#053a72" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" global_colors_info="{}"] Minimize Withdrawal Symptoms Detox in as Little as 5 Days Convenient Outpatient Treatment [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="CTA Banner" module_class="banner cta" _builder_version="4.27.0" background_color="#f5f5f5" da_disable_devices="off|off|off" global_module="14958" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/Anthem-1.png" alt="blue cross blue shield vector logo" title_text="Anthem-1" align="right" align_tablet="center" align_phone="center" align_last_edited="on|tablet" _builder_version="4.27.4" custom_margin_tablet="" custom_margin_phone="" custom_margin_last_edited="on|tablet" custom_padding="25px||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/sentra-1.png" alt="optima health logo edit" title_text="sentra-1" align="left" align_tablet="center" align_phone="center" align_last_edited="on|phone" _builder_version="4.27.4" custom_padding="25px||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.17.4" _module_preset="default" custom_padding="25px||||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.17.4" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.4" text_orientation="center" locked="off" global_colors_info="{}"]Now accepting many Anthem Blue Cross Blue Shield and Sentara plans. We also welcome self-pay patients. Financing options are available.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.19.1" _module_preset="default" custom_margin="||50px||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.19.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.19.1" global_colors_info="{}"]Outpatient Heroin Detox Treatment[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"]Why Choose Heroin Detox? Heroin addiction can happen to anyone — roughly one million people reported using heroin in the past year, according to the 2016 National Survey on Drug Use and Health. Just one dose can cause dependency and the withdrawal symptoms can be devastating. Even worse, those who want to get off of heroin face constant uncertainty about the strength of the drugs that they are using. A surprisingly high percentage of street drugs sold today actually contain the extremely potent opioid, fentanyl. If you or a loved one are suffering from heroin addiction, it’s important to remember: You are not alone. The Coleman Institute is here to help you safely and quickly detox with our outpatient heroin detox, and give you the best possible chance of a lasting recovery. Call Now[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" global_colors_info="{}"]How Does the Coleman Method For Heroin Withdrawal Management Work? The Coleman Method uses a carefully selected combination of medications and sedatives to completely remove the opiates attached to your brain receptors in the fastest, most comfortable way possible. Our Accelerated Opioid Detox takes as little as 5 days, requires no hospital stay, avoids the horrible experiences of self-detox that can last for many days, and crucially, includes induction onto the non-addictive opioid blocker, Naltrexone. A remarkably high 98% of patients successfully complete their detox and get onto a long-acting formulation of Naltrexone – either a Naltrexone or Vivitrol. Because this outpatient heroin detox treatment only takes a few days, there’s very little disruption to your life. Patients who live near one of the offices are able to spend nights at home in the comfort of their own bed. From there, you’re on the road to long-term recovery from heroin addiction as quickly as possible. LEARN MORE[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.19.1" _module_preset="default" custom_margin="||50px||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.19.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.19.1" global_colors_info="{}"]Substance Use Disorder for Heroin[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" global_colors_info="{}"]How Does Heroin Use Become An Addiction? Heroin is a highly potent opioid drug made from morphine, which is a natural substance that is extracted from various opium poppy plants. Taking heroin can lead to a physical dependence on the dangerous drug and to chemical changes in the brain. In the brain, there are opioid receptors that respond to naturally occurring chemicals called neurotransmitters. These chemicals bind to the receptors and regulate pain, release hormones, and cause feelings of well-being. However, when opioids like heroin bind to these same receptors, they can cause the release of more dopamine more quickly than nature ever intended. Over time this causes the body to reduce its own production of natural endorphins, leaving a person increasingly reliant on heroin and other opioids to create the positive feelings that used to happen naturally. [/et_pb_text][et_pb_text _builder_version="4.25.2" global_colors_info="{}"]What Are The Signs Of Heroin Addiction? Heroin addiction can happen to anyone. Roughly one million people reported using heroin in the past year, according to the 2016 National Survey on Drug Use and Health. Just one dose can cause dependency and the withdrawal from heroin can be devastating. Although the signs of heroin addiction vary among individuals based on genetic makeup, amount of heroin used, or amount of time using heroin, there are many common signs to look out for: Mood swings Cold Sweats Depression followed by feelings of euphoria Anxiety Increased hostility toward others Irritability or agitation Lying about the use of heroin Avoiding friends and family Paranoia Lack of personal hygiene or concern for appearance Inability to fulfill personal responsibilities, including occupational or educational Disrupted sleep patterns Slurred speech Nodding out during waking hours Itchy, flushed skin Constricted pupils GET THE FREE GUIDE[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" global_colors_info="{}"]Facts About Heroin When heroin was first discovered and manufactured, it was used for medical applications, such as cough medicine. Although it was praised at first, it didn’t take long for the addictive and destructive effects of the drug to become apparent. Eventually, heroin was banned for medical use. Every heroin user is different. This dangerous opioid drug can be found in many groups throughout the nation, regardless of age, gender, or economic status. Around 80% of heroin users were using prescription opioids first. In 2019, there were over 14,000 lives lost to heroin overdose. Heroin use was the cause of nearly 20% of opioid deaths in 2019. 9 out of 10 heroin users also use at least one other drug. Nearly 5 million people have reported using heroin at least once in their lives. [/et_pb_text][et_pb_text _builder_version="4.27.4" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"]What Are The Symptoms Of Heroin Withdrawal? When someone is dependent on or addicted to heroin, the chemical structure of the brain has changed, and the person will experience painful heroin withdrawal symptoms if they stop using. The withdrawal experience can be exhausting and painful, which is why many of those suffering from this disease continue to use: to simply avoid getting sick. The symptoms themselves can vary in terms of severity. Certain symptoms are mild and flu-like, such as cold sweats from heroin withdrawal, while others are much more intense, such as intense pain, vomiting, and sleeplessness. Additionally, these symptoms can vary depending on the quantity and frequency of heroin use. It's important to opt for an outpatient heroin detox program near you like The Coleman Method to help manage heroin withdrawal symptoms. Common symptoms of heroin withdrawal can include: Sweating and cold sweats Fever Insomnia Itching and picking at the skin Sneezing Muscle cramps, aches and spasms Anxiety Depression Body aches Chills Nausea and vomiting Diarrhea Call Now[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Successful Detox CTA" module_class="banner cta centered" _builder_version="4.16" background_color="#f9f9f9" custom_padding="||" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.17.3" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_margin_tablet="" custom_margin_phone="" custom_margin_last_edited="on|phone" custom_padding="|25px|50px|25px|false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.0" global_colors_info="{}"]More than 8,500 Patients Treated with the Coleman Method[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" global_colors_info="{}"][/et_pb_text][et_pb_text _builder_version="4.21.0" text_font_size="18px" width="80%" module_alignment="center" global_colors_info="{}"]The Coleman Method Explained Dr. Peter Coleman discusses the Coleman Method for outpatient opiate detoxification (ambulatory withdrawal management).[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" custom_margin_tablet="" custom_margin_phone="50px||||false|false" custom_margin_last_edited="on|phone" global_colors_info="{}"][/et_pb_text][et_pb_text _builder_version="4.17.1" text_font_size="18px" width="80%" module_alignment="center" global_colors_info="{}"]Long Term Opioid Use Can Make Pain Worse Dr. Peter Coleman of the Coleman Institute for Addiction Medicine explains why long term opioid use can actually make pain worse.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner CTA - Opioid Detox Guide" module_class="banner cta expanded" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_5,3_5" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="2_5" module_class="desktop-only" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.0" global_colors_info="{}"][/et_pb_text][/et_pb_column][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="centered" _builder_version="4.20.2" global_colors_info="{}"]Recovery Starts With Finding The Right Detox Option For You. Download our free Guide to Understanding Heroin Detox for an in-depth look at heroin addiction, industry-leading detox methods, and addiction recovery treatment options. Get the Free Guide[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Locations" _builder_version="4.17.1" _module_preset="default" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.17.1" _module_preset="default" custom_padding="||50px||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.25.0" global_colors_info="{}"]Find An Outpatient Detox Near You   The Coleman Institute offers a variety of outpatient detox treatment options at locations nationwide. Our ground-breaking Coleman Method has helped thousands of patients recover from the effects of addiction. Whether you want to detox from opiates or alcohol, we can help.   FIND A LOCATION[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="FAQS" _builder_version="4.17.1" _module_preset="default" background_color="#f1faff" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.17.1" _module_preset="default" custom_padding="||50px||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"]Featured Heroin Detox FAQs[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_4,1_2,1_4" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" locked="off" global_colors_info="{}"][et_pb_column type="1_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.17.1" text_font_size="18px" custom_padding="||||false|false" global_colors_info="{}"]What has been your success rate? What is Narcotic dependence? What are the different ways to detoxify from narcotics? How Does the Accelerated Opiate Detox Program work and what should be expected? What is Naltrexone therapy, and why is it important for opiate addiction?[/et_pb_text][et_pb_text _builder_version="4.17.1" text_font_size="18px" custom_padding="||||false|false" global_colors_info="{}"]View All Heroin Detox FAQs[/et_pb_text][/et_pb_column][et_pb_column type="1_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="off|off|off" admin_label="Testimonials" module_class="testimonials-container centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.17.1" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_padding="||50px||false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.17.1" custom_padding="||20px" global_colors_info="{}"]See What Other Patients are Saying about The Coleman Institute...[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" _builder_version="4.17.1" _module_preset="default" custom_padding="||50px||false|false" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.0" _module_preset="default" text_font_size="18px" global_colors_info="{}"] Charlie - Opiates (Heroin) "Life is good. Being clean brings me lots of joy."[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.0" _module_preset="default" text_font_size="18px" global_colors_info="{}"] Jason - Heroin “This detox was definitely the easiest one I've tried.”[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.17.1" custom_padding="||50px||false|false" global_colors_info="{}"]View More Patient Experiences[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Benefits" module_class="banner on-dark centered spaced" _builder_version="4.16" background_color="#053a72" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row use_custom_gutter="on" gutter_width="1" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="100%" width_tablet="100%" width_phone="" width_last_edited="on|desktop" max_width="100%" max_width_tablet="100%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" global_colors_info="{}"]What are the Benefits of Heroin Detox?[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" use_custom_gutter="on" gutter_width="1" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="100%" width_tablet="100%" width_phone="" width_last_edited="on|desktop" max_width="100%" max_width_tablet="100%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="benefits-section" _builder_version="4.16" global_colors_info="{}"]Outpatient Care Detox in as little as 5 days 98% detox completion rate No hospital stay required[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="benefits-section" _builder_version="4.16" global_colors_info="{}"]Minimal Discomfort Safe, assisted withdrawal process Customized medications to reduce discomfort Caring, compassionate medical professionals who specialize in addiction treatment[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="benefits-section" _builder_version="4.25.1" global_colors_info="{}"]Recovery Support Naltrexone therapy to reduce cravings and the risk of relapse Access to recovery support services[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"]Call Now at 877-773-3869[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Testimonial and Blog Post" module_class="banner gutterless on-dark" _builder_version="4.17.1" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="1_2,1_2" use_custom_gutter="on" gutter_width="1" make_equal="on" module_class=" et_pb_row_fullwidth" _builder_version="4.27.0" width="100%" width_tablet="100%" width_phone="" width_last_edited="on|desktop" max_width="100%" max_width_tablet="100%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" module_class="centered overlay wistia-override" _builder_version="4.27.0" background_image="https://www.thecolemaninstitute.com/wp-content/uploads/2019/04/tci-man-smiling-at-camera.jpg" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" global_colors_info="{}"]Join the Hundreds of Patients Who Successfully Completed Their Detox. View Patient Testimonials[/et_pb_text][/et_pb_column][et_pb_column type="1_2" module_class="blog-cta" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" global_colors_info="{}"] What Is Black Tar Heroin? By Addison Clark Heroin, an opioid drug derived from morphine, has long been a major player in the opioid crisis, as its powerful... Read More 1 2 3 … 20 Next » [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Form" module_class="centered spaced" _builder_version="4.16" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"]Ready to Reclaim Your Life? Get back to being yourself with our safe and effective method for outpatient heroin detox. Call Now at 877-773-3869[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] #### Kratom Detox [et_pb_section fb_built="1" admin_label="Header" module_class="header on-dark spaced centered" _builder_version="4.16" background_image="https://www.thecolemaninstitute.com/wp-content/uploads/2019/04/tci-happy-man-smiling.jpg" background_position="top_center" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" global_colors_info="{}"]Kratom Detox The Coleman Method is a safer, faster, and more comfortable way to start your journey toward recovery. Call Now at 877-773-3869[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner List" module_class="banner list on-dark centered" _builder_version="4.16" background_color="#053a72" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" custom_margin="0px|0px|0px|-25px|false|false" custom_padding="0px|0px|0px|0px|false|false" global_colors_info="{}"] Minimize Withdrawal Symptoms Detox in 5 Days Convenient Outpatient Treatment [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="CTA Banner" module_class="banner cta" _builder_version="4.27.0" background_color="#f5f5f5" custom_padding="4px|||||" da_disable_devices="off|off|off" global_module="14958" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/Anthem-1.png" alt="anthem blue cross blue shield logo" title_text="Anthem-1" align="right" align_tablet="center" align_phone="center" align_last_edited="on|tablet" _builder_version="4.27.4" custom_margin_tablet="" custom_margin_phone="" custom_margin_last_edited="on|tablet" custom_padding="25px||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/sentra-1.png" alt="sentara health plans logo" title_text="sentra-1" align="left" align_tablet="center" align_phone="center" align_last_edited="on|phone" _builder_version="4.27.4" custom_padding="25px||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.17.4" _module_preset="default" custom_padding="25px||||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.17.4" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.4" text_orientation="center" custom_margin="25px||||false|false" locked="off" global_colors_info="{}"]Now accepting many Anthem Blue Cross Blue Shield and Sentara Health Plans. We also welcome self-pay patients. Financing options are available.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" custom_padding="0px||1px|||" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.19.1" _module_preset="default" custom_margin="||50px||false|false" custom_padding="2px|||||" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.19.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.0" global_colors_info="{}"]Outpatient Kratom Detox Treatment[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_margin="-2px|auto||auto||" custom_padding="0px||0px|||" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" min_height="442px" global_colors_info="{}"]Why Choose to Medically Detox Off of Kratom? Kratom Detox using the Coleman Method will help you detox from Kratom without suffering through the agony of self-detox or the inconvenience of an extended inpatient rehab stay. The program doesn’t take months, or even weeks, to complete. Coleman's Kratom Detox can be done in 5 days on an outpatient basis. The brevity of the treatment time will allow you to detox from kratom without missing out on your day-to-day responsibilities and activities.[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" global_colors_info="{}"]How Does The Coleman Method for Kratom Detox Work? The Coleman Method uses a carefully selected combination of medications and sedatives to completely remove the kratom attached to your brain receptors in the fastest, most comfortable way possible. Our Outpatient Kratom Detox Program takes only 5 days, requires no hospital stays, and is much more comfortable thanks to non-addictive medication during the process. After completing your accelerated Kratom Detox, we work with you to treat any post-acute withdrawal symptoms so you can strengthen your recovery and sobriety. LEARN MORE[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" custom_padding="0px|||||" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.19.1" _module_preset="default" custom_margin="||50px||false|false" custom_padding="0px|||||" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.19.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.0" global_colors_info="{}"]Substance Use Disorder for Kratom[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" global_colors_info="{}"]How Does Kratom Become An Addiction? Mitragyna speciosa (kratom) is an herbal product from Southeast Asia that can have both opioid and stimulant effects. Because Kratom comes from a plant, many people assume that it is “natural” and therefore safe to use. Many people also assume that Kratom is a safe alternative to opioids and can be used to help detox from them. In truth, Kratom is a dangerous, addictive substance.[/et_pb_text][et_pb_text _builder_version="4.27.0" global_colors_info="{}"]What Are The Signs Of Kratom Addiction? Like most opiates, physical dependency on Kratom can begin after just one use. The potency of Kratom quickly leads to a tolerance, which causes users to use more and more of the drug in order to achieve that initial high. Some reported problems experienced by Kratom users can include: weight loss, dry mouth, chills, nausea, vomiting, changes in urine and constipation, liver damage, muscle pain, dizziness, drowsiness, hallucinations, depression, delusion, breathing suppression, seizure, coma, salmonella infection, and even death.[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" global_colors_info="{}"]Facts About Kratom Unfortunately, kratom can affect the brain similarly to opioids and stimulants. Regular use can lead to dependence, and withdrawal symptoms may occur when stopping use. While some people use kratom for pain relief or to manage opioid withdrawal, long-term use has been associated with potential health risks, including liver damage and addiction. According to the National Institute on Drug Abuse (NIDA), kratom interacts with opioid receptors in the brain, producing similar effects to opioids. The U.S. Food and Drug Administration (FDA) has warned against kratom use due to concerns about its potential for abuse, addiction, and serious health effects. [/et_pb_text][et_pb_text _builder_version="4.27.4" global_colors_info="{}"]What Are The Symptoms Of Kratom Withdrawal? Withdrawal symptoms of Kratom can vary in intensity but typically resemble opioid withdrawal. Common symptoms include: Muscle aches and pain Nausea and vomiting Sweating and chills Irritability Insomnia Runny nose and watery eyes Loss of appetite Depression and mood swings SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner CTA - Opioid Detox Guide" module_class="banner cta expanded" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_5,3_5" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="2_5" module_class="desktop-only" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" global_colors_info="{}"][/et_pb_text][/et_pb_column][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="centered" _builder_version="4.27.4" global_colors_info="{}"]Recovery Starts With Finding the Right Detox Option For You. Download our free Guide to Understanding Accelerated Opioid Detox for an in-depth look at the fight against America's opioid crisis using industry-leading detox methods and addiction recovery treatment options. Get the Free Guide[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Benefits" module_class="banner on-dark centered spaced" _builder_version="4.16" background_color="#053a72" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row use_custom_gutter="on" gutter_width="1" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="100%" width_tablet="100%" width_phone="" width_last_edited="on|desktop" max_width="100%" max_width_tablet="100%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" text_text_color="#003974" global_colors_info="{}"]What Are The Benefits of Kratom Detox?[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" use_custom_gutter="on" gutter_width="1" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="100%" width_tablet="100%" width_phone="" width_last_edited="on|desktop" max_width="100%" max_width_tablet="100%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="benefits-section" _builder_version="4.16" global_colors_info="{}"]Outpatient Care Detox in as little as 5 days 95% detox completion rate No hospital stay required[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="benefits-section" _builder_version="4.16" global_colors_info="{}"]Minimal Discomfort Safe, assisted withdrawal process Customized medications to reduce discomfort Caring, compassionate medical professionals who specialize in addiction treatment[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="benefits-section" _builder_version="4.25.0" global_colors_info="{}"]Recovery Support Naltrexone therapy to reduce cravings and the risk of relapse Access to recovery support services[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" global_colors_info="{}"]Call Now[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="off|off|off" admin_label="Blog Post" module_class="banner gutterless on-dark" _builder_version="4.27.4" custom_margin="25px||25px||true|false" custom_padding="||||false|false" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="1_4,1_4,1_4,1_4" _builder_version="4.27.4" _module_preset="default" width="70.1%" custom_padding="||||false|false" global_colors_info="{}"][et_pb_column type="1_4" _builder_version="4.27.4" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/1-2.webp" alt="7-Hydroxymitragynine Kratom Leaf" title_text="Kratom 7-OH Leaves" _builder_version="4.27.4" _module_preset="default" global_colors_info="{}"][/et_pb_image][et_pb_heading title="7-Hydroxymitragynine Withdrawals – Outpatient Kratom Detox" url="https://www.thecolemaninstitute.com/tci-blog/7-hydroxymitragynine-withdrawals-outpatient-kratom-detox/" _builder_version="4.27.4" _module_preset="default" title_level="h2" title_text_color="gcid-729398a4-c05e-4b36-a132-3e4cd116652d" custom_margin="||1px|||" custom_padding="||0px|||" global_colors_info="{%22gcid-729398a4-c05e-4b36-a132-3e4cd116652d%22:%91%22title_text_color%22%93}"][/et_pb_heading][et_pb_button button_url="https://www.thecolemaninstitute.com/tci-blog/7-hydroxymitragynine-withdrawals-outpatient-kratom-detox/" button_text="Continue Reading About 7-OH" button_alignment="left" _builder_version="4.27.4" _module_preset="default" global_colors_info="{%22gcid-secondary-color%22:%91%22button_text_color%22%93}"][/et_pb_button][/et_pb_column][et_pb_column type="1_4" _builder_version="4.27.4" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2-4.webp" alt="Kratom Pseudo Tablets" title_text="Kratom Pseudoindoxyl" _builder_version="4.27.4" _module_preset="default" global_colors_info="{}"][/et_pb_image][et_pb_heading title="Pseudoindoxyl (Pseudo) Withdrawal – Outpatient Kratom Detox" url="https://www.thecolemaninstitute.com/tci-blog/pseudoindoxyl-pseudo-withdrawal-outpatient-kratom-detox/" _builder_version="4.27.4" _module_preset="default" title_level="h2" title_text_color="gcid-729398a4-c05e-4b36-a132-3e4cd116652d" custom_margin="||-1px|||" global_colors_info="{%22gcid-729398a4-c05e-4b36-a132-3e4cd116652d%22:%91%22title_text_color%22%93}"][/et_pb_heading][et_pb_button button_url="https://www.thecolemaninstitute.com/tci-blog/pseudoindoxyl-pseudo-withdrawal-outpatient-kratom-detox/" button_text="Continue Reading About Pseudo" button_alignment="left" _builder_version="4.27.4" _module_preset="default" button_bg_use_color_gradient="on" button_icon_color="#FFFFFF" global_colors_info="{}"][/et_pb_button][/et_pb_column][et_pb_column type="1_4" _builder_version="4.27.4" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/mgmtablets-1.png" alt="MGM-15 Tablets Derived From Kratom" title_text="mgmtablets" _builder_version="4.27.4" _module_preset="default" global_colors_info="{}"][/et_pb_image][et_pb_heading title="What Is MGM-15? – Outpatient Detox For Kratom" url="https://www.thecolemaninstitute.com/tci-blog/what-is-mgm-15-outpatient-detox-for-kratom/" _builder_version="4.27.4" _module_preset="default" title_level="h2" title_text_color="gcid-729398a4-c05e-4b36-a132-3e4cd116652d" custom_margin="||-1px|||" global_colors_info="{%22gcid-729398a4-c05e-4b36-a132-3e4cd116652d%22:%91%22title_text_color%22%93}"][/et_pb_heading][et_pb_button button_url="https://www.thecolemaninstitute.com/tci-blog/what-is-mgm-15-outpatient-detox-for-kratom/" button_text="Continue Reading About MGM-15" button_alignment="left" _builder_version="4.27.4" _module_preset="default" button_bg_use_color_gradient="on" button_icon_color="#FFFFFF" global_colors_info="{}"][/et_pb_button][/et_pb_column][et_pb_column type="1_4" _builder_version="4.27.4" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/NanoKratom.webp" alt="Nano Kratom Addiction & Treatment" title_text="NanoKratom" _builder_version="4.27.4" _module_preset="default" global_colors_info="{}"][/et_pb_image][et_pb_heading title="What is Nano Kratom? – Accelerated Outpatient Detox for Kratom" url="https://www.thecolemaninstitute.com/tci-blog/what-is-nano-kratom-accelerated-outpatient-detox-for-kratom/" _builder_version="4.27.4" _module_preset="default" title_level="h2" title_text_color="gcid-729398a4-c05e-4b36-a132-3e4cd116652d" custom_margin="||-1px|||" global_colors_info="{%22gcid-729398a4-c05e-4b36-a132-3e4cd116652d%22:%91%22title_text_color%22%93}"][/et_pb_heading][et_pb_button button_url="https://www.thecolemaninstitute.com/tci-blog/what-is-nano-kratom-accelerated-outpatient-detox-for-kratom/" button_text="Continue Reading About Nano Kratom" button_alignment="left" _builder_version="4.27.4" _module_preset="default" global_colors_info="{%22gcid-secondary-color%22:%91%22button_text_color%22%93}"][/et_pb_button][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Successful Detox CTA" module_class="banner cta centered" _builder_version="4.16" background_color="#f9f9f9" custom_padding="||" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.17.3" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_margin_tablet="" custom_margin_phone="" custom_margin_last_edited="on|phone" custom_padding="|25px|50px|25px|false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.0" global_colors_info="{}"]Thousands of Patients Treated with the Coleman Method[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" global_colors_info="{}"][/et_pb_text][et_pb_text _builder_version="4.21.0" text_font_size="18px" width="80%" module_alignment="center" global_colors_info="{}"]The Coleman Method Explained Dr. Peter Coleman discusses the Coleman Method for outpatient opiate detoxification (ambulatory withdrawal management).[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" custom_margin_tablet="" custom_margin_phone="50px||||false|false" custom_margin_last_edited="on|phone" global_colors_info="{}"][/et_pb_text][et_pb_text _builder_version="4.17.1" text_font_size="18px" width="80%" module_alignment="center" global_colors_info="{}"]Long Term Opioid Use Can Make Pain Worse Dr. Peter Coleman of the Coleman Institute for Addiction Medicine explains why long term opioid use can actually make pain worse.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Locations" _builder_version="4.17.1" _module_preset="default" custom_padding="1px||1px|||" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.17.1" _module_preset="default" custom_padding="||50px||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.25.0" global_colors_info="{}"]Find An Outpatient Detox Near You   The Coleman Institute offers a variety of outpatient detox treatment options at locations nationwide. Our ground-breaking Coleman Method has helped thousands of patients recover from the effects of addiction. Whether you want to detox from opiates or alcohol, we can help.   FIND A LOCATION[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="off|off|off" admin_label="Testimonials" module_class="testimonials-container centered" _builder_version="4.16" custom_padding="2px||0px|||" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.17.1" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_padding="||50px||false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.17.1" custom_padding="||20px" global_colors_info="{}"]See What Other Patients are Saying about The Coleman Institute[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" _builder_version="4.17.1" _module_preset="default" custom_padding="||50px||false|false" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.0" _module_preset="default" text_font_size="18px" global_colors_info="{}"]Whitney - Former Opioid User "This couldn't have been a better experience - there's so much personalized attention"[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.0" _module_preset="default" text_font_size="18px" global_colors_info="{}"]Dustin - Former Opioid User “I'm free and clear of the bondage of my addiction”[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" custom_padding="||50px||false|false" global_colors_info="{}"]See More Patient Experiences[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="FAQS" _builder_version="4.17.1" _module_preset="default" background_color="#f1faff" custom_padding="3px||40px|||" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.17.1" _module_preset="default" custom_padding="||50px||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.0" _module_preset="default" global_colors_info="{}"]Featured Kratom Detox FAQs[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_4,1_2,1_4" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" locked="off" global_colors_info="{}"][et_pb_column type="1_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.17.1" text_font_size="18px" custom_padding="||||false|false" global_colors_info="{}"]What has been your success rate?What is Narcotic dependence?What are the different ways to detoxify from narcotics?How Does the Accelerated Opiate Detox Program work and what should be expected?What is Naltrexone therapy, and why is it important for opiate addiction?[/et_pb_text][et_pb_text _builder_version="4.27.0" text_font_size="18px" custom_padding="||||false|false" global_colors_info="{}"]View All Kratom Detox FAQs[/et_pb_text][/et_pb_column][et_pb_column type="1_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="off|off|off" admin_label="Form" module_class="centered spaced" _builder_version="4.21.0" min_height="295.6px" custom_padding="0px||||false|false" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" global_colors_info="{}"]Ready to Reclaim Your Life? Get back to being yourself with our safe and effective method for kratom detox. Call Now at 877-773-3869[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] #### Locations [et_pb_section fb_built="1" admin_label="Header" module_class="header on-dark spaced centered" _builder_version="4.16" background_image="https://www.thecolemaninstitute.com/wp-content/uploads/2019/04/tci-happy-man-smiling.jpg" background_position="top_center" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" global_colors_info="{}"]Serving Patients Nationwide For more than two decades, The Coleman Institute has helped thousands of patients across the country successfully complete their detox. Call Now at 877-773-3869[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner List" module_class="banner list on-dark centered" _builder_version="4.16" background_color="#053a72" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" global_colors_info="{}"] 25+ Years of Experience Recommended by 9 of 10 Patients Serving Patients Nationwide [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="CTA Banner" module_class="banner cta" _builder_version="4.27.0" background_color="#f5f5f5" custom_padding="4px|||||" da_disable_devices="off|off|off" global_module="14958" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/Anthem-1.png" alt="anthem blue cross blue shield logo" title_text="Anthem-1" align="right" align_tablet="center" align_phone="center" align_last_edited="on|tablet" _builder_version="4.27.4" custom_margin_tablet="" custom_margin_phone="" custom_margin_last_edited="on|tablet" custom_padding="25px||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/sentra-1.png" alt="sentara health plans logo" title_text="sentra-1" align="left" align_tablet="center" align_phone="center" align_last_edited="on|phone" _builder_version="4.27.4" custom_padding="25px||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.17.4" _module_preset="default" custom_padding="25px||||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.17.4" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.4" text_orientation="center" custom_margin="25px||||false|false" locked="off" global_colors_info="{}"]Now accepting many Anthem Blue Cross Blue Shield and Sentara Health Plans. We also welcome self-pay patients. Financing options are available.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" global_colors_info="{}"]Available Treatment Options Near You The Coleman Institute offers a variety of treatment options for our patients across the U.S. If you are seeking treatment for one or more of the following, please call us now at 877-773-3869 or schedule a callback to find treatment near you. Accelerated Opioid Detox Benzodiazepine Detox Methadone Detox Pain Medication Detox Suboxone Detox Kratom Detox Alcohol Detox Fentanyl Detox Heroin Detox Naltrexone Therapy Prescription Drug Detox Stimulant Detox [/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.21.0" global_colors_info="{}"]Why Choose the Coleman Method? At the Coleman Institute we have a deep understanding of addiction works and how horrible withdrawal is. That’s why we’ve created a safer, more comfortable outpatient detox program that has a 95% completion rate and can be finished in as little as 3-8 days. With the Coleman Method, in just a few days you can rid your body of opioids and be ready to take back control over your life. Because this outpatient treatment only takes a few days, there’s very little disruption to your life. Plus, you won’t face the discomfort that causes most people to relapse so you're given the best chance for a successful detox and recovery right from the start.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Locations" _builder_version="4.17.1" _module_preset="default" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.17.1" _module_preset="default" custom_padding="||50px||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.19.0" _module_preset="default" global_colors_info="{}"]Our Locations[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" _builder_version="4.19.0" _module_preset="default" width="89%" max_width="89%" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.25.1" _module_preset="default" text_font_size="18px" global_colors_info="{}"] The Coleman Institute for Addiction Medicine - Richmond204 N. Hamilton Street, Suite BRichmond, VA 23221877-773-3869info@thecolemaninstitute.com Team Members Available for Questions by Phone between 9:00 AM - 10:00 PM EST Office HoursMonday - Thursday 8:30 AM - 5:00 PM ESTFriday 8:30 AM - 4:30 PM EST[/et_pb_text][et_pb_text _builder_version="4.17.1" text_font_size="18px" custom_padding="||||false|false" locked="off" global_colors_info="{}"]Learn More[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.25.1" _module_preset="default" text_font_size="18px" global_colors_info="{}"] The Coleman Institute - Atlanta Keating Family Medicine1080 Lumpkin Campground Road, Suite 300Dawsonville, GA 30534877-773-3869info@thecolemaninstitute.com Team Members Available for Questions by Phone between 9:00 AM - 10:00 PM EST Office HoursMonday – Friday 8:30 AM – 3:30 PM EST[/et_pb_text][et_pb_text _builder_version="4.19.0" text_font_size="18px" custom_padding="||||false|false" locked="off" global_colors_info="{}"]Learn More[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.25.1" _module_preset="default" text_font_size="18px" global_colors_info="{}"]> The Coleman Institute - Denver ARCH Detox15101 E. Iliff Ave, Suite 250Aurora, CO 80014877-773-3869info@thecolemaninstitute.com Team Members Available for Questions by Phone between 9:00 AM - 10:00 PM EST Office HoursMonday – Friday 8:30 AM – 3:30 PM EST[/et_pb_text][et_pb_text _builder_version="4.19.0" text_font_size="18px" custom_padding="||||false|false" locked="off" global_colors_info="{}"]Learn More[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" _builder_version="4.19.0" _module_preset="default" width="89%" max_width="89%" custom_margin="100px||||false|false" custom_margin_tablet="25px||||false|false" custom_margin_phone="25px||||false|false" custom_margin_last_edited="on|desktop" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.4" _module_preset="default" text_font_size="18px" global_colors_info="{}"] The Coleman Institute - Tampa Bay Center for Pain Management1715 East Bay Dr. Suite A Largo, FL 33771877-773-3869info@thecolemaninstitute.com Team Members Available for Questions by Phone between 9:00 AM - 10:00 PM EST Office HoursMonday – Friday 8:30 AM – 3:30 PM EST[/et_pb_text][et_pb_text _builder_version="4.19.0" text_font_size="18px" custom_padding="||||false|false" locked="off" global_colors_info="{}"]Learn More[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.25.1" _module_preset="default" text_font_size="18px" global_colors_info="{}"] The Coleman Institute - Orange CountyZephyr Medical Group1533 E. 4th StreetSanta Ana, CA 92701877-773-3869info@thecolemaninstitute.com Team Members Available for Questions by Phone between 9:00 AM - 10:00 PM EST Office HoursMonday – Friday 8:30 AM – 3:30 PM EST[/et_pb_text][et_pb_text _builder_version="4.19.0" text_font_size="18px" custom_padding="||||false|false" locked="off" global_colors_info="{}"]Learn More[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Successful Detox CTA" module_class="banner cta centered" _builder_version="4.16" background_color="#f9f9f9" custom_padding="||" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" global_colors_info="{}"][/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.0" custom_padding="100px||" global_colors_info="{}"]Thousands of Patients Treated with the Coleman Method[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Benefits" module_class="banner on-dark centered spaced" _builder_version="4.16" background_color="#053a72" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row use_custom_gutter="on" gutter_width="1" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="100%" width_tablet="100%" width_phone="" width_last_edited="on|desktop" max_width="100%" max_width_tablet="100%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" global_colors_info="{}"]What are the Benefits of The Coleman Method?[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" use_custom_gutter="on" gutter_width="1" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="100%" width_tablet="100%" width_phone="" width_last_edited="on|desktop" max_width="100%" max_width_tablet="100%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="benefits-section" _builder_version="4.16" global_colors_info="{}"]Outpatient Care Detox in as little as 3-8 days 95% detox completion rate No hospital stay required[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="benefits-section" _builder_version="4.16" global_colors_info="{}"]Minimal Discomfort Safe, assisted withdrawal process Customized medications to reduce discomfort Caring, compassionate medical professionals who specialize in addiction treatment[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="benefits-section" _builder_version="4.25.0" global_colors_info="{}"]Recovery Support Naltrexone therapy to reduce cravings and reduce the risk of relapse Access to recovery support services[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" global_colors_info="{}"]Find Treatment Options Near You[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="off|off|off" admin_label="Form" module_class="centered spaced" _builder_version="4.16" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" global_colors_info="{}"]Ready to Reclaim Your Life? Contact us today to find available treatment options near you. Call Now[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] #### Medication-Assisted Treatment (MAT) [et_pb_section fb_built="1" admin_label="Header" module_class="header on-dark spaced centered" _builder_version="4.16" background_image="https://www.thecolemaninstitute.com/wp-content/uploads/2019/04/tci-happy-man-smiling.jpg" background_position="top_center" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" global_colors_info="{}"]Medication-Assisted Treatment for Opioid Use Disorder and Alcohol Use Disorder The Coleman Institute for Addiction Medicine offers Naltrexone Therapy as part of an overarching Medication-Assisted Treatment Program for Opioid Use Disorder and Alcohol Use Disorder. Call Now at 877-773-3869[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner List" module_class="banner list on-dark centered" _builder_version="4.16" background_color="#053a72" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" global_colors_info="{}"] Minimize Withdrawal Symptoms Detox in as Little as 3 Days Convenient Outpatient Treatment [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="CTA Banner" module_class="banner cta" _builder_version="4.27.0" background_color="#f5f5f5" custom_padding="4px|||||" da_disable_devices="off|off|off" global_module="14958" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/Anthem-1.png" alt="anthem blue cross blue shield logo" title_text="Anthem-1" align="right" align_tablet="center" align_phone="center" align_last_edited="on|tablet" _builder_version="4.27.4" custom_margin_tablet="" custom_margin_phone="" custom_margin_last_edited="on|tablet" custom_padding="25px||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/sentra-1.png" alt="sentara health plans logo" title_text="sentra-1" align="left" align_tablet="center" align_phone="center" align_last_edited="on|phone" _builder_version="4.27.4" custom_padding="25px||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.17.4" _module_preset="default" custom_padding="25px||||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.17.4" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.4" text_orientation="center" custom_margin="25px||||false|false" locked="off" global_colors_info="{}"]Now accepting many Anthem Blue Cross Blue Shield and Sentara Health Plans. We also welcome self-pay patients. Financing options are available.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.22.2" global_colors_info="{}"]What Is Medication-Assisted Treatment? Medication-Assisted Treatment (MAT) is an evidence-based approach primarily used to treat individuals who are struggling with substance use disorders, particularly those related to opioids like heroin, fentanyl, opioid-based prescriptions, pain medications, or alcohol. This approach leverages medications and behavioral therapy to ease the withdrawal symptoms and help the patient throughout their detox and recovery. Studies indicate that MAT can reduce the risk of death from substance abuse by more than 50%. Certain medications have been approved by the US Food and Drug Administration (FDA) to assist with the treatment of substance use disorders for MAT. The behavioral component of MAT involves counseling and therapy to address the underlying psychological aspects of addiction. This can include cognitive-behavioral therapy, family counseling, and other forms of psychotherapy.[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.22.2" global_colors_info="{}"]What Are The Common Medications Used In Medication-Assisted Treatment? Medications commonly used in MAT for opioid use are methadone, buprenorphine, and naltrexone. Each of these medications works in a different way: Methadone: Methadone has been used since the 1970s. It is a full opioid agonist, meaning it activates the same receptors in the brain as other opioids, but it does so more slowly and for a longer period of time. This helps to reduce cravings and withdrawal symptoms without producing the high associated with opioid abuse. Buprenorphine/Suboxone: Like methadone, buprenorphine is also an opioid agonist, but it's a partial agonist. This means that it has a "ceiling effect," where after a certain point, additional doses will not produce increased effects. This helps to lower the potential for misuse. Buprenorphine is also commonly combined with naloxone to form Suboxone, which can also be used in MAT. Naltrexone: Naltrexone is a medication that can be a powerful buffer during the challenging months of early recovery. Unlike methadone and buprenorphine, naltrexone is a non-addictive opioid antagonist. This means it blocks the activation of opioid receptors, suppressing the effects of opioids. The Coleman Institute has been one of the largest utilizers of long-acting forms of Naltrexone, which is a highly effective Medication Assisted Treatment (MAT) for opioid addiction. [/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.22.2" global_colors_info="{}"]Naltrexone And MAT For Opioid Addiction And Alcohol Addiction Naltrexone is the preferred medication used at the Coleman Institute for Addiction Medicine. We have used Naltrexone Therapy for over 25 years and believe in its efficacy and safety for opioid addiction treatment and alcohol addiction treatment. Since Naltrexone is an opioid antagonist, it blocks the effects of opioids at their receptor sites in the brain. If someone takes opioids after Naltrexone Therapy, they won't feel the typical euphoric effects. Because naltrexone blocks the euphoric effects of opioids, it can help reduce the desire to use opioids. It's non-addictive and does not cause physical dependence. It also blocks the euphoric sensation from drinking alcohol. The Coleman Institute offers two specially formulated, long-acting, slow-release Naltrexone options for patients, depending on their unique circumstances and needs: Naltrexone Implant: This small implant is inserted into the fatty tissue of the abdomen via a small, half-inch incision, lasting up to 8 weeks. Vivitrol Injection: This injection is administered monthly. To encourage the development of new, healthier habits and to live a life of sobriety, we recommend 6 to 12 months of Naltrexone Therapy following a detox.[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.22.2" global_colors_info="{}"]Benefits Of Medication-Assisted Treatment (MAT) MAT has been shown to improve patient survival, increase retention in treatment, decrease opiate use and increase patients' ability to gain and maintain employment. Reduce Illicit Opioid Use: MAT has been demonstrated to reduce illicit opioid use compared to treatments that don't include medication. Decrease Overdose Risk: MAT can significantly reduce the risk of fatal and non-fatal overdoses. By providing a controlled, prescribed dose of opioid or opioid antagonist, MAT reduces the variability and unpredictability associated with illicit drug use. Improve Retention in Treatment: Patients receiving MAT often have higher treatment retention rates compared to those not receiving medication. This is crucial because longer engagement in treatment generally corresponds to better outcomes. Enhance Social Functioning: MAT has been associated with improved social functioning, including increased employment, lower criminal activity, and improved family dynamics. [/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.22.2" global_colors_info="{}"]Who Is A Good Candidate For Medication-Assisted Treatment? Medication-Assisted Treatment (MAT) is primarily used for the treatment of substance use disorders, particularly opioid use disorders (OUD) and alcohol use disorders (AUD). Determining whether someone is a good candidate for MAT and which form of MAT is most appropriate involves a comprehensive assessment by a qualified medical professional, taking into account the individual's medical history, substance use history, and other factors. Generally, potential candidates for MAT may have the following characteristics: Diagnosis of Opioid Use Disorder (OUD): Individuals who have been diagnosed with OUD, whether it's due to prescription painkillers, heroin, or other opioids, might benefit from MAT. Diagnosis of Alcohol Use Disorder (AUD): Individuals who have been diagnosed with AUD may benefit from MAT. History of Relapse: MAT can be particularly useful for those who have a history of multiple relapses, as the medications can reduce cravings and block the effects of opioids, making relapse less appealing. High Risk of Overdose: Those at high risk of opioid overdose can benefit from MAT to reduce the risk of overdose. Commitment to Recovery: MAT is most effective when the individual is motivated and actively participates in the recovery process. This includes adhering to guidelines and engaging in counseling or behavioral therapies. Inability to Sustain Abstinence: If an individual has repeatedly tried but been unable to maintain abstinence from opioids or alcohol, they might benefit from the support that MAT provides. It's important to note that while MAT can be a valuable tool in the treatment of substance use disorders, it's most effective when combined with other therapeutic interventions, such as counseling, behavioral therapies, and supportive services. Decisions about starting MAT should be made collaboratively between the individual and their healthcare provider, considering the person's unique needs, preferences, and circumstances.[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Successful Detox CTA" module_class="banner cta centered" _builder_version="4.16" background_color="#f9f9f9" custom_padding="||" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.17.3" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_margin_tablet="" custom_margin_phone="" custom_margin_last_edited="on|phone" custom_padding="|25px|50px|25px|false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.21.0" global_colors_info="{}"]More than 8,500 Patients Treated with the Coleman Method[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" global_colors_info="{}"][/et_pb_text][et_pb_text _builder_version="4.21.0" text_font_size="18px" width="80%" module_alignment="center" global_colors_info="{}"]The Coleman Method Explained Dr. Peter Coleman discusses the Coleman Method for outpatient opiate detoxification (ambulatory withdrawal management).[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" custom_margin_tablet="" custom_margin_phone="50px||||false|false" custom_margin_last_edited="on|phone" global_colors_info="{}"][/et_pb_text][et_pb_text _builder_version="4.18.0" text_font_size="18px" width="80%" module_alignment="center" global_colors_info="{}"]Addiction: Whose Fault? Dr. Peter Coleman shares his perspective on what causes addiction, whether addiction is a disease, and what we can do about it.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner CTA - Opioid Detox Guide" module_class="banner cta expanded" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_5,3_5" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="2_5" module_class="desktop-only" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" global_colors_info="{}"][/et_pb_text][/et_pb_column][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="centered" _builder_version="4.18.0" global_colors_info="{}"]Recovery Starts With Finding The Right Treatment Option For You. Download our free Guide to Understanding Accelerated Opioid Detox for a deeper understanding of America’s Opioid Crisis, industry-leading detox methods, and other addiction recovery treatment options. Get the Free Guide[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Locations" _builder_version="4.17.1" _module_preset="default" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.17.1" _module_preset="default" custom_padding="||50px||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"]Featured Locations[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" _builder_version="4.17.1" _module_preset="default" locked="off" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.17.6" _module_preset="default" width="80%" module_alignment="center" global_colors_info="{}"]Accelerated Opioid Detox in Richmond, VA[/et_pb_text][et_pb_text _builder_version="4.27.0" _module_preset="default" text_font_size="18px" global_colors_info="{}"] The Coleman Institute for Addiction Medicine - Richmond204 N. Hamilton Street, Suite BRichmond, VA 23221877-773-3869info@thecolemaninstitute.com Team Members Available for Questions by Phone between 9:00 AM - 10:00 PM EST - 7 days a week Office HoursMonday - Thursday 8:30 AM - 5:00 PM ESTFriday 8:30 AM - 4:30 PM EST[/et_pb_text][et_pb_text _builder_version="4.17.1" text_font_size="18px" custom_padding="||||false|false" locked="off" global_colors_info="{}"]Learn More[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.20.4" _module_preset="default" width="80%" module_alignment="center" global_colors_info="{}"]Accelerated Opioid Detox in Atlanta, GA[/et_pb_text][et_pb_text _builder_version="4.27.0" _module_preset="default" text_font_size="18px" global_colors_info="{}"] The Coleman Institute for Addiction Medicine - AtlantaKeating Family Medicine1080 Lumpkin Campground Road, Suite 300Dawsonville, GA 30534888-705-9615info@thecolemaninstitute.com Team Members Available for Questions by Phone between 9:00 AM - 10:00 PM EST - 7 days a week Office HoursMonday - Friday 8:30 AM - 3:30  PM EST[/et_pb_text][et_pb_text _builder_version="4.20.4" text_font_size="18px" custom_padding="||||false|false" locked="off" global_colors_info="{}"]Learn More[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" _builder_version="4.20.4" _module_preset="default" custom_padding="50px||||false|false" locked="off" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.20.4" _module_preset="default" width="80%" module_alignment="center" global_colors_info="{}"]Accelerated Opioid Detox in Denver, CO[/et_pb_text][et_pb_text _builder_version="4.27.0" _module_preset="default" text_font_size="18px" global_colors_info="{}"] The Coleman Institute for Addiction Medicine - Denver895 S. Logan St, Suite BDenver, CO 80209888-705-9615info@thecolemaninstitute.com Team Members Available for Questions by Phone between 9:00 AM - 10:00 PM EST - 7 days a week Office HoursMonday - Friday 8:30 AM - 3:30 PM EST[/et_pb_text][et_pb_text _builder_version="4.20.4" text_font_size="18px" custom_padding="||||false|false" locked="off" global_colors_info="{}"]Learn More[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.0" _module_preset="default" width="80%" module_alignment="center" global_colors_info="{}"]Accelerated Opioid Detox inTampa, FL[/et_pb_text][et_pb_text _builder_version="4.27.0" text_font_size="18px" text_orientation="center" global_colors_info="{}"]The Coleman Institute – TampaBay Center for Pain Management101 Clearwater Largo Rd. NLargo, FL 33770804-294-2212info@thecolemaninstitute.com Team Members Available for Questions by Phone between 9:00 AM - 10:00 PM EST - 7 days a week Office HoursMonday – Friday 8:30 AM – 3:30 PM EST[/et_pb_text][et_pb_text _builder_version="4.27.0" text_font_size="18px" custom_padding="||||false|false" locked="off" global_colors_info="{}"]Learn More[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="off|off|off" admin_label="Testimonials" module_class="testimonials-container centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.17.1" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_padding="||50px||false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.17.1" custom_padding="||20px" global_colors_info="{}"]See What Other Patients are Saying about Coleman Institute...[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" _builder_version="4.17.1" _module_preset="default" custom_padding="||50px||false|false" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.0" _module_preset="default" text_font_size="18px" global_colors_info="{}"]Whitney – Former Opioid User "This couldn’t have been a better experience – there’s so much personalized attention."[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.0" _module_preset="default" text_font_size="18px" global_colors_info="{}"]Dustin – Former Opioid User "I’m free and clear of the bondage of my addiction."[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" custom_padding="||50px||false|false" global_colors_info="{}"]See More Patient Experiences[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Form" module_class="centered spaced" _builder_version="4.16" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" global_colors_info="{}"]Ready to Reclaim Your Life? Get back to being yourself with our safe and effective method for accelerated opioid detox. Call Now at 877-773-3869[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] #### Methadone Detox [et_pb_section fb_built="1" admin_label="Header" module_class="header on-dark spaced centered" _builder_version="4.16" background_image="https://www.thecolemaninstitute.com/wp-content/uploads/2019/04/tci-happy-man-smiling.jpg" background_position="top_center" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"]Methadone Detox The Coleman Method offers a more comfortable, quicker, safer option to detox – and commit to your recovery. Call Now at 877-773-3869[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner List" module_class="banner list on-dark centered" _builder_version="4.16" background_color="#053a72" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" global_colors_info="{}"] Minimize Withdrawal Symptoms Detox in as Little as 8 Days Convenient Outpatient Treatment [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="CTA Banner" module_class="banner cta" _builder_version="4.27.0" background_color="#f5f5f5" da_disable_devices="off|off|off" global_module="14958" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/Anthem-1.png" alt="blue cross blue shield vector logo" title_text="Anthem-1" align="right" align_tablet="center" align_phone="center" align_last_edited="on|tablet" _builder_version="4.27.4" custom_margin_tablet="" custom_margin_phone="" custom_margin_last_edited="on|tablet" custom_padding="25px||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/sentra-1.png" alt="optima health logo edit" title_text="sentra-1" align="left" align_tablet="center" align_phone="center" align_last_edited="on|phone" _builder_version="4.27.4" custom_padding="25px||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.17.4" _module_preset="default" custom_padding="25px||||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.17.4" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.4" text_orientation="center" locked="off" global_colors_info="{}"]Now accepting many Anthem Blue Cross Blue Shield and Sentara plans. We also welcome self-pay patients. Financing options are available.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.19.1" _module_preset="default" custom_margin="||50px||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.19.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.19.2" global_colors_info="{}"]Outpatient Methadone Detox Treatment[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"]Why Choose Methadone Detox? Many people have successfully used methadone in order to stop using heroin, fentanyl, or other dangerous opioids and have begun to recover their normal lives. One complication is that methadone is also a mood-altering opioid that is incredibly difficult to detox from. Detoxing off of methadone can even be harder than heroin and many prescription opiates. Fortunately, you don’t have to choose between suffering through a long, painful detox and using methadone for the rest of your life. We have developed a unique process to help people who want to transition from methadone over to Medication-Assisted Treatment (MAT) using the non-addictive opioid blocker, Naltrexone. The Coleman Institute is here to help you safely and comfortably detox off of methadone without disrupting the life that you’ve worked so hard to rebuild. The Coleman Method offers a powerful, efficient, and comprehensive approach to recovery for those looking to get off of methadone, detoxing patients from methadone doses as high as 300 mg (most other providers only provide support for up to 30 mg dosages). Call Now[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.2" global_colors_info="{}"]How Does the Coleman Method For Methadone Detox Work? The Coleman Institute understands the unique circumstances that methadone patients face, which is why we carefully adapted our Accelerated Opioid Detox program to meet your specific needs. We start by using a carefully selected combination of medications and sedatives to completely remove the opiates attached to your brain receptors. Many patients and their support person ask us how long it takes to detox off of methadone. Because methadone stays in your body for so much longer than other drugs, we extend our outpatient treatment to as little as 8 days rather than shorter periods used for other opioids. Because this outpatient treatment takes days instead of weeks or months, there is very little disruption to your life. Patients who live near one of our offices are able to spend nights at home in the comfort of their own bed. In select locations, our team works with you to treat any longer-term withdrawal symptoms after detox to ensure that you’re on the best path to complete healing. From there, you’re on the road to long-term recovery as quickly as possible. LEARN MORE[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.19.1" _module_preset="default" custom_margin="||50px||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.19.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.19.2" global_colors_info="{}"]Substance Use Disorder and Methadone[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.2" global_colors_info="{}"]How Does Methadone Use Become A Dependence? For decades, Methadone has been useful in helping those struggling with opioid dependency by transitioning them from heroin or other dangerous opioids to this legal (when prescribed) alternative. Methadone maintenance therapy under the supervision of a practitioner is both safe and effective, but it can leave you with the challenge of detoxing off of methadone itself. Since methadone is an opioid itself, it results in withdrawal symptoms when an individual stops taking it, just like with other opioids. In fact, most patients find detoxing off of methadone more difficult than withdrawing off of short-acting opioids. Methadone is a long-acting opioid agonist, so it stays active on the brain for a longer period of time than many other opioids.  Although methadone does not give the same “high” as other opioids, the methadone withdrawal symptoms are the same when quitting. Much like other opioids, the brain will reduce its own production of natural endorphins over time, leaving a person increasingly reliant on methadone to stave off withdrawal.[/et_pb_text][et_pb_text _builder_version="4.25.2" global_colors_info="{}"]What Are the Signs of Methadone Dependence? Although methadone is commonly used to treat dependence on other opioids, it still has the potential for abuse, along with the withdrawal symptoms that come with detoxing off methadone. Even after using methadone for a short period of time, sometimes less than two weeks, dependency can occur. Although the methadone dependency will vary among individuals based on genetic makeup, amount used, or amount of time using methadone, there are many common signs to look out for: Not following methadone prescription usage appropriately Obtaining methadone illegally outside of professional care Lying about or hiding the use of methadone Anxiety and depression Apathy and lack of motivation Irritability The inability to stop using methadone (including attempts at tapering use) GET THE FREE GUIDE[/et_pb_text][et_pb_text _builder_version="4.25.2" global_colors_info="{}"]What To Expect When Detoxing Off Of Methadone? Methadone’s long half life means that a comfortable detox can take longer than detoxing off of other opioids. At the Coleman Institute, we will ask patients to stop taking their methadone 48 hours before their first scheduled appointment, based on guidance from our physician. Day 1 of Detoxing Off Of MethadoneOn day 1, patients may be in mild withdrawal because they stopped taking methadone 2 days earlier. They will receive comfort medications throughout the day and a micro-dose of Naltrexone to speed up the healing process and make it more manageable. Intermediate Day(s) of Detoxing Off Of MethadoneThe number of intermediate days in a methadone detox is based on the patient individual’s situation such as medical history, usage history, frequency of usage, and specific symptoms that may occur. The intermediate days of the outpatient methadone detox are similar to the first day in that the patient continues to receive comfort medications along with a micro-dose of Naltrexone. Because methadone stays in your body for so much longer than other drugs, the process of getting off of methadone can be challenging, and it really helps to have a team of experienced professionals using a proven methodology to get you through it. Final Day of Detoxing Off Of MethadoneBy the final day of the methadone detox, patients have made significant progress. The remaining opioids are gently removed from the brain over 6 to 8 hours. At this point the outpatient methadone detox is complete, we administer long-acting Naltrexone, and the patient can return home knowing that all of the opioids have been removed from their brain. Following the methadone detox, many patients choose Naltrexone implants for additional support as they start a new life, free from addiction.[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.2" global_colors_info="{}"]What Are The Symptoms Of Methadone Withdrawal? When someone is dependent on methadone, the chemical structure of the brain has changed, and the person can experience withdrawal symptoms if they stop using. The withdrawal experience can be exhausting and painful, which is why many of those suffering with an opioid dependence choose methadone maintenance therapy; to avoid withdrawal. Methadone withdrawal symptoms themselves can vary in terms of severity. Some signs of methadone withdrawal symptoms are mild whereas others can be more intense such as pain, vomiting, anxiety, and insomnia. Additionally, these symptoms can vary depending on the quantity and frequency of methadone use. Common symptoms or side effects of methadone withdrawal can include: Sweating and cold Sweats Insomnia Intense aches and pains Heightened levels of anxiety and depression Nausea and Vomiting Flu-like symptoms Intense cravings for methadone and other opioids Shaking Increased sensitivity to pain [/et_pb_text][et_pb_text _builder_version="4.27.4" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"]Facts About Methadone Use and Dependence Although methadone is commonly used to treat dependence on other opioids, such as heroin, it is still difficult to stop or even taper off of. Research shows that many individuals that attempt to slowly reduce usage with the goal of stopping entirely do not succeed. Methadone overdoses claim the lives of 5,000 people a year. 400,000+ Americans a year are placed on addiction treatment programs with methadone. The average length of methadone maintenance treatment is between 2 and 20 years. Detoxing using methadone has a 25%-50% success rate. Methadone is involved in roughly 33% of opiate painkiller-related overdose deaths. Call Now[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Successful Detox CTA" module_class="banner cta centered" _builder_version="4.16" background_color="#f9f9f9" custom_padding="||" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.17.3" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_margin_tablet="" custom_margin_phone="" custom_margin_last_edited="on|phone" custom_padding="|25px|50px|25px|false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.0" global_colors_info="{}"]More than 8,500 Patients Treated with the Coleman Method[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" global_colors_info="{}"][/et_pb_text][et_pb_text _builder_version="4.21.0" text_font_size="18px" width="80%" module_alignment="center" global_colors_info="{}"]The Coleman Method Explained Dr. Peter Coleman discusses the Coleman Method for outpatient opiate detoxification (ambulatory withdrawal management).[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" custom_margin_tablet="" custom_margin_phone="50px||||false|false" custom_margin_last_edited="on|phone" global_colors_info="{}"][/et_pb_text][et_pb_text _builder_version="4.17.1" text_font_size="18px" width="80%" module_alignment="center" global_colors_info="{}"]Top Questions about the Naltrexone Implant Most Methadone detox patients complete their detox and begin Naltrexone therapy, non-addictive opiate blocker, within 8 days.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner CTA - Opioid Detox Guide" module_class="banner cta expanded" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_5,3_5" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="2_5" module_class="desktop-only" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.0" global_colors_info="{}"][/et_pb_text][/et_pb_column][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="centered" _builder_version="4.18.0" global_colors_info="{}"]Recovery Starts With Finding The Right Detox Option For You. Download our free Guide to Detoxing Off of Methadone for an in-depth look at Methadone's role in addiction treatment, industry-leading detox methods, and addiction recovery treatment options. Get the Free Guide[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Locations" _builder_version="4.17.1" _module_preset="default" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.17.1" _module_preset="default" custom_padding="||50px||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.25.0" global_colors_info="{}"]Find An Outpatient Detox Near You   The Coleman Institute offers a variety of outpatient detox treatment options at locations nationwide. Our ground-breaking Coleman Method has helped thousands of patients recover from the effects of addiction. Whether you want to detox from opiates or alcohol, we can help.   FIND A LOCATION[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="FAQS" _builder_version="4.17.1" _module_preset="default" background_color="#f1faff" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.17.1" _module_preset="default" custom_padding="||50px||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"]Featured Methadone Detox FAQs[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_4,1_2,1_4" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" locked="off" global_colors_info="{}"][et_pb_column type="1_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.17.1" text_font_size="18px" custom_padding="||||false|false" global_colors_info="{}"]What has been your success rate?What is Narcotic dependence?What are the different ways to detoxify from narcotics?How Does the Accelerated Opiate Detox Program work and what should be expected?What is Naltrexone therapy, and why is it important for opiate addiction?[/et_pb_text][et_pb_text _builder_version="4.17.1" text_font_size="18px" custom_padding="||||false|false" global_colors_info="{}"]View All Methadone Detox FAQs[/et_pb_text][/et_pb_column][et_pb_column type="1_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="off|off|off" admin_label="Testimonials" module_class="testimonials-container centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.17.1" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_padding="||50px||false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.17.1" custom_padding="||20px" global_colors_info="{}"]See What Other Patients are Saying about Coleman Institute...[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" _builder_version="4.17.1" _module_preset="default" custom_padding="||50px||false|false" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.0" _module_preset="default" text_font_size="18px" global_colors_info="{}"] Ronnie - Methadone "I feel good. I feel clean. I am going to stay that way."[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.0" _module_preset="default" text_font_size="18px" global_colors_info="{}"] Ben - Methadone “There was no possible way to get off drugs on my own.”[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" custom_padding="||50px||false|false" global_colors_info="{}"]See More Patient Experiences[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Benefits" module_class="banner on-dark centered spaced" _builder_version="4.16" background_color="#053a72" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row use_custom_gutter="on" gutter_width="1" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="100%" width_tablet="100%" width_phone="" width_last_edited="on|desktop" max_width="100%" max_width_tablet="100%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" global_colors_info="{}"]What are the Benefits of Methadone Detox?[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" use_custom_gutter="on" gutter_width="1" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="100%" width_tablet="100%" width_phone="" width_last_edited="on|desktop" max_width="100%" max_width_tablet="100%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="benefits-section" _builder_version="4.16" global_colors_info="{}"]Outpatient Care Detox in as little as 8 days 98% detox completion rate No hospital stay required[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="benefits-section" _builder_version="4.16" global_colors_info="{}"]Minimal Discomfort Safe, assisted withdrawal process Customized medications to reduce discomfort Caring, compassionate medical professionals who specialize in addiction treatment[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="benefits-section" _builder_version="4.25.1" global_colors_info="{}"]Recovery Support Naltrexone therapy to reduce cravings and the risk of relapse Access to recovery support services[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"]Call Now[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Testimonial and Blog Post" module_class="banner gutterless on-dark" _builder_version="4.16" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="1_2,1_2" use_custom_gutter="on" gutter_width="1" make_equal="on" module_class=" et_pb_row_fullwidth" _builder_version="4.17.1" width="100%" width_tablet="100%" width_phone="" width_last_edited="on|desktop" max_width="100%" max_width_tablet="100%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" module_class="blog-cta" _builder_version="4.17.1" background_enable_image="off" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" global_colors_info="{}"] Overcoming the Fear of Stopping Methadone By Addison Clark I was moved to write a letter to a patient who completed an Accelerated Opioid Detox off Methadone last week.... Read More [/et_pb_text][/et_pb_column][et_pb_column type="1_2" module_class="blog-cta" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" global_colors_info="{}"] How to Get Energy Back After Opioid Withdrawal By Addison Clark Patients who have stopped using opiates using the Coleman Method and gone through the opioid detox and withdrawal process often... Read More 1 2 3 … 11 Next » [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Form" module_class="centered spaced" _builder_version="4.16" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"]Ready to Reclaim Your Life? Get back to being yourself with our safe and effective method for outpatient detox off of methadone. Call Now at 877-773-3869[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] #### Naltrexone Therapy [et_pb_section fb_built="1" admin_label="Header" module_class="header on-dark spaced centered" _builder_version="4.16" background_image="https://www.thecolemaninstitute.com/wp-content/uploads/2019/04/tci-happy-man-smiling.jpg" background_position="top_center" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" global_colors_info="{}"]Naltrexone Therapy The Coleman Method uses Naltrexone, a non-addictive opioid blocker that reduces cravings for alcohol and opioids, to help patients succeed in their long-term recovery. Call Now at 877-773-3869[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner List" module_class="banner list on-dark centered" _builder_version="4.16" background_color="#053a72" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" global_colors_info="{}"] Minimize Withdrawal Symptoms Detox in as Little as 3 Days Convenient Outpatient Treatment [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="CTA Banner" module_class="banner cta" _builder_version="4.27.0" background_color="#f5f5f5" custom_padding="4px|||||" da_disable_devices="off|off|off" global_module="14958" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/Anthem-1.png" alt="anthem blue cross blue shield logo" title_text="Anthem-1" align="right" align_tablet="center" align_phone="center" align_last_edited="on|tablet" _builder_version="4.27.4" custom_margin_tablet="" custom_margin_phone="" custom_margin_last_edited="on|tablet" custom_padding="25px||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/sentra-1.png" alt="sentara health plans logo" title_text="sentra-1" align="left" align_tablet="center" align_phone="center" align_last_edited="on|phone" _builder_version="4.27.4" custom_padding="25px||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.17.4" _module_preset="default" custom_padding="25px||||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.17.4" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.4" text_orientation="center" custom_margin="25px||||false|false" locked="off" global_colors_info="{}"]Now accepting many Anthem Blue Cross Blue Shield and Sentara Health Plans. We also welcome self-pay patients. Financing options are available.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.19.1" _module_preset="default" custom_margin="||50px||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.19.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.19.4" global_colors_info="{}"]Naltrexone Therapy for Opioid and Alcohol Detox[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"]Why Choose Naltrexone Therapy for Detox? Completing a detox off of drugs or alcohol is an emotional experience — patients are often proud to finish the process, nervous about the future and excited to begin a new life without drugs or alcohol. But staying free from addiction can be extremely difficult, and we understand how hard it can be to avoid falling back into old habits. That’s why the Coleman Institute uses Medication-Assisted Treatment (MAT) with the non-addictive opioid blocker Naltrexone to help support long-term recovery. Naltrexone is a medication that can be a powerful buffer during the challenging months of early recovery. With the help of Naltrexone, patients can feel fewer, less intense cravings, which gives them the strength and support to look beyond their physical symptoms and begin focusing on the psychological aspects of committing to their recovery. To find naltrexone treatment near you, view our locations here. Call Now[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.27.4" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"]How Does Naltrexone Therapy At The Coleman Institute Work? Naltrexone is a medicine that blocks the opiate receptors in a person’s brain — which means it dramatically reduces opiate and alcohol cravings when they’re taking it. It is non-addictive and does not block the body’s natural endorphins. The Coleman Institute offers two specially formulated Naltrexone options for patients, depending on their unique circumstances and needs: implants or injections. Both of these slow-release options give patients weeks of support at a time. For the best chance for lifelong recovery, we recommend that most patients continue with their Naltrexone therapy for a year after completing detox to give them enough time to develop new, healthy habits. Following detox, we offer this long-acting Naltrexone therapy at select offices including our Richmond, VA location LEARN MORE[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.19.1" _module_preset="default" custom_margin="||50px||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.19.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.19.4" global_colors_info="{}"]Naltrexone Therapy for Opioids and Alcohol®[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" global_colors_info="{}"]What is Naltrexone Therapy? Naltrexone is a long-acting non-addictive, opioid-blocking medication that attaches to opioid receptors in the brain without activating them. This can significantly reduce alcohol or opioid cravings and can be incredibly helpful during the months after a detox. Naltrexone Therapy is generally administered using two methods:  Vivitrol injections, which are a formulation of Naltrexone, are injected monthly. This method is commonly covered by insurance.   Oral Naltrexone is an option for patients who have made significant progress in their treatment and are stable in their recovery. We do not recommend this method during the early stages of recovery.  Vivitrol is a long-acting, slow-release method of Naltrexone Therapy to provide weeks of support. To encourage the development of new, healthier habits and to live a life of sobriety, 6 to 12 months of Naltrexone Therapy following a detox are recommended. GET THE FREE GUIDE[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" global_colors_info="{}"]Facts About Naltrexone Completing a detox treatment is a significant achievement. However, this can quickly be followed by anxiety and worry about what lies ahead. The Coleman Institute for Addiction Medicine is a national leader in the use of Naltrexone Therapy with over 25 years of experience. With Naltrexone Therapy, patients can find the strength to continue their path to freedom from addiction. Systematically abusing any substance can change the way your brain is structured. Drug overdose deaths have more than tripled since 1990. About 20% of Americans who have depression or an anxiety disorder also have a substance use disorder. 40.3 million people aged 12 or older had a substance use disorder in 2020. 1 in 7 Americans will develop a substance use disorder at some point in their lives. Call Now[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Successful Detox CTA" module_class="banner cta centered" _builder_version="4.16" background_color="#f9f9f9" custom_padding="||" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.17.3" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_margin_tablet="" custom_margin_phone="" custom_margin_last_edited="on|phone" custom_padding="|25px|50px|25px|false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.21.0" global_colors_info="{}"]More than 8,500 Patients Treated with the Coleman Method[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" global_colors_info="{}"][/et_pb_text][et_pb_text _builder_version="4.17.1" text_font_size="18px" width="80%" module_alignment="center" global_colors_info="{}"]Dr. Coleman Explains Naltrexone Therapy Dr. Coleman explains how The Coleman Institute assists patients with focusing on their recovery using Naltrexone Therapy[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" custom_margin_tablet="" custom_margin_phone="50px||||false|false" custom_margin_last_edited="on|phone" global_colors_info="{}"][/et_pb_text][et_pb_text _builder_version="4.17.1" text_font_size="18px" width="80%" module_alignment="center" global_colors_info="{}"]Why is Naltrexone Therapy so Important for Opioid Addiction Dr. Coleman explains why Naltrexone Therapy is so vital to patients getting off of opiates and enabling them to have a successful recovery.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner CTA - Opioid Detox Guide" module_class="banner cta expanded" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_5,3_5" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="2_5" module_class="desktop-only" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.0" global_colors_info="{}"][/et_pb_text][/et_pb_column][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="centered" _builder_version="4.18.0" global_colors_info="{}"]Recovery Starts With Finding The Right Detox Option For You. Download our free Guide to Understanding Naltrexone Therapy for Opioids and Alcohol for an in-depth look at how Naltrexone helps people get into recovery and industry-leading detox methods. Get the Free Guide[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Locations" _builder_version="4.17.1" _module_preset="default" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.17.1" _module_preset="default" custom_padding="||50px||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.25.0" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"]Find An Outpatient Detox Near You   The Coleman Institute offers a variety of outpatient detox treatment options at locations nationwide. Our ground-breaking Coleman Method has helped thousands of patients recover from the effects of addiction. Whether you want to detox from opiates or alcohol, we can help.   FIND A LOCATION[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="FAQS" _builder_version="4.17.1" _module_preset="default" background_color="#f1faff" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.17.1" _module_preset="default" custom_padding="||50px||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"]Featured Naltrexone Therapy FAQs[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_4,1_2,1_4" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" locked="off" global_colors_info="{}"][et_pb_column type="1_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" text_font_size="18px" custom_padding="||||false|false" global_colors_info="{}"]What is Naltrexone therapy, and why is it important for opiate addiction?Does Naltrexone therapy have any risks and side effects?How long should I be on Naltrexone therapy?[/et_pb_text][et_pb_text _builder_version="4.17.1" text_font_size="18px" custom_padding="||||false|false" global_colors_info="{}"]View All Naltrexone Therapy FAQs[/et_pb_text][/et_pb_column][et_pb_column type="1_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="off|off|off" admin_label="Testimonials" module_class="testimonials-container centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.17.1" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_padding="||50px||false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.17.1" custom_padding="||20px" global_colors_info="{}"]See What Other Patients are Saying about Coleman Institute...[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" _builder_version="4.17.1" _module_preset="default" custom_padding="||50px||false|false" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.0" _module_preset="default" text_font_size="18px" global_colors_info="{}"] Whitney - Former Opioid User "This couldn't have been a better experience - there's so much personalized attention."[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.0" _module_preset="default" text_font_size="18px" global_colors_info="{}"] Dustin - Former Opioid User “I'm free and clear of the bondage of my addiction.”[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" custom_padding="||50px||false|false" global_colors_info="{}"]See More Patient Experiences[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Benefits" module_class="banner on-dark centered spaced" _builder_version="4.16" background_color="#053a72" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row use_custom_gutter="on" gutter_width="1" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="100%" width_tablet="100%" width_phone="" width_last_edited="on|desktop" max_width="100%" max_width_tablet="100%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" global_colors_info="{}"]What are the Benefits of Naltrexone Therapy?[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" use_custom_gutter="on" gutter_width="1" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="100%" width_tablet="100%" width_phone="" width_last_edited="on|desktop" max_width="100%" max_width_tablet="100%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="benefits-section" _builder_version="4.27.0" global_colors_info="{}"]Specially Formulated Options Vivitrol®: a branded formulation of injectable Naltrexone that lasts for up to 1 month No need to remember to take a pill[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="benefits-section" _builder_version="4.16" global_colors_info="{}"]Minimal Interruption Convenient and worry-free Slow-release to give weeks of support Over 100,000 patients worldwide have used Naltrexone therapy[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="benefits-section" _builder_version="4.17.6" global_colors_info="{}"]Recovery Support Naltrexone therapy is a crucial part of our three-step treatment process Access to recovery support services following your detox[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" global_colors_info="{}"]Call Now[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Testimonial and Blog Post" module_class="banner gutterless on-dark" _builder_version="4.16" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="1_2,1_2" use_custom_gutter="on" gutter_width="1" make_equal="on" module_class=" et_pb_row_fullwidth" _builder_version="4.17.1" width="100%" width_tablet="100%" width_phone="" width_last_edited="on|desktop" max_width="100%" max_width_tablet="100%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" module_class="blog-cta" _builder_version="4.17.1" background_enable_image="off" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" global_colors_info="{}"] Tianeptine Powder Explained – Safety Concerns, Addiction Risks, & Withdrawal By Makenna Tianeptine powder has drawn attention in recent years, though not for positive reasons. Marketed under brand names like Stablon in... Read More 1 2 3 Next » [/et_pb_text][/et_pb_column][et_pb_column type="1_2" module_class="blog-cta" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" global_colors_info="{}"] Naltrexone Therapy for Addiction Recovery By Makenna For those struggling with addiction, achieving and maintaining recovery can be challenging. Cravings and the risk of relapse often pose... Read More 1 2 3 … 30 Next » [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Form" module_class="centered spaced" _builder_version="4.16" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" global_colors_info="{}"]Are you ready to focus on your long-term recovery? Naltrexone therapy gives patients the best chance for lasting success after detox from drugs or alcohol. Call Now at 877-773-3869[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] #### Naltrexone Therapy for Alcohol FAQs [et_pb_section fb_built="1" fullwidth="on" _builder_version="4.16" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_fullwidth_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2018/11/naltrexonehdr-1.jpg" _builder_version="4.16" global_colors_info="{}"][/et_pb_fullwidth_image][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"]Naltrexone Therapy for Alcohol FAQs What is Naltrexone therapy and why is it important for alcoholism? How does naltrexone work on opioid receptors to treat alcoholism? Can individuals who are still drinking or those who are physically dependent on alcohol start Naltrexone therapy? Is Naltrexone therapy Medication-Assisted Treatment (MAT)? Are there interactions between Naltrexone and other medications I should be aware of? How long should I be on Naltrexone therapy? How do I know if Naltrexone therapy is right for me?   1. What is Naltrexone therapy and why is it important for alcoholism?   Our three-part approach to recovery is here to help you win your battle against Alcohol Use Disorder and be free to enjoy your life again. From our experience, detoxing is the first step toward this goal, rather than the achievement of it. We want to help you stay in recovery for the rest of your life, so we focus on connecting you to the resources you need to do so. In addition to helping you find individual professional therapy and supportive group treatment, we recommend Naltrexone to help block your alcohol cravings. Naltrexone is a non-addictive, non-narcotic medicine that attaches to the opiate receptors in your brain, which contribute to the pleasurable effects you feel when drinking alcohol. When Naltrexone blocks these receptors, you can feel reduced cravings. With Naltrexone helping to support sobriety, patients are better able to abstain from drinking and focus on their recovery program.   2. How does naltrexone work on opioid receptors to treat alcoholism?   Naltrexone works by targeting the brain's opioid receptors. While these receptors are primarily known for their role in pain and opioid use, they are also involved in the rewarding effects of drinking alcohol. When someone with an Alcohol Use Disorder takes naltrexone, the drug binds to these opioid receptors, effectively blocking the pleasure and reward sensations typically associated with alcohol consumption. This can reduce the craving and desire to drink alcohol. 3. Can individuals who are still drinking or those who are physically dependent on alcohol start Naltrexone therapy?   Naltrexone is typically prescribed to individuals who have already stopped drinking or are in the process of doing so. If someone is physically dependent on alcohol and stops drinking abruptly, they may experience withdrawal symptoms. Naltrexone is not designed to address these withdrawal symptoms, so it's crucial to be under a medical professional's supervision when starting the medication, especially if one is still drinking or at risk of withdrawal.   4. Is Naltrexone therapy Medication-Assisted Treatment (MAT)?   Naltrexone is indeed a form of MAT. Medication Assisted Treatment is a comprehensive approach to treating substance use disorders, combining behavioral therapy and approved medications. MAT using Naltrexone helps block the euphoric and reinforcing effects of alcohol in the brain. By diminishing the rewarding effects of alcohol, Naltrexone can help people reduce their alcohol intake, maintain abstinence, and stay in recovery.   5. Are there interactions between Naltrexone and other medications I should be aware of?   Yes, while Naltrexone is effective in treating excessive alcohol use, it can interact with certain medications that might either increase or decrease Naltrexone's effects. It is vital to inform your healthcare provider about all the medications, over-the-counter drugs, and supplements you are taking to ensure a safe and effective treatment plan.   6. How long should I be on Naltrexone therapy?   We strongly believe that patients should be on Naltrexone therapy for at least 12 months after completing their detox. Recent research shows that it takes a year or more for the brain to fully heal from addiction. And we also know that it takes at least a year for people to learn about alcoholism and recovery, build up a support system, and integrate all of the recovery changes into their lives. Having Naltrexone therapy during the first stages of recovery helps reduce the risk of patients relapsing while giving them time to invest in their long-term health.   7. How do I know if Naltrexone therapy is right for me?   Deciding on the best treatment for Alcohol Use Disorder is a personal decision that should be made in consultation with a medical professional. If you're considering Naltrexone therapy, it's important to discuss your drinking habits, current medications, health conditions, and concerns with a healthcare provider who is familiar with treating alcohol dependency and addiction. They can provide guidance on the suitability of Naltrexone for your specific situation and help devise a comprehensive treatment strategy tailored to your needs.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_9" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.16" custom_margin="100px|||" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" global_colors_info="{}"] Let's Take the Next Step Together. Have questions or want to learn more? Contact us today at 804-294-2212. [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] #### Naltrexone Therapy for Opiates FAQs [et_pb_section fb_built="1" fullwidth="on" _builder_version="4.16" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_fullwidth_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2018/11/naltrexonehdr-1.jpg" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}"][/et_pb_fullwidth_image][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"] Naltrexone Therapy for Opiates FAQs What is Naltrexone therapy, and why is it important for opiate addiction? Does Naltrexone therapy have any risks and side effects? How long should I be on Naltrexone therapy? What is the risk of overdosing following treatment? 1. What is Naltrexone therapy, and why is it important for opiate addiction? Our ultimate goal with Accelerated Opiate Detox (AOD) is for patients to begin a life of abstinence — rather than treating addiction with a maintenance program that uses other opiates, such as Suboxone or methadone. We recognize that recovery is a challenging path to walk, filled with many opportunities for relapse. So, after AOD, we use Naltrexone therapy to help patients focus on their psychological healing without the temptations to use again. Naltrexone is a non-addictive, non-narcotic medicine that attaches to the brain’s opiate receptors and completely blocks them. As a result, patients feel no effect from opiates while on Naltrexone and experience virtually no drug cravings. We believe that 12 months of Naltrexone therapy gives patients the best chance for lasting recovery. This support allows their brain to physically heal from the opiates’ damage while they build the psychological tools and strength they need to remain in recovery. 2. Does Naltrexone therapy have any risks and side effects? As with any medical procedure, Naltrexone therapy carries some risks and potential problems. While small and typically painless, the Naltrexone implant does require local anesthesia for insertion. As a result, some patients experience the following symptoms at the implant site: Irritation Inflammation Infection In addition to these implant risks, Naltrexone therapy can cause withdrawal symptoms if a patient isn’t fully detoxed when treatment begins. To avoid these risks, we carefully monitor patients before beginning Naltrexone therapy and only start treatment when they have completed their Accelerated Opiate Detox. 3. How long should I be on Naltrexone therapy? We strongly believe that patients should be on Naltrexone therapy for at least 12 months after completing their detox. Recent research shows that it takes a year or more for the brain to fully heal from addiction. And we know that it also takes at least a year for people to learn about alcoholism and recovery, build up a support system, and integrate all of the recovery changes into their lives. Having Naltrexone therapy during the first stages of recovery helps reduce the risk of relapse in patients while giving them time to invest in their long-term health.   4. What is the risk of overdosing following treatment? Accelerated Opiate Detox clears patients’ brains of all opiates, which means they are clean — but they also have no built-up tolerance for the substance anymore. We have all patients use Naltrexone therapy immediately following their detox to reduce cravings and provide some overdose protection if they do relapse. However, patients must know that when Naltrexone therapy ends, they will have a very low tolerance to any opiates. As a result, if they relapse, a dose that would have gotten them high before detox can be fatal after treatment. Very rarely, patients may try to override their Naltrexone therapy and take a very large opiate dose in pursuit of a high. While Naltrexone is an opiate blocker that reduces the risk of most overdoses, it is possible to take enough opiates for the dose to be fatal.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.16" custom_margin="100px|||" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" global_colors_info="{}"] Let's Take the Next Step Together. Have questions or want to learn more? Contact us today at 888-705-9615. [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] #### Orange County Accelerated Fentanyl Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" global_colors_info="{}"]Accelerated Fentanyl Detox The Coleman Institute offers Accelerated Fentanyl Detox in Orange County, CA Fentanyl is a potent highly addictive opiate, approximately 100 times stronger than morphine. Although it is used in certain cases to treat pain, its addictive qualities can quickly lead to dependency. The drug binds itself to receptors in a person’s brain, decreasing the natural production of endorphins and requiring higher and higher doses in order to achieve any kind of relief. Quitting the drug on your own is dangerous and painful. Luckily, there is another path toward the addiction-free life you deserve. At the Coleman Institute’s Orange County location, we offer an Accelerated Fentanyl Detox that pushes the opiates out of your body in as little as five days. Patients are able to detox without the painful withdrawal symptoms involved in other programs. Our outpatient care can be completed with no hospital stays required, so you can get back to your daily life as quickly as possible. Once the detox is completed, our staff can provide long-term support as you begin rebuilding your life and creating new, healthier habits. The benefits our Accelerated Fentanyl Detox: Outpatient Care As few as five days to complete the process No general anesthesia No hospital stays required Minimal Discomfort Safe, assisted withdrawal process Medicine to reduce discomfort Caring support from medical professionals who understand addiction Long-Term Support Naltrexone Therapy to reduce cravings and reduce the risk of relapse Plan for maintaining sobriety Access to recovery support services Check out these helpful resources for more details: Accelerated Opiate Detox FAQs Naltrexone Therapy FAQs Dangers of Fentanyl You can free yourself from addiction. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Orange County Accelerated Hydrocodone Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.19.4" global_colors_info="{}"]Accelerated Hydrocodone Detox The Coleman Institute offers Accelerated Hydrocodone Detox options in Orange County, CA The highly addictive qualities of Hydrocodone can start dependency after just one use. When someone becomes addicted to Hydrocodone, the drug hijacks the brain’s chemical production, causing a decrease in the amount of endorphins the brain produces. Endorphins are needed to feel happy and reduce pain. Without them, users feel the need to increase Hydrocodone usage just to function normal. Our Accelerated Hydrocodone Detox in Orange County, CA removes the opiates from the brain in the most comfortable way possible, so endorphin levels can return to normal. Instead of the typical 10 days, our detox only takes about 3 days. Our outpatient program is one of the most effective, safest, and convenient ways to free yourself from addiction. Benefits of our Accelerated Hydrocodone Detox in Orange County, CA As few as three days needed to complete the detoxification process No general anesthesia or hospital stays required Caring support from medical professionals who understand addiction Following an Accelerated Hydrocodone Detox at our Orange County, CA location, our addiction specialists will offer long-term support through Naltrexone Therapy, a plan for maintaining sobriety, and access to recovery support services. Check out these helpful resources for more details: Accelerated Opiate Detox FAQs Naltrexone Therapy FAQs You can free yourself from addiction. Add your name to the 98% of patients who successfully completed their detox. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Orange County Accelerated Kratom Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" locked="off" global_colors_info="{}"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"]Accelerated Kratom Detox The Coleman Institute offers Accelerated Kratom Detox in Orange County, CA Accelerated Kratom Detox at the Coleman Institute in Orange County, CA is a safe, convenient way to detox on an outpatient basis. Our compassionate medical professionals understand the intricacies of addiction and are here to help every step of the way. We offer an accelerated detox that can be completed in as few as three days with no general anesthesia and no hospital stays required. This safe, assisted withdrawal process is the first step to lifelong recovery. The benefits of our Accelerated Kratom Detox include: Outpatient Care As few as three days to complete the process No general anesthesia No hospital stays required Minimal Discomfort Safe, assisted withdrawal process Medicine to reduce discomfort Caring support from medical professionals who understand addiction Long-Term Support Naltrexone Therapy to reduce cravings and reduce the risk of relapse Plan for maintaining sobriety Access to recovery support services Our program has helped thousands of patients free themselves from the destructive effects of addiction. Check out these helpful resources for more details: Accelerated Opiate Detox FAQs Naltrexone Therapy FAQs You can free yourself from addiction. Add your name to the 98% of patients who successfully completed their detox. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Orange County Accelerated Opana® Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.19.4" global_colors_info="{}"]Accelerated Opana® Detox The Coleman Institute offers Accelerated Opana® Detox options in Orange County, CA At its best, Opana®, a prescription opioid painkiller, can provide healing and relief. Unfortunately, it is also extremely addictive. Just one use can affect the chemical production in the brain, decreasing natural endorphins and catapulting a user down the road of addiction. At the Coleman Institute in Orange County, CA we offer a solution. Our Accelerated Opana® Detox lets patients rid themselves of an Opana® dependency without the fear of painful withdrawal symptoms or lengthy rehab stays. Our Orange County, CA office provides: Safe, assisted withdrawal process Medicine to reduce discomfort Caring support from medical professionals who understand dependency Detox appointments take place in our Orange County, CA clinic, not a rehab facility. Using non-addictive drugs and sedatives, we are able to push out the opiates in as few as 3 days, without the discomfort you’d experience in a typical detox process. The road to recovery starts with getting clean. Let our medical professionals help you take the first step. Check out these helpful resources for more details: Accelerated Opiate Detox FAQs Naltrexone Therapy FAQs You can free yourself from addiction. Add your name to the 98% of patients who successfully completed their detox. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Orange County Accelerated Opiate Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.19.4" global_colors_info="{}"]Accelerated Opiate Detox The Coleman Institute provides opiate detox options in Orange County, CA Opiates can lead to addiction after just one use. They are dangerous as prescription drugs and, even more so, as street drugs. The drug attaches itself to the opiate receptors in the brain, taking over the body’s natural chemical production and leading to dependency. Our Accelerated Opiate Detox treatment in Orange County, CA removes the opiates from the brain in the most comfortable way possible. Using an accelerated approach, we are able to detox patients on an outpatient basis in as little as three days. Unlike the misery of detoxing on your own, our Accelerated Opiate Detox is safe, effective, and much more convenient. You don’t need to take a long break from your daily life to complete your detox. At the Coleman Institute in Orange County, CA, it is possible to gain your life back from the grips of opiates over the course of a long weekend. In addition to detox, our goal is to support lifelong recovery in every way we can. Our three-step treatment plan includes Naltrexone Therapy to help our patients during the challenging first few weeks of recovery. Our caring medical professionals are also available to provide ongoing aftercare support. Don’t let opiates rule your life any longer. Free yourself from addiction at the Coleman Institute, Orange County, CA. Check out these helpful resources for more details: Accelerated Opiate Detox FAQs Naltrexone Therapy FAQs You can free yourself from addiction. Add your name to the 98% of patients who successfully completed their detox. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Orange County Accelerated Oxycodone Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.19.4" global_colors_info="{}"]Accelerated Oxycodone Detox The Coleman Institute offers Accelerated Oxycodone Detox options in Orange County, CA Oxycodone is an extremely powerful opiate. Patients can become addicted to Oxycodone as a treatment for chronic pain, or because of street drug use. Most users are unaware of how dangerous the drug is, and it is a major cause of many opioid overdoses and deaths throughout the country. Accelerated Oxycodone Detox at the Coleman Institute in Orange County, CA is a safe, convenient way to detox on an outpatient basis. Our compassionate medical professionals understand the intricacies of addiction and are here to help every step of the way. We offer an accelerated detox that can be completed in as few as three days with no general anesthesia and no hospital stays required. This safe, assisted withdrawal process is the first step to a lifelong recovery. The benefits of our Accelerated Oxycodone Detox include: Naltrexone therapy to reduce cravings and prevent relapse Plan for maintaining sobriety Access to recovery support services Our program has helped thousands of patients free themselves from the destructive effects of addiction. After safely detoxing, we help patients find the resources they need to stay clean. Check out these helpful resources for more details: Accelerated Opiate Detox FAQs Naltrexone Therapy FAQs You can free yourself from addiction. Add your name to the 98% of patients who successfully completed their detox. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Orange County Accelerated Percocet® Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.19.4" global_colors_info="{}"]Accelerated Percocet® Detox The Coleman Institute offers Accelerated Percocet® Detox options in Orange County, CA If you or a loved one are suffering from an addiction to Percocet®, know this one key fact: You are not alone. Percocet® is made from opiates, one of the most addictive drugs. They can start an addiction problem the first time someone uses them. Often, people judge an addiction as a sign of weakness. But this couldn’t be further from the truth. Opiate addiction is not a personality flaw — it’s a chronic disease. When someone becomes addicted to Percocet®, the drug hijacks the brain’s chemical production. As a result, their brain stops making enough of the endorphins needed to feel happy and reduce pain. Our Accelerated Percocet® Detox removes these harmful chemicals, so endorphin levels can eventually return back to normal. The misery you feel from trying to detox on your own is natural. But it’s not the only path toward the addiction-free life you deserve. How does the Accelerated Percocet® Detox work? Our Percocet® detox removes the opiates from your brain in the most comfortable way possible. Rather than the typical 10 days you’d spend self-detoxing, detox in our Orange County, CA location takes about 3 days. Just imagine: Over the course of a long weekend, you could completely clear the opiates from your body and be ready to begin your new, clean life. And because our treatment takes only a few days, you don’t need a long break from your daily life to complete your detox. Plus, you won’t face the discomfort that causes most people to relapse after a few days when they go it alone. The process is a more effective, safer and more convenient way to free yourself from addiction. The benefits of our Accelerated Percocet Detox: Outpatient Care As few as three days to complete the detox No general anesthesia No hospital stays required Minimal Discomfort Safe, assisted withdrawal process Medicine to reduce discomfort Caring support from medical professionals who understand addiction Long-Term Support Naltrexone Therapy to reduce cravings and prevent relapse Plan for maintaining sobriety Access to recovery support services Check out these helpful resources for more details: Accelerated Opiate Detox FAQs Naltrexone Therapy FAQs You can free yourself from addiction. Add your name to the 98% of patients who successfully completed their detox. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Orange County Accelerated Roxicodone Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" global_colors_info="{}"]Accelerated Roxicodone Detox The Coleman Institute offers Accelerated Roxicodone Detox options in Orange County, CA Roxicodone is commonly prescribed to reduce or alleviate severe pain. As an opiate, Roxicodone changes the way you perceive and respond to pain. It also triggers a release of dopamine which can initiate an emotional response. Both of these alterations to your cognitive function can result in craving these effects even more; craving Roxicodone. Furthermore, higher and higher doses are needed to appease those cravings. Addiction and dependence on Roxicodone can develop frighteningly fast. Quitting Roxicodone on your own can be even more dangerous. At the Coleman Institute in Orange County, CA, we offer an outpatient Accelerated Roxicodone Detox that pushes Roxicodone out of your body in as few as 3 days. Patients are able to detox without the painful withdrawal symptoms involved in other programs. The Benefits of Accelerated Roxicodone Detox at the Coleman Institute in Orange County, CA: Outpatient Care As few as 3 days to complete the process No general anesthesia No hospital stays required Minimal Discomfort Safe, assisted withdrawal process Medicine to reduce discomfort Caring support from medical professionals who understand addiction Long-Term Support Naltrexone therapy to reduce cravings and reduce the risk of relapse Plan for maintaining sobriety Access to recovery support services Check out these helpful resources for more details: Accelerated Opiate Detox FAQs Naltrexone Therapy FAQs You can free yourself from addiction. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Orange County Accelerated Tramadol Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" global_colors_info="{}"]Accelerated Tramadol Detox The Coleman Institute offers Accelerated Tramadol Detox options in Orange County, CA If you have been prescribed Tramadol, you may be at risk for developing an opioid dependency. Tramadol is categorized by the Drug Enforcement Agency as a Schedule IV controlled substance. It is considered an opioid narcotic drug like morphine, codeine, and hydrocodone. This means, if taken inappropriately, you could find yourself relying on Tramadol. Tramadol alters the way your body responds to pain by occupying the opioid receptors in your brain, blocking the transmission of pain signals, and halting endorphin production. Your body can develop a tolerance to your Tramadol prescription very quickly. This tolerance leads to your prescribed dose of Tramadol becoming less and less effective over time. If you find yourself craving more and more Tramadol to feel the same level of effect, you may be experiencing a Tramadol dependency. You are not alone. Like all opioids, Tramadol dependence can happen quickly. That’s why we offer the Accelerated Tramadol Detox in Orange County, CA. This outpatient detox removes the Tramadol from the opioids receptors in your brain, allowing endorphin production to resume. Our process, called The Coleman Method, is safe, effective, and comfortable. Most patients can complete an Accelerated Tramadol Detox in Orange County, CA in as few as 5 days. The Benefits of Our Accelerated Tramadol Detox in Orange County, CA: Outpatient Care As few as five days to complete the process No general anesthesia No hospital stays required Minimal Discomfort Safe, assisted withdrawal process Medicine to reduce discomfort Caring support from medical professionals who understand addiction Long-Term Support Naltrexone therapy to reduce cravings and reduce the risk of relapse Plan for maintaining sobriety Access to recovery support services Check out these helpful resources for more details: Accelerated Opioid Detox Guide Naltrexone Therapy You can free yourself from addiction. Add your name to the 98% of patients who successfully completed their detox. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Orange County Accelerated Ultram® Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.19.4" global_colors_info="{}"]Accelerated Ultram® Detox The Coleman Institute offers Accelerated Ultram® Detox options in Orange County, CA Do you find yourself taking larger and larger doses of your Ultram® prescription just to feel the same results of the drug? This could be an indication of tolerance to Ultram®, or worse, a dependence. Ultram® is the brand name version of Tramadol, making it a Schedule IV controlled substance by the Drug Enforcement Agency. Ultram® is an opioid agonist used for pain relief. This means that it binds to opioid receptors in the brain to block pain signals. Because Ultram® occupies these receptors, the brain thinks it has already produced enough endorphins and halts production. Rather than relying on itself, your brain now relies on Ultram®. Withdrawal from Ultram® can be severe and painful. Severe Ultram® withdrawal symptoms include: Nausea Vomiting Sweating Drowsiness Respiratory issues But there is a safe, fast and comfortable way to rid your body of Ultram® with the Accelerated Ultram® Detox at the Coleman Institute in Orange County, CA. Our detox process, called The Coleman Method, uses non-addictive medications to push the Ultram® from your body while mitigating painful withdrawal symptoms. This effective approach is completed on an outpatient basis so you can keep your life on track while receiving treatment. Using an accelerated approach, we are able to detox patients on an outpatient basis in as few as five days. Don’t let Ultram® addiction rule your life. Check out these helpful resources for more details: Accelerated Opioid Detox Guide Naltrexone Therapy You can free yourself from addiction. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Orange County Accelerated Vicodin® Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.19.4" global_colors_info="{}"]Accelerated Vicodin® Detox The Coleman Institute offers Accelerated Vicodin® Detox options in Orange County, CA The Coleman Institute in Orange County, CA offers a safe, convenient, and comfortable Accelerated Vicodin® Detox program that can be completed in as few as three days. Vicodin® is a very potent narcotic that takes over the brain’s chemical production and makes it harder for your body to produce endorphins – the body’s natural pain medication. Once your body becomes dependent on Vicodin®, it becomes impossible to function without it. If this is something you or a loved one is struggling with, we can help! Our Orange County, CA location specializes in Accelerated Vicodin® Detox, a process designed to remove the harmful chemicals from your body in an accelerated and pain-free method. The benefits of our Accelerated Vicodin® Detox include: Outpatient care Minimal discomfort Long-term support Our medical professionals understand addiction and are ready to help you take the first step on the road to recovery. Our three-step treatment plan includes Naltrexone Therapy to reduce cravings and prevent relapse, as well as long-term access to recovery support services. Check out these helpful resources for more details: Accelerated Opioid Detox Guide Naltrexone Therapy You can free yourself from addiction. Add your name to the 98% of patients who successfully completed their detox. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Orange County Alcohol Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.19.4" global_colors_info="{}"]Alcohol Detox The Coleman Institute offers Alcohol Detox options in Orange County, CA Alcohol is such a common part of our society and culture that most people do not think of it as a drug. The truth is it is one of the most addictive drugs available and, as such, is one of the most widely abused. Alcohol dependence can start without even realizing it. This distinct disease suppresses the body’s natural system of dealing with stress. As a result, the body becomes unable to calm itself down in stressful situations without the use of alcohol. This quickly turns into a looping cycle that is difficult to stop. Our alcohol detox treatment in Orange County, CA allows patients to break the cycle of alcohol dependence and get the long-term support they need for a life of recovery. Using an outpatient treatment, we are able to safely and comfortably detox patients in our Orange County location in as few as three days. Unlike the misery and danger of detoxing on your own, our Alcohol Detox treatment is safe, effective, and much more convenient. You don’t need to take a long break from your daily life in order to complete your detox. At the Coleman Institute in Orange County, CA, it is possible to reclaim your life from alcohol dependency over the course of a long weekend. In addition to detox, our goal is to support lifelong recovery in every way we can. Our three-step treatment plan includes Naltrexone Therapy to help our patients during the challenging first few weeks of recovery and our caring medical professionals are also available to provide ongoing aftercare support. Get clean and stay clean with the help of the Coleman Institute, Orange County, CA. Check our these helpful resources for more details: Alcohol Detox FAQs Naltrexone Implants for Alcohol FAQs You can free yourself from addiction. Add your name to the 98% of patients who successfully completed their detox. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Orange County Buprenorphine Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.19.4" global_colors_info="{}"]Buprenorphine Detox The Coleman Institute offers Buprenorphine Detox options in Orange County, CA As a partial opioid agonist, Buprenorphine is used to treat pain and opioid addiction. It is commonly used in traditional addiction treatment and detox environments. But Buprenorphine itself is still a highly addictive substance. Patients undergoing this traditional addiction treatment find themselves transferring their addiction from one opioid to another. At the Coleman Institute in Orange County, CA, we offer a Buprenorphine Detox to help you rid your body and your life of all opioid-based substances. Our Buprenorphine Detox uses The Coleman Method, a proven process that removes the opioids from your brain in the fastest, most comfortable way possible, including Naltrexone Therapy, in as few as 8 days. Benefits of the Buprenorphine Detox at the Coleman Institute in Orange County, CA: Outpatient care in as few as eight days No general anesthesia or hospital stays required Safe, assisted withdrawal with non-addictive medication Caring support from medical professionals Long-term recovery support with a plan for maintaining sobriety Check out these helpful resources for more details: Accelerated Opioid Detox Guide Naltrexone Therapy You can free yourself from addiction. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Orange County Heroin Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.19.4" global_colors_info="{}"]Heroin Detox The Coleman Institute offers Heroin Detox options in Orange County, CA Heroin is an opioid drug made from morphine that is incredibly addictive. Using just a handful of times can lead to addiction. Once heroin enters the body, it goes directly to the brain where it binds itself to receptors that are involved in feelings of pain and pleasure. As a person continues to use heroin, the body builds up a tolerance quickly, making larger doses necessary just to function daily. At the Coleman Institute in Orange County, CA we offer a solution. Our Accelerated Heroin Detox lets patients rid themselves of a heroin dependency without the fear of painful withdrawal symptoms and lengthy rehab stays. Our Orange County, CA office provides: Safe, assisted withdrawal process Medicine to reduce discomfort Caring support from medical professionals who understand dependency Detox appointments take place in our Orange County, CA clinic, not a rehab facility. Using non-addictive drugs and sedatives, we are able to push out the opiates in as few as 5 days, without the discomfort you’d experience in a typical detox process. The road to recovery starts with getting clean. Let our medical professionals help you take the first step. Check our these helpful resources for more details: Accelerated Opiate Detox FAQs Naltrexone Therapy FAQs You can free yourself from addiction. Add your name to the 98% of patients who successfully completed their detox. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Orange County Methadone Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.1" global_colors_info="{}"]Methadone Detox The Coleman Institute offers Methadone Detox options in Orange County, CA At its best, Methadone provides relief from painful heroin withdrawal symptoms and serves as a maintenance drug for people in recovery. Unfortunately, it is also highly addictive and difficult to detox from. At the Coleman Institute in Orange County, CA, we offer a solution. Our Accelerated Opiate Detox lets patients rid themselves of a Methadone dependency without the fear of painful withdrawal symptoms or lengthy rehab stays. Our Orange County, CA office provides: Safe, assisted detox process Medicine to reduce discomfort Caring support from medical professionals who understand dependency Detox appointments take place in our Orange County, CA clinic, not a rehab facility. Using non-addictive drugs and sedatives, we are able to rid the body of Methadone within eight days, without the discomfort you’d experience from self-detoxing or slowly tapering off the drug. While most other detox programs typically offer treatment for patients currently on 30 mg of methadone or less, our outpatient program at the Coleman Institute can detox patients from methadone doses up to 300 mg. The road to recovery starts with getting clean. Let our medical professionals help you take the first step. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Orange County Naltrexone Therapy [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.19.4" global_colors_info="{}"]Naltrexone Therapy The Coleman Institute provides naltrexone therapy options in Orange County, CA At the Coleman Institute in Orange County, CA, we understand that detox is just the first step on the road to recovery. In order to stay clean, patients need time to fully recover from the brutal effects of addiction, both mentally and physically. We provide this support and strength to our patients through Naltrexone Therapy. Naltrexone Therapy is a non-addictive medicine that prevents cravings and possible relapse by blocking the opiate receptors in the brain. This acts as a buffer in the brain against cravings and the temptation of relapse. Not having to deal with intense cravings during the recovery period has a huge influence on the success rate of recovery. In order to give our patients the best chance possible at lifelong recovery, we provide two specially compounded Naltrexone options: Naltrexone Implant: We place a small, painless Naltrexone implant under the patient’s skin, where it slowly releases a dose for 2 months. Vivitrol®: Vivitrol® is an FDA-approved, branded version of injectable Naltrexone. Because the brain can take a year or more to heal after detoxing, we recommend our patients participate in Naltrexone Therapy for at least 12 months. This non-narcotic, painless medication makes it easier for patients to start their new addiction-free lives. Check out our Naltrexone Therapy for Opiates and Alcohol FAQs for more information. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Orange County Pain Medication Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.19.4" global_colors_info="{}"]Pain Medication Detox The Coleman Institute offers Pain Medication Detox options in Orange County, CA Many of the millions of Americans who take pain medications every year are actually taking opioid-based pain medications. It is normal to not want to experience or live with chronic pain. At first, you voluntarily take pain medications to control your pain. But the opioids in your pain medication can lead to changes in your brain that leave you addicted and unable to resist the urge to take more pain medication. Pain medications that contain opioids work by blocking pain signals. But they also release large amounts of dopamine that can actually reinforce the act of taking the drug and lead to more cravings and urges. If you are suffering from dependence or addiction to your pain medication, the Coleman Institute in Orange County, CA can help. Our Pain Medication Detox helps patients detox off their medications in a safe, effective, and comfortable way. The pain medication detox at the Coleman Institute in Orange County, CA is a medication-assisted treatment (MAT) program that is completed on an outpatient basis in as few as 3-8 days. The non-addictive comfort medications used in this detox remove the addictive pain medication from your body. The Benefits of a Pain Medication Detox the Coleman Institute in Orange County, CA: Outpatient Care As few as three days to complete the process No general anesthesia No hospital stays required Minimal Discomfort Safe, assisted withdrawal process Medicine to reduce discomfort Caring support from medical professionals who understand addiction Long-Term Support Naltrexone therapy to reduce cravings and prevent relapse Plan for maintaining sobriety Access to recovery support services Check out these helpful resources for more details: Accelerated Opioid Detox Guide Naltrexone Therapy Pain Medication Detox You can free yourself from addiction. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Orange County Prescription Drug Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.19.4" global_colors_info="{}"]Prescription Drug Detox The Coleman Institute offers Prescription Drug Detox options in Orange County, CA Suffering from chronic pain can make even the simplest of tasks, like sitting at your desk, feel overwhelming. People that are prescribed drugs for their pain are at risk for developing a prescription drug dependency because many of the prescribed drugs used to treat pain are opioids. Opioid-based prescription drugs are addictive because they attach to the opioid receptors in the brain, replacing naturally occurring endorphins. Because these opioids act like endorphins in relieving pain, your body begins to slow down and eventually halt its own endorphin production. But prescription drugs are much stronger than endorphins so the reaction is much stronger. Over time, your brain begins to crave the strength and response of a prescription drug, resulting in a drug dependency and addiction. If you are suffering from a dependency on your prescription drug, the Coleman Institute in Orange County, CA can help. We provide a Prescription Drug Detox that is safe, comfortable, and can help you get your life back. The Prescription Drug Detox at the Coleman Institute in Orange County, CA is an outpatient process that is fast and effective with many completing the process in as few as 3-8 days. This is possible because we use non-addictive medications to eliminate all prescription drugs from your body while significantly reducing the discomfort that causes most people who attempt to self-detox to relapse. The Benefits of a Prescription at the Coleman Institute in Orange County, CA: Outpatient Care As few as three days to complete the process No general anesthesia No hospital stays required Minimal Discomfort Safe, assisted withdrawal process Medicine to reduce discomfort Caring support from medical professionals who understand addiction Long-Term Support Naltrexone therapy to reduce cravings and prevent relapse Plan for maintaining sobriety Access to recovery support services Check out these helpful resources for more details: Accelerated Opioid Detox Guide Naltrexone Therapy Prescription Drug Detox You can free yourself from addiction. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Orange County Suboxone® Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.19.4" global_colors_info="{}"]Suboxone® Detox The Coleman Institute offers Suboxone® Detox options in Orange County, CA Suboxone® (buprenorphine) is commonly used to treat opiate addictions, but in many instances, it can become a lifelong maintenance drug. A lifetime of Suboxone® dependency is not the only option! At the Coleman Institute in Orange County, CA we offer an outpatient Suboxone® detox treatment that can be completed in as few as eight days. Our process involves using non-addictive drugs and sedatives to completely remove the narcotics attached to your brain receptors in the safest and most comfortable way possible. Our caring staff understands the unique qualities of Suboxone® and will stand by your side throughout the process. The benefits of our Suboxone® Detox in Orange County, CA: Outpatient Care Eight days to complete the process No general anesthesia No hospital stays required Minimal Discomfort Safe, assisted withdrawal process Medicine to reduce discomfort Caring support from medical professionals who understand addiction Long-Term Support Naltrexone Therapy to reduce cravings and prevent relapse A recovery plan for maintaining sobriety Access to recovery support services You can free yourself from addiction. Add your name to the 98% of patients who successfully completed their detox. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Our Doctors [et_pb_section fb_built="1" fullwidth="on" _builder_version="4.16" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_fullwidth_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2018/11/ourdoctorshdr.jpg" _builder_version="4.16" global_colors_info="{}"][/et_pb_fullwidth_image][/et_pb_section][et_pb_section fb_built="1" module_class="ourdoctors" _builder_version="4.16" custom_padding="51px|0px|51px|0px" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.21.0" global_colors_info="{}"]Our Doctors [/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="3_5,2_5" disabled_on="off|off|off" module_id="reich" module_class="bio" _builder_version="4.16" custom_margin="||5px|" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.17.4" custom_margin="||5px|" global_colors_info="{}"] Dr. Craig Swainey Richmond, Virginia 204 N. Hamilton Street, Suite B Richmond, VA 23221 (888) 705-9615 [/et_pb_text][et_pb_text _builder_version="4.27.0" global_colors_info="{}"]Dr. Swainey is the National Medical Director of the Coleman Institute in Richmond, VA. Born and raised in North Carolina, he remains an avid Tar Heel fan. Dr. Swainey completed his undergraduate education at Appalachian State University with a degree in Chemistry and Biology. He completed medical school at UNC Chapel Hill in 2002 and then moved to Richmond to begin an Internal Medicine Residency at Virginia Commonwealth University. He went on to complete fellowships in Hospice and Palliative Medicine, as well as in Medical Oncology. He served as an Assistant Professor of Medical Oncology and Palliative care from 2008-2015. In 2015 Dr. Swainey changed career paths to Addiction Medicine due to both his personal and family struggles with Substance Use Disorders. Dr. Swainey has worked as an Addiction Medicine Provider in many settings including Medication-Assisted Treatment (MAT) for Opioid Use Disorder with Methadone and Buprenorphine (Suboxone), as well as with naltrexone. Dr. Swainey currently lives in Powhatan, VA with his wife and 6 (!!!!!) children. He is extremely passionate about helping others get into recovery from addiction. [/et_pb_text][/et_pb_column][et_pb_column type="2_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" global_colors_info="{}"][/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row disabled_on="off|off|off" _builder_version="4.16" custom_padding="60px||0px|" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_divider color="#a7a9ac" divider_weight="4" _builder_version="4.16" height="30px" global_colors_info="{}"][/et_pb_divider][/et_pb_column][/et_pb_row][et_pb_row column_structure="3_5,2_5" disabled_on="off|off|off" module_id="reich" module_class="bio" _builder_version="4.16" custom_margin="||5px|" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.1" custom_margin="||5px|" global_colors_info="{}"] Dr. Faried Banimahd Orange County, California 1533 E. 4th Street Santa Ana, CA 92701 (877) 773-3869 [/et_pb_text][et_pb_text _builder_version="4.21.0" global_colors_info="{}"]Dr. Banimahd is an Addiction Medicine specialist in Orange County, CA. He ascribes to the traditional model that the best outcome for a patient’s care is building relationships with a highly skilled professional and most importantly, that is who you see on regular encounters. This is good medicine for the body and soul. Dr. Faried Banimahd was named one of the top 100 most influential members of the community in 2017 for his treatment of those suffering with addiction. He is widely known as one of the most popular content-creators about addiction on TikTok and YouTube under his channels named “Dr. B Addiction Recovery."[/et_pb_text][/et_pb_column][et_pb_column type="2_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" global_colors_info="{}"][/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row disabled_on="off|off|off" _builder_version="4.16" custom_padding="60px||0px|" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_divider color="#a7a9ac" divider_weight="4" _builder_version="4.16" height="30px" global_colors_info="{}"][/et_pb_divider][/et_pb_column][/et_pb_row][et_pb_row column_structure="3_5,2_5" disabled_on="off|off|off" module_id="reich" module_class="bio" _builder_version="4.16" custom_margin="||5px|" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.1" custom_margin="||5px|" global_colors_info="{}"] Dr. William Keating Atlanta (Dawsonville), Georgia 1080 Lumpkin Campground Rd, Suite 300 Dawsonville, GA 30534 (877) 773-3869 [/et_pb_text][et_pb_text _builder_version="4.18.0" global_colors_info="{}"]William Keating, MD is a board certified family practitioner and the owner of the practice. He has built an environment of camaraderie, trust, peace, tranquility and team work. He essentially sees all age groups from childhood to the geriatric population for primary care purposes. He is also board certified in addiction medicine. [/et_pb_text][/et_pb_column][et_pb_column type="2_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" global_colors_info="{}"][/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row disabled_on="off|off|off" _builder_version="4.16" custom_padding="60px||0px|" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_divider color="#a7a9ac" divider_weight="4" _builder_version="4.16" height="30px" global_colors_info="{}"][/et_pb_divider][/et_pb_column][/et_pb_row][et_pb_row column_structure="3_5,2_5" disabled_on="off|off|off" module_id="reich" module_class="bio" _builder_version="4.16" custom_margin="||5px|" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" custom_margin="||5px|" global_colors_info="{}"] Dr. Imtiaz Hossain Tampa (Largo), Florida101 Clearwater Largo Rd. NLargo, FL 33770(877) 773-3869 [/et_pb_text][et_pb_text _builder_version="4.18.0" global_colors_info="{}"]Dr. Imtiaz Hossain was born in Bangladesh and moved to the United States 26 years ago. He completed his undergraduate and then went on to receive his medical degree at the University of Dhaka, Bangladesh. Further medical training includes residencies through the Albert Einstein College of Medicine in New York and the University of Toronto, Canada. He is board certified in Anesthesiology and Pain Management. In his spare time, Dr. Hossain enjoys traveling and spending time with his family. [/et_pb_text][/et_pb_column][et_pb_column type="2_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" global_colors_info="{}"][/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row disabled_on="off|off|off" _builder_version="4.16" custom_padding="60px||0px|" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_divider color="#a7a9ac" divider_weight="4" _builder_version="4.16" height="30px" global_colors_info="{}"][/et_pb_divider][/et_pb_column][/et_pb_row][et_pb_row column_structure="3_5,2_5" disabled_on="off|off|off" module_id="reich" module_class="bio" _builder_version="4.16" custom_margin="||5px|" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.1" custom_margin="||5px|" global_colors_info="{}"] Dr. Nathaniel Moore Denver, Colorado 895 S. Logan Street Denver, CO 80209 (877) 773-3869 [/et_pb_text][et_pb_text _builder_version="4.21.0" global_colors_info="{}"]Dr. Nathan Moore is Board-certified in Addiction Medicine and Board-certified by the American Board of Family Medicine. Dr. Moore attended Stanford University in Palo Alto, CA for his undergraduate work and then attended Duke University School of Medicine and obtained his M.D. in 1995. He provides comprehensive family medicine services and is our Addiction Medicine specialist in the Denver area. Dr. Moore is on the board of directors for FACES, a Denver-based non-profit whose mission is to prevent child abuse and neglect.[/et_pb_text][/et_pb_column][et_pb_column type="2_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" global_colors_info="{}"][/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row disabled_on="off|off|off" _builder_version="4.16" custom_padding="60px||0px|" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_divider color="#a7a9ac" divider_weight="4" _builder_version="4.16" height="30px" global_colors_info="{}"][/et_pb_divider][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="0px|0px|51px|0px" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_4" show_border="off" _builder_version="4.16" text_orientation="center" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Our Founder [et_pb_section fb_built="1" fullwidth="on" _builder_version="4.16" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_fullwidth_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2018/11/nmdhdr.jpg" _builder_version="4.16" global_colors_info="{}"][/et_pb_fullwidth_image][/et_pb_section][et_pb_section fb_built="1" module_class="innerpage" _builder_version="4.16" custom_padding="51px|0px|51px|0px" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.0" global_colors_info="{}"]Peter R. Coleman, MD Dr. Coleman, founder of The Coleman Institute for Addiction Medicine and creator of The Coleman Method, devoted his career to advancing addiction treatment. Now retired from clinical practice, he focuses on writing that draws from his professional and personal experience in recovery. Learn more about Dr. Peter Coleman here. Dr. Coleman's Story I grew up in New Zealand in what I thought was a pretty normal family, but I later came to realize my mother was both an alcoholic and addicted to sleeping pills. Like most kids, I experimented with alcohol as a teenager. I remember the first time I got drunk was with cherry brandy. A friend and I had stolen it from his brother. We got so drunk that we vomited and had terrible hangovers — but the one thought that went through my mind was that I absolutely loved the feeling I got from alcohol. And I was definitely going to do it again. While I was in high school, even though I was headed to medical school, I started associating with other people who liked to smoke pot and drink a lot of alcohol. Right from the beginning, I started getting into some trouble with my drug and alcohol abuse. On one occasion, the police came to my house and accused me of selling pot at high school. Fortunately, my father and I were able to convince them that a good boy like me would never do something like that! Once I left for medical school, I concentrated on my studies during the day and on partying hard in the evenings. I felt very proud that I could maintain my studies while still getting drunk and taking drugs at night and on the weekends. Over the years, my drinking and drug use increased. In medical school, I was forced to keep a tight control on my addictions, especially when exam time came around. But after I completed medical school, I was on my own. I started partying more and hanging out with people who were using harder drugs. I started using cocaine and experimenting with opiates. I had always wanted to come to America, and in 1983, I moved here and took a job in Virginia at a small country clinic. By then, I was using IV narcotics. My drug use rapidly escalated to include cocaine and IV Morphine, and very quickly spiraled out of control. At this point, my supervisors began to notice that I was no longer able to function at work. One day, after a particularly long bout of heavy drug use, I used too many drugs and nearly died from an overdose. I passed out and stopped breathing. Fortunately, one of the nurses found me and got help, and someone was able to resuscitate me. Amazingly, even after a near-fatal overdose, I was still in full denial of my addiction. I tried to convince the doctors that I didn’t have a drug problem and would quit on my own — even though I didn’t intend to do so. Thankfully, they insisted that I go to a prolonged treatment program, and that if I didn’t, I would never work as a physician again. In October 1984, I entered a treatment program in Hampton, Virginia, and have stayed clean and sober since. In the treatment program I attended, I started learning all about addiction and recovery. I realized: Addiction is a genetically inherited brain disorder. No one wants to suffer with addiction, no matter what their choices look like from the outside. Your addictive illness is not your fault, but it is your responsibility to get into recovery and stay in recovery. People who pay close attention to their recovery can maintain lifelong abstinence and have a happy and fulfilling life. After beginning my own recovery, I decided to work in the field of addiction. Since 1984, I have done my best to develop programs and treatments that help people get in recovery and stay in recovery. My experiences have taught me that almost all people can recover, if they put forth maximum effort. Lifelong recovery requires diligence and effort, and at times, you simply have to sit through discomfort. The process involves changing the way we think about the world, our attitudes, our beliefs and, mostly, our behaviors. I have been very blessed with the opportunity to get and stay in recovery for more than 30 years — and equally blessed to be a part of so many other peoples' recoveries.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="0px|0px|51px|0px" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_4" show_border="off" _builder_version="4.16" text_orientation="center" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Our Staff [et_pb_section fb_built="1" fullwidth="on" _builder_version="4.16" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_fullwidth_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2018/11/ourstaffhdr.jpg" _builder_version="4.16" global_colors_info="{}"][/et_pb_fullwidth_image][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|0px|0px" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" global_colors_info="{}"]Our Staff Richmond, Virginia[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" module_class="ourstaff" _builder_version="4.16" custom_padding="10px|||" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" custom_padding="0px||0px|" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_divider color="#eeeeee" _builder_version="4.16" height="0px" custom_margin="20px||20px|" global_colors_info="{}"][/et_pb_divider][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_4,3_4" _builder_version="4.16" custom_padding="0px||0px|" global_colors_info="{}"][et_pb_column type="1_4" _builder_version="4.16" custom_padding="|||" custom_css_main_element="margin-right:2% !important;" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2018/11/Jennifer_500sq.jpg" align_tablet="center" align_phone="" align_last_edited="on|desktop" _builder_version="4.16" custom_margin="|0px||" border_width_all="2px" border_color_all="#003974" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="3_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" global_colors_info="{}"]Jennifer Pius GiffordChief Executive Officerjennifer@thecolemaninstitute.com Jennifer is an experienced leader in addiction treatment services, having spent 25 years at The Coleman Institute, where she currently serves as CEO. She has held various positions at TCI, such as Clinical Supervisor, Director of Clinical Services, Director of Patient Experience & Affiliate Operations, and Executive Director, specializing in compassionate, evidence-based medical detox services for the Richmond, Virginia community and beyond. Passionate about leading multidisciplinary teams, developing strategic initiatives, and fostering community partnerships, Jennifer consistently improves patient outcomes. She is committed to maintaining the highest standards of care and innovation in addiction recovery. During her spare time, Jennifer is a mom who enjoys relaxing at the beach, traveling, and cheering on her favorite college basketball team, the VCU Rams.[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.16" custom_padding="0px||0px|" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_divider color="#eeeeee" _builder_version="4.16" height="0px" custom_margin="20px||20px|" global_colors_info="{}"][/et_pb_divider][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_4,3_4" disabled_on="off|off|off" _builder_version="4.27.4" custom_padding="0px||0px|" global_colors_info="{}"][et_pb_column type="1_4" _builder_version="4.16" custom_padding="|||" custom_css_main_element="margin-right:2% !important;" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/1-1.webp" alt="Alex Augustus" title_text="AlexAugustus" align_tablet="center" align_phone="" align_last_edited="on|desktop" _builder_version="4.27.4" custom_margin="|0px||" border_width_all="2px" border_color_all="#003974" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="3_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" global_colors_info="{}"]Alex AugustusNurse Practitioner Alex Augustus is a Nurse Practitioner with a Master of Science in Adult Health Nursing from Virginia Commonwealth University. She is committed to delivering compassionate, patient-centered care and helping people feel heard, understood, and supported during their recovery journey. Outside of work, Alex is a mom who cherishes time with her family.[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.16" custom_padding="0px||0px|" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_divider color="#eeeeee" _builder_version="4.16" height="0px" custom_margin="20px||20px|" global_colors_info="{}"][/et_pb_divider][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_4,3_4" _builder_version="4.16" custom_padding="0px||0px|" global_colors_info="{}"][et_pb_column type="1_4" _builder_version="4.16" custom_padding="|||" custom_css_main_element="margin-right:2% !important;" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2022/03/Johnnelle-Taliaferro.webp" alt="Johnnelle Taliaferro" title_text="Johnnelle Taliaferro" align_tablet="center" align_phone="" align_last_edited="on|desktop" _builder_version="4.16" custom_margin="|0px||" border_width_all="2px" border_color_all="#003974" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="3_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" global_colors_info="{}"]Johnnelle SheltonMedical Assistant Johnnelle Mayo has worked as a Certified Medical Assistant for 13 years and has been with the Coleman Institute since 2019. Johnnelle is a quiet force on our clinical team. She is a dedicated and highly skilled medical professional, who anticipates the needs of both practitioners and patients and always has a smile on her face. When you ask Johnnelle what she loves about her job, she answers: “As clichéd as it sounds, I simply love helping people. Seeing patients come out on the other side of whatever it is that they are going through is very gratifying. Serving this population in particular is so rewarding. Just offering them a smiling face and a kind word of encouragement can have such a positive impact. To be a part of their journey is a gift… you calm them and they teach you.” When Johnnelle is not working with us, she is working at a local hospital Emergency Room as an ER Medical Technician. When at home, she loves spending time with family, reading, writing poetry, and listening to music. And she is a talented wreath maker![/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.16" custom_padding="0px||0px|" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_divider color="#eeeeee" _builder_version="4.16" height="0px" custom_margin="20px||20px|" global_colors_info="{}"][/et_pb_divider][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_4,3_4" _builder_version="4.16" custom_padding="0px||0px|" global_colors_info="{}"][et_pb_column type="1_4" _builder_version="4.16" custom_padding="|||" custom_css_main_element="margin-right:2% !important;" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2-3.webp" alt="Kim Perry, Administrative Assistant" title_text="kimperry" align_tablet="center" align_phone="" align_last_edited="on|desktop" _builder_version="4.27.4" custom_margin="|0px||" border_width_all="2px" border_color_all="#003974" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="3_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" global_colors_info="{}"]Kimberly PerryReceptionist Kimberly Perry has worked as a Certified Medical Assistant for 12 years and has been with the Coleman Institute since 2013. In Kim’s tenure here, she has worked every area of the clinic. She currently works as our Front Desk Receptionist and greets every visitor with a big smile. Kim is passionate about her work and our patients and says: “Working in addiction medicine has been the most rewarding experience. It has allowed me to meet the most amazing people. My favorite part is helping our patients realize they can manage this disease and achieve their goals." Kim has a special way with patients and is often heard engaging in a big laugh with them. Her passion and compassion shine through every day. Outside of work, Kim enjoys spending time with family, traveling, camping and drawing wildlife with pen and ink.[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row disabled_on="on|on|on" _builder_version="4.16" custom_padding="0px||0px|" disabled="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_divider color="#eeeeee" _builder_version="4.16" height="0px" custom_margin="20px||20px|" global_colors_info="{}"][/et_pb_divider][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_4,3_4" _builder_version="4.16" custom_padding="0px||0px|" global_colors_info="{}"][et_pb_column type="1_4" _builder_version="4.16" custom_padding="|||" custom_css_main_element="margin-right:2% !important;" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2022/08/K.-Markel-Photo.webp" alt="Kelsey Markel" title_text="Kelsey Markel" align_tablet="center" align_phone="" align_last_edited="on|desktop" _builder_version="4.18.0" custom_margin="|0px||" border_width_all="2px" border_color_all="#003974" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="3_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.0" global_colors_info="{}"]Kelsey Markel, QMHP-TRecovery Support Specialist Kelsey Markel is the Recovery Support Specialist for The Coleman Institute. She graduated with her Bachelor’s Degree in Psychology at Roanoke College in 2021 and is working toward her Qualified Mental Health Professional-Adult Certification. Kelsey has worked as an Adult Mental Health Case Manager in Southwestern Virginia and was an intern for a facility that specialized in Equine Therapy. Kelsey is passionate about helping others with accomplishing their needs and goals. In her free time, Kelsey enjoys hiking, kayaking, horseback riding and line dancing.[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.16" custom_padding="0px||0px|" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_divider color="#eeeeee" _builder_version="4.16" height="0px" custom_margin="20px||20px|" global_colors_info="{}"][/et_pb_divider][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_4,3_4" disabled_on="off|off|off" _builder_version="4.16" custom_padding="0px||0px|" global_colors_info="{}"][et_pb_column type="1_4" _builder_version="4.16" custom_padding="|||" custom_css_main_element="margin-right:2% !important;" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2023/09/JelisaClanton.webp" alt="Jelisa Clanton" title_text="Jelisa Clanton" align_tablet="center" align_phone="" align_last_edited="on|desktop" _builder_version="4.22.2" custom_margin="|0px||" border_width_all="2px" border_color_all="#003974" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="3_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.22.2" global_colors_info="{}"]Jelisa ClantonAdmissions Coordinator Jelisa Clanton is the Admissions Coordinator for the Coleman Institute for Addiction Medicine. She has an associate's degree in healthcare administration and has worked in the medical office setting for six years prior to joining our team. She finds fulfillment in helping others and loves being a part of helping them through their treatment journey. Outside of work, she enjoys spending time with loved ones and traveling.[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row disabled_on="on|on|on" _builder_version="4.16" custom_padding="0px||0px|" disabled="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_divider color="#eeeeee" _builder_version="4.16" height="0px" custom_margin="20px||20px|" global_colors_info="{}"][/et_pb_divider][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.16" custom_padding="0px||0px|" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="0px|0px|150px|0px|false|false" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_4" show_border="off" _builder_version="4.16" text_orientation="center" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Outpatient Addiction Treatment [et_pb_section fb_built="1" admin_label="Header" module_class="header on-dark spaced centered" _builder_version="4.16" background_image="https://www.thecolemaninstitute.com/wp-content/uploads/2019/04/tci-happy-man-smiling.jpg" background_position="top_center" global_colors_info="{}"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.20.2" global_colors_info="{}"]Addiction Treatment Centers Near You The Coleman Method for addiction treatment is a safer, faster, and more comfortable way to start your journey toward recovery. SCHEDULE A CALLBACK Or call us now at 877-773-3869[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner List" module_class="banner list on-dark centered" _builder_version="4.16" background_color="#053a72" global_colors_info="{}"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" global_colors_info="{}"] 20 Years Experience Recommended by 9 of 10 Patients Serving Patients Nationwide [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="CTA Banner" module_class="banner cta" _builder_version="4.16" background_color="#f5f5f5" locked="off" global_colors_info="{}"][et_pb_row column_structure="1_4,1_4,1_4,1_4" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2018/11/blue-cross-blue-shield-vector-logo.png" alt="blue cross blue shield vector logo" title_text="blue cross blue shield vector logo" align_tablet="center" align_phone="" align_last_edited="on|desktop" _builder_version="4.17.4" custom_margin_tablet="" custom_margin_phone="" custom_margin_last_edited="on|tablet" custom_padding="25px||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="1_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2021/01/Humana-Logo-e1610657573661.png" alt="Tufts Health Plan Logo" title_text="Humana Logo" align_tablet="center" align_phone="" align_last_edited="on|desktop" _builder_version="4.16" custom_padding="25px||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="1_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2023/03/aetna-logo-e1679686703186.webp" alt="aetna logo" title_text="aetna-logo" align_tablet="center" align_phone="" align_last_edited="on|desktop" _builder_version="4.20.2" custom_padding="25px||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="1_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2022/05/optima_health-logo-edit.webp" alt="optima health logo edit" title_text="optima_health-logo-edit" align_tablet="center" align_phone="" align_last_edited="on|desktop" _builder_version="4.18.0" custom_padding="25px||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.17.4" _module_preset="default" custom_padding="25px||||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.17.4" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.20.2" text_orientation="center" locked="off" global_colors_info="{}"]Now accepting many Blue Cross Blue Shield, Humana, Aetna, and Optima/Sentara plans. We also welcome self-pay patients. Financing options are available.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Outpatient Addiction Treatments" _builder_version="4.20.2" _module_preset="default" custom_padding="50px||||false|false" locked="off" global_colors_info="{}"][et_pb_row _builder_version="4.17.1" _module_preset="default" custom_padding="||50px||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.20.2" _module_preset="default" global_colors_info="{}"]Outpatient Addiction Treatments[/et_pb_text][et_pb_text _builder_version="4.20.2" _module_preset="default" text_orientation="center" global_colors_info="{}"]The Coleman Institute is dedicated to safe, comfortable and affordable addiction treatments that enable patients to take that first step towards recovery. If you’re ready to take the next step toward an addiction-free life, explore our addiction treatments below to find the right detox for you.[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" _builder_version="4.19.0" _module_preset="default" width="89%" max_width="89%" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.20.2" _module_preset="default" text_font_size="18px" global_colors_info="{}"]Accelerated Opiate Detox Our Accelerated Opioid Detox using the Coleman Method removes the opioids from your brain in the fastest, most comfortable way possible.[/et_pb_text][et_pb_text _builder_version="4.20.2" text_font_size="18px" custom_padding="||||false|false" locked="off" global_colors_info="{}"]Learn More[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.20.2" _module_preset="default" text_font_size="18px" global_colors_info="{}"]Alcohol Detox Our unique outpatient alcohol detox program allows you to safely and comfortably detox without the dangerous, and sometimes deadly, risks of a self-detox.[/et_pb_text][et_pb_text _builder_version="4.20.2" text_font_size="18px" custom_padding="||||false|false" locked="off" global_colors_info="{}"]Learn More[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.20.2" _module_preset="default" text_font_size="18px" global_colors_info="{}"]Fentanyl Detox Detoxing from fentanyl doesn’t have to be a long, drawn-out process. Our Fentanyl Detox program removes fentanyl (opioids) from your system in as little as 5 days.[/et_pb_text][et_pb_text _builder_version="4.20.2" text_font_size="18px" custom_padding="||||false|false" locked="off" global_colors_info="{}"]Learn More[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" _builder_version="4.20.2" _module_preset="default" width="89%" max_width="89%" custom_padding="50px||||false|false" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.20.2" _module_preset="default" text_font_size="18px" global_colors_info="{}"]Heroin Detox Our Heroin Detox quickly and effectively removes the heroin (opioids) from your body. You can complete our outpatient Accelerated Heroin Detox program in as little as 5 days.[/et_pb_text][et_pb_text _builder_version="4.20.2" text_font_size="18px" custom_padding="||||false|false" locked="off" global_colors_info="{}"]Learn More[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.20.2" _module_preset="default" text_font_size="18px" global_colors_info="{}"]Pain Medication Detox Our outpatient Pain Medication Detox is an innovative, yet proven, approach that gently removes the pain medication from your body in as little as 3-8 days.[/et_pb_text][et_pb_text _builder_version="4.20.2" text_font_size="18px" custom_padding="||||false|false" locked="off" global_colors_info="{}"]Learn More[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.20.2" _module_preset="default" text_font_size="18px" global_colors_info="{}"]Prescription Drug Detox Our Prescription Drug Detox program is a quick and safe detox that uses tailored comfort medications to remove the prescription drug from your brain without intense withdrawal symptoms.[/et_pb_text][et_pb_text _builder_version="4.20.2" text_font_size="18px" custom_padding="||||false|false" locked="off" global_colors_info="{}"]Learn More[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" _builder_version="4.20.2" _module_preset="default" width="89%" max_width="89%" custom_padding="50px||||false|false" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.20.2" _module_preset="default" text_font_size="18px" global_colors_info="{}"]Methadone Detox The Coleman Institute understands the unique circumstances those on a methadone regimen face, which is why we carefully adapted our Accelerated Opioid Detox program to meet your specific needs.[/et_pb_text][et_pb_text _builder_version="4.20.2" text_font_size="18px" custom_padding="||||false|false" locked="off" global_colors_info="{}"]Learn More[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.20.2" _module_preset="default" text_font_size="18px" global_colors_info="{}"]Suboxone® Detox When your recovery is solid and you are ready to stop maintenance therapy using Suboxone, our Suboxone® Detox allows you to comfortably and safely detox in as little as 8 days.[/et_pb_text][et_pb_text _builder_version="4.20.2" text_font_size="18px" custom_padding="||||false|false" locked="off" global_colors_info="{}"]Learn More[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.20.2" _module_preset="default" text_font_size="18px" global_colors_info="{}"]Naltrexone Therapy Naltrexone is a long-acting non-addictive, opioid-blocking medication that attaches to opioid receptors in the brain – without activating them – to significantly reduce alcohol or opioid cravings.[/et_pb_text][et_pb_text _builder_version="4.20.2" text_font_size="18px" custom_padding="||||false|false" locked="off" global_colors_info="{}"]Learn More[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" _builder_version="4.20.2" _module_preset="default" width="89%" max_width="89%" custom_padding="50px||||false|false" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][/et_pb_column][et_pb_column type="1_3" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.20.2" _module_preset="default" text_font_size="18px" global_colors_info="{}"]Benzo Detox Instead of spending months slowly and painfully weaning down your dosages, the Coleman Institute can help patients complete their detox in about 10 days.[/et_pb_text][et_pb_text _builder_version="4.20.2" text_font_size="18px" custom_padding="||||false|false" locked="off" global_colors_info="{}"]Learn More[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Successful Detox CTA" module_class="banner cta centered" _builder_version="4.16" background_color="#f9f9f9" custom_padding="||" global_colors_info="{}"][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" global_colors_info="{}"][/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.0" custom_padding="100px||" global_colors_info="{}"]More than 8,500 Patients Treated with the Coleman Method[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" global_colors_info="{}"][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.20.2" global_colors_info="{}"]What Is Addiction? According to the American Society of Addiction Medicine, “Addiction is a treatable, chronic medical disease involving complex interactions among brain circuits, genetics, the environment, and an individual’s life experiences. People with addiction use substances or engage in behaviors that become compulsive and often continue despite harmful consequences.” While addiction can happen to anyone, there are certain risk factors that have emerged throughout recent years including: Genetic predisposition or addiction in the family Medical history such as prescribed opioids for chronic pain Psychological factors such as personality disorders, psychiatric disorders, or certain brain characteristics Environmental factors such as trauma, abuse, access to an addictive substance Substance exposure at an early age [/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.20.2" global_colors_info="{}"]Why Does Addiction Happen? Opioid addiction can occur when a drug, such as Fentanyl, Heroin, or even prescribed opioid pain medication, is introduced to the body. The opioid binds to receptors in the brain, releasing endorphins and dopamine much more quickly than what your body is used to. Over time, the body reduces its own production of natural endorphins, leaving you increasingly reliant on opioids to create the positive feelings that used to occur naturally. Like opioid addiction, alcohol addiction is a disease that changes the brain’s internal wiring changes. Alcohol triggers your brain to release dopamine, which then leads your brain to associating positive feelings with drinking. As your brain begins to interpret alcohol as the primary source for dopamine, you develop a tolerance, thus requiring more and more alcohol to feel the same level of “happy” that you felt in the beginning. No matter the substance, addiction is a medical disease that deserves medical treatment.[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.20.2" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_padding="50px||||false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.20.2" global_colors_info="{}"]Outpatient Addiction Treatment Addiction is a disease. It's not your fault. Since 2002, the Coleman Institute helped over 8,500 people successfully detox off of drugs or opioids and we’re here to help. 98% of patients successfully complete their outpatient detox, without the risks and costs of general anesthesia or the inconvenience of a hospital stay. Because our treatments are delivered in an outpatient setting, many patients do not need to take an extended break from their daily responsibilities. In fact, some can complete their detox over a long weekend. Our outpatient addiction treatments also mean patients can sleep where they are comfortable such as in their own home, with friends and family, or even a hotel or AirBnB. Plus, when patients are at a Coleman Institute location to receive treatment, they are given a private, comfortable room where they can relax during treatment.[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.20.2" global_colors_info="{}"]The Coleman Method Our unique approach, called the Coleman Method, uses a combination of specific comfort medications and small doses of Naltrexone to help patients safely and comfortably detox off of opioids. We also offer outpatient alcohol detox. After the detox, we use long-acting Naltrexone to help patients begin their recovery. Naltrexone is a non-addictive opioid blocker that reduces cravings and blocks the “high” from opioids. It is also effective in reducing cravings for alcohol. Available in both a one-month injection or two-month implant, Naltrexone is highly effective in bridging the gap between detox and recovery. We recommend that our patients have 6-12 months of Naltrexone therapy following the detox, while they begin to work their recovery program.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Benefits" module_class="banner on-dark centered spaced" _builder_version="4.16" background_color="#053a72" global_colors_info="{}"][et_pb_row use_custom_gutter="on" gutter_width="1" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="100%" width_tablet="100%" width_phone="" width_last_edited="on|desktop" max_width="100%" max_width_tablet="100%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.21.0" global_colors_info="{}"]What are the Benefits of the Coleman Method?[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" use_custom_gutter="on" gutter_width="1" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="100%" width_tablet="100%" width_phone="" width_last_edited="on|desktop" max_width="100%" max_width_tablet="100%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="benefits-section" _builder_version="4.16" global_colors_info="{}"]Outpatient Care Detox in as little as 3-8 days 98% detox completion rate No hospital stay required[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="benefits-section" _builder_version="4.16" global_colors_info="{}"]Minimal Discomfort Safe, assisted withdrawal process Customized medications to reduce discomfort Caring, compassionate medical professionals who specialize in addiction treatment[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="benefits-section" _builder_version="4.16" global_colors_info="{}"]Recovery Support Naltrexone therapy to reduce cravings and prevent relapse Access to recovery support services[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.20.2" global_colors_info="{}"]Schedule a Callback[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="off|off|off" admin_label="Testimonial and Blog Post" module_class="banner gutterless on-dark" _builder_version="4.16" global_colors_info="{}"][et_pb_row column_structure="1_2,1_2" use_custom_gutter="on" gutter_width="1" make_equal="on" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="100%" width_tablet="100%" width_phone="" width_last_edited="on|desktop" max_width="100%" max_width_tablet="100%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" module_class="centered overlay wistia-override" _builder_version="4.16" background_image="https://www.thecolemaninstitute.com/wp-content/uploads/2019/04/tci-man-smiling-at-camera.jpg" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text disabled_on="off|off|off" _builder_version="4.16" global_colors_info="{}"]Join the 98% of Patients Who Successfully Completed Their Detox. View Patient Testimonials[/et_pb_text][/et_pb_column][et_pb_column type="1_2" module_class="blog-cta" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text disabled_on="off|off|off" _builder_version="4.16" global_colors_info="{}"] Pseudoindoxyl (Pseudo) Withdrawal – Outpatient Kratom Detox By Makenna What Is Pseudoindoxyl (Pseudo)? Mitragynine Pseudoindoxyl (also known as Pseudo or MP) is one of the most powerful compounds linked to kratom and its opioid-like effects. It is created when 7-hydroxymitragynine (7-OH), one of kratom’s strongest active ingredients, is rearranged into an even more potent form. Certain kratom products are now marketed as containing concentrated 7-OH and Pseudo, usually in tablet or liquid forms. Kratom and its enhanced versions act much more like traditional opioids. People who use them often find themselves developing dependence quickly and experiencing withdrawal symptoms as severe as quitting fentanyl or other opioids. For individuals using Pseudo products, and for loved ones watching their struggles unfold, understanding what makes these products so dangerous is the first step toward finding and getting help. How Pseudo Is Different From Regular Kratom Standard kratom leaves mostly contain mitragynine, the plant’s primary compound. Mitragynine can create dependence over time and can lead to Kratom Use Disorder (KUD). Pseudo and other 7-OH enriched products are in a different category than typical kratom, especially when the two are mixed. 7-OH, 7-Hydroxy, or 7-Hydroxymitragynine, is an even more potent opioid-like compound that is present in small amounts naturally but often concentrated in extracts. Pseudo, MP, or Mitragynine Pseudoindoxyl is a rearrangement product of 7-OH that is formulated to be even stronger, now appearing in some marketed kratom products in stores as well as online. These factors make Pseudo potentially even more addictive and more difficult to stop using, especially alongside 7-OH. Many people don’t even realize they’ve moved from standard kratom into using synthetic products that are even more potent. What Pseudo Withdrawal Feels Like Because Pseudo acts like a strong opioid, withdrawal symptoms often mirror opioid withdrawal. Physical symptoms: Severe muscle & bone pain Nausea, vomiting, & diarrhea Restlessness & fatigue Sweating, chills, & goosebumps Increased heart rate or blood pressure Psychological symptoms: Overwhelming cravings Anxiety or panic attacks Depression & hopelessness Irritability & agitation Difficulty sleeping Many people describe Pseudo withdrawal as even harsher than expected, especially if they believed the kratom they were ingesting was just a safe herbal product. Why Quitting Alone Is Dangerous A common myth is that kratom is easy to quit. It’s not, especially when you’re using an enhanced version. Because of how it taps into the same receptors in the brain as opioids do, stopping suddenly without medical help often leads to: Intense withdrawal symptoms Higher risk of relapse Increased overdose risk Medical Detox is vital for people struggling with Pseudo withdrawal. Outpatient Detox for Pseudo Withdrawal The Coleman Institute for Addiction Medicine has been saving lives for over 25 years, and we’ve been helping people detox from kratom since 2018. Our Kratom Detox program safely manages withdrawal while allowing patients to return home each day. This makes recovery more accessible for people who can’t put their lives completely on hold or afford to stay in a 30-day residential rehab. Our Kratom Detox Approach: Short Treatment Timeline - Most detoxes are completed in just a few days instead of having to face withdrawals for weeks. Comfort-Focused Care - We use non addictive medications to help reduce withdrawal symptoms and cravings. No Hospitalization Needed - Our process is safe and outpatient-based with no inpatient stay required. Relapse Prevention - Many patients opt for Naltrexone Therapy to reduce cravings and protect against relapse. The Coleman Institute is Here to Help If you or a loved one is abusing kratom products, you may notice mood swings, anxiety, or repeated failed attempts to quit. It can be confusing and painful (mentally and physically), especially as these products are sold legally and often marketed as ‘safe’. But Mitragynine Pseudoindoxyl is not harmless. It acts like an opioid, and withdrawal can be extremely challenging. The good news is that with professional help, recovery is possible. Many people who once felt trapped by kratom addiction have broken free and started a new chapter in life. Find Help for Pseudo Withdrawal At our Virginia headquarters, The Coleman Institute accepts Anthem Blue Cross Blue Shield and Sentara Health Plans, along with self-pay and financing options. We also provide treatment in Colorado, Florida, Georgia, and California. Call us today at 540-253-1029 or schedule a callback to learn more about outpatient detox for Pseudo withdrawal. Whether you’re struggling yourself or supporting someone you love, you don’t have to face addiction alone. 1 2 3 … 53 Next » [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="off|off|off" admin_label="Form" module_class="centered spaced" _builder_version="4.16" global_colors_info="{}"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" global_colors_info="{}"]Ready to Reclaim Your Life? Contact us today to find available treatment options near you. Call Us Now at 877-773-3869 Or Schedule a Callback[/et_pb_text][et_pb_code disabled_on="on|on|on" _builder_version="4.16" disabled="on" global_colors_info="{}"][/et_pb_code][/et_pb_column][/et_pb_row][/et_pb_section] #### Outpatient Detox in Atlanta, Georgia [et_pb_section fb_built="1" fullwidth="on" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_fullwidth_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2018/11/richmondhdr.jpg" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}"][/et_pb_fullwidth_image][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="3_5,2_5" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.21.0" text_font_size="18px" global_colors_info="{}"]Outpatient Opioid Detox and Alcohol Detox In Atlanta, Georgia We know how addiction works and how horrible withdrawal is. That’s why we’ve created a comfortable outpatient detox program with a 98% completion rate that can be finished in as little as 3 days. The Coleman Institute’s novel accelerated detox programs have helped thousands of people break free from addiction to Alcohol, Opioids, Suboxone, Methadone, and more. Unlike other rapid detox programs, our unique detox process, called the Coleman Method guides patients through opioid withdrawal in relative comfort without general anesthesia. Nationally, more than 8,500 patients have successfully completed our outpatient detox procedure over the past 20 years. Patients who live near our outpatient Atlanta addiction treatment clinic are able to return to their homes daily during the program, while other patients outside the Atlanta area may choose to stay in a nearby hotel or AirBnB. Our Atlanta office is independently operated by Keating Family Medicine, with Dr. William Keating as our local partner. It is located outside of Atlanta in the town of Dawsonville, Georgia. Call Us Now at 877-773-3869 SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][et_pb_column type="2_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" text_font_size="18px" global_colors_info="{}"] The Coleman Institute – AtlantaKeating Family Medicine1080 Lumpkin Campground Road, Suite 300Dawsonville, GA 30534804-294-2212info@thecolemaninstitute.com Team Members Available for Questions by Phone between 9:00 AM - 10:00 PM - 7 days a week Office HoursMonday – Friday 8:30 AM – 3:30 PM EST[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="off|off|off" admin_label="Testimonials" module_class="spaced centered" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.17.0" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_padding="||0px||false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.21.0" custom_padding="||2px|||" global_colors_info="{}"]More Than 8,500 Patients Treated With The Coleman Method[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" make_equal="on" module_class="testimonials" _builder_version="4.16" width="89%" max_width="89%" max_width_tablet="" max_width_phone="" max_width_last_edited="on|desktop" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.21.0" text_font_size="18px" global_colors_info="{}"]“Dr. Keating and Tina are truly a blessing! Coming off of opioid addiction or any addiction is not easy. They were encouraging through the whole process! Dr. Keating has a wonderful facility and a very nice and caring staff. The Dawsonville facility in Atlanta, Georgia, is awesome! Very comfortable facility for a detox program.” Opioid Patient – Atalanta, GA, Feb. 2018[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.21.0" text_font_size="18px" global_colors_info="{}"]“After eight years on pain pills, I really expected a bad detox experience. Just the opposite. No cramps, no upset stomach, just unreal. I have not even wanted a pain pill since I left. It was one of the best moves I have ever made in my life. My family is very proud I went through your program, and so am I. Thanks to all who helped.” Opioid Patient - Atlanta, GA, Jan. 2018[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.21.0" text_font_size="18px" global_colors_info="{}"]“This clinic saved my life! The staff, especially Dr. Keating, was compassionate, caring and very professional! They were not judgmental and were truly there to help me as a patient.” Opioid Patient - Atlanta, GA, Sept. 2014[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.1" custom_padding="||||false|false" global_colors_info="{}"]View More[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" custom_padding_last_edited="on|phone" disabled_on="off|off|off" admin_label="Comparison Chart" module_class="spaced centered" _builder_version="4.25.1" max_width="1080px" module_alignment="center" custom_padding="||50px||false|false" custom_padding_tablet="||0px||false|false" custom_padding_phone="||0px||false|false" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row make_equal="on" _builder_version="4.25.1" module_alignment="center" custom_padding="||50px||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.25.1" text_font="||||||||" global_colors_info="{}"]Discover the Difference with the Coleman Institute's Outpatient Detox When it comes to overcoming addiction, the right detox program can make all the difference. The Coleman Institute offers a unique and highly effective outpatient detox method that stands out from traditional detox programs. Below, we compare the key aspects of our Coleman Method with other detox methodologies to help you make an informed decision on your path to recovery.[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.25.1" text_font="||||||||" global_colors_info="{}"]Outpatient Detox Using The Coleman Method[/et_pb_text][dsm_icon_list icon_color="#0f8140" icon_padding="5px" icon_font_size="20px" _builder_version="4.25.1" _module_preset="default" text_font_size="18px" text_line_height="1.2em" module_alignment="left" height="450px" height_tablet="100%" height_phone="100%" height_last_edited="on|phone" custom_padding="25px|25px|25px|25px|false|false" custom_padding_tablet="25px|25px|25px|25px|false|false" custom_padding_phone="25px|25px|25px|25px|false|false" custom_padding_last_edited="on|phone" custom_css_free_form="span.dsm_icon_list_text {|| text-align: left;||}||li.dsm_icon_list_child {|| padding-bottom: 15px !important;||}" border_style_all="none" box_shadow_style="preset1" global_colors_info="{}"][dsm_icon_list_child text="98% detox completion rate" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="Sleep where you are comfortable" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="Detox in as little as 3 days" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="Don't have to put your life on hold" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="More flexible appointments and scheduling" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="Naltrexone therapy is available" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="Less expensive total cost of treatment" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="Comfort medications available, tailored to individual withdrawal symptom types and severity." font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" module_alignment="left" global_colors_info="{}"][/dsm_icon_list_child][/dsm_icon_list][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.25.1" text_font="||||||||" global_colors_info="{}"]Other Detox Programs & Methodologies[/et_pb_text][dsm_icon_list icon_color="#E02B20" icon_padding="5px" icon_font_size="20px" _builder_version="4.25.1" _module_preset="default" text_font_size="18px" text_line_height="1.2em" module_alignment="left" height="450px" height_tablet="100%" height_phone="100%" height_last_edited="on|phone" custom_padding="25px|25px|25px|25px|false|false" custom_padding_tablet="25px|25px|25px|25px|false|false" custom_padding_phone="25px|25px|25px|25px|false|false" custom_padding_last_edited="on|phone" custom_css_free_form="span.dsm_icon_list_text {|| text-align: left;||}||li.dsm_icon_list_child {|| padding-bottom: 15px !important;||}" border_style_all="none" box_shadow_style="preset1" global_colors_info="{}"][dsm_icon_list_child text="Average 72% detox completion rate*" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="Sleep in a hospital or medical facility" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="Most inpatient programs require weeks or months" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="Little access to the outside world" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="More restrictive, often with rigid agendas" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="Recovery support varies widely" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="Longer programs lead to more expensive total cost of treatment" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="Most use smaller amounts of comfort medications compared to The Coleman Method" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" module_alignment="left" global_colors_info="{}"][/dsm_icon_list_child][/dsm_icon_list][/et_pb_column][/et_pb_row][et_pb_row make_equal="on" custom_padding_last_edited="on|phone" _builder_version="4.25.1" module_alignment="center" custom_margin="50px||||false|false" custom_margin_tablet="25px||||false|false" custom_margin_phone="25px||||false|false" custom_margin_last_edited="on|phone" custom_padding="50px||||false|false" custom_padding_tablet="0px||||false|false" custom_padding_phone="0px||||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.25.1" text_font="||||||||" text_font_size="8px" custom_margin="0px||||false|false" global_colors_info="{}"]*Disclaimer Source: *Dr. Joshua D. Lee, Comparative effectiveness of extended-release naltrexone versus buprenorphine-naloxone for opioid relapse prevention (X:BOT): a multicentre, open-label, randomised controlled trial, The Lancet, November 2014, p1[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" custom_padding_last_edited="on|phone" admin_label="Insurances Accepted" module_class="spaced centered" _builder_version="4.17.0" custom_padding="||50px||false|false" custom_padding_tablet="||0px||false|false" custom_padding_phone="||0px||false|false" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.21.0" text_font="||||||||" global_colors_info="{}"]Insurance & Financing At The Coleman Institute In Atlanta, GA Find innovative, affordable addiction and substance use disorder treatment at the Coleman Institute in Atlanta, Georgia. Our accelerated detox program provides patients in or near the Atlanta area with a valuable addiction recovery resource designed to achieve freedom from addiction quickly and comfortably, without unnecessary costs. Learn more about financing and insurance accepted at the Coleman Institute in Atlanta below. [/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.21.0" custom_padding="||50px||false|false" global_colors_info="{}"]Learn More[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.17.3" custom_padding="||||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.21.0" text_font="||||||||" global_colors_info="{}"]Outpatient Detox Treatments In Atlanta, GA[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_4,1_4,1_4,1_4" custom_padding_last_edited="on|tablet" _builder_version="4.17.0" _module_preset="default" custom_margin="|auto||auto|false|false" custom_margin_tablet="25px|auto|25px|auto|false|false" custom_margin_phone="25px|auto|25px|auto|false|false" custom_margin_last_edited="on|phone" custom_padding="50px||0px||false|false" custom_padding_tablet="0px||||false|false" custom_padding_phone="0px||||false|false" global_colors_info="{}"][et_pb_column type="1_4" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][/et_pb_column][et_pb_column type="1_4" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.4" _module_preset="default" text_font_size="18px" text_orientation="center" global_colors_info="{}"]Opioid Detox Alcohol Detox Heroin Detox Methadone Detox Fentanyl Detox Kratom Detox[/et_pb_text][/et_pb_column][et_pb_column type="1_4" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.4" _module_preset="default" text_font_size="18px" text_orientation="center" custom_margin_tablet="" custom_margin_phone="-30px||||false|false" custom_margin_last_edited="on|phone" locked="off" global_colors_info="{}"]Pain Medication Detox Prescription Drug Detox Suboxone Detox Naltrexone Therapy Stimulant Detox[/et_pb_text][/et_pb_column][et_pb_column type="1_4" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Recovery Starts With You" module_class="banner cta expanded" _builder_version="4.17.0" background_color="#f1faff" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.21.0" width="100%" max_width="100%" custom_margin_tablet="" custom_margin_phone="" custom_margin_last_edited="on|desktop" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" global_colors_info="{}"][et_pb_text module_class="centered" _builder_version="4.21.0" text_orientation="center" custom_padding="||50px||false|false" custom_padding_last_edited="off|desktop" global_colors_info="{}"]Recovery Starts WithFinding The Right Detox Option For You.[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text disabled_on="on|on|off" _builder_version="4.16" text_font_size="18px" custom_margin="||0px||false|false" global_colors_info="{}"][/et_pb_text][et_pb_text module_class="centered" _builder_version="4.17.3" text_orientation="center" text_font_size_tablet="" text_font_size_phone="" text_font_size_last_edited="on|desktop" global_colors_info="{}"]Understanding Accelerated Opioid Detox Download our free Guide to Understanding Accelerated Opioid Detox for an in-depth look at the fight against America's opioid crisis using industry-leading detox methods and addiction recovery treatment options. Get the Opioid Detox Guide[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text disabled_on="on|on|off" _builder_version="4.16" custom_margin="||0px||false|false" custom_margin_tablet="" custom_margin_phone="" custom_margin_last_edited="on|desktop" global_colors_info="{}"][/et_pb_text][et_pb_text module_class="centered" _builder_version="4.17.3" text_orientation="center" global_colors_info="{}"]Understanding Alcohol Detox Download our free Guide to Understanding Alcohol Detox to learn about the prevalence of Alcohol Use Disorder (AUD) in American society and available treatment options. Get the Alcohol Detox Guide[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Staff" module_class="spaced centered" _builder_version="4.17.0" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.27.0" text_font="||||||||" global_colors_info="{}"]Meet Dr. William J. Keating, Addiction Specialist Meet Dr. William Keating, the accomplished founder of Keating Family Medicine in Dawsonville near Atlanta, Georgia. As a board-certified physician and addiction medicine specialist, Dr. Keating brings a wealth of knowledge and experience to his addiction treatment center. He obtained his medical degree from Georgetown University and honed his skills during his residency at a naval base in Jacksonville, Florida. Dr. Keating also successfully managed a large medical facility in South Korea, further expanding the breadth of his expertise. In 2004, Dr. Keating founded Keating Family Medicine to provide superior medical care to patients in or near the underserved Dawsonville, Dahlonega, Cumming, and Gainesville communities. Since then, he has been devoted to delivering quality medical care and drug addiction treatment to his patients. Dr. Keating has a particular clinical interest in addiction medicine, addiction therapy, and drug detox. His dedication to helping individuals with substance abuse problems underscores his compassionate nature and his commitment to making a positive impact on the community. [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="off|off|off" admin_label="Resources" module_class="spaced centered" _builder_version="4.17.0" background_color="#f1faff" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row custom_padding_last_edited="on|phone" module_class=" et_pb_row_fullwidth" _builder_version="4.17.0" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_padding="||5px||false|false" custom_padding_tablet="||5px||false|false" custom_padding_phone="||0px||false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.17.0" custom_padding="||20px" global_colors_info="{}"]Helpful Drug Treatment and Opioid Detox Resources [/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="2_5,3_5" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_column type="2_5" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2018/03/Meditation.jpg" alt="Meditation" title_text="Meditation" align="right" align_tablet="center" align_phone="center" align_last_edited="on|tablet" _builder_version="4.21.0" _module_preset="default" max_width="250px" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="3_5" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.21.0" _module_preset="default" custom_margin_tablet="-35px||||false|false" custom_margin_phone="-35px||||false|false" custom_margin_last_edited="on|tablet" custom_padding="50px||||false|false" custom_padding_tablet="0px||||false|false" custom_padding_phone="0px||||false|false" custom_padding_last_edited="on|phone" text_orientation_tablet="center" text_orientation_phone="center" text_orientation_last_edited="on|tablet" global_colors_info="{}"]How to Get Energy Back After Opioid Withdrawal[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="2_5,3_5" _builder_version="4.17.1" _module_preset="default" custom_margin="||||false|false" custom_margin_tablet="50px||||false|false" custom_margin_phone="50px||||false|false" custom_margin_last_edited="on|tablet" custom_padding="25px||||false|false" global_colors_info="{}"][et_pb_column type="2_5" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2018/01/Man_Upset.png" alt="Man Upset" title_text="Man Upset" align="right" align_tablet="center" align_phone="center" align_last_edited="on|tablet" _builder_version="4.21.0" _module_preset="default" max_width="250px" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="3_5" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.21.0" _module_preset="default" custom_margin="||||false|false" custom_margin_tablet="||||false|false" custom_margin_phone="-35px||||false|false" custom_margin_last_edited="on|phone" custom_padding="50px||||false|false" custom_padding_tablet="0px||||false|false" custom_padding_phone="0px||||false|false" custom_padding_last_edited="on|phone" text_orientation_tablet="center" text_orientation_phone="center" text_orientation_last_edited="on|tablet" global_colors_info="{}"]Can a Doctor Refuse to Prescribe Medication? What Do I Do?[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="2_5,3_5" _builder_version="4.17.0" _module_preset="default" custom_margin_tablet="50px||||false|false" custom_margin_phone="50px||||false|false" custom_margin_last_edited="on|tablet" custom_padding="25px||||false|false" locked="off" global_colors_info="{}"][et_pb_column type="2_5" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2023/05/smiling-woman-with-coffee-2022-11-03-23-12-55-utc.jpg-e1683753852711.webp" alt="Smiling woman with coffee" title_text="smiling-woman-with-coffee-2022-11-03-23-12-55-utc.jpg" align="right" align_tablet="center" align_phone="center" align_last_edited="on|tablet" _builder_version="4.21.0" _module_preset="default" max_width="250px" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="3_5" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.21.0" _module_preset="default" custom_margin_tablet="" custom_margin_phone="-25px||||false|false" custom_margin_last_edited="on|tablet" custom_padding="50px||||false|false" custom_padding_tablet="0px||||false|false" custom_padding_phone="0px||||false|false" custom_padding_last_edited="on|phone" text_orientation_tablet="center" text_orientation_phone="center" text_orientation_last_edited="on|tablet" global_colors_info="{}"]Signs of Alcohol Addition: When It’s Time to Seek Help[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Accommodations Section" module_class="spaced centered" _builder_version="4.18.0" custom_margin_tablet="" custom_margin_phone="" custom_margin_last_edited="on|phone" custom_padding="|25px||25px|false|false" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.18.0" text_font="||||||||" global_colors_info="{}"]Accommodations Near the Coleman Institute in Atlanta, GA[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.21.0" _module_preset="default" global_colors_info="{}"]Quality Inn & Suites706-216-1900127 Beartooth Pkwy.Dawsonville, GA 30534 Holiday Inn Express & Suites Dawsonville706-203-111016 Bethel DriveDawsonville,, GA 30534[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.21.0" _module_preset="default" custom_margin_tablet="" custom_margin_phone="-30px||||false|false" custom_margin_last_edited="on|phone" global_colors_info="{}"]Hampton Inn Cumming770-889-0877915 Ronald Reagan Blvd.Cumming, GA 30041[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" _builder_version="4.17.0" _module_preset="default" custom_padding="50px||||false|false" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.21.0" _module_preset="default" global_colors_info="{}"]Find Us By Air[/et_pb_text][et_pb_text _builder_version="4.21.0" _module_preset="default" text_font_size="18px" custom_margin="||||false|false" custom_margin_tablet="||||false|false" custom_margin_phone="-40px||||false|false" custom_margin_last_edited="on|phone" global_colors_info="{}" custom_margin__hover_enabled="off|desktop"]Hartsfield-Jackson Atlanta International Airport (ATL) You will be responsible for arranging your own online ticketing and airline reservations. Please follow the airline links below for flight information: Delta Airlines: 800-221-1212 Southwest Airlines: 800-435-9792 American Airlines: 800-433-7300 United Airlines: 800-241-6522 [/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.21.0" _module_preset="default" global_colors_info="{}"]Find Us By Train[/et_pb_text][et_pb_text content_tablet="Amtrak Our Atlanta location has 1 Amtrak station within a 20-mile radius. Please visit www.amtrak.com for fare, schedules, and reservations." content_phone="Amtrak Our Atlanta location has 1 Amtrak station within a 20-mile radius. Please visit www.amtrak.com for fare, schedules, and reservations." content_last_edited="on|phone" _builder_version="4.21.0" _module_preset="default" text_font_size="18px" custom_margin_tablet="" custom_margin_phone="-40px||||false|false" custom_margin_last_edited="on|phone" global_colors_info="{}"]Amtrak Our Atlanta location has 1 Amtrak station within a 20-mile radius. Please visit www.amtrak.com for fare, schedules, and reservations.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="0px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_4" show_border="off" _builder_version="4.17.3" body_font_size="18px" text_orientation="center" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Outpatient Detox in Denver, Colorado [et_pb_section fb_built="1" fullwidth="on" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_fullwidth_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2018/11/richmondhdr.jpg" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}"][/et_pb_fullwidth_image][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="3_5,2_5" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" text_font_size="18px" global_colors_info="{}"]Outpatient Opioid Detox and Alcohol Detox In Denver, Colorado The Coleman Institute’s ground-breaking rapid detox programs have helped thousands of people recover from the effects of Substance Use Disorder and Alcohol Use Disorder. With a completion rate of 95% for getting opioid patients onto the non-addictive opiate blocker Naltrexone, our detox programs can help minimize the risk of relapse by reducing cravings. Unlike other rapid detox programs, the Coleman Method—our one-of-a-kind detox process—guides patients through opiate withdrawal in relative comfort without the use of general anesthesia. We have helped thousands of patients successfully complete our outpatient detox procedure over the past 25 years. Patients who live near our outpatient Denver addiction treatment clinic are able to return to their homes daily during the program, while other patients outside the Denver metro area may choose to stay in a nearby hotel or AirBnB. Our Denver office is independently operated by ARCH Detox, with Dr. Nathaniel Moore as our local partner. Dr. Moore has two locations in the Denver area and sees patients at each during the week. He is Board-certified in Addiction Medicine and Board-certified by the American Board of Family Medicine.   Call Now at 877-773-3869[/et_pb_text][/et_pb_column][et_pb_column type="2_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" text_font_size="18px" global_colors_info="{}"] The Coleman Institute – DenverARCH Detox15101 E. Iliff Ave, Suite 250Aurora, CO 80014804-294-2212info@thecolemaninstitute.com Team Members Available for Questions by Phone between 9:00 AM - 10:00 PM EST - 7 days a week Office HoursMonday – Friday 8:30 AM – 3:30 PM EST[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="off|off|off" admin_label="Testimonials" module_class="spaced centered" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.17.0" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_padding="||0px||false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.21.0" custom_padding="||2px|||" global_colors_info="{}"]Thousands of Patients Treated With The Coleman Method[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" make_equal="on" module_class="testimonials" _builder_version="4.16" width="89%" max_width="89%" max_width_tablet="" max_width_phone="" max_width_last_edited="on|desktop" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.21.0" text_font_size="18px" global_colors_info="{}"]“As the parent of a patient at The Coleman Institute, I can say my son was treated compassionately and effectively. We are celebrating 90 days clean off methadone and now detoxing off everything else. I have my son back. Thank you.” Parent of Opioid Patient – Denver, CO, Sept. 2019[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.21.0" text_font_size="18px" global_colors_info="{}"]“Everything as promised. I tried for over a year to quit oxycodone by myself, but couldn’t. Once I did your program, I’m completely clean of pain medications and determined to stay that way for the rest of my life. It works. I had tried about everything with no success until I came across your office in Denver.” Opioid Patient – Denver, CO, April 2019[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.21.0" text_font_size="18px" global_colors_info="{}"]“Excellent staff. Dr. Moore was great. I owe them a lot – 4 months without Xanax – definitely my best choice of 2019. Thanks to all the staff, I’ll stop by next time I’m in Denver.” Painkiller Patient – Denver, CO, Sept. 2019[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.21.0" custom_padding="||50px||false|false" global_colors_info="{}"]View More[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" custom_padding_last_edited="on|phone" disabled_on="off|off|off" admin_label="Comparison Chart" module_class="spaced centered" _builder_version="4.25.1" max_width="1080px" module_alignment="center" custom_padding="||50px||false|false" custom_padding_tablet="||0px||false|false" custom_padding_phone="||0px||false|false" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row make_equal="on" _builder_version="4.25.1" module_alignment="center" custom_padding="||50px||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.25.1" text_font="||||||||" global_colors_info="{}"]Discover the Difference with the Coleman Institute's Outpatient Detox When it comes to overcoming addiction, the right detox program can make all the difference. The Coleman Institute offers a unique and highly effective outpatient detox method that stands out from traditional detox programs. Below, we compare the key aspects of our Coleman Method with other detox methodologies to help you make an informed decision on your path to recovery.[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.25.1" text_font="||||||||" global_colors_info="{}"]Outpatient Detox Using The Coleman Method[/et_pb_text][dsm_icon_list icon_color="#0f8140" icon_padding="5px" icon_font_size="20px" _builder_version="4.25.1" _module_preset="default" text_font_size="18px" text_line_height="1.2em" module_alignment="left" height="450px" height_tablet="100%" height_phone="100%" height_last_edited="on|phone" custom_padding="25px|25px|25px|25px|false|false" custom_padding_tablet="25px|25px|25px|25px|false|false" custom_padding_phone="25px|25px|25px|25px|false|false" custom_padding_last_edited="on|phone" custom_css_free_form="span.dsm_icon_list_text {|| text-align: left;||}||li.dsm_icon_list_child {|| padding-bottom: 15px !important;||}" border_style_all="none" box_shadow_style="preset1" global_colors_info="{}"][dsm_icon_list_child text="98% detox completion rate" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="Sleep where you are comfortable" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="Detox in as little as 3 days" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="Don't have to put your life on hold" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="More flexible appointments and scheduling" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="Naltrexone therapy is available" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="Less expensive total cost of treatment" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="Comfort medications available, tailored to individual withdrawal symptom types and severity." font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" module_alignment="left" global_colors_info="{}"][/dsm_icon_list_child][/dsm_icon_list][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.25.1" text_font="||||||||" global_colors_info="{}"]Other Detox Programs & Methodologies[/et_pb_text][dsm_icon_list icon_color="#E02B20" icon_padding="5px" icon_font_size="20px" _builder_version="4.25.1" _module_preset="default" text_font_size="18px" text_line_height="1.2em" module_alignment="left" height="450px" height_tablet="100%" height_phone="100%" height_last_edited="on|phone" custom_padding="25px|25px|25px|25px|false|false" custom_padding_tablet="25px|25px|25px|25px|false|false" custom_padding_phone="25px|25px|25px|25px|false|false" custom_padding_last_edited="on|phone" custom_css_free_form="span.dsm_icon_list_text {|| text-align: left;||}||li.dsm_icon_list_child {|| padding-bottom: 15px !important;||}" border_style_all="none" box_shadow_style="preset1" global_colors_info="{}"][dsm_icon_list_child text="Average 72% detox completion rate*" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="Sleep in a hospital or medical facility" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="Most inpatient programs require weeks or months" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="Little access to the outside world" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="More restrictive, often with rigid agendas" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="Recovery support varies widely" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="Longer programs lead to more expensive total cost of treatment" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="Most use smaller amounts of comfort medications compared to The Coleman Method" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" module_alignment="left" global_colors_info="{}"][/dsm_icon_list_child][/dsm_icon_list][/et_pb_column][/et_pb_row][et_pb_row make_equal="on" custom_padding_last_edited="on|phone" _builder_version="4.25.1" module_alignment="center" custom_margin="50px||||false|false" custom_margin_tablet="25px||||false|false" custom_margin_phone="25px||||false|false" custom_margin_last_edited="on|phone" custom_padding="50px||||false|false" custom_padding_tablet="0px||||false|false" custom_padding_phone="0px||||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.25.1" text_font="||||||||" text_font_size="8px" custom_margin="0px||||false|false" global_colors_info="{}"]*Disclaimer Source: *Dr. Joshua D. Lee, Comparative effectiveness of extended-release naltrexone versus buprenorphine-naloxone for opioid relapse prevention (X:BOT): a multicentre, open-label, randomised controlled trial, The Lancet, November 2014, p1[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" custom_padding_last_edited="on|phone" admin_label="Insurances Accepted" module_class="spaced centered" _builder_version="4.17.0" custom_padding="||50px||false|false" custom_padding_tablet="||0px||false|false" custom_padding_phone="||0px||false|false" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.21.0" text_font="||||||||" global_colors_info="{}"]Insurance & Financing At The Coleman Institute In Denver, CO Get access to effective, affordable addiction and substance use disorder treatment at the Coleman Institute in Denver, Colorado. Our rapid detox program provides patients in or near the Denver area with an innovative addiction recovery resource designed to break free from the addiction cycle as comfortably as possible without exorbitant costs. Learn more about financing and insurance accepted at the Coleman Institute in Denver below. [/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.21.0" custom_padding="||50px||false|false" global_colors_info="{}"]Learn More[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.17.3" custom_padding="||||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.21.0" text_font="||||||||" global_colors_info="{}"]Outpatient Detox Treatments In Denver, CO[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_4,1_4,1_4,1_4" custom_padding_last_edited="on|tablet" _builder_version="4.17.0" _module_preset="default" custom_margin="|auto||auto|false|false" custom_margin_tablet="25px|auto|25px|auto|false|false" custom_margin_phone="25px|auto|25px|auto|false|false" custom_margin_last_edited="on|phone" custom_padding="50px||0px||false|false" custom_padding_tablet="0px||||false|false" custom_padding_phone="0px||||false|false" global_colors_info="{}"][et_pb_column type="1_4" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][/et_pb_column][et_pb_column type="1_4" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.4" _module_preset="default" text_font_size="18px" text_orientation="center" global_colors_info="{}"]Opioid Detox Alcohol Detox Heroin Detox Methadone Detox Fentanyl Detox Kratom Detox[/et_pb_text][/et_pb_column][et_pb_column type="1_4" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.4" _module_preset="default" text_font_size="18px" text_orientation="center" custom_margin_tablet="" custom_margin_phone="-30px||||false|false" custom_margin_last_edited="on|phone" locked="off" global_colors_info="{}"]Pain Medication Detox Prescription Drug Detox Benzo Detox Suboxone Detox Naltrexone Therapy Stimulant Detox[/et_pb_text][/et_pb_column][et_pb_column type="1_4" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Recovery Starts With You" module_class="banner cta expanded" _builder_version="4.17.0" background_color="#f1faff" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.21.0" width="100%" max_width="100%" custom_margin_tablet="" custom_margin_phone="" custom_margin_last_edited="on|desktop" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" global_colors_info="{}"][et_pb_text module_class="centered" _builder_version="4.21.0" text_orientation="center" custom_padding="||50px||false|false" custom_padding_last_edited="off|desktop" global_colors_info="{}"]Recovery Starts WithFinding The Right Detox Option For You.[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text disabled_on="on|on|off" _builder_version="4.16" text_font_size="18px" custom_margin="||0px||false|false" global_colors_info="{}"][/et_pb_text][et_pb_text module_class="centered" _builder_version="4.17.3" text_orientation="center" text_font_size_tablet="" text_font_size_phone="" text_font_size_last_edited="on|desktop" global_colors_info="{}"]Understanding Accelerated Opioid Detox Download our free Guide to Understanding Accelerated Opioid Detox for an in-depth look at the fight against America's opioid crisis using industry-leading detox methods and addiction recovery treatment options. Get the Opioid Detox Guide[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text disabled_on="on|on|off" _builder_version="4.16" custom_margin="||0px||false|false" custom_margin_tablet="" custom_margin_phone="" custom_margin_last_edited="on|desktop" global_colors_info="{}"][/et_pb_text][et_pb_text module_class="centered" _builder_version="4.17.3" text_orientation="center" global_colors_info="{}"]Understanding Alcohol Detox Download our free Guide to Understanding Alcohol Detox to learn about the prevalence of Alcohol Use Disorder (AUD) in American society and available treatment options. Get the Alcohol Detox Guide[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Staff" module_class="spaced centered" _builder_version="4.17.0" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.27.0" text_font="||||||||" global_colors_info="{}"]Meet Dr. Nathan Moore, Addiction Specialist As the Medical Director for ARCH Detox's outpatient and addiction treatment center in Denver, Colorado, Dr. Nathan Moore brings a wealth of professional experience and expertise to the field of addiction medicine. Board-certified in Addiction Medicine and Family Medicine, Dr. Moore received his education from top-tier institutions such as Stanford University and Duke University School of Medicine before completing his residency at the University of Colorado. With his extensive knowledge, Dr. Moore offers his patients comprehensive addiction treatment for alcohol, opioids, benzodiazepine, and more. He also serves as the medical director for several treatment programs in Colorado, including Pathfinders Recovery Centers of Colorado, Aspen Ridge Recovery, Choice House Recovery in Boulder, CO, and Red Mountain Recovery in Greeley, CO. [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="off|off|off" admin_label="Resources" module_class="spaced centered" _builder_version="4.17.0" background_color="#f1faff" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row custom_padding_last_edited="on|phone" module_class=" et_pb_row_fullwidth" _builder_version="4.17.0" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_padding="||5px||false|false" custom_padding_tablet="||5px||false|false" custom_padding_phone="||0px||false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.17.0" custom_padding="||20px" global_colors_info="{}"]Helpful Drug Treatment and Opioid Detox Resources [/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="2_5,3_5" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_column type="2_5" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2018/03/Meditation.jpg" alt="Meditation" title_text="Meditation" align="right" align_tablet="center" align_phone="center" align_last_edited="on|tablet" _builder_version="4.21.0" _module_preset="default" max_width="250px" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="3_5" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.21.0" _module_preset="default" custom_margin_tablet="-35px||||false|false" custom_margin_phone="-35px||||false|false" custom_margin_last_edited="on|tablet" custom_padding="50px||||false|false" custom_padding_tablet="0px||||false|false" custom_padding_phone="0px||||false|false" custom_padding_last_edited="on|phone" text_orientation_tablet="center" text_orientation_phone="center" text_orientation_last_edited="on|tablet" global_colors_info="{}"]How to Get Energy Back After Opioid Withdrawal[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="2_5,3_5" _builder_version="4.17.1" _module_preset="default" custom_margin="||||false|false" custom_margin_tablet="50px||||false|false" custom_margin_phone="50px||||false|false" custom_margin_last_edited="on|tablet" custom_padding="25px||||false|false" global_colors_info="{}"][et_pb_column type="2_5" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2018/01/Man_Upset.png" alt="Man Upset" title_text="Man Upset" align="right" align_tablet="center" align_phone="center" align_last_edited="on|tablet" _builder_version="4.21.0" _module_preset="default" max_width="250px" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="3_5" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.21.0" _module_preset="default" custom_margin="||||false|false" custom_margin_tablet="||||false|false" custom_margin_phone="-35px||||false|false" custom_margin_last_edited="on|desktop" custom_padding="50px||||false|false" custom_padding_tablet="0px||||false|false" custom_padding_phone="0px||||false|false" custom_padding_last_edited="on|phone" text_orientation_tablet="center" text_orientation_phone="center" text_orientation_last_edited="on|tablet" global_colors_info="{}"]Can a Doctor Refuse to Prescribe Medication? What Do I Do?[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="2_5,3_5" _builder_version="4.17.0" _module_preset="default" custom_margin_tablet="50px||||false|false" custom_margin_phone="50px||||false|false" custom_margin_last_edited="on|tablet" custom_padding="25px||||false|false" locked="off" global_colors_info="{}"][et_pb_column type="2_5" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2023/05/smiling-woman-with-coffee-2022-11-03-23-12-55-utc.jpg-e1683753852711.webp" alt="Smiling woman with coffee" title_text="smiling-woman-with-coffee-2022-11-03-23-12-55-utc.jpg" align="right" align_tablet="center" align_phone="center" align_last_edited="on|tablet" _builder_version="4.21.0" _module_preset="default" max_width="250px" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="3_5" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.21.0" _module_preset="default" custom_margin_tablet="" custom_margin_phone="-25px||||false|false" custom_margin_last_edited="on|tablet" custom_padding="50px||||false|false" custom_padding_tablet="0px||||false|false" custom_padding_phone="0px||||false|false" custom_padding_last_edited="on|phone" text_orientation_tablet="center" text_orientation_phone="center" text_orientation_last_edited="on|tablet" global_colors_info="{}"]Signs of Alcohol Addition: When It’s Time to Seek Help[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Accommodations Section" module_class="spaced centered" _builder_version="4.18.0" custom_margin_tablet="" custom_margin_phone="" custom_margin_last_edited="on|phone" custom_padding="|25px||25px|false|false" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.21.0" text_font="||||||||" global_colors_info="{}"]Accommodations Near the Coleman Institute in Denver, CO[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.21.0" _module_preset="default" global_colors_info="{}"]DoubleTree Hotel by Hilton Denver303-337-280013696 East Iliff Place, Aurora, CO Hilton Garden Inn / Cherry Creek303-754-9800600 South Colorado Boulevard, Denver, CO[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.21.0" _module_preset="default" custom_margin_tablet="" custom_margin_phone="-30px||||false|false" custom_margin_last_edited="on|phone" global_colors_info="{}"]Hyatt House Denver Airport303-628-777718741 E 71st Ave, Denver, CO Days Inn & Suites by Wyndham Denver International Airport303-800-31787030 Tower Rd, Denver, CO[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" _builder_version="4.17.0" _module_preset="default" custom_padding="50px||||false|false" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.21.0" _module_preset="default" global_colors_info="{}"]Find Us By Air [/et_pb_text][et_pb_text _builder_version="4.21.0" _module_preset="default" text_font_size="18px" custom_margin="||||false|false" custom_margin_tablet="||||false|false" custom_margin_phone="-40px||||false|false" custom_margin_last_edited="on|phone" global_colors_info="{}" custom_margin__hover_enabled="off|desktop"]Denver International Airport (ATL) You will be responsible for arranging your own online ticketing and airline reservations. You may access additional flight details and book a reservation using the links below. Delta Airlines: 800-221-1212 Southwest Airlines: 800-435-9792 American Airlines: 800-433-7300 United Airlines: 800-241-6522 [/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.21.0" _module_preset="default" global_colors_info="{}"]Find Us By Train[/et_pb_text][et_pb_text content_tablet="" content_phone="" content_last_edited="on|desktop" _builder_version="4.27.4" _module_preset="default" text_font_size="18px" custom_margin_tablet="" custom_margin_phone="-40px||||false|false" custom_margin_last_edited="on|phone" global_colors_info="{}"]Amtrak If you're heading into Denver from out of town and are considering taking Amtrak, we're conveniently located near the Union Station Amtrak location. Please visit www.amtrak.com for fare, schedules, and reservations.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="0px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_4" show_border="off" _builder_version="4.17.3" body_font_size="18px" text_orientation="center" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Outpatient Detox in Orange County, California [et_pb_section fb_built="1" fullwidth="on" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_fullwidth_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2018/11/richmondhdr.jpg" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}"][/et_pb_fullwidth_image][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="3_5,2_5" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" text_font_size="18px" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"]Outpatient Opioid Detox and Alcohol Detox In Orange County, California The Coleman Institute’s innovative rapid detox programs have helped more than 8,500 people across the United States recover from the effects of addiction to opioids, alcohol, and more. We have a 98% completion rate for getting opioid patients onto the non-addictive opiate blocker, Naltrexone, which helps reduce cravings and the risk of relapse. Unlike other rapid detox programs, the Coleman Method—our one-of-a-kind detox process—guides patients through opioid withdrawal in relative comfort without general anesthesia. Our Orange County office is independently operated by Zephyr Medical Group, with Dr. Faried Banimahd – one of the top 100 most influential members of the Orange County community in 2017 for his treatment of those suffering from addiction – as our local partner. Patients who live within driving distance of our outpatient Orange County addiction treatment clinic can return to the comfort of their homes daily during their treatment. Others often choose to stay in a nearby hotel or AirBnB.   Call Now at 877-773-3869[/et_pb_text][/et_pb_column][et_pb_column type="2_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" text_font_size="18px" global_colors_info="{}"]The Coleman Institute – Orange CountyZephyr Medical Group1533 E. 4th StreetSanta Ana, CA 92701804-294-2212info@thecolemaninstitute.com Team Members Available for Questions by Phone between 9:00 AM - 10:00 PM EST - 7 days a week Office HoursMonday – Friday 8:30 AM – 3:30 PM EST[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="off|off|off" admin_label="Testimonials" module_class="spaced centered" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.17.0" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_padding="||0px||false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.21.0" custom_padding="||2px|||" global_colors_info="{}"]More Than 8,500 Patients Treated With The Coleman Method[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" make_equal="on" module_class="testimonials" _builder_version="4.16" width="89%" max_width="89%" max_width_tablet="" max_width_phone="" max_width_last_edited="on|desktop" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.21.0" text_font_size="18px" global_colors_info="{}"]“I would like to express my deep gratitude to Dr. Banimahd and the entire team at the Coleman Institute Orange County facility. Their comprehensive understanding of this disease and the pathway through detox and to freedom has changed my life.” Opioid Patient - Orange County, CA, Aug. 2019[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.21.0" text_font_size="18px" global_colors_info="{}"]“For only being there five days and getting off fentanyl use of six years, I found it was the best approach for what I was dealing with. I did my research and after watching Dr. B’s video on his view of detox, I knew it was the perfect fit for me. I started detox and have been off all opiates with no problems since then. I have felt better even pain wise. With Dr. B in charge I recommend this detox program to anyone wanting or needing help.” Opioid Patient - Orange County, CA, Jan. 2018[/et_pb_text][et_pb_text disabled_on="on|on|off" _builder_version="4.21.0" text_font_size="18px" global_colors_info="{}"][/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.21.0" custom_padding="||50px||false|false" global_colors_info="{}"]View More[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" custom_padding_last_edited="on|phone" disabled_on="off|off|off" admin_label="Comparison Chart" module_class="spaced centered" _builder_version="4.25.1" max_width="1080px" module_alignment="center" custom_padding="||50px||false|false" custom_padding_tablet="||0px||false|false" custom_padding_phone="||0px||false|false" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row make_equal="on" _builder_version="4.25.1" module_alignment="center" custom_padding="||50px||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.25.1" text_font="||||||||" global_colors_info="{}"]Discover the Difference with the Coleman Institute's Outpatient Detox When it comes to overcoming addiction, the right detox program can make all the difference. The Coleman Institute offers a unique and highly effective outpatient detox method that stands out from traditional detox programs. Below, we compare the key aspects of our Coleman Method with other detox methodologies to help you make an informed decision on your path to recovery.[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.25.1" text_font="||||||||" global_colors_info="{}"]Outpatient Detox Using The Coleman Method[/et_pb_text][dsm_icon_list icon_color="#0f8140" icon_padding="5px" icon_font_size="20px" _builder_version="4.25.1" _module_preset="default" text_font_size="18px" text_line_height="1.2em" module_alignment="left" height="450px" height_tablet="100%" height_phone="100%" height_last_edited="on|phone" custom_padding="25px|25px|25px|25px|false|false" custom_padding_tablet="25px|25px|25px|25px|false|false" custom_padding_phone="25px|25px|25px|25px|false|false" custom_padding_last_edited="on|phone" custom_css_free_form="span.dsm_icon_list_text {|| text-align: left;||}||li.dsm_icon_list_child {|| padding-bottom: 15px !important;||}" border_style_all="none" box_shadow_style="preset1" global_colors_info="{}"][dsm_icon_list_child text="98% detox completion rate" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="Sleep where you are comfortable" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="Detox in as little as 3 days" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="Don't have to put your life on hold" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="More flexible appointments and scheduling" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="Naltrexone therapy is available" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="Less expensive total cost of treatment" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="Comfort medications available, tailored to individual withdrawal symptom types and severity." font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" module_alignment="left" global_colors_info="{}"][/dsm_icon_list_child][/dsm_icon_list][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.25.1" text_font="||||||||" global_colors_info="{}"]Other Detox Programs & Methodologies[/et_pb_text][dsm_icon_list icon_color="#E02B20" icon_padding="5px" icon_font_size="20px" _builder_version="4.25.1" _module_preset="default" text_font_size="18px" text_line_height="1.2em" module_alignment="left" height="450px" height_tablet="100%" height_phone="100%" height_last_edited="on|phone" custom_padding="25px|25px|25px|25px|false|false" custom_padding_tablet="25px|25px|25px|25px|false|false" custom_padding_phone="25px|25px|25px|25px|false|false" custom_padding_last_edited="on|phone" custom_css_free_form="span.dsm_icon_list_text {|| text-align: left;||}||li.dsm_icon_list_child {|| padding-bottom: 15px !important;||}" border_style_all="none" box_shadow_style="preset1" global_colors_info="{}"][dsm_icon_list_child text="Average 72% detox completion rate*" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="Sleep in a hospital or medical facility" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="Most inpatient programs require weeks or months" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="Little access to the outside world" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="More restrictive, often with rigid agendas" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="Recovery support varies widely" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="Longer programs lead to more expensive total cost of treatment" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="Most use smaller amounts of comfort medications compared to The Coleman Method" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" module_alignment="left" global_colors_info="{}"][/dsm_icon_list_child][/dsm_icon_list][/et_pb_column][/et_pb_row][et_pb_row make_equal="on" custom_padding_last_edited="on|phone" _builder_version="4.25.1" module_alignment="center" custom_margin="50px||||false|false" custom_margin_tablet="25px||||false|false" custom_margin_phone="25px||||false|false" custom_margin_last_edited="on|phone" custom_padding="50px||||false|false" custom_padding_tablet="0px||||false|false" custom_padding_phone="0px||||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.25.1" text_font="||||||||" text_font_size="8px" custom_margin="0px||||false|false" global_colors_info="{}"]*Disclaimer Source: *Dr. Joshua D. Lee, Comparative effectiveness of extended-release naltrexone versus buprenorphine-naloxone for opioid relapse prevention (X:BOT): a multicentre, open-label, randomised controlled trial, The Lancet, November 2014, p1[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" custom_padding_last_edited="on|phone" admin_label="Insurances Accepted" module_class="spaced centered" _builder_version="4.17.0" custom_padding="||50px||false|false" custom_padding_tablet="||0px||false|false" custom_padding_phone="||0px||false|false" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.21.0" text_font="||||||||" global_colors_info="{}"]Insurance & Financing At The Coleman Institute In Orange County, CA The Coleman Institute in Orange County, California is dedicated to providing effective and affordable solutions for those in or near the Los Angeles (Orange County) metropolitan area who are struggling with drug and alcohol addiction. We understand each patient's needs are unique, which is why we offer multiple insurance and financing options. With a comprehensive approach to addiction medicine, we are committed to helping our patients in Orange County find their path to recovery. Learn more about financing and insurance accepted at Coleman Institute in Orange County below. [/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.21.0" custom_padding="||50px||false|false" global_colors_info="{}"]Learn More[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.17.3" custom_padding="||||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.21.0" text_font="||||||||" global_colors_info="{}"]Outpatient Detox Treatments in Orange County, CA[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_4,1_4,1_4,1_4" custom_padding_last_edited="on|tablet" _builder_version="4.17.0" _module_preset="default" custom_margin="|auto||auto|false|false" custom_margin_tablet="25px|auto|25px|auto|false|false" custom_margin_phone="25px|auto|25px|auto|false|false" custom_margin_last_edited="on|phone" custom_padding="50px||0px||false|false" custom_padding_tablet="0px||||false|false" custom_padding_phone="0px||||false|false" global_colors_info="{}"][et_pb_column type="1_4" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][/et_pb_column][et_pb_column type="1_4" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.4" _module_preset="default" text_font_size="18px" text_orientation="center" global_colors_info="{}"]Opioid Detox Alcohol Detox Heroin Detox Methadone Detox Fentanyl Detox Kratom Detox[/et_pb_text][/et_pb_column][et_pb_column type="1_4" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.4" _module_preset="default" text_font_size="18px" text_orientation="center" custom_margin_tablet="" custom_margin_phone="-30px||||false|false" custom_margin_last_edited="on|phone" locked="off" global_colors_info="{}"]Pain Medication Detox Prescription Drug Detox Suboxone Detox Naltrexone Therapy Stimulant Detox[/et_pb_text][/et_pb_column][et_pb_column type="1_4" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Recovery Starts With You" module_class="banner cta expanded" _builder_version="4.17.0" background_color="#f1faff" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.21.0" width="100%" max_width="100%" custom_margin_tablet="" custom_margin_phone="" custom_margin_last_edited="on|desktop" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" global_colors_info="{}"][et_pb_text module_class="centered" _builder_version="4.21.0" text_orientation="center" custom_padding="||50px||false|false" custom_padding_last_edited="off|desktop" global_colors_info="{}"]Recovery Starts WithFinding The Right Detox Option For You.[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text disabled_on="on|on|off" _builder_version="4.16" text_font_size="18px" custom_margin="||0px||false|false" global_colors_info="{}"][/et_pb_text][et_pb_text module_class="centered" _builder_version="4.17.3" text_orientation="center" text_font_size_tablet="" text_font_size_phone="" text_font_size_last_edited="on|desktop" global_colors_info="{}"]Understanding Accelerated Opioid Detox Download our free Guide to Understanding Accelerated Opioid Detox for an in-depth look at the fight against America's opioid crisis using industry-leading detox methods and addiction recovery treatment options. Get the Opioid Detox Guide[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text disabled_on="on|on|off" _builder_version="4.16" custom_margin="||0px||false|false" custom_margin_tablet="" custom_margin_phone="" custom_margin_last_edited="on|desktop" global_colors_info="{}"][/et_pb_text][et_pb_text module_class="centered" _builder_version="4.17.3" text_orientation="center" global_colors_info="{}"]Understanding Alcohol Detox Download our free Guide to Understanding Alcohol Detox to learn about the prevalence of Alcohol Use Disorder (AUD) in American society and available treatment options. Get the Alcohol Detox Guide[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Staff" module_class="spaced centered" _builder_version="4.17.0" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.27.0" text_font="||||||||" global_colors_info="{}"]Meet Dr. Faried Banimahd, Addiction Specialist Dr. Faried Banimahd is an addiction medicine physician and well-respected figure in the medical community, with a distinguished career that includes serving as a Clinical Professor of Emergency Medicine at both the University of California, Irvine, and UCLA/Kern Medical Center. Throughout his career, he has trained and mentored numerous medical students and young physicians, helping to develop the next generation of healthcare providers. Dr. Banimahd has also conducted extensive research in the field of addiction treatment, resulting in multiple published papers and collaborations with respected colleagues. In recognition of his contributions, he was named one of Orange County's Top Influencers in 2017 by The OC Register. With a wealth of experience and knowledge, Dr. Banimahd is a true leader in addiction medicine and an invaluable asset to the Coleman Institute network. His YouTube and Tiktok channels (Dr. B Addiction Recovery) are among the most popular addiction-related channels in the world. [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="off|off|off" admin_label="Resources" module_class="spaced centered" _builder_version="4.17.0" background_color="#f1faff" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row custom_padding_last_edited="on|phone" module_class=" et_pb_row_fullwidth" _builder_version="4.17.0" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_padding="||5px||false|false" custom_padding_tablet="||5px||false|false" custom_padding_phone="||0px||false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.17.0" custom_padding="||20px" global_colors_info="{}"]Helpful Drug Treatment and Opioid Detox Resources [/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="2_5,3_5" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_column type="2_5" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2016/10/anger-angry-anxiety-897817.jpg" alt="Tired and stressed man" title_text="anger-angry-anxiety-897817" align="right" align_tablet="center" align_phone="center" align_last_edited="on|tablet" _builder_version="4.21.0" _module_preset="default" max_width="250px" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="3_5" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.21.0" _module_preset="default" custom_margin_tablet="-35px||||false|false" custom_margin_phone="-35px||||false|false" custom_margin_last_edited="on|tablet" custom_padding="50px||||false|false" custom_padding_tablet="0px||||false|false" custom_padding_phone="0px||||false|false" custom_padding_last_edited="on|phone" text_orientation_tablet="center" text_orientation_phone="center" text_orientation_last_edited="on|tablet" global_colors_info="{}"]How Long Does It Take To Get Energy Back After Opioid Withdrawal[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="2_5,3_5" _builder_version="4.17.1" _module_preset="default" custom_margin="||||false|false" custom_margin_tablet="50px||||false|false" custom_margin_phone="50px||||false|false" custom_margin_last_edited="on|tablet" custom_padding="25px||||false|false" global_colors_info="{}"][et_pb_column type="2_5" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2017/09/Couple_Holding_Hands.jpg" alt="Couple Holding Hands" title_text="Couple Holding Hands" align="right" align_tablet="center" align_phone="center" align_last_edited="on|tablet" _builder_version="4.21.0" _module_preset="default" max_width="250px" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="3_5" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.21.0" _module_preset="default" custom_margin="||||false|false" custom_margin_tablet="||||false|false" custom_margin_phone="-35px||||false|false" custom_margin_last_edited="on|phone" custom_padding="50px||||false|false" custom_padding_tablet="0px||||false|false" custom_padding_phone="0px||||false|false" custom_padding_last_edited="on|phone" text_orientation_tablet="center" text_orientation_phone="center" text_orientation_last_edited="on|tablet" global_colors_info="{}"]How to Detox off Suboxone® With Naltrexone[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="2_5,3_5" _builder_version="4.17.0" _module_preset="default" custom_margin_tablet="50px||||false|false" custom_margin_phone="50px||||false|false" custom_margin_last_edited="on|tablet" custom_padding="25px||||false|false" locked="off" global_colors_info="{}"][et_pb_column type="2_5" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2023/05/smiling-woman-with-coffee-2022-11-03-23-12-55-utc.jpg-e1683753852711.webp" alt="Smiling woman with coffee" title_text="smiling-woman-with-coffee-2022-11-03-23-12-55-utc.jpg" align="right" align_tablet="center" align_phone="center" align_last_edited="on|tablet" _builder_version="4.21.0" _module_preset="default" max_width="250px" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="3_5" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.21.0" _module_preset="default" custom_margin_tablet="" custom_margin_phone="-25px||||false|false" custom_margin_last_edited="on|tablet" custom_padding="50px||||false|false" custom_padding_tablet="0px||||false|false" custom_padding_phone="0px||||false|false" custom_padding_last_edited="on|phone" text_orientation_tablet="center" text_orientation_phone="center" text_orientation_last_edited="on|tablet" global_colors_info="{}"]Signs of Alcohol Addiction: When It’s Time to Seek Help[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Accommodations Section" module_class="spaced centered" _builder_version="4.18.0" custom_margin_tablet="" custom_margin_phone="" custom_margin_last_edited="on|phone" custom_padding="|25px||25px|false|false" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.21.0" text_font="||||||||" global_colors_info="{}"]Accommodations Near The Coleman Institute In Orange County, CA[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.21.0" _module_preset="default" global_colors_info="{}"]Travel Lodge by Wyndham Buena Park714-576-0659Auto Center DrBuena Park, CA 90621 La Quinta Inn & Suites by Wyndham Buena Park714-670-14003 Centerpointe DriveLa Palma, CA 90623 Holiday Inn – La Mirada714-739-850014299 Firestone BoulevardLa Mirada, CA 90638[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.21.0" _module_preset="default" custom_margin_tablet="" custom_margin_phone="-30px||||false|false" custom_margin_last_edited="on|phone" global_colors_info="{}"]Good Nite Inn714-523-14887032 Orangethorpe AvenueBuena Park, CA 90621 Hyatt Regency Huntington Beach Resort & Spa714-698-123421500 Pacific Coast HighwayHuntington Beach, CA 92648[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" _builder_version="4.17.0" _module_preset="default" custom_padding="50px||||false|false" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.21.0" _module_preset="default" global_colors_info="{}"]Find Us By Air[/et_pb_text][et_pb_text _builder_version="4.21.0" _module_preset="default" text_font_size="18px" custom_margin="||||false|false" custom_margin_tablet="||||false|false" custom_margin_phone="-40px||||false|false" custom_margin_last_edited="on|phone" global_colors_info="{}" custom_margin__hover_enabled="off|desktop"]John Wayne Airport (SNA)Los Angeles International Airport (LAX) You will be responsible for arranging your own online ticketing and airline reservations. Please visit the airline links below to access relevant flight information: Delta Airlines: 800-221-1212 Southwest Airlines: 800-435-9792 American Airlines: 800-433-7300 United Airlines: 800-241-6522 [/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.18.0" _module_preset="default" global_colors_info="{}"]Find Us By Train [/et_pb_text][et_pb_text content_tablet="Located within walking distance of the Santa Ana Amtrak station, our Orange County location offers convenient accessibility. If you're planning on using Amtrak for your travel needs, be sure to visit www.amtrak.com for fare, schedules, and reservations. " content_phone="Located within walking distance of the Santa Ana Amtrak station, our Orange County location offers convenient accessibility. If you're planning on using Amtrak for your travel needs, be sure to visit www.amtrak.com for fare, schedules, and reservations. " content_last_edited="on|phone" _builder_version="4.27.4" _module_preset="default" text_font_size="18px" custom_margin_tablet="" custom_margin_phone="-40px||||false|false" custom_margin_last_edited="on|phone" global_colors_info="{}"]Located within walking distance of the Santa Ana Amtrak station, our Orange County location offers convenient accessibility. If you're planning on using Amtrak for your travel needs, be sure to visit www.amtrak.com for fare, schedules, and reservations.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="0px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_4" show_border="off" _builder_version="4.17.3" body_font_size="18px" text_orientation="center" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Outpatient Detox in Richmond, Virginia [et_pb_section fb_built="1" fullwidth="on" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_fullwidth_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2018/11/richmondhdr.jpg" alt="Richmond, Virginia" _builder_version="4.27.4" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}"][/et_pb_fullwidth_image][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="3_5,2_5" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" text_font_size="18px" global_colors_info="{}"]Outpatient Detox in Richmond, Virginia The Coleman Institute’s innovative outpatient detox programs have helped thousands of people free themselves from addiction to Alcohol, Opioids, Suboxone, Methadone, Kratom, Stimulants, and Benzodiazepines. We have an extraordinarily high 95% completion rate for getting opioid patients onto the non-addictive opiate blocker, Naltrexone, which helps minimize the risk of relapse by reducing cravings and blocking highs. To help our patients get into long-term recovery and stay there, our unique program includes ongoing Naltrexone therapy and supportive case management after the withdrawal management phase. Unlike other forms of rapid detox, the Coleman Method speeds patients through opiate withdrawal in relative comfort without the use of general anesthesia. Thousands of patients have completed our unique outpatient detox procedure over the past 25 years. Our patients who live within driving distance are able to return to the comfort of their homes daily during their treatment. Others often choose to stay in a nearby hotel or Airbnb. We are located in Central Virginia at the crossroads of I-95 and 64, about 1.5 hours from Washington, D.C., and 1.5 hours from Virginia Beach.   Call Now at 877-773-3869[/et_pb_text][/et_pb_column][et_pb_column type="2_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" text_font_size="18px" global_colors_info="{}"] The Coleman Institute for Addiction Medicine - Richmond204 N. Hamilton Street, Suite BRichmond, VA 23221877-773-3869info@thecolemaninstitute.com Team Members Available for Questions by Phone between 9:00 AM - 10:00 PM EST - 7 days a week Office HoursMonday - Thursday 8:30 AM - 5:00 PM ESTFriday 8:30 AM - 4:30 PM EST[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="off|off|off" admin_label="Testimonials" module_class="spaced centered" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.17.0" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_padding="||0px||false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.21.0" custom_padding="||2px|||" global_colors_info="{}"]Thousands of Patients Treated with the Coleman Method[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" make_equal="on" module_class="testimonials" _builder_version="4.16" width="89%" max_width="89%" max_width_tablet="" max_width_phone="" max_width_last_edited="on|desktop" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.17.1" text_font_size="18px" global_colors_info="{}"]“Cannot thank you, Annette, NP, and the nurses enough. I was nervous and out of it, but Kim was exceptional. Very welcoming, felt at home, and nerves soothed. I’d love to send her a note. And the nurse I had on day three – also extremely compassionate. It was a hard day for me, but we did it, and I love you guys for it. Here goes freedom and life. Addiction sucks and is a slow death.” Opioid Patient - Richmond, VA, April 2018[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.17.1" text_font_size="18px" global_colors_info="{}"]“The staff was incredibly non-judgmental and empathetic, and I honestly feel like they cared about me and my comfort as a patient. They’re able to react dynamically in accordance with the specific needs of me as a patient. I never thought I’d get off Fentanyl…from the ladies answering the phones, to the nurses, to the doctors, and the rest of the staff, these folks are miracle workers with angel wings. Thank you for setting me free.” Opioid Patient - Richmond, VA, October 2020[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.17.1" text_font_size="18px" global_colors_info="{}"]“I cannot say enough good things about the Coleman Institute. They saved my life. When I came to them, I was on Suboxone. Their detox protocol is, I believe, the best out there. I’ve detoxed many time, and this was by far the best detox I’ve ever had, as far as detoxes go. I highly recommend them to anyone seeking to get and STAY clean. They are caring and available to you when you need them. Don’t wait – call today!” Scott - Richmond, VA, September 2019[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.17.0" custom_padding="||50px||false|false" global_colors_info="{}"]View More[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" custom_padding_last_edited="on|phone" disabled_on="off|off|off" admin_label="Comparison Chart" module_class="spaced centered" _builder_version="4.25.1" max_width="1080px" module_alignment="center" custom_padding="||50px||false|false" custom_padding_tablet="||0px||false|false" custom_padding_phone="||0px||false|false" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row make_equal="on" _builder_version="4.25.1" module_alignment="center" custom_padding="||50px||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.25.1" text_font="||||||||" global_colors_info="{}"]Discover the Difference with the Coleman Institute's Outpatient Detox When it comes to overcoming addiction, the right detox program can make all the difference. The Coleman Institute offers a unique and highly effective outpatient detox method that stands out from traditional detox programs. Below, we compare the key aspects of our Coleman Method with other detox methodologies to help you make an informed decision on your path to recovery.[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.25.1" text_font="||||||||" global_colors_info="{}"]Outpatient Detox Using The Coleman Method[/et_pb_text][dsm_icon_list icon_color="#0f8140" icon_padding="5px" icon_font_size="20px" _builder_version="4.27.4" _module_preset="default" text_font_size="18px" text_line_height="1.2em" module_alignment="left" height="450px" height_tablet="100%" height_phone="100%" height_last_edited="on|phone" custom_padding="25px|25px|25px|25px|false|false" custom_padding_tablet="25px|25px|25px|25px|false|false" custom_padding_phone="25px|25px|25px|25px|false|false" custom_padding_last_edited="on|phone" custom_css_free_form="span.dsm_icon_list_text {|| text-align: left;||}||li.dsm_icon_list_child {|| padding-bottom: 15px !important;||}" border_style_all="none" box_shadow_style="preset1" global_colors_info="{}"][dsm_icon_list_child text="95% detox completion rate" font_icon="||fa||900" _builder_version="4.27.4" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="Sleep where you are comfortable" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="Detox in as little as 3 days" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="Don't have to put your life on hold" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="More flexible appointments and scheduling" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="Naltrexone therapy is available" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="Less expensive total cost of treatment" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="Comfort medications available, tailored to individual withdrawal symptom types and severity." font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" module_alignment="left" global_colors_info="{}"][/dsm_icon_list_child][/dsm_icon_list][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.25.1" text_font="||||||||" global_colors_info="{}"]Other Detox Programs & Methodologies[/et_pb_text][dsm_icon_list icon_color="#E02B20" icon_padding="5px" icon_font_size="20px" _builder_version="4.25.1" _module_preset="default" text_font_size="18px" text_line_height="1.2em" module_alignment="left" height="450px" height_tablet="100%" height_phone="100%" height_last_edited="on|phone" custom_padding="25px|25px|25px|25px|false|false" custom_padding_tablet="25px|25px|25px|25px|false|false" custom_padding_phone="25px|25px|25px|25px|false|false" custom_padding_last_edited="on|phone" custom_css_free_form="span.dsm_icon_list_text {|| text-align: left;||}||li.dsm_icon_list_child {|| padding-bottom: 15px !important;||}" border_style_all="none" box_shadow_style="preset1" global_colors_info="{}"][dsm_icon_list_child text="Average 72% detox completion rate*" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="Sleep in a hospital or medical facility" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="Most inpatient programs require weeks or months" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="Little access to the outside world" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="More restrictive, often with rigid agendas" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="Recovery support varies widely" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="Longer programs lead to more expensive total cost of treatment" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="Most use smaller amounts of comfort medications compared to The Coleman Method" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" module_alignment="left" global_colors_info="{}"][/dsm_icon_list_child][/dsm_icon_list][/et_pb_column][/et_pb_row][et_pb_row make_equal="on" custom_padding_last_edited="on|phone" _builder_version="4.25.1" module_alignment="center" custom_margin="50px||||false|false" custom_margin_tablet="25px||||false|false" custom_margin_phone="25px||||false|false" custom_margin_last_edited="on|phone" custom_padding="50px||||false|false" custom_padding_tablet="0px||||false|false" custom_padding_phone="0px||||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.25.1" text_font="||||||||" text_font_size="8px" custom_margin="0px||||false|false" global_colors_info="{}"]*Disclaimer Source: *Dr. Joshua D. Lee, Comparative effectiveness of extended-release naltrexone versus buprenorphine-naloxone for opioid relapse prevention (X:BOT): a multicentre, open-label, randomised controlled trial, The Lancet, November 2014, p1[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" custom_padding_last_edited="on|phone" admin_label="Insurances Accepted" module_class="spaced centered" _builder_version="4.17.0" custom_padding="||50px||false|false" custom_padding_tablet="||0px||false|false" custom_padding_phone="||0px||false|false" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.27.4" text_font="||||||||" global_colors_info="{}"]Insurance Accepted at the Coleman Institute in Richmond, VA Our Richmond, VA office is in-network with many Anthem Blue Cross Blue Shield and Sentara Health Plans. We are expanding our in-network coverage constantly, so please contact us for specifics. [/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.27.4" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" min_height="52.2px" custom_margin="|auto||auto|false|false" custom_padding="0px||||false|false" make_fullwidth="on" locked="off" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/Anthem-1.png" alt="anthem blue cross blue shield logo" title_text="Anthem-1" align="right" _builder_version="4.27.4" _module_preset="default" width_tablet="75%" width_phone="100%" width_last_edited="on|phone" custom_margin="||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/sentra-1.png" alt="sentara health plans logo" title_text="sentra-1" align="left" _builder_version="4.27.4" _module_preset="default" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.17.3" custom_padding="||||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.17.0" text_font="||||||||" global_colors_info="{}"]Outpatient Detox Treatments in Richmond, VA[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_4,1_4,1_4,1_4" custom_padding_last_edited="on|tablet" _builder_version="4.17.0" _module_preset="default" custom_margin="|auto||auto|false|false" custom_margin_tablet="25px|auto|25px|auto|false|false" custom_margin_phone="25px|auto|25px|auto|false|false" custom_margin_last_edited="on|phone" custom_padding="29px||0px||false|false" custom_padding_tablet="0px||||false|false" custom_padding_phone="0px||||false|false" global_colors_info="{}"][et_pb_column type="1_4" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][/et_pb_column][et_pb_column type="1_4" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.4" _module_preset="default" text_font_size="18px" text_orientation="center" global_colors_info="{}"]Opioid Detox Alcohol Detox Heroin Detox Methadone Detox Fentanyl Detox Kratom Detox[/et_pb_text][/et_pb_column][et_pb_column type="1_4" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.4" _module_preset="default" text_font_size="18px" text_orientation="center" custom_margin_tablet="" custom_margin_phone="-30px||||false|false" custom_margin_last_edited="on|phone" locked="off" global_colors_info="{}"]Suboxone DetoxPain Medication DetoxPrescription Drug DetoxBenzodiazepine DetoxNaltrexone TherapyStimulant Detox[/et_pb_text][/et_pb_column][et_pb_column type="1_4" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.27.4" width="39%" custom_padding="50px||||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_gallery gallery_ids="16229,16222,16226,16225,16224,16223" fullwidth="on" _builder_version="4.27.4" _module_preset="default" global_colors_info="{}"][/et_pb_gallery][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner CTA - Opioid Detox Guide" module_class="banner cta expanded" _builder_version="4.16" background_color="#f1faff" min_height="1227.2px" custom_margin="||70px|||" custom_padding="0px|||||" da_disable_devices="off|off|off" global_module="16426" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" global_colors_info="{}"][et_pb_text module_class="centered" _builder_version="4.16" text_orientation="center" custom_margin="-35px|||||" custom_padding="||50px||false|false" custom_padding_last_edited="off|desktop" global_colors_info="{}"]Recovery Starts WithFinding The Right Detox Option For You.[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/tci-opioid.webp" alt="A Guide to Understanding Accelerated Opioid Detox" title_text="tci-opioid" _builder_version="4.27.4" _module_preset="default" width="70%" global_colors_info="{}"][/et_pb_image][et_pb_text module_class="centered" _builder_version="4.27.4" text_orientation="center" custom_margin="-70px||-70px||false|false" custom_margin_tablet="-70px||-70px||false|false" custom_margin_phone="||0px||false|false" custom_margin_last_edited="on|phone" text_font_size_tablet="" text_font_size_phone="" text_font_size_last_edited="on|desktop" global_colors_info="{}"]Understanding Accelerated Opioid Detox Download our free Guide to Understanding Accelerated Opioid Detox for an in-depth look at the fight against America's opioid crisis using industry-leading detox methods and addiction recovery treatment options. Get the Opioid Detox Guide[/et_pb_text][et_pb_divider show_divider="off" disabled_on="on|off|off" admin_label="Divider" _builder_version="4.27.4" _module_preset="default" custom_margin="20px||20px||true|false" global_colors_info="{}"][/et_pb_divider][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/tci-alcohol.webp" alt="A Guide to Understanding Alcohol Detox" title_text="tci-alcohol" _builder_version="4.27.4" _module_preset="default" width="70%" global_colors_info="{}"][/et_pb_image][et_pb_text module_class="centered" _builder_version="4.27.4" text_orientation="center" custom_margin="-70px||||false|false" global_colors_info="{}"]Understanding Alcohol Detox Download our free Guide to Understanding Alcohol Detox to learn about the prevalence of Alcohol Use Disorder (AUD) in American society and available treatment options. Get the Alcohol Detox Guide[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Staff" module_class="spaced centered" _builder_version="4.17.0" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.17.0" text_font="||||||||" global_colors_info="{}"]Meet the Team at the Coleman Institute in Richmond, VA The Coleman Institute’s team of Board-certified doctors and specialists is currently accepting new patients. Contact us today to speak with one of our professional medical staff and see what detox treatment options are right for you. [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Dr. Swainey" module_class="ourdoctors" _builder_version="4.17.4" custom_margin_tablet="" custom_margin_phone="" custom_margin_last_edited="on|desktop" custom_padding="51px|25px|51px|25px|false|false" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_5,3_5" module_id="coleman" module_class="bio" _builder_version="4.16" custom_margin="||5px|" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" global_colors_info="{}"][/et_pb_text][/et_pb_column][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.17.4" custom_margin="||5px|" global_colors_info="{}"] Meet Dr. Craig Swainey Medical Director [/et_pb_text][et_pb_text admin_label="Text" _builder_version="4.17.4" text_font="||||||||" text_font_size="18px" locked="off" global_colors_info="{}"]Dr. Swainey is the Medical Director of the Coleman Institute in Richmond, VA. Born and raised in North Carolina, he remains an avid Tar Heel fan. Dr. Swainey completed his undergraduate education at Appalachian State University with a degree in Chemistry and Biology. He completed medical school at UNC Chapel Hill in 2002 and then moved to Richmond to begin an Internal Medicine Residency at Virginia Commonwealth University. He went on to complete fellowships in Hospice and Palliative Medicine, as well as in Medical Oncology. He served as an Assistant Professor of Medical Oncology and Palliative care from 2008-2015. In 2015 Dr. Swainey changed career paths to Addiction Medicine due to both his personal and family struggles with Substance Use Disorders. Dr. Swainey has worked as an Addiction Medicine Provider in many settings including Medication-Assisted Treatment (MAT) for Opioid Use Disorder with Methadone and Buprenorphine (Suboxone), as well as with naltrexone. Dr. Swainey currently lives in Powhatan, VA with his wife and 6 (!!!!!) children. He is extremely passionate about helping others get into recovery from addiction.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="off|off|off" admin_label="Team" module_class="spaced centered" _builder_version="4.17.0" background_enable_color="off" width="80%" width_tablet="60%" width_phone="60%" width_last_edited="on|desktop" module_alignment="center" custom_margin="|5px||||" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="1_3,1_3,1_3" make_equal="on" module_class="testimonials" _builder_version="4.27.4" width="89%" max_width="89%" max_width_tablet="" max_width_phone="" max_width_last_edited="on|desktop" custom_padding="25px||||false|false" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2018/11/Jennifer_500sq.jpg" alt="Jennifer Pius Gifford, Chief Executive Officer at The Coleman Institute" title_text="Jennifer" _builder_version="4.27.4" _module_preset="default" height="200px" global_colors_info="{}"][/et_pb_image][et_pb_text _builder_version="4.24.2" text_orientation="center" custom_margin_tablet="" custom_margin_phone="-25px||||false|false" custom_margin_last_edited="on|phone" global_colors_info="{}"]Jennifer Pius GiffordChief Executive Officer[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2022/03/Johnnelle-Taliaferro.webp" alt="Johnelle Shelton, Medical Assistant at The Coleman Institute" title_text="Johnnelle Taliaferro" _builder_version="4.27.4" _module_preset="default" height="200px" locked="off" global_colors_info="{}"][/et_pb_image][et_pb_text _builder_version="4.24.2" text_orientation="center" custom_margin_tablet="" custom_margin_phone="-25px||||false|false" custom_margin_last_edited="on|phone" locked="off" global_colors_info="{}"]Johnnelle SheltonMedical Assistant[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2024/04/Kimberly-Perry.webp" alt="Kimberly Perry" title_text="Kimberly Perry" _builder_version="4.24.2" _module_preset="default" height="200px" locked="off" global_colors_info="{}"][/et_pb_image][et_pb_text _builder_version="4.24.2" text_orientation="center" custom_margin_tablet="" custom_margin_phone="-25px||||false|false" custom_margin_last_edited="on|phone" locked="off" global_colors_info="{}"]Kimberly PerryReceptionist[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" make_equal="on" module_class="testimonials" _builder_version="4.16" width="89%" max_width="89%" max_width_tablet="89%" max_width_phone="89%" max_width_last_edited="on|desktop" custom_padding="25px||||false|false" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2022/08/K.-Markel-Photo.webp" alt="Kelsey Markel, Recovery Support Specialist at The Coleman Institute" title_text="Kelsey Markel" _builder_version="4.27.4" _module_preset="default" height="200px" locked="off" global_colors_info="{}"][/et_pb_image][et_pb_text _builder_version="4.24.2" text_orientation="center" custom_margin_tablet="" custom_margin_phone="-25px||||false|false" custom_margin_last_edited="on|phone" locked="off" global_colors_info="{}"]Kelsey MarkelQMHP-T, Recovery Support Specialist[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2023/09/JelisaClanton.webp" alt="Jelisa Clanton, Admissions Coordinator at The Coleman Institute" title_text="Jelisa Clanton" _builder_version="4.27.4" _module_preset="default" height="200px" global_colors_info="{}"][/et_pb_image][et_pb_text _builder_version="4.22.2" text_orientation="center" custom_margin_tablet="" custom_margin_phone="-25px||||false|false" custom_margin_last_edited="on|phone" locked="off" global_colors_info="{}"]Jelisa ClantonAdmissions Coordinator[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="off|off|off" admin_label="Resources" module_class="spaced centered" _builder_version="4.17.0" background_color="#f1faff" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row custom_padding_last_edited="on|phone" module_class=" et_pb_row_fullwidth" _builder_version="4.17.0" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_padding="||5px||false|false" custom_padding_tablet="||5px||false|false" custom_padding_phone="||0px||false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.17.0" custom_padding="||20px" global_colors_info="{}"]Helpful Drug Treatment and Opioid Detox Resources [/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="2_5,3_5" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_column type="2_5" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2022/04/woman-smiling.webp" alt="woman smilling" title_text="woman-smiling" align="right" align_tablet="center" align_phone="center" align_last_edited="on|tablet" _builder_version="4.17.1" _module_preset="default" max_width="250px" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="3_5" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.17.1" _module_preset="default" custom_margin_tablet="-35px||||false|false" custom_margin_phone="-35px||||false|false" custom_margin_last_edited="on|tablet" custom_padding="50px||||false|false" custom_padding_tablet="0px||||false|false" custom_padding_phone="0px||||false|false" custom_padding_last_edited="on|phone" text_orientation_tablet="center" text_orientation_phone="center" text_orientation_last_edited="on|tablet" global_colors_info="{}"]The Safest & Best Way to Detox Off Fentanyl[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="2_5,3_5" _builder_version="4.17.1" _module_preset="default" custom_margin="||||false|false" custom_margin_tablet="50px||||false|false" custom_margin_phone="50px||||false|false" custom_margin_last_edited="on|tablet" custom_padding="25px||||false|false" global_colors_info="{}"][et_pb_column type="2_5" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2022/04/depressed-man-on-bench.webp" alt="depressed man" title_text="depressed-man-on-bench" align="right" align_tablet="center" align_phone="center" align_last_edited="on|tablet" _builder_version="4.17.0" _module_preset="default" max_width="250px" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="3_5" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.17.1" _module_preset="default" custom_margin="-35px||||false|false" custom_padding="50px||||false|false" custom_padding_tablet="0px||||false|false" custom_padding_phone="0px||||false|false" custom_padding_last_edited="on|phone" text_orientation_tablet="center" text_orientation_phone="center" text_orientation_last_edited="on|tablet" global_colors_info="{}"]My Pain Doctor Cut Me Off, What Do I Do?[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Accomodations" module_class="spaced centered" _builder_version="4.21.0" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.17.0" text_font="||||||||" global_colors_info="{}"]Accommodations Near the Coleman Institute in Richmond, VA[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.0" _module_preset="default" global_colors_info="{}"]Courtyard by Marriott Scott’s Addition804-877-00103800 W Broad Street, Richmond, VA 23230 Courtyard Richmond Downtown804-754-00071320 East Cary Street, Richmond, VA 23219 Courtyard Richmond West804-282-18816400 W. Broad Street, Richmond, VA 23230 Delta Hotels by Marriott Richmond Downtown804-788-0900555 E. Canal Street, Richmond, VA 23219 The Doorways804-828-6901612 E. Marshall Street, Richmond VA 23219*$15/per person, per night. By referral only.[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.0" _module_preset="default" global_colors_info="{}"]Embassy Suites by Hilton Richmond804-672-85852925 Emerywood Parkway, Richmond, VA 23294 Hilton Richmond Downtown804-344-4300501 East Broad Street, Richmond, VA 23219 Quirk Hotel Richmond804-340-6040201 West Broad Street, Richmond, VA 23220 The Westin Richmond804-282-84446631 West Broad Street, Richmond, VA 23230 AirBnB[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" _builder_version="4.17.0" _module_preset="default" custom_padding="50px||||false|false" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"]Find Us By Air[/et_pb_text][et_pb_text _builder_version="4.17.3" _module_preset="default" text_font_size="18px" custom_margin_tablet="" custom_margin_phone="-40px||||false|false" custom_margin_last_edited="on|phone" global_colors_info="{}"]Richmond International Airport (RIC) You will be responsible for arranging your online ticketing and airline reservations. Please follow the airline links below for flight information: Delta Airlines: 800-221-1212 Southwest Airlines: 800-435-9792 American Airlines:800-433-7300 United Airlines: 800-864-8331 [/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"]Find Us By Train[/et_pb_text][et_pb_text _builder_version="4.17.3" _module_preset="default" text_font_size="18px" custom_margin_tablet="" custom_margin_phone="-40px||||false|false" custom_margin_last_edited="on|phone" global_colors_info="{}"]Amtrak Richmond is served by 8 southbound, 6 northbound, and 4 eastbound trains daily. Please click on the Amtrak homepage link for fare, schedules, and reservations.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="0px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_4" show_border="off" _builder_version="4.17.3" body_font_size="18px" text_orientation="center" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Outpatient Detox in Tampa, Florida [et_pb_section fb_built="1" fullwidth="on" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_fullwidth_image src="https://www.thecolemaninstitute.com/wp-content/uploads/tampa-florida.webp" alt="Tampa Florida by Largo FL" title_text="Tampa Florida" _builder_version="4.27.4" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}"][/et_pb_fullwidth_image][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="3_5,2_5" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" text_font_size="18px" global_colors_info="{}"]Outpatient Detox in Tampa, Florida The Coleman Institute’s unique rapid detox programs have helped thousands of people free themselves from the effects of addiction to Opioids, Suboxone, Methadone, Stimulants, Kratom, and Alcohol. More importantly, our detox program—which includes Naltrexone Therapy—has helped many of our patients move beyond their addictions. The Coleman Institute’s state-of-the-art rapid detox programs have helped thousands of people recover from the effects of addiction to opioids, suboxone, methadone, alcohol, and more. We have a 98% completion rate for transitioning opioid patients onto the non-addictive opiate blocker Naltrexone, which helps reduce cravings and the risk of relapse. In fact, over the past 20 years, the Coleman Institute has helped over 8,500 patients successfully complete a detox program. Unlike other accelerated detox programs, our unique detox process called the Coleman Method helps patients manage withdrawal in relative comfort without using general anesthesia. Patients who live near our outpatient addiction treatment center in Tampa are able to return to their homes daily during the program, while other patients outside the Tampa Bay area may choose to find accommodations in a nearby hotel or AirBnB. Our Tampa office – independently operated by Bay Center for Pain Management, with Dr. Imtiaz Hossain as our local partner – is located just across the bay from Tampa in North Largo, Florida. Call Now at 877-773-3869[/et_pb_text][/et_pb_column][et_pb_column type="2_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" text_font_size="18px" global_colors_info="{}"]The Coleman Institute – TampaBay Center for Pain Management1715 East Bay Dr. Suite A Largo, FL 33771804-294-2212info@thecolemaninstitute.com Team Members Available for Questions by Phone between 9:00 AM - 10:00 PM EST - 7 days a week Office HoursMonday – Friday 8:30 AM – 3:30 PM EST[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.27.4" _module_preset="default" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.27.4" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.27.4" _module_preset="default" global_colors_info="{}"][et_pb_gallery gallery_ids="16282,16275,16279,16274,16278,16280,16281,16276,16277" fullwidth="on" _builder_version="4.27.4" _module_preset="default" global_colors_info="{}"][/et_pb_gallery][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="off|off|off" admin_label="Testimonials" module_class="spaced centered" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.17.0" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_padding="||0px||false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.21.0" custom_padding="||2px|||" global_colors_info="{}"]More Than 8,500 Patients Treated With The Coleman Method[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" make_equal="on" module_class="testimonials" _builder_version="4.16" width="89%" max_width="89%" max_width_tablet="" max_width_phone="" max_width_last_edited="on|desktop" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.21.0" text_font_size="18px" global_colors_info="{}"]“I am very pleased to have had the opportunity to detox in a short time and with great support. I am now 60 days clean and the Naltrexone treatment has helped greatly in my overall adjustment to normal life without pain medicine. I am also in a better overall mood and was able to stop taking Prozac. The treatment is absolutely crucial to someone who is locked in physical dependence and addiction.” Painkiller Patient - Tampa, FL, Feb. 2017[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.21.0" text_font_size="18px" global_colors_info="{}"]“I took my brother to Coleman Institute in Largo, Florida. He had been addicted to alcohol for 15 years, got the implant on day three, prayed really hard, and guess what: it saved his life! He stopped drinking. Naltrexone Implant is a miracle! He does not have cravings, has not had a drink since the day before we went to your facility for detox. He almost died from alcohol addiction.” Sibling of Alcohol Patient - Tampa, FL, Sept. 2016[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.21.0" text_font_size="18px" global_colors_info="{}"]“Without your facility, I would have been in for 3-6 months of pure hell. Being up against such a monster without your help is unfathomable. I was given the quality of my life back and in a fraction of the time as other methods, with minimal discomfort. So glad I discovered you guys!” Opioid Patient - Tampa, FL, Jan. 2016[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.21.0" custom_padding="||50px||false|false" global_colors_info="{}"]View More[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" custom_padding_last_edited="on|phone" disabled_on="off|off|off" admin_label="Comparison Chart" module_class="spaced centered" _builder_version="4.25.1" max_width="1080px" module_alignment="center" custom_padding="||50px||false|false" custom_padding_tablet="||0px||false|false" custom_padding_phone="||0px||false|false" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row make_equal="on" _builder_version="4.25.1" module_alignment="center" custom_padding="||50px||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.25.1" text_font="||||||||" global_colors_info="{}"]Discover the Difference with the Coleman Institute's Outpatient Detox When it comes to overcoming addiction, the right detox program can make all the difference. The Coleman Institute offers a unique and highly effective outpatient detox method that stands out from traditional detox programs. Below, we compare the key aspects of our Coleman Method with other detox methodologies to help you make an informed decision on your path to recovery.[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.25.1" text_font="||||||||" global_colors_info="{}"]Outpatient Detox Using The Coleman Method[/et_pb_text][dsm_icon_list icon_color="#0f8140" icon_padding="5px" icon_font_size="20px" _builder_version="4.25.1" _module_preset="default" text_font_size="18px" text_line_height="1.2em" module_alignment="left" height="450px" height_tablet="100%" height_phone="100%" height_last_edited="on|phone" custom_padding="25px|25px|25px|25px|false|false" custom_padding_tablet="25px|25px|25px|25px|false|false" custom_padding_phone="25px|25px|25px|25px|false|false" custom_padding_last_edited="on|phone" custom_css_free_form="span.dsm_icon_list_text {|| text-align: left;||}||li.dsm_icon_list_child {|| padding-bottom: 15px !important;||}" border_style_all="none" box_shadow_style="preset1" global_colors_info="{}"][dsm_icon_list_child text="98% detox completion rate" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="Sleep where you are comfortable" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="Detox in as little as 3 days" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="Don't have to put your life on hold" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="More flexible appointments and scheduling" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="Naltrexone therapy is available" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="Less expensive total cost of treatment" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="Comfort medications available, tailored to individual withdrawal symptom types and severity." font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" module_alignment="left" global_colors_info="{}"][/dsm_icon_list_child][/dsm_icon_list][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.25.1" text_font="||||||||" global_colors_info="{}"]Other Detox Programs & Methodologies[/et_pb_text][dsm_icon_list icon_color="#E02B20" icon_padding="5px" icon_font_size="20px" _builder_version="4.25.1" _module_preset="default" text_font_size="18px" text_line_height="1.2em" module_alignment="left" height="450px" height_tablet="100%" height_phone="100%" height_last_edited="on|phone" custom_padding="25px|25px|25px|25px|false|false" custom_padding_tablet="25px|25px|25px|25px|false|false" custom_padding_phone="25px|25px|25px|25px|false|false" custom_padding_last_edited="on|phone" custom_css_free_form="span.dsm_icon_list_text {|| text-align: left;||}||li.dsm_icon_list_child {|| padding-bottom: 15px !important;||}" border_style_all="none" box_shadow_style="preset1" global_colors_info="{}"][dsm_icon_list_child text="Average 72% detox completion rate*" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="Sleep in a hospital or medical facility" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="Most inpatient programs require weeks or months" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="Little access to the outside world" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="More restrictive, often with rigid agendas" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="Recovery support varies widely" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="Longer programs lead to more expensive total cost of treatment" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" global_colors_info="{}"][/dsm_icon_list_child][dsm_icon_list_child text="Most use smaller amounts of comfort medications compared to The Coleman Method" font_icon="||fa||900" _builder_version="4.25.1" _module_preset="default" module_alignment="left" global_colors_info="{}"][/dsm_icon_list_child][/dsm_icon_list][/et_pb_column][/et_pb_row][et_pb_row make_equal="on" custom_padding_last_edited="on|phone" _builder_version="4.25.1" module_alignment="center" custom_margin="50px||||false|false" custom_margin_tablet="25px||||false|false" custom_margin_phone="25px||||false|false" custom_margin_last_edited="on|phone" custom_padding="50px||||false|false" custom_padding_tablet="0px||||false|false" custom_padding_phone="0px||||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.25.1" text_font="||||||||" text_font_size="8px" custom_margin="0px||||false|false" global_colors_info="{}"]*Disclaimer Source: *Dr. Joshua D. Lee, Comparative effectiveness of extended-release naltrexone versus buprenorphine-naloxone for opioid relapse prevention (X:BOT): a multicentre, open-label, randomised controlled trial, The Lancet, November 2014, p1[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" custom_padding_last_edited="on|phone" admin_label="Insurances Accepted" module_class="spaced centered" _builder_version="4.17.0" custom_padding="||50px||false|false" custom_padding_tablet="||0px||false|false" custom_padding_phone="||0px||false|false" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.21.0" text_font="||||||||" global_colors_info="{}"]Insurance & Financing At The Coleman Institute In Tampa, FL We offer affordable addiction and substance use disorder treatment at the Coleman Institute in Tampa, Florida. Substance use disorder has no boundaries, and our goal is to provide accelerated detox options while working with each patient to establish a financial commitment that works for them. Learn more about financing and insurance accepted at Coleman Institute in Tampa below. [/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.21.0" custom_padding="||50px||false|false" global_colors_info="{}"]Learn More[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.17.3" custom_padding="||||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.21.0" text_font="||||||||" global_colors_info="{}"]Outpatient Detox Treatments In Tampa, FL[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_4,1_4,1_4,1_4" custom_padding_last_edited="on|tablet" _builder_version="4.17.0" _module_preset="default" custom_margin="|auto||auto|false|false" custom_margin_tablet="25px|auto|25px|auto|false|false" custom_margin_phone="25px|auto|25px|auto|false|false" custom_margin_last_edited="on|phone" custom_padding="50px||0px||false|false" custom_padding_tablet="0px||||false|false" custom_padding_phone="0px||||false|false" global_colors_info="{}"][et_pb_column type="1_4" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][/et_pb_column][et_pb_column type="1_4" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.4" _module_preset="default" text_font_size="18px" text_orientation="center" global_colors_info="{}"]Opioid Detox Alcohol Detox Heroin Detox Methadone Detox Fentanyl Detox Kratom Detox[/et_pb_text][/et_pb_column][et_pb_column type="1_4" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.4" _module_preset="default" text_font_size="18px" text_orientation="center" custom_margin_tablet="" custom_margin_phone="-30px||||false|false" custom_margin_last_edited="on|phone" locked="off" global_colors_info="{}"]Pain Medication Detox Prescription Drug Detox Suboxone Detox Naltrexone Therapy Stimulant Detox[/et_pb_text][/et_pb_column][et_pb_column type="1_4" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner CTA - Opioid Detox Guide" module_class="banner cta expanded" _builder_version="4.16" background_color="#f1faff" min_height="1227.2px" custom_margin="||70px|||" custom_padding="0px|||||" da_disable_devices="off|off|off" global_module="16426" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" global_colors_info="{}"][et_pb_text module_class="centered" _builder_version="4.16" text_orientation="center" custom_margin="-35px|||||" custom_padding="||50px||false|false" custom_padding_last_edited="off|desktop" global_colors_info="{}"]Recovery Starts WithFinding The Right Detox Option For You.[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/tci-opioid.webp" alt="A Guide to Understanding Accelerated Opioid Detox" title_text="tci-opioid" _builder_version="4.27.4" _module_preset="default" width="70%" global_colors_info="{}"][/et_pb_image][et_pb_text module_class="centered" _builder_version="4.27.4" text_orientation="center" custom_margin="-70px||-70px||false|false" custom_margin_tablet="-70px||-70px||false|false" custom_margin_phone="||0px||false|false" custom_margin_last_edited="on|phone" text_font_size_tablet="" text_font_size_phone="" text_font_size_last_edited="on|desktop" global_colors_info="{}"]Understanding Accelerated Opioid Detox Download our free Guide to Understanding Accelerated Opioid Detox for an in-depth look at the fight against America's opioid crisis using industry-leading detox methods and addiction recovery treatment options. Get the Opioid Detox Guide[/et_pb_text][et_pb_divider show_divider="off" disabled_on="on|off|off" admin_label="Divider" _builder_version="4.27.4" _module_preset="default" custom_margin="20px||20px||true|false" global_colors_info="{}"][/et_pb_divider][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/tci-alcohol.webp" alt="A Guide to Understanding Alcohol Detox" title_text="tci-alcohol" _builder_version="4.27.4" _module_preset="default" width="70%" global_colors_info="{}"][/et_pb_image][et_pb_text module_class="centered" _builder_version="4.27.4" text_orientation="center" custom_margin="-70px||||false|false" global_colors_info="{}"]Understanding Alcohol Detox Download our free Guide to Understanding Alcohol Detox to learn about the prevalence of Alcohol Use Disorder (AUD) in American society and available treatment options. Get the Alcohol Detox Guide[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Staff" module_class="spaced centered" _builder_version="4.17.0" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.27.0" text_font="||||||||" global_colors_info="{}"]Meet Dr. Imtiaz Hossain, Addiction Specialist Dr. Imtiaz Hossain, MD is a board-certified addiction medicine physician dedicated to helping patients overcome their struggles with substance abuse. With a background in anesthesiology from the Institute of Post Graduate Medicine & Research at the University of Dhaka, Dr. Hossain offers exceptional outpatient addiction treatment to patients in or near the Tampa, Florida, area. At Bay Center For Pain Management, Dr. Hossain provides thoughtful and compassionate treatment to those suffering from addiction, utilizing a range of evidence-based addiction medicine therapies and techniques to help patients achieve long-term recovery. His practice accepts multiple insurance plans to make effective addiction medicine accessible to as many patients as possible. [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="off|off|off" admin_label="Resources" module_class="spaced centered" _builder_version="4.17.0" background_color="#f1faff" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row custom_padding_last_edited="on|phone" module_class=" et_pb_row_fullwidth" _builder_version="4.17.0" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_padding="||5px||false|false" custom_padding_tablet="||5px||false|false" custom_padding_phone="||0px||false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.17.0" custom_padding="||20px" global_colors_info="{}"]Helpful Drug Treatment and Opioid Detox Resources [/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="2_5,3_5" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_column type="2_5" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2016/10/anger-angry-anxiety-897817.jpg" alt="Tired and stressed man" title_text="anger-angry-anxiety-897817" align="right" align_tablet="center" align_phone="center" align_last_edited="on|tablet" _builder_version="4.21.0" _module_preset="default" max_width="250px" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="3_5" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.21.0" _module_preset="default" custom_margin_tablet="-35px||||false|false" custom_margin_phone="-35px||||false|false" custom_margin_last_edited="on|tablet" custom_padding="50px||||false|false" custom_padding_tablet="0px||||false|false" custom_padding_phone="0px||||false|false" custom_padding_last_edited="on|phone" text_orientation_tablet="center" text_orientation_phone="center" text_orientation_last_edited="on|tablet" global_colors_info="{}"] How Long Does It Take To Get Energy Back After Opioid Withdrawal[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="2_5,3_5" _builder_version="4.17.1" _module_preset="default" custom_margin="||||false|false" custom_margin_tablet="50px||||false|false" custom_margin_phone="50px||||false|false" custom_margin_last_edited="on|tablet" custom_padding="25px||||false|false" global_colors_info="{}"][et_pb_column type="2_5" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2017/12/Man_Thinking_at_Lake.jpg" alt="Man Thinking at Lake" title_text="Man Thinking at Lake" align="right" align_tablet="center" align_phone="center" align_last_edited="on|tablet" _builder_version="4.21.0" _module_preset="default" max_width="250px" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="3_5" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.21.0" _module_preset="default" custom_margin="-35px||||false|false" custom_padding="50px||||false|false" custom_padding_tablet="0px||||false|false" custom_padding_phone="0px||||false|false" custom_padding_last_edited="on|phone" text_orientation_tablet="center" text_orientation_phone="center" text_orientation_last_edited="on|tablet" global_colors_info="{}"]Can I Use Kratom To Detox Off Heroin?[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="2_5,3_5" _builder_version="4.17.0" _module_preset="default" custom_margin_tablet="50px||||false|false" custom_margin_phone="50px||||false|false" custom_margin_last_edited="on|tablet" custom_padding="25px||||false|false" locked="off" global_colors_info="{}"][et_pb_column type="2_5" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2023/05/smiling-woman-with-coffee-2022-11-03-23-12-55-utc.jpg-e1683753852711.webp" alt="Smiling woman with coffee" title_text="smiling-woman-with-coffee-2022-11-03-23-12-55-utc.jpg" align="right" align_tablet="center" align_phone="center" align_last_edited="on|tablet" _builder_version="4.21.0" _module_preset="default" max_width="250px" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="3_5" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.21.0" _module_preset="default" custom_margin_tablet="" custom_margin_phone="-25px||||false|false" custom_margin_last_edited="on|tablet" custom_padding="50px||||false|false" custom_padding_tablet="0px||||false|false" custom_padding_phone="0px||||false|false" custom_padding_last_edited="on|phone" text_orientation_tablet="center" text_orientation_phone="center" text_orientation_last_edited="on|tablet" global_colors_info="{}"]Signs of Alcohol Addiction: When It’s Time to Seek Help[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Accommodations Section" module_class="spaced centered" _builder_version="4.18.0" custom_margin_tablet="" custom_margin_phone="" custom_margin_last_edited="on|phone" custom_padding="|25px||25px|false|false" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.21.0" text_font="||||||||" global_colors_info="{}"]Accommodations Near The Coleman Institute In Tampa, FL[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.0" _module_preset="default" global_colors_info="{}"]Holiday Inn Express Hotel & Suites Largo-Clearwater727-581-3900210 Seminole Blvd, Largo, FL 33770 Hampton Inn & Suites Largo727-585-3333100 East Bay Drive, Largo, FL 33770 Home2 Suites by Hilton Largo727-501-000110145 Ulmerton Road, Largo, FL 33771 Belleview Inn727-441-177425 Belleview Blvd, Belleair, FL 33756 Residence Inn by Marriott Clearwater Downtown727-562-5400940 Court Street, Clearwater, FL 33756[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.0" _module_preset="default" custom_margin_tablet="" custom_margin_phone="-30px||||false|false" custom_margin_last_edited="on|phone" global_colors_info="{}"]Marriott Suites Sand Key Clearwater Beach727-596-11001201 Gulf Blvd, Clearwater Beach, FL 33767 Sheraton Sand Key Resort Clearwater Beach727-595-16111160 Gulf Blvd, Clearwater Beach, FL 33767 JW Marriott Clearwater Beach Resort & Spa727-677-6000691 South Gulfview Blvd, Clearwater Beach, FL 33767 Rodeway Inn Clearwater-Largo727-536-093516405 US Highway 19 North, Clearwater, FL 33764 Belleair Village Motel727-584-71311025 Clearwater Largo Road, Largo, FL 33770[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" _builder_version="4.17.0" _module_preset="default" custom_padding="50px||||false|false" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.21.0" _module_preset="default" global_colors_info="{}"]Find Us By Air[/et_pb_text][et_pb_text _builder_version="4.21.0" _module_preset="default" text_font_size="18px" custom_margin="||||false|false" custom_margin_tablet="||||false|false" custom_margin_phone="-40px||||false|false" custom_margin_last_edited="on|phone" global_colors_info="{}" custom_margin__hover_enabled="off|desktop"]Tampa International Airport You will be responsible for arranging your own online ticketing and airline reservations. Please follow the airline links below for flight information: Delta Airlines: 800-221-1212 Southwest Airlines: 800-435-9792 American Airlines: 800-433-7300 United Airlines: 800-241-6522 [/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.21.0" _module_preset="default" global_colors_info="{}"]Find Us By Train[/et_pb_text][et_pb_text content_tablet=" Amtrak Our Boston location has 4 Amtrak locations within a 20 mile radius. Please click on the Amtrak homepage link for fare, schedules, and reservations. " content_phone=" Amtrak Our Boston location has 4 Amtrak locations within a 20 mile radius. Please click on the Amtrak homepage link for fare, schedules, and reservations. " content_last_edited="off|desktop" _builder_version="4.27.4" _module_preset="default" text_font_size="18px" custom_margin_tablet="" custom_margin_phone="-40px||||false|false" custom_margin_last_edited="on|phone" global_colors_info="{}"]Amtrak Find our Tampa location just over the bridge from the Amtrak stop at Union Station. Please visit www.amtrak.com for fare, schedules, and reservations.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="0px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_4" show_border="off" _builder_version="4.17.3" body_font_size="18px" text_orientation="center" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Outpatient Opioid & Alcohol Detox [et_pb_section fb_built="1" admin_label="Header" module_class="header on-dark spaced centered wistia-override" _builder_version="4.27.4" background_image="https://www.thecolemaninstitute.com/wp-content/uploads/tcibackground-e1765232951730.webp" background_position="top_center" background_last_edited="on|phone" background_image_phone="https://www.thecolemaninstitute.com/wp-content/uploads/tcibackground-e1765232951730.webp" background_enable_image_phone="on" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.27.4" width="60%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="60%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.27.4" header_font="--et_global_heading_font||||||||" global_colors_info="{}"]A Comfortable Way to Detox Quickly. Learn more about what makes the Coleman Method unique. You could finish your detox by this Sunday, the 25th.[/et_pb_text][et_pb_button button_url="tel:8777733869" button_text="Call Now at 877-773-3869" _builder_version="4.27.4" _module_preset="default" custom_button="on" button_icon="||fa||900" button_icon_placement="left" button_on_hover="off" background_layout="dark" global_colors_info="{}"][/et_pb_button][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner List" module_class="banner list on-dark centered" _builder_version="4.16" background_color="#053a72" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.27.4" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" hover_enabled="0" make_fullwidth="on" global_colors_info="{}" custom_margin="|0px||0px|false|false" custom_padding="|0px||0px|false|false" sticky_enabled="0" module_alignment="center"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" global_colors_info="{}"] Minimize Withdrawal Symptoms Detox in as Little as 3 Days Convenient Outpatient Treatment [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="CTA Banner" module_class="banner cta" _builder_version="4.27.4" background_color="#f5f5f5" module_alignment="center" custom_padding="||10px|||" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.27.4" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" min_height="52.2px" custom_margin="|auto||auto|false|false" custom_padding="0px||||false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/Anthem-1.png" alt="anthem blue cross blue shield logo" title_text="Anthem-1" align="right" _builder_version="4.27.4" _module_preset="default" width_tablet="75%" width_phone="100%" width_last_edited="on|phone" custom_margin="||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/sentra-1.png" alt="sentara health plans logo" title_text="sentra-1" align="left" _builder_version="4.27.4" _module_preset="default" custom_margin="||25px|||" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.27.4" _module_preset="default" width="93.3%" module_alignment="center" custom_margin="|-7px||auto||" custom_padding="10px||25px||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.27.4" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.4" text_line_height="1.5%" link_text_align="left" ul_text_align="left" ol_text_align="left" header_text_align="left" header_2_text_align="left" header_3_text_align="left" header_4_text_align="left" header_5_text_align="left" header_6_text_align="left" module_alignment="left" custom_margin="|24px||-2px||" custom_padding="0px|||||" locked="off" global_colors_info="{}"]Now accepting many Anthem Blue Cross Blue Shield and Sentara plans. We also welcome self-pay patients. Financing options are available.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="You Deserve a Better Life" module_class="spaced centered" _builder_version="4.16" custom_padding="0px|||||" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" custom_padding="0px|||||" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.27.4" text_font="||||||||" min_height="393px" custom_margin="-9px|||||" custom_padding="0px|||||" global_colors_info="{}"]You Deserve a Better Life.You Deserve Freedom from Addiction. We know how addiction works and how horrible withdrawal is. That’s why we’ve created a comfortable outpatient detox program that has a 95% completion rate and can be finished in as little as 3 days. Whether you want to detox from opiates or alcohol, we can help. OpioidsHeroinFentanylPrescription DrugsChronic Pain MedsSuboxoneMethadoneAlcoholBenzosKratomStimulants [/et_pb_text][et_pb_button button_url="tel:8887059615" button_text="CALL NOW AT 888-705-9615" _builder_version="4.27.4" _module_preset="default" custom_button="on" button_icon="||fa||900" button_icon_placement="left" button_on_hover="off" background_layout="dark" custom_margin="-84px|||||" global_colors_info="{}"][/et_pb_button][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="The Path to Freedom Starts Here" module_class="spaced centered" _builder_version="4.16" background_color="#f1faff" custom_margin="||-28px|||" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" text_font="||||||||" global_colors_info="{}"]The Path to Freedom Starts Here.[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.19.2" text_font="||||||||" global_colors_info="{}"]1 Ask for Help Call us and we can answer your questions about detox. Our Care Advocates will educate you on your options and provide you with pricing and timing of treatment.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" text_font="||||||||" global_colors_info="{}"]2 Get into Recovery Schedule your outpatient detox. Depending on your unique needs, you can complete your detox in as little as 3 days. Our detox completion rate is 95%.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.19.4" text_font="||||||||" global_colors_info="{}"]3 Stay Committed Continue on your road to long-term recovery. For most patients, we recommend 12 months of Naltrexone therapy.[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_button button_url="tel:8887059615" button_text="CALL NOW AT 888-705-9615" _builder_version="4.27.4" _module_preset="default" custom_button="on" button_icon="||fa||900" button_icon_placement="left" button_on_hover="off" background_layout="dark" global_colors_info="{}"][/et_pb_button][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="off|off|off" admin_label="Testimonials" module_class="testimonials-container centered" _builder_version="4.16" custom_padding="||39px|||" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.21.0" header_font="|||||on|||" custom_padding="||20px" global_colors_info="{}"]More Than 8,500 Patients Treated With the Coleman Method[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" make_equal="on" module_class="testimonials" _builder_version="4.16" width="89%" max_width="89%" max_width_tablet="" max_width_phone="" max_width_last_edited="on|desktop" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" global_colors_info="{}"]    Gene Former Alcohol Patient "Life is best when you can enjoy it clean and sober."[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" global_colors_info="{}"]    Whitney Former Opioid User "This couldn't have been a better experience – there's so much personalized attention."[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" global_colors_info="{}"]    Walt Alcohol Detox Patient "If you have the desire to stop, it's not easy, but you can do it."[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_button button_url="https://www.thecolemaninstitute.com/testimonials/video-testimonials/" button_text="SEE MORE PATIENT EXPERIENCES" _builder_version="4.27.4" _module_preset="default" background_layout="dark" global_colors_info="{}"][/et_pb_button][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner CTA - Opioid Detox Guide" module_class="banner cta expanded" _builder_version="4.16" background_color="#f1faff" min_height="1227.2px" custom_margin="||70px|||" custom_padding="0px|||||" da_disable_devices="off|off|off" global_module="16426" saved_tabs="all" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" global_colors_info="{}"][et_pb_text module_class="centered" _builder_version="4.16" text_orientation="center" custom_margin="-35px|||||" custom_padding="||50px||false|false" custom_padding_last_edited="off|desktop" global_colors_info="{}"]Recovery Starts WithFinding The Right Detox Option For You.[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/tci-opioid.png" alt="A Guide to Understanding Accelerated Opioid Detox" title_text="tci-opioid" _builder_version="4.27.4" _module_preset="default" width="70%" global_colors_info="{}"][/et_pb_image][et_pb_text module_class="centered" _builder_version="4.27.4" text_orientation="center" custom_margin="-70px||-70px||false|false" custom_margin_tablet="-70px||-70px||false|false" custom_margin_phone="||0px||false|false" custom_margin_last_edited="on|phone" text_font_size_tablet="" text_font_size_phone="" text_font_size_last_edited="on|desktop" global_colors_info="{}"]Understanding Accelerated Opioid Detox Download our free Guide to Understanding Accelerated Opioid Detox for an in-depth look at the fight against America's opioid crisis using industry-leading detox methods and addiction recovery treatment options. Get the Opioid Detox Guide[/et_pb_text][et_pb_divider show_divider="off" disabled_on="on|off|off" admin_label="Divider" _builder_version="4.27.4" _module_preset="default" custom_margin="20px||20px||true|false" global_colors_info="{}"][/et_pb_divider][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/tci-alcohol.png" alt="A Guide to Understanding Alcohol Detox" title_text="tci-alcohol" _builder_version="4.27.4" _module_preset="default" width="70%" global_colors_info="{}"][/et_pb_image][et_pb_text module_class="centered" _builder_version="4.27.4" text_orientation="center" custom_margin="-70px||||false|false" global_colors_info="{}"]Understanding Alcohol Detox Download our free Guide to Understanding Alcohol Detox to learn about the prevalence of Alcohol Use Disorder (AUD) in American society and available treatment options. Get the Alcohol Detox Guide[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner Link List" module_class="banner list on-dark centered" _builder_version="4.16" background_color="#053a72" custom_margin="-70px|||||" custom_padding="||" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" text_font="||||||||" global_colors_info="{}"] Over 25 Years of Experience Recommended by 9 of 10 Patients Serving Patients Nationwide [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Make a Decision to Reclaim Your Life" module_class="reclaim spaced centered reduced-mobile-back" _builder_version="4.16" background_image="https://www.thecolemaninstitute.com/wp-content/uploads/2019/02/parents-holding-children.jpg" background_position="top_center" min_height="756px" custom_margin_tablet="" custom_margin_phone="" custom_margin_last_edited="on|phone" custom_padding="||3px||false|false" background_last_edited="on|phone" background_enable_image_phone="off" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" width="60%" width_tablet="" width_phone="" width_last_edited="on|desktop" max_width="60%" max_width_tablet="" max_width_phone="" max_width_last_edited="on|tablet" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" text_font="||||||||" custom_padding="|0px||||" global_colors_info="{}"]Make a Decision to Reclaim Your Life Get back to being yourself with a more comfortable, quicker, safer detox from opiates or alcohol.[/et_pb_text][et_pb_button button_url="tel:8887059615" button_text="CALL NOW AT 888-705-9615" _builder_version="4.27.4" _module_preset="default" custom_button="on" button_icon="||fa||900" button_icon_placement="left" button_on_hover="off" background_layout="dark" global_colors_info="{}"][/et_pb_button][/et_pb_column][/et_pb_row][/et_pb_section] #### Pain Medication Detox [et_pb_section fb_built="1" admin_label="Header" module_class="header on-dark spaced centered" _builder_version="4.16" background_image="https://www.thecolemaninstitute.com/wp-content/uploads/2019/04/tci-happy-man-smiling.jpg" background_position="top_center" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"]Pain Medication Detox The Coleman Method is a safer, faster, and more comfortable way to start your journey toward recovery. Call Now at 877-773-3869[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner List" module_class="banner list on-dark centered" _builder_version="4.16" background_color="#053a72" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" global_colors_info="{}"] Minimize Withdrawal Symptoms Detox in as Little as 3 Days Convenient Outpatient Treatment [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="CTA Banner" module_class="banner cta" _builder_version="4.27.0" background_color="#f5f5f5" da_disable_devices="off|off|off" global_module="14958" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/Anthem-1.png" alt="blue cross blue shield vector logo" title_text="Anthem-1" align="right" align_tablet="center" align_phone="center" align_last_edited="on|tablet" _builder_version="4.27.4" custom_margin_tablet="" custom_margin_phone="" custom_margin_last_edited="on|tablet" custom_padding="25px||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/sentra-1.png" alt="optima health logo edit" title_text="sentra-1" align="left" align_tablet="center" align_phone="center" align_last_edited="on|phone" _builder_version="4.27.4" custom_padding="25px||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.17.4" _module_preset="default" custom_padding="25px||||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.17.4" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.4" text_orientation="center" locked="off" global_colors_info="{}"]Now accepting many Anthem Blue Cross Blue Shield and Sentara plans. We also welcome self-pay patients. Financing options are available.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.19.1" _module_preset="default" custom_margin="||50px||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.19.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.19.1" global_colors_info="{}"]Outpatient Pain Medication Detox Treatment[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"]Why Choose a Medical Detox Off of Opioid Pain Medications? Chronic pain is incredibly difficult to live with and manage. This condition is made even worse by having to manage the prescription opiate painkillers that, over time, can create dependency and lead to withdrawal symptoms when you miss a dose, even if you’ve only ever taken them as prescribed. If you or a loved one are seeking help getting off of opioid pain medication, it’s important to remember: You are not alone. You did not ask for either this pain or the dependence — and you no longer have to live with it. The Coleman Institute has helped many chronic pain patients detox, and 98% of people who start our program successfully complete it. Call Now[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.2" global_colors_info="{}"]How Does the Coleman Method for Withdrawal Management Off of Pain Medication Work? The Coleman Institute’s Accelerated Opioid Detox program is a comfortable, outpatient pain pill detox process that most patients complete in as little as 3-8 days. We use a carefully selected combination of medications and sedatives to completely remove the painkillers or pain pills from your body, without the discomfort you’d experience in a typical detox process. Best of all, many of our chronic pain patients experience less pain once they are off pain medication. After your system is free of opioids, your body resumes the production of endorphins which naturally decreases pain levels. You’re then free to live without the stress of waiting for your next dose of opioid pain medication or finding a prescriber willing to prescribe it. Many patients find they are able to manage their pain using other non-opioid treatment modalities. LEARN MORE[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.19.1" _module_preset="default" custom_margin="||50px||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.19.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.19.1" global_colors_info="{}"]Substance Use Disorder and Opioid Pain Medication[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.2" global_colors_info="{}"]How Can Use of Pain Pills & Pain Medications Lead To Addiction? Chronic pain is incredibly difficult to live with. The situation can be made even worse when you become dependent on the pain medication or pain pills that you trusted to simply alleviate your daily pain, even after taking them only as prescribed. Studies suggest that up to 33% of those that take prescribed opioids for chronic pain end up misusing them, with 10% of them growing a dependency over time. What often begins as a treatment method to alleviate pain, can often become an illness in itself. Pain medications that contain opioids bind to receptors in the brain that regulate pain, release hormones, and produce feelings of well-being. However, these drugs can also release more dopamine than nature ever intended and without good negative feedback systems, the body will reduce its own production of natural endorphins because of the drugs being taken. Over time your brain can become dependent on pain medication for feelings of pleasure, focus, and happiness.[/et_pb_text][et_pb_text _builder_version="4.25.2" global_colors_info="{}"]What Are The Signs of Opioid Pain Medication Addiction? The signs and symptoms of chronic pain medication dependence or addiction vary based on the type of substance, the frequency of use, the other drugs being taken, and even the length of the dependency. However, there are many common signs that an individual has formed a dependence on or addiction to pain medication. Regularly taking higher doses than prescribed Hostility Appearance of being intoxicated, such as low energy or slurring of speech Mood swings Irritability when medication is not available, or the prescribed amount has run out Visiting multiple doctors to obtain the medication legally Using the medication at a faster rate than prescribed Taking the pills in other ways (crushing, breaking, smoking or snorting) Lying about usage Showing withdrawal symptoms when medication isn’t available GET THE FREE GUIDE[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.2" global_colors_info="{}"]Facts About Pain Medication Since the 1990s, opioid-based pain medications have contributed to the opioid crisis in America. Many physicians have stopped prescribing opioids entirely for this reason. The growing dependence on pain medication has opened the door to many individuals to move onto other substances that are cheaper and easier (and illegal) to access. The impact of pain medication addiction and dependence can be felt across the United States. The extended use of pain medications can lead to Opioid-Induced Hyperalgesia or paradoxically increased pain sensitivity. In 2020, over 16,000 people in the U.S. lost their lives to an overdose of prescription pain medication. Roughly 86% of individuals struggling with addiction to heroin were first on prescription pain medication. Street pills, such as Percocet® (an opioid-based pain medication), can cost as much as $5000 a month. Many street pills are sold as a pure opioid, such as Tramadol or Vicodin, but actually contain fentanyl, which is 50x-100x more potent than morphine, making it potentially deadly after just 1 use. [/et_pb_text][et_pb_text _builder_version="4.27.4" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"]What Are The Withdrawal Symptoms From Opioid Pain Medicine? When someone is dependent on pain medications, the brain's chemical makeup has changed, and the user can experience painful, uncomfortable withdrawal symptoms when stopping abruptly. These symptoms can range from mild to severe. Withdrawal when stopping the use of opioid pain medications can be a long, painful path, and symptoms can range from mild to severe. Going through these symptoms without medical assistance can be excruciating and difficult. Common symptoms of heroin withdrawal can include: Sweating or cold sweats Nausea, vomiting, or diarrhea Body aches and cramps Depression and anxiety Severe cravings Chills Agitation and irritability Insomnia Apprehension to experiencing painkiller withdrawal symptoms is common, but don’t let this stop you from considering a pain pill detox. Schedule a callback below to learn more about how our outpatient pain medication detox is the safer, faster, and more comfortable way to get off pain pills or pain medication. Call Now[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Successful Detox CTA" module_class="banner cta centered" _builder_version="4.16" background_color="#f9f9f9" custom_padding="||" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.17.3" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_margin_tablet="" custom_margin_phone="" custom_margin_last_edited="on|phone" custom_padding="|25px|50px|25px|false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.0" global_colors_info="{}"]More than 8,500 Patients Treated with the Coleman Method[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" global_colors_info="{}"][/et_pb_text][et_pb_text _builder_version="4.21.0" text_font_size="18px" width="80%" module_alignment="center" global_colors_info="{}"]The Coleman Method Explained Dr. Peter Coleman discusses the Coleman Method for outpatient opiate detoxification (ambulatory withdrawal management).[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" custom_margin_tablet="" custom_margin_phone="50px||||false|false" custom_margin_last_edited="on|phone" global_colors_info="{}"][/et_pb_text][et_pb_text _builder_version="4.17.1" text_font_size="18px" width="80%" module_alignment="center" global_colors_info="{}"]Long Term Opioid Use Can Make Pain Worse Dr. Peter Coleman of the Coleman Institute for Addiction Medicine explains why long term opioid use can actually make pain worse.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner CTA - Opioid Detox Guide" module_class="banner cta expanded" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_5,3_5" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="2_5" module_class="desktop-only" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.0" global_colors_info="{}"][/et_pb_text][/et_pb_column][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="centered" _builder_version="4.20.2" global_colors_info="{}"]Recovery Starts With Finding The Right Detox Option For You. Download our free Guide to Understanding Pain Medication Detox for an in-depth look at pain medication dependence and addiction, industry-leading detox methods, and addiction recovery treatment options. Get the Free Guide[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Locations" _builder_version="4.17.1" _module_preset="default" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.17.1" _module_preset="default" custom_padding="||50px||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.25.0" global_colors_info="{}"]Find An Outpatient Detox Near You   The Coleman Institute offers a variety of outpatient detox treatment options at locations nationwide. Our ground-breaking Coleman Method has helped thousands of patients recover from the effects of addiction. Whether you want to detox from opiates or alcohol, we can help.   FIND A LOCATION[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="FAQS" _builder_version="4.17.1" _module_preset="default" background_color="#f1faff" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.17.1" _module_preset="default" custom_padding="||50px||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.17.6" _module_preset="default" global_colors_info="{}"]Featured Pain Medication Detox FAQs[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_4,1_2,1_4" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" locked="off" global_colors_info="{}"][et_pb_column type="1_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.17.1" text_font_size="18px" custom_padding="||||false|false" global_colors_info="{}"]How does pain affect my body?Why do opiates (narcotics) make Chronic Pain worse?How will stopping opiate use improve my pain?What is the best way to detox from opiates?Why use Naltrexone therapy?[/et_pb_text][et_pb_text _builder_version="4.17.6" text_font_size="18px" custom_padding="||||false|false" global_colors_info="{}"]VIEW ALL PAIN MEDICATION DETOX FAQS[/et_pb_text][/et_pb_column][et_pb_column type="1_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="off|off|off" admin_label="Testimonials" module_class="testimonials-container centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.17.1" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_padding="||50px||false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.17.1" custom_padding="||20px" global_colors_info="{}"]See What Other Patients are Saying about Coleman Institute...[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" _builder_version="4.17.1" _module_preset="default" custom_padding="||50px||false|false" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.0" _module_preset="default" text_font_size="18px" global_colors_info="{}"] Stacy - Opiates (Painkillers) "I"m free from drugs now."[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.0" _module_preset="default" text_font_size="18px" global_colors_info="{}"] Neile - Opiates (Painkillers) “I had enough of being sick and tired of being sick and tired.”[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" custom_padding="||50px||false|false" global_colors_info="{}"]See More Patient Experiences[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Benefits" module_class="banner on-dark centered spaced" _builder_version="4.16" background_color="#053a72" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row use_custom_gutter="on" gutter_width="1" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="100%" width_tablet="100%" width_phone="" width_last_edited="on|desktop" max_width="100%" max_width_tablet="100%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" global_colors_info="{}"]What are the Benefits Of Pain Medication Detox?[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" use_custom_gutter="on" gutter_width="1" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="100%" width_tablet="100%" width_phone="" width_last_edited="on|desktop" max_width="100%" max_width_tablet="100%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="benefits-section" _builder_version="4.16" global_colors_info="{}"]Outpatient Care Detox in as little as 3 days 98% detox completion rate No hospital stay required[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="benefits-section" _builder_version="4.16" global_colors_info="{}"]Minimal Discomfort Safe, assisted withdrawal process Customized medications to reduce discomfort Caring, compassionate medical professionals who specialize in addiction treatment[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="benefits-section" _builder_version="4.25.0" global_colors_info="{}"]Recovery Support Naltrexone therapy to reduce cravings and reduce the risk of relapse Access to recovery support services[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"]Call Now[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Drug Name Modules" module_class="banner centered spaced" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row use_custom_gutter="on" gutter_width="1" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="100%" width_tablet="100%" width_phone="" width_last_edited="on|desktop" max_width="100%" max_width_tablet="100%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.17.6" global_colors_info="{}"]What Pain Medications Does The Coleman Institute Help People Stop Using?[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row custom_padding_last_edited="on|tablet" admin_label="Row" _builder_version="4.16" _module_preset="default" custom_margin_tablet="" custom_margin_phone="" custom_margin_last_edited="on|desktop" custom_padding="||25px||false|false" custom_padding_tablet="||||true|false" custom_padding_phone="" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.16" text_text_color="#003974" text_font_size="24px" text_orientation="center" custom_margin="||50px||false|false" custom_margin_tablet="" custom_margin_phone="" custom_margin_last_edited="on|phone" locked="off" global_colors_info="{}"]These are just some of the pain medications we treat. For a full list of pain medications treated at the Coleman Institute, please call 877-773-3869.[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" use_custom_gutter="on" gutter_width="1" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="100%" width_tablet="100%" width_phone="" width_last_edited="on|desktop" max_width="100%" max_width_tablet="100%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="benefits-section" _builder_version="4.16" global_colors_info="{}"]Codeine Cough Syrup Darvocet Demerol Dilaudid® Duragesic® Fentanyl Hydrocodone[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="benefits-section" _builder_version="4.16" global_colors_info="{}"]Hydromorphone Lortab Methadone Morphine MS Contin Norco Opana Oxycodone[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="benefits-section" _builder_version="4.16" global_colors_info="{}"]Oxycontin Oxymorphone Percocet® Propoxyphene Roxicodone Tramadol Ultram® Vicodin[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Testimonial and Blog Post" module_class="banner gutterless on-dark" _builder_version="4.16" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="1_2,1_2" use_custom_gutter="on" gutter_width="1" make_equal="on" module_class=" et_pb_row_fullwidth" _builder_version="4.17.1" width="100%" width_tablet="100%" width_phone="" width_last_edited="on|desktop" max_width="100%" max_width_tablet="100%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" module_class="blog-cta" _builder_version="4.17.1" background_enable_image="off" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" global_colors_info="{}"] What To Know About Boosting Energy After Stopping Opioid Medication By Addison Clark It happened again. The office phones had just transitioned to the answering service for the evening when a call came... Read More [/et_pb_text][/et_pb_column][et_pb_column type="1_2" module_class="blog-cta" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" global_colors_info="{}"] Opioids for Chronic Pain: Can My Doctor Refuse to Prescribe Pain Medications? By Addison Clark In an effort to help curb the opioid crisis in our country, more and more doctors are refusing to prescribe... Read More 1 2 3 … 29 Next » [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Form" module_class="centered spaced" _builder_version="4.16" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"]Ready to Reclaim Your Life? Get back to being yourself with our safe and effective method for outpatient detox off of opioid pain medications. Call Now at 877-773-3869[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] #### Prescription Drug Detox [et_pb_section fb_built="1" admin_label="Header" module_class="header on-dark spaced centered" _builder_version="4.16" background_image="https://www.thecolemaninstitute.com/wp-content/uploads/2019/04/tci-happy-man-smiling.jpg" background_position="top_center" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" global_colors_info="{}"]Prescription Drug Detox The Coleman Method offers a more comfortable, quicker, safer option to detox – and start your journey toward recovery. Call Now at 877-773-3869[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner List" module_class="banner list on-dark centered" _builder_version="4.16" background_color="#053a72" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" global_colors_info="{}"] Minimize Withdrawal Symptoms Detox in as Little as 3 Days Convenient Outpatient Treatment [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="CTA Banner" module_class="banner cta" _builder_version="4.27.0" background_color="#f5f5f5" da_disable_devices="off|off|off" global_module="14958" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/Anthem-1.png" alt="blue cross blue shield vector logo" title_text="Anthem-1" align="right" align_tablet="center" align_phone="center" align_last_edited="on|tablet" _builder_version="4.27.4" custom_margin_tablet="" custom_margin_phone="" custom_margin_last_edited="on|tablet" custom_padding="25px||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/sentra-1.png" alt="optima health logo edit" title_text="sentra-1" align="left" align_tablet="center" align_phone="center" align_last_edited="on|phone" _builder_version="4.27.4" custom_padding="25px||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.17.4" _module_preset="default" custom_padding="25px||||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.17.4" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.4" text_orientation="center" locked="off" global_colors_info="{}"]Now accepting many Anthem Blue Cross Blue Shield and Sentara plans. We also welcome self-pay patients. Financing options are available.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.19.1" _module_preset="default" custom_margin="||50px||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.19.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.21.0" global_colors_info="{}"]Outpatient Prescription Drug Detox Treatment[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" global_colors_info="{}"]Why Choose Prescription Drug Detox? At their best, prescription pain medicines provide healing and relief, but unfortunately, many of them are also highly addictive. What starts out as a simple solution for an injury or medical condition can quickly turn into a crippling dependency on opioids. Because prescription drug dependency is a brain condition, weaning yourself off the medicine can feel nearly impossible and abruptly stopping can cause severe withdrawal symptoms. At the Coleman Institute, we believe that you don’t necessarily have to take prescription drugs for the rest of your life in order to manage your chronic pain. We are here to help you detox safely and quickly and will work to give you the best possible chance of a lasting recovery. Due to the effects of opioid-induced hyperalgesia, many patients find that their pain level is actually lower after their detox, and they are able to manage it through other means. Call Now[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" global_colors_info="{}"]How Does The Coleman Method For Prescription Drug Detox Work? The Coleman Institute developed our Accelerated Opioid Detox program to be a comfortable, outpatient process that most patients complete in as little as 3-8 days. By using a carefully selected combination of medications and sedatives, we’re able to remove all the opioids from your body without the discomfort that causes many people who attempt to self-detox to give up. With The Coleman Method for outpatient withdrawal management, in just a few days you can rid your body of prescription drugs and regain control over your life. After the detox is complete, our team works with you to treat any post-acute withdrawal symptoms to ensure that you’re on the best path to complete healing. LEARN MORE[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.21.0" _module_preset="default" custom_margin="50px||50px||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.19.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.19.1" global_colors_info="{}"]Substance Use Disorder for Prescription Drugs[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.21.0" global_colors_info="{}"]How Does Prescription Drug Use Become an Addiction? When used as directed, prescription opioid medications provide many benefits, including pain relief. Unfortunately, many commonly prescribed medications are also highly addictive. What begins as a simple treatment for a medical condition can lead to a debilitating opioid dependence over time. The brain’s opioid receptors are responsible for responding to chemicals that are naturally created in the brain to regulate pain, release hormones, or provide feelings of well-being. However, when synthetic opioids, such as prescription drugs, bind to these same receptors, they can release more dopamine more quickly than nature ever intended. This makes the brain think that it no longer needs to naturally produce as many endorphins as before. Over time, this can cause someone to become more reliant on these prescription opioid drugs to produce the positive effects listed above, leading to dependence. [/et_pb_text][et_pb_text _builder_version="4.21.0" global_colors_info="{}"]What Are The Signs Of Prescription Drug Dependence or Addiction? The signs of prescription drug dependence or addiction will vary based on the type of substance, the other drugs being taken, frequency of use, and length of time a person has been using these drugs. However, there are many common signs of prescription drug dependence or addiction to look out for: Regularly taking higher doses than prescribed Continued use of the drug after the ailment has been treated/cured Appearance of being intoxicated, such slurring of speech or low energy Mood swings Hostility Irritability when medication is not available, or the prescribed amount has run out Deceitful behavior to obtain the prescription drugs Visiting multiple doctors to obtain the medication legally Using the medication at a faster rate than prescribed Taking the pills in other ways (crushing, breaking, smoking or snorting) Lying about usage Showing withdrawal symptoms when medication isn’t available GET THE FREE GUIDE[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" global_colors_info="{}"]Facts About Prescription Drug Addiction The opioid epidemic, which is originally linked to the overprescription of opioids, has led the FDA and DEA to enforce stricter laws on physicians prescribing opioid-based drugs. When doctors are no longer able to prescribe these drugs for long-term use, patients no longer have legal access to obtain these drugs that they have inadvertently developed a dependence on. This leads some to turn to black — or gray market suppliers to stave off withdrawal. Prescription drug dependence and addiction is more prevalent in the United States than many understand. You can form a dependency on prescription opioids after just one use. 18.4%, or 52 million Americans over the age of 12 have purposefully misused their prescriptions. Prescription drugs are the third-most misused illegal substance. Extended use of these prescription drugs can lead to Opioid-Induced Hyperalgesia, or increased sensitivity to pain. Many prescription drugs sold out “on the street” actually contain fentanyl, which is 100x more potent than morphine. [/et_pb_text][et_pb_text _builder_version="4.27.4" global_colors_info="{}"]What Are The Symptoms Of Prescription Drug Withdrawal? When someone develops a dependence on prescription drugs, their brain's chemical structure has physically changed. If they stop using the prescription drug abruptly, they can experience painful, uncomfortable withdrawal symptoms. Withdrawal symptoms can vary based on genetics, the specific drug taken, frequency, and more. Medical supervision is highly recommended. Stopping prescription opioids on your own can be a long, difficult, and painful road. Common prescription drug withdrawal symptoms can include: Sweating or cold sweats High blood pressure Nausea, vomiting, or diarrhea Body aches and cramps Depression Anxiety Severe cravings Racing Heart Chills Fever Agitation and irritability Insomnia Call Now[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Successful Detox CTA" module_class="banner cta centered" _builder_version="4.16" background_color="#f9f9f9" custom_padding="||" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row custom_padding_last_edited="on|phone" module_class=" et_pb_row_fullwidth" _builder_version="4.17.3" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_padding="||50px||false|false" custom_padding_tablet="||50px||false|false" custom_padding_phone="|25px||25px|false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.0" global_colors_info="{}"]More than 8,500 Patients Treated with the Coleman Method[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" global_colors_info="{}"][/et_pb_text][et_pb_text _builder_version="4.21.0" text_font_size="18px" width="80%" module_alignment="center" global_colors_info="{}"]The Coleman Method Explained Dr. Peter Coleman discusses the Coleman Method for outpatient opiate detoxification (ambulatory withdrawal management).[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" custom_margin="||||false|false" custom_margin_tablet="||||false|false" custom_margin_phone="50px||||false|false" custom_margin_last_edited="on|phone" global_colors_info="{}"][/et_pb_text][et_pb_text _builder_version="4.17.1" text_font_size="18px" width="80%" module_alignment="center" global_colors_info="{}"]What To Do If Your Doctor Stops Prescribing Pain Meds Joan Shepard, FNP shares her advice on what to do when their practitioner stops writing them prescriptions for opioid medications.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner CTA - Opioid Detox Guide" module_class="banner cta expanded" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_5,3_5" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="2_5" module_class="desktop-only" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.0" global_colors_info="{}"][/et_pb_text][/et_pb_column][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="centered" _builder_version="4.20.2" global_colors_info="{}"]Recovery Starts With Finding The Right Detox Option For You. Download our free Guide to Understanding Prescription Drug Detox for an in-depth look at prescription drug dependence or addiction, industry-leading detox methods, and addiction recovery treatment options. Get the Free Guide[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Locations" _builder_version="4.17.1" _module_preset="default" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.17.1" _module_preset="default" custom_padding="||50px||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.25.0" global_colors_info="{}"]Find An Outpatient Detox Near You   The Coleman Institute offers a variety of outpatient detox treatment options at locations nationwide. Our ground-breaking Coleman Method has helped thousands of patients recover from the effects of addiction. Whether you want to detox from opiates or alcohol, we can help.   FIND A LOCATION[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="FAQS" _builder_version="4.17.1" _module_preset="default" background_color="#f1faff" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.17.1" _module_preset="default" custom_padding="||50px||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"]Featured Prescription Drug Detox FAQs[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_4,1_2,1_4" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" locked="off" global_colors_info="{}"][et_pb_column type="1_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.17.1" text_font_size="18px" custom_padding="||||false|false" global_colors_info="{}"]How does pain affect my body?Why do opiates (narcotics) make Chronic Pain worse?How will stopping opiate use improve my pain?What is the best way to detox from opiates?Why use Naltrexone therapy?[/et_pb_text][et_pb_text _builder_version="4.17.1" text_font_size="18px" custom_padding="||||false|false" global_colors_info="{}"]View All Prescription Drug Detox FAQs[/et_pb_text][/et_pb_column][et_pb_column type="1_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="off|off|off" admin_label="Testimonials" module_class="testimonials-container centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.17.1" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_padding="||50px||false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.17.1" custom_padding="||20px" global_colors_info="{}"]See What Other Patients are Saying about Coleman Institute...[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" _builder_version="4.17.1" _module_preset="default" custom_padding="||50px||false|false" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.0" _module_preset="default" text_font_size="18px" global_colors_info="{}"] John K - Former Prescription Medication User "I'm free again. I have my life back again."[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.0" _module_preset="default" text_font_size="18px" global_colors_info="{}"] Diane - Opiates (Painkillers) “You're a new mommy now and I love my new mommy”[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" custom_padding="||50px||false|false" global_colors_info="{}"]See More Patient Experiences[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Benefits" module_class="banner on-dark centered spaced" _builder_version="4.16" background_color="#053a72" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row use_custom_gutter="on" gutter_width="1" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="100%" width_tablet="100%" width_phone="" width_last_edited="on|desktop" max_width="100%" max_width_tablet="100%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" global_colors_info="{}"]What are the Benefits of Prescription Drug Detox?[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" use_custom_gutter="on" gutter_width="1" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="100%" width_tablet="100%" width_phone="" width_last_edited="on|desktop" max_width="100%" max_width_tablet="100%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="benefits-section" _builder_version="4.16" global_colors_info="{}"]Outpatient Care Detox in as little as 3 days 98% detox completion rate No hospital stay required[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="benefits-section" _builder_version="4.16" global_colors_info="{}"]Minimal Discomfort Safe, assisted withdrawal process Customized medications to reduce discomfort Caring, compassionate medical professionals who specialize in addiction treatment[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="benefits-section" _builder_version="4.25.1" global_colors_info="{}"]Recovery Support Naltrexone therapy to reduce cravings and the risk of relapse Access to recovery support services[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" global_colors_info="{}"]Call Now[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Drug Name Modules" module_class="banner centered spaced" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row use_custom_gutter="on" gutter_width="1" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="100%" width_tablet="100%" width_phone="" width_last_edited="on|desktop" max_width="100%" max_width_tablet="100%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.17.6" global_colors_info="{}"]What Prescription Opioids Does The Coleman Institute Help People Detox Off Of?[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row custom_padding_last_edited="on|tablet" admin_label="Row" _builder_version="4.16" _module_preset="default" custom_margin_tablet="" custom_margin_phone="" custom_margin_last_edited="on|desktop" custom_padding="||25px||false|false" custom_padding_tablet="||||true|false" custom_padding_phone="" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.17.6" text_text_color="#003974" text_font_size="24px" text_orientation="center" custom_margin="||50px||false|false" custom_margin_tablet="" custom_margin_phone="" custom_margin_last_edited="on|phone" locked="off" global_colors_info="{}"]These are just some of the prescription drugs we treat. For a full list of prescription drugs treated at the Coleman Institute, please call 877-773-3869.[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" use_custom_gutter="on" gutter_width="1" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="100%" width_tablet="100%" width_phone="" width_last_edited="on|desktop" max_width="100%" max_width_tablet="100%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="benefits-section" _builder_version="4.16" global_colors_info="{}"]Buprenorphine Codeine Cough Syrup Demerol Dilaudid® Duragesic® Fentanyl Hydrocodone[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="benefits-section" _builder_version="4.16" global_colors_info="{}"]Hydromorphone Lean Lortab Methadone Morphine Norco Oxycodone Oxycontin[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="benefits-section" _builder_version="4.25.0" global_colors_info="{}"]Percocet® Purple Drank Suboxone Subutex Tiana Tramadol Ultram® Vicodin[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Testimonial and Blog Post" module_class="banner gutterless on-dark" _builder_version="4.16" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="1_2,1_2" use_custom_gutter="on" gutter_width="1" make_equal="on" module_class=" et_pb_row_fullwidth" _builder_version="4.17.1" width="100%" width_tablet="100%" width_phone="" width_last_edited="on|desktop" max_width="100%" max_width_tablet="100%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" module_class="blog-cta" _builder_version="4.17.1" background_enable_image="off" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" global_colors_info="{}"] Taking the First Step in Your Recovery Journey By Addison Clark Here’s a recap of Dr. Peter Coleman’s video on "Taking the first step in your recovery journey”." (more…) Read More [/et_pb_text][/et_pb_column][et_pb_column type="1_2" module_class="blog-cta" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" global_colors_info="{}"] Opioids for Chronic Pain: Can My Doctor Refuse to Prescribe Pain Medications? By Addison Clark In an effort to help curb the opioid crisis in our country, more and more doctors are refusing to prescribe... Read More 1 2 3 … 20 Next » [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Form" module_class="centered spaced" _builder_version="4.16" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" global_colors_info="{}"]Ready to Reclaim Your Life? Get back to being yourself with our safe and effective method for outpatient detox off of prescription drugs. Call Now at 877-773-3869[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] #### Privacy Policy This notice describes how protected medical, drug, and alcohol-related information about you may be used and disclosed and how you can access this information. Please review it carefully. General Information Information regarding your health care, including payment for health care and treatment, is primarily protected by three federal laws: The Health Insurance Portability and Accountability Act of 1996 (HIPAA), 42 U.S.C. § 1320d et seq., 45 C.F.R. Parts 160 & 164; The additional privacy and security requirements enacted under Subtitle D of the Health Information Technology for Clinical Health Act (HITECH), including 45 C.F.R. Sections 164.308, 164.310, 164.312, and 164.316; The Confidentiality Law, 42 U.S.C. § 290dd-2, 42 C.F.R. Part 2. Under these laws, The Coleman Institute may not disclose to any person outside The Coleman Institute that you attend the program, nor may The Coleman Institute disclose any information identifying you as someone with a substance use disorder or share any other protected information about you, except as permitted by federal law. How The Coleman Institute May Use and Disclose Medical Information About You The following list describes how The Coleman Institute may use and disclose your medical information. The examples provided serve as guidance and do not include every possible use or disclosure. For Treatment. We may use and disclose your Protected Health Information to provide, coordinate, or manage your health care and related services. For Payment. We may use and disclose medical information about you to bill for the treatment and services you receive and to collect payment from you, an insurance company, or a third party. We may also disclose information to obtain prior approval from your health plan or to determine coverage for services. For Health Care Operations. We may use and disclose medical information for operational purposes necessary to run The Coleman Institute efficiently and ensure quality patient care. Treatment Reminders. We may use and disclose medical information to remind you of scheduled treatment appointments or procedures. Business Associates. The Coleman Institute may disclose your information to third parties for claims processing, quality assurance, legal, accounting, and administrative functions, provided a Business Associate Agreement is in place. Required by Law. We will disclose medical information when required by federal or state law. To Avert a Serious Threat to Health or Safety. We may disclose information to medical or law enforcement personnel when necessary to prevent a serious threat to your health and safety or the health and safety of others. Sale of The Coleman Institute. In the event of a sale, transfer, merger, or consolidation, The Coleman Institute may disclose medical information to another healthcare entity, except for substance use disorder treatment records, which require your written authorization. Electronic Disclosure. Your medical information may be disclosed orally, in paper format, or electronically. Special Situations We may disclose medical information in the following specific situations: Organ and Tissue Donation. If you're an organ donor, we may release information to organizations handling procurement or transplantation. Military and Veterans. If you are in the armed forces, we may release information as military authorities require. Workers’ Compensation. We may release medical information about workers’ compensation or similar programs that provide benefits for work-related injuries or illnesses. Qualified Personnel. We may disclose information for research, audits, or evaluations, provided your identity is protected. Public Health Risks. We may disclose information to prevent or control disease, report abuse or neglect, and notify individuals at risk of disease exposure. Health Oversight Activities. We may disclose information to oversight agencies for audits, inspections, and investigations. Law Enforcement. We may release information in response to court orders, subpoenas, or when necessary to prevent imminent harm. Coroners, Medical Examiners, and Funeral Directors. We may release information to assist in identifying a deceased person or determining the cause of death. Inmates. If you are in a correctional facility or under custody, we may release information for your care and safety or the facility's security. Other Uses and Disclosures The Coleman Institute will not use or disclose your medical information for purposes not described in this notice, including marketing, unless you provide written authorization. You may revoke such authorization in writing, except where we have already acted upon it. Substance Use Disorder Treatment Medical information related to substance use disorder treatment is specifically protected by federal law (42 C.F.R. Part 2) and will only be used or disclosed under the following circumstances: With your written authorization; As required by a court order or other legal mandate; In a medical emergency to qualified medical personnel; For research, audit, or program evaluation by qualified personnel. If you do not provide written authorization in the event of a sale, transfer, or merger of The Coleman Institute, your information will not be transferred, which may impact your treatment. Additionally, federal law does not protect information about crimes committed by a patient or workforce member of The Coleman Institute, nor does it protect suspected child abuse or neglect, which must be reported as required by state law. Your Health Information Rights Right to Inspect and Copy. You can inspect and request copies of your medical information, except in limited circumstances. Right to Amend. If you believe your records are incorrect, you may request an amendment by submitting a written request to the Privacy Officer. Right to an Accounting of Disclosures. You may request a list of disclosures of your medical information for purposes other than treatment, payment, or healthcare operations. Right to Request Restrictions. You may request restrictions on how we use or disclose your information. While we are not required to agree, we will comply with requests when feasible. Right to Request Confidential Communications. You may request that we contact you in a specific manner or at a particular location, and we will accommodate reasonable requests. Changes to This Notice The Coleman Institute reserves the right to change its privacy and security practices. Any updates will be posted in our facilities and on our website. Complaints If you believe your privacy rights have been violated, you may file a complaint with The Coleman Institute’s Chief Human Resources Officer or with the Office for Civil Rights, U.S. Department of Health and Human Services at 200 Independence Avenue, S.E., Washington, D.C. 20201. We will not retaliate against you for filing a complaint.   #### Rapid Benzodiazepine Detox FAQs [et_pb_section fb_built="1" fullwidth="on" _builder_version="4.16" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_fullwidth_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2018/11/benzohdr-1.jpg" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}"][/et_pb_fullwidth_image][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.22.2" global_colors_info="{}"]Rapid Benzodiazepine Detox FAQs What are benzodiazepines? How do benzodiazepines work? How long are benzodiazepines detectable in the body? What is benzodiazepine dependence? How long does withdrawal from benzodiazepines take to get over? What are the different ways to detoxify from benzodiazepines? What is the difference between inpatient benzodiazepine detox protocol and outpatient detox? What is the Rapid Benzodiazepine Detoxification (RBD) program? Who is a good candidate for the RBD? What are patient expectations and requirements to be considered for the RBD Treatment? What is Flumazenil therapy and why is it important? Is rapid benzo detox with flumazenil a form of Medication-Assisted Treatment? Are there any risks and side effects? How do patients feel during the detox? What happens after the detoxification?   1. What are Benzodiazepines? Benzodiazepines, also known as benzos, are a class of medications used for anxiety, insomnia, panic attacks and other medical disorders. The benzodiazepine class of drugs includes Valium (Diazepam), Ativan (Lorazepam), Xanax (Alprazolam), Klonopin (Clonazepam), and Restoril (Temazepam). 2. How do benzodiazepines work? Benzodiazepines are powerful drugs that attach to the Gamma–Amino–Butyric-Acid (GABA) receptors in the brain. The GABA system in the brain is part of our “sedation” or calming down system. The GABA system helps us to feel calm and relaxed when we are under stress or feeling upset. In a normal situation, whenever we feel anxiety or stress, we all produce extra GABA molecules and this extra GABA attaches to our GABA receptors. This helps us feel calm and relaxed. It can also help us to sleep. 3. How long are benzodiazepines detectable in the body? Benzodiazepines' detectability in the body varies based on the specific drug, the dose, the frequency of use, an individual's metabolism, and the type of test administered. In general, benzodiazepines can typically be detected in urine for 3 to 7 days after use. However, some long-acting benzodiazepines might be detectable for up to a month. They can usually be found in the blood for 24 to 48 hours after use, depending on the specific drug and dose. Detection in saliva is similar to blood, ranging from 24 to 48 hours. Benzodiazepines can be detected in hair follicles for up to 3 months after use. 4. What is benzodiazepine dependence? Benzodiazepine dependence is a condition where people have been taking these benzodiazepine drugs and the body has become physically dependent on them. This dependence usually happens within a period of weeks or months. When patients take any kind of benzodiazepine, the body essentially shuts down its own GABA production and then the body has very limited ability to feel calm or relaxed. If the person stops taking their benzodiazepine or even starts weaning off, patients feel severe anxiety and restlessness. Symptoms of benzodiazepine withdrawal include agitation, anxiety, panic, flushed feeling, increased pulse rate, increased blood pressure, sweating, and insomnia. The symptoms can even progress to seizures, confusion, and a loss of contact with reality. Some patients have a relatively easy withdrawal, but for others, benzo detox can be a very difficult process. 5. How long does withdrawal from benzodiazepines take to get over? There are two phases to benzodiazepine withdrawal: Acute phase – lasting 7 days to 90 daysPost-Acute Withdrawal Syndrome (PAWS) – in some cases, lasting up to 2 years The length of time to get benzos out of your system varies according to the benzodiazepine that the patient was taking. A short acting drug, like Xanax, has a short acute withdrawal phase, usually lasting around 7 days. A long acting benzodiazepine, like Valium, can have acute withdrawal symptoms which last 90 days. The Post-Acute Withdrawal Syndrome (PAWS) Phase is usually mild and essentially consists of a slight increase in anxiety and insomnia. Patients find themselves worrying more than they need to, but this goes away over time. The symptoms can usually be helped with a combination of counseling, support and sometimes non-addictive medicines. 6. What are the different ways to detox from benzodiazepines? The acute benzodiazepine withdrawal takes so long that it is almost never performed in a hospital. Insurance companies usually don’t want to pay for patients to stay in a hospital long enough to complete the withdrawal period. The withdrawal method that most doctors recommend is for patients to wean down from the benzodiazepine that they are taking. Sometimes, doctors will switch from one benzodiazepine to a longer acting one such as Klonopin, to try to make this process easier. Doctors will usually try to get their patients to wean down by about 10% per week. This means the detox may be able to be completed in about 10 weeks. Unfortunately, this slow taper is almost never successful. The benzo withdrawal symptoms are just so strong that most patients are unable to tolerate them. Most patients suffer with severe anxiety, increased insomnia and panic attacks. They feel so bad that usually they go back up on their dose. Success rates of tapering benzodiazepines are very low. 7. What is the difference between inpatient benzodiazepine detox protocol and outpatient detox? Inpatient detox refers to a structured and medically supervised environment where patients stay at a facility while undergoing the process of detoxification from benzodiazepines, providing round-the-clock medical supervision and immediate care. Our benzo detox is an outpatient program that allows patients to return home during treatment. This approach uses medications like flumazenil and can be more convenient and less intrusive in daily life. 8. What is the Rapid Benzodiazepine Detoxification program? This outpatient program uses an benzo detox protocol that can complete the acute withdrawal process in as few as 8 days. The patient stops their benzodiazepines, and is started on a subcutaneous infusion or injection of Flumazenil. The Flumazenil usually provides good relief for the withdrawal symptoms, and at the same time actually removes the benzodiazepines from the patient’s body. All patients must have a support person who will be with them throughout the rapid benzo detox. During the whole period, most patients usually remain fairly comfortable, and at the end of 8 days, they are free of the benzodiazepines. 9. Who is a good candidate for the Rapid Benzodiazepine Detox? People can become addicted to Benzos for a number of reasons. In order to predict if you are a good candidate for the Rapid Benzodiazepine Detox procedure, we will take into consideration the reason you began using Benzodiazepines. This will also help to predict how easy it will be to get off of the drugs and stay off of them. Patients generally fall into one of the following three categories of use: A. Using benzos as part of a drug addiction problemMany people abuse multiple drugs and often using Xanax or other benzos is part of their drug addiction. These people tend to complete our outpatient benzo detox protocol fairly easily, they feel better fairly quickly, and they have few PAWS. Also, be aware patients cannot detox off benzos and other drugs at the same time. B. Using Benzos for a short term stress situationMany people are prescribed a benzo for a stressful situation such as relationship stress, business stress, loss of a loved one, etc. They may be prescribed Ambien for sleep or another benzo to use, as needed. Frequently, they become hooked on this benzo and cannot stop. These patients are good candidates for the Benzodiazepine Detoxificiation provided the original source of stress has been worked through and they have a good support system. C. Using Benzos for a chronic anxiety disorderUnfortunately, some patients have a chronic anxiety disorder, which may include generalized anxiety, panic attacks, or PTSD attacks. For some patients, this condition has been present for a long time and will require further counseling and treatment in the future. Frequently, patients with these conditions are prescribed Xanax or Clonopin or other benzos, often along with other medicines. These patients tend to have difficult time completing their benzodiazepine detox protocol, even with our program. Because the anxiety disorder will continue to affect patients after detox, patients tend to have a difficult time with symptoms after treatment. It is essential that these patients have a therapist and a psychiatrist who will work with them post detox. 10. What are patient expectations and requirements to be considered for the Rapid Benzodiazepine Detoxification Treatment?  The cost of the Rapid Benzo Detox treatment is approximately $8,725, depending on the location of the treating office. This does not include transportation, lodging or meals. Commit to having a psychiatrist or other medical doctor prior to beginning the detox and to see you for follow-up after the detoxification. Have a therapist who will provide ongoing therapy after the detox. Complete the health screening form in its entirety and agree to all of the conditions for the detox. Have a support person for the duration of the detox treatment process. 11. What is Flumazenil therapy and why is it important? Flumazenil for benzo detox is extremely effective because it attaches tightly to the benzodiazepine receptors. It is called a “partial agonist” and a “partial antagonist”. This means that the Flumazenil goes to the GABA receptors and binds so tightly to them that it actually displaces or pushes away any other benzodiazepines that the patient was taking. It then also very lightly turns on the switch so it provides some relief of withdrawal symptoms. Using Flumazenil for benzo withdrawal seems to stabilize the receptors so that patients feel comfortable and have less withdrawal symptoms. Interestingly, some clinicians believe that the Flumazenil actually re-sets the GABA receptors, back to a normal state, so that after the therapy is completed, most patients seem to lose their desire for any benzodiazepines. They also seem to lose a lot of their anxiety and panic symptoms. It is fairly easy for most patients to stay off the benzodiazepines. In this way it seems to greatly reduce the PAWS that patients usually experience. 12. Is rapid benzo detox with flumazenil a form of Medication-Assisted Treatment? Yes, rapid benzo detox with flumazenil can be considered a form of Medication-Assisted Treatment (MAT). MAT typically refers to the use of medications to aid in the treatment of substance use disorders. Flumazenil, an antagonist of benzodiazepines, helps accelerate the detoxification process by displacing benzodiazepines from their binding sites in the brain. Like all MAT approaches, the goal is not just to address physical dependence but to provide comprehensive support for long-term recovery. 13. Are there any risks and side effects? All medical procedures have some risks associated with them. Flumazenil has been associated with seizures in about 1-3 % of patients when it is used for treating an overdose. If a patient takes a large dose of a benzodiazepine, most ER physicians give a large dose of Flumazenil to quickly reverse the benzodiazepine. About 1-3 % of these patients will have a seizure. However, the doses we use in our rapid detox protocol are less than 1% of those given for overdose patients. We routinely use medicines to decrease any chance of seizures. We believe the risk of seizures is very low. 14. How do patients feel during the detox? Most of our patients feel quite comfortable during the rapid benzo detox. Most patients have not experienced severe withdrawal symptoms. They have generally eaten and slept well throughout the whole 8 days. They have also not experienced severe post-acute withdrawal symptoms after the detoxification is complete. A small number of patients have experienced an increase in withdrawal symptoms as the Flumazenil is pushing their benzodiazepines out of their system. We use medicines to help with any discomfort, and as the detoxification continues, their withdrawal symptoms get better. 15. What happens after Rapid Benzodiazepine Detoxification? After the detoxification, some patients benefit from non-addictive medications to help with making sure anxiety and depression do not return. We always recommend counseling and support groups. Again, there is a need to commit to having a psychiatrist or other medical doctor who agrees to see you in follow up after the detoxification.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.16" custom_margin="100px|||" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" global_colors_info="{}"]Let's Take the Next Step Together.Have questions or want to learn more? Contact us today at 804-294-2212. [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] #### Richmond Accelerated Fentanyl Detox [et_pb_section fb_built="1" fullwidth="on" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_fullwidth_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2018/11/naltrexonehdr-1.jpg" alt="Butterfly landing on a branch to demonstrate the easy and comfortable way to detox: The Coleman Method" title_text="Butterfly landing on a branch" _builder_version="4.24.2" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}"][/et_pb_fullwidth_image][/et_pb_section][et_pb_section fb_built="1" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="3_5,2_5" _builder_version="4.24.3" width="89%" max_width="89%" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" text_font_size="18px" global_colors_info="{}"]Detox from Fentanyl Quickly And Comfortably At The Coleman Institute In Richmond, VA If you or a loved one are suffering from an addiction to Fentanyl, know this one key fact: You are not alone. Opiates are the most addictive drugs, and they can cause dependence the first time anyone uses them. Often, people judge opiate addiction as a sign of weakness. But this couldn’t be further from the truth. Opiate addiction is not a personality flaw — it’s a chronic disease. When someone becomes addicted to Fentanyl, the drug hijacks the brain’s chemical production. As a result, their brain stops making enough of the endorphins needed to feel happy and reduce pain. Our Fentanyl Detox helps to remove these harmful chemicals, so endorphin levels can eventually return back to normal. The misery you feel from trying to detox on your own is natural. But it’s not the only path toward the addiction-free life you deserve. With Fentanyl Detox using the Coleman Method, you can quickly, safely detox from Fentanyl without going through the agonizing withdrawal symptoms that come with self-detox or disrupting your life with an extended stay in a rehab facility or hospital. Benefits of the Coleman Institute’s outpatient Fentanyl Detox program in Richmond, VA: Outpatient Fentanyl detox in as few as 5 days Outpatient program - no stays in a hospital or rehab facility No general anesthesia required Safe, comfortable withdrawal assisted by non-addictive medications Compassionate support from medical professionals who understand addiction Long-term medication support using Naltrexone Therapy Assistance with making long-term plans to maintain sobriety. You deserve a better life. You deserve freedom from Fentanyl addiction. Let’s take the next step together. Call Us Now at 877-773-3869. SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][et_pb_column type="2_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" text_font_size="18px" global_colors_info="{}"] The Coleman Institute for Addiction Medicine - Richmond204 N. Hamilton Street, Suite BRichmond, VA 23221877-773-3869 Team Members Available for Questions by Phone between 9:00 AM - 10:00 PM EST Office HoursMonday - Thursday 8:30 AM - 5:00 PM ESTFriday 8:30 AM - 4:30 PM EST[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner Link List" module_class="banner list on-dark centered" _builder_version="4.16" background_color="#053a72" custom_padding="||" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.24.2" text_font="||||||||" global_colors_info="{}"] Minimize Withdrawal Symptoms Detox in as Little as 5-6 Days Convenient Outpatient Treatment [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="off|off|off" admin_label="Testimonials" module_class="spaced centered" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.17.0" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_padding="||0px||false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" custom_padding="||2px|||" global_colors_info="{}"]See What Our Richmond Heroin Detox Patients Have To Say…[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" make_equal="on" module_class="testimonials" _builder_version="4.16" width="89%" max_width="89%" max_width_tablet="" max_width_phone="" max_width_last_edited="on|desktop" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" text_font_size="18px" global_colors_info="{}"]“The staff was incredibly non-judgmental, and empathetic, and I honestly feel like they cared about me and my comfort as a patient. They’re able to react dynamically in accordance with the specific needs of me as a patient. I never thought I’d get off Fentanyl…from the ladies answering the phones, to the nurses, to the doctors, and the rest of the staff, these folks are miracle workers with angel wings. Thank you for setting me free.” Opioid Patient — Richmond, VA, October 2020[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" text_font_size="18px" global_colors_info="{}"]“Very nice and professional!! It’s good to see Dr. Coleman is still around and active! Makes me feel very important when u see the man that started it all!! Wonderful!! All of the staff was very helpful and treated you like you’re somebody instead of an addict. Only way I have found to stay clean!! Jason – Richmond, VA, March 2019[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" text_font_size="18px" global_colors_info="{}"]“I’ve never met a fine staff of medical people who took the time to answer all my questions and attend to my needs. As I understand my detox from 125 mg of Fentanyl, I can’t begin to express my gratitude for getting me off this deadly medication! All of you should be commended for a job well done! Thank you so very much!!” Richmond, VA, August 2017[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" custom_padding="||50px||false|false" global_colors_info="{}"]View More[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" global_colors_info="{}"]How Big a Problem Is Fentanyl In Virginia? The opioid epidemic is a big problem in Virginia, and Fentanyl has played an outsized role in addiction, overdoses, and overdose deaths. According to recent data from the Virginia Department of Health, Fentanyl overdoses in Virginia began to rise every year starting in 2013. There was a particularly sharp increase in 2016, then another even sharper increase in 2020, and they reached an all time high of 2,039 yearly deaths in 2021. As a point of comparison, there were only 50 recorded deaths attributed to Fentanyl overdose in 2012. That’s a 3978% increase in yearly Fentanyl overdose deaths in only 9 years. To compare those two years again, in 2012, Fentanyl use was involved in around 6.3% of all drug overdose deaths in Virginia. By 2021, that percentage had skyrocketed, with Fentanyl use contributing to around 76% of all drug overdose deaths in Virginia. Because of this extreme rise in Fentanyl overdose deaths, fatal drug overdose has been the #1 cause of unnatural death in Virginia since 2013, and has killed more Virginians than gun-related deaths and motor vehicle deaths combined since 2020. There are many reasons for the rise of Fentanyl use and addiction in the U.S., but perhaps the most impactful is that it’s less expensive than heroin and much more potent, which makes it easier to produce, transport, and store. It’s so powerful and cheap that many street drugs - including cocaine, heroin, other opioids - are cut with it or even fully replaced by it. Many of our detox patients are shocked when we detect Fentanyl in their system because they had no idea that they had been purchasing and using Fentanyl or drugs that had been cut with Fentanyl. There’s a reason that the DEA’s anti-Fentanyl campaign is called “One Pill Can Kill” - that’s because it’s true. There is no quality control in the world of street drugs. You have no idea what is actually in them, and you may not find out until it’s too late. If you or someone you know is suffering from Fentanyl, please know that you are not alone. We are here to help. Call 877-773-3869 now or schedule a callback using the button below to learn more about our Fentanyl Detox program. SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner CTA - Opioid Detox Guide" module_class="banner cta expanded" _builder_version="4.24.3" background_color="#f1faff" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_5,3_5" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="2_5" module_class="desktop-only" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.0" global_colors_info="{}"] [/et_pb_text][/et_pb_column][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="centered" _builder_version="4.20.2" global_colors_info="{}"]Recovery Starts With Finding The Right Detox Option For You. Download our free Guide to Understanding Fentanyl Detox or an in-depth look at fentanyl addiction, industry-leading detox methods, and addiction recovery treatment options. Get the Free Guide[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.3" global_colors_info="{}"]What To Expect From Our Fentanyl Detox Program In Richmond, VA We understand that Fentanyl is a particularly challenging opioid to detox from because its potency makes it extremely addictive and can cause severe withdrawal symptoms. We’re here to help you through this process every step of the way. Here’s what you can expect from an outpatient Fentanyl detox using the Coleman Method: Getting Started: When you decide you’re ready, call us at 877-773-3869 or request a callback from one of the Care Advocates on our Richmond, VA team. During the initial call, your Care Advocate will answer any questions you may have about our approach to Fentanyl detox and help you choose the dates when you want to start the detox process. We can typically start your treatment within a week of your first call. Before Your Appointment: We ask all of our Fentanyl detox patients to stop using Fentanyl at least 16 to 48 hours before their first scheduled appointment, based on guidance from our physicians. We also ask that all of our Fentanyl detox patients have a support person present for the duration of their detox and for 48 hours after the completion of detox. As Fentanyl is a particularly difficult drug to detox from, the participation of this support person is especially important. Patients in detox should not drive a motor vehicle and should be monitored at all times to ensure their safety. Your First Appointment: When you arrive at our Richmond, VA detox center for your first appointment, you will likely be in mild withdrawal from stopping Fentanyl use. One of our experienced, licensed practitioners will begin administering your tailored regimen of comfort medications, which continues throughout the day, to help relieve your withdrawal symptoms. Your practitioner will also administer microdose Naltrexone. Intermediate Appointments: The intermediate days of outpatient accelerated Fentanyl treatment are much like the first day. Your practitioner will continue to manage and provide tailored doses of comfort medications according to your individual needs, and will continue the microdose Naltrexone. Final Appointment: By the time of the final appointment, you will have made significant progress in detoxing from Fentanyl. On the final day, you will rest comfortably in a private room at our Richmond detox facility while the remaining opioids are gently removed from your brain. The last leg of the detox process typically takes around 6 to 8 hours, and patients are monitored closely during this time to ensure everything is going as it should. After this last appointment, Fentanyl detox is complete and you will be given an injection of long-lasting Naltrexone to help reduce cravings in the weeks following detox. SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.3" global_colors_info="{}"]Why Choose The Coleman Institute’s Fentanyl Detox Program – A Fast, Comfortable Detox Option Most people will not be able to stop using Fentanyl without experiencing serious withdrawal symptoms. The discomfort and possible danger of these symptoms lead most who want to quit to seek out a medical detoxification program. There are several common Fentanyl detox options in the Richmond, VA area: Self-Detox: We do not recommend attempting to self-detox from Fentanyl. Fentanyl is an extremely potent opioid, and trying to stop using it on your own could be very uncomfortable and potentially dangerous. Sudden stoppage of Fentanyl use (“going cold turkey”) can result in extreme physical discomfort and mental distress, and symptoms could become so extreme that they become life-threatening. Attempts to taper off your usual dose of Fentanyl to try to wean yourself off of it almost never succeed. Most who try to detox from Fentanyl themselves end up relapsing to get relief from the withdrawal symptoms. We highly recommend that you seek help from a professional when you’re ready to stop. Inpatient Detox: The typical inpatient Fentanyl detox program requires the patient to stay in a rehab facility or hospital for an extended period of time while medical professionals monitor the patient and administer medications to help with withdrawal pains and discomfort. The length of time the patient is required to stay depends on their condition, but it can be as long as 30 days or more. Such a long stay in rehab can be very disruptive to the patient’s daily responsibilities and can result in considerable medical expenses. Ultra Rapid Opioid Detoxification (URD or UROD): URD or UROD is a method of inpatient Fentanyl detox where a patient is admitted to a hospital, put under general anesthesia, and given doses of opioid antagonists like Naltrexone intravenously. This method can fully flush the Fentanyl out of a patient’s system in as little as five minutes, but this treatment is extremely expensive and can have serious health risks. There have been some reported fatalities after Ultra Rapid Opioid Detoxification. Our clinic has not used this method for detox since 2001. Methadone or Buprenorphine: Methadone and Buprenorphine (Suboxone) have both been useful medications for treating Fentanyl addiction. When used under the supervision of an experienced addiction specialist, they can help people who want to stop using Fentanyl transition to these relatively less dangerous opioids. However, the fact remains that Methadone and Buprenorphine are still opioids. Detoxing from Methadone or Buprenorphine when you want to stop using opioids altogether can be a challenge because they still cause withdrawal symptoms. Many of our patients have told us that detoxing from Methadone and Buprenorphine can be more difficult than detoxing from other opioids. Our Outpatient Fentanyl Detox Program: The Coleman Method of Fentanyl detoxification uses tailored doses of comfort medications alongside Naltrexone Therapy to help people detox from Fentanyl in as little as 5 days without the risks or costs associated with traditional programs and with as little disruption to daily activities and responsibilities as possible. The program has a 98% completion rate, and we think this statistic speaks for itself. SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" custom_padding_last_edited="on|phone" admin_label="Insurances Accepted" module_class="spaced centered" _builder_version="4.17.0" custom_padding="||50px||false|false" custom_padding_tablet="||0px||false|false" custom_padding_phone="||0px||false|false" da_disable_devices="off|off|off" global_module="15824" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.24.2" text_font="||||||||" global_colors_info="{}"]Insurance Accepted For Detox Treatments At Our Richmond, VA Location The Coleman Institute's Richmond, VA office is in-network with many Blue Cross Blue Shield plans, including Anthem Virginia PPO and HMO plans. We also accept Sentara plans. We are constantly expanding our in-network coverage, so please contact us to see if we accept your insurance.[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" _builder_version="4.17.0" _module_preset="default" custom_margin_tablet="" custom_margin_phone="25px||25px||false|false" custom_margin_last_edited="on|phone" custom_padding="50px||50px||false|false" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/Anthem-1.png" alt="BCBS LOGO" title_text="Anthem-1" align="right" _builder_version="4.27.4" _module_preset="default" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/sentra-1.png" title_text="sentra-1" align="left" module_class="align-left" _builder_version="4.27.4" _module_preset="default" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.24.2" text_font="||||||||" global_colors_info="{}"]Call 877-773-3869 or schedule a callback to check your insurance coverage.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="0px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_4" show_border="off" _builder_version="4.16" text_orientation="center" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Richmond Accelerated Hydrocodone Detox [et_pb_section fb_built="1" fullwidth="on" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_fullwidth_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2018/11/heroindetoxhdr.jpg" alt="Green meadow with grass and trees" title_text="Green meadow with grass and trees" _builder_version="4.24.2" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}"][/et_pb_fullwidth_image][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="3_5,2_5" _builder_version="4.24.3" width="89%" max_width="89%" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" text_font_size="18px" global_colors_info="{}"]Fast, Comfortable Hydrocodone Detox at the Coleman Institute in Richmond, VA If you or someone you know are struggling with Hydrocodone use, the Coleman Institute’s Richmond, VA Hydrocodone Detox program could be just the addiction treatment program you’ve been looking for. The Coleman Institute - Richmond is located in Central Virginia at the crossroads of I-95 and 64, about 1.5 hours from Washington, D.C., and 1.5 hours from Virginia Beach. We’ve treated over 8,500 patients using the Coleman Method and our outpatient detox program has a 98% completion rate. Detoxing from Hydrocodone using the Coleman Method will allow you to detox without suffering through the severe withdrawal symptoms that accompany attempts to self-detox or putting your life on hold for an extended stay in inpatient rehab. Our program doesn’t take weeks or months to complete. It can be completed in as little as 3 days on an outpatient basis. Patients who live close to our Richmond, VA facility can return home every day during treatment, and patients who live further away can spend their nights in one of the many nearby hotel or Airbnb accommodations. Benefits of the Coleman Institute’s outpatient Hydrocodone Detox program in Richmond, VA: Detox from Hydrocodone in as few as 3 days No hospitalization or general anesthesia required Safe, assisted withdrawal with non-addictive medication Naltrexone therapy to reduce cravings Support from caring professionals who understand addiction Assistance with creating a post-detox plan to maintain sobriety You deserve a better life. You deserve freedom from Hydrocodone addiction. Let’s take the next step together. Call Us Now at 877-773-3869.   SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][et_pb_column type="2_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" text_font_size="18px" global_colors_info="{}"] The Coleman Institute for Addiction Medicine - Richmond204 N. Hamilton Street, Suite BRichmond, VA 23221877-773-3869 Team Members Available for Questions by Phone between 9:00 AM - 10:00 PM EST Office HoursMonday - Thursday 8:30 AM - 5:00 PM ESTFriday 8:30 AM - 4:30 PM EST[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner Link List" module_class="banner list on-dark centered" _builder_version="4.16" background_color="#053a72" custom_padding="||" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.24.2" text_font="||||||||" global_colors_info="{}"] Minimize Withdrawal Symptoms Detox in as Little as 3-8 Days Convenient Outpatient Treatment [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="off|off|off" admin_label="Testimonials" module_class="spaced centered" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.17.0" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_padding="||0px||false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" custom_padding="||2px|||" global_colors_info="{}"]See What Our Richmond Opioid Detox Patients Have To Say…[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" make_equal="on" module_class="testimonials" _builder_version="4.16" width="89%" max_width="89%" max_width_tablet="" max_width_phone="" max_width_last_edited="on|desktop" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" text_font_size="18px" global_colors_info="{}"]“This is one of the only places I know of that provides AFFORDABLE quality care for addiction issues. My loved one is almost one year clean today. It wasn’t easy, he worked hard, but the plan put in place has been working and we owe TCI a debt of gratitude. Thanks for doing what you all do and trying to help people. Every state in the country needs a clinic like this to finally address this epidemic.” Mr. Chiefly - Richmond, VA, 2023[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" text_font_size="18px" global_colors_info="{}"]“I have battled addiction to opiates from the young age of sixteen. The Coleman institute was the most caring and concerned treatment facility I have ever come across. The protocols they have in place made my detox from methadone easier then I ever expected. This is the one and only program I would ever recommend for someone struggling with addiction.” Travis Thompson - Richmond, VA, 2016 [/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" text_font_size="18px" global_colors_info="{}"]“Completely impressed with the Coleman Institute. The philosophy and approach were exactly what we needed. Dr. Coleman was able to see us on short notice and begin treatment. The staff is very experienced, knowledgeable, patient, and empathetic to both patients and support person. They provide a different detox experience with long term success in mind. Highly recommend.” Mary Davie - Richmond, VA, 2021[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" custom_padding="||50px||false|false" global_colors_info="{}"]View More[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" global_colors_info="{}"]How Big a Problem are Prescription Opioids Like Hydrocodone in Virginia? Opioid use has been a major public health issue in Virginia, and prescription opioids like Hydrocodone have played a big part in the escalation of the crisis. Hydrocodone is an opioid medication used to treat severe pain. It’s very useful for that purpose, but forming an addiction or dependence to Hydrocodone can be surprisingly easy. Hydrocodone can hijack the brain and cause it to stop producing endorphins naturally, which is a major problem. Endorphins make us feel better, increase pleasure, minimize pain, and improve our overall mood. If the brain stops making these hormones naturally, any pain relief or pleasure a person might feel will have to come from an outside source like Hydrocodone, so users become dependent. Detoxing can help endorphin levels return to normal, but it is a very difficult process without proper medical help. In 2019, the Stamford Institute for Economic Policy Research published a policy paper that contains data from the Centers for Disease Control and Prevention (CDC) and the Drug Enforcement Administration (DEA) that shows a strong correlation between a rise in prescriptions for opioid medications like Hydrocodone between the years 2000 and 2010 and a concurrent 300 percent increase in deaths involving opioid overdose. Doctors have reduced the number of opioid prescriptions they give out to try to reverse this trend. The Virginia Hospital and Healthcare Association (VHHA) shared data that shows a decline in the number of opioid prescriptions written in 2015 and 2016. But even with this decline, the danger of addiction remains for patients who still need these medications to manage their pain, and these medications can still be obtained on the street illegally. In 2022, the Virginia Department of Health reported some startling facts that show how opioids are still affecting Virginians: 2,490 total deaths from drug overdose 79% of these deaths involved opioids 22,398 emergency department visits due to drug overdose 412 Virginia infants under 1 year old hospitalized with Neonatal Abstinence Syndrome (NAS) because of maternal opioid use If prescription opioids like Hydrocodone have negatively impacted your life or the life of someone you know, you aren’t alone. We are here to help. Call us now at 877-773-3869 or schedule a callback with the button below to learn more about our outpatient Hydrocodone Detox. SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner CTA - Opioid Detox Guide" module_class="banner cta expanded" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_5,3_5" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="2_5" module_class="desktop-only" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.0" global_colors_info="{}"][/et_pb_text][/et_pb_column][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="centered" _builder_version="4.20.2" global_colors_info="{}"]Recovery Starts With Finding The Right Detox Option For You. Download our free Guide to Understanding Pain Medication Detox for an in-depth look at pain medication dependence and addiction, industry-leading detox methods, and addiction recovery treatment options. Get the Free Guide[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" global_colors_info="{}"]What To Expect From Our Hydrocodone Detox Program In Richmond, VA Because of the way Hydrocodone can hijack your brain’s ability to produce endorphins, it can be a particularly difficult drug to detox from. Choosing the right detox program is a crucial first step on your journey toward freeing yourself from dependence and addiction. We’re here to help you every step of the way. Here’s what you can expect if you decide to try our Hydrocodone Detox program using the Coleman Method: Getting Started: Get started by calling us at 877-773-3869 or request a callback from one of our Care Advocates. During the initial call, we will answer any and all questions you have about the Coleman Method’s approach to Hydrocodone detox and can also help you choose the dates you want to schedule your treatment. We can typically schedule your treatment within a week - there is no waiting list. Before Your Appointment: We ask all of our Hydrocodone detox patients to stop using their Hydrocodone 16 to 48 hours before their first appointment, based on guidance from our physicians. We also ask you to bring a support person who can be present for the duration of the detox program and for 48 hours after detox has concluded. Patients in detox should not drive motor vehicles and should be monitored at all times to ensure safety and comfort. Your 1st Appointment: When you arrive at our Richmond, VA facility for your first appointment, you will be in mild withdrawal from stopping your Hydrocodone use. An experienced, licensed practitioner will give you tailored doses of comfort medications to help you manage your withdrawal symptoms. You will also be given micro-dose Naltrexone. Intermediate Appointments: The intermediate days of Hydrocodone Detox are very similar to the initial appointment. Your practitioner will continue to administer tailored doses of comfort medications according to your specific needs, and you will continue being treated with micro-dose Naltrexone. Final Appointment: By the time of your final appointment, you will have made significant progress. On the last day, you can rest comfortably in your own private room in our Richmond, VA detox center while the remaining Hydrocodone is gently removed from your brain. This process typically takes about 6 to 8 hours, during which time you will be closely monitored to ensure that you are safe and that detox is proceeding as it should. After this process has ended, detox is complete. You will be given long-acting Naltrexone which allows Naltrexone to be slowly released into your system over the course of several weeks to help curb cravings for opioids. This will give you the support you need to start living your new, addiction-free life. SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.3" global_colors_info="{}"]Why The Coleman Institute’s Hydrocodone Detox Program - The Fast And Comfortable Option The endorphin hijacking properties of Hydrocodone make it an especially difficult opioid to stop using without help. Most people who try to quit without medical assistance go through severe withdrawal symptoms and quickly realize that they will most likely need the assistance of a medical detox program to stop using the drug and get into recovery. Here are some common detox options available in the Richmond, VA area: Self-Detox: Trying to stop using Hydrocodone without help can be extremely uncomfortable and potentially dangerous. “Going cold turkey” and trying to stop use suddenly can result in severe physical and mental distress, and these symptoms could end up being life-threatening. Some people attempt to stop using Hydrocodone by tapering off their dose gradually in an attempt to wean themselves off of it. This almost never works. Self-detox attempts usually result in relapse as the user seeks relief from their withdrawal symptoms. Because of the possible health risks and high probability of relapse, we do not recommend attempting to self-detox. Inpatient Detox: Inpatient detox from Hydrocodone involves a lengthy stay in a hospital or rehab facility where addiction specialists monitor the patient’s condition and prescribe medications to alleviate any withdrawal symptoms they may experience. The length of a stay in inpatient rehab can vary depending on the patient’s condition, but it can last upwards of 30 days in some cases. A long stay like that can be very disruptive to a patient’s life and can also end up being very expensive. Ultra Rapid Opioid Detoxification (URD or UROD): This inpatient detox method involves putting a hospitalized patient under general anesthesia and giving them large doses of opioid antagonists like Naltrexone intravenously. This can fully flush the Hydrocodone out of a person’s system in as little as five minutes, but the procedure is extremely expensive and can come with significant health risks. There have been some fatalities reported following this treatment. The Coleman Institute has not performed an ultra rapid detox since 2001 because of these risks. Methadone or Buprenorphine: Methadone and Buprenorphine can be very useful medications for people suffering from addiction to opioids like Hydrocodone. When administered properly by a medical professional, they can help people transition away from more dangerous opioids to a safer legal (when prescribed) alternative. But it’s important to keep in mind that Methadone and Buprenorphine are both opioids themselves. They are also addictive substances, and stopping their use can still cause serious withdrawal symptoms. Patients will likely have to go through a medical detox program if they want to stop using them. Most of our patients who have used Methadone or Buprenorphine have told us that they can be harder to detox from than other opioids. Our Outpatient Hydrocodone Detox Program: Our outpatient Hydrocodone Detox program in Richmond, VA uses a tailored regimen of comfort medications to manage withdrawal alongside Naltrexone Therapy to help patients to detox from Hydrocodone quickly and safely without the costs or risks of other methods and with as little disruption to daily life as possible. We’ve treated over 8,500 patients for opioid use, and our program has a 98% completion rate. SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" custom_padding_last_edited="on|phone" admin_label="Insurances Accepted" module_class="spaced centered" _builder_version="4.17.0" custom_padding="||50px||false|false" custom_padding_tablet="||0px||false|false" custom_padding_phone="||0px||false|false" da_disable_devices="off|off|off" global_module="15824" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.24.2" text_font="||||||||" global_colors_info="{}"]Insurance Accepted For Detox Treatments At Our Richmond, VA Location The Coleman Institute's Richmond, VA office is in-network with many Blue Cross Blue Shield plans, including Anthem Virginia PPO and HMO plans. We also accept Sentara plans. We are constantly expanding our in-network coverage, so please contact us to see if we accept your insurance.[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" _builder_version="4.17.0" _module_preset="default" custom_margin_tablet="" custom_margin_phone="25px||25px||false|false" custom_margin_last_edited="on|phone" custom_padding="50px||50px||false|false" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/Anthem-1.png" alt="BCBS LOGO" title_text="Anthem-1" align="right" _builder_version="4.27.4" _module_preset="default" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/sentra-1.png" title_text="sentra-1" align="left" module_class="align-left" _builder_version="4.27.4" _module_preset="default" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.24.2" text_font="||||||||" global_colors_info="{}"]Call 877-773-3869 or schedule a callback to check your insurance coverage.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="0px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_4" show_border="off" _builder_version="4.16" text_orientation="center" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Richmond Accelerated Kratom Detox [et_pb_section fb_built="1" fullwidth="on" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_fullwidth_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2018/11/heroindetoxhdr.jpg" alt="Green meadow with grass and trees" title_text="Green meadow with grass and trees" _builder_version="4.24.2" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}"][/et_pb_fullwidth_image][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="3_5,2_5" _builder_version="4.24.3" width="89%" max_width="89%" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" text_font_size="18px" global_colors_info="{}"]Safe, Comfortable Kratom Detox in Richmond, VA If you or someone you know is seeking help for Kratom addiction or dependence, the Coleman Institute’s Richmond, VA Kratom Detox program could be the treatment program you’re looking for. The Coleman Institute - Richmond is located in Central Virginia at the crossroads of I-95 and 64, about 1.5 hours from Washington, D.C., and 1.5 hours from Virginia Beach. We’ve treated over 8,500 patients using the Coleman Method, and our outpatient detox program has a 95% completion rate. Kratom Detox using the Coleman Method will help you detox from Kratom without suffering through the agony of the severe symptoms that come with attempting to self-detox or the disruption to your life that comes with an extended stay in inpatient rehab. The program doesn’t take months or even weeks to complete. Kratom Detox can be done in only 5 days on an outpatient basis at our Richmond, VA facility. The brevity of the treatment time will allow you to detox from kratom (including 7-OH and Pseudo) without missing out on your day-to-day responsibilities and activities. Patients who live within driving distance of the Coleman Institute’s Richmond, VA location can return home every day during treatment, and those who live further away are free to stay at a nearby hotel or Airbnb. Benefits of the Coleman Institute’s outpatient Kratom Detox program in Richmond, VA: Outpatient kratom detox in only 5 days No inpatient or hospitalization needed Safe withdrawal using non-addictive medication to assist the process Caring support from experienced professionals Long-term support for recovery and assistance with building a plan to maintain sobriety You deserve a better life. You deserve freedom from addiction. Let’s take the next step together. Call Us Now at 877-773-3869!   SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][et_pb_column type="2_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" text_font_size="18px" global_colors_info="{}"] The Coleman Institute for Addiction Medicine - Richmond204 N. Hamilton Street, Suite BRichmond, VA 23221877-773-3869 Team Members Available for Questions by Phone between 9:00 AM - 10:00 PM EST Office HoursMonday - Thursday 8:30 AM - 5:00 PM ESTFriday 8:30 AM - 4:30 PM EST[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner Link List" module_class="banner list on-dark centered" _builder_version="4.16" background_color="#053a72" custom_padding="||" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.24.2" text_font="||||||||" global_colors_info="{}"] Minimize Withdrawal Symptoms Detox in 5 Days Convenient Outpatient Treatment [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="off|off|off" admin_label="Testimonials" module_class="spaced centered" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.17.0" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_padding="||0px||false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" custom_padding="||2px|||" global_colors_info="{}"]See What Our Richmond Opioid Detox Patients Have To Say[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" make_equal="on" module_class="testimonials" _builder_version="4.16" width="89%" max_width="89%" max_width_tablet="" max_width_phone="" max_width_last_edited="on|desktop" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" text_font_size="18px" global_colors_info="{}"]“By far the best detox clinic! Everyone was extremely nice, non judgmental, and caring. They made the detox process SO much easier. If you are needing help, definitely call them!” Haley R. - Richmond, VA, July 2023[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" text_font_size="18px" global_colors_info="{}"]“Completely impressed with the Coleman Institute. The philosophy and approach were exactly what we needed. Dr. Coleman was able to see us on short notice and begin treatment. The staff is very experienced, knowledgeable, patient, and empathetic to both patients and support person. They provide a different detox experience with long term success in mind. Highly recommend.” Mary D. - Richmond, VA, 2022[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" text_font_size="18px" global_colors_info="{}"]“I couldn't be happier with the Coleman Institute. From the receptionists, to the nurses, to the nurse practitioners and case manager - everyone felt like they genuinely cared and were interested in helping me detox as painfully as possible. Thank you to Johnnelle, Hannah and Caitlin particularly! If you're struggling with addiction like I was and feel like there's no way out - the Coleman Institute IS your way out!” Reed H. - Richmond, VA, 2022[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" custom_padding="||50px||false|false" global_colors_info="{}"]View More[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" global_colors_info="{}"]What are the Dangers of Kratom Usage? Kratom is an herbal product from Southeast Asia that can have both opioid and stimulant effects. Because Kratom comes from a plant, many people assume that it is “natural” and therefore safe to use. Many people also assume that Kratom is a safe alternative to opioids and can be used to help detox from them. In truth, Kratom is a dangerous, addictive substance, and it is not safe to use as a method of detoxing from stronger opioids. Like most opiates, physical dependency on Kratom can begin after just one use. The potency of Kratom quickly leads to a tolerance, which causes users to use more and more of the drug in order to achieve that initial high. When people attempt to use Kratom to detox from stronger opioids, we often see them develop a dependence on both Kratom and the opioid they were attempting to detox from. Trying to stop using Kratom can lead to painful, distressing withdrawal symptoms similar to those experienced when withdrawing from other opioids. Aside from addiction and withdrawal, some reported problems experienced by Kratom users include weight loss, dry mouth, chills, nausea, vomiting, changes in urine and constipation, liver damage, muscle pain, dizziness, drowsiness, hallucinations, depression, delusion, breathing suppression, seizure, coma, salmonella infection, and even death. SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner CTA - Opioid Detox Guide" module_class="banner cta expanded" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_5,3_5" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="2_5" module_class="desktop-only" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"][/et_pb_text][/et_pb_column][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="centered" _builder_version="4.21.0" global_colors_info="{}"]Recovery Starts With Finding the Right Detox Option For You Download our free Guide to Understanding Accelerated Opioid Detox for an in-depth look at the fight against America's opioid crisis using industry-leading detox methods and addiction recovery treatment options. Get the Free Guide[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" global_colors_info="{}"]What To Expect From Our Kratom Detox Program In Richmond, VA If you’re ready to stop using Kratom, choosing a Kratom detox program in Richmond, VA that will work for you is a crucial step on the journey to recovery. We’re here to help you through every step of this process. Here’s what to expect when you decide to start outpatient Kratom detox using the Coleman Method: Getting Started: The first step is to call us now at 877-773-3869 or or request a callback from a Care Advocate. During this initial call, our Care Advocates will answer any questions that you may have about our unique Kratom detox program and help you decide the dates you would like to begin treatment. We can typically schedule your treatment within a week of this call - we do not have a waiting list. Before Your Appointment: We ask all of our Kratom detox patients to stop taking Kratom 16 to 48 hours before their first appointment with us, based on guidance from our physicians. We also ask all patients to have a support person present with them for the duration of their detox and for 48 hours after detox is completed. Patients in our detox program should not drive a motor vehicle and should be monitored at all times to ensure their safety. Your First Appointment: At your first appointment, you will be in mild withdrawal from stopping the use of Kratom 16-48 hours prior to the start of the appointment. A licensed, experienced practitioner will provide doses of comfort medications tailored to your individual needs throughout the day to help alleviate your withdrawal symptoms. You will also receive micro-dose Naltrexone, which is an opioid antagonist that blocks the opioid receptors in your brain. Though these receptors are most associated with opiate use, we find that they are also involved in producing a high during Kratom use. Intermediate Appointments: The intermediate appointments in our Richmond, VA kratom detox program are similar to the first appointment. A practitioner will continue to give you tailored doses of comfort medications according to your needs, along with micro-dose Naltrexone. Final Appointment: At the time of your final appointment, you will have made significant progress in your Kratom detox. During this final appointment, which usually takes about 6 to 8 hours, you will be monitored closely by our practitioners to ensure your safety. Once this appointment is over, detox is complete and you will be given long-lasting Naltrexone in the form of a Vivitrol injection. This Naltrexone can help reduce cravings, giving you the freedom to build new habits and a life free from addiction. SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.3" global_colors_info="{}"]Why The Coleman Institute’s Kratom Detox Program - The Fast & Comfortable Option Most people are unable to stop using substances like Kratom without experiencing powerful withdrawal symptoms that often lead to relapse. Those who successfully detox and begin lasting recovery seek out professional help through a medical detox program. Here are some common Kratom detox options that can be found in the Richmond, VA area: Self-Detox: Though Kratom dependence may not seem as serious as addiction to other opioids that are considered stronger, make no mistake - Kratom withdrawal can be quite severe. Those who attempt to stop suddenly and go “cold turkey” may experience extreme physical and mental discomfort. Withdrawal symptoms could even be life-threatening. Because of the high probability of relapse and the potential safety concerns involved, we do not recommend that anyone attempt to self-detox from Kratom. Inpatient Detox: Inpatient kratom detox requires a patient to stay in a hospital or rehab facility for an extended period of time so addiction specialists can monitor them and give them medications for the pain and discomfort that often accompanies withdrawal. The length of time spent in inpatient rehab depends on the patient’s condition, but it is not unheard of for stays to last upwards of 30 days. A long stay in inpatient rehab can be very disruptive to a patient’s life, and can also be very expensive. Ultra Rapid Opioid Detoxification (URD or UROD): Ultra Rapid Opioid Detox is a detox method where a patient is hospitalized, put under general anesthesia, and given intravenous doses of opioid antagonists to quickly flush all of the drugs out of their system. This treatment can detox a person in as little as five minutes, but it is extremely expensive and potentially quite dangerous. Serious medical risks have been reported with this method, including reported fatalities after treatment. The Coleman Institute has not done UROD since 2001. Methadone or Buprenorphine: When administered under the supervision of an addiction specialist, Methadone and Buprenorphine have been quite useful in helping patients transition away from Kratom dependence or addiction. However, one must keep in mind that Methadone and Buprenorphine are opiates. When you stop taking them, they can result in withdrawal symptoms, just like other opiates. Once a patient is ready to stop using Methadone or Buprenorphine, they will have to go through the challenge of detoxing from those medications as well. Many of our patients have said that detoxing off of Methadone or Buprenorphine can be more difficult than detoxing from other opiates. Our Outpatient Kratom Detox Program: Our Richmond, VA Kratom Detox program uses a tailored regimen of comfort medications alongside Naltrexone Therapy to help patients who are ready to stop using Kratom detox safely in only 5 days without the risks or costs of other methods of Kratom detox and with as little disruption of day-to-day life as possible. The Coleman Method has a 98% completion rate, and we think that statistic speaks for itself. SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" custom_padding_last_edited="on|phone" admin_label="Insurances Accepted" module_class="spaced centered" _builder_version="4.17.0" custom_padding="||50px||false|false" custom_padding_tablet="||0px||false|false" custom_padding_phone="||0px||false|false" da_disable_devices="off|off|off" global_module="15824" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.24.2" text_font="||||||||" global_colors_info="{}"]Insurance Accepted For Detox At Our VA Location The Coleman Institute's Richmond, VA office is in-network with Anthem Blue Cross Blue Shield and Sentara Health Plans. We are constantly expanding our in-network coverage, so please contact us to see if we accept your insurance.[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" _builder_version="4.17.0" _module_preset="default" custom_margin_tablet="" custom_margin_phone="25px||25px||false|false" custom_margin_last_edited="on|phone" custom_padding="50px||50px||false|false" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/Anthem-1.png" alt="BCBS LOGO" title_text="Anthem-1" align="right" _builder_version="4.27.4" _module_preset="default" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"][/et_pb_image][/et_pb_column][et_pb_column type="1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/sentra-1.png" title_text="sentra-1" align="left" module_class="align-left" _builder_version="4.27.4" _module_preset="default" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.24.2" text_font="||||||||" global_colors_info="{}"]Call 877-773-3869 or schedule a callback to check your insurance coverage.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="0px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_4" show_border="off" _builder_version="4.16" text_orientation="center" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Richmond Accelerated Kratom Detox The Coleman Institute offers Accelerated Kratom Detox in Richmond, VA Kratom is a herbal product and powerful opioid from Southeast Asia. It has both opioid effects and stimulant effects. The exact way in which it works is not known, but its addictive nature is very similar to that of Heroin and other opiates. It has been associated with at least 15 deaths in the U.S. since 2014. Like most opiates, physical dependency on Kratom can begin after just one use. The potency of this drug quickly leads to a tolerance, which causes users to use more and more of the drug in order to achieve that initial high. [sidebar name="Other Pages Sidebar"] Withdrawal from Kratom can be severe. That is why we offer a safe, assisted Accelerated Kratom Detox at The Coleman Institute in Richmond, VA. Our opiate detox program has treated thousands of patients with stunning results. Accelerated Detox removes the opiates from the brain in the most comfortable way possible. Best of all, it can be done in 3-5 days, so you can clear the opiates from your body without lengthy hospital stays. Through our innovative treatment, we provide our patients with exceptional outpatient care and long-term recovery support. By using non-addictive, non-narcotic medication to reduce discomfort and cravings, we are able to prevent the temptation to relapse that often accompanies a detox. Our team is ready to help you or your loved one get clean and stay clean through our unique suite of addiction services. Check out these helpful resources for more details: Accelerated Opiate Detox FAQs Naltrexone Therapy FAQs #### Richmond Accelerated Opana Detox [et_pb_section fb_built="1" fullwidth="on" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_fullwidth_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2018/11/heroindetoxhdr.jpg" alt="Green meadow with grass and trees" title_text="Green meadow with grass and trees" _builder_version="4.24.2" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}"][/et_pb_fullwidth_image][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="3_5,2_5" _builder_version="4.24.3" width="89%" max_width="89%" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" text_font_size="18px" global_colors_info="{}"]Fast, Comfortable Opana Detox at the Coleman Institute’s Richmond, VA Facility If you or someone you love needs help with Opana addiction, the Coleman Institute’s outpatient Opana Detox program in Richmond, VA could be the recovery program you’ve been looking for. The Coleman Institute - Richmond is located in Central Virginia at the crossroads of I-95 and 64, about 1.5 hours from Washington, D.C., and 1.5 hours from Virginia Beach. We’ve treated over 8,500 patients using the Coleman Method and our outpatient detox program has a 98% completion rate. With the Coleman Method of Opana Detox, you don’t have to go through the agony of attempting to self-detox or the disruption of your life that comes with an extended stay in rehab. Our program can be completed in as few as 3 days on an outpatient basis. This shortened treatment timeline lets you detox quickly and safely without missing out on your day-to-day life. If you live within driving distance of our Richmond, VA location, you can return home daily during your treatment. If you live further away, you’re free to stay at a nearby hotel or Airbnb. Benefits of the Coleman Institute’s outpatient Opana Detox program in Richmond, VA: Detox on an outpatient basis in as little as 3 days No use of general anesthesia No hospital stay required Ease your withdrawal with non-addictive medication Support from medical professionals who care Long-term recovery support Assistance with creating a plan to maintain sobriety You deserve a better life. You deserve freedom from Opana addiction. Let’s take the next step together. Call Us Now at 877-773-3869.   SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][et_pb_column type="2_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" text_font_size="18px" global_colors_info="{}"] The Coleman Institute for Addiction Medicine - Richmond204 N. Hamilton Street, Suite BRichmond, VA 23221877-773-3869 Team Members Available for Questions by Phone between 9:00 AM - 10:00 PM EST Office HoursMonday - Thursday 8:30 AM - 5:00 PM ESTFriday 8:30 AM - 4:30 PM EST[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner Link List" module_class="banner list on-dark centered" _builder_version="4.16" background_color="#053a72" custom_padding="||" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.24.2" text_font="||||||||" global_colors_info="{}"] Minimize Withdrawal Symptoms Detox in as Little as 3-8 Days Convenient Outpatient Treatment [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="off|off|off" admin_label="Testimonials" module_class="spaced centered" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.17.0" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_padding="||0px||false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" custom_padding="||2px|||" global_colors_info="{}"]See What Our Richmond Opioid Detox Patients Have To Say…[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" make_equal="on" module_class="testimonials" _builder_version="4.16" width="89%" max_width="89%" max_width_tablet="" max_width_phone="" max_width_last_edited="on|desktop" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" text_font_size="18px" global_colors_info="{}"]“Just finished 5 day detox Friday. I feel a hundred times better than what I thought I would. Kathy is amazing, she got me comfortable as quick as possible on the 1st day. I was in bad withdrawal ,she was literally running to get me relief asap.DR. Coleman just has a charm about him.He inserted my implant on the 5th day. Rachael is fabulous too.. I was addicted to Opana, which are one of the worst opiates. I hardly felt any withdrawal after the first day. I tried detoxing myself numerous times during my 8 yr abuse , which obviously didn’t work. Today I am 8 days opiate free. Don’t be scared at all , it’s almost painless . Thanx again to everyone at the Richmond Coleman center.” KK – Richmond, VA, July 2016[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" text_font_size="18px" global_colors_info="{}"]“I have battled addiction to opiates from the young age of sixteen. The Coleman institute was the most caring and concerned treatment facility I have ever come across. The protocols they have in place made my detox from methadone easier than I ever expected. This is the one and only program I would ever recommend for someone struggling with addiction. At the end of the detox you have the option for naltrexone implants to help secure sobriety in the beginning months. Dr. Coleman I am eternally grateful to you and your staff for helping me regain my life.” Travis Thompson - Richmond, VA, 2017 [/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" text_font_size="18px" global_colors_info="{}"]“Johnnelle met us with a smile and positive attitude every morning. She made us feel welcomed, comfortable and in good hands. Even when faced by distressed individuals, all team members remained positive, compassionate and eager to meet us where we were at, educate us and ease our stress. On the final day, no one, including the Doctor rushed us through. They took whatever time was needed to connect with and talk to us about the day's plan and the path forward. What a great experience during a trying time.” Mary Hubschmitt - Richmond, VA, 2023[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" custom_padding="||50px||false|false" global_colors_info="{}"]View More[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" global_colors_info="{}"]How Big a Problem are Opioids like Opana in Virginia? Opioids like Opana have had a huge negative impact on the lives of Virginians. Opana is a very potent opioid that can be very addictive and very difficult to detox from. In 2017, the FDA requested that Opana be removed from the market because it has such a high potential for abuse and addiction. This was the first time the FDA had ever done this. In December 2023, the Virginia Department of Health shared some startling facts about how the opioid epidemic impacted Virginia: 2,490 total drug overdose deaths 79% of drug overdose deaths in Virginia involved opioids 22,398 emergency department visits due to drug overdose, a 5% increase from 2021 412 Virginia infants under 1 year old hospitalized with Neonatal Abstinence Syndrome (NAS) If you or a loved one have been impacted by the prevalence of opioids like Opana in Virginia, know that you are not alone. Call us now at 877-773-3869 or schedule a callback below to learn more about how you can detox off of Opana and other opioids. SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner CTA - Opioid Detox Guide" module_class="banner cta expanded" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_5,3_5" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="2_5" module_class="desktop-only" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.0" global_colors_info="{}"][/et_pb_text][/et_pb_column][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="centered" _builder_version="4.20.2" global_colors_info="{}"]Recovery Starts With Finding The Right Detox Option For You. Download our free Guide to Understanding Pain Medication Detox for an in-depth look at pain medication dependence and addiction, industry-leading detox methods, and addiction recovery treatment options. Get the Free Guide[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" global_colors_info="{}"]What To Expect From Our Opana Detox Program In Richmond, VA Opana is a particularly difficult opioid to detox from, so choosing the right detox program is a crucial step on your journey to recovery. If you decide to call our Richmond office to try the Coleman Method, here’s what you can expect: Getting Started: You can get started by calling us now at 877-773-3869 or request a callback from a Care Advocate. During the initial call, our Care Advocates will answer any questions you may have about our unique approach to Opana detox and will help you choose your treatment dates. Treatment can typically begin within a week of your initial call - there is no waiting list. Before Your Appointment: We ask all of our Opana detox patients to stop taking Opana 16 to 48 hours before their first scheduled appointment at our Richmond, VA facility, based on guidance from our doctors. We also ask all of our patients to have a support person present for the entirety of the detox program and for 48 hours after detox is finished. Opana detox patients should not drive motor vehicles and should be monitored at all times to ensure their safety. Your First Appointment: At your first appointment, you will likely be in mild withdrawal from stopping the use of Opana 16-48 hours before the appointment. One of our experienced, licensed practitioners will give you tailored doses of comfort medications throughout the day to help relieve uncomfortable withdrawal symptoms. The practitioner will also give you micro-dose Naltrexone. Intermediate Appointments: Intermediate Opana detox appointments are very similar to the first appointment. The practitioner will continue managing and providing doses of comfort medications throughout the day, tailoring the doses to your needs. They will continue to use micro-dose Naltrexone. Final Appointment: On the final day of Opana detox, you will have made significant progress. You can rest comfortably in a private room at our Richmond, VA detox center while the remaining Opana is gently removed from your brain. This final removal process typically takes around 6 to 8 hours, during which patients are monitored closely to ensure safety. At this point, you will be finished with detox. You will be given long-acting Naltrexone in the form of a Vivitrol injection which will slowly release Naltrexone into your body over the course of several weeks. This helps to reduce cravings and gives you the freedom to build healthier habits and live your new life, free from addiction. SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.3" global_colors_info="{}"]Why The Coleman Institute’s Accelerated Opana Detox Program - The Fast And Comfortable Option Most people are not able to stop using opioids without experiencing severe withdrawal symptoms, and Opana in particular is one of the more difficult opioids to stop using. Users quickly learn that they need to seek professional help through a medical detoxification program. Here are some common options for Opana detox in the Richmond, VA area: Self-Detox: Trying to stop using Opana without assistance is extremely difficult and can be extremely dangerous. “Going cold turkey” and quitting suddenly without medical supervision can cause extreme physical pain and discomfort, and symptoms could get so severe that they become life threatening, Sometimes people attempt to stop using Opana by tapering their usual dose down and trying to gradually wean themselves off of it, but this is almost never successful. People who attempt to self-detox usually find themselves relapsing to relieve the physical and mental distress caused by withdrawal. Because of the high probability of relapse and potential safety concerns, we do not recommend that anyone attempt to self-detox from Opana. Inpatient Detox: Inpatient Opana detox requires a patient to have a fairly long stay in a hospital or rehab facility where they can be monitored by addiction specialists and given medications to help with the pain and discomfort of withdrawal. The length of the stay depends on the severity of the patient’s condition, but it could last for upwards of 30 days in some cases. Such a long stay in inpatient rehab can be very disruptive to the patient’s life and can end up being very expensive. Ultra Rapid Opioid Detoxification (URD or UROD): Ultra rapid Opana detox involves hospitalizing a patient so they can be put under general anesthesia and given intravenous doses of opioid antagonists like Naltrexone intravenously. This method can work very quickly, fully flushing the opioids out of a person’s systems in as little as five minutes, but it is extremely expensive and can result in serious health complications. There have been some reported deaths after this treatment method. The Coleman Institute stopped doing ultra rapid detox in 2001 because of the potential dangers. Methadone or Buprenorphine: Methadone or Buprenorphine have been very useful medications that help people suffering from opioid addiction to transition from more dangerous opioids like Opana to a legal (when prescribed by a doctor) alternative. However, one must keep in mind that Methadone and Buprenorphine are still opioids. When a patient decides they want to stop using opioids altogether, they will still face the challenge of detoxing from their Methadone or Buprenorphine. Because they are opioids, stopping the use of Methadone or Buprenorphine can result in severe withdrawal symptoms. Many of our patients have told us that detoxing from Methadone and Buprenorphine can be more difficult than withdrawing from other opioids. Our Outpatient Opana Detox Program: The Coleman Method of Opana Detox uses a regimen of comfort medications tailored specifically to each patient’s needs alongside Naltrexone Therapy to help patients detox from Opana safely in as little as 3 days without the potential risks or costs of other types of detox and with as little disruption to the patient’s daily life as possible. The program has a 98% completion rate, and we think this statistic speaks for itself. SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" custom_padding_last_edited="on|phone" admin_label="Insurances Accepted" module_class="spaced centered" _builder_version="4.17.0" custom_padding="||50px||false|false" custom_padding_tablet="||0px||false|false" custom_padding_phone="||0px||false|false" da_disable_devices="off|off|off" global_module="15824" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.24.2" text_font="||||||||" global_colors_info="{}"]Insurance Accepted For Detox At Our VA Location The Coleman Institute's Richmond, VA office is in-network with Anthem Blue Cross Blue Shield and Sentara Health Plans. We are constantly expanding our in-network coverage, so please contact us to see if we accept your insurance.[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" _builder_version="4.17.0" _module_preset="default" custom_margin_tablet="" custom_margin_phone="25px||25px||false|false" custom_margin_last_edited="on|phone" custom_padding="50px||50px||false|false" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/Anthem-1.png" alt="BCBS LOGO" title_text="Anthem-1" align="right" _builder_version="4.27.4" _module_preset="default" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/sentra-1.png" title_text="sentra-1" align="left" module_class="align-left" _builder_version="4.27.4" _module_preset="default" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.24.2" text_font="||||||||" global_colors_info="{}"]Call 877-773-3869 or schedule a callback to check your insurance coverage.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="0px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_4" show_border="off" _builder_version="4.16" text_orientation="center" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Richmond Accelerated Opiate Detox [et_pb_section fb_built="1" fullwidth="on" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_fullwidth_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2018/11/accelopdetoxhdr-1.jpg" alt="Close up of white flowers in the sunlight to demonstrate the ease of learning about opioid detox." title_text="Close up of white flowers in the sunlight" _builder_version="4.24.2" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}"][/et_pb_fullwidth_image][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="3_5,2_5" _builder_version="4.24.3" width="89%" max_width="89%" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" text_font_size="18px" global_colors_info="{}"]The Coleman Institute Offers Fast, Comfortable Opioid Detox Options In Richmond, VA If you or a loved one are looking for help with opioid addiction, the outpatient Accelerated Opiate Detox program at the Coleman Institute in Richmond, VA could be the addiction recovery program you’ve been looking for. The Coleman Institute - Richmond is located in Central Virginia at the crossroads of I-95 and 64, about 1.5 hours from Washington, D.C., and 1.5 hours from Virginia Beach. We’ve treated over 8,500 patients using the Coleman Method and our outpatient detox program has a 98% completion rate. With Accelerated Opiate Detox using the Coleman Method, you don’t have to suffer through the agony of self-detoxing or disrupt your life with a stay in rehab. Our program doesn’t take weeks or months to complete. It can be completed in as little as 3 days on an outpatient basis. Patients who live within driving distance of our Richmond, VA facility are able to return home daily during treatment. Those who live further away can stay at a nearby hotel or Airbnb. Benefits of the Coleman Institute’s outpatient Accelerated Opiate Detox program in Richmond, VA: Outpatient care in as few as 3 days No general anesthesia or hospital stays required Safe, assisted withdrawal with non-addictive medication Caring support from medical professionals Long-term medication support using Naltrexone Therapy Assistance with making long-term plans to maintain sobriety Check out these helpful resources for more details: Accelerated Opiate Detox FAQs Naltrexone Therapy FAQs You can free yourself from addiction. Add your name to the 98% of patients who successfully completed their detox. Let’s take the next step together. Call us at 877-773-3869 or schedule a callback below.   SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][et_pb_column type="2_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" text_font_size="18px" global_colors_info="{}"] The Coleman Institute for Addiction Medicine - Richmond204 N. Hamilton Street, Suite BRichmond, VA 23221877-773-3869 Team Members Available for Questions by Phone between 9:00 AM - 10:00 PM EST Office HoursMonday - Thursday 8:30 AM - 5:00 PM ESTFriday 8:30 AM - 4:30 PM EST[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner Link List" module_class="banner list on-dark centered" _builder_version="4.16" background_color="#053a72" custom_padding="||" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.24.2" text_font="||||||||" global_colors_info="{}"] Minimize Withdrawal Symptoms Detox in as Little as 3 Days Convenient Outpatient Treatment [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="off|off|off" admin_label="Testimonials" module_class="spaced centered" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.17.0" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_padding="||0px||false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" custom_padding="||2px|||" global_colors_info="{}"]See What Our Richmond Opioid Detox Patients Have To Say…[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" make_equal="on" module_class="testimonials" _builder_version="4.16" width="89%" max_width="89%" max_width_tablet="" max_width_phone="" max_width_last_edited="on|desktop" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" text_font_size="18px" global_colors_info="{}"]“This place right here is GOD sent! From Kim at the front desk, to the beautiful woman behind her (I didn’t catch her name!), to Tonya the tech, Brittany the provider, to Kelsey the case manager! You will never find a detox center that cares so much about their patients! If you’re serious about getting clean then this is the place! I don’t have one complaint about anything! Even bought me a pizza on my last day that was phenomenal! I just want to thank your whole staff for making this transition in my life possible! Here’s to forever sober!” Caleb Morris - Richmond, VA, December 2023[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" text_font_size="18px" global_colors_info="{}"]“I did a detox here almost 4 years ago, and I come in monthly for Vivitrol injections. No relapses, and I’m super confident in my recovery. Brittany, Johnelle, Kristal, and Joan are the best! Honestly everyone here is so caring and kind. I know I wouldn’t be where I am without them. Almost 4 years clean and counting. Thank you all :)! Extremely grateful for everyone here!” Carolyn Johnson - Richmond, VA, October 2023[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" text_font_size="18px" global_colors_info="{}"]“I spent hours trying to find a place for my loved one to go to get help with their opiate addiction. It’s an overwhelming process. Rehabs, IOPs, detox, etc etc. I am so lucky to have stumbled across the Coleman Institute and Dr Coleman and his excellent team of doctors and nurses. We took a big chance coming here and didn’t know what to expect, but after seeing some of Dr Coleman’s interviews on YouTube I just had a good feeling about it. This is one of the only places I know of that provides AFFORDABLE quality care for addiction issues. My loved one is almost one year clean today. It wasn’t easy, he worked hard, but the plan put in place has been working and we owe TCI a debt of gratitude. Thanks for doing what you all do and trying to help people. Every state in the country needs a clinic like this to finally address this epidemic. If you’re on the fence check out some interviews and clips from their YouTube. I personally can’t recommend them enough.”Mr. Chiefly - Richmond, VA, August 2023[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" custom_padding="||50px||false|false" global_colors_info="{}"]View More[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" global_colors_info="{}"]How Big a Problem Are Opioids In Virginia? The opioid crisis has hit Virginia hard. The Virginia Department of Health reported a number of startling facts about the impact of the opioid epidemic in Virginia in 2022: 2,490 total drug overdose deaths in Virginia 79% of the drug overdose deaths in Virginia involved opioids like fentanyl and tramadol 22,398 emergency department visits due to drug overdose 412 Virginia infants under 1 year old hospitalized with Neonatal Abstinence Syndrome (NAS) If you or a loved one have been impacted by the opioid crisis in Virginia, know that you are not alone. Call us now at 877-773-3869 or schedule a callback below to learn more about our outpatient detox treatment. SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner CTA - Opioid Detox Guide" module_class="banner cta expanded" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_5,3_5" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="2_5" module_class="desktop-only" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" global_colors_info="{}"][/et_pb_text][/et_pb_column][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="centered" _builder_version="4.21.0" global_colors_info="{}"]Recovery Starts With Finding the Right Detox Option For You. Download our free Guide to Understanding Accelerated Opioid Detox for an in-depth look at the fight against America's opioid crisis using industry-leading detox methods and addiction recovery treatment options. Get the Free Guide[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" global_colors_info="{}"]What To Expect From Our Accelerated Opiate Detox Program In Richmond, VA Choosing the right opioid detox program is an important step on your recovery journey. We want to help you through this process. Here’s what you can expect with an outpatient opioid detox using the Coleman Method: Getting Started: Start by calling us now at 877-773-3869 or request a callback to receive a call from a Care Advocate on the Coleman Institute - Richmond team. During the call, our Care Advocates will answer any and all of your questions about our outpatient detox program and help you decide when you want to start your treatment. We can typically begin your treatment within a week - there is no waiting list. Before Your Appointment: We will ask that patients stop taking their opioids 16-48 hours before their first scheduled appointment, based on guidance from our physicians. We will also ask that patients have a support person present for the duration of the detox program and for 48 hours after detox is completed. Patients undergoing this treatment should not drive motor vehicles and should be monitored at all times to ensure safety. Your First Appointment: At the first appointment, patients will be in mild withdrawal from stopping their opioid use 16-48 hours prior to this appointment. One of our licensed, experienced practitioners will give the patient-tailored comfort medications throughout the day to help alleviate withdrawal symptoms. Patients will also receive a microdose of Naltrexone. Intermediate Appointments: Similar to the first appointment, the intermediate days of our outpatient opioid detox in Richmond, VA continue with managing and providing comfort medications throughout the day, with dosages tailored to patients’ individual needs. Microdose Naltrexone will again be used to help speed up the opiate detox and healing process. Final Appointment: Patients will have made significant progress by their final appointment. Patients can rest comfortably in their private room at our opioid detox center while the remaining opioids are gently removed from their brain. This process typically takes around 6 to 8 hours, and patients are monitored closely. At this point the detox is complete and patients are given long-lasting Naltrexone to help reduce cravings. Following the opioid detox, many patients choose Vivitrol injections for additional support as they start a new life free from addiction. SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" global_colors_info="{}"]Why The Coleman Institute’s Accelerated Opioid Detox Program - The Fast And Comfortable Option Most people cannot stop using opioids without experiencing severe withdrawal symptoms. They quickly learn that they need to seek out professional help through medical detoxification. Here are common opioid detox options in and surrounding Richmond, VA: Self-Detox: Trying to stop opioid use on your own can be extremely uncomfortable and dangerous. “Going cold turkey” and stopping opioid use suddenly with no medical assistance can result in extreme physical discomfort from withdrawal, and can even be life-threatening. Trying to wean yourself off of opioids without medical help is almost never successful. Because of the safety concerns and high probability of relapse, self-detox is not recommended. Inpatient Detox: Inpatient detox requires a long stay in a hospital or rehab facility where medical professionals monitor the patient and administer medications for pain and discomfort. The length of the stay depends on the patient, but it can last for upwards of 30 days. A long stay in such a facility can be very disruptive to daily activities, and it can be very expensive. Ultra Rapid Opioid Detoxification (URD or UROD): This is an inpatient detox method where a hospitalized patient is put under general anesthesia and is given opioid antagonists like Naltrexone intravenously. Fully flushing drugs out of the system can take as little as five minutes, but it is an extremely expensive method of detox that can come with serious medical risks. There have been fatalities reported after this treatment. Our clinic stopped using this method of opioid detox in 2001. Methadone or Buprenorphine: Methadone and Buprenorphine have been useful in helping those suffering from opioid addiction by transitioning them from Fentanyl or other dangerous opioids to this legal (when prescribed) alternative. Under the supervision of an addiction specialist, these can be effective, but it can result in the challenge of needing to detox off the Methadone or Buprenorphine when you are ready. Since these substances are still opioids, when you stop taking them, they can result in withdrawal symptoms. Most of our patients say that detoxing off of Methadone or Buprenorphine is more difficult than withdrawing from other opioids. Our Outpatient Accelerated Opioid Detox Program: Our program is an outpatient detox program that uses a tailored regimen of comfort medications and Naltrexone Therapy to help patients detox safely in as little as 3 days without the risks and costs of other programs. We think our 98% completion rate speaks for itself. SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" custom_padding_last_edited="on|phone" admin_label="Insurances Accepted" module_class="spaced centered" _builder_version="4.17.0" custom_padding="||50px||false|false" custom_padding_tablet="||0px||false|false" custom_padding_phone="||0px||false|false" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.24.2" text_font="||||||||" global_colors_info="{}"]Insurance Accepted For Accelerated Opioid Detox At Our Richmond, VA Location The Coleman Institute's Richmond, VA office is in-network with many Blue Cross Blue Shield plans, including Anthem Virginia PPO and HMO plans. We also accept Sentara plans. We are constantly expanding our in-network coverage, so please contact us to see if we accept your insurance.[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" _builder_version="4.17.0" _module_preset="default" custom_margin_tablet="" custom_margin_phone="25px||25px||false|false" custom_margin_last_edited="on|phone" custom_padding="50px||50px||false|false" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/Anthem-1.png" alt="BCBS LOGO" title_text="Anthem-1" align="right" _builder_version="4.27.4" _module_preset="default" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/sentra-1.png" title_text="sentra-1" align="left" module_class="align-left" _builder_version="4.27.4" _module_preset="default" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.24.2" text_font="||||||||" global_colors_info="{}"]Call 877-773-3869 or schedule a callback to check your insurance coverage.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="0px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_4" show_border="off" _builder_version="4.16" text_orientation="center" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Richmond Accelerated Oxycodone Detox [et_pb_section fb_built="1" fullwidth="on" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_fullwidth_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2018/11/heroindetoxhdr.jpg" alt="Green meadow with grass and trees" title_text="Green meadow with grass and trees" _builder_version="4.24.2" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}"][/et_pb_fullwidth_image][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="3_5,2_5" _builder_version="4.24.3" width="89%" max_width="89%" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" text_font_size="18px" global_colors_info="{}"]The Coleman Institute Offers Fast, Comfortable Oxycodone Detox Options In Richmond, VA If you or a friend or family member struggle with addiction to Oxycodone, the Oxycodone Detox program at the Coleman Institute in Richmond, VA, could be the recovery program you’ve been looking for. The Coleman Institute in Richmond is located in Central Virginia at the crossroads of I-95 and 64, about 1.5 hours from Washington, D.C., and 1.5 hours from Virginia Beach. We’ve treated over 8,500 patients using the Coleman Method and our outpatient detox program has a 98% completion rate. The Coleman Method for Oxycodone Detox allows patients to detox from Oxycodone quickly and comfortably without the agonizing withdrawal symptoms that come with self-detox or the disruption to a patient’s life that comes with an extended stay in an inpatient rehab facility. The program doesn’t take weeks or months to complete. Patients can detox in as little as 3 days on an outpatient basis with minimal disruption to their day-to-day lives. Patients who live within driving distance of our Richmond location can return to their homes daily during treatment, and patients who live further away are free to stay in one of the many nearby hotels or Airbnbs. Benefits of the Coleman Institute’s outpatient Oxycodone Detox program in Richmond, VA: Completion of detox in as few as 3 days No hospitalization or general anesthesia required Safe, assisted withdrawal with non-addictive medication Naltrexone therapy to curb cravings Support from compassionate medical professionals who understand addiction Assistance with creating a post-detox plan to maintain sobriety You deserve a better life. You deserve freedom from Oxycodone addiction. Let’s take the next step together. Call Us Now at 877-773-3869.   SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][et_pb_column type="2_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" text_font_size="18px" global_colors_info="{}"] The Coleman Institute for Addiction Medicine - Richmond204 N. Hamilton Street, Suite BRichmond, VA 23221877-773-3869 Team Members Available for Questions by Phone between 9:00 AM - 10:00 PM EST Office HoursMonday - Thursday 8:30 AM - 5:00 PM ESTFriday 8:30 AM - 4:30 PM EST[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner Link List" module_class="banner list on-dark centered" _builder_version="4.16" background_color="#053a72" custom_padding="||" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.24.2" text_font="||||||||" global_colors_info="{}"] Minimize Withdrawal Symptoms Detox in as Little as 3-8 Days Convenient Outpatient Treatment [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="off|off|off" admin_label="Testimonials" module_class="spaced centered" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.17.0" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_padding="||0px||false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" custom_padding="||2px|||" global_colors_info="{}"]See What Our Richmond Opioid Detox Patients Have To Say…[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" make_equal="on" module_class="testimonials" _builder_version="4.16" width="89%" max_width="89%" max_width_tablet="" max_width_phone="" max_width_last_edited="on|desktop" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" text_font_size="18px" global_colors_info="{}"]“Program was as described. My opiate addiction was the result of medication prescribed by physicians. When I couldn’t detox by myself I consulted three physicians for help. Two stared at me blankly and the third wanted to addict me to methadone or suboxone for an unspecified amount of time. The Coleman process solved my problem quickly, professionally and sympathetically. From the spouse: Your program completely changed my husband’s personality from obnoxious, selfish, complaining monster back to the loving, caring man I knew for the 32 years previous to oxycodone! Thank you.” WO - Richmond, VA, June 2017[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" text_font_size="18px" global_colors_info="{}"]“This is a much better alternative to detoxing in a hospital setting. The staff are more respectful and they make sure that you are always comfortable throughout the entire process.” Mary - Richmond, VA, September 2019[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" text_font_size="18px" global_colors_info="{}"]“The entire staff are incredibly understanding, knowledgeable, kind and friendly. They are committed to improving the quality of life for anyone who walks through their doors. I love everyone there. Thank you all for what you do.” Robert - Richmond, VA, May 2019[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" custom_padding="||50px||false|false" global_colors_info="{}"]View More[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" global_colors_info="{}"]How Big a Problem are Prescription Opioids Like Oxycodone in Virginia? Opioid use has been one of the biggest public health crises in Virginia in recent memory, and the prevalence of prescription opioids like Oxycodone have been a large part of the problem. Oxycodone is a potent opioid medication that is used to treat moderate to severe pain. It can be extremely effective as a pain reliever when used properly, but when used improperly it can produce a euphoric high, giving it high potential for misuse and addiction. The Stamford Institute for Economic Policy Research published a 2019 policy paper that used data from the Centers for Disease Control and Prevention (CDC) and the Drug Enforcement Administration (DEA) to show a strong correlation between the quadrupling of the number of opioid prescriptions given out by physicians between the years 2000 and 2010 and a 300 percent increase in deaths involving opioid overdose during the same period. The Virginia Hospital and Healthcare Association (VHHA) released data that shows that the number of opioid prescriptions has gone down quite a bit in recent years, but even with a decline in prescriptions, the danger of developing a dependence or addiction remains for patients who are still prescribed these medications, and the medications can still be obtained illegally on the streets, often adulterated by powerful opioids like Fentanyl to increase their potency. In December 2023, the Virginia Department of Health reported a number of startling facts about the state of opioid use in Virginia in 2022: 2,490 total drug overdose deaths 79% of those deaths involved opioids 22,398 emergency department visits due to drug overdose 412 Virginia infants under 1 year old hospitalized with Neonatal Abstinence Syndrome (NAS) due to maternal opioid use If your life or the life of someone you know has been impacted by Oxycodone or other prescription opioids, know that you are not alone. We’re here to help you. Call us now at 877-773-3869 or schedule a callback with the button below to learn more about Oxycodone Detox. SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner CTA - Opioid Detox Guide" module_class="banner cta expanded" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_5,3_5" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="2_5" module_class="desktop-only" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.0" global_colors_info="{}"][/et_pb_text][/et_pb_column][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="centered" _builder_version="4.20.2" global_colors_info="{}"]Recovery Starts With Finding The Right Detox Option For You. Download our free Guide to Understanding Pain Medication Detox for an in-depth look at pain medication dependence and addiction, industry-leading detox methods, and addiction recovery treatment options. Get the Free Guide[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" global_colors_info="{}"]What To Expect From Our Oxycodone Detox Program In Richmond, VA Oxycodone is a difficult opioid to detox from, so choosing the right detox program is a critical first step on the road to recovery. We’re here to help you through the process. Here’s what you can expect if you decide to try the Coleman Method for Oxycodone Detox: Getting Started: Start by calling us at 877-773-3869 or request a callback to receive a call from one of the Care Advocates on our Richmond, VA team. During this call, our Care Advocates will answer any questions you have about our unique approach to Oxycodone detox, and they will also help you choose your treatment dates. Because detox can be finished in as little as 3-8 days. Treatment can usually be started within 1 week - we do not have a waiting list. Before Your Appointment: We will ask you to stop using Oxycodone 16 to 48 hours prior to your first appointment, based on guidance from our physicians. We also ask all of our opioid detox patients to have a support person with them who can be present for the duration of detox and for 48 hours after detox is completed. Patients should not drive motor vehicles and should be monitored at all times to ensure safety and comfort. Your 1st Appointment: At the time of your first appointment, you will be in mild withdrawal from stopping Oxycodone use 16 to 48 hours before the appointment. One of our experienced, licensed practitioners will be on hand to assess your condition and administer tailored doses of comfort medications to help with withdrawal symptoms. You will also be given micro-dose Naltrexone. Intermediate Appointments: The intermediate appointments of your Oxycodone detox are similar to the first appointment. You will continue to receive tailored doses of comfort medications according to your individual needs and you will continue to receive micro-dose Naltrexone. Final Appointment: You will have made significant progress toward fully detoxing by the time of your final appointment. At this last appointment, you can rest comfortably in your own private room in our Richmond, VA detox center while the remaining Oxycodone is gently removed from your brain. This process generally takes about 6 to 8 hours, and you will be monitored closely to ensure that you are safe and detox is progressing as it should. At the end of this appointment, detox is complete. You will be given long-acting Naltrexone to help reduce cravings. Many of our patients find that long-acting Naltrexone is just the support they need to start living their new, addiction-free life. SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.3" global_colors_info="{}"]Why The Coleman Institute’s Oxycodone Detox Program - The Fast And Comfortable Option Most people who attempt to stop using Oxycodone on their own are unable to do so because of the severity of the withdrawal symptoms. They quickly realize that they will most likely need the help of a medical detoxification program to stop using the drug. Here are some common options for detox available in the Richmond, VA area: Self-Detox: Trying to stop Oxycodone without help can be extremely uncomfortable and potentially dangerous. Trying to “go cold turkey” and stop suddenly with no medical supervision can result in serious physical and mental discomfort, and could even be life-threatening. Self-detox usually ends in relapse as the person seeks relief from their withdrawal symptoms. Because of the potential health risks and the high probability of relapse, we do not recommend trying to self-detox from Oxycodone. Inpatient Detox: Inpatient detox from Oxycodone requires the patient to stay in a hospital or rehab facility for an extended period of time while addiction specialists monitor the patient’s condition and give them medications to help with withdrawal symptoms. The length of an inpatient rehab stay depends on the patient’s condition, but it can be upwards of 30 days in some cases. Such a long stay in an inpatient rehab program can be very disruptive to the patient’s life and can end up being very expensive. Ultra Rapid Opioid Detoxification (URD or UROD): In ultra rapid detox, a hospitalized patient is put under general anesthesia and given large doses of opioid antagonists intravenously to flush the drugs out of their system. This method can work very quickly - drugs can be flushed out in as little as 5 minutes. But it is a very expensive treatment and the health risks could be severe. There have been some reported fatalities after ultra rapid detox. Because of the potential dangers, we have not used this method since 2001. Methadone or Buprenorphine: Treatment with Methadone and Buprenorphine can be quite useful for helping people suffering from Oxycodone addiction transition away from Oxycodone and onto a safer legal (when prescribed) alternative. But Methadone and Buprenorphine are still opioids. They can still cause uncomfortable withdrawal symptoms when usage is stopped. Patients will still have to go through the challenge of detoxing from the Methadone or Buprenorphine if and when they want to take the next step and live a life entirely free of addictive substances. Most of our patients who have used Methadone or Buprenorphine have told us that it can be more difficult to detox from them than from other opioids. Our Outpatient Oxycodone Detox Program: Our Oxycodone Detox program is an outpatient program that uses a tailored regimen of comfort medications and Naltrexone Therapy to help patients safely in as little as 3-8 days without the costs or risks of other methods of detox and with as little disruption to daily life as possible. We think our 98% completion rate speaks for itself. SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" custom_padding_last_edited="on|phone" admin_label="Insurances Accepted" module_class="spaced centered" _builder_version="4.17.0" custom_padding="||50px||false|false" custom_padding_tablet="||0px||false|false" custom_padding_phone="||0px||false|false" da_disable_devices="off|off|off" global_module="15824" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.24.2" text_font="||||||||" global_colors_info="{}"]Insurance Accepted For Detox Treatments At Our Richmond, VA Location The Coleman Institute's Richmond, VA office is in-network with many Blue Cross Blue Shield plans, including Anthem Virginia PPO and HMO plans. We also accept Sentara plans. We are constantly expanding our in-network coverage, so please contact us to see if we accept your insurance.[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" _builder_version="4.17.0" _module_preset="default" custom_margin_tablet="" custom_margin_phone="25px||25px||false|false" custom_margin_last_edited="on|phone" custom_padding="50px||50px||false|false" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/Anthem-1.png" alt="BCBS LOGO" title_text="Anthem-1" align="right" _builder_version="4.27.4" _module_preset="default" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/sentra-1.png" title_text="sentra-1" align="left" module_class="align-left" _builder_version="4.27.4" _module_preset="default" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.24.2" text_font="||||||||" global_colors_info="{}"]Call 877-773-3869 or schedule a callback to check your insurance coverage.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="0px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_4" show_border="off" _builder_version="4.16" text_orientation="center" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Richmond Accelerated Percocet Detox [et_pb_section fb_built="1" fullwidth="on" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_fullwidth_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2018/11/heroindetoxhdr.jpg" alt="Green meadow with grass and trees" title_text="Green meadow with grass and trees" _builder_version="4.24.2" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}"][/et_pb_fullwidth_image][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="3_5,2_5" _builder_version="4.24.3" width="89%" max_width="89%" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" text_font_size="18px" global_colors_info="{}"]The Coleman Institute Offers Fast, Comfortable Percocet Detox in Richmond, VA If you or a friend or family member is looking for help with Percocet addiction, the Coleman Institute’s Richmond, VA Percocet Detox program could be just the recovery program you’ve been looking for. The Coleman Institute - Richmond is located in Central Virginia at the crossroads of I-95 and 64, about 1.5 hours from Washington, D.C., and 1.5 hours from Virginia Beach. We’ve treated over 8,500 patients using the Coleman Method and our outpatient detox program has a 98% completion rate. Percocet Detox using the Coleman Method allows patients to detox without going through the extreme physical and mental discomfort of self detox or disrupting their daily lives with a long stay in a hospital or rehab facility. The Coleman Method doesn’t take weeks or months to complete. It can be completed on an outpatient basis in as little as 3 days. Our patients prefer this shortened treatment time because it allows them to detox safely and comfortably without missing out on their daily responsibilities and activities. Patients who live within driving distance of our Richmond, VA office are able to return home every day, and those who live further away can spend their nights at a nearby hotel or Airbnb. Benefits of the Coleman Institute’s outpatient Percocet Detox program in Richmond, VA: An outpatient program that can be finished in as little as 3-8 days No need for general anesthesia or hospitalization Safe, comfortable withdrawal using non-addictive medication Compassionate support from experienced professionals Long-term support for recovery and assistance with making a personalized sobriety plan You deserve a better life. You deserve freedom from Percocet addiction. Let’s take the next step together. Call Us Now at 877-773-3869.   SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][et_pb_column type="2_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" text_font_size="18px" global_colors_info="{}"] The Coleman Institute for Addiction Medicine - Richmond204 N. Hamilton Street, Suite BRichmond, VA 23221877-773-3869 Team Members Available for Questions by Phone between 9:00 AM - 10:00 PM EST Office HoursMonday - Thursday 8:30 AM - 5:00 PM ESTFriday 8:30 AM - 4:30 PM EST[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner Link List" module_class="banner list on-dark centered" _builder_version="4.16" background_color="#053a72" custom_padding="||" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.24.2" text_font="||||||||" global_colors_info="{}"] Minimize Withdrawal Symptoms Detox in as Little as 3-8 Days Convenient Outpatient Treatment [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="off|off|off" admin_label="Testimonials" module_class="spaced centered" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.17.0" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_padding="||0px||false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" custom_padding="||2px|||" global_colors_info="{}"]See What Our Richmond Opioid Detox Patients Have To Say…[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" make_equal="on" module_class="testimonials" _builder_version="4.16" width="89%" max_width="89%" max_width_tablet="" max_width_phone="" max_width_last_edited="on|desktop" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" text_font_size="18px" global_colors_info="{}"]“Can’t thank this place enough, and especially the employees–Mary Alice, nurse practitioners Lauren and Joan. These 3 people are AMAZING, as well as everyone else but, my visit was primarily with these 3 delightful guys. They really treat their patients very well. Mary got straight to the point, get in, get u comfy, and get u back to you cozy bed as home. And Lauren, I can’t say enough good things about this nurse practitioner. She’s knowledgeable, professional and all the other good things. My first meet with her, I could tell she was getting upset with my primary doc because he prescribed me pain meds. So I knew I had the right person to help me. Joan I’m sorry I don’t have much to say, but from our short meet you were very delightful and gave me some excellent advice. Well I can go on and on but, great place, #1 recommend. Thank you guys.” Opioid Patient — Richmond, VA, September 2020[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" text_font_size="18px" global_colors_info="{}"]“Originally looked for a place that would medically induce coma for a few days to detox while unconscious. After reading Coleman Institute website, I learned that would be dangerous. Easy to schedule appointment with the Coleman Institute, and staff was incredibly caring, attentive, and encouraging…I no longer feel the need to use illegal drugs. The implant ensured I wouldn’t feel anything if I tried to use opiates again, and that mental aspect definitely strengthened my resolve to stay away from that temptation. THANK YOU SO MUCH FOR HELPING ME GET MY LIFE BACK! The Coleman Institute has saved my heath, my relationships, my career, my future… my LIFE!” Katie - Richmond, VA, January 2018[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" text_font_size="18px" global_colors_info="{}"]“I am writing today to thank Dr. Coleman for being there to save the life of my son and his girlfriend. After my husband passed away my son turned to drugs to medicate himself from the pain of his fathers passing. This drug addiction went from OxyContin then to Heroine and lasted ten years and inpatient 5 time. To no avail I thought there was no longer any hope for him surviving this horrible addiction. Then we found the Coleman Institute. 5 1/2 years later they are still sober working at the family business. I just wanted to say thank you thank you thank you and God Bless you!!” Anonymous – Richmond, VA, December 2017[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" custom_padding="||50px||false|false" global_colors_info="{}"]View More[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" global_colors_info="{}"]How Big a Problem are Opioids Like Percocet in Virginia? The opioid crisis has been a major public health issue in Virginia, and prescription opioids like Percocet have been a big part of the problem. Percocet is a powerful prescription pain medication that contains oxycodone, a potent opiate. It is very effective at managing pain when administered by a professional, but because it is an opioid, it can easily cause dependence and addiction. In 2019, the Stamford Institute for Economic Policy Research cited data from the Center for Disease Control (CDC) and the Drug Enforcement Administration (DEA) that shows a strong correlation between the increase in clinical use of prescription opioids like Percocet and an increase in deaths involving those drugs. According to the data, clinical use of prescription opioids quadrupled between the years 2000 and 2010, and this was accompanied by a 300 percent increase in deaths involving prescription opioids. Data from the Virginia Hospital and Healthcare Association (VHHA) Analytics Team shows that clinical use of opioids in Virginia has declined considerably since then, but dependence and addiction in the patients who are still prescribed these medications is still an issue, and these medications can still be obtained on the street through illegal means. The Virginia Department of Health also recently reported on data from 2022 that shows that the opioid epidemic is still a major problem here: 2,490 total drug overdose deaths 79% of the drug overdose deaths in Virginia involved opioids 22,398 emergency department visits due to drug overdose 412 Virginia infants under 1 year old hospitalized with Neonatal Abstinence Syndrome (NAS) due to maternal opioid use If you or a loved one have been impacted by opioid use due to a prescription of pain medication like Percocet, know that you are not alone. Call us now at 877-773-3869 or schedule a callback below to learn more about our Percocet Detox. SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner CTA - Opioid Detox Guide" module_class="banner cta expanded" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_5,3_5" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="2_5" module_class="desktop-only" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.0" global_colors_info="{}"][/et_pb_text][/et_pb_column][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="centered" _builder_version="4.20.2" global_colors_info="{}"]Recovery Starts With Finding The Right Detox Option For You. Download our free Guide to Understanding Pain Medication Detox for an in-depth look at pain medication dependence and addiction, industry-leading detox methods, and addiction recovery treatment options. Get the Free Guide[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" global_colors_info="{}"]What To Expect From Our Percocet Detox Program In Richmond, VA When you’re ready to stop using Percocet and start your journey to recovery, choosing the right opioid detox program in Richmond, VA is a crucial first step. We want to help you through this process in any way we can. Here’s what you can expect when you call us and schedule a Percocet Detox treatment using the Coleman Method: Getting Started: Start the process by calling us now at 877-773-3869 or schedule a callback with one of the Care Advocates. During this initial call, our Care Advocates will answer any and all questions you might have about our outpatient Percocet Detox program and help you decide on the dates you would like to start treatment. We can typically schedule your treatment within a week of your call - there is no waiting list. Before Your Appointment: We ask all of our patients to stop taking their Percocet 16 to 48 hours before their first scheduled appointment, based on guidance from our physicians. We also ask that all patients have a support person with them who can be present for the duration of the detox program and for 48 hours after detox is completed. Patients undergoing our Percocet detox treatment should not drive motor vehicles and should be monitored at all times to ensure their safety. Your 1st Appointment: When you arrive at your first appointment at our Richmond, VA facility, you will be in mild withdrawal from stopping your Percocet use 16 to 48 hours prior to the appointment. One of our licensed, experienced practitioners will give you a regimen of comfort medications in doses tailored to your specific needs throughout the day to help alleviate your withdrawal symptoms. You will also receive micro-dose Naltrexone. Intermediate Appointments: The intermediate days of the Percocet Detox program are much like the first day. Your practitioner will continue to manage and provide comfort medications to you throughout the day, tailoring the doses to your individual needs. You will also be given more micro-dose Naltrexone aid in the process. Final Appointment: This final appointment of the detox process typically takes around 6 to 8 hours, during which time you will be monitored closely to ensure treatment is going as it should. After this appointment, your detox is complete and you will be given long-acting Naltrexone to help reduce cravings. Many patients find that this is just the support they need to build healthier habits and start their new, addiction-free life. SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.3" global_colors_info="{}"]Why The Coleman Institute’s Percocet Detox Program - The Fast And Comfortable Option Most people cannot stop using Percocet without experiencing physically and mentally distressing withdrawal symptoms. People who try to self-detox usually quickly learn that they’ll need professional help through medical detoxification to stop using Percocet successfully. Here are some common Percocet detox options in the Richmond, VA area: Self-Detox: Stopping use of Percocet on your own can be both uncomfortable and dangerous. People who try to “go cold turkey” and stop using Percocet suddenly can experience extreme physical discomfort from withdrawal, and these withdrawal symptoms can be so severe that they become life threatening. Some try to stop using Percocet by trying to taper off their use and wean themselves off of it, but this is almost never successful. The withdrawal symptoms and lack of support result in relapse for most people who try to self-detox. Because of the potential safety concerns and high probability of relapse, we do not recommend that anyone try to self-detox from Percocet or any other opioid. Inpatient Detox: Inpatient Percocet detox requires a long stay in a hospital or rehab facility where the patient can be closely monitored by medical professionals and given medications to help with pain and discomfort as they detox. The length of a rehab stay varies depending on the patient’s needs, but it is not unheard of for inpatient rehab to last upwards of 30 days. Such a long stay in rehab can be very disruptive to a patient’s life and can be very expensive. Ultra Rapid Opioid Detoxification (URD or UROD): This is an inpatient detoxification process where a hospitalized patient is put under general anesthesia and given intravenous doses of opioid antagonists. As the name suggests, this method can fully flush the drugs out of a patient’s system very quickly, often in as little as five minutes. However, this detox method is extremely expensive and can come with serious medical risks. There have been some fatalities reported after this treatment. The Coleman Institute has not offered Ultra Rapid Detox since 2001 because of the potential risks. Methadone or Buprenorphine: Methadone and Buprenorphine can be very useful in helping people suffering from Percocet addiction by transitioning them away from their Percocet use to this legal (when prescribed) alternative. When given under the supervision of an experienced professional, these drugs can be very effective. But this form of Medication-Assisted Treatment can result in the challenge of having to detox off of the Methadone or Buprenorphine once the patient is ready to stop using opioids altogether. Because these substances are still opioids, they can result in withdrawal symptoms when usage is stopped. Most patients who have tried this method say that detoxing off of Methadone or Buprenorphine can be more difficult than withdrawing from other opioids. Our Outpatient Percocet Detox Program: The Coleman Method of Percocet detox uses a tailored regimen of comfort medications along with Naltrexone Therapy to help people who are ready to stop using Percocet detox safely in as little as 3-8 days with fewer risks and costs than other detox programs and very little disruption to the patient’s everyday life. We think our program’s 98% completion rate speaks for itself. SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" custom_padding_last_edited="on|phone" admin_label="Insurances Accepted" module_class="spaced centered" _builder_version="4.17.0" custom_padding="||50px||false|false" custom_padding_tablet="||0px||false|false" custom_padding_phone="||0px||false|false" da_disable_devices="off|off|off" global_module="15824" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.24.2" text_font="||||||||" global_colors_info="{}"]Insurance Accepted For Detox At Our VA Location The Coleman Institute's Richmond, VA office is in-network with Anthem Blue Cross Blue Shield and Sentara Health Plans. We are constantly expanding our in-network coverage, so please contact us to see if we accept your insurance.[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" _builder_version="4.17.0" _module_preset="default" custom_margin_tablet="" custom_margin_phone="25px||25px||false|false" custom_margin_last_edited="on|phone" custom_padding="50px||50px||false|false" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/Anthem-1.png" alt="BCBS LOGO" title_text="Anthem-1" align="right" _builder_version="4.27.4" _module_preset="default" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/sentra-1.png" title_text="sentra-1" align="left" module_class="align-left" _builder_version="4.27.4" _module_preset="default" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.24.2" text_font="||||||||" global_colors_info="{}"]Call 877-773-3869 or schedule a callback to check your insurance coverage.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="0px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_4" show_border="off" _builder_version="4.16" text_orientation="center" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Richmond Accelerated Roxicodone Detox [et_pb_section fb_built="1" fullwidth="on" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_fullwidth_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2018/11/heroindetoxhdr.jpg" alt="Green meadow with grass and trees" title_text="Green meadow with grass and trees" _builder_version="4.24.2" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}"][/et_pb_fullwidth_image][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="3_5,2_5" _builder_version="4.24.3" width="89%" max_width="89%" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" text_font_size="18px" global_colors_info="{}"]Fast, Comfortable Roxicodone Detox Options at the Coleman Institute in Richmond, VA If you or a loved one are struggling with addiction to Roxicodone (also known as “Roxies” or “Blues”), the Roxicodone Detox program at the Coleman Institute’s Richmond, VA location could be the recovery program you’ve been looking for. The Coleman Institute - Richmond is located in Central Virginia at the crossroads of I-95 and 64, about 1.5 hours from Washington, D.C., and 1.5 hours from Virginia Beach. We’ve treated over 8,500 patients using the Coleman Method and our outpatient detox program has a 98% completion rate. With the Coleman Method for Roxicodone Detox, you won’t have to suffer through the severe withdrawal symptoms that come with attempting to self-detox or upend your life with an extended stay in a rehab facility. This detox program doesn’t take weeks or months to complete. It can be completed in as little as 3 days on an outpatient basis, so you can detox safely in a short period of time with minimal disruption to your day-to-day life. Patients who live within driving distance of our Richmond, VA detox center can return home daily during treatment, and patients who live further away are free to stay in one of the many nearby hotels or Airbnb accommodations. Benefits of the Coleman Institute’s outpatient Roxicodone Detox program in Richmond, VA: Detox from Roxicodone in as few as 3 days No hospitalization or general anesthesia Safe, assisted withdrawal using non-addictive medication for comfort and healing Caring support from experienced medical professionals who understand addiction Long-term medication support using Naltrexone Therapy Assistance with making long-term plans to maintain sobriety You deserve a better life. You deserve freedom from Roxicodone addiction. Let’s take the next step together. Call Us Now at 877-773-3869.   SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][et_pb_column type="2_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" text_font_size="18px" global_colors_info="{}"] The Coleman Institute for Addiction Medicine - Richmond204 N. Hamilton Street, Suite BRichmond, VA 23221877-773-3869 Team Members Available for Questions by Phone between 9:00 AM - 10:00 PM EST Office HoursMonday - Thursday 8:30 AM - 5:00 PM ESTFriday 8:30 AM - 4:30 PM EST[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner Link List" module_class="banner list on-dark centered" _builder_version="4.16" background_color="#053a72" custom_padding="||" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.24.2" text_font="||||||||" global_colors_info="{}"] Minimize Withdrawal Symptoms Detox in as Little as 3-8 Days Convenient Outpatient Treatment [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="off|off|off" admin_label="Testimonials" module_class="spaced centered" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.17.0" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_padding="||0px||false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" custom_padding="||2px|||" global_colors_info="{}"]See What Our Richmond Opioid Detox Patients Have To Say…[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" make_equal="on" module_class="testimonials" _builder_version="4.16" width="89%" max_width="89%" max_width_tablet="" max_width_phone="" max_width_last_edited="on|desktop" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" text_font_size="18px" global_colors_info="{}"]“The Coleman Institute provides high quality personalized care in short order. The staff are compassionate, practice with sound clinical judgment, and exceed expectations throughout one’s recovery.” Scott – Richmond, VA, September 2019[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" text_font_size="18px" global_colors_info="{}"]“It helped me solve an otherwise hopeless situation.” Shawn – Richmond, VA, April 2019[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" text_font_size="18px" global_colors_info="{}"]“Very good program, priced well below other types of similar treatment, great staff, and aftercare.)” Adam – Richmond, VA, December 2017[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" custom_padding="||50px||false|false" global_colors_info="{}"]View More[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" global_colors_info="{}"]How Big a Problem are Prescription Opioids Like Roxicodone in Virginia? The opioid crisis has been an enormous public health problem in Virginia, and prescription opioids like Roxicodone have been a major driver of the crisis. Roxicodone is a brand name for oxycodone hydrochloride, a powerful opioid pain reliever that is used to treat moderate to severe pain when around-the-clock pain relief is needed for an extended period of time. It can be a very effective pain reliever when used properly, but used improperly it can produce a euphoric high, which gives it a high potential for excessive use, dependency, and addiction. The Stamford Institute for Economic Policy Research published a policy paper in 2019 that included data from the Centers for Disease Control and Prevention (CDC) and the Drug Enforcement Administration (DEA) that shows a strong correlation between a drastic increase in the clinical use of opioid medications between the years 2000 and 2010 and a 300 percent increase in deaths involving opioid overdose during that same period. Doctors have attempted to help remedy this situation, as shown by data shared by the Virginia Hospital and Healthcare Association (VHHA) that showed a considerable decline in the number of opioid prescriptions given out in 2015 and 2016, but even so, the danger of developing an addiction to prescription opioids like Roxicodone remains for people who are still prescribed these medications, and Roxies can still be obtained illegally. The Virginia Department of Health recently reported a number of startling facts about how opioid use affected the lives of Virginians in 2022: 2,490 total drug overdose deaths 79% of these deaths in Virginia involved opioids 22,398 emergency department visits involving drug overdose 412 Virginia infants under 1 year old hospitalized with Neonatal Abstinence Syndrome (NAS) from maternal opioid use If prescription opioids like Roxicodone have had a negative impact on your life or the life of a friend or family member, know that you aren’t alone. We are here to help you. Call us now at 877-773-3869 or schedule a callback with the button below to learn more about Roxicodone Detox. SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner CTA - Opioid Detox Guide" module_class="banner cta expanded" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_5,3_5" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="2_5" module_class="desktop-only" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.0" global_colors_info="{}"][/et_pb_text][/et_pb_column][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="centered" _builder_version="4.20.2" global_colors_info="{}"]Recovery Starts With Finding The Right Detox Option For You. Download our free Guide to Understanding Pain Medication Detox for an in-depth look at pain medication dependence and addiction, industry-leading detox methods, and addiction recovery treatment options. Get the Free Guide[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" global_colors_info="{}"]What To Expect From Our Roxicodone Detox Program In Richmond, VA Prescription opioids like Roxicodone can be particularly difficult to detox from, so choosing the right treatment program is a crucial first step on the road to addiction recovery. We are here to help you through this process from beginning to end. Here’s what you can expect when you decide to try Roxicodone Detox using the Coleman Method: Getting Started: Start by calling us at 877-773-3869 or use our convenient online form to schedule a callback from one of our Care Advocates. During this initial call, your Care Advocate will answer any questions you may have about the Coleman Institute’s approach to Roxicodone detox, and they will also help you decide when you want to start treatment. Treatment can typically be scheduled within 1 week of this call - there is no waiting list. Before Your Appointment: We will ask you to stop using your Roxicodone 16 to 48 hours before your first scheduled appointment, based on guidance from our physicians. We will also ask you to arrange to have a support person present with you for the duration of your detox and for 48 hours after detox is completed. While you are detoxing, you should not drive a motor vehicle and you should be monitored at all times to ensure that you are safe and comfortable. Your 1st Appointment: When you arrive at your first appointment, you will be in mild withdrawal from stopping the use of Roxicodone 16 to 48 hours prior to this appointment. One of our licensed, experienced practitioners will assess your condition and give you tailored doses of comfort medications to alleviate any uncomfortable withdrawal symptoms you may be experiencing. You will also be given micro-dose Naltrexone. Intermediate Appointments: The intermediate days of the Roxicodone detox program are very similar to the initial appointment. Your practitioner will continue to give you tailored doses of comfort medications according to your individual needs, and they will continue to give you micro-dose Naltrexone. Final Appointment: By the time of your final appointment, you will have made significant progress toward detoxing from Roxicodone. On this last day, you will rest comfortably in a private room in our Richmond, VA detox center while the remaining opioids are gently removed from your brain, a process that can typically take around 6 to 8 hours. During this time, you will be monitored closely by our practitioners to ensure that you are safe and that detox is going as it should. After this final appointment, detox is complete. To support your recovery in the coming weeks, you will be given long-acting Naltrexone in the form of an injection. This method will slowly release Naltrexone into your system over the course of several weeks, blocking your opioid receptors and reducing your cravings. This helps you while you take the steps to build healthier habits that will allow you to live a new, addiction-free life. SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.3" global_colors_info="{}"]Why The Coleman Institute’s Roxicodone Detox Program - The Fast And Comfortable Option Roxicodone is a very potent prescription opioid, and most people who attempt to stop using it on their own experience severe withdrawal symptoms that cause them to quickly realize that they will most likely need professional help to quit. Here are a some of the more common options for medical detoxification available in the Richmond, VA area: Self-Detox: Because it is such a potent opioid, trying to stop Roxicodone can be especially uncomfortable and dangerous. Trying to stop Roxicodone suddenly by “going cold turkey” with no medical supervision can result in severe physical and mental discomfort, and could even be life-threatening. Some people try to self-detox by gradually tapering off their usual dose of Roxicodone in an attempt to wean themselves off of it. This almost never succeeds. People who try self-detoxing usually end up relapsing in an effort to relieve withdrawal symptoms. Because of this high probability of relapse and the potential health risks involved, we do not recommend trying to self-detox. Inpatient Detox: Inpatient Roxicodone detox requires a patient to have a long stay in a hospital or rehab facility where medical professionals monitor the patient’s condition and administer medications to help with pain and discomfort while they detox. The length of an inpatient rehab stay can vary depending on the status of the patient, but it can go on for as long as 30 days or more. Such a long stay in an inpatient program can be extremely disruptive to daily life and can also be very expensive. Ultra Rapid Opioid Detoxification (URD or UROD): In this inpatient detox method, a hospitalized patient is put under general anesthesia and given opioid antagonists like Naltrexone intravenously. This method can fully flush the opioids out of a patient’s system in as little as five minutes, but it is very expensive and can have serious health risks. There have been some reported fatalities following this treatment. Because of the potential risks, our clinic has not performed an Ultra Rapid Detox since 2001. Methadone or Buprenorphine: Methadone and Buprenorphine have been useful medications for helping people suffering from Roxicodone addiction. When administered by an addiction specialist, they can help transition a patient away from a more dangerous opioid like Roxicodone and onto a relatively safer, legal (when prescribed) alternative. But Methadone and Buprenorphine are still opioids. Patients will still have to detox from them if and when they decide to stop using opioids altogether, and stopping their use can still cause withdrawal symptoms. Most of our patients who have tried Methadone or Buprenorphine treatment have told us that it can be harder to detox from them than it is to detox from other opioids. Our Outpatient Roxicodone Detox Program: Our Roxicodone Detox program is an outpatient program that uses a tailored regimen of comfort medications along with Naltrexone Therapy to help people who are suffering from Roxicodone dependence detox safely in as little as 3-8 days without the costs or risks of other methods of detox and with as little disruption to their daily lives as possible. We think our 98% completion rate speaks for itself. SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" custom_padding_last_edited="on|phone" admin_label="Insurances Accepted" module_class="spaced centered" _builder_version="4.17.0" custom_padding="||50px||false|false" custom_padding_tablet="||0px||false|false" custom_padding_phone="||0px||false|false" da_disable_devices="off|off|off" global_module="15824" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.24.2" text_font="||||||||" global_colors_info="{}"]Insurance Accepted For Detox Treatments At Our Richmond, VA Location The Coleman Institute's Richmond, VA office is in-network with many Blue Cross Blue Shield plans, including Anthem Virginia PPO and HMO plans. We also accept Sentara plans. We are constantly expanding our in-network coverage, so please contact us to see if we accept your insurance.[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" _builder_version="4.17.0" _module_preset="default" custom_margin_tablet="" custom_margin_phone="25px||25px||false|false" custom_margin_last_edited="on|phone" custom_padding="50px||50px||false|false" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/Anthem-1.png" alt="BCBS LOGO" title_text="Anthem-1" align="right" _builder_version="4.27.4" _module_preset="default" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/sentra-1.png" title_text="sentra-1" align="left" module_class="align-left" _builder_version="4.27.4" _module_preset="default" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.24.2" text_font="||||||||" global_colors_info="{}"]Call 877-773-3869 or schedule a callback to check your insurance coverage.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="0px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_4" show_border="off" _builder_version="4.16" text_orientation="center" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Richmond Accelerated Tramadol Detox [et_pb_section fb_built="1" fullwidth="on" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_fullwidth_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2018/11/heroindetoxhdr.jpg" alt="Green meadow with grass and trees" title_text="Green meadow with grass and trees" _builder_version="4.27.4" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}"][/et_pb_fullwidth_image][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="3_5,2_5" _builder_version="4.24.3" width="89%" max_width="89%" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" text_font_size="18px" global_colors_info="{}"]The Coleman Institute Offers Fast, Comfortable Tramadol Detox Options In Richmond, VA Tramadol is an opioid agonist used for pain relief. This means that it binds to endorphin receptors in the brain to produce a response in the body. Because Tramadol occupies these receptors, the brain thinks it has already produced enough endorphins and halts production. Rather than relying on itself, your brain now relies on Tramadol. Physical dependency can happen quickly, often in the first use. Withdrawal from Tramadol can be severe. Our outpatient Accelerated Tramadol Detox in Richmond, VA removes these harmful chemicals, so endorphin levels can return to normal. Our process is safe, effective, and comfortable. Most can complete it in as few as 5 days. And because our treatment takes only a few days, you don’t need to pause your life to complete your detox. The Benefits of Our Accelerated Tramadol Detox in Richmond, VA: Outpatient Care As few as five days to complete the process No general anesthesia No hospital stays required Minimal Discomfort Safe, assisted withdrawal process Medicine to reduce discomfort Caring support from medical professionals who understand addiction Long-Term Support Naltrexone therapy to reduce cravings and reduce the risk of relapse Plan for maintaining sobriety Access to recovery support services Check out these helpful resources for more details: Accelerated Opiate Detox FAQs Naltrexone Therapy FAQs Dangers of Fentanyl You can free yourself from addiction. Add your name to the 98% of patients who successfully completed their detox. Let’s take the next step together. Call us at 877-773-3869 or schedule a callback below.   SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][et_pb_column type="2_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" text_font_size="18px" global_colors_info="{}"] The Coleman Institute for Addiction Medicine - Richmond204 N. Hamilton Street, Suite BRichmond, VA 23221877-773-3869 Team Members Available for Questions by Phone between 9:00 AM - 10:00 PM EST Office HoursMonday - Thursday 8:30 AM - 5:00 PM ESTFriday 8:30 AM - 4:30 PM EST[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="off|off|off" admin_label="Banner Link List" module_class="banner list on-dark centered" _builder_version="4.16" background_color="#053a72" custom_padding="||" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.27.4" text_font="||||||||" global_colors_info="{}"] Minimize Withdrawal Symptoms Detox in as Little as 5 Days Convenient Outpatient Treatment [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" custom_padding_last_edited="on|phone" admin_label="Insurances Accepted" module_class="spaced centered" _builder_version="4.17.0" custom_padding="||50px||false|false" custom_padding_tablet="||0px||false|false" custom_padding_phone="||0px||false|false" da_disable_devices="off|off|off" global_module="15824" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.24.2" text_font="||||||||" global_colors_info="{}"]Insurance Accepted For Detox Treatments At Our Richmond, VA Location The Coleman Institute's Richmond, VA office is in-network with many Blue Cross Blue Shield plans, including Anthem Virginia PPO and HMO plans. We also accept Sentara plans. We are constantly expanding our in-network coverage, so please contact us to see if we accept your insurance.[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" _builder_version="4.17.0" _module_preset="default" custom_margin_tablet="" custom_margin_phone="25px||25px||false|false" custom_margin_last_edited="on|phone" custom_padding="50px||50px||false|false" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/Anthem-1.png" alt="BCBS LOGO" title_text="Anthem-1" align="right" _builder_version="4.27.4" _module_preset="default" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/sentra-1.png" title_text="sentra-1" align="left" module_class="align-left" _builder_version="4.27.4" _module_preset="default" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.24.2" text_font="||||||||" global_colors_info="{}"]Call 877-773-3869 or schedule a callback to check your insurance coverage.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="0px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_4" show_border="off" _builder_version="4.16" text_orientation="center" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Richmond Accelerated Ultram Detox [et_pb_section fb_built="1" fullwidth="on" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_fullwidth_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2018/11/heroindetoxhdr.jpg" alt="Green meadow with grass and trees" title_text="Green meadow with grass and trees" _builder_version="4.24.2" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}"][/et_pb_fullwidth_image][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="3_5,2_5" _builder_version="4.24.3" width="89%" max_width="89%" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" text_font_size="18px" global_colors_info="{}"]The Coleman Institute Offers Fast, Comfortable Outpatient Ultram Detox In Richmond, VA If you or a loved one are struggling with Ultram dependence, the Coleman Institute’s Ultram Detox program in Richmond, VA could be the addiction treatment program you’re looking for. The Coleman Institute - Richmond is located in Central Virginia at the crossroads of I-95 and 64, about 1.5 hours from Washington, D.C., and 1.5 hours from Virginia Beach. We’ve treated over 8,500 patients using the Coleman Method and our outpatient detox program has a 98% completion rate. With Ultram Detox using the Coleman Method, you won’t have to suffer through the physical and mental discomfort of self-detox or put your life on pause with an extended stay in rehab. The Coleman Method doesn’t take weeks or months to complete. You can detox from Ultram in as little as 5 days on an outpatient basis. This shortened treatment schedule will allow you to detox without missing out on daily life. If you live within driving distance of our Richmond, VA facility, you can return home every day after your treatment session. And if you live further away, you’re free to stay at one of the many nearby hotels or Airbnb accommodations in Richmond. Benefits of the Coleman Institute’s outpatient Ultram Detox program in Richmond, VA: Outpatient detox in as little as 5 days No general anesthesia or hospital stays required Safe, assisted withdrawal with non-addictive medication Caring support from medical professionals Long-term medication support using Naltrexone Therapy Assistance with making long-term plans to maintain sobriety You deserve a better life. You deserve freedom from Ultram addiction. Let’s take the next step together. Call Us Now at 877-773-3869.   SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][et_pb_column type="2_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" text_font_size="18px" global_colors_info="{}"] The Coleman Institute for Addiction Medicine - Richmond204 N. Hamilton Street, Suite BRichmond, VA 23221877-773-3869 Team Members Available for Questions by Phone between 9:00 AM - 10:00 PM EST Office HoursMonday - Thursday 8:30 AM - 5:00 PM ESTFriday 8:30 AM - 4:30 PM EST[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner Link List" module_class="banner list on-dark centered" _builder_version="4.16" background_color="#053a72" custom_padding="||" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.27.4" text_font="||||||||" global_colors_info="{}"] Minimize Withdrawal Symptoms Detox in as Little as 5 Days Convenient Outpatient Treatment [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="off|off|off" admin_label="Testimonials" module_class="spaced centered" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.17.0" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_padding="||0px||false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" custom_padding="||2px|||" global_colors_info="{}"]See What Our Richmond Opioid Detox Patients Have To Say…[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" make_equal="on" module_class="testimonials" _builder_version="4.16" width="89%" max_width="89%" max_width_tablet="" max_width_phone="" max_width_last_edited="on|desktop" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" text_font_size="18px" global_colors_info="{}"]“Dr. Coleman did my detox. What can I say about him – just awesome and amazing! He really is a very humble person, very down to earth but highly skilled and knowledgeable in what he does. He ensured that the process was made as painless as possible for me. He was always there for me and what’s great is that he still is. I feel that he is only a phone call away. By the way, I traveled to Richmond, Virginia from Toronto, Canada – the best decision I ever made. Dr. Coleman is #1 – the BEST!!! I would recommend Dr. Coleman in a heartbeat.” DA - Richmond, VA, May 201[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" text_font_size="18px" global_colors_info="{}"]“Excellent staff in every way! Much more comfortable and effective than trying to detox on my own. Everyone I encountered was supportive and kind. This meant a lot during a very tough and uncomfortable period. I have already recommended you to my Oncologist and Primary Care doc (who prescribed the opiate). They were both waiting to see how it went so they could consider it as an option for patients similar to me.” MJ – Richmond, VA, June 201[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" text_font_size="18px" global_colors_info="{}"]“April and Joan both possess a manner about them that makes it easy to be open and honest without judgment. Addicts feel guilty enough about who they are as a person when they walk into treatment, and they make you feel like a human instead of a junkie and like they truly want to help. Caring and compassionate staff, continuing care. Recovery from addiction is not an easy process. Suboxone therapy does not work and relapses are going to happen simply because of the replacement of one opiate for another. This treatment has allowed me to truly be opiate-free and that is a dream I thought would not come true.” S – Richmond, VA, July 2017[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" custom_padding="||50px||false|false" global_colors_info="{}"]View More[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" global_colors_info="{}"]How Big a Problem are Opioids like Ultram in Virginia? The opioid crisis has hit Virginia hard, and prescription opioids like Ultram (Tramadol) are a big driver of the problem. Ultram, the brand name for Tramadol, is a powerful opioid medication used to treat moderate to severe pain that does not respond to other pain management treatments. Like all opioid medications, it is capable of creating a physical dependence in the user, sometimes after just one use, and stopping usage can result in painful withdrawal symptoms. In 2019, a policy paper published by the Stamford Institute for Economic Policy Research shared data from the Centers for Disease Control and Prevention (CDC) and the Drug Enforcement Administration (DEA) that showed a strong correlation between a quadrupling of the clinical use of opioid medications between the years 2000 and 2010 and a 300 percent increase in deaths involving opioid overdose during that same period. In 2018, the Virginia Hospital and Healthcare Association (VHHA) shared data that showed a considerable decline in the number of opioid prescriptions written by doctors in the years 2015 and 2016, but even with this decrease in prescriptions, the danger of developing dependence on Ultram remains for patients who still do receive prescriptions, and Tramadol can can still be obtained illegally. The Virginia Department of Health reported a number of startling facts in December 2023 about the impact of the opioids on Virginians in 2022: 2,490 total drug overdose deaths 79% of these drug overdose deaths involved opioids like Fentanyl and Tramadol 22,398 emergency department visits to treat drug overdose 412 Virginia infants under 1 year old hospitalized with Neonatal Abstinence Syndrome (NAS) caused by maternal opioid use If you or a loved one have been impacted by the negative effects of prescription opioids like Ultram, you are not alone. Call us at 877-773-3869 or schedule a callback below to learn more about our Accelerated Ultram Detox program. SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner CTA - Opioid Detox Guide" module_class="banner cta expanded" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_5,3_5" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="2_5" module_class="desktop-only" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" global_colors_info="{}"][/et_pb_text][/et_pb_column][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="centered" _builder_version="4.20.2" global_colors_info="{}"]Recovery Starts With Finding The Right Detox Option For You. Download our free Guide to Understanding Pain Medication Detox for an in-depth look at pain medication dependence and addiction, industry-leading detox methods, and addiction recovery treatment options. Get the Free Guide[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" global_colors_info="{}"]What To Expect From Our Richmond, VA Ultram Detox Program Because detoxing from prescription pain medications like Ultram can be so challenging, selecting the right opioid detox program is a crucial step on your journey to recovery. We’re here to help you through this process every step of the way. Here’s what you can expect from our Ultram Detox program in Richmond, VA: Getting Started: You can get started by calling us now at 877-773-3869 or by scheduling a callback with our convenient online form so one of the Care Advocates from our Richmond team can call you back. During this call, your Care Advocate will answer any questions you might have about our unique method of Ultram detox and will also help you decide which dates you would like to begin treatment. We can typically schedule your treatment within a week of this initial call - there is no waiting list. Before Your Appointment: We ask all of our Ultram detox patients to stop taking their Ultram 16 to 48 hours prior to their first appointment, based on guidance from our physicians. We also ask all Ultram detox patients to have a support person with them who can be present for the duration of detox and for 48 hours after detox is complete. This support person is crucial because patients in detox should not drive a motor vehicle and should be monitored at all times to ensure their safety and comfort. Your 1st Appointment: At the 1st appointment, you will be in mild withdrawal from stopping your Ultram use 16 to 48 hours before arriving. To alleviate your withdrawal symptoms, one of our licensed, experienced practitioners will give you a regimen of comfort medications with doses tailored to your specific needs. You will also receive micro-dose Naltrexone. Intermediate Appointments: Intermediate appointments of the Ultram detox program will be very similar to the first appointment. We will continue to manage your withdrawal symptoms with tailored doses of comfort medications, and you will continue to receive micro-dose Naltrexone. Final Appointment: You will have made significant progress in detoxing from Ultram by the time of your final appointment. During this last appointment, you will rest comfortably in a private room at our Richmond, VA facility while the remaining Ultram is gently removed from your brain. This process usually takes around 6 to 8 hours, during which time you will be monitored closely to ensure that you are safe and that detox is progressing as it should. After this process has concluded, your detox is complete and you will be given long-acting Naltrexone to support your recovery in the coming weeks. Many of our patients find that this is just the support they need to get started building their new, addiction-free life. SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.3" global_colors_info="{}"]Why The Coleman Institute’s Ultram Detox Program - The Fast And Comfortable Option Because Ultram is such a potent opioid, most people who develop a dependence will not be able to stop using it without experiencing severe withdrawal symptoms. They quickly learn that detoxing successfully will most likely require professional help. Here are some of the more common Ultram Detox options available in the Richmond, VA area: Self-Detox: Ultram is one of the more potent opioid medications on the market, and is very difficult to detox from. Trying to self-detox from this medication can be very uncomfortable and potentially dangerous. “Going cold turkey” and stopping use of Ultram suddenly with no support can result in extreme physical and mental discomfort and could even be life-threatening. Some people attempt to self-detox by tapering off their doses of Ultram and trying to wean themselves off of it, which is almost never successful. Most attempts at self-detox result in relapse because the person goes back to using Ultram to try to relieve their withdrawal symptoms. Because of the potential health risks and high probability of relapse, we do not recommend attempting to self-detox from Ultram. Inpatient Detox: Inpatient Ultram detox requires the patient to stay in a hospital or rehab facility for an extended period of time while medical professionals monitor their status and administer medications to help alleviate pain and discomfort. The length of an inpatient stay depends on the condition of the patient, but it isn’t unheard of for stays to last upwards of 30 days. An extended stay in rehab can be very disruptive to a patient’s life and can result in very expensive medical bills. Ultra Rapid Opioid Detoxification (URD or UROD): Ultra Rapid Detox is an inpatient Ultram detox method where a hospitalized patient is put under general anesthesia and given opioid antagonists like Naltrexone intravenously. This method can work very quickly, fully flushing the drugs out of a patient’s system in as little as 5 minutes. But this method is extremely expensive and can have serious health risks. There have been some fatalities reported after this treatment. Because of the potential dangers, our clinic stopped using this detox method in 2001. Methadone or Buprenorphine: Methadone and Buprenorphine can be very useful for those suffering from Ultram addiction. It can help them transition away from their Ultram usage and onto a relatively safer, legal (when prescribed) alternative. But Methadone and Burprenorphine are also opioids. Just like with any other opioid, stopping usage of Methadone and Buprenorphine can result in uncomfortable withdrawal symptoms, so detoxing from them when the patient is ready can be challenging. Most of our patients who have tried Methadone or Buprenorphine treatment have said that detoxing from them can be more difficult than detoxing from other opioids Our Outpatient Ultram Detox Program: Our Ultram Detox program uses a combination of tailored doses of comfort medications and Naltrexone Therapy to help patients safely detox from Ultram in as little as 3-8 days without the risks and costs associated with other methods of opioid detox and with as little disruption to the patient’s daily life as possible. Over the past 25 years, this program has had a 98% completion rate, and we think that fact speaks for itself. SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" custom_padding_last_edited="on|phone" admin_label="Insurances Accepted" module_class="spaced centered" _builder_version="4.17.0" custom_padding="||50px||false|false" custom_padding_tablet="||0px||false|false" custom_padding_phone="||0px||false|false" da_disable_devices="off|off|off" global_module="15824" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.24.2" text_font="||||||||" global_colors_info="{}"]Insurance Accepted For Detox At Our VA Location The Coleman Institute's Richmond, VA office is in-network with Anthem Blue Cross Blue Shield and Sentara Health Plans. We are constantly expanding our in-network coverage, so please contact us to see if we accept your insurance.[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" _builder_version="4.17.0" _module_preset="default" custom_margin_tablet="" custom_margin_phone="25px||25px||false|false" custom_margin_last_edited="on|phone" custom_padding="50px||50px||false|false" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/Anthem-1.png" alt="BCBS LOGO" title_text="Anthem-1" align="right" _builder_version="4.27.4" _module_preset="default" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/sentra-1.png" title_text="sentra-1" align="left" module_class="align-left" _builder_version="4.27.4" _module_preset="default" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.24.2" text_font="||||||||" global_colors_info="{}"]Call 877-773-3869 or schedule a callback to check your insurance coverage.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="0px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_4" show_border="off" _builder_version="4.16" text_orientation="center" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Richmond Accelerated Vicodin Detox [et_pb_section fb_built="1" fullwidth="on" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_fullwidth_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2018/11/heroindetoxhdr.jpg" alt="Green meadow with grass and trees" title_text="Green meadow with grass and trees" _builder_version="4.24.3" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}"][/et_pb_fullwidth_image][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="3_5,2_5" _builder_version="4.24.3" width="89%" max_width="89%" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.3" text_font_size="18px" global_colors_info="{}"]The Coleman Institute Offers Fast, Comfortable Vicodin Detox Options In Richmond, VA If you or a friend or family member are struggling with Vicodin dependence, the Coleman Institute in Richmond, VA offers an Accelerated Vicodin Detox program that could be just what you need to take the first step toward recovery. The Coleman Institute - Richmond is located in Central Virginia at the crossroads of I-95 and 64, about 1.5 hours from Washington, D.C., and 1.5 hours from Virginia Beach. We’ve treated over 8,500 patients using the Coleman Method and our outpatient opioid detox program has a 98% completion rate. Our Accelerated Vicodin Detox program using the Coleman Method allows patients to quickly, safely detox from Vicodin without the agony of the withdrawal symptoms that come with self-detox or the disruption to a patient’s personal life that comes with a stay at an inpatient rehab facility. This Vicodin detox doesn’t take weeks or months to complete. It can be completed on an outpatient basis in as little as 3 days. Such a short treatment time allows patients to fully detox without missing out on everyday life. Patients who live close enough to drive to our Richmond, VA detox center can return home daily during treatment. Patients who live further away are free to spend their nights at one of the many nearby hotels or Airbnbs, Benefits of Vicodin Detox at the Coleman Institute in Richmond, VA: Outpatient detox can be completed in as little as 3 days Outpatient program - no stays in a hospital or rehab facility No general anesthesia required Safe, comfortable withdrawal assisted by non-addictive medications Compassionate support from medical professionals who understand addiction Long-term medication support using Naltrexone Therapy Assistance with making long-term plans to maintain sobriety. You deserve a better life. You deserve freedom from Vicodin addiction. Let’s take the next step together. Call Us Now at 877-773-3869 SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][et_pb_column type="2_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.3" text_font_size="18px" global_colors_info="{}"] The Coleman Institute for Addiction Medicine - Richmond204 N. Hamilton Street, Suite BRichmond, VA 23221877-773-3869 Team Members Available for Questions by Phone between 9:00 AM - 10:00 PM EST Office HoursMonday - Thursday 8:30 AM - 5:00 PM ESTFriday 8:30 AM - 4:30 PM EST[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner Link List" module_class="banner list on-dark centered" _builder_version="4.16" background_color="#053a72" custom_padding="||" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.24.3" text_font="||||||||" global_colors_info="{}"] Minimize Withdrawal Symptoms Detox in as Little as 3-8 Days Convenient Outpatient Treatment [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="off|off|off" admin_label="Testimonials" module_class="spaced centered" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.17.0" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_padding="||0px||false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.3" custom_padding="||2px|||" global_colors_info="{}"]See What Our Richmond Opioid Detox Patients Have To Say…[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" make_equal="on" module_class="testimonials" _builder_version="4.16" width="89%" max_width="89%" max_width_tablet="" max_width_phone="" max_width_last_edited="on|desktop" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.3" text_font_size="18px" global_colors_info="{}"]“The entire staff are incredibly understanding, knowledgeable, kind and friendly. They are committed to improving the quality of life for anyone who walks through their doors. I love everyone there. Thank you all for what you do.” Robert – Richmond, VA, May 2019[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.3" text_font_size="18px" global_colors_info="{}"]“All the staff members are very helpful, caring and knowledgeable. It is a fantastic group and experience. This has been a life-saving and changing experience. I am amazed at how good I feel and how life has changed for the best. I have told several people about the program and that they should look into it for their loved ones I have shared with several people about how amazing the naltrexone is and how it is a miracle blocker.” LB – Richmond, VA, July 2017[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.3" text_font_size="18px" global_colors_info="{}"]“Because Dr Coleman spoke with sincerity and confidence – everything he stated became fact. Because of the kindnesses and compassion felt during the process. Because both the process was successful! I couldn’t be more grateful! Could not be more pleased by the care that I received during this experience and too, the assistance that my support person received! Many thanks!” Karen – Richmond, VA, June 2017[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" custom_padding="||50px||false|false" global_colors_info="{}"]View More[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.3" global_colors_info="{}"]How Big a Problem are Opioids like Vicodin in Virginia? The opioid crisis in Virginia is one of the biggest public health problems facing the state, and prescription pain relievers like Vicodin have been a large part of the problem. Vicodin is a pain medication that contains hydrocodone, a powerful, highly addictive opioid. Most people start taking Vicodin quite innocently to relieve pain, but this can quickly lead to dependence, even after just one use. In 2019, the Stamford Institute for Economic Policy Research published a policy brief that cited data from the Centers for Disease Control and Prevention (CDC) and the Drug Enforcement Administration (DEA) that shows a strong correlation between a steep rise in the clinical use of prescription opioids like Vicodin between the years 2000 and 2010 and a 300 percent increase in deaths involving those opioids. The Virginia Hospital and Healthcare Association (VHHA) released data in 2018 that shows that doctors in Virginia have greatly reduced the amount of opioids they prescribe, but those who do still receive these medications are still at risk of developing a dependence, and these drugs can still be obtained through illegal means. And in December 2023, the Virginia Department of Health shared a number of startling facts about the impact of opioids in Virginia in 2022: 2,490 total deaths from drug overdose 79% of these drug overdose deaths involved opioids 22,398 visits to emergency departments due to drug overdose 412 Virginia infants under 1 year old hospitalized with Neonatal Abstinence Syndrome (NAS) from maternal opioid use If you or someone you know have been impacted by the effects of opioids like Vicodin in Virginia, know that you are not alone. Call us now at 877-773-3869 or schedule a callback with the button below to learn more about Vicodin Detox. SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner CTA - Opioid Detox Guide" module_class="banner cta expanded" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_5,3_5" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="2_5" module_class="desktop-only" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.3" global_colors_info="{}"][/et_pb_text][/et_pb_column][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="centered" _builder_version="4.20.2" global_colors_info="{}"]Recovery Starts With Finding The Right Detox Option For You. Download our free Guide to Understanding Pain Medication Detox for an in-depth look at pain medication dependence and addiction, industry-leading detox methods, and addiction recovery treatment options. Get the Free Guide[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.3" global_colors_info="{}"]What To Expect From Our Vicodin Detox Program In Richmond, VA When you decide you want to stop using Vicodin, choosing the right detox program is a crucial step toward recovery. Here’s what you can expect from the Vicodin Detox process at the Coleman Institute in Richmond, VA: Getting Started: Get started by calling our Richmond office now at 877-773-3869 or request a callback from one of the Care Advocates on our Richmond, VA team. During this initial call, our Richmond Care Advocates will answer any and all questions you may have about our approach to Vicodin Detox and help you schedule your detox. We can typically schedule treatment quickly - we do not have a waiting list. Before Your Appointment: We will ask that you stop taking your Vicodin 16 to 48 hours before your first scheduled appointment, based on guidance from our experienced physicians. We will also ask that you bring a support person with you to treatment, and that this support person be available to stay with you for the duration of your detox program and for 48 hours after your detox is completed. When you are in detox, you should not drive motor vehicles and you should be monitored at all times to ensure your comfort and safety. Your 1st Appointment: At the time of your 1st appointment, you will be in mild withdrawal from stopping the use of your Vicodin 16 to 48 hours prior to the appointment. After you arrive, one of our licensed, experienced practitioners will begin your tailored regimen of comfort medications, which continues throughout the day, to help relieve your withdrawal symptoms. Your practitioner will also administer microdose Naltrexone. Intermediate Appointments: Intermediate Vicodin detox appointments are much like the 1st appointment. You will continue to receive your comfort medications throughout the day, with dosages tailored to your individual needs, and you can continue to receive micro-dose Naltrexone. Final Appointment: At the time of your final appointment, you will have made significant progress in detoxing from Vicodin. At this appointment, you will rest comfortably in a private room at our Richmond, VA detox center where you will be closely monitored while the remaining Vicodin is gently removed from your brain. This final leg of the process typically takes about 6 to 8 hours. After this appointment is over, your detox is complete and you will be given long-lasting Naltrexone to help support your recovery in the coming weeks. Many patients find that this Naltrexone treatment gives them the support they need to get started on building their new life, free from addiction. SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.3" global_colors_info="{}"]Why Choose The Coleman Institute’s Accelerated Vicodin Detox Program - The Fast And Comfortable Option Most people who are dependent on Vicodin cannot stop using it without experiencing severe withdrawal symptoms. They quickly realize that to successfully quit, they need to seek out a medical detox program and get professional help. Here are some common Vicodin detox options that can be found in the Richmond, VA area: Self-Detox: Trying to stop Vicodin use without assistance can be uncomfortable and extremely dangerous. “Going cold turkey” and suddenly stopping Vicodin use with no medical help can result in extreme physical and mental discomfort and could even be life threatening in some cases. Trying to taper off your Vicodin dose and “wean” yourself off of the drug almost never works. Most people who try to self-detox end up relapsing to alleviate their withdrawal symptoms. Because of this high probability of relapse and the potential health dangers, we do not recommend that anyone attempt to self-detox from Vicodin. Inpatient Detox: Inpatient Vicodin detox requires a long stay in a rehab facility or hospital where medical professionals can monitor the patient and administer medications to help with the pain and discomfort of withdrawal. The length of the stay varies depending on the patient’s needs, but it can last for upwards of 30 days in some scenarios. A long stay in rehab can be very disruptive to a patient’s life and could end up being very expensive. Ultra Rapid Opioid Detoxification (URD or UROD): Ultra rapid opioid detox is an inpatient detox method where a patient is hospitalized, put under general anesthesia, and given opioid antagonists like Naltrexone intravenously. This is a very fast method of detox that can fully flush the drugs out of a patient’s system in as little as 5 minutes, but it is an extremely expensive treatment and it could have serious medical risks. There have been reported fatalities that have occurred after treatment. Because of the potential risks involved, the Coleman Institute stopped performing Ultra Rapid Detox in 2001. Methadone or Buprenorphine: Methadone and Burprenorphone have been useful in helping people suffering from Vicodin addiction by transitioning them away from Vicodin and onto comparatively less dangerous legal (when prescribed) alternatives. When Methadone and Buprenorphine are administered by professionals, they can be very effective, but it is important to keep in mind that Methadone and Buprenorphine are opioids. Once a patient decides that they want to stop using opioids altogether, they will still have to detox from the Methadone or Buprenorphine, just like they would have to detox from any other opioid. Most of our patients who have tried this method have said that Methadone and Buprenorphine detox can be more difficult than detoxing from other opioids. Our Outpatient Vicodin Detox Program: Outpatient Vicodin Detox using The Coleman Method uses a tailored regiment of comfort medications and Naltrexone Therapy to help patients safely detox from Vicodin in as little as 3 days with fewer risks and costs than other detox options and with as little disruption to daily life as possible. We’ve treated over 8,500 patients with the Coleman Method and we have a 98% completion rate. SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" custom_padding_last_edited="on|phone" admin_label="Insurances Accepted" module_class="spaced centered" _builder_version="4.17.0" custom_padding="||50px||false|false" custom_padding_tablet="||0px||false|false" custom_padding_phone="||0px||false|false" da_disable_devices="off|off|off" global_module="15824" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.24.2" text_font="||||||||" global_colors_info="{}"]Insurance Accepted For Detox At Our VA Location The Coleman Institute's Richmond, VA office is in-network with Anthem Blue Cross Blue Shield and Sentara Health Plans. We are constantly expanding our in-network coverage, so please contact us to see if we accept your insurance.[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" _builder_version="4.17.0" _module_preset="default" custom_margin_tablet="" custom_margin_phone="25px||25px||false|false" custom_margin_last_edited="on|phone" custom_padding="50px||50px||false|false" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/Anthem-1.webp" alt="BCBS LOGO" title_text="Anthem-1" align="right" _builder_version="4.27.4" _module_preset="default" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/sentra-1.webp" title_text="sentra-1" align="left" module_class="align-left" _builder_version="4.27.4" _module_preset="default" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.24.2" text_font="||||||||" global_colors_info="{}"]Call 877-773-3869 or schedule a callback to check your insurance coverage.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="0px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_4" show_border="off" _builder_version="4.16" text_orientation="center" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Richmond Alcohol Detox [et_pb_section fb_built="1" admin_label="Header" module_class="header on-dark spaced centered" _builder_version="4.20.2" background_image="https://www.thecolemaninstitute.com/wp-content/uploads/2018/11/alcoholhdr.jpg" background_position="top_center" min_height="250px" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="3_5,2_5" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}"][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" text_font_size="18px" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}"]Richmond Alcohol Detox The Coleman Institute offers Alcohol Detox options in Richmond, VA Alcohol is such a common part of our society and culture that many people do not think of it as a drug. The truth is, although alcohol is legal, it is one of the most addictive, widely abused drugs in the world. It is the third leading cause of preventable deaths in the United States with nearly 88,000 people dying from alcohol-related causes each year. Alcohol addiction is a significant issue that impacts millions of Americans. Alcohol addiction is a disease. This means that when a person who is addicted to alcohol stops drinking, there are physiological withdrawal symptoms resulting from the chemical dependence on alcohol. According to the National Institute on Alcohol Abuse and Alcoholism (NIAAA), an estimated 16 million people in the United States have Alcohol Use Disorder. An estimated 88,000 Americans die annually from alcohol-related causes, making alcohol the third leading preventable cause of death in the United States. In 2017, 26.4% of people ages 18 or older reported that they engaged in binge drinking in the past month. In 2015, 47% of the 78,529 liver disease deaths among individuals ages 12 and older involved alcohol. More than 10% of U.S. children live with a parent with alcohol problems according to a 2012 study. Signs of Alcohol Addiction  If you or someone you know is exhibiting the following signs, they may be at risk for alcohol addition: Drinking more/longer than intended, or having to drink much more than you once did to get the effect you want Craving or having s strong urge/need to drink Drinking interfering with taking care of your family or caused problems at work, or giving up or cut back on activities that were important, in order to drink More than once wanted to cut down or stop drinking, or tried to, but couldn’t? Drinking until the point of blacking out or getting sick Navigating alcohol addiction alone can be daunting. Schedule a callback with the Patient Advocate team in Richmond, VA  to learn how you can get back to being yourself with our safe and effective method for outpatient alcohol detox. Symptoms of Alcohol Withdrawal When someone is addicted to alcohol, the brain’s internal wiring changes. Abruptly stopping alcohol use can be dangerous and lead to alcohol withdrawal symptoms. If not managed carefully, alcohol withdrawal can cause seizures, brain damage, and even death. Common symptoms of alcohol withdrawal include: Headaches, Hallucinations, and Mood Changes Tremors and Seizures Anxiety Fatigue and Insomnia Gastrointestinal Disturbances Heart Palpitations Hyperthermia If you are suffering from alcohol dependence or alcohol addiction, and have tried to quit on your own but the withdrawal symptoms are too much, we can help. Schedule a callback with one of our Patient Advocates to learn about our Alcohol Detox treatment in Richmond, VA works.  The Benefits of the Coleman Institute’s Alcohol Detox At the Coleman Institute in Richmond, VA, we offer a unique outpatient alcohol detox program that allows you to safely and comfortably detox without the dangerous — and sometimes deadly — risks of a self-detox. Our program is designed to help you get back to a life free from addiction with minimal disruption to your daily responsibilities.  Outpatient Care Complete an alcohol detox in as little as 3 days No hospital stays required No general anesthesia needed Minimal Discomfort Safe, assisted withdrawal process Medicine to reduce discomfort Caring support from medical professionals who understand addiction Long-Term Support Naltrexone therapy to reduce cravings and reduce the risk of relapse Professional case management services and an online weekly recoveryt group tailored to Coleman Institute patients Advice and support in accessing other recovery support services based on yoru individual needs (e.g. IOP, individual counseling, etc) Check out these helpful resources for more details: Alcohol Detox FAQs Naltrexone for Alcohol FAQs You can free yourself from addiction. Add your name to the 98% of patients who successfully completed their detox. Let’s take the next step together. Call us at  877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="2_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" text_font_size="18px" global_module="15856" global_colors_info="{}"] The Coleman Institute for Addiction Medicine - Richmond204 N. Hamilton Street, Suite BRichmond, VA 23221877-773-3869 Team Members Available for Questions by Phone between 9:00 AM - 10:00 PM EST Office HoursMonday - Thursday 8:30 AM - 5:00 PM ESTFriday 8:30 AM - 4:30 PM EST [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner CTA - Alcohol Detox Guide" module_class="banner cta expanded" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_5,3_5" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="2_5" module_class="desktop-only" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.3" global_colors_info="{}"][/et_pb_text][/et_pb_column][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="centered" _builder_version="4.17.4" global_colors_info="{}"]Recovery Starts With Finding The Right Detox Option For You. Our programs in Virginia, Ohio, Massachusetts also include 6 months of Naltrexone Therapy and supportive care management to assist in your early recovery. Download our free Guide to Understanding Alcohol Detox to learn about the prevalence of Alcohol Use Disorder (AUD) in American society and available treatment options. Get the Free Guide[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="off|off|off" admin_label="Testimonials" module_class="testimonials-container centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.17.1" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_padding="||50px||false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.3" custom_padding="||20px" global_colors_info="{}"]See What Other Patients are Saying about Coleman Institute...[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" _builder_version="4.17.1" _module_preset="default" custom_padding="||50px||false|false" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.0" _module_preset="default" text_font_size="18px" global_colors_info="{}"] Gene – Former Alcohol Patient "Life is best when you can enjoy it clean and sober"[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.0" _module_preset="default" text_font_size="18px" global_colors_info="{}"] Ryan – Alcohol Detox Patient “Using the Coleman Method was the only one that has worked for me for a long period of time.”[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" custom_padding="||50px||false|false" global_colors_info="{}"]See More Patient Experiences[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="FAQS" _builder_version="4.17.1" _module_preset="default" background_color="#f1faff" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.17.1" _module_preset="default" custom_padding="||50px||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"]Featured Alcohol Detox FAQs[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_4,1_2,1_4" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" locked="off" global_colors_info="{}"][et_pb_column type="1_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" text_font_size="18px" custom_padding="||||false|false" global_colors_info="{}"]What is Alcohol Dependence?What are alcohol withdrawal symptoms?What is the Outpatient Alcohol Detoxification Program?Does the Alcohol Detoxification Program have any risks or side effects?How do we reduce the risk of relapse?[/et_pb_text][et_pb_text _builder_version="4.25.0" text_font_size="18px" custom_padding="||||false|false" global_colors_info="{}"]View All Alcohol Detox FAQs[/et_pb_text][/et_pb_column][et_pb_column type="1_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" custom_padding_last_edited="on|phone" admin_label="Insurances Accepted" module_class="spaced centered" _builder_version="4.17.0" custom_padding="||50px||false|false" custom_padding_tablet="||0px||false|false" custom_padding_phone="||0px||false|false" da_disable_devices="off|off|off" global_module="15824" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.24.2" text_font="||||||||" global_colors_info="{}"]Insurance Accepted For Detox Treatments At Our Richmond, VA Location The Coleman Institute's Richmond, VA office is in-network with many Blue Cross Blue Shield plans, including Anthem Virginia PPO and HMO plans. We also accept Sentara plans. We are constantly expanding our in-network coverage, so please contact us to see if we accept your insurance.[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" _builder_version="4.17.0" _module_preset="default" custom_margin_tablet="" custom_margin_phone="25px||25px||false|false" custom_margin_last_edited="on|phone" custom_padding="50px||50px||false|false" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/Anthem-1.png" alt="BCBS LOGO" title_text="Anthem-1" align="right" _builder_version="4.27.4" _module_preset="default" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/sentra-1.png" title_text="sentra-1" align="left" module_class="align-left" _builder_version="4.27.4" _module_preset="default" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.24.2" text_font="||||||||" global_colors_info="{}"]Call 877-773-3869 or schedule a callback to check your insurance coverage.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Form" module_class="centered spaced" _builder_version="4.16" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" global_colors_info="{}"]Ready to Reclaim Your Life? Get back to being yourself with our safe and effective method for outpatient alcohol detox. Call Us Now at 877-773-3869 Or Schedule a Callback[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] #### Richmond Buprenorphine Detox [et_pb_section fb_built="1" fullwidth="on" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_fullwidth_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2018/11/heroindetoxhdr.jpg" alt="Green meadow with grass and trees" title_text="Green meadow with grass and trees" _builder_version="4.24.3" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}"][/et_pb_fullwidth_image][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="3_5,2_5" _builder_version="4.24.3" width="89%" max_width="89%" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.3" text_font_size="18px" global_colors_info="{}"]Fast, Comfortable Buprenorphine Detox at the Coleman Institute In Richmond, VA If you’ve been using Buprenorphine to treat your opioid addiction and you’re ready to transition away from it and start a new, fully opioid-free life, the Buprenorphine Detox program at the Coleman Institute in Richmond, VA could be just the treatment program you’ve been looking for. The Coleman Institute - Richmond is located in Central Virginia at the crossroads of I-95 and 64, about 1.5 hours from Washington, D.C., and 1.5 hours from Virginia Beach. We’ve treated over 8,500 patients using the Coleman Method and our outpatient detox program has a 98% completion rate. When you detox from Buprenorphine using the Coleman Method, you won’t have to suffer through the severe withdrawal symptoms that come with trying to self-detox or put your life on hold for an extended stay in inpatient rehab. Our detox method doesn’t take weeks or months to complete. We can help you detox from Buprenorphine in as little as 8 days on an outpatient basis. Patients who live within driving distance of our Richmond, VA location can return home daily during treatment, and those who live further away can spend their nights in one of the many nearby hotels or Airbnb accommodations. Benefits of the Coleman Institute’s outpatient Buprenorphine Detox program in Richmond, VA: Detox from Buprenorphine in as few as 8 days Outpatient care - no hospital stay required No general anesthesia required Safe, assisted withdrawal using non-addictive medication Caring support from medical professionals who understand addiction Long-term recovery support assisted by long-acting Naltrexone Help with creating a plan for maintaining sobriety You deserve a better life. You deserve freedom from addiction. Let’s take the next step together. Call Us Now at 877-773-3869 SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][et_pb_column type="2_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.3" text_font_size="18px" global_colors_info="{}"] The Coleman Institute for Addiction Medicine - Richmond204 N. Hamilton Street, Suite BRichmond, VA 23221877-773-3869 Team Members Available for Questions by Phone between 9:00 AM - 10:00 PM EST Office HoursMonday - Thursday 8:30 AM - 5:00 PM ESTFriday 8:30 AM - 4:30 PM EST[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner Link List" module_class="banner list on-dark centered" _builder_version="4.16" background_color="#053a72" custom_padding="||" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.24.3" text_font="||||||||" global_colors_info="{}"] Minimize Withdrawal Symptoms Detox in as Little as 8 Days Convenient Outpatient Treatment [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="off|off|off" admin_label="Testimonials" module_class="spaced centered" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.17.0" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_padding="||0px||false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.3" custom_padding="||2px|||" global_colors_info="{}"]See What Our Richmond Patients Have To Say...[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" make_equal="on" module_class="testimonials" _builder_version="4.16" width="89%" max_width="89%" max_width_tablet="" max_width_phone="" max_width_last_edited="on|desktop" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.3" text_font_size="18px" global_colors_info="{}"]“I cannot say enough good things about the Coleman Institute. They saved my life. When I came to them, I was on Suboxone. Their detox protocol is, I believe, the best out there. I’ve detoxed many times, and this was by far the best detox I’ve ever had, as far as detoxes go. I highly recommend them to anyone seeking to get and STAY clean. They are caring and available to you when you need them. Don’t wait – call today!” Scott – Richmond, VA, September 2019[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.3" text_font_size="18px" global_colors_info="{}"]“My daughter is Opiate free for two months now after a 17-year addiction. This is the place to come for help with addiction issues. I already have recommended Dr. Coleman to friends in Indiana! The program works and it saves the life of the addict. Give my name anytime, to anyone that wants to know how good Dr. Coleman and Staff are!” JB – Richmond, VA, November 2016[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.3" text_font_size="18px" global_colors_info="{}"]"Can’t thank this place enough, and especially the employees–Mary Alice, nurse practitioners Lauren and Joan. These 3 people are AMAZING, as well as everyone else but, my visit was primarily with these 3 delightful guys. They really treat their patients very well. Mary got straight to the point, get in, get u comfy, and get u back to your cozy bed at home.” Opioid Patient - Richmond, VA, September 2020[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" custom_padding="||50px||false|false" global_colors_info="{}"]View More[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.3" global_colors_info="{}"]Why Buprenorphine is Used, and Why People May Want to Detox Off Of It Buprenorphine is a useful medication used in treatment for opioid addiction. It’s what is known as a “partial opioid agonist,” which means that it activates the same opioid receptors in the brain as other opioids, but to a much less intense degree that doesn’t produce the euphoric effects of other opioids. This makes it quite useful for managing opioid cravings and withdrawal symptoms and transitioning patients away from a more dangerous opioid like Fentanyl or Heroin and onto a comparatively safer and legal (when prescribed) alternative. However, it’s important to keep in mind that Buprenorphine is still an opioid. That means that Buprenorphine is itself an addictive substance, and that trying to stop using it can lead to similar withdrawal symptoms as one would experience when trying to stop using other opioids. In fact, many of our patients who have tried Buprenorphine treatment to treat their opioid addiction have said that detoxing from Buprenorphine can be even more difficult than detoxing from other opioids. That’s where our outpatient Buprenorphine Detox program comes in. We help patients get off of Buprenorphine in as little as 8 days and take the next step toward a life completely free of addiction. SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner CTA - Opioid Detox Guide" module_class="banner cta expanded" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_5,3_5" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="2_5" module_class="desktop-only" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.0" global_colors_info="{}"][/et_pb_text][/et_pb_column][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="centered" _builder_version="4.18.0" global_colors_info="{}"]Recovery Starts With Finding The Right Detox Option For You. Download our free Guide to Detoxing Off Suboxone for an in-depth look at Suboxone's role in addiction treatment, industry-leading detox methods, and addiction recovery treatment options. Get the Free Guide[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.3" global_colors_info="{}"]What To Expect From Our Buprenorphine Detox Program In Richmond, VA Buprenorphine detox can be very difficult, so choosing the right detox program is a crucial step on your journey to recovery. We’re here to help you through this process from beginning to end. Here’s what you can expect if you choose the Coleman Method for your Buprenorphine detox: Getting Started: When you decide you’re ready, call us at 877-773-3869 or request a callback from one of the Care Advocates on our Richmond, VA team. During the initial call, our Care Advocates will answer any questions you may have about outpatient Buprenorphine Detox and help you decide on when you would like to start treatment. We can typically begin treatment within a week - we do not have a waiting list. Before Your Appointment: We ask all of our Buprenorphine detox patients to stop taking Buprenorphine 16 to 48 hours before their first scheduled appointment at our Richmond, VA detox center. We also ask that patients be accompanied by a support person who can be present for the duration of the detox program and for 48 hours after detox is completed. Patients in detox should not drive motor vehicles and should be monitored at all times to ensure their safety and comfort. Your 1st Appointment: At your 1st appointment, you will be in mild withdrawal from stopping Buprenorphine use 16 to 48 hours before the appointment. A licensed, experienced addiction specialist will give you tailored doses of comfort medications throughout the day to alleviate any uncomfortable withdrawal symptoms you may be experiencing. You will also be given micro-dose Naltrexone to aid in the process. Intermediate Appointments: The intermediate days of your Buprenorphine detox will be much like the first day. An experienced practitioner will continue to administer comfort medications for your withdrawal symptoms throughout the day in tailored doses that fit your individual needs and you will also be given micro-dose Naltrexone to aid in the process. Final Appointment: When it is time for your final appointment, you will have made significant progress. You can rest comfortably in your own private room at our Richmond, VA detox center while the remaining Buprenorphine is gently removed from your brain, a process that usually takes around 6 to 8 hours. After this appointment, detox is complete. To help you in the weeks after detox, you will be given long-acting Naltrexone to help reduce opioid cravings. This freedom from cravings gives many of our patients the freedom to build healthier habits and start a new life free from addiction. SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.3" global_colors_info="{}"]Why The Coleman Institute’s Buprenorphine Detox Program - The Fast And Comfortable Option Most people who take Buprenorphine will not be able to stop using it on their own without experiencing severe withdrawal symptoms and risking relapse. Here are some common Buprenorphine detox options available in the Richmond, VA area: Self-Detox: Trying to stop using Buprenorphine on your own can be extremely uncomfortable and dangerous. “Going cold turkey” and stopping your Buprenorphine suddenly with no help from an experienced addiction specialist can result in withdrawal symptoms that are physically and mentally distressing, and could even end up being life-threatening. Some Buprenorphine patients attempt to quit by tapering off their dosage in an attempt to wean themselves off of it. This almost never works. Both the cold turkey method and the weaning method usually result in the patient going back to their regular dose of Buprenorphine or relapsing back to the more dangerous opioid they were using before. Because of the potential health risks and high probability of relapse, we do not recommend trying to stop using Buprenorphine on your own. Inpatient Detox: Inpatient Buprenorphie detox requires a long hospital stay or a long stay in a rehab facility where medical professionals monitor the patient and give them medications to help with the pain and discomfort of withdrawal. The length of the process depends on the patient, but it is not unheard of for inpatient rehab stays to go for as long as 30 days or more. Such a long stay in a facility can be very disruptive to the patient’s life and can be very expensive. Ultra Rapid Opioid Detoxification (URD or UROD): Ultra Rapid Detox is an inpatient detox method where a patient is hospitalized, put under general anesthesia, and given opioid antagonist medications like Naltrexone intravenously to flush the drugs out of their system. True to its name, this method can be very fast, flushing the drugs out of the system in as little as 5 minutes, but it is an extremely expensive procedure and there can be serious health risks. There have been some reported fatalities after this treatment. Because of the potential risks, we stopped using this detox method in 2001. Our Outpatient Buprenorphine Detox Program: Our Buprenorphine Detox program is an outpatient program that tailored doses of comfort medications alongside Naltrexone Therapy to allow patients to detox safely and comfortably in as little as 8 days without the risks or costs involved in other types of opioid detox and with as little disruption to the patient’s daily life as possible. SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" custom_padding_last_edited="on|phone" admin_label="Insurances Accepted" module_class="spaced centered" _builder_version="4.17.0" custom_padding="||50px||false|false" custom_padding_tablet="||0px||false|false" custom_padding_phone="||0px||false|false" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" global_module="15824" theme_builder_area="post_content" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}" theme_builder_area="post_content"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||" theme_builder_area="post_content"][et_pb_text admin_label="Text" _builder_version="4.24.2" text_font="||||||||" global_colors_info="{}" theme_builder_area="post_content"]Insurance Accepted For Accelerated Opioid Detox At Our Richmond, VA Location The Coleman Institute's Richmond, VA office is in-network with many Blue Cross Blue Shield plans, including Anthem Virginia PPO and HMO plans. We also accept Sentara plans. We are constantly expanding our in-network coverage, so please contact us to see if we accept your insurance.[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" _builder_version="4.17.0" _module_preset="default" custom_margin_tablet="" custom_margin_phone="25px||25px||false|false" custom_margin_last_edited="on|phone" custom_padding="50px||50px||false|false" global_colors_info="{}" theme_builder_area="post_content"][et_pb_column type="1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}" theme_builder_area="post_content"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/Anthem-1.png" alt="BCBS LOGO" title_text="Anthem-1" align="right" _builder_version="4.27.4" _module_preset="default" global_colors_info="{}" theme_builder_area="post_content"][/et_pb_image][/et_pb_column][et_pb_column type="1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}" theme_builder_area="post_content"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/sentra-1.png" title_text="sentra-1" align="left" module_class="align-left" _builder_version="4.27.4" _module_preset="default" global_colors_info="{}" theme_builder_area="post_content"][/et_pb_image][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.16" global_colors_info="{}" theme_builder_area="post_content"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||" theme_builder_area="post_content"][et_pb_text admin_label="Text" _builder_version="4.24.2" text_font="||||||||" global_colors_info="{}" theme_builder_area="post_content"]Call 877-773-3869 or schedule a callback to check your insurance coverage.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="0px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_4" show_border="off" _builder_version="4.16" text_orientation="center" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Richmond Heroin Detox [et_pb_section fb_built="1" fullwidth="on" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_fullwidth_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2018/11/heroindetoxhdr.jpg" alt="Green meadow with grass and trees" title_text="Green meadow with grass and trees" _builder_version="4.24.2" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}"][/et_pb_fullwidth_image][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="3_5,2_5" _builder_version="4.24.3" width="89%" max_width="89%" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" text_font_size="18px" global_colors_info="{}"]Fast, Comfortable Heroin Detox At The Coleman Institute In Richmond, VA Heroin is a powerful opiate that can force a person into addiction after just a few doses. It works quickly and deadly. As the body fights to build a tolerance to the drug, more and more of it is required to get the same high. Unfortunately, a person can never be sure how much they’re taking because a cut-up weak dose and pure heroin look exactly the same. Between the need for increasing doses and confusion about their strength, heroin is responsible for a high percentage of all drug-related deaths. At the Coleman Institute in Richmond, VA we offer a safe Heroin Detox that has treated thousands of patients with stunning results. We remove the opiates from the brain in the most comfortable way possible. Best of all, it can be done in as few as 5 days, so you can clear the heroin from your body without lengthy hospital stays. Through our innovative treatment, we provide our patients with exceptional outpatient care and long-term recovery support. By using non-addictive, non-narcotic medication to reduce discomfort and cravings, we can help dramatically reduce the temptation to relapse that often accompanies a detox. Our team is ready to help you or your loved one overcome dependence or addiction to heroin through our unique suite of addiction services. If you or a loved one are suffering from heroin addiction, the outpatient Heroin Detox program at the Coleman Institute in Richmond, VA could be the addiction recovery program you’ve been looking for. The Coleman Institute - Richmond is located in Central Virginia at the crossroads of I-95 and 64, about 1.5 hours from Washington, D.C., and 1.5 hours from Virginia Beach. Patients who live within driving distance of our Richmond, VA location can return home every day after their treatment session ends. Patients who live further away can spend their nights in a comfortable room in one of Richmond’s many nearby hotels or Airbnb accommodations. Benefits of the Coleman Institute’s outpatient Heroin Detox program in Richmond, VA: Heroin Detox in as little as 5 days Outpatient program - no stays in a hospital or rehab facility No general anesthesia required Safe, comfortable withdrawal assisted by non-addictive medications Compassionate support from medical professionals who understand addiction Long-term medication support using Naltrexone Therapy Assistance with making long-term plans to maintain sobriety You deserve a better life. You deserve freedom from heroin addiction. Let’s take the next step together. Call Us Now at 877-773-3869. SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][et_pb_column type="2_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" text_font_size="18px" global_colors_info="{}"] The Coleman Institute for Addiction Medicine - Richmond204 N. Hamilton Street, Suite BRichmond, VA 23221877-773-3869 Team Members Available for Questions by Phone between 9:00 AM - 10:00 PM EST Office HoursMonday - Thursday 8:30 AM - 5:00 PM ESTFriday 8:30 AM - 4:30 PM EST[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner Link List" module_class="banner list on-dark centered" _builder_version="4.16" background_color="#053a72" custom_padding="||" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.25.0" text_font="||||||||" global_colors_info="{}"] Minimize Withdrawal Symptoms Detox in as Little as 5 Days Convenient Outpatient Treatment [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="off|off|off" admin_label="Testimonials" module_class="spaced centered" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.17.0" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_padding="||0px||false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" custom_padding="||2px|||" global_colors_info="{}"]See What Our Richmond Heroin Detox Patients Have To Say…[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" make_equal="on" module_class="testimonials" _builder_version="4.16" width="89%" max_width="89%" max_width_tablet="" max_width_phone="" max_width_last_edited="on|desktop" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" text_font_size="18px" global_colors_info="{}"]“I am writing today to thank Dr. Coleman for being there to save the life of my son and his girlfriend. After my husband passed away my son turned to drugs to medicate himself from the pain of his fathers passing. This drug addiction went from OxyContin, then to Heroin and lasted ten years and rounds of inpatient rehab to no avail. I thought there was no longer any hope for him surviving this horrible addiction. Then we found the Coleman Institute. 5 1/2 years later they are still sober working at the family business. I just wanted to say thank you thank you thank you and God Bless you!” Anonymous - Richmond, VA, December 2017[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" text_font_size="18px" global_colors_info="{}"]“I was a heroin addict for 6-7 years and was scared to get clean thinking I'd never feel “normal” like the way I did before I started using. Even though I knew withdrawal only lasts so long I felt it would never end so I never tried to get clean. I then found the Coleman Institute and they made sure I was taken care of from start to finish and I can tell you that the wonderful staff are all amazing. The process is accelerated and you’ll feel it but it’s quicker and the implant WORKS. This is the first time I’ve been clean since becoming an addict and it feels like a new lease on life. I recommend that if you or anyone you know is in need of help that the Coleman Institute is the place to seek out.” Tory Whibley - Richmond, VA, 2020[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" text_font_size="18px" global_colors_info="{}"]“Amazing program and amazing staff. I definitely recommend this facility. Their approach and different levels of care are extremely accommodating and will meet your needs while making sure you are comfortable and informed every step of the way.” Jessica Cano - Richmond, VA, 2023[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" custom_padding="||50px||false|false" global_colors_info="{}"]View More[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" global_colors_info="{}"]How Big of a Problem is Heroin in Virginia? The opioid epidemic has been a major public health crisis in Virginia in the 2010s and 2020s, and heroin is still a major part of the problem. According to the Virginia Department of Health’s Quarterly Drug Death Report for the 1st Quarter of 2023, there were 2619 total drug overdose deaths in Virginia in 2022. Of those deaths, 254 were heroin overdose deaths. That’s 9.7% of all drug overdose deaths for the year. This is a big decrease from the peak levels of heroin overdose deaths that we saw in Virginia in 2017, but overall drug overdose deaths have risen sharply overall since 2017, so much of the decrease in heroin overdose deaths can likely be attributed to the fact that Fentanyl has become so much more prevalent in the drug landscape. In fact, much of what is being sold as heroin nowadays is actually heroin mixed with Fentanyl or just Fentanyl being sold as heroin. This is one of the hidden dangers of heroin use: there is no quality control on the street, so there is no way to tell exactly what you’re getting when you buy it. Heroin dependence often starts with the use of legal, prescribed opioid painkillers. A person could have an accident or some other condition that requires opioids to manage the pain. After taking the opioids, even just one dose, dependence can occur. The prescription could end for some reason - the doctor stops writing the prescription, it gets too expensive, insurance won’t pay for it anymore, etc. - and the person could then turn to illegal means to get more opioids to manage their pain and the discomfort of withdrawal. And because prescription opioids like Vicodin or OxyContin are expensive to get on the street, many people turn to cheaper alternatives like heroin. And so the legitimate use of opioids for pain management snowballs into a heroin addiction. If you or someone you know is struggling with heroin addiction, you’re not alone. We’re here to help. Call 877-773-3869 now or schedule a callback using the button below to learn more about our Heroin Detox program. SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner CTA - Opioid Detox Guide" module_class="banner cta expanded" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_5,3_5" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="2_5" module_class="desktop-only" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.0" global_colors_info="{}"][/et_pb_text][/et_pb_column][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="centered" _builder_version="4.20.2" global_colors_info="{}"]Recovery Starts With Finding The Right Detox Option For You. Download our free Guide to Understanding Heroin Detox for an in-depth look at heroin addiction, industry-leading detox methods, and addiction recovery treatment options. Get the Free Guide[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" global_colors_info="{}"]What To Expect From Our Heroin Detox Program In Richmond, VA We understand that heroin is very difficult to detox from because it is highly addictive and can cause severe withdrawal symptoms. That’s why we’re here to help you through the detox process, every step of the way. Here’s what you can expect from Heroin Detox using the Coleman Method: Getting Started: When you’re ready to start detox, call us at 877-773-3869 or use our convenient online form to request a callback from one of the Care Advocates on our Richmond, VA team. During this call, our Care Advocate will answer any and all questions you may have about our unique approach to Heroin Detox. They will also help you choose the dates you want to schedule your detox. Before Your Appointment: To prepare for your first appointment, we will ask you to stop using heroin 16 to 48 hours before you are scheduled to arrive, based on guidance from our physicians. We will also ask that you bring a support person with you who can be present for the duration of your detox and for 48 hours after detox has concluded. When you are in detox, you should not operate a motor vehicle, and you should be monitored at all times to ensure your safety and comfort. Your First Appointment: When the time comes for your first appointment, you will likely be experiencing mild withdrawal from stopping heroin use 16 to 48 hours prior. One of our experienced, licensed practitioners will assess your condition and administer tailored doses of comfort medications throughout the day to alleviate your withdrawal symptoms. They will also give you a micro-dose of Naltrexone. Intermediate Appointments: The intermediate appointments in the Heroin Detox program are much like the first appointment. Your practitioner will continue to monitor your condition and provide tailored doses of comfort medications according to your individual needs, and you will continue to receive micro-doses of Naltrexone. Final Appointment: When you arrive at your final appointment, you will have made significant progress in the detox process. At this appointment, you will rest comfortably in your own private room at our Richmond, VA detox clinic while the remaining heroin is gently removed from your brain. This process typically takes about 6 to 8 hours to complete. You will be monitored closely to ensure that you are safe and that detox is progressing as it should. After this process is over, your heroin detox is complete. You will be given an injection of long-acting Naltrexone to support you in the weeks following detox. This injection will slowly release Naltrexone into your system over the course of a few weeks to block your opioid receptors, which will reduce cravings and inhibit the effects of opioids if relapse occurs. SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.3" global_colors_info="{}"]Why Choose The Coleman Institute’s Heroin Detox Program - A Fast, Comfortable Detox Option Most people who try to stop using heroin will not be able to do so on their own. Stopping heroin use can cause severe withdrawal symptoms that make users quickly realize that they will likely need the help of a medical detox program to successfully quit. Here are some common Heroin Detox options available in the Richmond, VA area: Self-Detox: Heroin is a very potent, addictive opioid, and trying to stop using it on your own can be extremely uncomfortable and potentially dangerous to your health. Suddenly stopping heroin and attempting to “go cold turkey” can cause extreme physical and mental distress, and these symptoms could be such a shock to your system that they become life threatening. Some people attempt to stop using heroin by gradually tapering off their dose and trying to wean themselves off of it over time. This almost never succeeds. Most attempts to self-detox end up in relapse as the person seeks relief for their withdrawal symptoms. Because of the high probability of relapse and the potential health risks, we do not recommend that anyone try to self-detox from heroin. Inpatient Detox: Going through inpatient detox for heroin requires the patient to have a lengthy stay in a rehab facility or hospital while medical professionals monitor their condition and administer medications to help alleviate their withdrawal symptoms. The length of an inpatient rehab stay depends on the condition of the patient, but it is not unheard of for an inpatient rehab stay to be as long as 30 days or more. An extended stay in a rehab facility can be very disruptive to the patient’s life and can be very expensive. Ultra Rapid Opioid Detoxification (URD or UROD): Ultra Rapid Opioid Detox is a method of inpatient rehab where a patient is hospitalized, put under general anesthesia, and given large doses of opioid agonists like Naltrexone intravenously in an attempt to flush the drugs out of their system as quickly as possible. This method can work very quickly. It can fully flush the drugs out of a patient’s system in as few as 5 minutes. But this procedure is extremely expensive and could have significant health risks. There have been some reported fatalities after the completion of this treatment. Because of the potential risks, the Coleman Institute has not performed an ultra rapid detox since 2001. Methadone or Buprenorphine: Methadone and Buprenorphine are both well-known medications used in Medication-Assisted Treatments for heroin addiction. When administered under the supervision of an addiction specialist, they can help people transition away from heroin use and onto a safer, legal (when prescribed) alternative. But it’s important to keep in mind that Methadone and Buprenorphine are still opioids. They are still addictive substances, and they will likely produce withdrawal symptoms if usage is stopped without medical assistance, so detoxing from them if you decide you want to stop taking opioids altogether can be a challenge. Many of our patients have told us that detoxing from Buprenorphine or Methadone can be more difficult than detoxing from other opioids. Our Outpatient Heroin Detox Program: Heroin Detox using the Coleman Method is a program that uses tailored doses of comfort medications along with Naltrexone Therapy to help people fully detox from heroin in as few as 5 days, with fewer risks and costs than other detox programs and with as little disruption to the patient’s daily life as possible. Our program has a 98% completion rate, and we think this fact speaks for itself. SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" custom_padding_last_edited="on|phone" admin_label="Insurances Accepted" module_class="spaced centered" _builder_version="4.17.0" custom_padding="||50px||false|false" custom_padding_tablet="||0px||false|false" custom_padding_phone="||0px||false|false" da_disable_devices="off|off|off" global_module="15824" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.24.2" text_font="||||||||" global_colors_info="{}"]Insurance Accepted For Detox Treatments At Our Richmond, VA Location The Coleman Institute's Richmond, VA office is in-network with many Blue Cross Blue Shield plans, including Anthem Virginia PPO and HMO plans. We also accept Sentara plans. We are constantly expanding our in-network coverage, so please contact us to see if we accept your insurance.[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" _builder_version="4.17.0" _module_preset="default" custom_margin_tablet="" custom_margin_phone="25px||25px||false|false" custom_margin_last_edited="on|phone" custom_padding="50px||50px||false|false" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/Anthem-1.png" alt="BCBS LOGO" title_text="Anthem-1" align="right" _builder_version="4.27.4" _module_preset="default" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/sentra-1.png" title_text="sentra-1" align="left" module_class="align-left" _builder_version="4.27.4" _module_preset="default" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.24.2" text_font="||||||||" global_colors_info="{}"]Call 877-773-3869 or schedule a callback to check your insurance coverage.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="0px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_4" show_border="off" _builder_version="4.16" text_orientation="center" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Richmond Methadone Detox [et_pb_section fb_built="1" fullwidth="on" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_fullwidth_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2018/11/methadonehdr.jpg" alt="Purple flowers surrounding waterfall to demonstrate the easy and comfortable way to detox: The Coleman Method" title_text="Purple flowers surrounding waterfall" _builder_version="4.24.2" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}"][/et_pb_fullwidth_image][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="3_5,2_5" _builder_version="4.24.3" width="89%" max_width="89%" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.1" text_font_size="18px" global_colors_info="{}"]Fast, Comfortable Methadone Detox at the Coleman Institute In Richmond, VA If you or someone you know has been using Methadone to treat opioid addiction and you’re ready to transition away from it and live your life free of all addictive substances, the Methadone Detox program at the Coleman Institute in Richmond, VA could be the recovery program you’re looking for. The Coleman Institute - Richmond is located in Central Virginia at the crossroads of I-95 and 64, about 1.5 hours from Washington, D.C., and 1.5 hours from Virginia Beach. We’ve treated over 8,500 patients using the Coleman Method and our outpatient detox program has a 98% completion rate. Methadone detox using the Coleman Method allows patients to detox quickly and safely without suffering through the agonizing withdrawal symptoms that can accompany self-detox or putting life on hold to have a long stay in an inpatient rehab facility. Our program doesn’t take weeks or months to complete. We can help you detox from Methadone in as few as 8 days on an outpatient basis. If you live within driving distance of our Richmond, VA detox center, you’re free to return home every night after your treatment session. If you live further away, you can stay in one of the many nearby hotels or Airbnbs. While most other detox programs typically offer treatment for patients currently on 30 mg of methadone or less, our outpatient program at the Coleman Institute can detox patients from methadone doses up to 300 mg. Benefits of the Coleman Institute’s outpatient Methadone Detox program in Richmond, VA: Complete detox in as few as 8 days Outpatient care - no hospital stay required No general anesthesia required Safe withdrawal assisted by non-addictive medication Caring support from compassionate professionals who understand addiction Long-term recovery support with long-acting Naltrexone Help with creating a long-term plan to maintain sobriety You deserve a better life. You deserve freedom from addiction. Let’s take the next step together. Call Us Now at 877-773-3869.   SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][et_pb_column type="2_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" text_font_size="18px" global_colors_info="{}"] The Coleman Institute for Addiction Medicine - Richmond204 N. Hamilton Street, Suite BRichmond, VA 23221877-773-3869 Team Members Available for Questions by Phone between 9:00 AM - 10:00 PM EST Office HoursMonday - Thursday 8:30 AM - 5:00 PM ESTFriday 8:30 AM - 4:30 PM EST[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner Link List" module_class="banner list on-dark centered" _builder_version="4.16" background_color="#053a72" custom_padding="||" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.24.2" text_font="||||||||" global_colors_info="{}"] Minimize Withdrawal Symptoms Detox in as Little as 8 Days Convenient Outpatient Treatment [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="off|off|off" admin_label="Testimonials" module_class="spaced centered" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.17.0" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_padding="||0px||false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" custom_padding="||2px|||" global_colors_info="{}"]See What Our Richmond Heroin Detox Patients Have To Say…[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" make_equal="on" module_class="testimonials" _builder_version="4.16" width="89%" max_width="89%" max_width_tablet="" max_width_phone="" max_width_last_edited="on|desktop" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" text_font_size="18px" global_colors_info="{}"]“The Coleman Institute saved my life! I came in March & I’m still sober today, doing amazing!” Methadone Detox — Richmond, VA, November 2022[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" text_font_size="18px" global_colors_info="{}"]“I have battled addiction to opiates from the young age of sixteen. The Coleman institute was the most caring and concerned treatment facility I have ever come across. The protocols they have in place made my detox from methadone easier than I ever expected. This is the one and only program I would ever recommend for someone struggling with addiction. At the end of the detox you have the option for naltrexone implants to help secure sobriety in the beginning months. Dr. Coleman I am eternally grateful to you and your staff for helping me regain my life.” TT – Richmond, VA, May 2016[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" text_font_size="18px" global_colors_info="{}"]“This place has saved my life. After 15 years on methadone & countless rehabs, this is the first time I’ve ever completed a detox. I completed the detox 1 week ago & I feel great! Thanks to Dr. Coleman, April & all the caring nurses there!” MT - Richmond, VA, October 2015[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" custom_padding="||50px||false|false" global_colors_info="{}"]View More[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" global_colors_info="{}"]Why Methadone is Used, and Why People May Want to Detox Methadone is one of the more well-known medications used in Medication-Assisted Treatment for opioid addiction. It is what is known as a “long-acting full opioid agonist,” which means that it acts on the opioid receptors in the brain by reducing cravings and withdrawal symptoms and by blocking the euphoric effects of opioids if a methadone user relapses. It can be very useful for transitioning patients away from more dangerous opioids like Fentanyl or heroin and onto a comparatively safer and legal (when prescribed and administered by a professional) alternative. But Methadone is itself an opioid. It is also an addictive substance, and trying to stop using Methadone without help can result in withdrawal symptoms similar to the symptoms experienced when withdrawing from other opioids. Many of our patients who have used Methadone treatment to overcome addiction to another opioid have told us that detoxing from Methadone can be more difficult than detoxing from other opioids. Many Methadone patients are grateful to be off of the more dangerous opioid they were using before, but they can often feel like they’ve just traded one addiction for another. They often get to a place in their lives where they want to stop using all addictive substances. That’s where our Buprenorphine detox program comes in. We use non-addictive Naltrexone Therapy to help people like you detox from Methadone in as little as 8 days and take an important step toward living a life completely free of addiction. SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner CTA - Opioid Detox Guide" module_class="banner cta expanded" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_5,3_5" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="2_5" module_class="desktop-only" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.0" global_colors_info="{}"][/et_pb_text][/et_pb_column][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="centered" _builder_version="4.18.0" global_colors_info="{}"]Recovery Starts With Finding The Right Detox Option For You. Download our free Guide to Detoxing Off of Methadone for an in-depth look at Methadone's role in addiction treatment, industry-leading detox methods, and addiction recovery treatment options. Get the Free Guide[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" global_colors_info="{}"]What To Expect From Our Methadone Detox Program In Richmond, VA Detoxing off of Methadone can be a very difficult process, so choosing a detox program that works for you is a crucial step on your journey toward an addiction-free life. We’re here to help you through the entire process. Here’s what you can expect if you decide to try the Coleman Method for Methadone detox. Getting Started: Start by calling us at 877-773-3869 or use our online form to request a callback and one of our Richmond, VA Care Advocates will reach out to you by phone. During this initial call, the Care Advocates will answer any and all questions you might have about outpatient Methadone detox. They will also help you choose which dates to schedule your treatment. We can typically start treatment within a week - there is no waiting list. Before Your Appointment: To prepare for the 1st appointment, we ask all of our Methadone detox patients to stop taking their Methadone 48 hours before the appointment. We also ask patients to arrange to have a support person with them for the duration of the detox program and for 48 hours after detox has concluded. Patients going through detox should not drive motor vehicles and should be monitored at all times to ensure safety and comfort. Your First Appointment: At your 1st appointment, you will likely be experiencing mild withdrawal because you stopped taking your Methadone 48 hours before the appointment. One of our practitioners will administer tailored doses of comfort medications throughout the day to help relieve your withdrawal symptoms. You will also be given a micro-dose of Naltrexone. Intermediate Appointments: Your intermediate Methadone appointments will be much like the first appointment. Our practitioners will continue to give you tailored doses of comfort medications according to your individual needs, and they will also continue to give you micro-doses of Naltrexone. Final Appointment: When you reach your final appointment, you will have made significant progress. You can rest comfortably in your own private room at our Richmond, VA detox center while the remaining Methadone is gently removed from your brain. This final stage of the process typically takes about 6 to 8 hours. A practitioner will monitor you closely to make sure you are safe and that detox is progressing well. When this appointment is over, detox is complete. You will then be given long-acting Naltrexone to help support you in the coming weeks. Patients often find that this long-acting Naltrexone gives them the support they need to start building healthier habits and living a new life free from addiction. SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" global_colors_info="{}"]Why The Coleman Institute’s Methadone Detox Program - The Fast And Comfortable Option Methadone stays in your system longer than other opioids and can cause serious withdrawal symptoms, so most people are not able to stop using it on their own. They quickly learn that a medical detox will most likely be necessary for them to stop using opioids once and for all. Here are some common Methadone detox options available in the Richmond area: Self-Detox: Trying to stop taking Methadone without help can be very uncomfortable and potentially dangerous. Quitting Methadone “cold turkey” and trying to stop using it suddenly can result in very uncomfortable withdrawal symptoms and may, in some cases, be life-threatening. Some people who use Methadone try to stop by gradually tapering off their dose in an effort to wean themselves off of it over time. This almost never succeeds. Self-detox from Methadone usually results in the patient either going back on Methadone or relapsing back onto the more dangerous opioid they were using before. Because of the potential health risks and the high probability of relapse, we do not recommend trying to self-detox from Methadone. Inpatient Detox: Inpatient Methadone detox requires the patient to have an extended stay in a hospital or rehab facility so medical professionals can monitor them and administer medications to help alleviate the pain and discomfort that often accompanies withdrawal. The length of the stay depends on the patient and their condition, but it is possible for an inpatient rehab stay to last upwards of 30 days. A long stay in inpatient rehab can be very expensive and very disruptive to a patient’s life. Ultra Rapid Opioid Detoxification (URD or UROD): Ultra rapid detox involves hospitalizing the patient, putting them under general anesthesia, and giving them large intravenous doses of opioid antagonist medications like Naltrexone to flush the drugs out of their system. True to its name, this process can be very fast. Drugs can be completely flushed out of a patient’s system in as little as 5 minutes. But the procedure is very expensive and there could be significant health risks. There have been some reported fatalities after this treatment. Because of these potential risks, we have not done an ultra rapid detox since 2001. Our Outpatient Methadone Detox Program: Our outpatient Methadone detox program uses tailored doses of comfort medications and Naltrexone Therapy to let patients detox from Methadone safely and comfortably in as few as 8 days with as little disruption to the patient’s daily life as possible and few of the risks or costs associated with traditional detox methods. We think our 98% completion rate speaks for itself. SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" custom_padding_last_edited="on|phone" admin_label="Insurances Accepted" module_class="spaced centered" _builder_version="4.17.0" custom_padding="||50px||false|false" custom_padding_tablet="||0px||false|false" custom_padding_phone="||0px||false|false" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" global_module="15824" theme_builder_area="post_content" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}" theme_builder_area="post_content"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||" theme_builder_area="post_content"][et_pb_text admin_label="Text" _builder_version="4.24.2" text_font="||||||||" global_colors_info="{}" theme_builder_area="post_content"]Insurance Accepted For Accelerated Opioid Detox At Our Richmond, VA Location The Coleman Institute's Richmond, VA office is in-network with many Blue Cross Blue Shield plans, including Anthem Virginia PPO and HMO plans. We also accept Sentara plans. We are constantly expanding our in-network coverage, so please contact us to see if we accept your insurance.[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" _builder_version="4.17.0" _module_preset="default" custom_margin_tablet="" custom_margin_phone="25px||25px||false|false" custom_margin_last_edited="on|phone" custom_padding="50px||50px||false|false" global_colors_info="{}" theme_builder_area="post_content"][et_pb_column type="1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}" theme_builder_area="post_content"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/Anthem-1.png" alt="BCBS LOGO" title_text="Anthem-1" align="right" _builder_version="4.27.4" _module_preset="default" global_colors_info="{}" theme_builder_area="post_content"][/et_pb_image][/et_pb_column][et_pb_column type="1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}" theme_builder_area="post_content"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/sentra-1.png" title_text="sentra-1" align="left" module_class="align-left" _builder_version="4.27.4" _module_preset="default" global_colors_info="{}" theme_builder_area="post_content"][/et_pb_image][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.16" global_colors_info="{}" theme_builder_area="post_content"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||" theme_builder_area="post_content"][et_pb_text admin_label="Text" _builder_version="4.24.2" text_font="||||||||" global_colors_info="{}" theme_builder_area="post_content"]Call 877-773-3869 or schedule a callback to check your insurance coverage.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="0px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_4" show_border="off" _builder_version="4.16" text_orientation="center" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Richmond Naltrexone Therapy [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="3_5,2_5" _builder_version="4.24.3" width="89%" max_width="89%" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" text_font_size="18px" global_colors_info="{}"]The Coleman Institute Provides Naltrexone Therapy Options In Richmond, VA If you or a loved one are struggling with Opioid Use Disorder, Naltrexone Therapy from the Coleman Institute in Richmond, VA could be the treatment you’re looking for. From our experience treating over 8,500 patients over the past 20 years with the Coleman Method, Naltrexone acts as a powerful buffer during the challenging first weeks and months of recovery. Naltrexone is a non-addictive medication that blocks the opiate receptors in a person’s brain without blocking the body’s natural endorphins, which means it dramatically reduces cravings for opiates. With Naltrexone Therapy, opioid detox patients have the strength and support to look beyond their physical symptoms and begin focusing on the psychological aspects of recovering from opioid use and living a new, addiction-free life. We offer two specially formulated options for long-acting Naltrexone: a small implant or monthly injections of Vivitrol. Patients prefer these options because they eliminate the need to remember to take a dose, which makes it easier to avoid relapse. Naltrexone Therapy is a crucial part of our 3-step treatment process at the Coleman Institute in Richmond, VA. This valuable tool makes the transition to recovery easier, more comfortable and far more likely to last — so patients are free to enjoy life again. You deserve a better life. You deserve freedom from addiction. Let’s take the next step together. Call Us Now at 877-773-3869.   SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][et_pb_column type="2_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" text_font_size="18px" global_colors_info="{}"] The Coleman Institute for Addiction Medicine - Richmond204 N. Hamilton Street, Suite BRichmond, VA 23221877-773-3869 Team Members Available for Questions by Phone between 9:00 AM - 10:00 PM EST Office HoursMonday - Thursday 8:30 AM - 5:00 PM ESTFriday 8:30 AM - 4:30 PM EST[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner Link List" module_class="banner list on-dark centered" _builder_version="4.16" background_color="#053a72" custom_padding="||" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.24.2" text_font="||||||||" global_colors_info="{}"] Minimize Withdrawal Symptoms Detox in as Little as 5-6 Days Convenient Outpatient Treatment [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="off|off|off" admin_label="Testimonials" module_class="spaced centered" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.17.0" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_padding="||0px||false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" custom_padding="||2px|||" global_colors_info="{}"]See What Our Richmond Detox Patients Have To Say…[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" make_equal="on" module_class="testimonials" _builder_version="4.16" width="89%" max_width="89%" max_width_tablet="" max_width_phone="" max_width_last_edited="on|desktop" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" text_font_size="18px" global_colors_info="{}"]“I did a detox here almost 4 years ago, and I come in monthly for vivitrol injections. No relapses, and I’m super confident in my recovery. Brittany, Johnelle, Kristal, and Joan are the best! Honestly everyone here is so caring, and kind. I know I wouldn’t be where I am without them. Almost 4 years clean and counting. Thank you all :)! Extremely grateful for everyone here!” Carolyn Johnson - Richmond, VA, 2023[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" text_font_size="18px" global_colors_info="{}"]“I went to the Coleman Institute in early 2018 for an eight day accelerated methadone detoxification followed by a Naltrexone implant. The staff was very kind and extremely patient with my support person and myself. They thoroughly explained each step in the process and were accessible by phone whenever we called…Following detoxification, the staff checked in with me via phone in between appointments and were happy to help in whatever way they could. Overall, the staff was extremely supportive, empathetic, and caring. Opiate detoxification is never pain-free, however the Coleman Institute offers a wonderful starting point and support for people with strong internal motivation and a willingness to stop using and stay clean.” Ginger Park - Richmond, VA, 2019[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" text_font_size="18px" global_colors_info="{}"]“As an addict in recovery, I highly recommend The Coleman Institute for anyone out there struggling with substance abuse. Not only are the nurses and doctors amazing at their jobs, they genuinely care about helping you get clean and stay clean. I have been on the Vivitrol shot for almost a year now, and I can honestly say that it has helped me more than anything I've tried in the past. Thank you to everyone at The Coleman Institute for all you do in helping me maintain a healthy and happy life!” Ryann Browning - Richmond, VA, 2018[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" custom_padding="||50px||false|false" global_colors_info="{}"]View More[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" global_colors_info="{}"]How Does Naltrexone Therapy Help Patients Stop Using Opioids? Naltrexone is a medication that acts as an opioid antagonist. This means it works by blocking the opioid receptors in a person’s brain. These receptors are primarily known for their role in producing pleasure and reward sensations in opioid use. When opioid receptors are blocked, it helps dramatically reduce the patient’s cravings for opioids. With Naltrexone Therapy, most patients find it much easier to avoid relapsing and take the steps they need to take to live a healthier life free of substance use. Small doses of Naltrexone are given along with comfort medication during the initial days of our detoxification program to help the client detox comfortably. At the end of the program, the patient is given one of two special formulations of long-acting Naltrexone to help reduce cravings: Naltrexone Implant - we place a small Naltrexone implant under the patient’s skin, where it slowly releases the medication over time. Vivitrol - Vivitrol is a branded version of injectable Naltrexone Although patients can take Naltrexone orally, we’ve found that many people either forget or choose not to take it— so they’re more likely to relapse. We’ve seen much-improved results by using implants and injections. If you’re ready to stop using opioids and take the first step toward recovery, schedule a callback with the button below. SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner CTA - Opioid Detox Guide" module_class="banner cta expanded" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_5,3_5" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="2_5" module_class="desktop-only" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.0" global_colors_info="{}"][/et_pb_text][/et_pb_column][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="centered" _builder_version="4.18.0" global_colors_info="{}"]Recovery Starts With Finding The Right Detox Option For You. Download our free Guide to Understanding Naltrexone Therapy for Opioids and Alcohol for an in-depth look at how Naltrexone helps people get into recovery and industry-leading detox methods. Get the Free Guide[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.3" global_colors_info="{}"]What To Expect From Our Naltrexone Treatment Program In Richmond, VA Choosing the right program to detox from opioids is an important step in your journey toward recovery. We’re here to help you through the process every step of the way. Here’s what you can expect if you decide to pursue Naltrexone Therapy using the Coleman Method: Getting Started: You can start by calling us now at 877-773-3869 or request a callback to receive a call from one of the Care Advocates on the Coleman Institute - Richmond, VA team. During this call, your Care Advocate will answer any questions you may have about Naltrexone Therapy and will help you choose the dates you want to start your detox. Because the initial detox treatment can be completed in as little as 3 days, depending on the substance you are detoxing from and the severity, many of our patients opt to start treatment on a Friday so they can be back at work by Monday morning. Before Your Appointment: We ask all of our patients to stop using opioids 16-48 hours before their first scheduled appointment, based on guidance from our physicians. We also ask all patients to have a support person with them for the duration of the detox program and for 48 hours after detox is complete. This support person is crucial because patients going through detox should not drive motor vehicles and should be monitored at all times to ensure their safety. Your First Appointment: At the first appointment at our Richmond, VA detox center, the patient may be experiencing mild withdrawal symptoms from stopping use of opioids. One of our experienced, licensed practitioners will give the patient a tailored dose of comfort medications throughout the day to help alleviate the withdrawal symptoms and help the patient detox as comfortably as possible. The patient will also be given micro-dose Naltrexone. Intermediate Appointments: Intermediate detox appointments are similar to the first appointment. The practitioner will continue to administer doses of comfort medications tailored to the patient’s individual needs, and micro-dose Naltrexone will continue to be administered. Final Appointment: By the final appointment, the patient will have made significant progress. The patient will rest comfortably in a private room at our detox center while the remaining opioids are gently removed from the brain. This process usually takes around 6 to 8 hours, and patients are monitored closely for their entire stay to ensure that they are comfortable and safe. When detox is complete, the patient is given long-lasting Naltrexone in the form of an injection to help reduce cravings and give them the support they need to start a new life free from addiction. We strongly recommend that patients continue Naltrexone Therapy for at least 12 months after completing detox. Recent research has shown that it can take a year or more for the brain to fully heal from opioid addiction. It also takes time to learn about recovery, build a support system, and integrate new habits into their lives that will help them stay away from substance use. SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.3" global_colors_info="{}"]Why Choose Naltrexone Therapy At The Coleman Institute In Richmond, VA Most people need professional help to detox from opioids. The withdrawal symptoms that come when trying to detox without help are so unpleasant and potentially dangerous that most people seek out some sort of medical detoxification program. Here are some common opioid detox options available in Richmond, VA and the surrounding area: Self-Detox: Trying to stop using opioids on your own can be very uncomfortable and potentially dangerous. “Going cold turkey” and stopping the use of opioids suddenly without the supervision of a medical professional can result in extreme physical discomfort, and can even be life-threatening. And trying to wean yourself off of opioids by tapering off your usage is almost never successful. Because of the potential dangers and high probability of relapse, we do not recommend self-detox under any circumstances. Inpatient Detox: The typical inpatient detox program involves a long stay in a rehab facility or hospital where professionals monitor the patient and prescribe medicines to help with withdrawal pain and discomfort. The length of the stay can vary depending on the patient’s condition, but it can last for upwards of 30 days. Such a long stay can be very disruptive to daily activities, and it can end up being very expensive. Ultra Rapid Opioid Detoxification (URD or UROD): Ultra Rapid Opioid Detoxification is a method of inpatient detoxification where professionals put the patient under general anesthesia and administer opioid antagonists like Naltrexone intravenously. It can take as little as five minutes to fully flush substances out of a patient’s system using this method, but this treatment is extremely expensive and can come with serious medical risks. In severe cases, fatalities have been reported after Ultra Rapid Detox. For this reason, we haven’t performed this procedure since 2001. Methadone or Buprenorphine: Many people are familiar with other forms of Medication-Assisted opioid treatment that involve the use of Methadone or Suboxone (Buprenorphine). These medications can be very effective for transitioning away from more dangerous opioids, but it’s important to note that these medications are still opioids. When patients are ready to stop using opioids altogether, they will then have to face the challenge of detoxing from the Methadone or Suboxone. Many of our patients say that detoxing from Methadone or Suboxone can be more difficult than detoxing from the opioids they were using before. Outpatient Opioid Detox with Naltrexone Therapy: Our Naltrexone Therapy program uses micro-dose Naltrexone along with a tailored regimen of comfort medication to help patients detox safely and comfortably over the course of several days. Often, the program can be completed in as little as 3 days. Opioids are removed from the patient’s system quickly and gently, and after detox is over, long-acting Naltrexone is given as either an implant or an injection to help control cravings and greatly reduce the risk of relapse. SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" custom_padding_last_edited="on|phone" admin_label="Insurances Accepted" module_class="spaced centered" _builder_version="4.17.0" custom_padding="||50px||false|false" custom_padding_tablet="||0px||false|false" custom_padding_phone="||0px||false|false" da_disable_devices="off|off|off" global_module="15824" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.24.2" text_font="||||||||" global_colors_info="{}"]Insurance Accepted For Detox At Our VA Location The Coleman Institute's Richmond, VA office is in-network with Anthem Blue Cross Blue Shield and Sentara Health Plans. We are constantly expanding our in-network coverage, so please contact us to see if we accept your insurance.[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" _builder_version="4.17.0" _module_preset="default" custom_margin_tablet="" custom_margin_phone="25px||25px||false|false" custom_margin_last_edited="on|phone" custom_padding="50px||50px||false|false" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/Anthem-1.png" alt="BCBS LOGO" title_text="Anthem-1" align="right" _builder_version="4.27.4" _module_preset="default" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/sentra-1.png" title_text="sentra-1" align="left" module_class="align-left" _builder_version="4.27.4" _module_preset="default" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.24.2" text_font="||||||||" global_colors_info="{}"]Call 877-773-3869 or schedule a callback to check your insurance coverage.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="0px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_4" show_border="off" _builder_version="4.16" text_orientation="center" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Richmond Pain Medication Detox [et_pb_section fb_built="1" fullwidth="on" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_fullwidth_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2018/11/heroindetoxhdr.jpg" alt="Green meadow with grass and trees" title_text="Green meadow with grass and trees" _builder_version="4.24.2" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}"][/et_pb_fullwidth_image][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="3_5,2_5" _builder_version="4.24.3" width="89%" max_width="89%" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" text_font_size="18px" global_colors_info="{}"]The Coleman Institute Offers Fast, Comfortable Pain Medication Detox Options In Richmond, VA Living with chronic pain can be daunting and make even the simplest task feel impossible. Wanting to find relief for your pain is normal but turning to opioids and other addictive pain medications can make the situation much worse as it introduces a drug dependency. If you have developed a dependency on your pain medication, the Coleman Institute can help. The Coleman Institute in Richmond, VA helps chronic pain patients detox off their medications with a safe, effective, and comfortable process called the Coleman Method. The Coleman Method for Pain Medication Detox in Richmond, VA is a program that is completed on an outpatient basis in as few as 3 days. We use non-addictive comfort medications to completely eliminate the addictive pain medication from your body. The Coleman Institute - Richmond is located in Central Virginia at the crossroads of I-95 and 64, about 1.5 hours from Washington, D.C., and 1.5 hours from Virginia Beach. We’ve treated over 8,500 patients using the Coleman Method and have a 98% completion rate. If you live within driving distance of our Richmond, VA facility, you can return home daily during treatment. If you live further away, you can stay at one of the many nearby hotels or Airbnb accommodations. Benefits of the Coleman Institute’s outpatient Pain Medication Detox program in Richmond, VA: Outpatient care in as few as 3 days No general anesthesia or hospital stays required Safe withdrawal assisted by non-addictive medication Caring support from experienced professionals who understand addiction Long-term medication support using Naltrexone Therapy Assistance with making long-term plans to maintain sobriety You can free yourself from addiction. Let’s take the next step together. Call us at 877-773-3869 or click the button below to schedule a callback.   SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][et_pb_column type="2_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" text_font_size="18px" global_colors_info="{}"] The Coleman Institute for Addiction Medicine - Richmond204 N. Hamilton Street, Suite BRichmond, VA 23221877-773-3869 Team Members Available for Questions by Phone between 9:00 AM - 10:00 PM EST Office HoursMonday - Thursday 8:30 AM - 5:00 PM ESTFriday 8:30 AM - 4:30 PM EST[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner Link List" module_class="banner list on-dark centered" _builder_version="4.16" background_color="#053a72" custom_padding="||" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.24.2" text_font="||||||||" global_colors_info="{}"] Minimize Withdrawal Symptoms Detox in as Little as 3-8 Days Convenient Outpatient Treatment [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="off|off|off" admin_label="Testimonials" module_class="spaced centered" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.17.0" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_padding="||0px||false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" custom_padding="||2px|||" global_colors_info="{}"]See What Our Richmond Detox Patients Have To Say…[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" make_equal="on" module_class="testimonials" _builder_version="4.16" width="89%" max_width="89%" max_width_tablet="" max_width_phone="" max_width_last_edited="on|desktop" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" text_font_size="18px" global_colors_info="{}"]“This place right here is GOD sent! From Kim at the front desk, to the beautiful woman behind her (I didn’t catch her name!), to Tonya the tech, Brittany the provider, to Kelsey the case manager! You will never find a detox center that cares so much about their patients! If you’re serious about getting clean then this is the place! I don’t have one complaint about anything! Even bought me a pizza on my last day that was phenomenal! I just want to thank your whole staff for making this transition in my life possible! Here’s to forever sober!” Caleb Morris - Richmond, VA, December 2023[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" text_font_size="18px" global_colors_info="{}"]“I did a detox here almost 4 years ago, and I come in monthly for Vivitrol injections. No relapses, and I’m super confident in my recovery. Brittany, Johnelle, Kristal, and Joan are the best! Honestly everyone here is so caring and kind. I know I wouldn’t be where I am without them. Almost 4 years clean and counting. Thank you all :)! Extremely grateful for everyone here!” Carolyn Johnson - Richmond, VA, October 2023[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" text_font_size="18px" global_colors_info="{}"]“She left Coleman feeling proud of her accomplishment, encouraged and excited for what she felt she could do. At the Coleman Institute they strive to make us all feel deserving of dignity, respect and comfort. I think my granddaughter has a way to go but the Coleman Institute helped me to help her to take advantage of an "it's time to do this attitude" with speed and as pleasant an experience as possible. She says she is ready. The naltrexone implant will really help.” Cheryl Poletynski - Richmond, VA, 2017[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" custom_padding="||50px||false|false" global_colors_info="{}"]View More[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" global_colors_info="{}"]How Big a Problem are Opioid Pain Medications in Virginia? Opioid addiction is a major public health issue in Virginia, and opioid pain medications like Fentanyl, Oxycodone, Percocet®, Tramadol, and others have been a major driver of the problem. People often start out taking these medications for legitimate pain management issues. But because opioids stimulate powerful reward centers in the brain, it is very easy to develop a dependence, and because the withdrawal symptoms are so unpleasant, it is very difficult to stop taking them once a dependence is established. The Stamford Institute for Economic Policy Research published a policy paper in 2019 using data from the Centers for Disease Control and Prevention (CDC) and the Drug Enforcement Administration (DEA) that shows a strong correlation between the quadrupling of the clinical use of opioid medications between the years 2000 and 2010 and a 300 percent increase in deaths involving opioid overdose during that period. Doctors have tried to do their part to reverse the trend by writing fewer prescriptions for opioid pain medications, as this data from the Virginia Hospital and Healthcare Association (VHHA) shows, but addiction remains a danger for the people who are still getting these prescriptions, and these medications can still be obtained through illegal means. This 2022 data from the Virginia Department of Health shows the negative impact that opioids are still having on many Virginians: 2,490 total drug overdose deaths in Virginia 79% of drug overdose deaths in Virginia involved opioid pain medications like Fentanyl and Tramadol 22,398 emergency department visits due to drug overdose 412 Virginia infants under 1 year old hospitalized with Neonatal Abstinence Syndrome (NAS) because of maternal opioid use If you or a friend or family member have been impacted by the opioid crisis in Virginia, know that you are not alone. Call us now at 877-773-3869 or schedule a callback below to learn more about our outpatient Pain Medication Detox. SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner CTA - Opioid Detox Guide" module_class="banner cta expanded" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_5,3_5" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="2_5" module_class="desktop-only" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.0" global_colors_info="{}"][/et_pb_text][/et_pb_column][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="centered" _builder_version="4.20.2" global_colors_info="{}"]Recovery Starts With Finding The Right Detox Option For You. Download our free Guide to Understanding Pain Medication Detox for an in-depth look at pain medication dependence and addiction, industry-leading detox methods, and addiction recovery treatment options. Get the Free Guide[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" global_colors_info="{}"]What To Expect From Our Pain Medication Detox Program In Richmond, VA Opioid pain medications can be very potent and difficult to detox from, so choosing the right opioid detox program is a crucial step on your path to recovery. We’re here to help you through this process every step of the way. Here’s what to expect if you decide to participate in an outpatient Pain Medication Detox at the Coleman Institute in Richmond, VA: Getting Started: Get the process started by calling us now at 877-773-3869 or request a callback from a Care Advocate. During this call, our Care Advocates will answer any and all questions you may have about our unique approach to Pain Medication Detox, and they will also help you schedule the dates of your treatment. Because our detox programs can be completed in as little as 3-8 days, many of our patients choose to start treatment on a Friday to take advantage of the weekend and miss as few days of work as possible. We can typically schedule your treatment within a few days of your call. Before Your Appointment: We ask that all of our detox patients stop taking their pain medications 16 to 48 hours before their first scheduled appointment, based on guidance from our physicians. We also ask all detox patients to have a support person with them who can be present for the duration of the detox program and for 48 hours after detox is completed, because patients in detox should not drive a motor vehicle and should be monitored at all times to ensure their safety. Your First Appointment: At your initial Pain Medication Detox appointment, you will likely be experiencing mild withdrawal symptoms from stopping the use of your pain medications 16 to 48 hours before the appointment. One of our experienced licensed practitioners will be on hand to give you tailored doses of comfort medications to alleviate these withdrawal symptoms. You will also be treated with micro-dose Naltrexone. Intermediate Appointments: Your intermediate Pain Medication Detox appointments will be similar to the first appointment. An experienced practitioner will continue to give you comfort medications tailored to your individual needs, and you will continue to receive micro-dose Naltrexone. Final Appointment: At the time of your final detox appointment, you will have made significant progress. You will spend the final day resting comfortably in a private room in our Richmond, VA detox center while the remaining opioids in your brain are gently removed. This process will typically take around 6 to 8 hours, and you will be monitored closely to ensure that your detox is going as it should. After this last appointment, detox is complete and you will be given long-acting Naltrexone to help reduce cravings. Most of our patients find that this is the support they need to help them focus on building healthier habits and living a new. SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.3" global_colors_info="{}"]Why Choose The Coleman Institute For Pain Medication Detox - The Fast And Comfortable Option Opioid pain medications can be very difficult to stop using. Most people who develop a dependence experience painful, distressing withdrawal symptoms if they attempt to detox without the help of a medical professional. Here are some common options for Pain Medication Detox in the Richmond, VA area: Self-Detox: Trying to stop using opioid pain medication on your own after developing a dependence can be uncomfortable and very dangerous. Trying to stop suddenly and go” cold turkey” without help can result in extreme physical discomfort and could even be dangerous. Some people attempt to taper off their dose of opioid medications gradually in an attempt to wean themselves off of it. This is almost never successful. Both methods of self-detox usually result in relapse as the person seeks relief from their withdrawal symptoms. Because of potential safety concerns and the high probability of relapse, we do not recommend that anyone attempt to self-detox from their pain medication. Inpatient Detox: Inpatient opioid pain medication detox requires a long stay in a hospital or rehab facility where the patient is monitored by medical professionals and given medication to help with the pain and discomfort of withdrawal. The amount of time the patient is required to stay depends on their condition, but it is not unheard of for a stay in rehab to last upwards of 30 days. Such a long stay in rehab can be very disruptive to daily life and can end up being very expensive. Ultra Rapid Opioid Detoxification (URD or UROD): URD/UROD is a method of inpatient detox that involves putting a hospitalized patient under anesthesia and giving them opioid antagonists like Naltrexone intravenously to flush the opioids out of their system. This can be an extremely fast process - drugs can be fully flushed out of a patient’s system in as little as 5 minutes - but it is very expensive and can have serious medical risks. There have been fatalities reported after URD/UROD treatment. Because of the potential dangers, the Coleman Institute has not used Ultra Rapid Opioid Detoxification since 2001. Methadone or Buprenorphine: Methadone and Buprenorphine can be an effective method of transitioning a person who is addicted to a dangerous opioid onto a relatively less dangerous and legal (when prescribed) alternative. However, Methadone and Buprenorphine are still opioids. When patients stop taking them, they can still experience withdrawal symptoms, which makes it difficult to stop using the Methadone and Buprenorphine when they decide to take the next step and stop using opioids altogether. Most of our patients say that detoxing off of Methadone or Buprenorphine can be more difficult than withdrawing from other opioids. Our Outpatient Pain Medication Detox Program: Our outpatient Pain Medication Detox program uses a tailored regimen of comfort medication alongside Naltrexone Therapy to help patients detox from opioid pain medications as quickly and safely as possible without the risks or costs associated with other inpatient detox programs and with little disruption to the patient’s daily life. Over the past 25 years, we’ve treated over 8,500 patients with a 98% completion rate. SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" custom_padding_last_edited="on|phone" admin_label="Insurances Accepted" module_class="spaced centered" _builder_version="4.17.0" custom_padding="||50px||false|false" custom_padding_tablet="||0px||false|false" custom_padding_phone="||0px||false|false" da_disable_devices="off|off|off" global_module="15824" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.24.2" text_font="||||||||" global_colors_info="{}"]Insurance Accepted For Detox Treatments At Our Richmond, VA Location The Coleman Institute's Richmond, VA office is in-network with many Blue Cross Blue Shield plans, including Anthem Virginia PPO and HMO plans. We also accept Sentara plans. We are constantly expanding our in-network coverage, so please contact us to see if we accept your insurance.[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" _builder_version="4.17.0" _module_preset="default" custom_margin_tablet="" custom_margin_phone="25px||25px||false|false" custom_margin_last_edited="on|phone" custom_padding="50px||50px||false|false" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/Anthem-1.png" alt="BCBS LOGO" title_text="Anthem-1" align="right" _builder_version="4.27.4" _module_preset="default" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/sentra-1.png" title_text="sentra-1" align="left" module_class="align-left" _builder_version="4.27.4" _module_preset="default" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.24.2" text_font="||||||||" global_colors_info="{}"]Call 877-773-3869 or schedule a callback to check your insurance coverage.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="0px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_4" show_border="off" _builder_version="4.16" text_orientation="center" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Richmond Prescription Drug Detox [et_pb_section fb_built="1" fullwidth="on" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_fullwidth_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2018/11/heroindetoxhdr.jpg" alt="Green meadow with grass and trees" title_text="Green meadow with grass and trees" _builder_version="4.24.2" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}"][/et_pb_fullwidth_image][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="3_5,2_5" _builder_version="4.24.3" width="89%" max_width="89%" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" text_font_size="18px" global_colors_info="{}"]Fast, Comfortable Prescription Drug Addiction Treatment In Richmond, VA If you or someone you know are struggling with addiction to prescription drugs like Fentanyl, Oxymoprhone (Opana®), Percocet®, Vicodin®, Tramadol, Roxicodone, or any other prescription opioids, we can help. The outpatient prescription drug addiction program at the Coleman Institute in Richmond, VA could be just the treatment option you’ve been looking for. The Coleman Institute - Richmond is located in Central Virginia at the crossroads of I-95 and 64, about 1.5 hours from Washington, D.C., and 1.5 hours from Virginia Beach. We’ve treated over 8,500 patients using the Coleman Method and our outpatient opioid detox program has a 98% completion rate. When you detox from your prescription opioids using the Coleman Method, you don’t have to suffer through the agonizing withdrawal symptoms that come with trying to self-detox, and you don’t have to put your life on hold for an extended stay in inpatient rehab. The Coleman Method doesn’t take weeks or months to complete. You can detox from prescription opioids in as little as 3 days, depending on the drug and your condition. This shortened treatment time lets you detox quickly and safely without missing out on your normal responsibilities and activities. Benefits of the Coleman Institute’s outpatient Prescription Drug Detox program in Richmond, VA: Outpatient detox in as few as 3 days No general anesthesia or hospital stays Safe withdrawal managed with non-addictive medication Compassionate care from experienced professionals who understand addiction Long-term medication support with long-acting Naltrexone Assistance with making a long-term plan to maintain sobriety You deserve a better life. You deserve freedom from addiction. Let’s take the next step together. Call Us Now at 877-773-3869.   SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][et_pb_column type="2_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" text_font_size="18px" global_colors_info="{}"] The Coleman Institute for Addiction Medicine - Richmond204 N. Hamilton Street, Suite BRichmond, VA 23221877-773-3869 Team Members Available for Questions by Phone between 9:00 AM - 10:00 PM EST Office HoursMonday - Thursday 8:30 AM - 5:00 PM ESTFriday 8:30 AM - 4:30 PM EST[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner Link List" module_class="banner list on-dark centered" _builder_version="4.16" background_color="#053a72" custom_padding="||" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.24.2" text_font="||||||||" global_colors_info="{}"] Minimize Withdrawal Symptoms Detox in as Little as 3-8 Days Convenient Outpatient Treatment [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="off|off|off" admin_label="Testimonials" module_class="spaced centered" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.17.0" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_padding="||0px||false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" custom_padding="||2px|||" global_colors_info="{}"]See What Our Richmond Detox Patients Have To Say…[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" make_equal="on" module_class="testimonials" _builder_version="4.16" width="89%" max_width="89%" max_width_tablet="" max_width_phone="" max_width_last_edited="on|desktop" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" text_font_size="18px" global_colors_info="{}"]“I did a detox here almost 4 years ago, and I come in monthly for Vivitrol injections. No relapses, and I’m super confident in my recovery. Brittany, Johnelle, Kristal, and Joan are the best! Honestly everyone here is so caring and kind. I know I wouldn’t be where I am without them. Almost 4 years clean and counting. Thank you all :)! Extremely grateful for everyone here!” Carolyn Johnson - Richmond, VA, October 2023[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" text_font_size="18px" global_colors_info="{}"]“This place right here is GOD sent! From Kim at the front desk, to the beautiful woman behind her (I didn’t catch her name!), to Tonya the tech, Brittany the provider, to Kelsey the case manager! You will never find a detox center that cares so much about their patients! If you’re serious about getting clean then this is the place! I don’t have one complaint about anything! Even bought me a pizza on my last day that was phenomenal! I just want to thank your whole staff for making this transition in my life possible! Here’s to forever sober!”Caleb Morris - Richmond, VA, December 2023[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" text_font_size="18px" global_colors_info="{}"]“She left Coleman feeling proud of her accomplishment, encouraged and excited for what she felt she could do. At the Coleman Institute they strive to make us all feel deserving of dignity, respect and comfort. I think my granddaughter has a way to go but the Coleman Institute helped me to help her to take advantage of an "it's time to do this attitude" with speed and as pleasant an experience as possible. She says she is ready. The naltrexone implant will really help.” Cheryl Poletynski - Richmond, VA, 2017[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" custom_padding="||50px||false|false" global_colors_info="{}"]View More[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" global_colors_info="{}"]How Big a Problem are Prescription Opioid Medications in Virginia? The clinical use of prescription medications that contain opioids like Oxycodone, Fentanyl, Oxycodone, Percocet®, Tramadol, and others has been a major driver of the opioid epidemic in Virginia and the United States at large. These medications are very good at managing pain, even chronic pain, but because they are opioids and can stimulate powerful reward centers in the brain, they are very addictive substances, especially when taken over a long period of time. And the withdrawal symptoms can be extremely uncomfortable and potentially dangerous, so it is very difficult to stop using these prescription drugs once dependence or addiction has been established. The Stamford Institute for Economic Policy Research released a policy paper in 2019 using data from the Centers for Disease Control and Prevention (CDC) and the Drug Enforcement Administration (DEA) to show a strong correlation between the drastic increase in the clinical use of prescription opioid pain medications between the years 2000 and 2010 and a 300 percent increase in deaths involving opioid overdose during that same period. In recent years, doctors have written fewer prescriptions for these opioid pain medications in an attempt to slow down and reverse this trend, as data from the Virginia Hospital and Healthcare Association (VHHA) shows, but the dangers remain for the people who are still given these medications, and Doctors have tried to do their part to reverse the trend by writing fewer prescriptions for opioid pain medications, as this data from the Virginia Hospital and Healthcare Association (VHHA) shows, but addiction remains a danger for the people who are still getting these prescriptions, and these medications can still be obtained on the street, often in an adulterated form that contains Fentanyl. The Virginia Department of Health released data from 2022 that shows how opioid use is still affecting the lives of many Virginians: 2,490 total drug overdose deaths 79% of drug overdose deaths in Virginia involved prescription drugs like Fentanyl and Tramadol 22,398 emergency department visits due to drug overdose 412 Virginia infants under 1 year old hospitalized with Neonatal Abstinence Syndrome (NAS) due to maternal opioid use If you or a friend or family member in Virginia have been negatively affected by prescription opioid drug use, know that you are not alone. Call us now at 877-773-3869 or schedule a callback below to learn more about our outpatient prescription drug detox. SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner CTA - Opioid Detox Guide" module_class="banner cta expanded" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_5,3_5" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="2_5" module_class="desktop-only" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.0" global_colors_info="{}"][/et_pb_text][/et_pb_column][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="centered" _builder_version="4.20.2" global_colors_info="{}"]Recovery Starts With Finding The Right Detox Option For You. Download our free Guide to Understanding Prescription Drug Detox for an in-depth look at prescription drug dependence or addiction, industry-leading detox methods, and addiction recovery treatment options. Get the Free Guide[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" global_colors_info="{}"]What To Expect From Our Prescription Drug Detox Program In Richmond, VA Prescription drugs containing opioids can be very potent and difficult to detox from. Choosing the right detox program is a very important first step on the road to recovery. We’re here to help you through this process from start to finish. Here’s what to expect when you call the Coleman Institute and schedule pain medication detox: Getting Started: Get started by calling us now at 877-773-3869 or request a callback from a Care Advocate. During your initial call, your Care Advocate will answer any questions you have about our unique approach to prescription medication detox, and they will help you choose dates to schedule your own detox. We can typically start detox within a week - there is no waiting list. Before Your Appointment: We ask that all of our patients stop taking the prescription drugs they want to detox from 16 to 48 hours before their first appointment, based on guidance from our physicians. We also ask our patients to make arrangements to have a support person who can be present for the duration of the detox program and for 48 hours after detox is completed. Patients undergoing detox treatment should not drive motor vehicles and should be monitored at all times to ensure their safety and comfort. Your First Appointment: When you arrive at your 1st appointment, you will be in mild withdrawal from stopping the use of your prescription medication 16 to 48 hours before the appointment. An experienced, licensed practitioner will give you tailored doses of comfort medications to help relieve your withdrawal symptoms. You will also be given micro-dose Naltrexone. Intermediate Appointments: Intermediate appointments in our prescription drug detox programs are similar to the first appointment. Your practitioner will continue to give you tailored doses of comfort medications based on your individual needs, and you will continue to be treated with micro-dose Naltrexone. Final Appointment: You will have made significant progress in detoxing from your prescription meds by the time of your final appointment. On this last day, you can rest comfortably in a private room in our Richmond, VA detox center while the remaining opioids are gently removed from your brain, a process that can typically take around 6 to 8 hours. You will be monitored closely to ensure that you are safe and that detox is proceeding as it should. Once this process is over, detox is complete. You will be given long-acting Naltrexone in the form of an injection to support you in the coming weeks. This formulation of Naltrexone blocks your opioid receptors, which can reduce cravings. Most patients find that long-acting Naltrexone gives them the freedom they need to start building their new, addiction-free life. SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.3" global_colors_info="{}"]Why Choose the Coleman Institute for Prescription Drug Detox - The Fast And Comfortable Option Most people who attempt to stop using prescription opioid drugs on their own after developing a dependence or addiction are not able to do so on their own. These drugs are powerful opioids that can cause serious withdrawal symptoms when use is stopped. Professional help is usually needed to stop using them for good. Here are some common prescription drug detox options available in the Richmond, VA area: Self-Detox: As we said above, trying to stop using prescription opioids after addiction or dependence has been established can be very painful and potentially dangerous. People who try to stop suddenly (“going cold turkey”) often experience extreme physical and mental distress, and these symptoms could even be life-threatening in some cases. Some people try to quit by tapering off their usual dose gradually in an attempt to wean themselves off of their opioids, but this almost never works. Either method usually results in the person relapsing to stave off their withdrawal symptoms. Because of the potential health risks and the high probability of relapse, we do not recommend that anyone attempt to self-detox. Inpatient Detox: Inpatient detox for prescription opioids requires the patient to have an extended stay in a hospital or rehab facility where they can be monitored by addiction specialists and given medication to relieve the pain and discomfort that comes with withdrawal. The length of the stay depends on the drug the patient has been using and the patient’s condition, but it isn’t unheard of for stays in rehab to last upwards of 30 days. Such a long stay in rehab can be extremely disruptive to the patient’s life and can be very expensive. Ultra Rapid Opioid Detoxification (URD or UROD): Ultra rapid detox is an inpatient detox method where a patient is hospitalized, put under general anesthesia, and given large doses of opioid antagonists like Naltrexone intravenously to flush the drugs out of their system as quickly as possible. True to its name, this method can work very quickly - sometimes in as little as 5 minutes. But it is a very expensive method of detox and it can have serious health risks. There have been some fatalities reported following this treatment. We have not used ultra rapid detox since 2001 because of these potential dangers. Methadone or Buprenorphine: Methadone and Buprenorphine have been very useful tools for transitioning people away from more dangerous opioids and onto a safer legal (when prescribed) alternative. But it’s important to keep in mind that Methadone and Buprenorphine are still opioids. Like all other opioids, they’re still addictive, and attempting to stop using them without medical assistance can result in severe withdrawal symptoms. Many of our patients who have used Methadone or Buprenorphine to stop using a stronger opioid have told us that detoxing from the Methadone or Buprenorphine can be more difficult than withdrawing from other opioids. Our Outpatient Prescription Drug Detox Program: The Coleman Method of prescription opioid detox uses a tailored regimen of comfort medications along with Naltrexone Therapy to help patients detox from their prescription drugs as quickly and safely as possible without the risks or costs of other detox methods and with as little disruption to the patient’s daily life as possible. Over the past 20 years, we’ve treated over 8,500 patients for opioid addiction, and the program has a 98% completion rate. We think those numbers speak for themselves. SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" custom_padding_last_edited="on|phone" admin_label="Insurances Accepted" module_class="spaced centered" _builder_version="4.17.0" custom_padding="||50px||false|false" custom_padding_tablet="||0px||false|false" custom_padding_phone="||0px||false|false" da_disable_devices="off|off|off" global_module="15824" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.24.2" text_font="||||||||" global_colors_info="{}"]Insurance Accepted For Detox At Our VA Location The Coleman Institute's Richmond, VA office is in-network with Anthem Blue Cross Blue Shield and Sentara Health Plans. We are constantly expanding our in-network coverage, so please contact us to see if we accept your insurance.[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" _builder_version="4.17.0" _module_preset="default" custom_margin_tablet="" custom_margin_phone="25px||25px||false|false" custom_margin_last_edited="on|phone" custom_padding="50px||50px||false|false" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/Anthem-1.png" alt="BCBS LOGO" title_text="Anthem-1" align="right" _builder_version="4.27.4" _module_preset="default" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/sentra-1.png" title_text="sentra-1" align="left" module_class="align-left" _builder_version="4.27.4" _module_preset="default" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.24.2" text_font="||||||||" global_colors_info="{}"]Call 877-773-3869 or schedule a callback to check your insurance coverage.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="0px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_4" show_border="off" _builder_version="4.16" text_orientation="center" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Richmond Rapid Benzodiazepine Detox [et_pb_section fb_built="1" fullwidth="on" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_fullwidth_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2018/11/accelopdetoxhdr-1.jpg" alt="Close up of white flowers in the sunlight to demonstrate the ease of learning about opioid detox." title_text="Close up of white flowers in the sunlight" _builder_version="4.24.2" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}"][/et_pb_fullwidth_image][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="3_5,2_5" _builder_version="4.24.3" width="89%" max_width="89%" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" text_font_size="18px" global_colors_info="{}"]The Coleman Institute Offers a Fast, Comfortable Benzo Detox Program In Richmond, VA Benzodiazepines, also known as "benzos", are highly addictive psychoactive drugs that affect the body's central nervous system. Medical doctors may prescribe them in cases of anxiety disorders, insomnia or panic attacks. Typically, benzodiazepines are considered safe to take for short-term use, but they possess addicting qualities that can lead to lifelong dependence.  The Coleman Institute can help. Our Outpatient Benzodiazepine Detox in Richmond, VA offers a safe, effective way to detox from benzodiazepines — like Xanax, Valium, Klonopin, or Ativan — without the misery of tapering. The Coleman Institute is the only facility in the United States that offers this type of treatment. Our method includes using Flumazenil to flush the benzodiazepines out of your system quickly. Patients are usually able to complete the detox in eight days, instead of the weeks or months involved in tapering. By using low doses of Flumazenil, many patients experience much milder withdrawal symptoms, less panic attacks, and minimal insomnia. For patients that do experience withdrawal symptoms, we are able to provide medicines that help with the symptoms. Richmond is located in Central Virginia at the crossroads of I-95 and 64, about 1.5 hours from Washington, D.C., and 1.5 hours from Virginia Beach. We’ve treated over 8,500 patients using the Coleman Method and our outpatient detox program has a 98% completion rate. With Rapid Benzodiazepine Detox using the Coleman Method, you don’t have to suffer through the agony of self-detoxing or disrupt your life with a stay in rehab. Our program doesn’t take weeks or months to complete. It can be completed in as little as 8 days on an outpatient basis. Patients who live within driving distance of our Richmond, VA facility are able to return home daily during treatment. Those who live further away can stay at a nearby hotel or Airbnb. Benefits of the Coleman Institute’s outpatient Rapid Benzodiazepine Detox program in Richmond, VA: Outpatient care in as few as 8 days No general anesthesia or hospital stays required Safe, assisted withdrawal with non-addictive medication Caring support from medical professionals Long-term medication support using Naltrexone Therapy Assistance with making long-term plans to maintain sobriety Check out this helpful resources for more detail: Rapid Benzodiazepine Detox FAQs You can free yourself from addiction. Add your name to the 98% of patients who successfully completed their detox. Let’s take the next step together. Call us at 877-773-3869 or schedule a callback below.   SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][et_pb_column type="2_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" text_font_size="18px" global_colors_info="{}"] The Coleman Institute for Addiction Medicine - Richmond204 N. Hamilton Street, Suite BRichmond, VA 23221877-773-3869 Team Members Available for Questions by Phone between 9:00 AM - 10:00 PM EST Office HoursMonday - Thursday 8:30 AM - 5:00 PM ESTFriday 8:30 AM - 4:30 PM EST[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner Link List" module_class="banner list on-dark centered" _builder_version="4.16" background_color="#053a72" custom_padding="||" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.27.4" text_font="||||||||" global_colors_info="{}"] Minimize Withdrawal Symptoms Detox in as Little as 8 Days Convenient Outpatient Treatment [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="off|off|off" admin_label="Testimonials" module_class="spaced centered" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.17.0" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_padding="||0px||false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" custom_padding="||2px|||" global_colors_info="{}"]See What Our Richmond Benzos Detox Patients Have To Say…[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" make_equal="on" module_class="testimonials" _builder_version="4.16" width="89%" max_width="89%" max_width_tablet="" max_width_phone="" max_width_last_edited="on|desktop" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" text_font_size="18px" global_colors_info="{}"]“This place right here is GOD sent! From Kim at the front desk, to the beautiful woman behind her (I didn’t catch her name!), to Tonya the tech, Brittany the provider, to Kelsey the case manager! You will never find a detox center that cares so much about their patients! If you’re serious about getting clean then this is the place! I don’t have one complaint about anything! Even bought me a pizza on my last day that was phenomenal! I just want to thank your whole staff for making this transition in my life possible! Here’s to forever sober!” Caleb Morris - Richmond, VA, December 2023[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" text_font_size="18px" global_colors_info="{}"]“I did a detox here almost 4 years ago, and I come in monthly for Vivitrol injections. No relapses, and I’m super confident in my recovery. Brittany, Johnelle, Kristal, and Joan are the best! Honestly everyone here is so caring and kind. I know I wouldn’t be where I am without them. Almost 4 years clean and counting. Thank you all :)! Extremely grateful for everyone here!” Carolyn Johnson - Richmond, VA, October 2023[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" text_font_size="18px" global_colors_info="{}"]“I spent hours trying to find a place for my loved one to go to get help with their opiate addiction. It’s an overwhelming process. Rehabs, IOPs, detox, etc etc. I am so lucky to have stumbled across the Coleman Institute and Dr Coleman and his excellent team of doctors and nurses. We took a big chance coming here and didn’t know what to expect, but after seeing some of Dr Coleman’s interviews on YouTube I just had a good feeling about it. This is one of the only places I know of that provides AFFORDABLE quality care for addiction issues. My loved one is almost one year clean today. It wasn’t easy, he worked hard, but the plan put in place has been working and we owe TCI a debt of gratitude. Thanks for doing what you all do and trying to help people. Every state in the country needs a clinic like this to finally address this epidemic. If you’re on the fence check out some interviews and clips from their YouTube. I personally can’t recommend them enough.”Mr. Chiefly - Richmond, VA, August 2023[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" custom_padding="||50px||false|false" global_colors_info="{}"]View More[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" custom_padding_last_edited="on|phone" admin_label="Insurances Accepted" module_class="spaced centered" _builder_version="4.17.0" custom_padding="||50px||false|false" custom_padding_tablet="||0px||false|false" custom_padding_phone="||0px||false|false" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.24.2" text_font="||||||||" global_colors_info="{}"]Insurance Accepted For Rapid Benzodiazepine Detox At Our Richmond, VA Location The Coleman Institute's Richmond, VA office is in-network with many Blue Cross Blue Shield plans, including Anthem Virginia PPO and HMO plans. We also accept Sentara plans. We are constantly expanding our in-network coverage, so please contact us to see if we accept your insurance.[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" _builder_version="4.17.0" _module_preset="default" custom_margin_tablet="" custom_margin_phone="25px||25px||false|false" custom_margin_last_edited="on|phone" custom_padding="50px||50px||false|false" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/Anthem-1.webp" alt="BCBS LOGO" title_text="Anthem-1" align="right" _builder_version="4.27.4" _module_preset="default" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/sentra-1.webp" title_text="sentra-1" align="left" module_class="align-left" _builder_version="4.27.4" _module_preset="default" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.24.2" text_font="||||||||" global_colors_info="{}"]Call 877-773-3869 or schedule a callback to check your insurance coverage.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="0px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_4" show_border="off" _builder_version="4.16" text_orientation="center" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Richmond Stimulant Detox [et_pb_section fb_built="1" fullwidth="on" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_fullwidth_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2018/11/naltrexonehdr-1.jpg" alt="Butterfly landing on a branch to demonstrate the easy and comfortable way to detox: The Coleman Method" title_text="Butterfly landing on a branch" _builder_version="4.24.2" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}"][/et_pb_fullwidth_image][/et_pb_section][et_pb_section fb_built="1" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="3_5,2_5" _builder_version="4.24.3" width="89%" max_width="89%" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" text_font_size="18px" global_colors_info="{}"]Detox from Stimulants Quickly And Comfortably At The Coleman Institute In Richmond, VA If you or a loved one are struggling with stimulant use, whether it's cocaine, methamphetamine, ecstasy, or a prescription drugs like Adderall, Ritalin, or Vyvanse, The Coleman Institute offers an outpatient detox program that can help you begin your recovery from stimulants safely and with confidence.  We've designed our outpatient stimulant detox program to ease symptoms with medical support, targeted comfort medications, and daily check-ins, helping you feel stable and support from the very beginning. Our program typically takes 7 days to complete, and we offer additional weeks of follow-up support to help you stay on track.  Benefits of the Coleman Institute’s outpatient Stimulant Detox program in Richmond, VA: Medically supervised and clinically sound Designed for comfort, safety, and flexibility Completed without a hospital or residential stay Backed by expert care and personalized planning Supported by ongoing case management You deserve a better life. You deserve freedom from Stimulant addiction. Let’s take the next step together. Call Us Now at 877-773-3869. SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][et_pb_column type="2_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" text_font_size="18px" global_colors_info="{}"] The Coleman Institute for Addiction Medicine - Richmond204 N. Hamilton Street, Suite BRichmond, VA 23221877-773-3869 Team Members Available for Questions by Phone between 9:00 AM - 10:00 PM EST Office HoursMonday - Thursday 8:30 AM - 5:00 PM ESTFriday 8:30 AM - 4:30 PM EST[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner Link List" module_class="banner list on-dark centered" _builder_version="4.16" background_color="#053a72" custom_padding="||" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.27.4" text_font="||||||||" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"] Minimize Withdrawal Symptoms Detox in as Little as 7 Days Convenient Outpatient Treatment [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.3" global_colors_info="{}"]What To Expect From Our Stimulant Detox Program In Richmond, VA Our program typically takes 7 days to complete, and we offer additional weeks of follow-up support to help you stay on track. We’re here to help you through this process every step of the way. Here’s what you can expect from an outpatient Stimulant detox using the Coleman Method: Getting Started: When you decide you’re ready, call us at 877-773-3869 or request a callback from one of the Care Advocates on our Richmond, VA team. During the initial call, your Care Advocate will answer any questions you may have about our approach to Stimulant detox and help you choose the dates when you want to start the detox process. We can typically start your treatment within a week of your first call. Week 1: Detox & Stabilization Day 1: In-office medical assessment, lab work, EKG, and a customized treatment plan with comfort medications Days 2-3: In-person visits for symptom monitoring and medication adjustments Days 4-7: Telehealth or in-office check-ins as your symptoms improve Most patients are cleared to return to work and drive by Day 5 once symptoms are managed.  Week 2-4: Continued Support Day 1: Weekly provider appointments (in-person or virtual) to support long-term success Day 2-3: Case management follow-ups for up to 6 months to help you maintain sobriety SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" custom_padding_last_edited="on|phone" admin_label="Insurances Accepted" module_class="spaced centered" _builder_version="4.17.0" custom_padding="||50px||false|false" custom_padding_tablet="||0px||false|false" custom_padding_phone="||0px||false|false" da_disable_devices="off|off|off" global_module="15824" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.24.2" text_font="||||||||" global_colors_info="{}"]Insurance Accepted For Detox Treatments At Our Richmond, VA Location The Coleman Institute's Richmond, VA office is in-network with many Blue Cross Blue Shield plans, including Anthem Virginia PPO and HMO plans. We also accept Sentara plans. We are constantly expanding our in-network coverage, so please contact us to see if we accept your insurance.[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" _builder_version="4.17.0" _module_preset="default" custom_margin_tablet="" custom_margin_phone="25px||25px||false|false" custom_margin_last_edited="on|phone" custom_padding="50px||50px||false|false" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/Anthem-1.webp" alt="BCBS LOGO" title_text="Anthem-1" align="right" _builder_version="4.27.4" _module_preset="default" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/sentra-1.webp" title_text="sentra-1" align="left" module_class="align-left" _builder_version="4.27.4" _module_preset="default" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.24.2" text_font="||||||||" global_colors_info="{}"]Call 877-773-3869 or schedule a callback to check your insurance coverage.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="0px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_4" show_border="off" _builder_version="4.16" text_orientation="center" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Richmond Suboxone Detox [et_pb_section fb_built="1" fullwidth="on" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_fullwidth_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2018/11/heroindetoxhdr.jpg" alt="Green meadow with grass and trees" title_text="Green meadow with grass and trees" _builder_version="4.24.3" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}"][/et_pb_fullwidth_image][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="3_5,2_5" _builder_version="4.24.3" width="89%" max_width="89%" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.3" text_font_size="18px" global_colors_info="{}"]Detox Off of Suboxone Safely & Comfortably at the Coleman Institute in Richmond, VA If you’ve been using Suboxone to treat your opioid addiction and you’re ready to try to detox from it and start a new, fully opioid-free life, the Suboxone Detox program at the Coleman Institute in Richmond, VA, could be the addiction recovery program you’ve been looking for. The Coleman Institute - Richmond is located in Central Virginia at the crossroads of I-95 and 64, about 1.5 hours from Washington, D.C., and 1.5 hours from Virginia Beach. We’ve treated over 8,500 patients using the Coleman Method, and our outpatient detox program has a 95% completion rate. When you use the Coleman Method to detox off of Suboxone, you won’t have to worry about suffering through the uncomfortable withdrawal symptoms that come from trying to detox on your own or putting your whole life on pause for an extended stay in an inpatient rehab facility. The Coleman Method doesn’t take weeks or months to complete. It’s an outpatient program that can help you detox from Suboxone in as few as 8 days. If you live within driving distance of our Richmond, VA, location, you can return home daily during treatment. And if you live further away, you can stay in one of the many nearby hotels or Airbnb accommodations. Benefits of the Coleman Institute’s outpatient Suboxone Detox program in Richmond, VA: Detox from Suboxone in as few as 8 days Outpatient program - no hospitalization or inpatient stay required No general anesthesia Safe, medication-assisted detox using non-addictive medication Caring support from professionals who understand addiction Long-term support assisted by long-acting Naltrexone Help with creating a plan for maintaining sobriety You deserve a better life. You deserve freedom from addiction. Let’s take the next step together. Call Us Now at 877-773-3869 SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][et_pb_column type="2_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.3" text_font_size="18px" global_colors_info="{}"] The Coleman Institute for Addiction Medicine - Richmond204 N. Hamilton Street, Suite BRichmond, VA 23221877-773-3869 Team Members Available for Questions by Phone between 9:00 AM - 10:00 PM EST Office HoursMonday - Thursday 8:30 AM - 5:00 PM ESTFriday 8:30 AM - 4:30 PM EST[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner Link List" module_class="banner list on-dark centered" _builder_version="4.16" background_color="#053a72" custom_padding="||" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.24.3" text_font="||||||||" global_colors_info="{}"] Minimize Withdrawal Symptoms Detox in as Little as 8 Days Convenient Outpatient Treatment [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="off|off|off" admin_label="Testimonials" module_class="spaced centered" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.17.0" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_padding="||0px||false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.3" custom_padding="||2px|||" global_colors_info="{}"]See What Our Richmond Patients Have To Say...[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" make_equal="on" module_class="testimonials" _builder_version="4.16" width="89%" max_width="89%" max_width_tablet="" max_width_phone="" max_width_last_edited="on|desktop" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.3" text_font_size="18px" global_colors_info="{}"]“I cannot say enough good things about the Coleman Institute. They saved my life. When I came to them, I was on Suboxone. Their detox protocol is, I believe, the best out there. I’ve detoxed many times, and this was by far the best detox I’ve ever had, as far as detoxes go. I highly recommend them to anyone seeking to get and STAY clean. They are caring and available to you when you need them. Don’t wait – call today!” Scott – Richmond, VA, September 2019[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.3" text_font_size="18px" global_colors_info="{}"]“My daughter is Opiate free for two months now after a 17-year addiction. This is the place to come for help with addiction issues. I already have recommended Dr. Coleman to friends in Indiana! The program works and it saves the life of the addict. Give my name anytime, to anyone that wants to know how good Dr. Coleman and Staff are!” JB – Richmond, VA, November 2016[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.3" text_font_size="18px" global_colors_info="{}"]"The Coleman Institute was a God sent for my daughter. Dr. Coleman, Joan, April and the entire staff are the nicest people you will ever meet. They really care about the patient and helping them through the detox process making it as easy as possible. I highly recommend the Coleman Institute – you will not be sorry.” JB – Richmond, VA, November 2016[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.2" custom_padding="||50px||false|false" global_colors_info="{}"]View More[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.3" global_colors_info="{}"]Why Suboxone is Used, and Why People May Want to Detox Off Of It Suboxone is a medication made up of a combination of Buprenorphine/Naloxone that is used to treat opioid addiction. Suboxone is a “partial opioid agonist,” which means that it acts on the same opioid receptors as the opioids that people use to get high, but it activates them to a much less intense degree that doesn’t produce as intense a euphoric feeling. It has a “capped” or “ceiling” effect, meaning that taking more will not produce a more intense euphoria. This makes it useful for transitioning patients away from more dangerous opioids like Fentanyl or Heroin and onto a safer, legal (when prescribed and administered by an addiction specialist) alternative. But Suboxone is still an opioid. It is still an addictive substance that can cause serious withdrawal symptoms if a person tries to stop using it without medical supervision. Many of our patients who have used Suboxone and other medications containing Buprenorphine to stop using another opioid have told us that detoxing from Suboxone can be even more difficult than detoxing from other opioids. That’s why we offer our Suboxone Detox to help those who are ready to get off of Suboxone and take the next step toward an addiction-free life. SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner CTA - Opioid Detox Guide" module_class="banner cta expanded" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_5,3_5" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="2_5" module_class="desktop-only" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.3" global_colors_info="{}"][/et_pb_text][/et_pb_column][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="centered" _builder_version="4.18.0" global_colors_info="{}"]Recovery Starts With Finding The Right Detox Option For You. Download our free Guide to Detoxing Off Suboxone for an in-depth look at Suboxone's role in addiction treatment, industry-leading detox methods, and addiction recovery treatment options. Get the Free Guide[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.3" global_colors_info="{}"]What To Expect From Our Suboxone Detox Program In Richmond, VA Suboxone can be a very difficult substance to detox from, so choosing a detox program that works for you is a critical step on your recovery journey. We’re here to help you through the whole process from beginning to end. Here’s what you can expect if you decide to try our outpatient Suboxone Detox. Getting Started: Start the process by calling us at 877-773-3869 or request a callback from one of the Care Advocates on our Richmond, VA team. During your initial call, your Care Advocate will answer any questions you may have about our Suboxone detox process and help you choose the dates you want to schedule your detox. We can typically start treatment within a week - there is no waiting list. Before Your Appointment: Before your first appointment, we will ask that you stop taking your Suboxone 16 to 48 hours before you are scheduled to arrive, based on guidance from our physicians. We also ask that you bring a support person with you who can be present for the duration of the detox program and for 48 hours after detox has concluded. While detoxing, you should not operate a motor vehicle and you should be monitored at all times to ensure your comfort and safety. Your 1st Appointment: When you come to your first appointment, you will be in mild withdrawal from stopping your Suboxone use 16 to 48 hours prior to the appointment. One of our licensed, experienced practitioners will assess your condition and administer tailored doses of comfort medications according to your needs to help relieve your withdrawal symptoms. You will also be given a micro-dose of Naltrexone. Intermediate Appointments: The intermediate Suboxone detox appointments are very much like the first appointment. Your practitioner will monitor your condition and administer comfort medications according to your individual needs, and you will be given more micro-doses of Naltrexone to help the detoxification process. Final Appointment: When you reach your final appointment, you will have made significant progress in your detoxification. You will rest comfortably in a private room at our Richmond, VA detox facility while the remaining Suboxone is gently removed from your brain. This process usually takes about 6 to 8 hours, during which you will be closely monitored to ensure that detox is progressing as it should. After this final appointment, your detox will be complete. You will then be given long-acting Naltrexone to support you in the weeks after detox. SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.24.3" global_colors_info="{}"]Why Choose The Coleman Institute’s Suboxone Detox Program - The Fast And Comfortable Option Because of the severity of withdrawal symptoms, most people who use Suboxone will find it very difficult to stop without medical assistance. Here are some common options for detox available in the Richmond, VA area: Self-Detox: Attempting to self-detox from Suboxone can be very uncomfortable and potentially dangerous. Withdrawal can be exhausting and painful. Some of the withdrawal symptoms include sweating, insomnia, severe aches and pains, heightened levels of anxiety and depression, nausea, vomiting, digestive issues, lethargy, lack of motivation, and intense cravings for opioids. Some people try to quit suddenly by “going cold turkey,” and others try to wean themselves off of their Suboxone by gradually tapering off their dose. Neither method usually works. People who try self-detox usually end up relapsing by either taking Suboxone again or going back to the more dangerous opioid they were using Suboxone to avoid. Because of the intense physical symptoms and danger of relapse, we do not recommend that anyone try to self-detox from Suboxone. Inpatient Detox: Inpatient detox from Suboxone requires the patient to stay in a hospital or rehab facility for an extended period of time so they can be monitored by addiction specialists, who administer medications that help alleviate withdrawal symptoms. The length of the stay varies depending on the patient’s condition, but it isn’t unheard of for a stay in inpatient rehab to last upwards of 30 days. A long stay in inpatient rehab can be very disruptive to a patient’s life and very expensive. Ultra Rapid Opioid Detoxification (URD or UROD): Ultra rapid opioid detox is a method of inpatient detox where a hospitalized patient is intravenously given large doses of opioid antagonist medications like Naltrexone while under general anesthesia in order to flush the drugs out of their system very quickly. This method can be very fast - drugs can be flushed out of the patient’s system in as little as 5 minutes. But it is very expensive and can come with significant health risks. There have been some reported fatalities after the completion of ultra rapid detox. Because of these potential dangers, we have not performed an ultra rapid detox since 2001. Our Outpatient Suboxone Detox Program: The Coleman Method for Suboxone Detox is an outpatient program that can be completed in as few as 8 days. It uses tailored doses of comfort medications to mitigate uncomfortable withdrawal symptoms while Naltrexone is administered to block opioid receptors and help the brain heal. Patients can detox quickly and safely without the risks or costs of other types of opioid detox and with as little disruption to the patient’s everyday life as possible. SCHEDULE A CALLBACK[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" custom_padding_last_edited="on|phone" admin_label="Insurances Accepted" module_class="spaced centered" _builder_version="4.17.0" custom_padding="||50px||false|false" custom_padding_tablet="||0px||false|false" custom_padding_phone="||0px||false|false" da_disable_devices="off|off|off" global_module="15824" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.24.2" text_font="||||||||" global_colors_info="{}"]Insurance Accepted For Detox Treatments At Our Richmond, VA Location The Coleman Institute's Richmond, VA office is in-network with Anthem Blue Cross Blue Shield and Sentara Health Plans. We also accept Sentara plans. We are constantly expanding our in-network coverage, so please contact us to see if we accept your insurance.[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" _builder_version="4.17.0" _module_preset="default" custom_margin_tablet="" custom_margin_phone="25px||25px||false|false" custom_margin_last_edited="on|phone" custom_padding="50px||50px||false|false" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/Anthem-1.png" alt="BCBS LOGO" title_text="Anthem-1" align="right" _builder_version="4.27.4" _module_preset="default" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="1_2" _builder_version="4.17.0" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/sentra-1.png" title_text="sentra-1" align="left" module_class="align-left" _builder_version="4.27.4" _module_preset="default" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.24.2" text_font="||||||||" global_colors_info="{}"]Call 877-773-3869 or schedule a callback to check your insurance coverage.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="0px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_4" show_border="off" _builder_version="4.16" text_orientation="center" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Richmond Xanax Detox The Coleman Institute offers Xanax Detox options in Richmond, VA Xanax is a powerful drug that affects the body's central nervous system by reducing the activity of neurons within the brain. It is often prescribed by doctors as a treatment for anxiety or panic disorders, but the sedation effects of Xanax can be addicting for anyone. Despite this, Xanax remains the most highly prescribed psychiatric medication in the United States. Once Xanax is in the central nervous system, tolerance develops quickly. A person must take more of the drug — sometimes 20 to 30 pills a day — just to achieve the desired results. [sidebar name="Other Pages Sidebar"] Self-detoxing from Xanax can be extremely difficult with withdrawal symptoms such as tremors and fatigue. The Coleman Institute can help. Our Rapid Benzodiazepine Detox in Richmond, VA offers a safe, effective way to detox from Xanax without the turmoil of self-detoxing. Our method includes using Flumazenil to flush the benzodiazepines out of your system quickly. Patients are usually able to complete the detox in eight days and experience much milder withdrawal symptoms. At The Coleman Institute, we are committed to helping people find the road to recovery and live addiction-free lives. With our innovative detox program and expert medical team, you don't have to go it alone or suffer the agony of self-detoxing.  Check out these helpful resources for more details: Rapid Benzodiazepine Detox FAQs   You can free yourself from addiction. Add your name to the hundreds of patients who successfully completed their detox. Let's take the next step together. Call us at 877-773-3869.       #### Richmond, VA Addiction Treatment The Coleman Institute Offers Addiction Treatment Options in Richmond, VA If you’re ready to leave addiction behind and get back to being yourself, the Coleman Institute in Richmond, VA, offers a comfortable way to detox quickly. The Coleman Institute offers a variety of treatment options for our patients in Richmond, VA, and across the U.S. including:   Accelerated Opioid Detox Alcohol Detox Fentanyl Detox Heroin Detox Pain Medication Detox Prescription Drug Detox Suboxone® Detox Methadone Detox Naltrexone Therapy Benzodiazepine Detox   If you are seeking treatment for one or more of the following, please call us now at (877) 773-3869 or schedule a callback. Opioid Addiction Treatment in Richmond, VA Opioids are drugs that can lead to addiction as quickly as the first time they are used. Unfortunately, the stigma surrounding opioid addiction can leave you feeling alone. But the reality is that opioid addiction is a chronic disease and millions suffer from it worldwide. Alcohol Addiction Treatment in Richmond, VA Alcohol is one of the most commonly abused drugs in the United States. Many adults can have a drink or two without developing alcohol dependence or addiction. However, when alcohol begins interfering in your daily life, it may have progressed into Alcohol Use Disorder. Like any addiction, Alcohol Use Disorder can be dangerous. Almost 88,000 people die each year from alcohol-related causes — the third largest cause of preventable deaths in the country. If you’re looking for a way to break free from your opioid or alcohol addiction, our outpatient detox treatments in Richmond, VA, may be right for you. Our detox programs use the Coleman Method to create a safe, effective, and comfortable detox experience. Depending on your specific situation, you can complete your detox in as little as 3 to 10 days. Benefits of Addiction Treatment in Richmond, VA by the Coleman Institute: Outpatient Care Detox in as little as 3 days No hospital stays or general anesthesia required 98% detox completion rate Minimal Discomfort Caring support from medical professionals who understand opioid and alcohol addiction Safe and assisted withdrawal process Long-Term Support Access to recovery support services Naltrexone therapy to reduce cravings and and the risk of opioid relapse (in certain locations) Addiction Treatment and Detox Resources Accelerated Opiate Detox FAQs Naltrexone Therapy for Opiates FAQs Alcohol Detox FAQs Naltrexone Therapy for Alcohol Detox FAQs   You deserve a life free from addiction. So let’s take the next step together. Call us at 877-773-3869. #### Schedule a Call Back [et_pb_section fb_built="1" _builder_version="4.16" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="1_2,1_2" module_class="schedule-callback-form" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" max_width="80%" max_width_tablet="" max_width_phone="" max_width_last_edited="on|desktop" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" text_font="||||||||" header_font="Crimson Text||||||||" header_font_size="60px" header_line_height="1.2em" text_line_height_tablet="" text_line_height_phone="" text_line_height_last_edited="on|desktop" header_line_height_tablet="" header_line_height_phone="" header_line_height_last_edited="on|desktop" text_orientation_tablet="center" text_orientation_phone="" text_orientation_last_edited="on|phone" global_colors_info="{}"]Contact theColeman Institute[/et_pb_text][et_pb_text _builder_version="4.16" text_font_size="24px" hover_enabled="0" text_font_size_tablet="" text_font_size_phone="" text_font_size_last_edited="on|desktop" text_orientation_tablet="center" text_orientation_phone="" text_orientation_last_edited="on|phone" global_colors_info="{}" sticky_enabled="0"]Do you have questions about treatment options near you or want to speak with a Care Advocate? Please call us now at (877) 773-3869 for immediate assistance or fill out the form to have one of our Care Advocates reach out at a time that's convenient for you.[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" text_orientation="center" global_colors_info="{}"]Schedule a Callback[/et_pb_text][et_pb_code _builder_version="4.20.2" global_colors_info="{}"][/et_pb_code][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner Link List" module_class="banner list on-dark centered" _builder_version="4.16" background_color="#053a72" custom_padding="||" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" text_font="||||||||" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"] 20 Years Experience Recommended by 9 of 10 Patients Serving Patients Nationwide [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="CTA Banner" module_class="banner cta" _builder_version="4.16" background_color="#f5f5f5" da_disable_devices="off|off|off" global_module="14958" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2018/11/blue-cross-blue-shield-vector-logo.png" alt="blue cross blue shield vector logo" title_text="blue cross blue shield vector logo" align="right" align_tablet="center" align_phone="center" align_last_edited="on|tablet" _builder_version="4.27.0" custom_margin_tablet="" custom_margin_phone="" custom_margin_last_edited="on|tablet" custom_padding="25px||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2022/05/optima_health-logo-edit.webp" alt="optima health logo edit" title_text="optima_health-logo-edit" align_tablet="center" align_phone="center" align_last_edited="on|phone" _builder_version="4.27.0" custom_padding="25px||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.17.4" _module_preset="default" custom_padding="25px||||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.17.4" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.0" text_orientation="center" locked="off" global_colors_info="{}"]Now accepting many Blue Cross Blue Shield, Advanced Care and Optima/Sentara plans. We also welcome self-pay patients. Financing options are available.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" custom_padding_last_edited="on|desktop" _builder_version="4.16" custom_padding="0px|0px|0px|0px|false|false" custom_padding_tablet="" custom_padding_phone="" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="1_2,1_2" custom_padding_last_edited="on|desktop" _builder_version="4.16" width="100%" max_width="100%" max_width_tablet="" max_width_phone="" max_width_last_edited="on|desktop" height_tablet="" height_phone="" height_last_edited="on|desktop" max_height="500px" custom_padding="0px|0px|0px|0px|false|false" custom_padding_tablet="" custom_padding_phone="" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" global_colors_info="{}"][et_pb_text _builder_version="4.27.0" custom_margin_tablet="" custom_margin_phone="" custom_margin_last_edited="on|desktop" custom_padding="10%|20%|10%|20%|false|false" custom_padding_tablet="" custom_padding_phone="" custom_padding_last_edited="on|desktop" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"]Hours Mon-Fri: 8am to 10pm ESTSat–Sun & Holidays: 9am to 5:30pm EST Team Members Available for Questions by Phone between 9:00 AM - 10:00 PM EST, 7 days a week. Phone (877) 773-3869 Headquarters 204 N. Hamilton Street, Suite BRichmond, VA 23221 Learn about our Richmond, VA office here.[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" global_colors_info="{}"][et_pb_text _builder_version="4.16" custom_padding="0px|0px|0px|0px|false|false" global_colors_info="{}"][/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner CTA - Opioid Detox Guide" module_class="banner cta expanded" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" global_colors_info="{}"][et_pb_text module_class="centered" _builder_version="4.16" text_orientation="center" custom_padding="||50px||false|false" custom_padding_last_edited="off|desktop" global_colors_info="{}"]Recovery Starts With Finding The Right Detox Option For You.[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text disabled_on="on|on|off" _builder_version="4.16" text_font_size="18px" custom_margin="||0px||false|false" global_colors_info="{}"][/et_pb_text][et_pb_text module_class="centered" _builder_version="4.16" text_orientation="center" text_font_size_tablet="" text_font_size_phone="" text_font_size_last_edited="on|desktop" global_colors_info="{}"]Understanding Accelerated Opioid Detox Download our free Guide to Understanding Accelerated Opioid Detox for an in-depth look at the fight against America's opioid crisis using industry-leading detox methods and addiction recovery treatment options. Get the Opiod Detox Guide[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text disabled_on="on|on|off" _builder_version="4.16" custom_margin="||0px||false|false" custom_margin_tablet="" custom_margin_phone="" custom_margin_last_edited="on|desktop" global_colors_info="{}"][/et_pb_text][et_pb_text module_class="centered" _builder_version="4.16" text_orientation="center" global_colors_info="{}"]Understanding Alcohol Detox Download our free Guide to Understanding Alchohol Detox to learn about the prevalence of Alcohol Use Disorder (AUD) in American society and available treatment options. Get the Alcohol Detox Guide[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Make a Decision to Reclaim Your Life" module_class="reclaim spaced centered reduced-mobile-back" _builder_version="4.16" background_image="https://www.thecolemaninstitute.com/wp-content/uploads/2019/02/parents-holding-children.jpg" background_position="top_center" custom_padding="||500px" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" width="60%" width_tablet="" width_phone="" width_last_edited="on|desktop" max_width="60%" max_width_tablet="" max_width_phone="" max_width_last_edited="on|tablet" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" text_font="||||||||" global_colors_info="{}"]Make a Decision to Reclaim Your Life Schedule a Callback or Call Us Now at 877-773-3869 Get back to being yourself with a more comfortable, quicker, safer detox[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] #### Stimulant Detox [et_pb_section fb_built="1" admin_label="Header" module_class="header on-dark spaced centered" _builder_version="4.16" background_image="https://www.thecolemaninstitute.com/wp-content/uploads/2019/04/tci-happy-man-smiling.jpg" background_position="top_center" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"]Stimulant Detox Treatment The Coleman Method is a safer, faster, and more comfortable way to start your journey toward recovery. Call Now at 877-773-3869[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner List" module_class="banner list on-dark centered" _builder_version="4.16" background_color="#053a72" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" global_colors_info="{}"] Minimize Withdrawal Symptoms Detox in as Little as 7 Days Convenient Outpatient Treatment [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="CTA Banner" module_class="banner cta" _builder_version="4.27.0" background_color="#f5f5f5" da_disable_devices="off|off|off" global_module="14958" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/Anthem-1.webp" alt="blue cross blue shield vector logo" title_text="Anthem-1" align="right" align_tablet="center" align_phone="center" align_last_edited="on|tablet" _builder_version="4.27.4" custom_margin_tablet="" custom_margin_phone="" custom_margin_last_edited="on|tablet" custom_padding="25px||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/sentra-1.webp" alt="optima health logo edit" title_text="sentra-1" align="left" align_tablet="center" align_phone="center" align_last_edited="on|phone" _builder_version="4.27.4" custom_padding="25px||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.17.4" _module_preset="default" custom_padding="25px||||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.17.4" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.4" text_orientation="center" locked="off" global_colors_info="{}"]Now accepting many Anthem Blue Cross Blue Shield and Sentara plans. We also welcome self-pay patients. Financing options are available.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.19.1" _module_preset="default" custom_margin="||50px||false|false" locked="off" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.19.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.4" global_colors_info="{}"]A Safe, Comfortable Way to Stop Using Stimulants If you or someone you love is struggling with stimulant use, whether it's cocaine, methamphetamine, ecstasy, or prescription drugs like Adderall, Ritalin, or Vyvanse, The Coleman Institute offers an outpatient detox program that can help you begin your recovery from stimulants safely and with confidence. Our outpatient stimulant detox provides the support you need without the need for overnight stays, making it easier to maintain your daily responsibilities. We offer specialized care through our cocaine detox program, meth detox program, and Adderall detox services, tailoring treatment to your specific needs for a successful start on the path to recovery.  [/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"]Why Choose to Medically Detox from Stimulants Stimulant Detox using the Coleman Method will help you detox from stimulants, like cocaine, methamphetamine, ectasy, and more, without the agony of self-detox or the inconvenience of an extended inpatient rehab stay. Our outpatient stimulant detox can be completed in as little as 7 days without requiring a hospital stay or weeks away from your daily life. Benefits of Detoxing with the Coleman Method:  Safe, supervised withdrawal with medical oversight  Reduced risk of relapse during the early stages of recovery Stabilization of mood and mental health symptoms Personalized care tailored to the type of stimulant used Short-term outpatient schedule Smoother transition into long-term recovery programs or therapy  CALL NOW[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" hover_enabled="0" inline_fonts="Arial" global_colors_info="{}" sticky_enabled="0"] Facts About Stimulant Use Withdrawal from stimulants such as, but not limited to, cocaine, meth, and amphetamine salts (like those found in Adderall or Vyvanse) can be emotionally and mentally taxing. Individuals often experience intense symptoms that make it challenging to stop using without professional support. While stimulant withdrawal is typically not life-threatening, the psychological effects can be severe and long-lasting, increasing the risk of relapse without a structured detox program in place. Stimulants like cocaine, methamphetamine, ecstasy, and prescription medications (Adderall, Ritalin, Vyvanse) can lead to physical dependence and addiction. Stimulant use can significantly impact brain chemistry, emotional stability, and physical health over time. According to the National Institute on Drug Abuse (NIDA), stimulant-related overdoses have increased in recent years, especially when combined with other substances. People may begin using stimulants to enhance focus, boost energy, or improve mood, but consistent use can quickly lead to compulsive behaviors and serious health risks. Detox is a critical first step toward lasting recovery and should be medically supervised for safety and effectiveness. CALL NOW[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.27.4" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.27.4" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.4" global_colors_info="{}"]A More Comfortable Path to Recovery[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" global_colors_info="{}"]Understanding Stimulant Withdrawal  Withdrawal from stimulants can be a physically and emotionally difficult experience. When someone stops using stimulant substances like cocaine, methamphetamine, or Adderall after prolonged use, the body and brain go through a period of adjustment that often results in uncomfortable and sometimes overwhelming symptoms. Common symptoms of stimulant withdrawal may include: Fatigue and low energy Depression, anxiety, or mood swings Restlessness or irritability Sleep disturbances Intense cravings These symptoms are not only difficult to endure, but they also increase the risk of relapse. That's why The Coleman Institute developed an outpatient stimulant detox program that's designed to ease the intensity of these symptoms with medical guidance and compassionate care. [/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" global_colors_info="{}"]What to Expect During Stimulant Detox Our program typically takes 7 days to complete, and we offer additional weeks of follow-up support to help you stay on track. Week 1: Detox & Stabilization Day 1: In-office medical assessment, lab work, EKG, and a customized treatment plan with comfort medications Days 2 – 3: In-person visits for symptom monitoring and medication adjustments Days 4 – 7: Telehealth or in-office check-ins as your symptoms improve Most patients are cleared to return to work and drive by Day 5 once symptoms are managed. Week 2-4: Continued Support Day 1: Weekly provider appointments (in-person or virtual) to support long-term success Days 2 – 3: Case management follow-ups for up to 6 months to help you maintain sobriety [/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" _builder_version="4.27.4" _module_preset="default" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.27.4" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.4" global_colors_info="{}"]Substances We Treat Our outpatient detox program supports individuals looking to stop using: Cocaine Methamphetamine (Meth) MDMA Ecstasy Molly Prescription Stimulants Adderall Ritalin Vyvanse Other amphetamine salts Whether stimulant use began recreationally or through a prescription, our team provides a personalized medical detox plan to help you stop safely and take the next steps in recovery.[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.27.4" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.4" global_colors_info="{}"]Why Choose the Coleman Institute? For over 25 years, the Coleman Institute has helped people across the country begin their recovery from substance use through outpatient detox programs that are trusted by both patients and healthcare providers. Our approach is medically supervised and clinically sound, offering a safe and effective alternative to inpatient or hospital-based detox. Each program is designed with comfort, safety, and flexibility in mind, allowing individuals to detox without stepping away from their daily lives. With expert guidance and ongoing case management, we ensure every person receives the support they need to begin recovery with confidence.  Our stimulant detox program follows this same proven model, helping thousands of people safely detox from substances like cocaine, meth, and Adderall and take their first steps toward a life free from substance use.[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" global_colors_info="{}"]Medication Support & Monitoring Our providers may use comfort medications to help reduce the intensity of withdrawal symptoms. These may include medications to support sleep, ease anxiety, manage cravings, or address mood concerns. Your safety and comfort are our top priorities. You'll be monitored closely throughout the detox process and supported every step of the way.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Successful Detox CTA" module_class="banner cta centered" _builder_version="4.16" background_color="#f9f9f9" custom_padding="||" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.17.3" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_margin_tablet="" custom_margin_phone="" custom_margin_last_edited="on|phone" custom_padding="|25px|50px|25px|false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.0" global_colors_info="{}"]More than 8,500 Patients Treated with the Coleman Method[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" global_colors_info="{}"][/et_pb_text][et_pb_text _builder_version="4.21.0" text_font_size="18px" width="80%" module_alignment="center" global_colors_info="{}"]The Coleman Method Explained Dr. Peter Coleman discusses the Coleman Method for outpatient opiate detoxification (ambulatory withdrawal management).[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" custom_margin_tablet="" custom_margin_phone="50px||||false|false" custom_margin_last_edited="on|phone" global_colors_info="{}"][/et_pb_text][et_pb_text _builder_version="4.27.4" text_font_size="18px" width="80%" module_alignment="center" global_colors_info="{}"]Why Does Relapse Happen in Addiction Dr. Peter Coleman, who is Board-certified in Addiction Medicine and has been in recovery from opioid use himself since 1984, discusses why people with addiction sometimes relapse. [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="on|on|on" admin_label="Banner CTA - Opioid Detox Guide" module_class="banner cta expanded" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" disabled="on" collapsed="on" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_5,3_5" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="2_5" module_class="desktop-only" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.0" global_colors_info="{}"][/et_pb_text][/et_pb_column][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="centered" _builder_version="4.18.0" global_colors_info="{}"]Recovery Starts With Finding The Right Detox Option For You. Download our free Guide to Detoxing Off Suboxone for an in-depth look at Suboxone's role in addiction treatment, industry-leading detox methods, and addiction recovery treatment options. Get the Free Guide[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Locations" _builder_version="4.17.1" _module_preset="default" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.17.1" _module_preset="default" custom_padding="||50px||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.25.0" global_colors_info="{}"]Find An Outpatient Stimulant Detox Near You   The Coleman Institute offers a variety of outpatient detox treatment options at locations nationwide, including specialized programs for those struggling with stimulant use. Our ground-breaking Coleman Method has helped thousands safely detox from substances like cocaine, methamphetamine, and prescription stimulants like Adderall. If you're ready to break free from the cycle of stimulant addiction, we're here to help you take the first step.    FIND A LOCATION[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="on|on|on" admin_label="FAQS" _builder_version="4.17.1" _module_preset="default" background_color="#f1faff" da_disable_devices="off|off|off" disabled="on" locked="off" collapsed="on" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.17.1" _module_preset="default" custom_padding="||50px||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"]Featured Suboxone® Detox FAQs[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_4,1_2,1_4" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" locked="off" global_colors_info="{}"][et_pb_column type="1_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" text_font_size="18px" custom_padding="||||false|false" global_colors_info="{}"]What is Naltrexone therapy, and why is it important for opiate addiction?Does Naltrexone therapy have any risks and side effects?How long should I be on Naltrexone therapy?[/et_pb_text][et_pb_text _builder_version="4.17.1" text_font_size="18px" custom_padding="||||false|false" global_colors_info="{}"]View All Suboxone® Detox FAQs[/et_pb_text][/et_pb_column][et_pb_column type="1_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="on|on|on" admin_label="Testimonials" module_class="testimonials-container centered" _builder_version="4.16" da_disable_devices="off|off|off" disabled="on" locked="off" collapsed="on" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.17.1" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_padding="||50px||false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.17.1" custom_padding="||20px" global_colors_info="{}"]See What Other Patients are Saying about Coleman Institute...[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" _builder_version="4.17.1" _module_preset="default" custom_padding="||50px||false|false" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.0" _module_preset="default" text_font_size="18px" global_colors_info="{}"] Brandon - Suboxone "Addicted to Suboxone for 6 years, this was the best thing I've ever done."[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.0" _module_preset="default" text_font_size="18px" global_colors_info="{}"] Bert - Parent of Patient “I got my family back.”[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" custom_padding="||50px||false|false" global_colors_info="{}"]See More Patient Experiences[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="on|on|on" admin_label="Benefits" module_class="banner on-dark centered spaced" _builder_version="4.16" background_color="#053a72" da_disable_devices="off|off|off" disabled="on" collapsed="on" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row use_custom_gutter="on" gutter_width="1" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="100%" width_tablet="100%" width_phone="" width_last_edited="on|desktop" max_width="100%" max_width_tablet="100%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.17.6" global_colors_info="{}"]What Are The Benefits Of Suboxone® Detox Using The Coleman Method?[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" use_custom_gutter="on" gutter_width="1" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="100%" width_tablet="100%" width_phone="" width_last_edited="on|desktop" max_width="100%" max_width_tablet="100%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="benefits-section" _builder_version="4.16" global_colors_info="{}"]Outpatient Care Detox in as little as 8 days 98% detox completion rate No hospital stay required[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="benefits-section" _builder_version="4.16" global_colors_info="{}"]Minimal Discomfort Safe, assisted withdrawal process Customized medications to reduce discomfort Caring, compassionate medical professionals who specialize in addiction treatment[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="benefits-section" _builder_version="4.25.1" global_colors_info="{}"]Recovery Support Naltrexone therapy to reduce cravings and the risk of relapse Access to recovery support services[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"]Schedule a Callback[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Testimonial and Blog Post" module_class="banner gutterless on-dark" _builder_version="4.16" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row use_custom_gutter="on" gutter_width="1" make_equal="on" module_class=" et_pb_row_fullwidth" _builder_version="4.17.1" width="100%" width_tablet="100%" width_phone="" width_last_edited="on|desktop" max_width="100%" max_width_tablet="100%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" module_class="blog-cta" _builder_version="4.17.1" background_enable_image="off" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" global_colors_info="{}"] By Makenna How Long Does Adderall Stay in Your System? Adderall is a prescription stimulant often used to treat Attention-Deficit/Hyperactivity Disorder (ADHD), but it's also commonly misused for its energizing... Read More By Addison Clark The Role of a Support Person During Outpatient Detox Detoxification is the crucial first step in overcoming dependence or addiction to opioids and alcohol. But you don’t have to... Read More 1 2 Next » [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Form" module_class="centered spaced" _builder_version="4.16" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"]Start Your Recovery Journey You don't have to go through stimulant withdrawal alone. Whether it's Adderall, meth, ecstasy, or cocaine, our outpatient Stimulant Detox program can help you stop using safely; take your first step toward a healthier, more stable future. <!--Call us today at 804-294-2212 or request a confidential callback to learn more and begin your recovery journey.--> Call Now at 877-773-3869[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] #### Street Names of Common Drugs [et_pb_section fb_built="1" fullwidth="on" _builder_version="4.16" locked="off" global_colors_info="{}"][et_pb_fullwidth_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2018/11/testimonialhdr.jpg" _builder_version="4.16" global_colors_info="{}"][/et_pb_fullwidth_image][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" global_colors_info="{}"][et_pb_row _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.0" global_colors_info="{}"] Street Names of Common Drugs[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.0" global_colors_info="{}"]Heroin | Oxycodone | Hydrocodone | Codeine | Methadone | Morphine | Fentanyl | Oxymorphone | Alprazolam | Clonazepam | Diazepam | Benzodiazepines | Suboxone | Kratom[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.0" global_colors_info="{}"] Heroin (Opioid) Street Names Big H, Black, Black Eagle, Black Pearl, Black Stuff, Black Tar, Boy, Brown, Brown Crystal, Brown Rhine, Brown Sugar, Brown Tape, Capital H, Chiba, Chieva, China White, Chiva, Dope, Dragon, Dust, H, H Caps, Hell Dust, Hera, Hero, Horse, Junk, Mexican Brown, Mexican Mud, Mother Pearl, Mud, Nice & Easy, Nose Drops, Rush Hour, Sack, Salt, Scat, Skag, Skunk, Smack, Snow, Snowball, Sweet Dreams, Tar, Thunder, White, White Boy, White Girl, White Horse, White Lady, White Nurse, White Stuff Common Misspellings Heron, Heroine, Herone Back to Top Oxycodone (Opioid) Brand Names OxyContin, Roxicodone, Percocet, Xtampza ER Oxaydo Street Names O, Oxy, Oxycet, Oxys, Kickers, Kicker, Killer, Oxy 80s, Buttons, 30s, Blues, Blueberries, Hillbilly Heroin, OC, Orange County, Roxy, Roxys, Percs, Ercs, Greenies, M-30s, Rims, Tires, Wheels, 512s Common Misspellings Oxicodone, Oxicotin, Oxicotton, Oxycoton, Roxycodone Back to Top Hydrocodone (Opioid) Brand Names Vicodin, Lortab, Norco, Zamicet, Verdrocet Street Names Hydros, Vikes, Viko, Vics, Vickies Back to Top Codeine (Opioid) Street Names Captain Cody, Little C, Schoolboy, Cough Syrup, T-three’s, Loads, Pancakes and Syrup, Cody, Lean, Purple Drink, Purple Drank, Doors and Fours Common Misspellings Codene Back to Top Methadone (Opioid) Street Names Amidone, Fizzies, Maria, Wafer, Chocolate Chip Cookies (Combines with Ecstasy), Metho, Junk, Jungle Juice, Done Back to Top Morphine (Opioid) Brand Names Kadian, Duramorph, MS Cotin, Oramorph SR, MSIR, RMS, Roxanol Street Names M, Miss Emma, Monkey, White Stuff, God’s Drug, Morpho, Dreamer, Emsel, First Line, Hows, MS, Mister Blue, Morf, Unkie Common Misspellings Morphene Back to Top Fentanyl (Opioid) Brand Names Abstral, Actiq, Fentora, Onsolis, Sublimaze Street Names China Girl, China Town, China White, Dance Fever, Goodfellas, Great Bear, He-Man, Poison, Tango & Cash, TNT, Jackpot, Apache, Friend, Murder 8, Fent Common Misspellings Fentynal, Fentanal Back to Top Oxymorphone (Opioid) Brand Names Opana Street Names Biscuits, Blue Heaven, Mrs. O, O Bomb, Octagons, Stop Signs, Blues Common Misspellings Oximorphone Back to Top Alprazolam (Benzodiazepines) Brand Names Xanax Street Names Z Bars, Zanbars, Bars, Handlebars, Bricks, Blue Footballs, Upjohn, Ladders, School Bus, Xan, Xanies, Zan, Zanies Common Misspellings Zanax, Zanex Back to Top Clonazepam (Benzodiazepines) Brand Names Klonopin Street Names K-Pin, K, Pin, Super Valium Common Misspellings Clonopin Back to Top Diazepam (Benzodiazepines) Brand Names Valium Street Names Eggs, Jellies, Moggies, Vallies Back to Top Benzodiazepines Brand Names Restoril (Temazepam), Ativan (Lorazepam), Librium (Chlordiazepoxide), Halcion (Triazolam) Street Names Benzos, Blues, Candy, Chill Pills, French Fries, Downers, Sleeping Pills, Totem Poles, Tranks, Bennies Back to Top Suboxone Street Names Bupe, Sobos, Sub, Stops, Oranges Back to Top Kratom Street Names Thang, Kakuam, Thom, Ketum, Biak, Krypton, Herbal Speedball Back to Top[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] #### Suboxone Detox [et_pb_section fb_built="1" admin_label="Header" module_class="header on-dark spaced centered" _builder_version="4.16" background_image="https://www.thecolemaninstitute.com/wp-content/uploads/2019/04/tci-happy-man-smiling.jpg" background_position="top_center" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" global_colors_info="{}"]Suboxone Detox The Coleman Method is a safer, faster, and more comfortable way to start your journey toward recovery. Call Now at 877-773-3869[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner List" module_class="banner list on-dark centered" _builder_version="4.16" background_color="#053a72" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" global_colors_info="{}"] Minimize Withdrawal Symptoms Detox in as Little as 8 Days Convenient Outpatient Treatment [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="CTA Banner" module_class="banner cta" _builder_version="4.27.0" background_color="#f5f5f5" custom_padding="4px|||||" da_disable_devices="off|off|off" global_module="14958" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/Anthem-1.png" alt="anthem blue cross blue shield logo" title_text="Anthem-1" align="right" align_tablet="center" align_phone="center" align_last_edited="on|tablet" _builder_version="4.27.4" custom_margin_tablet="" custom_margin_phone="" custom_margin_last_edited="on|tablet" custom_padding="25px||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/sentra-1.png" alt="sentara health plans logo" title_text="sentra-1" align="left" align_tablet="center" align_phone="center" align_last_edited="on|phone" _builder_version="4.27.4" custom_padding="25px||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.17.4" _module_preset="default" custom_padding="25px||||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.17.4" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.4" text_orientation="center" custom_margin="25px||||false|false" locked="off" global_colors_info="{}"]Now accepting many Anthem Blue Cross Blue Shield and Sentara Health Plans. We also welcome self-pay patients. Financing options are available.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.19.1" _module_preset="default" custom_margin="||50px||false|false" locked="off" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.19.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.19.4" global_colors_info="{}"]Outpatient Suboxone Detox Treatment[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" global_colors_info="{}"]Why Choose Suboxone Detox? Suboxone (buprenorphine/naloxone) can help people to stop using and purchasing street drugs, but buprenorphine itself is an opioid. Because each Suboxone dose stays in the body for weeks, traditional methods for detoxing off Suboxone can result in over a month of pain, sleeplessness, anxiety and other withdrawal symptoms. At the Coleman Institute, we understand your fear of replacing one addiction with another and the overwhelming challenge that you face in trying to detox off of Suboxone or other forms of buprenorphine. That’s why we’ve developed a powerful way to help you detox safely and quickly, without disrupting your entire life that you’ve worked so hard to recover. It’s also important to note that for some people who are stable on Suboxone, there is no reason to try to get off of it. However, for people who are ready for this change, we have created a unique process to help them transition from Suboxone over to medication-assisted treatment (MAT) using the non-addictive opioid blocker, Naltrexone. Call Now[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.21.0" global_colors_info="{}"]How Does the Coleman Method For Suboxone Detox Work? The Coleman Institute carefully adapted our Accelerated Opioid Detox program to meet the unique needs of people who are ready to come off buprenorphine. By using a carefully crafted combination of medicines and sedatives, we’re able to completely remove the opioids attached to your brain receptors. Then, because Suboxone stays in your body for so much longer than other opiates, we extend our outpatient treatment to 8 days instead of the shorter period used for shorter-acting opioids. After the detox is complete, our team works with you to treat any post-acute withdrawal symptoms to ensure that you’re on the best path to complete healing. Since our outpatient treatment takes days instead of weeks or months, there is very little disruption to your life and we see much higher rates of detox completion compared to those who attempt to spend weeks going through self-detox. Patients who live near one of our offices are able to spend nights at home in the comfort of their own bed. Our team works with you to treat any longer-term withdrawal symptoms after detox to ensure that you’re on the best path to complete healing. From there, you’re on the road to long-term recovery as quickly as possible. LEARN MORE[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.19.1" _module_preset="default" custom_margin="||50px||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.19.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.19.4" global_colors_info="{}"]Substance Use Disorder and Suboxone[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.21.0" global_colors_info="{}"]What Are The Symptoms Of Suboxone Withdrawal? When someone is dependent on Suboxone, the chemical structure of the brain has changed, and the person will experience withdrawal symptoms if they stop using. The withdrawal experience can be exhausting, painful, and prolonged. Suboxone withdrawal symptoms vary by person and in terms of severity. Additionally, these symptoms can vary depending on the dosage and frequency of Suboxone use. Common symptoms of Suboxone withdrawal can include: Sweating and cold sweats Insomnia Severe aches and pains throughout the body Heightened levels of anxiety and depression Nausea and vomiting Digestive issues Lethargy and lack of motivation Flu-like symptoms Intense cravings for buprenorphine and other opioids Shaking Increased sensitivity to pain GET THE FREE GUIDE[/et_pb_text][et_pb_text _builder_version="4.19.4" global_colors_info="{}"]How Does Suboxone Use Become Dependence? Buprenorphine, a partial opioid agonist, was originally created as a safer pain management medication than morphine or heroin. To prevent misuse, it was combined with naloxone, which is an opioid antagonist. Together, buprenorphine and naloxone are known under the branded medication names like Suboxone and Zubsolv. Today, Suboxone is widely used as a treatment for opioid dependence by transitioning an individual from illegal street opioids, to this legal (when prescribed) alternative. Because buprenorphine is a partial opioid agonist, Suboxone can activate the brain’s opioid receptors like other opioids do, leading to a halt in natural endorphin production. Once this Suboxone dependence is established, stopping abruptly can cause painful withdrawal symptoms. Furthermore, Suboxone is long-lasting, meaning these withdrawal symptoms that can last for weeks.[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" global_colors_info="{}"]Facts About Suboxone Use and Dependence Many patients have been reluctant to use buprenorphine out of fear that they are replacing one addiction for another. Others are intimidated by the physical and mental challenge that they will undergo when or if they ultimately want to taper off of Suboxone or other forms of buprenorphine. While it is possible to maintain stability on Suboxone, many individuals that have been taking it are ready for a change. Buprenorphine can play a useful role in a person’s recovery journey and is helping many patients lead stable lives without using risky street opioids. That said, many individuals who have been using it for a long time are ready for change and find tapering off to be incredibly difficult, because of the lengthy withdrawal symptoms they face. Only #### Tampa Accelerated Fentanyl Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.19.4" global_colors_info="{}"]Accelerated Fentanyl Detox The Coleman Institute offers Accelerated Fentanyl Detox in Tampa, FL At its best, Fentanyl, a prescription opioid, can provide healing and relief. Unfortunately, it is also extremely addictive. Just one use can affect the chemical production in the brain, decreasing natural endorphins and catapulting a user down the road of addiction. Because Fentanyl is 50 times more potent than Heroin, it is an extremely dangerous opiate – and detoxing off of it is even harder than other opioids. At the Coleman Institute in Tampa, FL we offer a solution. Our Accelerated Fentanyl Detox lets patients rid themselves of a Fentanyl dependency without the fear of painful withdrawal symptoms or lengthy rehab stays. Our Tampa, FL office provides: Safe, assisted withdrawal process Medicine to reduce discomfort Caring support from medical professionals who understand dependency Detox appointments take place in our Tampa, FL clinic, not a rehab facility. Using non-addictive drugs and sedatives, we are able to push out the opiates in as few as 5 days, without the discomfort you’d experience in a typical detox process. Let our medical professionals help you take the first step. Check out these helpful resources for more details: Accelerated Opiate Detox FAQs Naltrexone Therapy FAQs Dangers of Fentanyl You can free yourself from addiction. Add your name to the 98% of patients who successfully completed their detox. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Tampa Accelerated Hydrocodone Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.19.0" global_colors_info="{}"]Accelerated Hydrocodone Detox The Coleman Network offers Accelerated Hydrocodone Detox options in Tampa, FL Hydrocodone is a highly potent drug. Although it is intended to treat pain, its highly addictive qualities can lead to dependence after just one use. The drugs bind themselves to the receptors in a person’s brain, decreasing the natural production of endorphins and requiring higher and higher doses to achieve any kind of relief. Quitting the drug on your own is dangerous and painful. Luckily, there is another path toward the addiction-free life you deserve. At the Coleman Network’s Tampa location, we offer an Accelerated Hydrocodone Detox that pushes the opiates out of your body in as little as three days. Patients can detox without the painful withdrawal symptoms involved in other programs. Our outpatient care can be completed with no hospital stays required, so you can get back to your daily life as quickly as possible. Once detox is completed, our staff can provide long-term support as you begin rebuilding your life and creating new, healthier habits. Check out these helpful resources for more details: Accelerated Opiate Detox FAQs Naltrexone Therapy FAQs You can free yourself from addiction. Add your name to the 98% of patients who successfully completed their detox. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Tampa Accelerated Kratom Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.19.4" global_colors_info="{}"]Accelerated Kratom Detox The Coleman Institute offers Accelerated Kratom Detox in Tampa, FL Kratom is often promoted as a potential cure for opiate addicts. The problem is that Kratom is physically addictive as well. It affects the brain in the same way that opiates do, turning a potential cure into another crippling addiction. Our Accelerated Kratom Detox in Tampa, FL removes the Kratom from the body in the most comfortable way possible, returning endorphin levels to normal. Instead of the typical 10 days, our detox only takes about 5 days. Our outpatient program is one of the most effective, safest, and most convenient ways to free yourself from addiction. As few as five days to complete the process No general anesthesia No hospital stays required Following an Accelerated Kratom Detox at our Tampa, FL location, our staff will offer long-term support through Naltrexone Therapy, a sobriety plan, and access to recovery support services. Check out these helpful resources for more details: Accelerated Opiate Detox FAQs Naltrexone Therapy FAQs You can free yourself from addiction. Add your name to the 98% of patients who successfully completed their detox. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Tampa Accelerated Opana® Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" global_colors_info="{}"]Accelerated Opana® Detox The Coleman Network offers Accelerated Opana® Detox options in Tampa, FL Opana® is a potent, highly addictive opiate. It is used in cases of moderate to severe pain, but its addictive qualities can quickly lead to dependency. The drug binds itself to receptors in a person’s brain, decreasing the natural production of endorphins and requiring higher and higher doses in order to achieve any kind of relief. Quitting the drug on your own is dangerous and painful. Luckily, there is another path toward the addiction-free life you deserve. At the Coleman Network’s Tampa location, we offer an Accelerated Opana® Detox that pushes the opiates out of your body in as little as three days. Patients are able to detox without the painful withdrawal symptoms involved in other programs. Our outpatient care can be completed with no hospital stays required, so you can get back to your daily life as quickly as possible. Once the detox is completed, our staff can provide long-term support as you begin rebuilding your life and creating new, healthier habits. The benefits of our Accelerated Opana Detox: Outpatient Care As few as 3 days to complete the process No general anesthesia No hospital stays required Minimal Discomfort Safe, assisted withdrawal process Medicine to reduce discomfort Caring support from medical professionals who understand addiction Long-Term Support Naltrexone Therapy to reduce cravings and reduce the risk of relapse Plan for maintaining sobriety Access to recovery support services Check out these helpful resources for more details: Accelerated Opiate Detox FAQs Naltrexone Therapy FAQs Add your name to the 98% of patients who successfully completed their detox. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Tampa Accelerated Opiate Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" global_colors_info="{}"]Accelerated Opiate Detox The Coleman Institute provides opiate detox options in Tampa, FL Opiates are used medically for pain relief, but they are the most addictive drugs available. When used, the drug attaches itself to the endorphin receptors in the brain. This portion of the brain naturally produces hormones that, when released, make us feel better, increase pleasure, minimize pain, and improve our overall mood. The problem, however, is opiates cause the brain to stop producing endorphins naturally. The body becomes completely dependent on opiates to perform the role of natural endorphins. Any feeling of pain relief or pleasure comes from the opiates instead of the body. Luckily, there are options beyond a lifetime of dependency. At our Tampa, FL location, we offer Accelerated Opiate Detox – a safe, assisted detoxification process that can be completed in as few as three days. With AOD, the drugs are pushed out of the brain in a safe, effective way that allows the brain to heal and endorphin levels to return back to normal. The Benefits of our Accelerated Opiate Detox in Tampa, FL: No long hospital or rehab stays required Non-addictive medication provided to reduce discomfort Long-term support, including Naltrexone Therapy, provided to reduce cravings and the risk of relapse Check out these helpful resources for more details: Accelerated Opiate Detox FAQs Naltrexone Therapy FAQs You can free yourself from addiction. Add your name to the 98% of patients who successfully completed their detox. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Tampa Accelerated Oxycodone Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.19.4" global_colors_info="{}"]Accelerated Oxycodone Detox The Coleman Institute offers Accelerated Oxycodone Detox options in Tampa, FL Accelerated Oxycodone Detox at the Coleman Institute in Tampa, FL is a safe, effective, and comfortable way to free yourself from the grips of an Oxycodone addiction. Oxycodone is a powerful opiate that hijacks the brain’s chemical production. As a result, the brain stops making enough of the endorphins needed to feel happy and reduce pain. Detox removes these harmful chemicals, so endorphin levels can eventually return back to normal. We are committed to helping you get clean and stay clean through our innovative detox program. With the help of our medical team, you don’t have to go it alone or suffer the agony of self-detoxing. Our Accelerated Oxycodone Detox program takes place at our clinic in Tampa, FL. It is a 3-day outpatient care treatment with no hospital stays required. This safe, assisted withdrawal process means you can start the addiction-free life you deserve as soon as possible. Check out these helpful resources for more details: Accelerated Opiate Detox FAQs Naltrexone Therapy FAQs You can free yourself from addiction. Add your name to the 98% of patients who successfully completed their detox. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Tampa Accelerated Percocet® Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" global_colors_info="{}"]Accelerated Percocet® Detox The Coleman Institute offers Accelerated Percocet® Detox options in Tampa, FL Percocet® is an extremely powerful opiate – made from Oxycodone and acetaminophen. Patients can become addicted to Percocet® as a treatment for chronic pain, or because of street drug use. Most users are unaware of how dangerous the drug is, considering it a safer way to achieve a high since it is widely prescribed by doctors as a pain management tool. The truth, however, is that Percocet® is a major cause of many opioid overdoses and deaths throughout the country due to its highly addictive qualities. Accelerated Percocet® Detox at the Coleman Institute in Tampa, FL is a safe, convenient way to detox on an outpatient basis. Our compassionate medical professionals understand the intricacies of addiction and are here to help every step of the way. We offer an accelerated detox that can be completed in as few as three days with no general anesthesia and no hospital stays required. This safe, assisted withdrawal process is the first step to a lifelong recovery. The benefits of our Accelerated Percocet® Detox include: Naltrexone Therapy to reduce cravings and reduce the risk of relapse Plan for maintaining sobriety Access to recovery support services Our program has helped thousands of patients free themselves from the destructive effects of addiction. After safely detoxing, we help patients find the resources they need to stay clean. Check out these helpful resources for more details: Accelerated Opiate Detox FAQs Naltrexone Therapy FAQs You can free yourself from addiction. Add your name to the 98% of patients who successfully completed their detox. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Tampa Accelerated Roxicodone Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.19.4" global_colors_info="{}"]Accelerated Roxicodone Detox The Coleman Institute offers Accelerated Roxicodone Detox options in Tampa (Largo), FL Roxicodone may seem like the answer to your severe pain. But in truth, it is an addictive opioid that can lead to tolerance and dependency. Roxicodone alters the way your brain perceives pain. It can also trigger an emotional response by releasing a flood of a neurotransmitter called dopamine that is responsible for how you feel and interpret pleasure. Because of this, developing a dependency on Roxicodone can happen frighteningly fast. Your brain craves the effects of Roxicodone but the same dosage begins to not be enough to achieve the same effect. Your brain requires more and more Roxicodone to appease those cravings. This dangerous cycle, along with harmful withdrawal symptoms, makes quitting Roxicodone on your own extremely difficult and even life-threatening. But there is a proven path to the addiction-free life you deserve. At the Coleman Institute in Tampa (Largo), FL, we offer an outpatient Accelerated Roxicodone Detox that pushes Roxicodone out of your body in as few as 3 days without experiencing the painful withdrawal symptoms of doing it on your own. The Benefits of Accelerated Roxicodone Detox at the Coleman Institute in Tampa (Largo), FL: Outpatient Care As few as 3 days to complete the process No general anesthesia No hospital stays required Minimal Discomfort Safe, assisted withdrawal process Medicine to reduce discomfort Caring support from medical professionals who understand addiction Long-Term Support Naltrexone therapy to reduce cravings and prevent relapse Plan for maintaining sobriety Access to recovery support services Check out these helpful resources for more details: Accelerated Opioid Detox Guide Naltrexone Therapy You can free yourself from addiction. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Tampa Accelerated Tramadol Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.19.4" global_colors_info="{}"]Accelerated Tramadol Detox The Coleman Institute offers Accelerated Tramadol Detox options in Tampa (Largo), FL Like oxycodone and fentanyl, Tramadol is a synthetic opioid painkiller that if taken inappropriately or abused, can lead to dependency. Tramadol attaches to the opioids receptors in your brain and blocks your capacity to fully feel or register pain. Your brain is also flooded with serotonin, the “feel-good” neurotransmitter. As you rely on Tramadol to alleviate your pain, you can develop a tolerance that requires you to take higher doses to experience the same amount of relief. When your brain becomes dependent on Tramadol it can even create new pathways for neurotransmitters to travel. This is why a sudden deprivation of Tramadol, or going cold-turkey, can be extremely painful and wrought with withdrawal symptoms. If you are suffering from a dependency on Tramadol, our Accelerated Tramadol Detox can help. The Accelerated Tramadol Detox at the Coleman Institute in Tampa, FL is an outpatient process that is safe, comfortable, and effective. It can be completed in as few as 5 days using non-addictive medications to eliminate Tramadol from your body. The Benefits of the Accelerated Tramadol Detox at the Coleman Institute in Tampa, FL: Outpatient Care As few as five days to complete the process No general anesthesia No hospital stays required Minimal Discomfort Safe, assisted withdrawal process Medicine to reduce discomfort Caring support from medical professionals who understand addiction Long-Term Support Naltrexone therapy to reduce cravings and prevent relapse Plan for maintaining sobriety Access to recovery support services Check out these helpful resources for more details: Accelerated Opioid Detox Guide Naltrexone Therapy You can free yourself from addiction. Add your name to the 98% of patients who successfully completed their detox. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Tampa Accelerated Ultram® Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.19.4" global_colors_info="{}"]Accelerated Ultram® Detox The Coleman Institute offers Accelerated Ultram® Detox options in Tampa (Largo), FL You may have been prescribed Ultram® to control your pain. But Ultram® is an opioid which means you could be at risk for developing a tolerance or dependence. Requiring larger and larger doses of Ultram® to reach the same level of relief you felt at the prescribed dose could be a sign that you have developed a tolerance and are on your way to an Ultram® addiction. Ultram® attaches to the opioid receptors in the brain to block pain signals which results in stopping endorphin production. But the body needs endorphins because they are responsible for relieving pain, among other biological benefits such as reducing stress and feelings of euphoria. Without these endorphins, your brain has no natural way to relieve pain and becomes dependent on Ultram®. Abruptly stopping Ultram® can be dangerous and, like many opioids, can leave you even more susceptible to pain because of your lack of endorphins. That’s why the Coleman Institute in Tampa, FL offers the Accelerated Ultram® Detox. This detox program can be completed in as few as five days. Using The Coleman Method, the Accelerated Ultram® Detox at the Coleman Institute in Tampa, FL provides a safe, fast, and comfortable way to end your dependence on Ultram® so you can get your life back. The Accelerated Ultram® Detox at the Coleman Institute in Tampa, FL helps to alleviate painful withdrawal symptoms on an outpatient basis so you can keep your daily responsibilities on track while undergoing treatment. Don’t let Ultram® addiction rule your life. Check out these helpful resources for more details: Accelerated Opioid Detox Guide Naltrexone Therapy You can free yourself from addiction. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Tampa Accelerated Vicodin® Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.19.4" global_colors_info="{}"]Accelerated Vicodin® Detox The Coleman Institute offers Accelerated Vicodin® Detox options in Tampa, FL Accelerated Vicodin® Detox at the Coleman Institute in Tampa, FL is a safe, effective, and comfortable way to free yourself from the grips of Vicodin® addiction. Vicodin® is a powerful opiate that hijacks the brain’s chemical production. As a result, the brain stops making enough of the endorphins needed to feel happy and reduce pain. Detox removes these harmful chemicals, so endorphin levels can return back to normal. We are committed to helping you get clean and stay clean through our innovative detox program. With the help of our medical team, you don’t have to go it alone or suffer the agony of self-detoxing. Our Accelerated Vicodin® Detox program takes place at our clinic in Tampa, FL. It is a 3-day outpatient care treatment with no hospital stays required. This safe, assisted withdrawal process means you can start the addiction-free life you deserve as soon as possible. Check out these helpful resources for more details: Accelerated Opiate Detox FAQs Naltrexone Therapy FAQs You can free yourself from addiction. Add your name to the 98% of patients who successfully completed their detox. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Tampa Alcohol Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" global_colors_info="{}"]Alcohol Detox The Coleman Institute offers Alcohol Detox options in Tampa, FL Alcohol dependence, or alcoholism, is a distinct disease. Our bodies have a system that helps us deal with stress and calm down, but regularly drinking alcohol can suppress this system. As a result, when a person depends on alcohol, their body cannot calm itself, so they need to drink to feel “normal”. They experience withdrawal symptoms as they digest the alcohol, because their body is not able to calm itself down. The only way to reduce withdrawal symptoms and feel better is to drink more. Our Alcohol Detox Program in Tampa, FL begins by replenishing the vitamins and minerals in the body that are depleted due to sustained alcohol use. Over the course of 3 days, our outpatient program allows you to safely and comfortably detox with the help of medical professionals. Outpatient treatment completed in 3 days No general anesthesia No required hospital stays Following detox, we offer patients the option to start Naltrexone Therapy, which uses a non-addictive, non-narcotic medicine to reduce cravings during your recovery. Depending on your unique needs and circumstances, we’ll recommend that you continue Naltrexone therapy for 6-12 months. The road to recovery starts with getting clean. Let our medical professionals help you take the first step. Check our these helpful resources for more details: Alcohol Detox FAQs Naltrexone Implants for Alcohol FAQs You can free yourself from addiction. Add your name to the 98% of patients who successfully completed their detox. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Tampa Buprenorphine Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.21.0" global_colors_info="{}"]Buprenorphine Detox The Coleman Institute offers Buprenorphine Detox options in Tampa (Largo), FL Buprenorphine is often used in traditional addiction detoxes for those suffering from an opioid dependency to help manage withdrawal symptoms while removing opioids from the receptors in your brain. But Buprenorphine is especially dangerous because it can trick you into thinking it is completely safe to consume simply because it is used in some medical detoxes. But in truth, using Buprenorphine to detox off opioids is trading one addiction for the other. Buprenorphine is a partial opioid agonist. Therefore, in reality, using Buprenorphine to detox off opioids is essentially using opioids to treat opioid addiction. It can still lead to the same dependencies that occur with abusing opioids. Common side effects of Buprenorphine dependency that mimic opioid dependency include: Headaches Nausea and vomiting Memory problems Dizziness Respiratory issues Drowsiness and fainting Tooth decay Abdominal pain Irregular heartbeat Mood changes At the Coleman Institute in Tampa (Largo), FL, we offer a Buprenorphine Detox that uses the Coleman Method. This method removes the Buprenorphine from your system with non-addictive comfort medications to mitigate withdrawal symptoms. This method is fast, safe, and comfortable. We are able to complete your Buprenorphine Detox in as few as 8 days in an outpatient setting so you can get back to the life you deserve. Benefits of Buprenorphine Detox at the Coleman Institute in Tampa (Largo), FL: Outpatient Care Outpatient care in as few as eight days No general anesthesia or hospital stays required Safe, assisted withdrawal with non-addictive medication Caring support from medical professionals Long-term recovery support with a plan for maintaining sobriety Check out these helpful resources for more details: Accelerated Opioid Detox Guide Naltrexone Therapy You can free yourself from addiction. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Tampa Heroin Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" global_colors_info="{}"]Heroin Detox The Coleman Institute offers Heroin Detox options in Tampa, FL Heroin is a highly addictive opiate that binds to opioid receptors in the brain, specifically those that produce feelings of pain and pleasure. The body builds tolerance to heroin rapidly; so many users find they have to continue taking higher doses of heroin just to function. Quitting the drug on your own is dangerous and painful. Luckily, there is another path toward the addiction-free life you deserve. At the Coleman Institute in Tampa, FL we offer a Heroin Detox treatment that pushes the opiate out of your body in as little as five days. Patients are able to detox without the painful withdrawal symptoms involved in other programs. Our outpatient care can be completed with no required hospital stays, so you can get back to your daily life as soon as possible. Once the detox is completed, our staff can provide long-term support as you begin rebuilding your life after heroin and creating new, healthier habits. The benefits of our Heroin Detox in Tampa, FL: Outpatient Care As few as five days to complete the process No general anesthesia No hospital stays required Minimal Discomfort Safe, assisted withdrawal process Medicine to reduce discomfort Caring support from medical professionals who understand addiction Long-Term Support Naltrexone Therapy to reduce cravings and reduce the risk of relapse Plan for maintaining sobriety Access to recovery support services Check our these helpful resources for more details: Accelerated Opiate Detox FAQs Naltrexone Therapy FAQs You can free yourself from addiction. Add your name to the 98% of patients who successfully completed their detox. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Tampa Methadone Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.1" global_colors_info="{}"]Methadone Detox The Coleman Institute offers Methadone Detox options in Tampa, FL Methadone is commonly used to treat opiate addictions, but due to its highly addictive qualities, most patients end up trading one addiction for another. A lifetime of methadone dependency is not the only option! At the Coleman Institute in Tampa, FL we offer an outpatient methadone detox treatment that can be completed in as few as eight days. Our process involves using non-addictive drugs and sedatives to completely remove the narcotics attached to your brain receptors in the most safe and comfortable way possible. Our caring staff understands the unique qualities of methadone and will stand by your side throughout the process. While most other detox programs typically offer treatment for patients currently on 30 mg of methadone or less, our outpatient program at the Coleman Institute can detox patients from methadone doses up to 300 mg. The benefits of our Methadone Detox in Tampa, FL: Outpatient Care 8 days to complete the process No general anesthesia No hospital stays required Minimal Discomfort Safe, assisted withdrawal process Medicine to reduce discomfort Caring support from medical professionals who understand addiction Long-Term Support Naltrexone Therapy to reduce cravings and reduce the risk of relapse Plan for maintaining sobriety Access to recovery support services You can free yourself from addiction. Add your name to the 98% of patients who successfully completed their detox. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Tampa Naltrexone Therapy [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.19.4" global_colors_info="{}"]Naltrexone Therapy The Coleman Institute provides naltrexone therapy options in Tampa, FL Getting clean is an emotional experience. For many of our patients at the Coleman Institute in Tampa, FL, it is a time of pride and excitement, as well as nervousness about the future. Once the detox portion of the recovery is completed, a new chapter of staying clean begins. We understand that despite people’s best intentions, revisiting old habits can be very tempting. That’s why we use a specialized treatment, known as Naltrexone therapy, to support long-term recovery and make the act of staying clean a little easier. Naltrexone is a medicine that blocks the opiate receptors in a person’s brain — which means it dramatically reduces cravings when they’re taking it. It is non-addictive and does not block the body’s natural endorphins. And if relapse does happen, the medicine prevents the patient from feeling high. While Naltrexone is available to take orally, we have found that most patients prefer not having to remember to take a pill. In order to provide an easy, slow release option and help make relapses less likely, we offer our patients two specially formulated Naltrexone options, depending on their unique circumstances and needs: Naltrexone Implant: We place a small, painless Naltrexone implant under the patient’s skin, where it slowly releases a dose for 2 months. Vivitrol®: Vivitrol® is an FDA-approved, branded version of injectable Naltrexone. Whether we choose an implant or injection, both of these slow-release options give patients weeks of support at a time. Not only does Naltrexone Therapy make recovery more comfortable, but it also makes it much more likely to last, allowing our patients to enjoy life again. Check out our Naltrexone Therapy for Opiates and Alcohol FAQs for more information. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Tampa Pain Medication Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.19.4" global_colors_info="{}"]Pain Medication Detox The Coleman Institute offers Pain Medication Detox options in Tampa (Largo), FL If you want to get off your pain pills, the most important thing to know is that you are not alone. Millions of Americans take addictive pain medications every year. It is completely natural to not want to experience pain but abusing your pain medication can quickly turn into a drug dependency or addiction. If you have developed a dependency on your pain medication, the Coleman Institute in Tampa, FL can help. Our Pain Medication Detox is a medication-assisted treatment (MAT) program that can be completed in as few as 3-8 days. Because our detox programs are done on an outpatient basis, you can keep living your life while receiving treatment. The Pain Medication Detox at the Coleman Institute in Tampa, FL works by eliminating the pain medication from the opioid receptors in your brain in a comfortable manner focused on mitigating withdrawal symptoms, letting the chemical levels in your brain normalize. The Benefits of a Pain Medication Detox at the Coleman Institute in Tampa, FL: Outpatient Care As few as three days to complete the process No general anesthesia No hospital stays required Minimal Discomfort Safe, assisted withdrawal process Medicine to reduce discomfort Caring support from medical professionals who understand addiction Long-Term Support Naltrexone therapy to reduce cravings and prevent relapse Plan for maintaining sobriety Access to recovery support services Check out these helpful resources for more details: Accelerated Opioid Detox Guide Naltrexone Therapy Pain Medication Detox You can free yourself from addiction. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Tampa Prescription Drug Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.25.0" global_colors_info="{}"]Prescription Drug Detox The Coleman Institute offers Prescription Drug Detox options in Tampa (Largo), FL Living with chronic pain can both physically and emotionally impact your life. It can make a simple task, like brushing your teeth, feel impossible. Many people with chronic pain are prescribed drugs to help manage pain and make it through the day. But the highly addictive nature of prescription drugs can quickly turn into a Substance Use Disorder. Many prescription drugs are chemically similar to endorphins in that they relieve stress and pain. But when these prescription drugs contain opioids, such as Vicodin® and OxyContin®, they introduce a risk of addiction. Opioid-based prescription drugs bind onto the opioid receptors in the brain that are normally occupied by naturally made endorphins. But prescription drugs are much stronger than the endorphins naturally produced in the body so the reaction they trigger is much stronger. Your brain can begin to crave the strength and response of a prescription drug, resulting in a drug dependency and addiction. You don’t have to suffer through a Substance Use Disorder alone. The Coleman Institute in Tampa, FL offers safe and comfortable Prescription Drug Detox to help you get your life back. The Prescription Drug Detox at the Coleman Institute in Tampa, FL can be completed in as few as 3-8 days, depending on your level of dependence, on an outpatient basis. Our Prescription Drug Detox is safe, fast, and comfortable because we use non-addictive medications to eliminate all prescription drugs from your body, significantly reducing the discomfort that causes most people who attempt to self-detox to relapse. The Benefits of a Prescription Drug Detox at the Coleman Institute in Tampa, FL: Outpatient Care As few as three days to complete the process No general anesthesia No hospital stays required Minimal Discomfort Safe, assisted withdrawal process Medicine to reduce discomfort Caring support from medical professionals who understand addiction Long-Term Support Naltrexone therapy to reduce cravings and reduce the risk of relapse Plan for maintaining sobriety Access to recovery support services Check out these helpful resources for more details: Accelerated Opioid Detox Guide Naltrexone Therapy Prescription Drug Detox You can free yourself from addiction. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Tampa Suboxone® Detox [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on" da_disable_devices="off|off|off"][et_pb_row column_structure="2_3,1_3" _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.19.4" global_colors_info="{}"]Suboxone® Detox The Coleman Institute offers Suboxone® Detox options in Tampa, FL Suboxone® is a combination of buprenorphine and naloxone. As a partial opioid agonist, buprenorphine activates the same receptors in the brain that heroin or other opiates do. While the highs are much lower than those associated with heroin, it can still develop into an addiction. Since each Suboxone® dose stays in the body for weeks, traditional detoxing from this drug can cause months of pain, sleeplessness, anxiety and other unpleasant withdrawal symptoms. Our Suboxone® detox in Tampa, FL removes the drugs from your system much faster and much more comfortably. Using an accelerated approach designed specifically for Suboxone®, we are able to detox patients on an outpatient basis in as few as 8 days. Unlike the misery of detoxing on your own, our Accelerated Suboxone® Detox is safe, effective, and much more convenient. In addition to detox, our goal is to support lifelong recovery in every way we can. Our 3-step treatment plan includes Naltrexone Therapy to help our patients during the challenging first few weeks of recovery and our caring medical professionals are also available to provide ongoing aftercare support. Don’t let addiction rule your life any longer. Free yourself from the cycle at the Coleman Institute in Tampa, FL. Let’s take the next step together. Call us at 877-773-3869.[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Terms & Conditions PLEASE READ THE FOLLOWING TERMS AND CONDITIONS RELATING TO YOUR USE OF THIS SITE CAREFULLY. By using this site, you are deemed to have agreed to these terms and conditions of use. We reserve the right to modify them at any time. You should check these terms and conditions periodically for changes. By using this site after we post any changes to these terms and conditions, you agree to accept those changes, whether or not you have reviewed them. If at any time you choose not to accept these terms and conditions of use, please do not use this site. Scope of Terms and Conditions These terms and conditions apply to your use of all of the sites and services owned or operated by The Coleman Institute and affiliated companies (collectively "The Coleman Institute" or "we," "us," or "our"). These terms and conditions do not apply to your use of unaffiliated sites to which any of the The Coleman Institute sites only link. Restrictions on Use of Materials The contents of this site are protected by copyright and trademark laws, and are the property of The Coleman Institute and any other owners. Unless we say otherwise, you may access the materials located within The Coleman Institute site only for your personal use. This means you may download one copy of posted materials on a single computer for personal, non-commercial home use only, so long as you neither change nor delete any author attribution, trademark, legend or copyright notice. When you download copyrighted material you do not obtain any ownership rights in that material. You may not modify, copy, publish, display, transmit, adapt or in any way exploit the content of The Coleman Institute site. Only if you obtain prior written consent from us-and from all other entities with an interest in the relevant intellectual property-may you publish, display or commercially make use of any material from The Coleman Institute site. To obtain our permission, you may write to The Coleman Institute, Attention: Jennifer Pius, 204 N. Hamilton Street, Suite B, Richmond, VA 23221. If permission is granted by us and by all other entities with an interest in the relevant intellectual property, you may not change or delete any author attribution, trademark, legend or copyright notice. You must abide by all additional copyright notices or other restrictions contained in any of The Coleman Institute site.     #### Testimonials URL: https://www.thecolemaninstitute.com/testimonials/ #### Treatment Options URL: https://www.thecolemaninstitute.com/treatment-options/ #### Ultra-Rapid Detoxification [et_pb_section fb_built="1" admin_label="Header" module_class="header on-dark spaced centered" _builder_version="4.16" background_image="https://www.thecolemaninstitute.com/wp-content/uploads/2019/04/tci-happy-man-smiling.jpg" background_position="top_center" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" global_colors_info="{}"]Why We No Longer Do Ultra-Rapid Detox The Coleman Institute for Addiction Medicine has not performed an Ultra-Rapid Detox using anesthesia since 2001, when we developed the Coleman Method, a safer, faster, and more comfortable way to start your journey toward recovery. Call Now at 877-773-3869[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner List" module_class="banner list on-dark centered" _builder_version="4.16" background_color="#053a72" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" global_colors_info="{}"] Minimize Withdrawal Symptoms Detox in as Little as 3 Days Convenient Outpatient Treatment [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="CTA Banner" module_class="banner cta" _builder_version="4.27.0" background_color="#f5f5f5" da_disable_devices="off|off|off" global_module="14958" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/Anthem-1.png" alt="blue cross blue shield vector logo" title_text="Anthem-1" align="right" align_tablet="center" align_phone="center" align_last_edited="on|tablet" _builder_version="4.27.4" custom_margin_tablet="" custom_margin_phone="" custom_margin_last_edited="on|tablet" custom_padding="25px||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://www.thecolemaninstitute.com/wp-content/uploads/sentra-1.png" alt="optima health logo edit" title_text="sentra-1" align="left" align_tablet="center" align_phone="center" align_last_edited="on|phone" _builder_version="4.27.4" custom_padding="25px||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.17.4" _module_preset="default" custom_padding="25px||||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.17.4" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.4" text_orientation="center" locked="off" global_colors_info="{}"]Now accepting many Anthem Blue Cross Blue Shield and Sentara plans. We also welcome self-pay patients. Financing options are available.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Why and How" module_class="spaced centered" _builder_version="4.16" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.0" global_colors_info="{}"]What is Ultra Rapid Detoxification (URD) or Ultra Rapid Opioid Detoxification (UROD)? Ultra-Rapid Detoxification is a medical technique that was pioneered in the 1980s to help people detoxify from opiates under anesthesia. Because older detoxification techniques were painful and usually unsuccessful, researchers were looking for a better approach. Today, this approach has many nicknames, including “rapid detox,” “anesthesia detox,” “sedation detox,” “rapid under sedation detox,” and “Anesthesia Assisted Rapid Opioid Detoxification (AAROD).” URD involves putting patients under general anesthesia and giving them Naltrexone to flush all of the opiates off the brain’s receptors. It succeeds in doing so, but produces a major shock to the patient’s system. Patients usually feel absolutely terrible after the procedure and there are some risks involved. Approximately 1/500 to 1/1,000 patients die after the procedure and the exact cause of death is unknown. There are a number of centers around the world that still perform URD in a supervised setting with experienced personnel and it seems to be a reasonable procedure where the risks can be outweighed by the benefits. As of August 2022, we are not aware of any circumstances where Ultra Rapid Detox under general anesthesia is covered by health insurance in the US.[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.21.0" global_colors_info="{}"]Why Do You No Longer Perform URD? Is Accelerated Detox Better? The Coleman Institute performed over 300 URD procedures in a hospital and had no major complications. However, because of the risks involved, the patients' discomfort level, and the high cost, we developed a new technique that would be just as successful and yet avoid the problems of URD. We have now performed thousands of Accelerated Opioid Detoxifications using the Coleman Method since 2001 and find the technique is vastly superior to our experience with URD. Our Accelerated Opioid Detoxification procedure stabilizes patients for 2-3 days while gently flushing the opiates off the brain’s receptors. This allows the patient’s body to adjust much more comfortably and to lower risks. We avoid general anesthesia, which can be dangerous and has side effects of its own. Our procedure is safe enough to be performed on an outpatient basis, which helps to lower costs. Nevertheless, we have comparable success rates; approximately 98% of our patients have completed their detoxification and have started on Naltrexone therapy. Multiple patients who have had a rapid detox under general anesthesia and then have tried our newer Accelerated Opioid Detoxification technique have reported that our technique (the Coleman Method) is greatly superior. Our Accelerated Opioid Detox protocol offers the benefits of URD but it is often safer, easier on the patient, and more affordable.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Successful Detox CTA" module_class="banner cta centered" _builder_version="4.16" background_color="#f9f9f9" custom_padding="||" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.17.3" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_margin_tablet="" custom_margin_phone="" custom_margin_last_edited="on|phone" custom_padding="|25px|50px|25px|false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.21.0" global_colors_info="{}"]More than 8,500 Patients Treated with the Coleman Method[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" global_colors_info="{}"][/et_pb_text][et_pb_text _builder_version="4.21.0" text_font_size="18px" width="80%" module_alignment="center" global_colors_info="{}"]The Coleman Method Explained Dr. Peter Coleman discusses the Coleman Method for outpatient opiate detoxification (ambulatory withdrawal management).[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.0" custom_margin_tablet="" custom_margin_phone="50px||||false|false" custom_margin_last_edited="on|phone" global_colors_info="{}"][/et_pb_text][et_pb_text _builder_version="4.18.0" text_font_size="18px" width="80%" module_alignment="center" global_colors_info="{}"]Addiction: Whose Fault? Dr. Peter Coleman shares his perspective on what causes addiction, whether addiction is a disease, and what we can do about it.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Banner CTA - Opioid Detox Guide" module_class="banner cta expanded" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row column_structure="2_5,3_5" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="2_5" module_class="desktop-only" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" global_colors_info="{}"][/et_pb_text][/et_pb_column][et_pb_column type="3_5" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="centered" _builder_version="4.18.0" global_colors_info="{}"]Recovery Starts With Finding The Right Treatment Option For You. Download our free Guide to Understanding Accelerated Opioid Detox for a deeper understanding of America’s Opioid Crisis, industry-leading detox methods, and other addiction recovery treatment options. Get the Free Guide[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Locations" _builder_version="4.17.1" _module_preset="default" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.17.1" _module_preset="default" custom_padding="||50px||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.25.0" global_colors_info="{}"]Find An Outpatient Detox Near You   The Coleman Institute offers a variety of outpatient detox treatment options at locations nationwide. Our ground-breaking Coleman Method has helped thousands of patients recover from the effects of addiction. Whether you want to detox from opiates or alcohol, we can help.   FIND A LOCATION[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="FAQS" _builder_version="4.17.1" _module_preset="default" background_color="#f1faff" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.17.1" _module_preset="default" custom_padding="||50px||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.18.0" _module_preset="default" global_colors_info="{}"]Featured Accelerated Opioid Detox FAQs[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_4,1_2,1_4" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" locked="off" global_colors_info="{}"][et_pb_column type="1_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.0" text_font_size="18px" custom_padding="||||false|false" global_colors_info="{}"]How Does the Accelerated Opiate Detox Program work and what should be expected? What is Naltrexone therapy, and why is it important for opiate addiction? How long should I be on Naltrexone Therapy? Are there any risks and side effects? What does Accelerated Opiate Detox cost?[/et_pb_text][et_pb_text _builder_version="4.18.0" text_font_size="18px" custom_padding="||||false|false" global_colors_info="{}"]VIEW ALL OPIOID DETOX FAQS[/et_pb_text][/et_pb_column][et_pb_column type="1_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="off|off|off" admin_label="Testimonials" module_class="testimonials-container centered" _builder_version="4.16" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.17.1" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" custom_padding="||50px||false|false" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.17.1" custom_padding="||20px" global_colors_info="{}"]See What Other Patients are Saying about Coleman Institute...[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" _builder_version="4.17.1" _module_preset="default" custom_padding="||50px||false|false" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.0" _module_preset="default" text_font_size="18px" global_colors_info="{}"] Whitney – Former Opioid User "This couldn’t have been a better experience – there’s so much personalized attention."[/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.17.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.27.0" _module_preset="default" text_font_size="18px" global_colors_info="{}"] Dustin – Former Opioid User "I’m free and clear of the bondage of my addiction."[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="89%" width_tablet="80%" width_phone="" width_last_edited="on|desktop" max_width="89%" max_width_tablet="80%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" custom_padding="||50px||false|false" global_colors_info="{}"]See More Patient Experiences[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Benefits" module_class="banner on-dark centered spaced" _builder_version="4.16" background_color="#053a72" da_disable_devices="off|off|off" locked="off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row use_custom_gutter="on" gutter_width="1" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="100%" width_tablet="100%" width_phone="" width_last_edited="on|desktop" max_width="100%" max_width_tablet="100%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.0" text_text_color="#003974" global_colors_info="{}"]What are the Benefits of the Coleman Method for Accelerated Detox?[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" use_custom_gutter="on" gutter_width="1" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="100%" width_tablet="100%" width_phone="" width_last_edited="on|desktop" max_width="100%" max_width_tablet="100%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="benefits-section" _builder_version="4.18.0" global_colors_info="{}"]Outpatient Care No hospital stay required 98% detox completion rate Detox in as little as 3 - 8 days[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="benefits-section" _builder_version="4.18.0" global_colors_info="{}"]Minimal Discomfort Customized medications to reduce discomfort Caring, compassionate medical professionals who specialize in addiction treatment Safe, assisted withdrawal process[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="benefits-section" _builder_version="4.18.0" global_colors_info="{}"]Recovery Support Naltrexone therapy to reduce cravings and prevent relapse Access to recovery support services[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" global_colors_info="{}"]Call Now[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Drug Name Modules" module_class="banner centered spaced" _builder_version="4.16" background_color="#f1faff" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row use_custom_gutter="on" gutter_width="1" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="100%" width_tablet="100%" width_phone="" width_last_edited="on|desktop" max_width="100%" max_width_tablet="100%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.18.0" global_colors_info="{}"]What Opioids Does The Coleman Institute Treat?[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row custom_padding_last_edited="on|tablet" admin_label="Row" _builder_version="4.16" _module_preset="default" custom_margin_tablet="" custom_margin_phone="" custom_margin_last_edited="on|desktop" custom_padding="||25px||false|false" custom_padding_tablet="||||true|false" custom_padding_phone="" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.18.0" text_text_color="#003974" text_font_size="24px" text_orientation="center" custom_margin="||50px||false|false" custom_margin_tablet="" custom_margin_phone="" custom_margin_last_edited="on|phone" locked="off" global_colors_info="{}"]These are just some of the opioids we treat. For a full list of opioids treated at the Coleman Institute, please call 877-773-3869.[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" use_custom_gutter="on" gutter_width="1" module_class=" et_pb_row_fullwidth" _builder_version="4.16" width="100%" width_tablet="100%" width_phone="" width_last_edited="on|desktop" max_width="100%" max_width_tablet="100%" max_width_phone="" max_width_last_edited="on|desktop" make_fullwidth="on" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="benefits-section" _builder_version="4.18.0" global_colors_info="{}"]Buprenorphine Codeine Cough Syrup Demerol Dilaudid® Duragesic® Fentanyl Heroin[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="benefits-section" _builder_version="4.18.0" global_colors_info="{}"]Hydrocodone Hydromorphone Kratom Lean Methadone Morphine Norco Oxycodone[/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text module_class="benefits-section" _builder_version="4.18.0" global_colors_info="{}"]Oxycontin Percocet® Purple Drank Suboxone® Subutex Tiana Tramadol Vicodin[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="Form" module_class="centered spaced" _builder_version="4.16" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.27.4" global_colors_info="{}"]Ready to Reclaim Your Life? Get back to being yourself with our safe and effective method for accelerated opioid detox. Call Now at 877-773-3869[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] #### Upcoming Events [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" global_colors_info="{}"][et_pb_row _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}" column_structure="2_3,1_3"][et_pb_column type="2_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" global_colors_info="{}"] [/et_pb_text][et_pb_text _builder_version="4.16" global_colors_info="{}"]Would you like to attend an event at the Coleman Institute? Please use the contact form below to register. If you do not see the event listed below, please email Bridget at bridget@thecolemaninstitute.com to register.  [/et_pb_text][/et_pb_column][et_pb_column type="1_3" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_2" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][et_pb_sidebar area="et_pb_widget_area_3" show_border="off" _builder_version="4.16" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="0px|0px|51px|0px" global_colors_info="{}"][et_pb_row _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_sidebar area="et_pb_widget_area_4" show_border="off" _builder_version="4.16" text_orientation="center" global_colors_info="{}"][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section] #### Video Testimonials [et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" da_disable_devices="off|off|off" global_colors_info="{}" da_is_popup="off" da_exit_intent="off" da_has_close="on" da_alt_close="off" da_dark_close="off" da_not_modal="on" da_is_singular="off" da_with_loader="off" da_has_shadow="on"][et_pb_row _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" custom_margin="||0px|" custom_padding="||0px|" global_colors_info="{}"]Video Testimonials [/et_pb_text][et_pb_text _builder_version="4.27.0" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"] Whitney - Former Opioid User "This couldn't have been a better experience – there's so much personalized attention." Walt - Alcohol Detox Patient "If you have the desire to stop, it's not easy, but you can do it." Gene – Former Alcohol Patient "Life is best when you can enjoy it clean and sober" Reducing Chronic Pain - One Man's Story Robert - Drug and Alcohol Patient "I've never felt this free in my life." John K - Former Prescription Medication User “I'm free again. I have my life back again.” Ryan – Alcohol Detox Patient “Using the Coleman Method was the only one that has worked for me for a long period of time.” Jeremy - Former Opioid User "I'm 100% shocked about how good I feel." David - Former Opioid User "I came to the Coleman Institute and it saved my life." Dustin - Former Opioid User "I'm free and clear of the bondage of my addiction." Brad - Opiates "I now have my family back." Ryan - Heroin "Seven months clean." Jason - Heroin "This detox was definitely the easiest one I've tried" Ted - Methadone "There is light at the end of the tunnel." Brandon - Suboxone "Addicted to suboxone for 6 years, this was the best thing I've ever done." Thomas - Methadone "Detox off of Methadone was surprisingly painless." Bert - Parent of Patient "I got my family back." Stacy - Opiates (Painkillers) "I'm free from drugs now." Dustin - Opiates (Heroin) "I thought I could do heroin one time, I was wrong." Jesse - Opiates (Painkillers) "Dr. Coleman is a Godsend for giving me my son back." Diane - Opiates (Painkillers) "You're a new mommy now and I love my new mommy." Ronnie - Methadone "I feel good. I feel clean. I am going to stay that way." Robert - Opiates (Heroin) "It was ten times better than I expected. It was smooth as could be." Ben - Methadone "There was no possible way to get off drugs on my own." Pam - Benzos "It was like seeing in black & white and now seeing in color." Charlie - Opiates (Heroin) "Life is good. Being clean brings me lots of joy." Neile - Opiates (Painkillers) "I had enough of being sick and tired of being sick and tired." Mike – Former Opioid Patient "I'm a completely different person, I'm just feeling great. I would recommend this to anyone." John – Former Patient "My biggest problem was getting over the physical addiction and the 5-day detox was great for that."   All video testimonials are TCI patients who volunteered to tell their story without compensation.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] #### Web Privacy Policy The Coleman Institute (“TCI” or “we”) recognizes the importance of protecting the privacy needs of users of our websites and social media pages (the “Service”) and through other interactions by email, surveys, or telephone. As used in this Privacy Policy, “personal information” means information that identifies, relates to, or describes an identified or identifiable natural person. This Privacy Policy also does not apply to the personal information, including health information, that we collect in the course of providing treatment services.  Please see our HIPAA Notice of Privacy Practices for more information about how we receive and process that personal information.   Information We Collect and Use Through the Service. We collect and store the following personal information and use it for typical business purposes (including security and anti-fraud purposes), as described more specifically below, and where required by law, we will rely on consent (including implied consent) as a basis for processing your personal information. Personal identifiers. We receive personal identifiers (such as your name, phone number, and e-mail address social media username) and use them to respond to your requests, and to communicate with you for partnership, marketing, surveys, and informational purposes. We may also collect and use this information to respond to feedback and complaints. Message content. We receive messages you submit through contact us or partnership forms on the Service, including in connection with customer service requests, partnership requests, surveys, and complaints. We use this information to respond to your requests and to improve the Service and our service. Business-related information. We may receive business-related information (such as the name of your practice). We use this information to respond to your partnership requests. Clinic information. We receive the name of the clinic that you submit through the contact us form on the Service. We use this information to respond to your requests, to improve the Service and our service, and for internal reporting purposes. Location information. We may use some of the information we collect, such as IP addresses, to estimate an approximate location of the device you are using to access our Service in order to enhance and personalize the features and functionality of the Service and service offerings. Anonymous or aggregated information. We de-identify or aggregate data we receive and may use and disclose it for any business purpose. Inferences. We may draw inferences from the categories of information described above. This information may be used so that we can improve future user experiences with The Coleman Institute and to provide a more personalized experience. From Job Applicants. Job application information may be collected by us directly through the Service. Social Media.  If you post information on our social media pages, we may use the information to respond to your post, to promote our business and services, and in the normal course of our business operations. We may collect personal identifiers, such as your social media username, and other personal characteristics that you have made publicly available on the social media website. Note that the third-party operators of social media websites also receive such information and your posts, and their use of your personal information is governed by their own privacy policies. Automatically Through the Service. When you visit our Service, we and our third-party partners, such as advertising partners and analytics providers including Google Analytics, collect information by automated means. Such means include the use of cookies, web beacons, web server logs, and other similar technologies. We may use such technologies to collect personal identifiers (such as your IP address), information about your device (such as your browser characteristics, device IDs and characteristics, operating system version, and language preferences) and information concerning your usage of our Service (including the link you used to reach a given webpage). For example, we use this information to determine how many users have visited particular webpages, viewed particular content, or opened messages or alerts, and we may also use such information to improve the performance of the Service, to improve our marketing activities, and to enforce our website service terms, prevent malicious conduct, and for anti-fraud and security purposes. In some cases, our third-party partners may process information collected by cookies and related technologies that we permit them to use on the Service. Please see our Cookie Policy stated below for more details. With respect to any social network pages that we may use, please see the privacy policies and any cookie policies of the applicable social network providers as to their automated data collection practices. As indicated above, we, similar to many other website operators, currently use Google Analytics to collect and process certain Service usage data. To learn more about Google Analytics and how to opt out, please see our Cookie Policy stated below. You may be able to change a web browser’s settings to block and delete cookies when you access the Service through that web browser. However, if you do that, the Service may not work properly; also, we will still receive basic information (such as last URL visited) when you navigate to the Service. The Service does not respond to browser do-not-track signals.   Information Disclosures We may provide third parties with the personal information we collect (as described above) for our business purposes to assist us in providing products and services to you, including to put you into contact with a partner or to help us market. To Provide, Protect, and Improve Our Service and Services. We disclose personal information as necessary to operate our business, such as with third-party providers in connection with providing services to you or processing your transactions. For example, we may provide your name, telephone and e-mail address information, to our partner programs. We require that third-party providers use personal information only for that purpose, and we also require assurances that they will appropriately protect personal information entrusted to them. We also may access, preserve, and disclose information if we believe that such action is necessary in our judgment to comply with a legal obligation or to protect and defend our rights or property, or those of others. For example, we may provide information, including IP address information, to our service providers to protect the Service, such as for fraud detection purposes. To Comply with the Law and Legal Process. We may access, preserve, and disclose information concerning you if required to do so by law or if we believe that such action is necessary in our judgment to comply with a legal obligation. Other Sharing. We may share information as described under “Information We Collect and Use” above and for other business purposes as otherwise explained in this Privacy Policy. Sales, Mergers, and Acquisitions. In the event of a merger, acquisition, financing due diligence, reorganization, bankruptcy, receivership, sale of company assets, or transition of service to another entity (whether by private sale, through operation of law, as part of a divestiture plan, or otherwise), we will provide personal information and transaction history associated with each such business unit to the persons and/or entities assuming control of such business unit or as otherwise necessary to complete the transaction as permitted by law or contract. You May Share with Social Networking Websites. The Service may provide options allowing you to share information with social networking websites, such as LinkedIn. Their use of the information you share will be governed by the social networking websites’ privacy policies, and we are not responsible for how they treat the information you share.   Retention of Personal Information As a general matter, we only keep information for as long as necessary to fulfill the purposes for which it was collected, as stated in our retention policies, and permitted or required by law, such as to comply with record-keeping and other legal obligations. There may also be residual information that will remain within our backup files, databases, and other records, which will not be removed or changed, except in accordance with retention policies.   Protection of Personal Information We employ reasonable security measures to secure and protect the information we receive. No method of electronic transmission or storage is 100% secure.   Links to Third-Party Websites The Service may contain links to other websites, and other websites may link to the Service. This Privacy Policy does not apply to personal information that you submit to the websites of our business partners or any other third-parties or that are collected by them from you, even if those third-party websites are linked to our Service or listed in our Cookie Policy. We are not responsible for the privacy practices of such other websites. When you visit another website – via a link from the Service or otherwise – you should review the privacy policy of that other website. This Privacy Policy applies solely to information provided or obtained on our Service.   No Use by Children Under the Age of 18 The Service is not intended for use by children under the age of 18. If you are under the age of 18, you may not use our Service. We do not knowingly collect, maintain, or use personal information from children under 18 years of age. If we believe that any information has been posted by a child under the age of 18, we will promptly delete that information. Parents may contact us using the methods set forth below to request that information concerning their child be removed from our Service.   Privacy Rights Generally Certain jurisdictions, including in the U.S., impose specific legal requirements and privacy rights with respect to personal information, and we will comply with restrictions and any requests you submit as required by applicable law. For example, consumers may have one or more of the following privacy rights: to request additional information about our data collection, use, and disclosure practices in connection with the consumer’s personal information; to request access to the specific personal information collected about the consumer; to request the deletion of personal information we have about the consumer; to request a restriction on certain processing of personal information; and to request correction of inaccurate information. Also, certain consumers have the right not to receive discriminatory treatment if they exercise the rights list above. You may be able to use the Service to access and update the information that you have provided to us through your use of the Service or otherwise. If you would like to request access to such information or that we update, correct, or delete any such information, you may call us at 214-379-3300. We will comply with requests you submit as required by applicable law. When you make a request, we may require that you provide information (such as your name, email address and/or zip code) and follow procedures so that we can verify a request you make and your jurisdiction before responding to it. The verification steps we take may differ depending on your jurisdiction and the request you make. We will match the information that you provide in your request to information we already have on file to verify your identity. If we are able to verify your request, we will process it. If we cannot verify your request, we may ask you for additional information to help us verify your request. We will respond to your request within the time period required by applicable law. However, we may not always be able to fully comply with your request, and we will notify you in that event. Certain privacy laws permit consumers to use an authorized agent to make privacy rights requests. We require the authorized agent to provide us with proof of the consumer’s written permission (for example, a power of attorney) that shows the authorized agent has the authority to submit a request for the consumer. An authorized agent must follow the process described below to make a request, and we will additionally require the authorized agent to verify his/her own identity and we will confirm the agent’s authority with the consumer about whom the request was made. U.S. Privacy Rights We do not sell your personal information for money or other consideration, including as defined under the California Consumer Privacy Act, as amended by the California Privacy Rights Act (collectively, the “CPRA”). We do not perform targeted advertising across unaffiliated websites. We also do not rent, sell, or share “personal information” as defined by California Civil Code §1798.83 about you that we collect on the Service with other people or unaffiliated companies for their direct marketing purposes. The Service does not request sensitive personal information and we do not offer the ability to limit the use or disclosure of such information. Please do not submit sensitive personal information, such as health information to the Service. Canada Privacy Rights If you are a Canadian resident, you have the right to make a complaint at any time to the Privacy Commissioner of Canada (www.priv.gc.ca). We would, however, appreciate the chance to address your concerns or comments before you approach the Privacy Commissioner, so please contact us first.   Notification of Change to the Privacy Policy We reserve the right to modify this Privacy Policy. Whenever we decide to change this Privacy Policy, notice of the change will be posted on the Service for a reasonable period of time or provided to you using other means. Nevertheless, you should review the Privacy Policy from time to time to be sure you are aware of the most recent version. Please be assured that we will only use information in accordance with the Privacy Policy in effect at the time the information was collected, unless we receive your consent.   About this cookie policy. This Cookie Policy explains what cookies are and how we use them. You should read this policy to understand what cookies are, how we use them, the types of cookies we use i.e, the information we collect using cookies and how that information is used and how to control the cookie preferences. For further information on how we use, store and keep your personal data secure, see our Privacy Policy. You can at any time change or withdraw your consent from the Cookie Declaration on our website. Learn more about who we are, how you can contact us and how we process personal data in our Privacy Policy. Your consent applies to the following domains: thecolemaninstitute.com   What are cookies ? Cookies are small text files that are used to store small pieces of information. The cookies are stored on your device when the website is loaded on your browser. These cookies help us make the website function properly, make the website more secure, provide better user experience, and understand how the website performs and to analyze what works and where it needs improvement. How do we use cookies ? As most of the online services, our website uses cookies first-party and third-party cookies for a number of purposes. The first-party cookies are mostly necessary for the website to function the right way, and they do not collect any of your personally identifiable data. The third-party cookies used on our websites are used mainly for understanding how the website performs, how you interact with our website, keeping our services secure, providing advertisements that are relevant to you, and all in all providing you with a better and improved user experience and help speed up your future interactions with our website.   What types of cookies do we use ? The cookies used on our website are grouped into the following categories. NecessaryNecessary cookies are absolutely essential for the website to function properly. These cookies ensure basic functionalities and security features of the website, anonymously. CookieDurationDescription.AspNetCore.CookiessessionThis cookie is installed by The Coleman Institute. The cookie is used to maintain persistence with ChatGPT sessions..AspNetCore.CookiesC1sessionThis cookie is installed by The Coleman Institute. The cookie is used to maintain persistence with ChatGPT sessions..AspNetCore.CookiesC2sessionThis cookie is installed by The Coleman Institute. The cookie is used to maintain persistence with ChatGPT sessions..AspNetCore.CookiesC3sessionThis cookie is installed by The Coleman Institute. The cookie is used to maintain persistence with ChatGPT sessions.cookielawinfo-checkbox-advertisement1 yearSet by the GDPR Cookie Consent plugin, this cookie records the user consent for the cookies in the "Advertisement" category.cookielawinfo-checkbox-analytics1 yearSet by the GDPR Cookie Consent plugin, this cookie records the user consent for the cookies in the "Analytics" category.cookielawinfo-checkbox-functional1 yearThe GDPR Cookie Consent plugin sets the cookie to record the user consent for the cookies in the category "Functional".cookielawinfo-checkbox-necessary1 yearSet by the GDPR Cookie Consent plugin, this cookie records the user consent for the cookies in the "Necessary" category.cookielawinfo-checkbox-others1 yearSet by the GDPR Cookie Consent plugin, this cookie stores user consent for cookies in the category "Others".cookielawinfo-checkbox-performance1 yearSet by the GDPR Cookie Consent plugin, this cookie stores the user consent for cookies in the category "Performance".CookieLawInfoConsent1 yearCookieYes sets this cookie to record the default button state of the corresponding category and the status of CCPA. It works only in coordination with the primary cookie.intercom-device-id-*8 months 26 days 1 hourIntercom sets this cookie that allows visitors to see any conversations they've had on Intercom websites.intercom-id-*8 months 26 days 1 hourIntercom sets this cookie that allows visitors to see any conversations they've had on Intercom websites.intercom-session-*7 daysIntercom sets this cookie that allows visitors to see any conversations they've had on Intercom websites.viewed_cookie_policy1 yearThe GDPR Cookie Consent plugin sets the cookie to store whether or not the user has consented to use cookies. It does not store any personal data.FunctionalFunctional cookies help to perform certain functionalities like sharing the content of the website on social media platforms, collect feedbacks, and other third-party features. CookieDurationDescription_hjAbsoluteSessionInProgress30 minutesHotjar sets this cookie to detect a user's first pageview session, which is a True/False flag set by the cookie.PerformancePerformance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience for the visitors. CookieDurationDescription_uetsid1 dayBing Ads sets this cookie to engage with a user that has previously visited the website._uetvid1 year 24 daysBing Ads sets this cookie to engage with a user that has previously visited the website.AnalyticsAnalytical cookies are used to understand how visitors interact with the website. These cookies help provide information on metrics the number of visitors, bounce rate, traffic source, etc. CookieDurationDescription_fbp3 monthsFacebook sets this cookie to display advertisements when either on Facebook or on a digital platform powered by Facebook advertising after visiting the website._ga1 year 1 month 4 daysGoogle Analytics sets this cookie to calculate visitor, session and campaign data and track site usage for the site's analytics report. The cookie stores information anonymously and assigns a randomly generated number to recognise unique visitors._ga_*1 year 1 month 4 daysGoogle Analytics sets this cookie to store and count page views._gat_UA-*1 minuteGoogle Analytics sets this cookie for user behaviour tracking._gcl_au3 monthsGoogle Tag Manager sets the cookie to experiment advertisement efficiency of websites using their services._gid1 dayGoogle Analytics sets this cookie to store information on how visitors use a website while also creating an analytics report of the website's performance. Some of the collected data includes the number of visitors, their source, and the pages they visit anonymously._hjFirstSeen30 minutesHotjar sets this cookie to identify a new user’s first session. It stores the true/false value, indicating whether it was the first time Hotjar saw this user._hjRecordingEnabledneverHotjar sets this cookie when a Recording starts and is read when the recording module is initialized, to see if the user is already in a recording in a particular session._hjRecordingLastActivityneverHotjar sets this cookie when a user recording starts and when data is sent through the WebSocket._hjSession_*30 minutesHotjar sets this cookie to ensure data from subsequent visits to the same site is attributed to the same user ID, which persists in the Hotjar User ID, which is unique to that site._hjSessionUser_*1 yearHotjar sets this cookie to ensure data from subsequent visits to the same site is attributed to the same user ID, which persists in the Hotjar User ID, which is unique to that site.com.adobe.reactor.core.visitorTracking.cookiesMigratedneverAdobe sets this cookie in context with the cache function on the website, facilitating data transfer between Adobe DTM onto Adobe Launch.com.adobe.reactor.core.visitorTracking.pagesViewedneverAdobe sets this cookie to store data on user navigation, interaction and time spent on the website and its sub-pagescom.adobe.reactor.core.visitorTracking.sessionCountneverAdobe sets this cookie to store data on user navigation, interaction and time spent on the website and its sub-pages.com.adobe.reactor.dataElementCookiesMigratedneverAdobe sets this cookie in context with the cache function on the website, facilitating data transfer between Adobe DTM onto Adobe Launch.CONSENT2 yearsYouTube sets this cookie via embedded YouTube videos and registers anonymous statistical data.ctmisessionThis cookie is set to track conversions.UID1 year 1 month 4 daysScorecard Research sets this cookie for browser behaviour research.AdvertisementAdvertisement cookies are used to provide visitors with relevant ads and marketing campaigns. These cookies track visitors across websites and collect information to provide customized ads. CookieDurationDescription__ctmid1 monthCallTrackingMetrics sets this cookie to determine the advertising channel that led a visitor to the website and also show the tracking phone number that corresponds to that channel.fr3 monthsFacebook sets this cookie to show relevant advertisements by tracking user behaviour across the web, on sites with Facebook pixel or Facebook social plugin.muc_ads1 year 1 month 4 daysTwitter sets this cookie to collect user behaviour and interaction data to optimize the website.MUID1 year 24 daysBing sets this cookie to recognise unique web browsers visiting Microsoft sites. This cookie is used for advertising, site analytics, and other operations.NID6 monthsGoogle sets the cookie for advertising purposes; to limit the number of times the user sees an ad, to unwanted mute ads, and to measure the effectiveness of ads.personalization_id1 year 1 month 4 daysTwitter sets this cookie to integrate and share features for social media and also store information about how the user uses the website, for tracking and targeting.test_cookie15 minutesdoubleclick.net sets this cookie to determine if the user's browser supports cookies.VISITOR_INFO1_LIVE5 months 27 daysYouTube sets this cookie to measure bandwidth, determining whether the user gets the new or old player interface.YSCsessionYoutube sets this cookie to track the views of embedded videos on Youtube pages.yt-remote-connected-devicesneverYouTube sets this cookie to store the user's video preferences using embedded YouTube videos.yt-remote-device-idneverYouTube sets this cookie to store the user's video preferences using embedded YouTube videos.OthersOther uncategorized cookies are those that are being analyzed and have not been classified into a category as yet. CookieDurationDescription_hjIncludedInSessionSample_10975142 minutesDescription is currently not available.ct130799sessionDescription is currently not available.ctmpless than a minuteDescription is currently not available.geoCountrysessionDescription is currently not available.geoLatsessionNo description available.geoLongsessionNo description available.geoZipcodesessionNo description available.loglevelneverNo description available.vuexneverNo description available. The below list details the cookies used in our website. CookieDescriptionNecessary.AspNetCore.CookiesC3This cookie is installed by The Coleman Institute. The cookie is used to maintain persistence with ChatGPT sessions..AspNetCore.CookiesC2This cookie is installed by The Coleman Institute. The cookie is used to maintain persistence with ChatGPT sessions..AspNetCore.CookiesC1This cookie is installed by The Coleman Institute. The cookie is used to maintain persistence with ChatGPT sessions..AspNetCore.CookiesThis cookie is installed by The Coleman Institute. The cookie is used to maintain persistence with ChatGPT sessions.intercom-id-*Intercom sets this cookie that allows visitors to see any conversations they've had on Intercom websites.intercom-session-*Intercom sets this cookie that allows visitors to see any conversations they've had on Intercom websites.intercom-device-id-*Intercom sets this cookie that allows visitors to see any conversations they've had on Intercom websites.viewed_cookie_policyThe GDPR Cookie Consent plugin sets the cookie to store whether or not the user has consented to use cookies. It does not store any personal data.CookieLawInfoConsentCookieYes sets this cookie to record the default button state of the corresponding category and the status of CCPA. It works only in coordination with the primary cookie.cookielawinfo-checkbox-necessarySet by the GDPR Cookie Consent plugin, this cookie records the user consent for the cookies in the "Necessary" category.cookielawinfo-checkbox-functionalThe GDPR Cookie Consent plugin sets the cookie to record the user consent for the cookies in the category "Functional".cookielawinfo-checkbox-performanceSet by the GDPR Cookie Consent plugin, this cookie stores the user consent for cookies in the category "Performance".cookielawinfo-checkbox-analyticsSet by the GDPR Cookie Consent plugin, this cookie records the user consent for the cookies in the "Analytics" category.cookielawinfo-checkbox-advertisementSet by the GDPR Cookie Consent plugin, this cookie records the user consent for the cookies in the "Advertisement" category.cookielawinfo-checkbox-othersSet by the GDPR Cookie Consent plugin, this cookie stores user consent for cookies in the category "Others".Functional_hjAbsoluteSessionInProgressHotjar sets this cookie to detect a user's first pageview session, which is a True/False flag set by the cookie.Performance_uetsidBing Ads sets this cookie to engage with a user that has previously visited the website._uetvidBing Ads sets this cookie to engage with a user that has previously visited the website.AnalyticsUIDScorecard Research sets this cookie for browser behaviour research.com.adobe.reactor.dataElementCookiesMigratedAdobe sets this cookie in context with the cache function on the website, facilitating data transfer between Adobe DTM onto Adobe Launch.com.adobe.reactor.core.visitorTracking.cookiesMigratedAdobe sets this cookie in context with the cache function on the website, facilitating data transfer between Adobe DTM onto Adobe Launch.com.adobe.reactor.core.visitorTracking.sessionCountAdobe sets this cookie to store data on user navigation, interaction and time spent on the website and its sub-pages.com.adobe.reactor.core.visitorTracking.pagesViewedAdobe sets this cookie to store data on user navigation, interaction and time spent on the website and its sub-pages_gaGoogle Analytics sets this cookie to calculate visitor, session and campaign data and track site usage for the site's analytics report. The cookie stores information anonymously and assigns a randomly generated number to recognise unique visitors._gidGoogle Analytics sets this cookie to store information on how visitors use a website while also creating an analytics report of the website's performance. Some of the collected data includes the number of visitors, their source, and the pages they visit anonymously._gat_UA-*Google Analytics sets this cookie for user behaviour tracking._ga_*Google Analytics sets this cookie to store and count page views._fbpFacebook sets this cookie to display advertisements when either on Facebook or on a digital platform powered by Facebook advertising after visiting the website._hjRecordingLastActivityHotjar sets this cookie when a user recording starts and when data is sent through the WebSocket._hjRecordingEnabledHotjar sets this cookie when a Recording starts and is read when the recording module is initialized, to see if the user is already in a recording in a particular session.ctmiThis cookie is set to track conversions.CONSENTYouTube sets this cookie via embedded YouTube videos and registers anonymous statistical data._gcl_auGoogle Tag Manager sets the cookie to experiment advertisement efficiency of websites using their services._hjSessionUser_*Hotjar sets this cookie to ensure data from subsequent visits to the same site is attributed to the same user ID, which persists in the Hotjar User ID, which is unique to that site._hjFirstSeenHotjar sets this cookie to identify a new user’s first session. It stores the true/false value, indicating whether it was the first time Hotjar saw this user._hjSession_*Hotjar sets this cookie to ensure data from subsequent visits to the same site is attributed to the same user ID, which persists in the Hotjar User ID, which is unique to that site.AdvertisementVISITOR_INFO1_LIVEYouTube sets this cookie to measure bandwidth, determining whether the user gets the new or old player interface.test_cookiedoubleclick.net sets this cookie to determine if the user's browser supports cookies.yt-remote-device-idYouTube sets this cookie to store the user's video preferences using embedded YouTube videos.yt-remote-connected-devicesYouTube sets this cookie to store the user's video preferences using embedded YouTube videos.frFacebook sets this cookie to show relevant advertisements by tracking user behaviour across the web, on sites with Facebook pixel or Facebook social plugin.__ctmidCallTrackingMetrics sets this cookie to determine the advertising channel that led a visitor to the website and also show the tracking phone number that corresponds to that channel.personalization_idTwitter sets this cookie to integrate and share features for social media and also store information about how the user uses the website, for tracking and targeting.muc_adsTwitter sets this cookie to collect user behaviour and interaction data to optimize the website.MUIDBing sets this cookie to recognise unique web browsers visiting Microsoft sites. This cookie is used for advertising, site analytics, and other operations.NIDGoogle sets the cookie for advertising purposes; to limit the number of times the user sees an ad, to unwanted mute ads, and to measure the effectiveness of ads.YSCYoutube sets this cookie to track the views of embedded videos on Youtube pages.OthersgeoLatNo description available.geoLongNo description available.ct130799Description is currently not available._hjIncludedInSessionSample_1097514Description is currently not available.loglevelNo description available.ctmpDescription is currently not available.vuexNo description available.geoCountryDescription is currently not available.geoZipcodeNo description available. How can I control the cookie preferences ? You can manage your cookies preferences by clicking on the "Settings" button and enabling or disabling the cookie categories on the popup according to your preferences. Should you decide to change your preferences later through your browsing session, you can click on the "Manage consent" tab on your screen. This will display the consent notice again enabling you to change your preferences or withdraw your consent entirely. In addition to this, different browsers provide different methods to block and delete cookies used by websites. You can change the settings of your browser to block/delete the cookies. To find out more out more on how to manage and delete cookies, visit wikipedia.org, www.allaboutcookies.org. Powered By WebToffee #### Written Testimonials [et_pb_section fb_built="1" fullwidth="on" _builder_version="4.26.0" global_colors_info="{}"][et_pb_fullwidth_image src="https://www.thecolemaninstitute.com/wp-content/uploads/2018/11/testimonialhdr.jpg" _builder_version="4.16" global_colors_info="{}"][/et_pb_fullwidth_image][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.16" custom_padding="51px|0px|51px|0px" global_colors_info="{}"][et_pb_row _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.16" global_colors_info="{}"] Written Testimonials[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.19.4" global_colors_info="{}"]2022 | 2021 | 2020 | 2019 | 2018 | 2017 | 2016 | 2015 | 2014[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.16" custom_padding="0px|0px|0px|0px" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.26.0" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"]December 2022 It was an effective treatment program for me. Alcohol Detox— Richmond, VA December 2022 You really help people with addictions. Dual Opioid-Alcohol Detox— Richmond, VA November 2022 Coleman Institute changed my life. I'm thankful for all the people who cared for me on my journey. Opioid Detox — Richmond, VA November 2022 Everyone is so nice, helpful and non-judgmental. I got the help I needed. Alcohol Detox — Richmond, VA November 2022 Very nice and understanding. Takes great care of their patients. Benzodiazepine Detox — Richmond, VA November 2022 Excellent service and care...came in with long term recovery from alcohol which made getting off prescription med easier but was saved a lot of pain, suffering and anxiety from detox by Peter Coleman and his staff! Opioid Detox — Richmond, VA November 2022 The Coleman Institute offers a safe haven and respite from whatever chaos that is going on your life with concerned, caring professionals and offering continued aftercare post a painless detox. Alcohol Detox — Richmond, VA November 2022 It was one of the greatest experiences of my life! Right up there with the birth of my children. Kelley and Dr. Barthel are two of the most wonderful people I have ever meant. They were professional but so friendly and down to earth. Life savers!!! Opioid Detox — Seattle, WA (Bothell) November 2022 Extremely Knowledgeable, Tender loving care from all encountered staff, nurses and doctors. Always there to answer questions, on call for you at all times! Benzodiazepine Detox — Richmond, VA November 2022 Extremely Knowledgeable, Tender loving care from all encountered staff, nurses and doctors. Always there to answer questions, on call for you at all times! Benzodiazepine Detox — Richmond, VA November 2022 Because no one on earth can be as kind, caring loving and knowledgeable as Dr. Barthel. He is truly an amazing man that got me through the worst part of my life. His faith in me, his guidance and his knowledge has forever changed me. Opioid Detox — Seattle, WA (Bothell) November 2022 The Coleman Institute saved my life! I came in March & I'm still sober today, doing amazing! Methadone Detox — Richmond, VA November 2022 I am happy with the care I have gotten there. From detox to today being 5 months exactly I have felt like I was more than a number. I needed something just yesterday and my needs were met almost immediately....literally within maybe 2 hours. A+ Alcohol Detox — Willoughby, OH November 2021 I would like to share my thoughts and experience I had at the Coleman Institute. The staff were kind, professional, accommodating, and engaging. I was always treated with respect and dignity. I’m grateful I had the pleasure of working with such a wonderful staff. May God bless them all. Thank you. Sincerely, Maria M. — Boston, MA November 2021 I would like to thank all the staff at Coleman Institute especially Jennifer Gearhart who was instrumental in getting Michael admitted to the program. Also I would like to thank Pam, who is Michael's case manager, for her thoughtfulness and professionalism to this very day. Her concern for Michael is commendable. Also, nurse Trish went above and beyond her duties. If not for her kindness, patience and training, I feel Michael would not have made such progress that day. I can't forget nurse Alexa who was significant in making Michael understand his disorder. The information that Alexa provided to us was invaluable. I believe Michael has a better understanding of all his issues. Dr. Reich, thank you for overseeing Michael's experience. I am very grateful to you and to all the staff at the Coleman Institute. Due to Michael's disabilities, there was no place for us to turn. Every time I tried to get him into a program, I was told he was not capable of following any detox program and he just didn't fit. Ifeel this program was a life saver for us and would recommend it to anyone who doesn't fit any traditional detox program. You folks do great work and please never stop. Kathy, Michael’s Mom, — Boston, MA   October 2020 The staff was incredibly non-judgmental, and empathetic, and I honestly feel like they cared about me and my comfort as a patient. They're able to react dynamically in accordance with the specific needs of me as a patient. I never thought I'd get off Fentanyl...from the ladies answering the phones, to the nurses, to the doctors, and the rest of the staff, these folks are miracle workers with angel wings. Thank you for setting me free. Opioid Patient — Richmond, VA   September 2020 Can't thank this place enough, and especially the employees--Mary Alice, nurse practitioners Lauren and Joan. these 3 people are AMAZING, as well as everyone else but, my visit was primarily with these 3 delightful guys. They really treat their patients very well. Mary got straight to the point, get in, get u comfy, and get u back to you cozy bed as home. And Lauren, I can't say enough good things about this nurse practitioner. She's knowledgeable, professional and all the other good things. My first meet with her, I could tell she was getting upset with my primary doc because he prescribed me pain meds. So I knew I had the right person to help me. Joan I'm sorry I don't have much to say, but from our short meet you were very delightful and gave me some excellent advice. Well I can go on and on but, great place, #1 recommend. Thank you guys Opioid Patient — Richmond, VA September 2019 Did a good job of making a difficult and uncomfortable process easier. And the naltrexone implant at the end is literally a life saver. Michael - Austin, WA September 2019 Dr. Keating and his staff made my time with them one of the best experiences of my life. As an addict, I wasn't sure how I would be received nor what to expect. I was treated with dignity and throughout the treatment I was never uncomfortable. The process was amazingly effective and the implant option was a great way to help me make my transition to a life of sobriety James - Atlanta, GA September 2019 This was a great experience and helped me get and remain sober. Karli - Denver, CO September 2019 As the parent of a patient @ The Coleman Institute, I can say my son was treated compassionately and effectively. We are celebrating 90 days clean off methadone and now detoxing off everything else. I have my son back. Thank you. William - Denver, CO September 2019 Heather is awesome love her! Dr. M is great! Both care very much about their patients. The accommodations are as good as you can get. Beds very comfortable. Big flat screen TV with Netflix. The detox process was very easy for me. Getting an appointment is fast and easy. Morgan - Seattle, WA September 2019 My life is forever changed because of my wonderful, thoughtful care by Dr. Chen and Jenny. I felt like I was a lost cause. My relationship with my husband and children is on the mend. The bond of shame and guilt has been broken. I am healed. Jennifer - Dallas, TX September 2019 I cannot express my gratitude towards Dr Chen, Jenny and Grace with mere words. They are the kindest most compassionate people I have ever met in the medical industry. They treated me with love and respect the entire time and the beautiful prayers said over me and my family meant everything to us! They saved my life...literally and I will be forever grateful. Kimberly - Dallas, TX September 2019 The Coleman Institute provides high quality personalized care in short order. The staff are compassionate, practice with sound clinical judgement, and exceed expectations throughout one’s recovery. Scott - Richmond, VA September 2019 I love Dr Coleman. He saved my life. Top notch facility where pain is manageable. James - Richmond, VA September 2019 Always show a tremendous amount of care for their patients and will go above and beyond the call of duty to ensure you a straight path of recovery. Joshua - Richmond, VA September 2019 This is a much better alternative to detoxing in a hospital setting. The staff are more respectful and they make sure that you are always comfortable throughout the entire process. Mary - Richmond, VA September 2019 I cannot say enough good things about the Coleman Institute. They saved my life. When I came to them, I was on Suboxone. Their detox protocol is, I believe, the best out there. I've detoxed many time, and this was by far the best detox I've ever had, as far as detoxes go. I highly recommend them to anyone seeking to get and STAY clean. They are caring and available to you when you need them. Don't wait – call today! Scott - Richmond, VA September 2019 Excellent staff – Dr. Moore was great – I owe them a lot – 4 months without Xanax – Def my best choice of 2019 – Thanks to all staff, I’ll stop by next time I’m in Denver. Brad – Denver, CO August 2019Suboxone® Detox I would like to express my deep gratitude to Dr. Banimahd and the entire team at the Coleman Institute Orange County facility. Their comprehensive understanding of this disease and the pathway through detox and to freedom has changed my life. Dr. B is both expert in the fields and empathetic advisor – available day and night through the process and his team could not have been more pleasant and professional. If you are looking to make real change with limited disruption of your life, and to work with the best – call the Laguna Hills office and get going on the rest of your life. Former Suboxone User– Orange County, CA July 2019 Dr. Mendrey had the best bedside manner. I brought in a friend for help and she was attentive, caring and made a difficult situation relaxing and gentle. Terri - Seattle, WA May 2019 Professional, caring, treated with respect. McLean - Atlanta, GA May 2019 I would highly recommend this facility. The doctors and nurses are very compassionate and truly care about you. They make your whole experience easier to get through. Debbie - Phoenix, AZ May 2019 Dr. Peter. Coleman is the best. Not only is he a great Dr. He helps with making sure that your after care is working for you. I would say that he has educated me on alcoholism and taught me what it means to stay with the program of AA and also the importance of getting involved in a network. I will be forever grateful to Dr. Peter Coleman. His staff is also tops. Betty - Richmond, VA May 2019 Great team. Very knowledgeable and compassionate. Plenty of follow up. Justin - Richmond, VA May 2019 The entire staff are incredibly understanding, knowledgeable, kind and friendly. They are committed to improving the quality of life for anyone who walks through their doors. I love everyone there. Thank you all for what you do. Robert - Richmond, VA April 2019Opioid Detox It helped me solve an otherwise hopeless situation Shawn – Richmond, VA April 2019Opioid Detox The staff was excellent, caring, and very comforting. They made a very nervous and anxious situation calming. The care was second to none!! Eric – Richmond, VA April 2019Opioid Detox Best experience I have ever had with a doctor’s office. Mike, Jaime, and Dr. Moore are amazing and I am so thankful I found them. The help I received from them literally saved my life. When we initiated the detox, I was taking around 300mg of oxycodone; however, after the detox I have had absolutely no desire to take any medications (not even Tylenol or Advil). The staff should be proud. They were always helpful and answered my calls. If not they called me back within 5 minutes. I have NEVER had a doctor/doctor’s office that treated me as well as they did. I haven’t had any desire to use any kind of drugs since my treatment plan ended. However, when I’ve had questions; Mike, Jaime, and Dr. Moore have been available 24:7 to answer my questions and concerns. Everything as promised. I tried for over a year to quit oxycodone by myself, but couldn’t. Once I did your program, I’m completely clean of pain medications and determined to stay that way for the rest of my life. It works. I had tried about everything with no success until I came across your office in Denver. L.R. – Denver, CO March 2019 Very nice and professional!! It’s good to see Dr. Coleman is still around and active! Makes me feel very important when u see the man that started it all!! Wonderful!! All of the staff was very helpful and treated you like you’re somebody instead of an addict. Only way I have found to stay clean!! Jason – Richmond, VA March 2019Opioid Detox Your program was wonderful for my son. He is 4 months clean and has not had one problem. He has a very important job and could not take the time to go to a rehab center or let anyone know what he was dealing with. He tried many other ways, therapists, suboxone, etc. but none worked for him. Debbie – Cherry Hill, NJ January 2019 They were professional but courteous and sympathetic to my situation. The entire staff is friendly and helpful. The procedure went as expected with some minor discomfort but nothing Intolerable. In the end I got exactly what I desired, to be completely clean. Not dependent on anything. I recommend some form of exercise to help get you on your way at least that helped me. Dr. Simon understands what you're going through and helps you achieve Sobriety. After that maintaining it is up to me. I have my life back It was money well spent. Jim - Cherry Hill, NJ January 2019 Everyone was wonderful from my first phone call which is not easy to my final visit. They are very knowledgeable and caring. And, it works!!!! Katharine – Seattle, WA January 2019 Everyone was very nice and supportive. Linda - Richmond, VA January 2019 I love the whole crew! Betty - Richmond, VA January 2019 Great painless experience. Kai - Richmond, VA January 2019 The people were very nice and professional. John - Richmond, VA Back to Top December 2018Opioid Detox Dr Nathan Moore and his staff were excellent. Could not ask for better care! Robert – Denver, CO November 2018Alcohol Detox I felt genuinely cared for. The staff was wonderful. It was not as stressful as I expected a detox to be. The detox process was rapid with minimal discomfort. Wonderful, respectful staff. Michael – Richmond, VA November 2018Alcohol Detox Continue to spread the news about your program. It is life-saving. Liz – Seattle, WA November 2018Opioid Detox Very convenient for those who do not want the inpatient experience. Maria – Laguna Hills, CA April 2018 Opiate Detox Outstanding staff and experience. Thank you for helping me move to a 'real' life. 100% satisfied and feeling good. Bruce - Phoenix, AZ April 2018Opiate Detox Cannot thank you (Annette, NP) and the nurses enough. I was nervous and out of it but what was the first day nurse’s name? (dark hair, has two sons getting married this year) – (Kim, CMA) she was exceptional. Very welcoming, felt at home and nerves soothed. I’d love to send her a note.And the nurse I had on day three - also extremely compassionate. It was a hard day for me, but we did it and I love you guys for it.Here goes freedom and life. Addiction sucks and is a slow death. DC - Richmond, VA April 2018Alcohol Detox Immediately after detox, I knew I had done the right thing by going for my treatment at the Coleman Institute. I came away feeling like a winner already, and now 65 days sober, I know my choice was right. JS - Richmond, VA March 2018Opiate Detox I just want to thank you once again for helping me getting into detox with the Coleman Institute. It’s been four days now and I’m doing great. The best investment of my life! MD - Cherry Hill, NJ February 2018Opiate Detox Each time I called the Coleman Institute all questions were always answered with care and concern. I called three to five times asking questions before I made my final decision to use the Coleman Institute. Their program truly works if a person is really wanting to get their life back!! Dr. Keating and Tina are truly a blessing!! Coming off of opioid addiction or any addiction is not easy. They were encouraging thru the whole process!! Dr. Keating has a wonderful facility and a very nice and caring staff. The Dawsonville facility in Atlanta Georgia is awesome!! Very comfortable facility for a detox program. All recovery information needed was provided. Any and all questions was always answered. Very satisfied with the program. This program works if a person is ready to be free of their addiction. With Naltrexone you are not trading one addiction for another. Naltrexone implant also goes home with you!! You are not going the addiction alone!! I surely would recommend the Coleman Institute to anyone with an addiction problem! I studied other places and the Naltrexone implant was the deciding factor upon using the Coleman Institute. You come home with an Implant that truly helps the problem!! You are not going your problem alone with nothing to help!! In the past another addiction program was used. The program did not work! The difference was the Naltrexone implant!! I highly recommend this program to anyone! Just had the second implant done on February 15, 2018. Naltrexone Implant has been a life saver for my family!! Having the implant gave me the security I needed. I knew I would not have to be out chasing down another pill. I was tired of living that kind of life!! Donna – Atlanta, GA January 2018Opiate Detox Detox experience went as smoothly as possible. Very grateful! Received necessary meds VERY quickly. Knowledgeable and nice! Quick, caring, discreet, effective. Drove past (the office) a couple times the first appointment... difficult to immediately recognize that parking was in back. VERY pleased to see the outside did not call attention to the fact it was a detox center (discreet and pleasant). Originally looked for a place that would medically induce coma for a few days to detox while unconscious. After reading Coleman Institute website, I learned that would be dangerous. Easy to schedule appointment with the Coleman Institute, and staff was incredibly caring, attentive, and encouraging. While I decided to forego aftercare therapy, to this day I have been sober. I see a psychiatrist that helps with depression and insomnia, and I've found a few close friends I can confide in when I'm stressed--I no longer feel the need to use illegal drugs. The implant ensured I wouldn't feel anything if I tried to use opiates again, and that mental aspect definitely strengthened my resolve to stay away from that temptation. THANK YOU SO MUCH FOR HELPING ME GET MY LIFE BACK! The Coleman Institute has saved my heath, my relationships, my career, my future... my LIFE! Katie - Richmond, VA January 2018 Opiate Detox It was quick, outpatient & it worked. AN - Denver, CO January 2018 Opiate Detox After 8 years on pain pills I really expected a bad detox experience. Just the opposite. No craps, no upset stomach, just unreal. I have not even wanted a pain pill since I left. It was the one of the best moves I have ever made in my life. My family is very proud I went through your program, and so am I. Thanks to all who helped KO - Atlanta, GA January 2018Benzo Detox Dr. Coleman is amazing… All the nurses are fantastic. Dr. Coleman was committed to helping Adam recover. The detox was fairly comfortable. We spent additional money to go into an adult partial treatment which was very helpful. Dr. Coleman would be the number 1 reason I would recommend the facility. GL - Richmond, VA January 2018Benzo Detox Can't say enough about the people at the Richmond location. Professional and friendly across the board. Felt very confident in the care given by Dr. Coleman and his support group. Special shout out to Lisa, who was supportive above and beyond the call of duty. Thank you, thank you, thank you ... to everyone. NB - Richmond, VA January 2018Alcohol Detox Dr. Keating and Tina are the absolute best! JN - Atlanta, GA January 2018Opiate Detox Dr. B and Crystal have been amazing... I had every question answered even at 1 am. Even now two months after detox Dr. B spends time to speak with me on my health and medications. I am doing so well due to the help of Dr. B and Crystal. I have never been treated so well by a doctor. I have been misdiagnosed and almost killed by a pain doctor and due to Dr. B was saved. Crystal was a great nurse. Just like Dr. B, she took the time to answer my calls and texts at any hour. She spent a lot of time with me answering all questions and concerns. With her help I am in a better place. For only being there 5 days and getting of fentanyl use of 6 years, I found it was the best approach for what I was dealing with. I had no choice due to doctor error to go in. I did my research and after watching Dr. B's video on his view of detox, I knew it was the perfect fit for me. I started detox on November 27th and have been off all opiates with no problems since then. I have felt better even pain wise. With Dr. B in charge I recommend this detox program to anyone wanting or needing help. Anonymous - Orange County, CA Back to Top December 2017Opiate Detox I am writing today to thank Dr. Coleman for being there to save the life of my son and his girlfriend. After my husband passed away my son turned to drugs to medicate himself from the pain of his fathers passing. This drug addiction went from OxyContin then to Heroine and lasted ten years and inpatient 5 time. To no avail I thought there was no longer any hope for him surviving this horrible addiction. Then we found the Coleman Institute. 5 1/2 years later they are still sober working at the family business. I just wanted to say thank you thank you thank you and God Bless you!! Anonymous - Richmond, VA December 2017Alcohol Detox It worked as advertised. Everything about the program was great. AY - Atlanta, GA December 2017Opiate Detox Very good program, priced well below other types of similar treatment, great staff, and aftercare.Adam - Richmond, VA November 2017Benzo Detox Dr. Sloan is an excellent Doctor. His staff was incredibly helpful. Your system is God Sent. The relief that we experienced is beyond words and not enough characters exist to express our happiness and relief. Dr. Sloan did his part and we are doing our part…a successful combination. If a person wants to be relieved from this problem (Benzos) I will certainly recommend, because I know it works. No words can express the gratitude that we have for your treatment. Dr. Sloan said this would change our lives. He was so right. God Bless and I wish all could experience our success. NP - Phoenix, AZ November 2017Benzo Detox Effective and rapid detox from benzos. MC - Richmond, VA November 2017Opiate Detox All of my questions prior to initiating the program were answered satisfactorily. I cannot reliably address any questions I might have had early on in the program due to persistent, but welcome, brain fog. All staff were friendly, non-judgmental and accommodating, despite my less-than-cheerful demeanor at times. All staff were friendly and upbeat, despite the condition and demeanor of their clientele. Dancing girls would have been a welcome addition. Evidently, I'm regaining my sense of humor, which is a good thing. Still with the program after two months...I do believe the monkey has left the building. K - Denver, CO November 2017Opiate Detox This program saved my son's life. In searching for ways to get him off opiates, I could only find long inpatient facilities and Methadone. He wasn't low enough to agree to inpatient programs and I didn't want him to get that low. Methadone should be outlawed. That's simply trading one drug for another. I was told the Methadone program was a 2 year program! I wanted him off drugs in 2 months, not 2 years. With the Coleman Institute, he was off drugs in 3 days!! He is now 3 months clean. Thank GOD! I have told anyone and everyone about the Coleman Institute. I want people to know that it's available. It took me about 2 months of searching for a solution. I don't want others to waste 2 months. That could be the difference between life and death for their loved one. I think you need to advertise more. M - Richmond, VA November 2017Alcohol Detox I had been drinking daily for a few years & I really wanted to stop but could not do it on my own. The program really helped! GN - Richmond, VA November 2017Opiate Detox Very compassionate and understanding care tailored to my exact level of dependency. Thank you for being there for me. The alternatives like inpatient treatment at a local hospital were not attractive and I felt like I was being pushed around like an addict first and person second. The Coleman Institute made me feel welcome from the first phone call. BL - Seattle, WA November 2017Alcohol Detox The entire staff made me feel comfortable and welcome. I never felt judged. I so appreciate everything you all did for me, especially calling to check on me. I already have (referred others to The Coleman Institute). I heard many unpleasant things that other people experienced during their detox at other places. I was so very fortunate to find you. I can't think of anything else you could have possibly done to make a really tough situation any better than you did. Thank you, thank you from a very grateful recovering alcoholic. SG - Richmond, VA August 2017Alcohol Detox Very caring and compassionate nurses - made my experience much more relaxed and comfortable. April Ashworth - I feel I couldn't have done it without her support. She is now my primary nurse. They were most helpful in directing me into recovery aftercare programs. Very convenient location off interstate. My son just found on Internet and so glad he did. I have interaction with Dr. Coleman, his wife (Joan), and April, ..all three are so real and genuine about your own personal recovery. I had tried inpatient and checked myself out; then found Coleman. It is such a pleasant and encouraging place to detox and come to terms with the alcohol disease. I have been on naltrexone for 8 1/2 months and feel it has been an important tool for my recovery.Thanks to The Coleman Institute for my sobriety..and enjoying a life finally sober and happy. P - Richmond, VA August 2017Suboxone Detox Kept me comfortable through the process. Saved my life! ED - Richmond, VA August 2017Benzo Detox It isn't that difficult to get someone off of a benzo...and we've tried many different places...it is however nearly impossible to keep someone from going back on the benzos at some time in the future. My wife is on benzos to some degree now. (.25 mg ativan every 3 or 4 days) With her horrendous anxiety, I don't think that she can ever give up benzos and with the small amount that she takes now they really don't help her. At one point she was off of them 14 months and still went back on them. Dr. Coleman does a great job of getting someone off of benzos and the cost is not bad. Someone has to figure a way of keeping people from getting back on them, or some other medication that isn't so addictive that is as effective as benzos are for stopping extreme anxiety. A day does not go by where my wife isn't extremely anxious. It is hell on earth for her. CH - Richmond, VA August 2017Accelerated Opiate Detox I've never met a fine staff of medical people who took the time to answer all my questions and attend to my needs. As I understand my detox from 125 mg of Fentanyl, I can't begin to express my gratitude for getting me off this deadly medication! All of you should be commended for a job well done! Thank you so very much!! Again the best and most courteous staff I've ever has the pleasure to deal with! They saved my life!! Dr. Coleman always readily available to me after my detox, returns all my phone calls if I have questions or concerns. Very satisfied with your treatment program. You are all true professionals that help people get through a very difficult process even though this was not my fault it was all doctor prescribe medications fentanyl as you know is one of the hardest to get off of and you made this process relatively simple with very few side effects I can't thank you possibly enough. The best and most courteous staff I've ever had the pleasure of dealing with made a very difficult situation much easier. I feel like a new man. EK - Richmond, VA August 2017Alcohol Detox I truly felt I landed in the best, compassionate and caring hands of the caregivers at The Coleman Institute in Seattle from the moment I walked into their clinic. I had done extensive research with my family members to find the best options for medically supervised detox in conjunction with other modalities to achieve sobriety. The entire experience from intake, detox, and post-detox was positive and the staff all supportive, informative, knowledgeable, and attentive. I am beyond satisfied with my progress; I am over the moon happy in my return to sobriety and the return to my joyful life after a few years of events that led to my abuse of alcohol. The Naltrexone implant works like a magic charm for me. I am 8 weeks alcohol-free & the implant is still curbing any cravings. I intend to begin the monthly injections & to continue attending sessions with my addiction psychiatrist and AA meetings. I am deeply committed to and proactive in my ongoing sobriety. I recommend your program to anyone I know seeking a resolution to their addictions because it WORKS! No side affects whatsoever for me and it works to curb cravings. A – Seattle, WA July 2017Rapid Opiate Detox April and Joan both possess a manner about them that makes it easy to be open and honest without judgement. Addicts feel guilty enough about who they are as a person when they walk into treatment, and they make you feel like a human instead of a junkie and like they truly want to help. Caring and compassionate staff, continuing care. Recovery from addiction is not an easy process. Suboxone therapy does not work and relapses are going to happen simply because of the replacement of one opiate for another. This treatment has allowed me to truly be opiate-free and that is a dream I thought would not come true. S - Richmond, VA July 2017Rapid Opioid Detox All the staff members are very helpful caring and knowledgeable. It is a fantastic group and experience. This has been a life-saving and changing experience. I am amazed at how good I feel and how life has changed for the best i have told several people about the program and that they should look into it for their loved ones I have shared with several people about how amazing the naltrexone is and how it is a miracle blocker LB - Richmond, VA July 2017Rapid Opioid Detox I did my detox in WA with Dr. Mendrey, words can not describe my appreciation for her and the Coleman Institute. She is a wonderful lady, and she really cares about her patients!! This was a life changing experience and would recommend ANYONE that is struggling and really serious about getting clean and staying clean this is the place to be!! I was addicted to opiates for years and never thought I would quit, I’m now 155 days clean from them and only got my initial pellet, i did experience the post withdrawal symtoms for about 3 weeks after my detox but since then I have felt GREAT!! Idk if my pellet has just lasted longer then usual or what but I have yet to have a craving or any desire to go back to using opiates.. I love my life today and for that I will forever be greatful! HT – Seattle, WA June 2017Rapid Opioid Detox Very satisfied with the program wish I would had completed the program years ago. EY - Richmond, VA June 2017Rapid Opioid Detox Program was as described. My opiate addiction was the result of medication prescribed by physicians. When I couldn't detox by myself I consulted three physicians for help. Two stared at me blankly and the third wanted to addict me to methadone or suboxone for an unspecified amount of time. The Coleman process solved my problem quickly, professionally and sympathetically. From the spouse: Your program completely changed my husband's personality from obnoxious, selfish, complaining monster back to the loving, caring man I knew for the 32 years previous to oxycodone! Thank you. WO - Richmond, VA June 2017Rapid Opioid Detox This program was outstanding. I finally got my life back. Carmen - Austin, TX June 2017Rapid Opioid Detox Because Dr Coleman spoke with sincerity and confidence - everything he stated became fact. Because of the kindnesses and compassion felt during the process. Because both the process was successful! I couldn't be more grateful! Could not be more pleased by the care that I received during this experience and too, the assistance that my support person received! Many thanks! Karen - Richmond, VA June 2017Rapid Opioid Detox Caring about patient and outcome. MRA - Seattle, WA April 2017Rapid Opioid Detox Felt I had no way out. This appeared to be the right choice for me. This program saved my life. Before going through the detox program, I felt trapped and I was severely dependent on the drug. The detox was a very easy process and never felt any withdrawal symptoms throughout the time I was there. By the last day, it was all over and I felt great! I’ve stayed off the opiates and will never return to that lifestyle. Life is much better now that I don’t have to chase that awful drug. I can leave the house and travel without worries of running out of pills. Life is much better. It’s been 4 months since my last use. Thank you very much! AD - Austin, TX March 2017 I am a former patient and a recovered addict of 14 years. I came to Virginia and received two implants between 2001 and 2003. This therapy saved my life. I now own my own business and have a full-time job, a husband, and family. Right now, the deaths from heroin overdose are skyrocketing out here. Surprisingly, nobody is aware of the naltrexone implants. Every week I look at the obituaries and they are flooded with young people. Many of them were good people from good families who simply ran out of options. I know how important clean time is for addicts. I want this therapy to be better known. I'm desperate to get the word out and hopefully save some other good people so they can go on and live their lives like I was able to. Holly - Richmond March 2017Accelerated Opiate Detox We are doing great and your program was literally a step towards a freedom we never knew existed! CC - Austin, TX March 2017Accelerated Opiate Detox Saved my life. Thank you from the bottom of my heart. Brandon - Richmond February 2017Rapid Opioid Detox As an addict in recovery, I would highly recommend The Coleman Institute for anyone out there struggling with substance abuse. The nurses and doctors are not only amazing at their jobs, they really strive to help you get clean and stay clean. I have been on the Vivitrol shot for almost a year now, and it has helped me more than anything I've tried in the past. Thank you to everyone at The Coleman Institute for all you do to help me maintain a healthy and happy life! BR - Richmond, VA February 2017Opiate Detox Overall, I am very pleased to have had the opportunity to detox in a short time and with great support. I am now 60 days clean and the Naltrexone treatment has helped greatly in my overall adjustment to normal life without pain medicine. I am also in a better overall mood and was able to stop taking Prozac. Assuming they can afford the price, the treatment is absolutely crucial to someone who is locked in physical dependence and addiction. I feel that the price of the treatment is a good value when compared to the cost of an out of control addiction...unfortunately some people won't have the ability to afford the fee I fear. Colt - Tampa February 2017Opiate Detox The process: 3 days, then, 2 days off, after that back to work…it’s like nobody noticed what i accomplished except my sponsor. Exactly the way i wanted it to be. It fit right into my schedule unlike before when i did it on my own it took 4 months. Wish i would have known about this sooner however was able to research all types of treatments and was very confusing until i found your info online and listened to doctor Coleman explain the process; then i realized there was hope. Yes, clean and sober. i am so removed from that lifestyle after this treatment it seems like years have passed, not months. Fast and efficient, effective for people who want change in their life and don’t have a lot of time to accomplish this. Keep up the good work. Tony - Schaumburg February 2017Alcohol Detox I appreciate your referral to “The Bubble Hour”. Have listened daily. (Note: The Bubble Hour is a radio program hosted by Jean M., a sober woman dedicated to breaking down the walls of stigma and denial surrounding the disease of alcoholism.) SF - Richmond February 2017Fentanyl Detox Nice staff…Dr. Frederick is very good. I tried Fentanyl by myself. Impossible. So I researched and found The Coleman Institute. ML - Austin January 2017Accelerated Opiate Detox To Jennifer: I wanted to thank you for helping me save my life. This treatment was exactly what I needed. It's been almost three weeks and I feel great to have my life back.DD - Austin Back to Top December 2016Rapid Opioid Detox I actually went through this process and came to your facility in VA probably about 8 years ago now. I did also get the naltrexone implant from you which worked flawlessly. I do have to say Dr Coleman, you still look the same and like you haven't aged a bit. lol Cool to have stumbled onto your video. I hope that many others are fortunate enough to fall upon your system and treatment facility/program. DR - Richmond January 2017Opiate Detox Dear Coleman Institute Staff: I can’t tell you nor express my gratitude enough! What you all did to give us our lives back, there just aren’t enough appropriate words for. All we can say is that we believe God ordained and intervened in our situation; He used YOU. Your whole staff, the lot of you are angels sent from heaven. We came in (to the Glendale AZ office) January 3, 2017. Dr. Sloan explained in a gentle and kind way the procedure for rapid detox we had seen on the news and website. Skeptical as we were, we decided to go through the procedure because the alternative was to watch my husband either die or sink further down into his addiction which would have surely cost him his livelihood. His addiction was killing us, not to mention destroying our home, marriage, and family, we labored building for over 35 years! This past week, over the Presidents’ Day holiday, we came in for another implant to address some of the PAWS. In the drive from Phoenix back to L.A. I could see improvement with my own eyes. So much so that he drove the entire five hours home! Phenomenal, and extraordinary is what you all are. I’m keeping you all (Michelle, Allyson, Rachel, Dr. Sloan) and the entire staff in our prayers. Praying for others to specifically receive recovery and healing through you all. BR – Phoenix November 2016Suboxone Detox The Coleman Institute was a God sent for my daughter. Dr. Coleman, Joan, April and the entire staff are the nicest people you will ever meet. They really care about the patient and helping them through the detox process making it as easy as possible. I highly recommend the Coleman Institute - you will not be sorry. Having a loved one go through a detox is never easy. As the support person, you are the patient’s life line through the entire process. There are times that I needed extra help after hours and one phone call was all it took be to receive the guidance I needed. These folks really know what they are doing!! Dr. Coleman and his entire staff are super people and will do anything to help you during your detox. They really care and are there for you 24/7 during the program…now she wants see them as her doctor. Wonderful place! Clean and friendly environment. Only a small negative with the Richmond location is parking can a little tough at times. However, this is in NO WAY a reflection on Dr. Coleman. There are other business's around that are responsible for the parking problem. My daughter is Opiate free for two months now after a 17-year addiction. This is the place to come for help with addiction issues. I already have recommended Dr. Coleman to friends in Indiana! The program works and it saves the life of the addict. Give my name anytime, to anyone that wants to know how good Dr. Coleman and Staff are! The implants are an extended part of the program and helps ensure a continued drug free environment after the detox is over. What more can I say? Very caring people, a super detox program, after hour help. If you really want to improve - clone every person there at The Coleman Institute so you can help more people. Thank you for giving me my daughter back. JB - Richmond November 2016Alcohol Detox This process can save your life and will improve your overall health. Learned about this therapy from my therapists, I was not aware of this treatment. RA - Richmond November 2016Opiate Detox It feels good to be pain med free. I am thinking clearer and functioning much better. I gave the fliers to my own doctor because he didn't help or know where to get out patient detoxing. I found the Coleman Institute on the computer and when I called, Jennifer called back and got the ball rolling and sent the application (screening form). The detoxing program is great due to the fact it can be done as an outpatient.Claude - Phoenix November 2016Rapid Benzo Detox To Rachel: We are home and I wanted to thank you real quickly for your help. My parents and I were impressed with your insight and ability to not judge. You are very good at what you do. We were also (please pass the word) very impressed with the quality of care there in Richmond and I greatly appreciate it. I'm hanging in there and know it only gets better. Hope you are well. Thank you again. AJ - Richmond November 2016Rapid Opioid Detox Doctor Coleman is an amazing human being. He told me once: We cannot heal what we cannot feel & we cannot feel what we medicate. CM - Richmond, VA October 2016 Thank you Dr. Coleman! You are heaven sent ... your procedures really do work...you guys are like angels for so many of us! I think the world of Dr. Keating for changing my life & my world. God bless! Shelia October 2016Opiate Detox Amy was fantastic.... if I left her a message, she called me back within the hour every time. Made the process quick and as comfortable as possible. Also love the fact you don't use other addictive detox meds like Suboxone or methadone. This program saved me… now, I'm two months clean. I can't make any suggestions for improvement because everything was better than what I ever would have expected. Joshua October 2016Rapid Opiate Detox I love the care they give! Dr. Joan Shepherd she is awesome I love her! They all are wonderful people! HR - Richmond, VA October 2016Suboxone Detox Jennifer was very helpful and encouraging as I knew nothing of the Coleman Institute prior to calling her except for what I had seen online. I really appreciated Dr. Frederick's staff, both Selina and Melissa, who were outstanding with their attentiveness, care & compassion while my daughter went through this process. And, Melissa was very responsive to my phone calls and e-mails as soon as she received them during aftercare. I appreciate the initial time spent with Dr. Frederick who explained the process to my daughter and me. Finally, a doctor who told my daughter what I had been telling her all along, Suboxone is not good for you. Daughter had tried unsuccessfully coming off Suboxone herself, after being on this medicine 7 years. Great to finally find Dr. Frederick who told her this medicine was not good for her. Great having naltrexone therapy to come off quickly. However, she was prescribed a medicine called Gabapentin for pain, not able to control taking that herself, so we are just now weaning off it. According to her psychiatrist and my research, you can get high on this drug and one should not come off it suddenly. Daughter continues to live with me while she is getting her life back. She now has a job and has attended support meetings. It's good to hear her say that she is SO glad to be off the Suboxone as she realized it was ruining her life, unlike what previous doctors had told her. She/we are taking it one day at a time under a psychiatrist care. And her Wellbutrin is helping. My daughter might want to fill out a survey herself, but as a support person, thought you might like my input. Daughter's personal experience trying to come off Suboxone, long acting drug, slowly weaning was impossible for my daughter. Doctors had her convinced she should come off very, very slowly. They were never in a hurry to get her off and kept telling her it was okay if she needed extra for pain. This kept her in an addictive mode and gave her excuses to abuse other stuff. She needed a clean brain "quickly" to "begin" her healing. I was extremely thankful to find the Coleman Institute online. The implant gave her support while her brain was healing itself with home nutritional therapy. And it gave her support until her antidepressant had time to kick in. Even psychologically, she knew it was deterring her from abusing. If it's in your system, you don't have to remember taking the medicine and you don't deliberately not take it in a moment of weakness. Kent - Austin, TX September 2016Opiate Detox Your program is awesome. I’m so glad you have this program. It truly works. I feel great….thank you. LD - Richmond September 2016Alcohol Detox The team was very professional and compassionate. Your service was very instrumental to my recovery. I moved my family physician to Hamilton Family Practice because I felt so comfortable with the staff and their care. I have already had a physical exam and am very appreciative of the service and care. CB - Richmond September 2016Rapid Opioid Detox Such an amazing place to get detoxed I was on 22 mg of Xanax a day and went through it with no pain the staff and Dr.Coleman are very passionate about what they do. Money well spent thanks again I will be forever thankful. EK - Richmond, VA September 2016Alcohol Detox I took my brother to Coleman Institute in Largo, FL. He had been addicted to alcohol for 15 years, got the implant on day 3, prayed really hard, and guess what....it SAVED his life!!! He stopped drinking. Naltrexone Implant is a miracle! He does not have cravings, has not had a drink since the day before we went to your facility for detox. He almost died from alcohol addiction. His pancreatitis has gone away, he is eating and able to keep food down, has not vomited since the morning of treatment. He is happy, and no longer feels that he is in prison from his addiction. THANK YOU so much for saving his life!!! CC - Tampa, FL July 2016 Dr. Hossain & Amber – can’t find words that express my gratitude. Just received my 2nd implant, my cravings are non-existence. My prayers are that this can be more available to so many that need it! KB - Tampa Bay August 2016Rapid Opioid Detox Definitely the best money I've ever spent looking forward to my future with the Coleman institute as they assist me on my road to recovery. GT - Richmond, VA July 2016Rapid Opioid Detox I recently finished treatment here. I cannot say enough good things about the staff and Dr. Coleman. My family and I were treated so well and I felt so comfortable there. My nurses April and Kim helped change my life forever. I will never forget their compassion and just willingness to help me get better. They genuinely care about each of their patients. They are there to see you get better, there not just a facility you'll remember going through treatment. They are like family! It is with their support and guidance that I am discovering I can be the best me for those that I influence and my family. I am now able to pay my life forward and in the turn impact humanity in a positive light. Its very sad how opiate use is affecting so many people and family's. I was scared for so long of the detox and wish I would of gotten help from the Coleman Institute a long time ago. This is the one and only program I would ever recommend to anyone. Please if your struggling with opioid addiction or know anyone that is please check out their center. We drove about 3 hours away but I met many others that drove 12 hours plus! Don't wait, you never know if you'll get another chance!WJ - Richmond, VA July 2016Rapid Opioid Detox Just finished 5 day detox Friday .I feel a hundred times better then what I thought I would. Kathy is amazing ,she got me comfortable as quick as possible on the 1st day. I was in bad withdrawal ,she was literally running to get me relief asap.DR. Coleman just has a charm about him.He inserted my implant on the 5th day. Rachael is fabulous too.. I was addicted to opanas , which are one of the worst opiates. I hardly felt any withdrawal after the first day. I tried detoxing myself numerous times during my 8 yr abuse , which obviously didn't work. Today I am 8 days opiate free. Don't be scared at all , it's almost painless . Thanx again to everyone at the Richmond Coleman center. KK - Richmond, VA July 2016 Was glad I didn’t have to suffer to detox. That was always the hump I couldn’t get over. This is by far the best way to detox and try to get off opiates if you are serious about it. AS - Richmond July 2016 My experience with detox and the naltrexone implants has been nothing short of amazing. I am so glad I chose to go through with it. I just do not understand why this treatment modality is not more widely available or even known about; it really should be THE standard of care for alcoholism. SH - Richmond June 2016 Excellent staff in every way! Much more comfortable and effective than trying to detox on my own. Everyone I encountered was supportive and kind. This meant a lot during a very tough and uncomfortable period. I have already recommended you to my Oncologist and Primary Care doc (who prescribed the opiate). They were both waiting to see how it went so they could consider it as an option for patients similar to me. MJ - Richmond June 2016 Detox was nearly painless and very much doable. All of the staff (especially Dr. Rick Sloan) were caring, compassionate and genuine and the detox process was the easiest I had ever experienced. RB - Phoenix June 2016 Dr. Sloan and the whole staff were wonderful, so sweet, professional and caring. I loved them all! 7 weeks into the implant…..not sure if the effects are wearing off. Will be getting shot next week and have some questions regarding the shot. I thought the detox was amazing. No pain, total comfort. Nate - Phoenix June 2016 Everyone was very knowledgeable, very friendly, they made the process go smoothly, I was very impressed with the program. I’ve been through many detox programs and this by far was the best. Everyone actually cared about my wellbeing, they did everything possible to make me comfortable and took the time to setup a post detox plan. Nick - Phoenix May 2016 I have battled addiction to opiates from the young age of sixteen. The Coleman institute was the most caring and concerned treatment facility I have ever come across. The protocols they have in place made my detox from methadone easier then I ever expected. This is the one and only program I would ever recommend for someone struggling with addiction. At the end of the detox you have the option for naltrexone implants to help secure sobriety in the beginning months. Dr. Coleman I am eternally greatful to you and your staff for helping me regain my life. TT - Richmond March 2016 Amazing staff! This is the only thing that worked form me in years of trying to get clean. Medicated detox and the use of naltrexone make during and after a very easy process. Zach March 2016 After five years of use I finally have my life back. The definition of insanity is doing the same thing over and over again and expecting different results. It may be a lot of money but the alternative of not spending the money is a life of havoc. Thank you for saving my life. Jessica March 2016 It was still a very good experience for a very bad situation. They made things much more comfortable than going through it alone. I could not see myself doing this alone. I’ve tried… This is a successful program. You have to follow-up with aftercare. TS March 2016 Ladies at the Richmond office were the best. Made this process more comfortable. EJ March 2016 You saved my son’s life and made him very comfortable through the entire process. The Doctor (Hossain) was always very responsive of every need/concern. My son commented to me more than once that he wished this program was available to more people. Unfortunately, it is very costly and not everyone can afford to pay what I paid. I thought it was worth every penny to save my life. RC - Tampa March 2016 I have detoxed from opiates before, including the Waismann method, and this was by far the most comfortable. Dr. Sloan and his staff were awesome. Aaron February 2016 Everyone is amazing….Incredible staff! I was most worried about how I’d feel throughout the process but you guys made it incredibly comfortable. I’m most pleased with the awesome staff all around. Most importantly, the program got me sober. The hardest part for me was getting over the hump and going through withdrawal. I wanted to get sober; just could not do it myself. The program is worth a lot more than it cost. I’ve had some rough days and wanted to use just to feel better and the implant has prevented this which is amazing in itself. All around a great experience. Even, after the fact, when I felt some more meds would help, they were provided. And once again, staff couldn’t be better. Kevin P January 2016 Loved dealing with Jennifer, she was a pleasure! Dr. Hossain and his nurse are the best! We loved our nurse and want her every time we go back! Very satisfied. Everything was explained to me in detail and I would recommend anyone to try this! Brandon - Tampa January 2016 Kind and helpful… very educational… you are lovely people! VM January 2016 Dr. Keating and Tina were the best ever! They made me feel great and very helpful. Got me clean, sober and off Methadone! Was very comfortable. S. Lambert - Atlanta January 2016 Dr. Coleman, as well as both nurse practitioners, could not have been any better...a wonderful mix of compassion, expertise, positivity, concern and respect. You made this process much less threatening and actually restored hope. Thank-you all!! My daughter was treated with compassion and respect and her symptoms were addressed quickly and thoroughly. She is ready for her 2nd implant, and thus far, we couldn't be happier with the results. It is so encouraging to see my daughter not only drug-free, but HAPPY. I pray that this program continues to work ... you are all doing important work here...you are actually giving back a patient's will to live a better life...and you are doing it in a compassionate, caring manner, leaving the judgement to the rest of the world. Thank-you all from the bottom of my heart! Judi January 2016 Very quick, very effective. I have experienced many detoxes years ago when I first got into recovery and this one was by far the easiest, the quickest, and the best. I came to the Coleman Institute to detox off pain pills. I was taking for my back condition. Actually, Dr. Coleman was right; I am able to deal with the pain better now than before. Robert January 2016 Enjoyed my visit w Joan Shepard and the staff today. I appreciate each and every one of you and look forward to my next visit. Peace, love and blessings to you all. Dawn Evans January 2016 Believe no one can get clean on their own. This detox is awesome. Just need to make sure the follow-up is done. Implants last longer and two months go by quickly. Plus, the cost is a lot, but necessary. Other drug addicts just so not know or believe in the program. Would like to be an example of success and do a referral program with you. I know people in many states and Arizona who need this detox. HSC January 2016 Went above and beyond; very helpful, very reassuring and comforting. Dr. Hossain was very honest about processes and what to expect. After being on methadone for 3 yrs I knew what I was up against. Without the Coleman Ins., I would be nowhere close to where I am today. I feel great. The first three weeks after the procedure were accompanied by fairly severs PAWS, however it has been nothing but up from there! Without your facility, I would have been in for 3-6 months of pure hell. Being up against such a monster without your help is unfathomable. I was given the quality of my life back and in a fraction of the time as other methods, with minimal discomfort. So glad I discovered you guys, which was done thru the internet. The website is awesome, easy to understand, navigate and alone answered many concerns and questions. John - Tampa January 2016 For myself it was miracle to not have cravings. I had used methadone for 14 years. I was never able to come off this. My only problem was my clarity of my mind was so quick and my mind raced. It has slowed. I would recommend this for anyone who has a good support network. Patrick Bird January 2016 I dealt with Amy (when I called) and she was amazing. She returned my calls and answered all my questions. She was very patient and worked with me the whole way. Dr. Zaret' was great. He explained everything to me and my support person and was very patient with all the questions we had. He was very personable. The entire office staff was great. My detox nurse was Kathy and she was super amazing. She treated me and my support person with compassion and understanding. I appreciate her being able to relate to what I was going through. The ease of the entire detox was great. I would recommend this to anyone who does not have the 30 plus days to donate to an inpatient facility. For me, The Coleman Institute was the best choice for me and my family. I did not have single second of discomfort the entire time. I hope more people choose this program. I would have liked a few calls to check on my progress after the detox….that would be my only advice. Otherwise, I had a great experience. BK January 2016 Amy was generally not available when I called her a couple of times; however, she called me back promptly after I left her a message. Dr. Zaret was awesome. This was my second time with detox by Coleman. The first time in 2014 I completed and aftercare plans and received multiple contact attempts from Coleman via email and telephone with one including recommended aftercare measures. My recent detox I did not get as much attention with aftercare. Dr. Zaret did suggest 12 step aftercare but I told him those meeting only give me new drug connections. I am satisfied with the program…although I feel I did not get the level of aftercare follow-up during this last detox, there is a good chance I may not have followed it anyway… I’m over it now and no longer believe that I was intentionally treated different. I would recommend it because I believe it works. I did go thru and still experiencing what I believe are rare adverse side effects form the naltrexone implant that are not pleasant and are difficult to deal with but I will make it thru this a I truly want to stay clean. GG January 2016 Jennifer was very pleasant and returned my calls and emails in a timely manner. My son always had a hard time detoxing and getting through the first couple of days of withdrawal. This program is excellent and wishing it was also available in Canada. My son is doing very well. We are going down to Seattle for his second injection. We have already recommended your program to our friend. His son is also addicted to opiates. Laura January 2016 Dr. Sloan’s office is amazing. He was always there to help even on the weekends. He knows what he is doing. I am successfully off clonazepam after being on it for 12 years. The staff were all professional. I am from Canada and there was great value for what I paid for treatment. I am so grateful I found this clinic!! I had a hard time coming off of benzos. I tried 5 separate times to come off benzos. This treatment has changed my life. No longer am I dependent on high doses of benzodiazepine to function. It’s refreshing having a clear mind now. The Coleman Clinic in Arizona for Benzodiazepine Dependence was the best thing to happen to me. Thanks Dr. Coleman for the great support throughout treatment. I have no more benzo- withdrawal symptoms. Nothing major anyways. I feel better every day. As time goes by (it’s been almost 2 months now) I feel better. The Coleman Clinic’s methods of detoxification off Drugs and Alcohol are the best methods in terms of safety, and long term success. The Coleman Clinic in Arizona was the best thing to happen to me. Thanks again Dr. Sloan. Greg Back to Top December 2015 Merry Christmas to all of the staff. Thank you so much for giving me my son back. He’s doing great! Thank You,CS December 2015 Hey Rachel, LM here from NYC. Just wanted to let you and the others at Coleman know that today is 30 days clean and sober. Feels like a year! Been going to meetings every day, reconnecting with old friends and new ones from the program. Life feels hopeful again. Twins are due Feb 14th and so grateful I made this decision when I did. One day at a time…. the future feels bright. Just wanted to give you an update. Hope all is well with you and those at Coleman. Please pass on my thanks! Happy Holidays! LM November 2015 Thank you all so much for your compassionate care these past 10 days. Each of you has your special way of relating to both the patient and the support person that has made this process so much easier. Never underestimate the importance of your compassionate care. The little things you do mean so very much!EJ October 2015 Just wanted to give u a quick update. Still reeling from that last day with lack of energy, sleep, and constant stomach ache and unable to keep food in. Good news is I can now fit back into my old 1980's black jeans. But seriously, I've been constantly in touch with therapist and also reaching out to all my old NA buddies. Essentially calling myself out. My secret is exposed to the light. Will start making meetings as energy comes back. Going through some serious healing with wife which I'm incredibly grateful to have the opportunity to do especially with the soon approach of our twins. Can't even begin to express my gratitude to all of you. Trust me when I say when I was doing this as a 14 year old boy there was no love, no compassion. You felt you were drowning and was waiting for someone to throw you a life jacket. Usually they never came and when they did they'd sit around discussing whether to give you a life jacket or an oar or a boat meanwhile you're drowning. Every single person at Coleman even down to the kid that delivered my meds never made me feel the shame and guilt that us addicts know how to render to ourselves so well. Instead, we were greeted with hope and opportunity to not be another statistic. Why I've gotten to live while so many others throughout the years have died, I don't know exactly, but what I do know is that this time around it was because of the nurture and care of The Coleman Institute. Thank you Rachel for allowing me to be vulnerable on that first day, although really you had no choice… I was a weepy mess. But you gave me a Kleenex, and you listened, and asked me to keep checking in. So I will. Because you need to be reminded of just how important you all are as well.Luke October 2015Methadone Detox This place has saved my life. After 15 years on methadone & countless rehabs, this is the first time I've ever completed a detox. I completed the detox 1 week ago & I feel great! Thanks to Dr. Coleman, April & all the caring nurses there! MT - Richmond, VA October 2015 The office stays each day were quick and comfortable. The medications helped me rest and allowed me to have a good night sleep. I was able to call the Dr. (Frederick) late at night to adjust my medication to better fit my needs. The Dr. was able to answer all my questions and explained what was going on with my body. In my experience, it was a very pleasant detox, pleasant as any detox can go. It was fast and comfortable all the way through the program. Only wish I found this place sooner… there is nothing to fear with this program. Now, I have life to start living to the fullest. The implant gives you that extra self-help so you don't go back home and screw up. Justin October 2015 Rachel (North) did a great job talking to my son. She is very compassionate but not afraid to tell it like it is and get honest with the patients. She spent time explaining things and talking to both of us. She also spent extra time with me clarifying several things. So far I have been satisfied. It was difficult being the caregiver, but if this works it will be worth it. All of the staff were very nice and helpful. I think a little more info needs to be given to caregivers during the process. Let them know more specifics of what can be expected with the person going through detox. Don't just say it affects everyone differently. Tell ways that patients can react/act during the process. Deb August 2015 After being on suboxone for ten years, I thought there was little hope for life without it. However, the Coleman Institute was just a phone call away to beginning a new chapter in my life. Dr. Coleman and his staff were professional, compassionate, caring, and top notch in the service that they provide to individuals that need a new lease on life. Throughout the entire process, I felt that I was in good hands. When I became anxious and had concerns due to the intense nature of what I was experiencing, those fears were always quelled by the intelligent, well-trained staff. Thanks to all of you that I interacted with: Amy, you accommodated me on short notice. You were my initial contact with the Coleman Institute over the phone. In addition, one of my final goodbyes when you came out to meet me as I left the clinic. Since you work in a different building, you didn't have to do this but you did! Selena, you helped me at check-in and always had a smile on your face each morning. Trupti, you are a native New Yorker so we bonded instantly. Thank you for your gentle nature when administering shots! Janet, your great energy and caring nature always put me at ease. You always made sure that I was comfortable and did anything/everything when I wasn't. Kim, you introduced yourself on the first day even though your role in the process occurred on the very last day. I will never forget your warm introduction. Lisa, we spoke about my Crohn's and you were there on the final day of treatment. Giselle, your bright smile and kindness are not forgotten. Rachel, you listened to me when I had so much to say and really cared...that meant a lot! Also, thank you for taking the time to write the letter I requested. April, you promised me from day one that everything would turn out well and it did! When I needed reassurance, you always provided it with a sweet smile and a few laughs. You've always been available to answer any questions and concerns and it's greatly appreciated. Joan, your caring and gentle approach put me at ease whenever I needed comfort. You always reminded me that I was responding well to the process and I would be okay. I also enjoyed our conversations about what Richmond had to offer. Dr. Coleman, all of this wouldn't be possible without you! Your expertise in the accelerated detox technique is allowing people like me to no longer be prisoners to an undesirable substance. Your genuine concern and support throughout the process are admirable. I really appreciated the big hug on my last day. It showed that you had faith in me and my recovery. I will never forget my days at the clinic and can never thank all of you enough!!! Anthony July 2015 Just a note to let you know how things are going. Well, we all had the best 2 weeks in years! You guys were amazing! It looks like we have our son back and he is enjoying his new life. It is so exciting to see him clear-headed, funny, loveable and focused. We knock on wood every day and pray he is able to stay respectable and nourished. Thanks to all of you who the chance to treat our son, especially Rachel, Dr. Coleman, Joan and (I forgot your name) who hooked up my son to the IV!PL July 2015 Joan Shepherd (NP) was very knowledgeable and helpful during my admittance process and spent plenty of time answering our questions and re-assuring us in the process. Your program was completely successful. I have now regained my strength and have complete clarity of mind. The insomnia is now past history. Thank you for freeing me from the Suboxone dependency.MG July 2015 Everyone at the Richmond office was fantastic to me! They were so helpful and caring it made me not feel so uncomfortable. They helped me come through the detox with flying colors! PD July 2015 Great, very helpful regarding intake. My son is doing great! Just wish you were in our area to help with monthly treatment! I wish I would have known about you 2 years ago because I believe my son’s girlfriend would be here today if we had known. Jennifer made a phone call for us and arranged a prescription for us to locally receive the monthly shot. We would still come to you if we could not find anyone here. Wish you had Saturdays for injections only. Barbara July 2015 Great group of people….non-judgmental! They all rock…Dr. C, Kim, Joan…Thanks for what you do! From the initial call to this very moment, I feel like I have a knowledgeable caring group of pros covering my back. I am amazed every day at what is returning to my life. I know of no other program that is this awesome! Start looking for a bigger place. You are gonna need it! Bob July 2015 Jennifer and Amy were amazing to get me in! Everyone was amazing; best experience ever considering the situation!! They are all so friendly and did not judge me at all!! Rachel set me up with great resources and I’ve been doing great with NA daily, my IOP and my therapist!! I am completely a new person. I have recommended so many people already because in Maryland no one will detox you off of Methadone. I just had a great experience with everyone….Doctor Coleman, Joan, Kim and Rachel went above and beyond for me…I love them for giving me my life back!!! Kelly July 2015 Jennifer is great…someone I will never forget. She helped through a very tough process. Toby July 2015 Want to thank Dr. Coleman for coming up with such a great program. Much easier than Ultra Rapid Detox. I just finished accelerated detox off of methadone in AZ with Dr. Sloan. Thanks to him and his staff as well…all super nice! I detoxed off heroin in 2004 with Dr. Coleman before he changed the procedure and even that went really well; so, thanks to him and his staff for that as well. If you are an addict and you want to get clean, TCI is the place to go. Very comfortable detox and the implant and shot work great for cravings and for blocking opiates, too. Laura May 2015 Detox was good and the implant is working well…Best detox I have experienced! WS May 2015 My contact was Jennifer. She was very nice, always prompt and professional. She patiently answered all my questions and made me feel very comfortable. Dr. Coleman did my detox. What can say about him - just awesome and amazing! He really is a very humble person, very down to earth but highly skilled and knowledgeable in what he does. He ensured that the process was made as painless as possible for me. He was always there for me and what's great is that he still is. I feel that he is only a phone call away. By the way, I travelled to Richmond, Virginia from Toronto, Canada - the best decision I ever made. Dr. Coleman is #1 - the BEST!!! I would recommend Dr. Coleman in a heartbeat. DA May 2015 I've been opiate free for 11 months, thanks to The Coleman Institute, Richmond, Va. Dr. Peter Coleman, Courtney Hardin, Joan Shepard, Chris, Kim, all nurses, entire office staff, etc. Treatment and respect from staff surpasses all and any other detox plans. Just to be treated with a kindness, caring, understanding and judgement free group of people who care... Cannot put my gratitude into words. I'm not the same person, I'm a better person for detoxing Dr.Coleman's way. I'll be receiving naltrexone implants or Vivitrol injections for the rest of my life. Those implants and my desire to "live" again, saved my life. Thank you Dr.Coleman, Courtney and entire team and staff....... I'm living my life again. DE May 2015 The staff in Seattle was available, returned all my calls, was very informative in letting me know what steps to take since I couldn’t go back to see the Dr. because of distance. The process was great and I feel very good about the decision I made. MJ May 2015 Excellent program. Saved my life and family. I’m feeling healthy and immediately was able to go to work, exercise and return to yoga practice. I need to continue to figure out why I started abusing drugs. The care from staff in Schaumburg was great. So glad I found the Coleman Institute. Susan May 2015 I just wanted to let you guys know your program is the best thing I could have ever found. I went threw your methadone detox in Seattle in June of 2014 and my life is so full of joy and hope I have been clean ever since 6-25-14. Your program is the only thing that could have got me off the methadone, now the thought of pain killers or methadone make me sick to my stomach. I just wanted to let you guys know how wonderful your program works. I have been spreading the word to anyone that will listen and I’m happy to report I finally talked one of my friends into trying your program; he started on Monday and he is amazed on how smooth the detox is working. Again, thank you for giving me back my sanity. CL May 2015 Doctor Rosenfield, Jenesis, and Teka, I hope this allows for a long enough message… I cannot thank you three for all your care, understanding, laughs, support, guidance, and follow up; I have never felt better. Minus the sleep issues I am having, just getting back onto a regular sleeping pattern, I feel like a new man. If I move back to the NW, I would be a customer of yours for life. I really do mean it, thank you from the bottom of my heart. May God bless all three of you immensely! If I can ever do anything to help promote what you do, or be a reference, just say the word. You saved me from a bad place. Thank you so very much,NB April 2015 Jennifer was nothing but professional and extremely helpful throughout the entire process. Everything was explained in full detail and we felt very equipped to make educated decisions regarding the treatment. This process completely changed my life and I am extremely blessed to have been cared for by such a well-trained, professional, and concerned group of people throughout the entire process. I cannot adequately explain how grateful and pleased with the program participated in. The entire staff and experience far exceeded my expectations and delivered a second chance on life. PK April 2015 Very pleased and thankful for the amount of care and the level of attention offered…the treatment was super comprehensive and well thought out. Jennifer was nothing by professional and extremely helpful throughout the entire process, everything was explained in full detail. This process completely changed my life and I am extremely blessed to have been cared for by such a well-trained, professional and concerned group of people throughout the entire process. A big thanks to Dr. Coleman and his entire team for allowing me an opportunity to live a life that I have been destined to live for a long time, but just didn’t know it. KP April 2015 I just wanted to say thank you to everyone for the support you all gave me and I feel amazing and will continue to work on my recovery and will be back for the second implant. You should be getting some phone calls because I have recommended you guys to a couple of inquiring people. Have a good day! CE April 2015 Thank You. I am so grateful for all the care and help you gave me. I felt rested and cared for and everyone has such a wonderful personality. I hope the ECMA (TCI’s Seattle office) has great success and grows in leaps and bounds. Sincerely,SJE March 2015 “Happy to be alive and sober!” This was the text I received from my son this morning. We are praising God for leading us to The Coleman Institute. Obviously, his journey has just begun, but your program made the "start" a reality. He has had no drugs of any kind since Monday, the day if his detox. Yesterday was a little "odd", but he woke up this morning clear headed and ready to go to work. We are greatly encouraged. Tomorrow, he will be going to an orientation meeting at the rehab center in town. Please pass along our gratitude to Dr Coleman and all the staff that helped him. I know Jim (not his real name) will be giving his own thanks, as well. Blessings to you all.SB March 2015 I hope everyone at the Coleman Institute is doing well and continuing the success of the work that you all carry out. I just wanted to stop by and let you all know how great things have been going. This is Joe (not his real name). Since I left your clinic a little over a year and a couple of months ago, things have been steadily improving for me. I just wanted to let everyone know from Joan, Courtney, and most importantly, Dr Coleman. When I first spoke with Dr Coleman, one of the first things he said was "you don’t know ‘blank’ about this". I said, your right…I totally didn’t. All I knew was that I was in a world of turmoil with problems and financial crisis. I followed through and had several implants afterwards, and woke up one day and decided that that would be my last implant, and it was. Since then, I have not used, not even once, as I know that the process I received at Coleman was a once in a lifetime service. I have been going to meetings since then and reaching out to others and doing my part in aiding others, just like people did for me. I have regained stability, paid off legal fees, and gotten my life back 100%, and I am ever so thankful for the folks at Coleman for making this possible. Just wanted to check in and let the staff know how I am doing. Thanks.Joe January 2015 I spent a lot of the past week at Coleman with my son. After a back injury, poor surgery and a year wait for a second effective surgery, he became dependent on opiate painkillers and had a heck of a time the past few months. I was hesitant and had no idea what to expect. Did not really understand the difference between rehab and detox and was very doubtful that 5 days could really effect much change. From the minute we walked into your welcoming waiting room the Coleman Institute was really, really great. The program is so thorough, your staff explains the steps and options very well, and the treatment rooms are pleasant and welcoming for family. Most important your nursing and social work staff are uniformly well trained, pleasant and just really great. I loved how the nurses were so non- judgmental, respectful to the patient, kind, chatty and at the same time able to be direct and get history and detailed, sometimes painful, personal information. They knew just when to strike during a treatment day to ask questions. Several times my son told me that chatting with Joan or our other wonderful nurse (whose name I forgot) made him realize several things that have to change for him. Big stressors he didn’t even realize. The conversations made things clearer for him. How great is that! I would highly recommend Coleman to anyone looking to do medical detox. Thanks!NO January 2015 To: Nurse Shepherd and all staff, Thank you so much for your kindness and hospitality. Because of the wonderful work you do, you save lives – including mine and my friend's. From the fun with Giselle at the front desk, to every single attentive nurse and doctor, we offer our sincerest gratitude. Onward and Upward!AA & CC January 2015 Jennifer is awesome! Not sure what would have happened if she hadn’t have worked so closely with me to get me to Dr. Coleman. As a repeat client, I have trust in Dr. C. and his staff, and the detox process as well as their encouragement to move forward in the recovery process. MH January 2015 It was a great experience; the staff was very caring and attentive. I am feeling better than ever and have not craved alcohol since. The Naltrexone implant works and you don’t even realize it’s there. OL January 2015 Almost three years ago, your services were recommended to us and I am so glad we listened to them. We brought our son into your clinic and you literally saved his life. He was there for benzo (Xanax) detox and three years later he is still clean. The staff there were very professional and at the same time very caring and sweet. I have recommended your services to many I know that have struggles with addiction. My son became himself again and he has become quite the responsible adult that he longed to be. He has run a business for a family member’s company and is also working and continuing to go to school at night. My family could not thank Dr. Coleman and his wonderful staff enough for everything you all did to help my son and get him clean. We got our son back and he is doing wonderful now, so Thank You from the bottom of our heart and God Bless. You all are THE BEST! BR Back to Top December 2014 The Staff in Richmond was incredible and highly recommended. Joan is the best! Everyone was compassionate, caring, knowledgeable, friendly and accommodating. Amy Stewart was extremely helpful with everything leading up to day 1. She is an absolute asset to your company! No cravings, energy and mood improving and in counseling and doing great. Saved my life! Keep doing what you are doing…saving lives. Giving people second chances at life! Complete judgment free zone! HD December 2014 I’m well beyond being satisfied, I’m thrilled with the progress my son has made. His whole life has changed as a result of this treatment. This is an amazing program, truly amazing. The staff was incredible from start to finish, but it’s the results that matter. This was a miracle. I got my son back after 2 years of darkness. The results were more than I could have ever hoped for. After 6 weeks, as a result of the treatment and the Naltrexone implant, desire to use is very low. Positive results had such an impact, and with the implant, using was simply not an option. There are no side effects, and I’m getting more sleep. I can’t say enough about this program. It’s truly a miracle. I can feel things I haven’t felt in a couple years. It’s a wonderful feeling. I feel so indebted to the great staff IN San Francisco; they were so caring and friendly. Dr. Glatt was incredible, very focused and caring… easy to talk to. The results were nothing short of a miracle. WJ September 2014 Words cannot express our gratitude for this opportunity. You had faith in our recovery and by working with us in so many ways, you have put us on a path to sober living. In one weekend, you managed to save at least two lives! AC September 2014 Your detox program has been a blessing. My son has become a much better person in ways I cannot describe. Dr. Coleman and staff did an incredible job. I cannot thank you enough!!!! WH September 2014 After trying myself several times and unable to get through a few days, I was amazed how comfortable I was going through the detox process. All of the Dr.’s and staff were very friendly and understanding through the whole process. I honestly thought I would not be able to quit using and have been absolutely amazed in how easy it was at The Coleman Institute and am grateful that I was able to complete everything in Virginia. SR September 2014 This clinic saved my life! The staff, especially Dr. Keating, was compassionate, caring and very professional! They were not judgmental and were truly there to help me as a patient. DV - Atlanta Sep 2014 Dr. Coleman and his staff have done nothing short of save my life. I have struggled with alcohol for my entire adult life... He is by far the best doctor I’ve ever visited and the staff made me feel welcomed, comforted and unashamed for taking the giant leap forward towards living a healthy life. I, as well as my family, will always be grateful. Thank You! MB September 2014 Absolutely. I'm getting blown up by people at SMART Recovery meetings wanting more information on this. No one seems to know about it, and we need more exposure, but when they hear there is an option that isn't an opiate/opioid its self, ears perk up everywhere. I'm preaching your gospel. MS September 2014 I would recommend it because I feel it does really work, if you are truly ready to get off of drugs. BC August 2014 I have already told multiple people about The Coleman Institute. I felt like it was my only way out, but it required a lot of research for me to find this program. I want to let everyone I know, who is on methadone maintenance, about this program. I believe it is a light at the end of the tunnel that most of us felt was dark. This place changed my life and I'd like to spread the knowledge to any it could help. PE July 2014 We were very satisfied with your program. My daughter has been struggling with an opiate addiction and had been on Suboxone for 2.5 years. The Suboxone was impossible for her to quit. She tapered down to 1 mg and still could not make the jump. She suffered terribly with anxiety and depression due to the Suboxone. Suboxone was ruining her life and at 23 years old she just wanted to die. This detox program has given her back her life. CP July 2014 I will always have a special feeling for the staff in Richmond! While I'm sure that I was NOT pleasant to deal with, they really were! What you offer is unbelievable in its impact on the lives of people who are going through a nightmare. It, in my opinion, is pretty miraculous! I was trapped with no way out, but you all got me out!! LB July 2014 I was and still am very satisfied...because I felt as if you all cared....genuinely. I know if I hadn't received treatment, I'd be dead...no doubt……. My journey began in July ,2014 and with naltrexone implants, I'm feeling hopeful...and I'll continue treatment for at least another year....but probably, even longer, because I know that's what I must do. Failure isn't an option. I'm living again. BB June 2014 Greetings Dr. C, Hope you're enjoying the warm weather. I know I sure am. I wanted to give you an update on my progress. After 5 months, counting from January, 2014, I'm happy to tell you if I'm not 100% healed then I'm 99% healed. I feel terrific. Still working out, eating healthy and enjoying life. I no longer have that weird sensation of my facial skin crawling and haven't had it for a while now. I sleep well, my endorphin production is back and I feel better than I have in 20 years. This is not an embellishment whatsoever either. I'm actually in better shape than I was at 28 years old. Not only did I go through your program but I made a complete lifestyle change. I went from almost 230lbs to 164lbs getting all the fat off. Then, when I started to feel a little better added working out and cardio. I've since gained back to 185lbs and have stayed at that weight. All the pounds I added were muscle. I take Vitamin A, B-complex, C, D, E, zinc, a multi-vitamin, biotin and fish oil. I would highly recommend to anyone going through your program to start working out. Even if it's just walking around the block or riding a bike. Once I started physical activity daily I started to feel that much better quicker. Also I'm in the middle of opening up a restaurant. I thought about a franchise but have decided to go it my own. I'm up for the challenge. Thankfully I have experience. I also wanted to thank you and your staff for getting me through the toughest 45 days of my life. You always showed me kindness and concern and for that I will always be appreciative. It was very hard but I always held out hope that the next day would be easier and it was. I thought because of my MS that I would have this ball and chain around my neck for the rest of my life. And that wasn't a happy feeling whatsoever. If I had known how well this would work out I would have gone through it several years ago. Your service is worth a million dollars in my opinion. So here we are 5 months out and I'm loving life and all the things that come with it thanks to you. I'm more active than I've been since I can't remember when and excited for what the future holds for me and my family. So best wishes to you and your staff. The world needs more Doctor C's in it. You're the best. Sincerely,KN May 2014 Perfect combination of caring medical care and cost-effectiveness! I would not change a thing! MJ May 2014 Dr. Coleman is inspiring….what more can I say. Naltrexone is simply a godsend to any addict. We need that kind of long term help. HT May 2014 This was our last hope for my brother-in-law. His report with Dr. Coleman and the Naltrexone was essential to his continuation and sobriety. ML May 2014 I was a patient in 1999. I am aware of the kindness, compassion, non-judgment of Dr. Coleman. On this occasion, I required (again) treatment for opiate dependence; I wouldn't consider any other provider. I am delighted the practice has expanded to include two NP Providers… Joan & Courtney - both are top notch professionals. I am in the very best place to receive medical care & SA treatment. I have total confidence in the Practice. The detox nurse is wonderful as are all members of your team. The Detox is totally comfortable (I experienced “amnesia” on those three days + the two days following) The focus on total abstinence rather than harm reduction strategies. (My detox with another company in Florida, in 2005, involved Suboxone…16 mg/day for 30 days, then, I was sent home with a 30 day supply and told "find a provider to prescribe on a maintenance basis”). Right....No such luck… and this decision was made for me without asking what I wanted. I suffered horribly when that prescription ran out. I recommend the Implant (could be removed if emergency or a necessary surgery required). The injection, while more agreeable esthetically, does not offer that option. For impulsive individuals (like myself), this provides a form of insurance as I reestablish my sobriety and rebuild a full life and manifest the joy and peace every person deserves to experience. Life buffets us all; escape through substance use is an illusion and a potentially deadly choice. This implant is saving my life. I am so delighted to be a client of the Practice. I have the utmost confidence in the entire team. Joan & Courtney Rock!!!!! And, of course, Dr. C...thank you for your lifelong dedication to treating opiate dependence and your innovation in developing the AOD and Naltrexone implant. WC May 2014 If anyone I know ever struggles getting off of benzo's, this is the ONLY way I would tell them it is possible. I have tried many other ways and this worked wonders. JLM May 2014 Professional and knowledge staff. Did everything possible to keep my son comfortable. Sent us home with enough information to carry on treatment. Always available to answer questions. YP May 2014 Personal concern by staff and taking the extra time needed for counseling, listening to the patient's concerns were upper most important and dealt with in an honest and empathetic manner. SN May 2014 After finally making the decision to go through your program, it has proven to be one of the best decisions of my life. Every fear I had or could imagine...your team made them all go away! You made it possible for me to get my life back, both physically and mentally! My family and I will be forever grateful to each of those there who cared. LS May 2014 I would like this to be posted on the Coleman Institute website to be shared; I want to thank Dr. Rosenfield and the staff in Seattle for giving me my life back. I felt lost and now I am found. I was losing hope that I would never be able to achieve sobriety from Valium, but I can happily say I have reached my goal. Dr. Rosenfield made the impossible possible and I cannot thank him enough. If anyone reading this is struggling like I did to withdraw from benzo’s, the money spent is worth every penny. I am me again. I can do things that I thought were forever lost, things I love. It is hard work, but very worth it and any nervousness I had was dissipated the first time I met with the staff. Thank you for changing my life!LM April 2014 My apologies for not writing you earlier ~ thank-you so much, Dr. Glatt and your wonderful staff for the great treatment for my son. You, Dr. Glatt, and everyone on your staff was wonderful to work with and so kind and patient. That was a very difficult time for us and my son was a difficult patient. I'm happy to report that he is doing well, staying clean, and will hopefully be headed to work on a fishing tender(boat) in a few weeks. KH April 2014 Dear Dr. Coleman: Thank you for giving me back my life. I had suffered for years under the dependency of drugs, specifically Ativan. Your detox program made me free in one week. I am ecstatic with my drug free life. My energy level has increased dramatically. I am so happy and it was very easy. I was so afraid, but the non addictive meds you gave me helped make it all possible. Thank you so much for my new life.Mary April 2014 Dear Dr. Rosenfield and Staff: Thank you all for having made my recovery possible. I honestly could never have achieved that all important goal of mine alone. You were all so very kind to me and patient with me. I will never forget that. I am a new person now and everyone sees it. That is not to say that my like is walked down the primrose path, but I am finally starting to live rather than just surviving. I can now participate in things which I had thought were lost to me forever. I am also grateful for your help and care! EW April 2014 The Coleman Institute and your detox procedure has been a blessing for my son and for our family. The staff members and Doctor Coleman are the absolutely best professional medical team our family has ever worked with. Sincere, kind and very knowledgeable with regards to the addiction issue that plagued our family. Thank all of you so very much for helping our son regain his life and happiness; we can certainly tell from working with each and every one of you that this is not just a job for each of you; it's a mission, because we felt the love in your heart for us. KG April 2014 I went through your detox program twice with the implant. I failed miserably at my first try at your program after a few months (my fault). The second time, I tried your program, and as a fool, I tried to relapse during 4-5day detox but didn't only because was taken from me. A true junkie refuses to let go of his bag but I did that night. You upped my detox a day early and put the implant in me. I felt horrible for months (no sleep) but I followed up for a year with it. I want to say it was end of 2008, possibly 2007. My life was such a fog, I can't even remember. Since that last detox with you, I have remained clean and have no desire or thoughts to ever want to again after 10 years of misery. Your program played a big part in my recovery, but your honesty and kind straight forwardness made things sink in my head that it was time to hang it up after countless cheats with death. You can't remember every patient that comes through, but I never got to say thank you for giving me my life back. It is greatly appreciated more than you will ever know.... GB April 2014 Thx Courtney for checking in, my son is doing great!!! I removed his stitches last night, he left his girlfriend, who also had a substance abuse problem, and he moved in with me for now. He has a very clear head. Thank you all so much for giving my son back to me, I missed him so much! I will be sending some pictures for you to share! Coleman group rocks!!!! PS: We are back at the gym! April 2014 Dear Coleman Institute Staff, My husband and I were at Coleman Institute with our son. I wanted to let you know what a wonderful experience the entire process was. I didn’t know what to expect when I got there, but everything was above and beyond my expectations. In all my years seeing different medical professionals in many different offices, yours was the most impressive I have ever been to. Your facility atmosphere was warm, clean and comfortable, the staff friendly, helpful and caring and the entire process ran smoothly right down to the last detail. I was very impressed with how knowledgeable and well-spoken both Courtney and Joan were. Jen was there every step of the way, answering all of our questions and made us feel right at home. There was also another nurse, Trupti; she was the first face we saw upon arrival and was also very kind and gentle to our son. Then, there was Chris, who was very easy to talk to and get to know, his friendly face, helpful suggestions and encouragement will always be remembered. Even though we didn’t spend much time with Dr. Coleman, it was a pleasure to meet him and talk with him on our last day. We didn’t have the chance to meet Jennifer Pius while we were there, but have spoken and emailed her before and after our visit, and she has been a wonderful help throughout the process. You are an amazing team of people who work together flawlessly, and I hope at the end of every day you feel good about the work you are all doing. It’s been one month and our son is doing great. He’s seeing clearly for the first time in a long time, and it’s been wonderful to see all the changes in him over these four weeks. I can’t tell you how much we appreciate having our son back again. I feel like he has been given another chance in life, that he couldn’t have gotten anywhere else. Thank you all for everything you do; for your compassion, your knowledge, and for putting together this amazing program. I hope that you continue to have success in bringing this program into other states across the country in order to reach out to as many people as you can!LA February 2014 The entire staff was kind and understanding. Every question I had was answered honestly and completely. Great care was given to ensure I was kept comfortable. The staff's kindness was shown to my family as well. Having a private room for me where my family could be by my side the entire time meant a lot. Excellent and professional care was given, yet it was a relaxing atmosphere. The entire experience, from the first phone call with my 1,000 questions thru the entire treatment was excellent. The chip (implant) worked exactly as it was explained to me. I have no cravings! I am 3 months clean! I am back to enjoying life instead of being ruled by an addiction. One of the best decisions I have ever made! You will not regret it! It will be the best decision you ever make! This treatment really does work! Even though it was scary at first, you will be treated with respect, kindness by caring and professional team! Everything went a lot better than I had imagined. There was prompt care given to keep me comfortable. I would, have and do recommend this treatment to anyone that is even thinking about it because of the one simple fact that IT REALLY DOES WORK! Again, I say, after finally making the decision to go through your program has proven to be one of the best decisions of my life. Every fear I had or could imagine...your team made them all go away! You made it possible for me to get my life back, both physically and mentally! My family and I will be forever grateful to each of those there who cared. SLA February 2014 Dear Coleman Family: I am just writing this yearly thank you note because, honestly, I cannot give you enough thanks for “saving me”. I know that the best doctors and staff like you all are not easy to find. You were all so amazing with extreme kindness and patience in dealing with me as I was getting clean. I know I was tough at times, but I owe you all by becoming a successful Addiction MD, so I can be helping others as you helped me. As you know, my overall health is fantastic and I am 7 years clean! Thanks for inspiring me! January 2014 To Joan It’s good to know warm, considerate people who try to help others in all that they do…people whose lives show the meaning of God’s love. It is good to know a person like you. This card says it all. I am blessed to have met you and thank your for too many things to name. With warm wishes and enormous respect. MK January 2014 To Dr. Coleman, Joan, Courtney, Jenn and Natalie: Thank you so much for your kindness shown to us while we were at your office. Thanks Jenn so much for your jumper cables….you are the greatest! We will never forget you! RJ Back to Top[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] ### Media #### (No Title) URL: https://www.thecolemaninstitute.com/tci-blog/how-to-use-willpower-to-stop-using-fentanyl-psych/attachment/fogg-behavior-model/ #### 10 Best Songs for Addiction Recovery Motivation Blog Image URL: https://www.thecolemaninstitute.com/tci-blog/what-is-the-difference-between-addiction-and-dependence/attachment/10-best-songs-for-addiction-recovery-motivation-blog-image/ #### 2 URL: https://www.thecolemaninstitute.com/attachment/2-2/ #### 2 URL: https://www.thecolemaninstitute.com/attachment/2-3/ #### 3-Addiction-Treatments-to-Turn-Your-Life-Around URL: https://www.thecolemaninstitute.com/tci-blog/that-street-pill-might-be-fentanyl/attachment/3-addiction-treatments-to-turn-your-life-around/ #### 3-Important-Differences-Between-Suboxone-and-Naltrexone-Therapy-for-People-Addicted-to-Opioids URL: 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Clinic nurse, trust and surgeon welcome, thank you or hand shake for client URL: https://www.thecolemaninstitute.com/detox-programs/attachment/doctor-patient-and-people-shaking-hands-smile-and-hospital-checkup-with-healthy-diagnosis-healthcare-results-or-support-clinic-nurse-trust-and-surgeon-welcome-thank-you-or-hand-shake-for-client/ #### dr banimahd URL: https://www.thecolemaninstitute.com/dr-banimahd-2/ #### dr banimahd URL: https://www.thecolemaninstitute.com/dr-banimahd/ #### dr blog post URL: https://www.thecolemaninstitute.com/tci-blog/183-roxicodone-detox-treatment/attachment/attachment-dr_blog_post/ #### dr frederick in austin URL: https://www.thecolemaninstitute.com/dr-frederick-in-austin/ #### dr glatt URL: https://www.thecolemaninstitute.com/dr-glatt-2/ #### dr glatt URL: https://www.thecolemaninstitute.com/dr-glatt/ #### Dr holding patients hand URL: https://www.thecolemaninstitute.com/tci-blog/349-how-pain-perpetuates-addiction/attachment/attachment-dr_holding_patients_hand/ #### dr hossain in tampa URL: https://www.thecolemaninstitute.com/attachment-dr-hossain-in-tampa/ #### dr hossain in tampa URL: https://www.thecolemaninstitute.com/dr-hossain-in-tampa/ #### dr keating URL: https://www.thecolemaninstitute.com/attachment-dr-keating/ #### dr keating URL: https://www.thecolemaninstitute.com/dr-keating/ #### dr klim pr URL: https://www.thecolemaninstitute.com/attachment-dr-klim-pr/ #### dr mendrey URL: https://www.thecolemaninstitute.com/dr-mendrey-2/ #### dr mendrey URL: https://www.thecolemaninstitute.com/dr-mendrey/ #### dr moore URL: https://www.thecolemaninstitute.com/dr-moore/ #### DR SIMON URL: https://www.thecolemaninstitute.com/dr_simon_still_for_web/ #### dr sloan in phoenix URL: https://www.thecolemaninstitute.com/dr-sloan-in-phoenix/ #### dr-banimahd URL: https://www.thecolemaninstitute.com/attachment-dr-banimahd/ #### dr-frederick-in-austin URL: https://www.thecolemaninstitute.com/dr-frederick-in-austin-2/ #### dr-hossain-in-tampa URL: https://www.thecolemaninstitute.com/dr-hossain-in-tampa-2/ #### dr-keating URL: https://www.thecolemaninstitute.com/dr-keating-2/ #### dr-moore URL: https://www.thecolemaninstitute.com/dr-moore-2/ #### dr-sloan-in-phoenix URL: https://www.thecolemaninstitute.com/dr-sloan-in-phoenix-2/ #### Dr. Coleman & Dr. B Talk Naltrexone vs Suboxone - Part 2 URL: https://www.thecolemaninstitute.com/tci-blog/dr-coleman-dr-b-talk-naltrexone-vs-suboxone-part-2/attachment/dr-coleman-dr-b-talk-naltrexone-vs-suboxone-part-2/ #### Dr. Coleman Explains Alcohol Detox Using the Coleman Method URL: https://www.thecolemaninstitute.com/screen-shot-2020-10-21-at-3-33-52-pm/ #### dr. klim URL: https://www.thecolemaninstitute.com/dr-_klim_small/ #### Dr. Locketz URL: https://www.thecolemaninstitute.com/attachment-dr-locketz/ #### Dr. Moore URL: https://www.thecolemaninstitute.com/attachment-dr-moore/ #### Dr. Peter Coleman URL: https://www.thecolemaninstitute.com/attachment-dr-peter-coleman/ #### Dr. Peter Coleman, founder of the Coleman Institute and creator of The Coleman Method Dr. Peter Coleman, founder of the Coleman Institute and creator of The Coleman Method. #### Dr. Reich URL: https://www.thecolemaninstitute.com/dr-reich/ #### DrColeman URL: https://www.thecolemaninstitute.com/recovery/attachment/drcoleman/ #### drink-girl-glass-hands-576831 URL: https://www.thecolemaninstitute.com/tci-blog/how-can-i-get-off-these-bloody-pain-medications/attachment/drink-girl-glass-hands-576831/ #### Drugs Have Made My Life Bearable? URL: https://www.thecolemaninstitute.com/drugs-have-made-my-life-bearable/ #### Emilie Wyszynski URL: https://www.thecolemaninstitute.com/about/our-staff/attachment/emilie-wyszynski/ #### Energy Blog Picture URL: https://www.thecolemaninstitute.com/tci-blog/377-energy-after-heroin-detox-and-then-some/attachment/attachment-energy-blog-picture/ #### EnergyAfterMethadone URL: https://www.thecolemaninstitute.com/tci-blog/getting-energy-back-after-ending-methadone-use/attachment/energyaftermethadone/ #### Erin Ritter URL: https://www.thecolemaninstitute.com/about/our-staff/attachment/img-1218/ #### Eve’s Story of Pain Medication Dependence Following an accident at work, Eve was prescribed Percocet. This prescription eventually led to a dependency on opioids. In this story, you will learn about her recovery. #### Exercise for Recovery URL: https://www.thecolemaninstitute.com/tci-blog/exercise-addiction-recovery/attachment/excercise-for-recovery/ #### fab-lentz-303545-unsplash URL: https://www.thecolemaninstitute.com/tci-blog/hopeless-to-hopeful-two-guys-and-a-year-of-sobriety/attachment/fab-lentz-303545-unsplash/ #### Family at the beach URL: https://www.thecolemaninstitute.com/tci-blog/addiction-kills-connections/attachment/beautiful-family-at-the-beach/ #### Family Education URL: https://www.thecolemaninstitute.com/attachment-family-education/ #### Family Walking in Field URL: https://www.thecolemaninstitute.com/tci-blog/395-anesthesia-detox-yesterday-s-treatment/attachment/attachment-family_walking_in_field/ #### faq header URL: https://www.thecolemaninstitute.com/about-addiction/faqs/attachment/faqhdr/ #### father with two kids URL: https://www.thecolemaninstitute.com/tci-blog/250-medically-assisted-treatment-for-buprenorphine-use/attachment/attachment-father_with_two_kids/ #### father-1004022_640 URL: https://www.thecolemaninstitute.com/tci-blog/do-this-one-thing-to-stay-off-opioids-forever/attachment/father-1004022_640/ #### favicon URL: https://www.thecolemaninstitute.com/favicon/ #### female-865110_640 URL: https://www.thecolemaninstitute.com/tci-blog/great-reasons-to-keep-using-opioids/attachment/female-865110_640/ #### FENTANYL URL: https://www.thecolemaninstitute.com/attachment-fentanyl/ #### Fentanyl Detox URL: https://www.thecolemaninstitute.com/treatment-options/fentanyl-detox/attachment/untitled-design-4/ #### Fentanyl Withdrawals URL: https://www.thecolemaninstitute.com/attachment/woman-suffering-from-strong-abdominal-pain-2023-03-10-21-32-34-utc-fotor-20231009121459/ #### Fentanyl_MultipleDevicesV2B URL: https://www.thecolemaninstitute.com/fentanyl_multipledevicesv1/ #### FentanylDeviceModuleV3 URL: https://www.thecolemaninstitute.com/fentanyldevicemodulev2/ #### financing header URL: https://www.thecolemaninstitute.com/about/attachment/financinghdr-2/ #### Finding Courage for Recovery During COVID URL: https://www.thecolemaninstitute.com/finding-courage-for-recovery-during-covid/ #### Finding Help to Detox Off Heroin URL: https://www.thecolemaninstitute.com/tci-blog/part-5-what-feels-better-than-heroin/attachment/part-5-what-feels-better-than-heroin_/ #### Finding Help to Detox Off Heroin URL: https://www.thecolemaninstitute.com/attachment/untitled-design-9-1/ #### Five Facts About Kratom and Opioid Withdrawal Five Facts About Kratom and Opioid Withdrawal #### Five-Facts-About-Roxicodone- URL: https://www.thecolemaninstitute.com/tci-blog-facts-about-roxicodone/attachment/five-facts-about-roxicodone/ #### Flumazenil for Benzo Withdrawals URL: https://www.thecolemaninstitute.com/attachment/1/ #### Flumazenil for Benzo Withdrawals URL: https://www.thecolemaninstitute.com/attachment/close-up-of-doctor-or-nurse-consulting-patient-in-hospital/ #### Flumazenil-assisted detox URL: https://www.thecolemaninstitute.com/attachment/2/ #### Former-Pain-Patient-Asks-What-If-I-Never-Stopped URL: https://www.thecolemaninstitute.com/tci-blog/what-if-i-never-stopped/attachment/happy-sportive-senior-man-in-tracksuit-standing-in-2022-03-08-01-23-58-utc/ #### fourth-of-july-3498600_640 URL: https://www.thecolemaninstitute.com/tci-blog/you-can-end-your-fentanyl-addiction-over-this-4th-of-july-holiday/attachment/fourth-of-july-3498600_640/ #### FreakinFentanyl URL: https://www.thecolemaninstitute.com/tci-blog/freakin-fentanyl/attachment/pic1-2/ #### gene URL: https://www.thecolemaninstitute.com/gene_500sq_v2/ #### get clean header URL: https://www.thecolemaninstitute.com/tci-freedom-plus/get-clean/attachment/getcleanhdr/ #### get help header URL: https://www.thecolemaninstitute.com/tci-freedom-plus/get-help/attachment/gethelphdr/ #### GetCleanorScrewIt URL: https://www.thecolemaninstitute.com/tci-blog/get-clean-screw-it/attachment/getcleanorscrewit/ #### GiftOf-Detox URL: https://www.thecolemaninstitute.com/tci-blog/the-gift-of-detox/attachment/giftof-detox/ #### Girl at a crossroads URL: https://www.thecolemaninstitute.com/tci-blog/you-have-the-choice-to-continue-using-heroin/attachment/girl-2573111_640/ #### Girl Thinking URL: https://www.thecolemaninstitute.com/tci-blog/302-rapid-opiate-detox-accelerated-opiate-detox-and-ultra-rapid-detox/attachment/attachment-girl_thinking/ #### Girl Thinking in front of Sunrise URL: https://www.thecolemaninstitute.com/tci-blog/388-top-five-reasons-our-patients-choose-opioid-detox-at-the-coleman-institute/attachment/attachment-girl_thinking_infront_of_sunrise/ #### Green meadow with grass and trees Green meadow with grass and trees to demonstrate the easy and comfortable way to detox: The Coleman Method #### Green meadow with grass and trees at sunset Green meadow with grass and trees at sunset to demonstrate the easy and comfortable way to detox: The Coleman Method #### Grey heron overlooking the water in Seattle Grey heron overlooking the water in Seattle to demonstrate the easy and comfortable way to detox: The Coleman Method #### Grief-and-the-Genetic-Component-of-Addiction- URL: https://www.thecolemaninstitute.com/tci-blog/5-scary-things-people-with-substance-use-disorder-believe/attachment/grief-and-the-genetic-component-of-addiction/ #### group-of-people-enjoying-music-concert-325521 URL: https://www.thecolemaninstitute.com/tci-blog/millennial-sobriety/attachment/group-of-people-enjoying-music-concert-325521/ #### guy-2617866_640 URL: https://www.thecolemaninstitute.com/tci-blog/what-to-know-about-boosting-energy-after-stopping-opioid-medication/attachment/guy-2617866_640/ #### hamburger-blue URL: https://www.thecolemaninstitute.com/hamburger-blue/ #### Hannah Hopkins URL: https://www.thecolemaninstitute.com/about/our-staff/attachment/hannah-hopkins/ #### Happy Family URL: https://www.thecolemaninstitute.com/tci-blog/336-detox-with-compassion-and-competence-fentanyl-heroin-and-methadone/attachment/attachment-happy_family/ #### happy holidays URL: https://www.thecolemaninstitute.com/tci-blog/94-season-s-greetings/attachment/attachment-happy_holidays/ #### happy-couple-on-a-walk-2022-12-16-22-18-12-utc.jpg URL: https://www.thecolemaninstitute.com/attachment/happy-couple-on-a-walk-2022-12-16-22-18-12-utc-jpg/ #### Haylee Hartzog URL: https://www.thecolemaninstitute.com/about/our-staff/attachment/haylee-hartzog/ #### headshot dr. moore URL: https://www.thecolemaninstitute.com/attachment-headshot-dr-moore-302-x-219/ #### Heroin Addiction URL: https://www.thecolemaninstitute.com/tci-blog/93-heroin-and-other-opiates-are-very-powerful-emotional-pain-killers/attachment/sad-unhappy-man-holding-his-forehead/ #### Heroin_MultipleDevicesV2 URL: https://www.thecolemaninstitute.com/heroin_multipledevicesv1/ #### HeroinDeviceModuleV3 URL: https://www.thecolemaninstitute.com/heroindevicemodulev2/ #### Holidays-and-Sobriety URL: https://www.thecolemaninstitute.com/attachment/holiday-gathering/ #### hospice-1793998_640 URL: https://www.thecolemaninstitute.com/tci-blog/hospice-care-and-an-addiction-treatment-clinic/attachment/hospice-1793998_640/ #### How Can Naltrexone Make Life Better in a Pandemic_ URL: https://www.thecolemaninstitute.com/tci-blog/can-naltrexone-make-life-better-in-a-pandemic/attachment/how-can-naltrexone-make-life-better-in-a-pandemic_/ #### How Do I Know It's Safe to Stop Drinking Alcohol-80 URL: https://www.thecolemaninstitute.com/how-do-i-know-its-safe-to-stop-drinking-alcohol-80/ #### How Long Do Opioids Stay In Your System? How Long Do Opioids Stay In Your System? #### How Long Does Alcohol Stay In Your System? How Long Does Alcohol Stay In Your System? #### How Long Does Opioid Withdrawal Last? How Long Does Opioid Withdrawal Last? #### How To Get Fentanyl Out of Your System and Get Your Life Back How To Get Fentanyl Out of Your System and Get Your Life Back #### How to Stay Off Alcohol Forever URL: https://www.thecolemaninstitute.com/how-to-stay-off-alcohol-forever/ #### How to Stop Drinking Alcohol: A Step-By-Step Guide How to Stop Drinking Alcohol: A Step-By-Step Guide #### how-to-safely-stop-drinking-in-2023 URL: https://www.thecolemaninstitute.com/tci-blog/how-to-stop-drinking-in-2023/attachment/how-to-safely-stop-drinking-in-2023/ #### HowthehelldoIstaysobernow URL: https://www.thecolemaninstitute.com/tci-blog/how-the-hell-do-i-stay-sober-now/attachment/howthehelldoistaysobernow/ #### Humana Logo URL: https://www.thecolemaninstitute.com/humana-logo/ #### iarp URL: https://www.thecolemaninstitute.com/iarp/ #### icon-play URL: https://www.thecolemaninstitute.com/icon-play/ #### Important Qualities Your Opioid Detox Facility URL: https://www.thecolemaninstitute.com/tci-blog/394-the-most-important-qualities-your-opioid-detox-facility-should-provide/attachment/attachment-important_qualities_your_opioid_detox_facility/ #### ind room photo URL: https://www.thecolemaninstitute.com/ind_room_photo/ #### ind room photo URL: https://www.thecolemaninstitute.com/attachment-ind-room-photo/ #### Is Heroin a Stimulant or a Depressant? Is Heroin a Stimulant or a Depressant? #### Is Kratom Addictive URL: https://www.thecolemaninstitute.com/tci-blog/grief-and-the-genetic-component-of-addiction/attachment/is-kratom-addictive/ #### Is Rapid Opioid Detox Really Too Good To Be True? URL: https://www.thecolemaninstitute.com/tci-blog/is-rapid-opioid-detox-too-good-to-be-true/attachment/adult-1807500_640/ #### Is-Recovery-Possible-For-Fentanyl-Addiction URL: https://www.thecolemaninstitute.com/attachment/is-recovery-possible-for-fentanyl-addiction/ #### iso-blog URL: https://www.thecolemaninstitute.com/attachment/iso-blog/ #### iso-recovery URL: https://www.thecolemaninstitute.com/tci-blog/isotonitazene-iso-accelerated-outpatient-opioid-detox/attachment/iso-recovery/ #### Isolation and Relapse URL: https://www.thecolemaninstitute.com/tci-blog/a-sobering-experience/attachment/isolation-and-relapse/ #### Isolation of Addiction URL: https://www.thecolemaninstitute.com/tci-blog/368-the-painful-isolation-of-addiction/attachment/attachment-isolation_of_addiction/ #### iStock_000050027824_medium-1080x675-opt URL: https://www.thecolemaninstitute.com/tci-blog/93-heroin-and-other-opiates-are-very-powerful-emotional-pain-killers/attachment/istock_000050027824_medium-1080x675-opt/ #### Jelisa Clanton URL: https://www.thecolemaninstitute.com/jelisaclanton/ #### Jennifer URL: https://www.thecolemaninstitute.com/jennifer_500sq/ #### Jennifer Gearhart URL: https://www.thecolemaninstitute.com/wellesley/attachment/jennifer-gearhart-2/ #### Jennifer Gearhart URL: https://www.thecolemaninstitute.com/about/our-staff/attachment/jennifer-gearhart/ #### Jennifer Pius URL: https://www.thecolemaninstitute.com/attachment-jennifer-pius/ #### joan URL: https://www.thecolemaninstitute.com/joan_500sq/ #### Johnnelle Taliaferro URL: https://www.thecolemaninstitute.com/about/our-staff/attachment/johnnelle-taliaferro/ #### Joseph Crowley URL: https://www.thecolemaninstitute.com/about/our-staff/attachment/joseph-crowley/ #### Juana Roman URL: https://www.thecolemaninstitute.com/wellesley/attachment/juana-roman/ #### Juana Roman Certified Medical Assistant Wellesley MA URL: https://www.thecolemaninstitute.com/about/our-staff/attachment/juana-roman-certified-medical-assistant-wellesley-ma/ #### Judi Schmidt URL: https://www.thecolemaninstitute.com/about/our-staff/attachment/judi-schmidt/ #### Judith Schmidt URL: https://www.thecolemaninstitute.com/about/our-staff/attachment/judith-schmidt/ #### Kava vs. Kratom: Are They Addictive? URL: https://www.thecolemaninstitute.com/kava-vs-kratom/attachment/kava-the-word-or-concept-represented-by-wooden-letter-tiles/ #### Kelsey Markel URL: https://www.thecolemaninstitute.com/about/our-staff/attachment/k-markel-photo/ #### Kendall Miller URL: https://www.thecolemaninstitute.com/kendall_miller-200x200/ #### Kim Perry URL: https://www.thecolemaninstitute.com/about/our-staff/attachment/kim-perry/ #### Kimberly Perry URL: https://www.thecolemaninstitute.com/locations/richmond-virginia/attachment/kimberly-perry/ #### kimperry URL: https://www.thecolemaninstitute.com/about/our-staff/attachment/2-5/ #### Kirby Gundlach URL: https://www.thecolemaninstitute.com/about/our-staff/attachment/kirby-gundlach/ #### Kratom URL: https://www.thecolemaninstitute.com/attachment/kratom-blog/ #### Kratom 7-OH Leaves URL: https://www.thecolemaninstitute.com/treatment-options/kratom-detox/attachment/1-3/ #### Kratom Detox URL: https://www.thecolemaninstitute.com/treatment-options/kratom-detox/attachment/untitled-design/ #### Kratom Leaves URL: https://www.thecolemaninstitute.com/tci-blog/7-hydroxymitragynine-withdrawals-outpatient-kratom-detox/attachment/kratomleaves/ #### Kratom Pseudoindoxyl URL: https://www.thecolemaninstitute.com/treatment-options/kratom-detox/attachment/2-6/ #### Kratom Pseudoindoxyl URL: https://www.thecolemaninstitute.com/attachment/screenshot-2025-09-26-125722/ #### Kratom Use Disorder URL: https://www.thecolemaninstitute.com/tci-blog/pseudoindoxyl-pseudo-withdrawal-outpatient-kratom-detox/attachment/kratom-use-disorder/ #### Kratom Use Disorder URL: https://www.thecolemaninstitute.com/tci-blog/pseudoindoxyl-pseudo-withdrawal-outpatient-kratom-detox/attachment/kratom-use-disorder-2/ #### kratomusedisorder URL: https://www.thecolemaninstitute.com/attachment/kratomusedisorder/ #### kratomusedisorder URL: https://www.thecolemaninstitute.com/tci-blog/7-hydroxymitragynine-withdrawals-outpatient-kratom-detox/attachment/kratomusedisorder-2/ #### Kristal Bacchus URL: https://www.thecolemaninstitute.com/about/our-staff/attachment/kristal-bacchus/ #### Kristy Coleman URL: https://www.thecolemaninstitute.com/about/our-staff/attachment/kristy-coleman/ #### LaTonya Patron URL: https://www.thecolemaninstitute.com/about/our-staff/attachment/latonya-patron/ #### Lauren Davis URL: https://www.thecolemaninstitute.com/wellesley/attachment/lauren-davis/ #### Lauren Davis NP Wellesley MA URL: https://www.thecolemaninstitute.com/about/our-staff/attachment/lauren-davis-np-wellesley-ma/ #### LaurenDebski URL: https://www.thecolemaninstitute.com/about/our-staff/attachment/laurendebski/ #### leisure-1551705_640 URL: https://www.thecolemaninstitute.com/tci-blog/the-opposite-of-addiction-is-connection/attachment/leisure-1551705-640/ #### Leslie URL: https://www.thecolemaninstitute.com/leslie_updated_background/ #### Life-After-Quitting-Suboxone URL: https://www.thecolemaninstitute.com/life-after-quitting-suboxone/ #### Light blue ocean water on a beach Light blue ocean water on a beach to demonstrate the easy and comfortable way to detox: The Coleman Method #### Lizard-in-my-pocket URL: https://www.thecolemaninstitute.com/attachment/man-with-anxiety/ #### LOCKETZ URL: https://www.thecolemaninstitute.com/attachment-locketz-still-1-resized/ #### logo URL: https://www.thecolemaninstitute.com/logo/ #### logo-tall URL: https://www.thecolemaninstitute.com/logo-tall/ #### logo-tci URL: https://www.thecolemaninstitute.com/logo-tci/ #### logo-vaap URL: https://www.thecolemaninstitute.com/logo-vaap/ #### Long Term Opioid Use Can Make Pain Worse URL: https://www.thecolemaninstitute.com/long-term-opioid-use-can-make-pain-worse/ #### Long Term Opioid Use Can Make Pain Worse URL: https://www.thecolemaninstitute.com/long-term-opioid-use-can-make-pain-worse-2/ #### Long-Acting Suboxone Injection URL: 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Learn how the holidays are a perfect time for outpatient detox with the Coleman Institute. #### stethoscope and patient form URL: https://www.thecolemaninstitute.com/tci-blog/303-how-did-we-get-here/attachment/attachment-stethoscope-and-patient-form-istock-827429678-800px/ #### StillDrinkingGetSupport URL: https://www.thecolemaninstitute.com/tci-blog/still-drinking-get-support/attachment/stilldrinkinggetsupport/ #### stimulant-adderall-system URL: https://www.thecolemaninstitute.com/attachment/stimulant-adderall-system/ #### storm URL: https://www.thecolemaninstitute.com/tci-blog/248-how-much-pain-does-it-take-before-someone-stops/attachment/attachment-storm/ #### Suboxone Detox URL: https://www.thecolemaninstitute.com/treatment-options/suboxone-detox/attachment/tci-suboxone-detox/ #### suboxone header URL: https://www.thecolemaninstitute.com/suboxonehdr-2/ #### suboxone header URL: https://www.thecolemaninstitute.com/suboxonehdr/ #### Suboxone Opioid Detox-2 New Suboxone Limits for Physicians #### Suboxone Withdrawal URL: https://www.thecolemaninstitute.com/attachment/featuredimages/ #### Suboxone_MultipleDevicesV2 URL: https://www.thecolemaninstitute.com/suboxone_multipledevicesv1/ #### suboxone-detox-tci URL: https://www.thecolemaninstitute.com/treatment-options/suboxone-detox/attachment/suboxone-detox-tci/ #### SuboxoneDeviceModuleV3 URL: https://www.thecolemaninstitute.com/suboxonedevicemodulev3/ #### Superman URL: https://www.thecolemaninstitute.com/tci-blog/alcohol-supermans-kryptonite/attachment/superman/ #### Support Person URL: https://www.thecolemaninstitute.com/attachment-support-person/ #### Swainery Still Shot URL: https://www.thecolemaninstitute.com/schedule-a-call-back-thank-you/attachment/swainery-still-shot/ #### Swainey Circle Headshot URL: https://www.thecolemaninstitute.com/swaineycircleheadshot/ #### Syringe and white powder substance Syringe and white powder substance called fentanyl. It’s largely considered the worst of the worst of addictive opioids that are part of a crisis that’s killing Americans nationwide. #### Taking-the-First-Step-in-Your-Recovery-Journey URL: https://www.thecolemaninstitute.com/recovery/attachment/dr-peter-coleman/ #### Taking-the-First-Step-in-Your-Recovery-Journey URL: https://www.thecolemaninstitute.com/attachment/untitled-design-19-1/ #### tampa URL: https://www.thecolemaninstitute.com/tampahdr-2/ #### Tampa Florida URL: https://www.thecolemaninstitute.com/locations/tampa-florida/attachment/tampa-florida/ #### tampa header URL: https://www.thecolemaninstitute.com/tampahdr/ #### tampafl-tcioffice URL: https://www.thecolemaninstitute.com/locations/tampa-florida/attachment/tampafl-tcioffice/ #### TCI Alcohol Guide URL: https://www.thecolemaninstitute.com/tci-alcohol-guide/ #### TCI Blog URL: https://www.thecolemaninstitute.com/tci-blog/attachment/tci-blog-2/ #### TCI Covid Badge URL: 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https://www.thecolemaninstitute.com/tci-blog/dr-coleman-dr-b-talk-naltrexone-vs-suboxone-part-7/attachment/tci_2-reasons-to-be-on-suboxone-buprenorphine_tw/ #### TCI_Accelerated Opioid Detox (1) URL: https://www.thecolemaninstitute.com/tci-blog/accelerated-opioid-detox-explained/attachment/tci_accelerated-opioid-detox-1/ #### TCI_Accelerated Opioid Detox_Facebook (1) URL: https://www.thecolemaninstitute.com/tci-blog/accelerated-opioid-detox-explained/attachment/tci_accelerated-opioid-detox_facebook-1/ #### TCI_Accelerated Opioid Detox_Twitter (1) URL: https://www.thecolemaninstitute.com/tci-blog/accelerated-opioid-detox-explained/attachment/tci_accelerated-opioid-detox_twitter-1/ #### TCI_AlcoholDetoxGuide_2020 URL: https://www.thecolemaninstitute.com/tci-alcoholdetoxguide-2020/ #### TCI_AlcoholDetoxGuide_V4 URL: https://www.thecolemaninstitute.com/tci_alcoholdetoxguide_v3/ #### tci_ask_for_help URL: https://www.thecolemaninstitute.com/tci_ask_for_help/ #### TCI_Bipolar Disorder and 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https://www.thecolemaninstitute.com/tci-blog/dealing-with-addiction-on-the-job-part-1/attachment/tci_dealing-with-addiction-part-1-1/ #### TCI_Dealing with Addiction Part 2 URL: https://www.thecolemaninstitute.com/tci-blog/tough-as-nails-podcast-dealing-with-addiction-on-the-job-part-2/attachment/tci_dealing-with-addiction-part-2/ #### TCI_Dealing with Addiction Part 2 (1) (1) URL: https://www.thecolemaninstitute.com/tci-blog/tough-as-nails-podcast-dealing-with-addiction-on-the-job-part-2/attachment/tci_dealing-with-addiction-part-2-1-1/ #### TCI_Detoxing off Opioids_FB URL: https://www.thecolemaninstitute.com/tci-blog/what-to-do-if-your-doctor-is-refusing-to-prescribe-opioids-pain-medications/attachment/tci_detoxing-off-opioids_fb/ #### TCI_Detoxing off Opioids_TW URL: https://www.thecolemaninstitute.com/tci-blog/what-to-do-if-your-doctor-is-refusing-to-prescribe-opioids-pain-medications/attachment/tci_detoxing-off-opioids_tw/ #### TCI_Dr B interviews Dr Coleman about the Coleman (1) URL: https://www.thecolemaninstitute.com/tci-blog/how-to-detox-off-heroin-what-it-takes-getting-help/attachment/tci_dr-b-interviews-dr-coleman-about-the-coleman-1/ #### TCI_Dr. Coleman & Dr. B Talk Naltrexone vs Suboxone_ Part 2 (1) URL: https://www.thecolemaninstitute.com/tci-blog/dr-coleman-dr-b-talk-naltrexone-vs-suboxone-part-2/attachment/tci_dr-coleman-dr-b-talk-naltrexone-vs-suboxone_-part-2-1/ #### TCI_Dr. Coleman & Dr. B Talk Naltrexone vs Suboxone_ Part 2_FB URL: https://www.thecolemaninstitute.com/tci-blog/dr-coleman-dr-b-talk-naltrexone-vs-suboxone-part-2/attachment/tci_dr-coleman-dr-b-talk-naltrexone-vs-suboxone_-part-2_fb/ #### TCI_Dr. Coleman & Dr. B Talk Naltrexone vs Suboxone_ Part 2_FB (2) (1) URL: https://www.thecolemaninstitute.com/tci-blog/dr-coleman-dr-b-talk-naltrexone-vs-suboxone-part-2/attachment/tci_dr-coleman-dr-b-talk-naltrexone-vs-suboxone_-part-2_fb-2-1/ #### TCI_Dr. Coleman & Dr. B Talk Naltrexone vs Suboxone_ Part 2_TW URL: https://www.thecolemaninstitute.com/tci-blog/dr-coleman-dr-b-talk-naltrexone-vs-suboxone-part-2/attachment/tci_dr-coleman-dr-b-talk-naltrexone-vs-suboxone_-part-2_tw/ #### TCI_Dr. Coleman & Dr. B Talk Naltrexone vs Suboxone_ Part 2_TW (1) (1) URL: https://www.thecolemaninstitute.com/tci-blog/dr-coleman-dr-b-talk-naltrexone-vs-suboxone-part-2/attachment/tci_dr-coleman-dr-b-talk-naltrexone-vs-suboxone_-part-2_tw-1-1/ #### TCI_Dr. Coleman & Dr. B Talk Naltrexone vs Suboxone_ Part 3 URL: https://www.thecolemaninstitute.com/tci-blog/dr-coleman-dr-b-talk-naltrexone-vs-suboxone-part-2/attachment/tci_dr-coleman-dr-b-talk-naltrexone-vs-suboxone_-part-3/ #### TCI_Dr. Coleman & Dr. B Talk Naltrexone vs Suboxone_ Part 3_FB URL: https://www.thecolemaninstitute.com/tci-blog/dr-coleman-dr-b-talk-naltrexone-vs-suboxone-part-2/attachment/tci_dr-coleman-dr-b-talk-naltrexone-vs-suboxone_-part-3_fb/ #### TCI_Dr. Coleman & Dr. B Talk Naltrexone vs Suboxone_ Part 3_TW URL: https://www.thecolemaninstitute.com/tci-blog/dr-coleman-dr-b-talk-naltrexone-vs-suboxone-part-2/attachment/tci_dr-coleman-dr-b-talk-naltrexone-vs-suboxone_-part-3_tw/ #### TCI_Dr. Coleman & Dr. B Talk Naltrexone vs Suboxone_ Part 4 (2) URL: https://www.thecolemaninstitute.com/tci-blog/dr-coleman-dr-b-talk-naltrexone-vs-suboxone-part-3/attachment/tci_dr-coleman-dr-b-talk-naltrexone-vs-suboxone_-part-4-2/ #### TCI_Dr. Coleman & Dr. B Talk Naltrexone vs Suboxone_ Part 4_FB (1) URL: https://www.thecolemaninstitute.com/tci-blog/dr-coleman-dr-b-talk-naltrexone-vs-suboxone-part-3/attachment/tci_dr-coleman-dr-b-talk-naltrexone-vs-suboxone_-part-4_fb-1/ #### TCI_Dr. Coleman & Dr. B Talk Naltrexone vs Suboxone_ Part 4_TW (1) URL: https://www.thecolemaninstitute.com/tci-blog/dr-coleman-dr-b-talk-naltrexone-vs-suboxone-part-3/attachment/tci_dr-coleman-dr-b-talk-naltrexone-vs-suboxone_-part-4_tw-1/ #### TCI_Dr. Coleman & Dr. B Talk Naltrexone vs Suboxone_ Part 5 URL: 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He said to me: "I hate it. Every 3 days I have to re-apply my Fentanyl patch and I can’t stand the fact that I am a slave to it. All of my doctors tell me that I should just stay on this medicine, but I just don't want to live this way anymore. I feel like I am living my life in some kind of a shadow." A Common Journey to Fentanyl Use This patient came in for advice on how to get off his Fentanyl patch. He had injured his back about 15 years ago, was treated well, and had never needed surgery. He was put on a Fentanyl patch for the pain and has been on it ever since. He says the pain is tolerable when he uses the patch, but the pain always remains. Fifteen years later, he still has the same level of pain. He has seen a number of doctors over the years and has consistently been told that there is no surgery that can help him - he just has to live with the pain. His doctors tell him that he should just stay on the patch. The doctors have pointed out that it is working, with virtually no side effects, and there's no real harm in continuing with the patch. Fentanyl Patch Withdrawals But, he hates having the patch. He knows that he is very dependent on it because anytime he tries to skip it, he starts going through horrendous withdrawal symptoms and he very quickly has to start back again. He is not sure if he is having any side effects from his Fentanyl patch. He has some periods of time where he does not sleep well. At times, his energy is not so good. Occasionally, he is somewhat irritable and grumpy depressed, but he's not sure whether this would be the case if he was not on the patch. He just doesn't know, and there's no way to know. UNDERSTANDING ACCELERATED OPIOID DETOX He has tried weaning down and been unsuccessful because of severe withdrawal symptoms. He has a pretty strong suspicion that he really does not need opiate pain medicine, but he really doesn't know since he cannot get through the withdrawal period to find out. So, he goes on re-applying his patch every three days and feeling disappointed in himself, all the while wondering how much of life he is missing. Breaking the Cycle of Fentanyl This patient represents a fairly typical clinical scenario. He had real pain that was appropriately treated with pain medicines. But now, it is likely that his pain has subsided to the point that he no longer really needs opiate pain medicines. He is just hooked on them and he's trapped in the cycle of taking the medicine, being unable to stop because of withdrawal symptoms and not sure what the quality of his life would be if he was to stop the medicine. He is not really having horrible side effects from the Fentanyl patch; he just has the sense that he is living in somewhat of a fog. This man has now decided that he is going to detox and take a chance that the quality of his life will improve. Our experience over the last 18 years of detox treatments, is over 90% of our patients have a much easier detox than they anticipated and, they find their pain level after the detox actually improves over what it was while on their opiates. He is quite similar to Steve, a patient we detoxed and videoed a couple of months ago. You can watch Steve's story below. SCHEDULE A CALLBACK #### 10 Best Songs for Addiction Recovery Motivation The power of music has been leveraged in healing since at least the fifth and fourth century B.C., and is known to have been used in ancient Greece. Famous Greek philosophers Pythagoras, Aristotle, and Plato were some of the earliest to acknowledge the healing power of music. Today, music is known to reduce anxiety, relieve stress, and even aid in recovery from brain injury. Alexander Pantelyat, Neurologist and director of Johns Hopkins Center for Music and Medicine says, “Just listening to music activates more brain regions simultaneously than any other human activity, [. . .] There is likely something for everyone when it comes to using music as medicine.” The power of music can also positively impact those in recovery from addiction. These 10 songs have been credited with helping individuals overcome drug addiction. 1."Not Afraid" by Eminem Eminem himself struggled with addiction and even almost died in 2007. Now in recovery, he continues to dedicate this song to those who are struggling with an addiction or dependence on opioids. 2."Stronger" by Kelly Clarkson “Stronger” is a song that promotes the undeniable value of overcoming obstacles or challenges and turning these “battles” into positive experiences. For those suffering from addiction, this can mean viewing completing a detox treatment as a proud accomplishment; that overcoming addiction and entering recovery has made them a stronger person. 3."Rise Up" by Andra Day When asked about the inspiration behind “Rise Up”, singer/songwriter Andra Day said, “ "Rise Up" started as a sort of prayer—I thought about what I needed to hear to be able to get back on my feet.“ This song serves as an anthem to keep working toward overcoming challenges and obstacles; to keep fighting for what you want. For those in recovery, this song is a reminder to “rise up” and keep fighting for a life free from addiction. 4."Survivor" by Destiny's Child This pop hit dominated the airwaves in the early 2000s and still influences listeners today. For Destiny’ Child, “Survivor" was about their dedication to “work harder, never give up and rise to the top and remain relevant to prove all their critics wrong.” The message to work hard and prove critics wrong drives those struggling with addiction to push through tough days and negative habitual thinking. 5."Eye of the Tiger" by Survivor “Eye of the Tiger” is a classic song that has been highlighted in movies, TV shows, and all types of entertainment for decades. But at its core, it is a powerful dedication to the endless drive to be the best version of yourself. 6."I Will Survive" by Gloria Gaynor This epic hit is a crowd favorite for its upbeat tempo and catchy lyrics. In fact, it is the lyrics that make it a popular song among those in addiction recovery. "I Will Survive" lyrics encourage resilience, inner strength, and the ability to overcome difficult circumstances, both of which are critical in recovery. UNDERSTANDING ACCELERATED OPIOID DETOX 7."Roar" by Katy Perry “Roar” by Katy Perry was a 2013 hit that promoted a message of self-empowerment and self-confidence that inspired individuals as they navigated the path to freedom from addiction, to stand up for themselves. 8."Ain't No Mountain High Enough" by Marvin Gaye and Tammi Terrell Despite being over 56 years old, "Ain't No Mountain High Enough" is still the force of nature it was when it was released in 1967. Lyrically, the song is about nothing being able to stop a partner from being there for the other partner. For someone in recovery from addiction, this is seen as nothing being able to stop them from reaching their sobriety goals. 9."I'm Still Standing" by Elton John While this uptempo song is about standing strong after a break-up, it conveys a message of finding confidence and standing strong in the face of difficult situations. For those in addiction recovery, the lyrics "I'm Still Standing" serves as an anthem to resilience against addiction. 10."Don't Stop Believin' by Journey Journey has inspired generations of music lovers with their powerful ballads, upbeat tunes, insightful lyrics, and more. "Don't Stop Believin' is a megahit about being open to what the world has to offer and not stopping believing, even on the toughest of days. For someone in recovery from addiction, this song serves as motivation to keep fighting for sobriety, no matter how hard it gets. Everyone's journey with addiction is different and the music that helps one person may not be as effective for another. If you are ready to get on the path to freedom from addiction, the Coleman Institute can help. Schedule a callback with us today to learn about your outpatient addiction treatment and detox options. SCHEDULE A CALLBACK #### 10 Motivational Quotes for Overcoming Addiction Addiction is a disease that affects millions of people worldwide. It can be a challenging battle to fight, but with the right mindset and tools, it is possible to overcome addiction. Here are ten motivational quotes to inspire and encourage those who are going through addiction treatment or considering it. Quotes for Overcoming Addiction   "Success is not final, failure is not fatal: it is the courage to continue that counts." – Winston Churchill This quote emphasizes the importance of persistence and not giving up, even in the face of setbacks. It's not about achieving perfection but about continuing to strive towards recovery. When people are in the throes of addiction, it can feel like a never-ending cycle of failure. Every time they try to quit, they fall back into the same patterns of behavior. But the truth is that failure is a part of the process, and it doesn't mean that someone should give up. Instead, it takes courage and determination to keep pushing forward, even when it feels like nothing is working. As Winston Churchill said, it's the courage to continue that counts.   "You are never too old to set another goal or to dream a new dream." – C.S. Lewis This quote emphasizes that it's never too late to start the journey of recovery. No matter how long someone has been struggling with addiction, they can still set new goals and work towards a brighter future. Many people who struggle with addiction feel like they've missed their chance to make something of their lives. They may have lost relationships, careers, and other opportunities along the way. But the truth is that it's never too late to start over. As C.S. Lewis said, you are never too old to set another goal or to dream a new dream. The journey of recovery is a chance to create a new future, one that's free from the constraints of addiction.   "Addiction is a monster; it lives inside, and feeds off you every day. Beat the monster!" – Drew Pinsky This quote emphasizes the importance of taking control and fighting back against addiction. It's not enough to simply try to manage addiction; it's essential to beat it. Addiction can feel like an insurmountable foe, a monster that lives inside and feeds off of someone's very being. But the truth is that addiction can be overcome. It takes strength, courage, and a willingness to fight back against the monster that's been holding someone down. As Drew Pinsky said, it's time to beat the monster and take control of life once again.   "Every day is a new beginning. Take a deep breath and start again." – Unknown This quote emphasizes the importance of taking things one day at a time and starting anew each day. Recovery is a process, and every day is an opportunity to make progress towards a brighter future. The journey of recovery can be overwhelming at times. It can feel like there's a never-ending mountain to climb, and it's easy to get discouraged. But the truth is that every day is a new beginning, a chance to start fresh and make progress towards a better life. As the unknown author of this quote said, take a deep breath and start again.   "The only way out is through." – Robert Frost This quote by Robert Frost highlights the importance of perseverance in the journey to recovery. Recovery is not easy, and there may be times when it feels like giving up is the only option. However, the only way to overcome addiction is by going through it. It's important to keep pushing through the difficult times and remember that each step towards recovery is progress.   "Believe you can, and you're halfway there." – Theodore Roosevelt This quote emphasizes the importance of believing in oneself and one's ability to overcome addiction. Recovery starts with a mindset of hope and confidence in oneself. Belief in oneself can be challenging when someone is struggling with addiction. It can feel like they've lost all sense of control and that the situation is hopeless. But the truth is that belief in oneself is the first step towards recovery. As Theodore Roosevelt said, believing in oneself is halfway to success. Recovery starts with the belief that it's possible to overcome addiction.   "Fall seven times, stand up eight." – Japanese Proverb This quote emphasizes the importance of perseverance and resilience in the face of adversity. Recovery is not a linear process, and setbacks are a natural part of the journey. Many people who struggle with addiction feel like every setback is a failure. They may feel discouraged and lose motivation to continue on the path to recovery. But the truth is that setbacks are a natural part of the process, and it takes resilience and perseverance to keep going. As the Japanese proverb goes, fall seven times, stand up eight. The journey to recovery is about getting back up and continuing to move forward, even after setbacks.   "You don't have to see the whole staircase, just take the first step." – Martin Luther King Jr. This quote emphasizes the importance of taking things one step at a time and not getting overwhelmed by the bigger picture. Recovery is a journey that starts with small steps towards a brighter future. The journey to recovery can be daunting, and it's easy to get overwhelmed by the challenges ahead. But the truth is that recovery starts with small steps towards a better future. As Martin Luther King Jr. said, it's not necessary to see the whole staircase, just take the first step. Recovery is a journey that starts with small steps, and each step gets someone closer to a brighter future.   "I am not what happened to me, I am what I choose to become." – Carl Jung This quote by the famous psychoanalyst highlights the importance of mindset in recovery. Addiction can make people feel helpless and stuck in their circumstances. However, it's essential to remember that we have the power to choose who we want to be and how we want to live our lives. Recovery starts with the decision to take control of one's life and make positive changes.   "Recovery is not for people who need it, it's for people who want it." – Unknown This quote emphasizes the importance of personal motivation and desire in the journey to recovery. Recovery is not just about overcoming addiction but about creating a better life. Many people who struggle with addiction may feel pressure from others to seek treatment, but the truth is that recovery is a personal journey. It's essential to want to overcome addiction and create a better life. As the unknown author of this quote said, recovery is not for people who need it, it's for people who want it. The journey to recovery is about personal growth and creating a better future.   Conclusion Overcoming addiction is a challenging journey, but it's also a chance to create a brighter future. These motivational quotes highlight the importance of mindset, perseverance, and personal growth in the journey to recovery. The road to recovery may not be easy, but it's worth it. If you or someone you know is struggling with addiction, know that there is hope. Treatment is available, and recovery is possible. These quotes can serve as reminders that the journey to recovery is not just about overcoming addiction, but about creating a better life. Each step towards recovery is a step towards a brighter future. Remember, it's never too late to start the journey to recovery. As Anne Lamott said, "Almost everything will work if you unplug it for a few minutes, including you." Recovery is about taking the time to unplug, focus on oneself, and take the necessary steps towards a better life. In conclusion, these motivational quotes can serve as reminders that recovery is a journey towards personal growth and a brighter future. Each step towards recovery is a step towards a better life. It's essential to believe in oneself, persevere through setbacks, and take things one step at a time. Recovery is possible, and it's worth it. #### 18 Holiday Gifts for Those in Recovery People in recovery deserve a lot of praise. The best gift that you can give someone in recovery is acknowledgment; an acknowledgement of how hard they have worked, how much they have changed, and how proud of them you are. If you didn't know, those in recovery call their recovery dates birthdays, so having that date in your calendar is really thoughtful as well. GET THE ALCOHOL DETOX GUIDE The holiday season can be an especially difficult time for anyone, especially those in recovery from Alcohol Use Disorder. Charged family events, holiday parties with alcohol, family traditions such as eggnog on Christmas morning, complicated family dynamics, jet lag etc. can be very triggering and challenging. It would mean a lot to that person in recovery for you to not only praise them but when you are shopping for holiday gifts, give some special thoughts to their gifts.  Here's a list of 18 ideas for holiday gifts for people in recovery: A journal: much of recovery is about self-discovery and awareness. It is helpful and encouraged to do a lot of writing and note-taking—a gratitude or personalized journal would be well received A seltzer maker such as a Soda Stream. Books, books, books: recovery-related or not. Recovery-related jewelry: search Amazon, Etsy, Pinterest and you will find amazing gift ideas both for men and women Essential Oils/Aromatherapy: these are known to promote calm and relaxation Donate to recovery or other cause in their name Fun Stuff: a Chia pet, etch a sketch...you get the idea Gift Certificates: this could be anything! Mani/pedi, facial, massage, spa day, favorite restaurants, Amazon, local gardening store Yoga/Fitness: a yoga mat, workout clothes, a foam roller Make a playlist of inspiring songs Tickets to a show, concert or sporting event A smooth rock to hold or one with an inspirational quote engraved An IOU for home-cooked meals or treats, snow shoveling, raking leaves A subscription to a magazine, monthly flowers or treats Candles Movie passes Tickets to a comedy show A plant or something else to take care of The possibilities are endless. And don't forget to tell them how proud of them you are! That is truly the best gift of all. If you want to learn more about Alcohol Use Disorder, visit our FAQs page.  Happy Holidays! Deborah Reich, MD SCHEDULE A CALLBACK #### 3 Addiction Treatments to Turn Your Life Around Addiction is a difficult disease. It can be isolating, lonely, and painful. Unlike many other diseases, addiction is often paired with secrets and lies. It is hard to picture a life without addiction when you don’t know what treatment solutions are out there. Here are 3 addictions solutions that can turn your life around. Treatment for Opioid Use Disorder Last month we heard from a gentleman in another state who had been treated by his primary care doctor for about fifteen years for back pain. Evan had had multiple surgeries over the years, and he was a very compliant patient. He never sold or lost his medication, it had never accidentally fallen in the toilet, it had never been stolen. When his doctor checked his urine, it always showed exactly what it was supposed to show. He was the ideal patient, so when his doctor announced that he was retiring, Evan was confident another doctor in the practice would be happy to work with him. To his surprise and despair, none of the other doctors were willing to take on a ‘pain management’ patient, even one with such a good track record. Evan scrambled to find a replacement. Although he’d never run out of his pain medication, he was well aware of what opioid withdrawal looked like from all the media coverage over the past several years. Is It Safe To Stop Taking Opioids Abruptly? His insurance company listed one Pain Management specialist in his network that was within forty miles from his home. A long way to travel, but at least he had an option. Evan was horrified to be put on a four-month waiting list to see the specialist. In frustration, while searching on-line, he found the Coleman Institute for Addiction Medicine. Stopping his pain medication was not what Evan wanted to do…and yet, it was something that he and his wife had talked about from time to time. Beyond wanting to avoid horrible withdrawal, people who have become physically dependent on pain medication such as oxycodone, Oxycontin®, hydrocodone, Vicodin®, tramadol, Dilaudid®, and similar medications, are often reluctant to stop because of the fear of the painful condition that had them taking these drugs in the first place. What Are Non-Opioid Alternatives to Pain Management? The Coleman Institute has helped hundreds of patients safely and comfortably get off their pain medication, and most patients have found—many to their great surprise—their pain is minimal to non-existent, and for others very tolerable, especially with the help of non-opioid pain management alternatives. Our Accelerated Opioid Detox off pain medicine generally involves a four-to-six-day outpatient treatment. We also help people get off methadone and buprenorphine products such as Suboxone®. (These medications require an eight-day time frame for a rapid detox.) UNDERSTANDING ACCELERATED OPIOID DETOX Treatment for Alcohol Use Disorder “The beautiful clarity of zero.” This was the phrase that caught my attention when I was listening to someone in long term recovery describe why he chooses not to drink anymore. “I tried to drink ‘moderately’ before. I would plan out my week, deciding when and how much I would drink and try to follow it rigidly. The problem was, once my brain had a taste of the alcohol, it became so easy to forget my plan, or justify changing it. I’d tell myself, well, ok…I’ll have three today and just one tomorrow instead of 2 and 2. Rarely could I stop at three drinks. By then, the alcohol was in charge, and it usually resulted in me drinking in the same problematic ways. I would wake up the next day, defeated, full of disgust for myself, head aching and cloudy…No, for me, Not Drinking—is much simpler…my mantra is The Beautiful Clarity of Zero.” What Is A “Standard Drink”? The Coleman Institute for Addiction Medicine in Richmond, Virginia offers safe, outpatient treatment for people who want to stop drinking and who may be at risk if they stop drinking abruptly on their own. At the completion of our three-day Outpatient Alcohol Detox, we utilize long-acting naltrexone, which we have specialized in for over twenty years. When naltrexone is used for someone with an Alcohol Use Disorder, it helps with the cravings and impulse to drink alcohol. I had a patient who told me that with naltrexone on board, “the liquor store might as well be a shoe store”. Treatment for Benzodiazepine Dependence and Addiction Perhaps one of the most complex and difficult detoxes among substances that cause physical dependence, is the detox to help people safely stop taking benzodiazepines such as Xanax® (alprazozlam), Valium® (diazepam), and Ativan® (lorazepam), etc. Patients who seek our help getting off medications such as these have almost invariably been using the medication as prescribed by their doctors. Most often people are prescribed these medications to help with anxiety or insomnia. While some people seem to be able to stop using these medications without any problems, others have a profound struggle. As the body builds a tolerance to these medications, it can no longer get the same effect from the same dose. Without raising the dose, a person may experience withdrawal symptoms. These can include: sleep disturbance, irritability, increased tension and anxiety, panic attacks, hand tremor, sweating, difficulty in concentration, dry wretching and nausea, some weight loss, palpitations, headache, muscular pain and stiffness and a host of perceptual changes. Source: https://pubmed.ncbi.nlm.nih.gov/7841856/. The Accelerated Benzodiazepine Detox at the Coleman Institute uses flumazenil treatment to safely detach the benzos from the receptors. Other medications are used to safely prevent seizures and to help with sleep and anxiety. As with our other Accelerated Detox programs, these patients require accompaniment by their support person(s). Most of our Accelerated Benzodiazepine Detox patients will need a ten-day outpatient program. The Coleman Institute Can Help You Find Freedom From Your Addiction For every patient who comes to the Coleman Institute, there exists a story and a reason for getting started on an addictive substance. The first part of changing the story and writing the next chapter is to safely get off these medications with the help of medically qualified addiction professionals. I feel privileged to be part of such a compassionate and competent team that has been serving patients from around the country for over thirty years. Please call us at (877) 773-3869 if you or a loved one is struggling with physical dependence or addiction to opioid medication, benzodiazepines, and/or alcohol. (And, yes, many patients need a dual-detox, because they are using a combination of these things, so don’t let that stop you from making a call!) In the meantime, stay safe! Joan R. Shepherd, FNP SCHEDULE A CALLBACK #### 3 Important Differences Between Suboxone and Naltrexone Therapy for People Addicted to Opioids I must admit I was a little surprised earlier this week when Bridget Walsh, our Clinical Case Manager and I screened a former patient who wanted to return to The Coleman Institute for Addiction Medicine for a second detox off opioids. How Relapse Can Happen It’s not that a second detox off opioids (such as Percocet, Roxicet, Opana, Oxycontin, oxycodone, Lortabs, hydrocodone, tramadol, fentanyl, morphine products, heroin, methadone, etc) is unheard of; people relapse for a variety of reasons. Sometimes it’s caused by an emotional situation the patient didn’t see coming, sometimes it’s a surgery-planned or otherwise—that puts them back on pain medication; sometimes it’s being in the wrong place at the wrong time and not having the coping skills to deal with the situation. Screening someone who has already completed an Accelerated Opioid Detox and relapsed is important for us so we can figure out the next best plan to help this person achieve long-term sobriety. Neil fell into the last category. Trying Again He came to us for a detox off street heroin that turned out to be mostly fentanyl. Prior to using heroin, Neil had become physically addicted to pain medication. His pain management doctor was prescribing some of the medication; Neil was supplementing the meds with pills he purchased on the street. Neil heard about our five-day program to help detox off short acting opioids in an outpatient setting. This worked well for him; he missed a minimal amount of time from work and his support person, his girlfriend of several years, was available to be with him for the duration. At the completion of his detox, Neil got the naltrexone implant which effectively blocks the opioid receptors for about eight weeks. Neil was grateful and relieved. He was looking forward to returning to a life not driven by chasing dope. UNDERSTANDING ACCELERATED OPIOID DETOX The Stress of The Past Effects Future Recovery When he was due to return to The Coleman Institute for a follow up naltrexone implant two months later, he didn’t make it. Life was busy, he was feeling great. He absolutely knew he never wanted to touch another opioid again, and he felt very firm in his conviction. Things were going along nicely when one day Neil ran into a guy who had sold him drugs in the past. Neil’s brain responded automatically, recalling the euphoria it had experienced when heroin and fentanyl flooded his brain with dopamine. He purchased a few pills, telling himself he had this under control. Turns out, he didn’t. The Dangers of Old Habits Although I am compressing his journey into a few sentences, suffice it to say, Neil’s next few months were a montage of getting high, lying to himself and his loved ones, spending lots of money, and falling into despair. He found a clinic that offered Suboxone and signed up. For several weeks he had the relief of keeping his cravings at bay by taking his daily dose of Suboxone. And yet…he realized he could trade a dose of Suboxone for other drugs if he wanted to get high. When he gave urine tainted with fentanyl at the clinic, he was discharged from the practice and called us. What surprised me after talking to Neil and hearing about his experiences since we’d last seen him, was that he really didn’t understand the difference between using Suboxone vs. Naltrexone for his opioid use disorder. The differences are important to understand. Important Differences Between Suboxone and Naltrexone 1. Suboxone and other buprenorphine products create physical dependence, naltrexone does not. Suboxone is a partial agonist and a partial antagonist, containing both buprenorphine and naloxone. This means buprenorphine produces effects such as euphoria or respiratory depression at low to moderate doses, but these effects are weaker than full opioid agonists such as methadone or heroin. When a person takes buprenorphine for a period of time, they will become physically dependent on it (even in quite low doses) and will experience withdrawal symptoms if they stop it. This does not mean Suboxone is the wrong choice. When taken as prescribed, buprenorphine is safe and effective. It can help diminish the effects of physical dependency to short acting opioids, such as withdrawal symptoms and cravings. Buprenorphine can increase safety in cases of overdose. Because naltrexone is a pure blocking agent, it does not create physical dependence or build up a tolerance to the drug. Naltrexone occupies the opioid receptors, preventing other opioids from having a place to ‘land’. People who chose naltrexone therapy must be made aware that their body is also losing its tolerance to opioids during this period of abstinence. A person who relapses after having detoxed and not having used opioids for a long time is at a higher risk of having a fatal overdose. Accordingly, different forms of Medication Assisted Treatment (MAT) may be appropriate for different people, or for the same person at different stages in his or her life. 2. Suboxone (and other opioids) must be completely out of your system before starting on naltrexone therapy. Many people with an Opioid Use Disorder (OUD) have experienced precipitated withdrawal. This happens when a person takes a substance that pushes opioids off the receptors abruptly. Both buprenorphine and naltrexone, if given too close to a person’s last dose of short acting opioids, can cause precipitated withdrawal. The reason many people chose naltrexone over Suboxone is that they don’t want to be dependent on another opioid; some people believe it is just ‘trading one addiction for another’. While we strongly support the use of Suboxone for the right patient, our program is one of the few in the country that has the experience in getting people safely and comfortably onto naltrexone. We carefully ‘bump’ the existing opioids off the receptors as we slowly transition to naltrexone. We do this over a three to eight day period, depending on the substances being eliminated and the co-morbidities of the patient. 3. Suboxone is a controlled substance, naltrexone is not People who chose to use Suboxone or other buprenorphine products (such as Bunavail, Zubsolv and Cassipa) to treat their Opioid Use Disorder must find a provider who has a special DEA waiver, allowing them to prescribe it. This medication is highly controlled and patients receiving it must comply with strict state and federal guidelines, as well as restrictions and protocols required by specific programs. Patients taking Suboxone must comply with random pill/film counts, regular and random urine drug testing, and should be aware of the consequences of losing these medications or requesting early refills. Most programs require weekly to bi-weekly appointments. Buprenorphine products are not supposed to be prescribed to people who are also taking benzodiazepines such as Ativan (lorazepam), Valium (diazepam), Xanax (alprazolam), or Klonopin (clonazepam)—just to name a few. While all of these measures are in place to help and protect both the patient and the provider, it definitely adds another layer of complexity to using Suboxone to treat an addiction to opioids. Naltrexone, being a pure blocking agent, does not require a special DEA license. Any practicing medical doctor with a valid license is allowed to prescribe this medication. There is no extra scrutiny at the pharmacy, and a prescription for naltrexone does not show up on a state’s Prescription Monitoring Program. The Coleman Institute has specialized in using naltrexone therapy for over 25 years. We often use long-acting naltrexone in the form of a small tablet placed under the skin in the abdominal area. This will effectively ‘bathe’ the opioid receptors for about eight weeks. Another long-acting form of naltrexone is a monthly injection called Vivitrol, which many insurance companies are covering now. How The Coleman Institute Can Help with Opioid Use Disorder Making the decision to stop using opioids requires some knowledge of what each of the choices for Medication Assisted Treatment (MAT) entails. Research shows that MAT is crucial in increasing the odds of long-term success for a person with Opioid Use Disorder. If you are seeking help for yourself or a loved one, please give our Care Advocates a call at 877-773-3869. They can direct you to one of our medical providers to help you wade through the choices; it can be daunting and confusing, especially when the stakes are so high. Joan Shepherd, FNP   SCHEDULE A CALLBACK #### 5 Goals for Substance Abuse Recovery After Detox I wrote about Ken in an earlier blog titled "Restoring Energy After Opioid Withdrawal." At that time, Ken was 5 weeks out from completing an Accelerated Opiate Detox off high doses of opioids, including hydromorphone and fentanyl. His energy was beginning to return, but it was still a struggle. Checking back in with him earlier this week, I was gratified to hear that he is doing beautifully, now approximately three months post-detox. He feels that he is about “90%” back to his normal energy levels and is sleeping at least seven hours a night without the use of medication. He says perhaps the most helpful thing he has done in this early phase of his recovery was to create and commit to a morning routine for himself. Ken starts early, at least an hour before anyone else in the family rises. His practice includes reading some inspirational literature—some of it recovery-based, some of it more religious or spiritual in nature, keeping a journal, and itemizing priorities on his Values In Action sheet. “My journaling is not necessarily profound stuff,” he says, “but knowing this is for my eyes only, I can really dump what’s in my head onto the page. Sometimes I’ll write about an issue I’m having with one of my kids or my wife, or sometimes a work situation. Often I’ll write about what I’ve read that has moved or inspired me. I’m at the point that I miss it if I don’t do it. I actually look forward to it.” Helpful Recovery Tips: Starting with an early regimen and routine aids in consistency and motivation Implementing a healthier lifestyle with exercise or meditative practice Staying healthy with eating and lifestyle habits, drinking plenty of fluids Adding vitamins or mineral supplements Getting enough sleep to aid in flushing out toxins that build during waking hours Reducing anxiety and promoting positive thinking with journaling your experience UNDERSTANDING ACCELERATED OPIOID DETOX The other practice Ken has incorporated came from a suggestion I made when we first met and I was struck by the shame and regret Ken expressed about the "lost opportunities" from his dependence on opioids. “One of the worst things for me about taking pills was how I robbed myself, my family, my friends, and my career of living up to my potential, being present, and being my best self. It was such a selfish and destructive place to be…” Road to Recovery I directed Ken to the Values in Action website which prompts the participant to complete a free survey that ranks one’s character strengths in order of their strongest to weakest (there are twenty-six in all). Ken’s Top 5 were Curiosity, Forgiveness, Love of Learning, Leadership, and Hope. I then suggest making a table, putting these top five strengths across the page horizontally and the five most important life roles in a vertical column on the left. For Ken, these are Husband, Parent, Friend, Employee, and Seeker (this encompasses his spirituality and his recovery). From this table, he created a grid with 25 boxes. “I took each one of my top 5 character strengths paired with each role and came up with as many specific actions I could take to use my strengths in the service of who/what is most important to me.” He gave me a couple of examples. In the Love of Learning/Parent box, he made the commitment to partner with his son on the robotics team. In the Hope/Seeker box, he added two AA meetings and a SMART recovery meeting each week to his schedule. In the Leadership/Husband box he suggested to his wife the idea of planning a novel $30 or less "adventure" within a 50-mile radius of their home once a month. Ken is also incorporating regular exercise and healthy dietary changes into his regimen, as well as meticulous sleep hygiene. READ MORE POSTS LIKE THIS Common Methods to Restore Energy After Opioid Detox After extended use of opioids, many patients do not realize that there are often no shortcuts to the road to opioid recovery; however, there are methods that can aid in the healing process. While we often empathize that an accelerated detox is not a "magic wand" that will restore yourself immediately, it is a healing process. Many times patients will often overthink their road to recovery and be plagued with energy draining thoughts like "I had more energy on pills," "I don't think I can function like this," or "I don't think I can manage a treatment method." The surprise to many patients is that a healthier lifestyle is achievable and we are dedicated to making your transition easy, effective, and safe. At The Coleman Institute, we recommend several common methods of practice such as creating a "habit-tracking plan" or following the below recommendations for boosting your energy. The end goals is to create a new pathway of thinking and action, in order to spearhead your journey to recovery. Helpful Tips to Restoring Your Energy: Meditate and practice "Mindfulness" Make sleep a priority Keep physical activity consistent - even 10 minutes per day such as walking or cycling Avoid caffeine or caffeinated beverages Eliminate processed food as much as possible To emphasize this point, we often pull out a laminated image of several brain slices scanned by the National Institute on Drug Abuse (NIDA). It portrays a normal brain rich with dopamine, and a brain which is completely depleted of dopamine due to drug use. The final set of brain slices depicts the dopamine beginning to be restored at about four months when no external sources of dopamine have been introduced. The estimate is that it can take about a year for the brain’s dopamine to be restored back to normal levels. One question we continually receive is if a person will feel horrible during this time. The answer is not at all. As energy increases, your sleep and lifestyle generally get better. Working with patients across the spectrum of dependence, detox, early recovery, and ongoing recovery, I have come to see that energy levels are subjective and the time it takes to feel “normal” again varies from person to person and depends on many factors, including age, general physical and psychological health, and attitude. To me it simply stands to reason that fueling your physical machine as well as you can make sense; this includes good food, plenty of sleep, and regular exercise. Intentionally cultivating a life in service to your values may or may not restore your dopamine more quickly, but there is no question that it can infuse the potentially difficult stage of early recovery—and the joy of ongoing recovery--with profound meaning. If you are going to go through the inevitable discomfort of opioid withdrawal, why not imbue the whole process with something meaningful for you? I will continue to stay in touch with Ken and who knows? He may be our next guest blogger. Please call us. Joan R. Shepherd, FNP SCHEDULE A CALLBACK #### 5 Scary Things People With Substance Use Disorder Believe We had an incredibly busy season at the Coleman Institute for Addiction Medicine. We were challenged to keep staff and patients safe from COVID-19, navigate holiday schedules, and respond as best we can to the tsunami wave of people desperate for help from various addictive substances. If holidays and COVID-19 weren’t enough to add to people’s vulnerability to using opioids, benzos, and alcohol, the relative ease of finding these drugs has made a bad problem much, much worse. Our patients come from all walks of life. People with Alcohol Use Disorder may be high functioning executives or barely out of their teens, just at the age where they should be opening doors to becoming who they are meant to be. Our patients suffering from addiction to benzodiazepines such as Xanax®, Valium®, Ativan®, etc., come from around the world (literally), and upwards of 75% of these patients are taking their medication exactly as prescribed by their health care providers. What If I Am Using Both Benzos and Opioids? The highest number of patients we treat come to us for help getting off opioids such as street drugs like heroin, kratom, and fentanyl, or prescribed pain medication, such as Percocet, Dilaudid, Vicodin, Hydrocodone, Tramadol, and similar drugs. The Coleman Institute for Addiction Medicine has Accelerated Detox Programs to address three major types of these Substance Use Disorders (SUD). There is nothing quite as humbling and gratifying as working with these courageous, motivated individuals and watching them emerge from the prisons created by addiction. But…for a person with a SUD to achieve remission, he or she simply must give their brain a chance to heal. A brain which has developed a physical dependence or tolerance to a substance is a vulnerable brain. Although our detox programs are safe and efficient, physically getting off the substance is only the first step. What a patient does after his or her detox is vitally important, and our entire staff is invested in helping our patients achieve long term success. With that in mind, here are five of the scariest things I’ve heard from my patients: 1. I can’t get treatment; my job would fire me if they found out. Please do not let this stop you from seeking treatment! Our patients’ confidentiality is heavily guarded and respected; it’s the law. Patients who are being treated for substance use issues are protected not only by HIPAA, but also more layers of stringent privacy and security regulations including 42 CFR Part 2. Because our opioid and benzodiazepine detox programs are accelerated, (that is, we safely get patients off substances in 3-10 days in an outpatient setting), most patients are able to take a few days off from work and return within 48 hours after completion. Many patients use vacation or other PTO options. 2. I use cocaine, but it’s no big deal, I only use it occasionally. I know many of my young patients could teach most med students about street drugs, so it is not news to them that a high percentage of non-prescription drugs contain fentanyl. Fentanyl is a synthetic opioid 50-100 times stronger than morphine. So if someone is ‘just an occasional cocaine user’ or ‘only buys benzos when detoxing from heroin’, he/she is at great risk these days of overdosing because fentanyl is being combined more and more with other street drugs. It takes only a very small amount of fentanyl to be deadly. UNDERSTANDING ACCELERATED OPIOID DETOX 3. My partner is still using, but I’m not worried because I have the implant. I have seen this time and again in my career as a medical provider in addiction medicine. Patients get through our detox, get their long-acting naltrexone implant, and then, rather than focus on figuring out how to avoid ‘people, places, and things’ associated with their previous life of drug use, some of our patients have a misplaced loyalty to old friends or family who are still using. They figure since they have the implant, it is ‘safe’ for them to be around these situations. Rather than creating their own safe world, they continue to stay in ‘enemy-territory’ with a small shield: their naltrexone implant. And although the naltrexone is a pure opioid blocker and as long as it is sitting on the opioid receptor, it will prevent an opioid from landing there, it can eventually be pushed off. The patient who continues to frequent the same activities while he/she is sober, is not creating new habits, new neural pathways for his/her brain, not taking the most advantage of having the implant. A naltrexone implant provides time to begin to rebuild a life the way you want it to look in the future. 4. I don’t need the naltrexone implant…I never intend to use opioids again! Successful sobriety numbers are tragically low for people with Opioid Use Disorder who don’t use some kind of Medication Assisted Treatment (MAT). At the Coleman Institute, we nudge the opioids off the opiate receptors and replace them with naltrexone, a pure blocker which is not addictive. People who choose our clinic for an Accelerated Opioid Detox are essentially agreeing to utilize a long-acting form of naltrexone. Until the brain heals and a person has developed skills for and acquired a strong support system to stay sober, the chances of success are greatly diminished. We never judge a patient harshly who has relapsed and returns for another detox; but we look closely with them to see how to change the outcome this time around. Usually that means adding in another layer of intensive counseling coupled with a strong commitment to continuing naltrexone therapy. For other people, an Accelerated Opioid Detox is not the best fit, and they find that using buprenorphine products or methadone make most sense for them. Both of these MAT choices can help a person get steady in their long term recovery journey. 5. I should be ok, I’m taking it just as the doctor prescribed. Although people have become more knowledgeable about drugs that can create physical dependence if used over time, I still meet patients regularly who are shocked to learn that they have developed a physical tolerance to a medication, even though they have never misused or abused it; in fact, they are taking it exactly as their doctor prescribed. This can happen with pain medication and benzodiazepines. Many of the patients who come to the Coleman Institute were prescribed medications such as Ativan (lorazepam), Xanax (alprazolam), or Valium (diazepam) — and there are several more—to treat conditions such as anxiety or insomnia. These medications are meant to be used short term, at best. Here’s a scale often used to assess the severity. These patients are horrified to realize that they simply cannot stop using these medications without multiple side effects. People can slowly and safely cut down their benzodiazepine use under their doctor’s supervision, but it can be extremely difficult and take a very long time. The Coleman Institute uses tiny doses of flumazenil to slowly remove the benzos from the brain and allow the healing process to begin. Importantly, medication must be used to help prevent seizures, and address possible issues such as anxiety and insomnia. Successful Recovery is Possible As I stated earlier, I can’t imagine working with a more motivated and interesting group of patients. We get their challenges and we rejoice at their successes. As 2021 unfolds, everyone will be subject to their own personal issues. Do you need help to safely and efficiently stop taking some kind of addictive drug or medication? A wise Chinese proverb states “The best time to plant a tree was 20 years ago, the second best time is now.” Joan Shepherd, FNP SCHEDULE A CALLBACK #### 5 Things To Remember If Your Kid Is Using Heroin When I started working at the Coleman Institute for Addiction Medicine many years ago, I was blown away by the parents who were shell-shocked to learn that their children—their high achieving, athletic, award-winning, popular, beloved children—were addicted to heroin. That was when I realized on a whole new level that opioid addiction could happen to anyone. It was truly an equal opportunity offender and people who used heroin did not fit the stereotype in my head. These were kids that could be hanging out with my kids, kids that I could know and love. It is terrifying and devastating for a parent to learn that his/her child has developed a substance use disorder. I have sat with many parents over the years as they blame themselves and question what happened and where they went wrong. A big part of our jobs at the Coleman Institute is to provide hope. An addicted person’s brain cannot heal if it is still held captive by addictive, mind-altering drugs, and our forte is getting them off. Quickly, safely and affordably. Here are five things to remember if you find out your kid is using heroin or other opioids. 1. Help is available for your child If there is any good news about the opioid epidemic it’s that excellent treatment is available, and more insurance plans are paying for it. Experts agree that a multi-level approach to treatment is important. Safe detox, intensive therapy, connection to support groups, and Medication-Assisted Treatment (MAT) such as methadone, buprenorphine, or naltrexone can save your child’s life. Parent and child can meet with our experts in aftercare treatment to help develop the most appropriate next steps. 2. Help is available for you Parents need all the support they can get during this time and they must be committed to invest in learning everything they can to understand the devastating condition of Substance Use Disorder (SUD). I once heard an intervention specialist say that if a child goes away to a treatment program and the parents aren’t educating themselves on the disease of addiction, when the child returns home it’s like he speaks a foreign language in a foreign land. 3. Help is available for your family We recognize that addiction is a family disease, as all family members are typically affected by the child's drug use. Furthermore, it is important to engage everyone int he recovery process. A good treatment program will not only treat the child suffering from substance use disorder but will also help the family learn about the disease of addiction and build communication skills to begin rebuilding trust. For further consideration it is always recommended to look towards continual focus groups, therapy treatments, and activities for your child in order to further encourage discussion of substance abuse. By offering a "safe space" that is open for discussion with other youth groups involved it creates an environment that is educational, relevant, and motivational for the road to recovery. Support is the biggest factor when it comes to aiding in children with substance disorder and assertively but calmly presenting guidance will assist in the best tactics for your child or loved one. 4. Hate the disease, not the child Your child’s brain has been hijacked. Your kid is still really in there. When addiction has taken hold and someone tries to get between the drug and the user, it’s like cutting off his air supply. Have faith—you can get your child back. I have seen this over and over again in my work as a medical addiction professional. The first day I shadowed Dr. Coleman during my job interview, I witnessed a weeping mother, thanking Dr. Coleman for giving her son back him. When I saw that, I was in. 5. Remember, love first The old ‘tough love’ adage is becoming obsolete. The hallmark of current treatment is combining love with science. Warmth, optimism, and humor are the first line elements to bring to the table as you rebuild the broken relationship with your child and help her with her substance use disorder. This is not being co-dependent or enabling. At the Coleman Institute’s centers around the country, we incorporate the most current research into safely detoxing patients off opioids (i.e.oxycodone products such as Percocet® and Roxicet®, hydrocodone and its variations such as Vicodin® and Vicoprophen®, morphine, heroin, and fentanyl), benzos, and alcohol. ACCELERATED OPIOID DETOX FAQS Take the First Step Towards Recovery If your child has been on methadone or a buprenorphine product and needs help to detox, The Coleman Institute for Addiction Medicine has an established reputation for specializing in the use of naltrexone, an effective opioid blocker. In our program, parents and other support people play a vital role in the opioid detox process. Rather than abandoning your child to an impersonal in-patient hospital setting where you have no idea how he or she is being treated, our unique outpatient approach allows families to be with their children during the entire treatment. Parents are engaged at every level, including being provided with detailed instructions and medications to administer to their child if he/she is experiencing withdrawal symptoms. At the Coleman Institute, we know that scheduling your child's detox can be daunting. With our professional care advocates, you can further ensure that your child is in safe hands. Our advocates are available to answer any questions you may have, review detox treatment planning, and ensure proper aftercare therapies. Shock, fear, anger, denial, grief—these are all normal reactions when you find your child is hooked on heroin. But there is hope, and we can help. Please give us a call. Joan R. Shepherd, FNP SCHEDULE A CALLBACK #### 5 Things You Must Know Before Starting Naltrexone Therapy "I learned that courage was not the absence of fear, but the triumph over it. The brave man is not he who does not feel afraid, but he who conquers that fear." — Nelson Mandela My day job connects me with some of the bravest people on the planet. These are people who have—for any number of reasons—become ensnared by opioids and their exhaustive power to consume life. But these same people are at the Coleman Institute for Addiction Medicine to receive help and start over. I haven’t experienced opioid withdrawal myself, but I have witnessed it many times, and I have listened to many stories. People are aptly terrified anticipating a cold turkey detox, so I’m particularly gratified to reassure my patients that choosing our accelerated or rapid opioid detox program to get off these substances (Roxicodone®, Vicodin®, hydrocodone, morphine, fentanyl, hydromorphone, heroin, kratom, buprenorphine, or methadone etc…) can help them through the worst of the physical symptoms so they can launch themselves back into the lives they were meant to have. Naltrexone is one of the top three medications used to treat Substance Use Disorder (SUD) for opioids. The Coleman Institute for Addiction Medicine has specialized in helping people get on naltrexone for over 20 years. Naltrexone is a pure opioid antagonist, which simply means it sits on the opioid receptors. It does not cause physical tolerance, so dependence doesn’t develop. There are no withdrawals when one stops using naltrexone. Sounds perfect, right? The problem is, the opiate receptors in the body must be clear of the drugs before induction onto naltrexone. Otherwise, the naltrexone comes in and sweeps the opioids off, and can precipitate severe withdrawal. LEARN MORE ABOUT NALTREXONE THERAPY With that in mind, these are 5 things you should know before starting on naltrexone therapy: 1. It is imperative to have the opioid receptors clean when starting on naltrexone. As I mentioned earlier, in order to induct a person onto naltrexone, whether daily oral tablets, a monthly injection, or a long-acting naltrexone implant, the opioid receptors must be free of opioids. This is the biggest challenge in getting a person onto the naltrexone, and this is why, if you are ready to use a pure agonist for treatment, it is so helpful to work with an educated medical professional. I have seen patients be given naltrexone too early and seen them forever swear it off because of the precipitated withdrawal it caused. At the Coleman Institute, we use a minimum of five ancillary medications to ease people off the opioids. By the end of the detox period, between 3 and 8 days depending on the drug(s) being detoxed, we know it is safe to begin the naltrexone. 2. Once someone has been completely detoxed off of opioids, they are at high risk for overdose when the naltrexone wears off. This is perhaps the most ardently emphasized teaching point as we transition people from opioids to naltrexone. A person on daily opioids develops a tolerance and needs higher doses of the same medication to achieve the same result. (This is also true of benzodiazepines and alcohol.) When the naltrexone implant wears off between 8 and 12 weeks, or the naltrexone injection (Vivitrol) in 3-4 weeks, the patient who uses opioid substances, particularly IV, is as vulnerable to over-dose as someone who is using for the first time. This is why we encourage our patients to commit to at least a year of naltrexone therapy while concurrently attending some type of addiction counseling. 3. Liver enzymes should be monitored. I am including this because many people worry about their liver when they start naltrexone. At the Coleman Institute, we always measure liver enzymes when we start someone on this medication, and we re-check the levels at subsequent visits. I can remember only one patient (in hundreds) for whom we stopped the naltrexone due to elevated liver enzymes, and this patient’s enzymes were reflective of liver damage due to years of very heavy drinking. All medications are metabolized by the liver or kidney; that’s their job. Do not confuse the fact that a medication is metabolized by the liver with a medication damaging the liver. 4. Be prepared to have no physical cravings for opioids. This may seem like an odd thing to include in a warning, but many people who have long depended on the mind-altering impressionistic world they’ve existed in for so long on opioids, find the transition to reality a bit stark and, well—boring. This is why I cannot stress enough here the importance of working with the best therapist, or group counseling or recovery meetings you can find. Boredom is a huge trigger for relapse, and over the years I have seen it topple the most enthusiastic patients. Ponder the idea of the arrogance of boredom for a moment: is there truly nothing new the world has to fascinate you?? But until that monkey is off your back, there is no way to appreciate anything but how to not be sick. 5. Be sure to carry a medical card letting people know you are on naltrexone in case you are in an accident. Morphine based pain medications won’t be effective, and you want the medical team to know they will need to use alternatives to provide pain relief. Similarly, if you are on a long-acting naltrexone formulation and anticipate surgery or a medical procedure that may require the use of pain medication, let your provider know. We frequently counsel people on the best way to use the smallest amount of narcotics for the briefest period of time if they must have it. We have conducted some 2nd and even 3rd accelerated opioid detoxes on people who have not been well prepared for surgery and became dependent again on opioid medications for pain management, starting the devastating cycle anew. Many of my patients in long-term recovery are adamant about having a discussion with dentists or other medical providers informing them that under no circumstances are they to be prescribed pain medications. (I recall a patient who had breast augmentation surgery and refused opioid meds!) When you or your loved one is ready to tackle the issue of stopping opioids, give us a call to discuss your particular situation. In some cases, insurance covers most of the treatment. It is a brave first step, and you won’t be walking it alone. Joan R. Shepherd, FNP SCHEDULE A CALLBACK #### 6 Things to Know If Your Child is Using Drugs When I was a young mother with friends and family members having babies, I would often send a hand-lettered card with a poignant message by Elizabeth Stone: “Making he decision to have a child — it is momentous. It is to decide forever to have your heart go walking around outside your body.” So when I read the headline a few weeks ago from a Chesterfield County, Virginia newspaper about six overdose deaths in the last 72 hours, I felt like I’d been socked in the gut. How many more people are left to grieve, mourn, try to understand…wonder if there was anything they could have done. How many more parents are burying their children? Fentanyl and Heroin Use is Growing When I started working here many years ago, most of our patients came to the Coleman Institute for Addiction Medicine for an outpatient Accelerated Opioid Detox seeking help getting off Oxycontin®, variations of oxycodone and hydrocodone (like Roxicet®, Percocet®, Vicodin®, Vicoprofen®), tramadol, and heroin. We certainly saw overdoses, but the drugs that are out there now — especially fentanyl, which is a synthetic opioid manufactured easily and cheaply —is wiping people out with more ferocity than the other substances.  UNDERSTANDING ACCELERATED OPIOID DETOX According to the Drug Enforcement Agency, fentanyl is approximately 100 times more potent than morphine and 50 times more potent than heroin. Two milligrams of fentanyl (equivalent to a few grains of table salt) can cause breathing to stop in more than 95 percent of the American public. Source 6 Things You Can Do If Your Child Is Using Heroin & Fentanyl 1. Do your homework. Figure out what options are available. Make some calls. Insurance and cost of programs will be part of what guides you, so the first call may be to your child’s insurance company to find out what mental and behavioral health conditions they cover. 2. Understand that different Substance Use Disorders require different kinds of treatment. A person who needs help to stop drinking or to get off benzodiazepines may potentially need medical help to do so safely. A person who has become physically dependent on opioids will become extremely ill with flu-like symptoms: runny nose, nausea, vomiting, diarrhea, severe muscle aches and cramping if they stop cold turkey. The dangerous thing about opioids is not the withdrawal, however, it is the possibility of overdose. As bad as a person feels with opioid withdrawal, it is not as dangerous as potentially stopping alcohol or benzos. The problem is, most people can’t do it without help. 3. If you suspect your child is addicted to opioid medication, please be sure to have emergency naloxone available! Naloxone is an opioid blocking agent. If someone has overdosed on an opioid such as pain medication like oxycodone, heroin, or fentanyl, this medication can be easily administered by spraying it in the unconscious person’s nose. You cannot hurt them by using this medicine. Having naloxone on hand can be critical. 4. Be aware of your loved ones' prescription medications. Many patients are supplementing legitimate pain or anxiety prescription medication with pressed pills bought off the street. Many of our patients adamantly deny they are using fentanyl; they swear their dealer is trustworthy and would never sell them tainted pills. I just saw my first illegal pills earlier this month when a patient’s spouse turned them over to me. They were little turquoise pills. When I searched online for other images, I found they are produced in a rainbow of colors: orange, pink, various shades of blue, grayish-purple. They look so legit. How simple it must be to add a substance the size of a few grains of salt to these tablets. 5. Expect resistance when you ask your loved one about the possibility he/she is using illegal drugs. I remember someone describing what it’s like to take away addictive substances from someone who has become physically dependent. They said it’s like cutting off their air supply. On the other hand, for many of my patients over the years, it has been a huge relief to finally be able to let someone know how desperately they need help. A guy who completed his accelerated opioid detox earlier this week told me he was a total slave to his drug. “This sh-t owned me. Every day, no matter what I had to do for work or my family, I first had to figure out how to find $200 to get stuff so I wouldn’t be sick. I would steal and deal every day.” He couldn’t wait to just be able to live a normal life again. 6. Wrap your mind around the idea that a person with a Substance Use Disorder has a chronic illness and will likely need to be treated for a long time. In addition to counseling, therapy, and group support, there are three Medication-Assisted Treatments (MATs) for Opioid Use Disorder: Methadone, Buprenorphine (often called Suboxone), and Naltrexone. Each one of these treatments are dispensed by trained medical professionals and will require some planning and understanding of the processes to get booked. It’s helpful to know that just because your loved one may not instantly be grateful for or excited about taking advantage of your offer to help get off his addictive substance, you can still move forward. I used to believe a person had to be motivated and ready to ‘do it for himself’ to successfully stop using opioids, but evidence would tell us otherwise. People often stop using addictive substances even when they are brought to treatment as reluctant consumers. At a recent meeting, one of our doctors quoted the old adage: You can lead a horse to water, but you can’t make him drink… our job is to make them thirsty. Detox Off Fentanyl and Heroin at the Coleman Institute Treating Substance Use Disorders is not a cookie-cutter, one-size-fits-all situation. Each person has their own unique personalities, strengths, and challenges. What works for one person at one time may not work after a relapse, or multiple relapses. What works for one person may not be the best treatment for another person. #### 6 Ways to Keep your Resolution for Sobriety For those struggling with an addiction to alcohol or another substance, the end of the year can be a challenging time. Thanksgiving, Christmas, and New Year’s can bring up old temptations and triggers that can make your goal for sobriety seem out of reach. But now that the overindulgent holidays are past us, we can focus on the possibilities of the New Year that lies ahead. Approximately 40% of Americans make resolutions, viewing the New Year as a fresh start, a symbolic transition. While setting resolutions can be a great way to get clear and motivated about your goals, only 40% of those who make resolutions actually go on to keep them. This 60% failure to keep a resolution can stem from a variety of things - unrealistic expectations, lack of discipline, loss of motivation, or something else. I personally think that some of the trouble with keeping resolutions lies in our cultural “all-or-nothing” attitude when it comes to resolutions. For example, say you have a friend who has made a resolution to eat healthier. But on a snow day in February, she eats 10 cookies. Sadly, many people would throw in the towel at this point, thinking, “Today I went completely against my resolution, so I guess it’s over now.” In reality, keeping a resolution involves a less-than-perfect path. You might have days when you slip-up and others when you feel on top of the world. Doesn’t that sound a lot like the road to recovery? The point is, don’t give up on your resolutions when the going gets tough or when you take a few steps back. That’s life. There are some other excellent ways to help yourself keep your resolution for sobriety in the New Year. Focus on what you are gaining from sobriety. When you frame your resolution as simply “not drinking,” you are making a negative statement. Instead, think and talk about your resolution as something like “freeing yourself from addiction.” Reframing your decision in a positive statement allows you to focus on the benefits that you get out of keeping your resolution. Forgive yourself for past mistakes and focus on making decisions you are proud of. Beating yourself up over what you did in the past will only create more pain and suffering in the present. Offering yourself some compassion and forgiveness will go a long way toward creating the life that you deserve. Let your friends and family know about your decision so you can develop a strong support system. Gathering the support of trusted loved ones allows you to get the encouragement that that you need as you navigate the road to recovery. It also holds you accountable to your resolution because the force of positive peer pressure can help keep you in check when you feel your motivation waning. Invest in relationships with the people that can be the helping hands you need. Do something altruistic. Volunteering not only helps those in need, but it can also give you a boost of self-esteem. When you feel good about yourself, you are more likely to take the necessary steps to take care of yourself. Face your demons in a healthy way. Many people start using alcohol and drugs as a way to escape their troubles. Whether it’s depression, anxiety, past trauma, insecurity, or something else, everyone has their demons. Rather than self-medicating, make an appointment with a therapist and work through your issues. While therapy can be emotionally challenging, if you can attack the root cause of your addiction, you will set yourself up for long-term sobriety. Find clarity and meaning. Without drugs and alcohol clouding your outlook on life, you can start focusing on things that give you joy and meaning. Whether you decide to explore your faith, take up a hobby, learn a new language, travel, or something else, find something that gives you a sense of purpose. Living with intention will give you the attitude that you need to accomplish your resolution for sobriety. #### 7-Hydroxymitragynine Withdrawals - Outpatient Kratom Detox Marketers often promote kratom as a ‘natural’ remedy for pain relief, energy boosts, or opioid withdrawal support. However, many people fail to recognize that one of kratom’s most potent ingredients, 7-hydroxymitragynine (7-OH), can trigger severe dependence and serious withdrawal symptoms. If you or someone you care about is struggling to stop using kratom, you're not alone. At The Coleman Institute, we specialize in helping people detox from kratom and 7-OH safely, quickly, and more comfortably, usually in just 5 days, through our unique Outpatient Kratom Detox Program. What Is 7-Hydroxymitragynine (7-OH)? 7-hydroxymitragynine is a naturally occurring alkaloid found in the leaves of the kratom plant (Mitragyna speciosa). Although it makes up a small percentage of the plant's total alkaloid profile, it's responsible for the majority of kratom's opioid-like effects. Why? Studies show 7-OH to be up to 13 times more potent than morphine in terms of how it interacts with the brain's mu-opioid receptors. This makes 7-hydroxymitragynine highly addictive. While kratom products were once limited to raw leaf powder, today's market includes highly concentrated extracts, enhanced blends, and other labeled 7-OH products, many of which are openly marketed in smoke shops and online. Consequently, these versions can contain significantly more 7-OH than occurs naturally in the plant, increasing the risk of dependence and making quitting even more challenging. Moreover, the popularity of other kratom-based formulas, such as pseudo (pseudoinoxyl) and nano kratom, has been on the rise. How Is 7-OH Consumed? Typically, 7-OH is consumed in forms such as: Kratom capsules or powder - containing trace amounts of 7-OH Concentrated extracts or shots - significantly more potent 'Enhanced' kratom blends - fortified with added 7-OH Smoke shop products - often marketed specifically for 7-OH content Synthetic blends - sometimes found in unregulated online supplements While some people use kratom occasionally, many find themselves needing to use more and more often to achieve the same effects, a sign of increasing tolerance and dependence. What Do 7-OH Withdrawals Feel Like? Over time, as the body adapts to the presence of 7-hydroxymitragynine, quitting kratom can cause a wide range of opioid-like withdrawal symptoms, including: Anxiety, restlessness, & irritability Insomnia & racing thoughts Muscle aches, chills, & tremors Nausea, vomiting, & diarrhea Depression & mood swings Fatigue & intense cravings However, many people attempt to quit 'cold turkey' and find themselves overwhelmed by how difficult it is, especially if they've been using high-potency products. Outpatient Kratom Detox at The Coleman Institute At The Coleman Institute, we've developed a specialized outpatient detox program that is tailored specifically to people dependent on kratom and 7-OH. Our Kratom Detox Program typically takes just 5 days to complete without the need for inpatient rehab or hospitalization. What to Expect: Medical Safety & Comfort Experienced medical professionals manage your detox and use non-addictive comfort medications to reduce withdrawal symptoms. Outpatient Convenience Most patients complete detoxification in five days, instead of struggling with withdrawal for weeks or months. No overnight stay needed with our accelerated method. Customized Protocol We tailor every detox to the individual’s needs. Naltrexone Therapy (Optional Post-Detox) After detox, we offer the option to begin Naltrexone Therapy, a non-addictive, FDA-approved medication that helps reduce cravings and support long-term recovery. You can take naltrexone as a daily tablet or receive it as a monthly injection. Why Choose The Coleman Institute? We understand how isolating and frustrating it can be to feel stuck in a cycle of dependence. Overall, our Kratom Detox Program is designed to be: Fast - Most detoxes are complete in just five days Safe - Medically supervised & individualized care Comfortable - We use non-addictive, comfort-based medications Outpatient - No residential rehab or hospital stay required Evidence-Based - Backed by over 25 years of clinical experience and a 95% completion rate Ultimately, The Coleman Institute focuses on helping you move forward from addiction with confidence, clarity, comfort, and compassion. Ready to Break Free from Kratom & 7-OH? In sum, kratom may be legal and plant-derived, but 7-hydroxymitragynine (7-OH) acts on the brain like a powerful opioid, and quitting without help can be extremely hard. You don't have to navigate this alone. At The Coleman Institute, our team is here to support you every step of the way with a 5-day outpatient detox program that's safe, comfortable, effective, and non-disruptive to your life. Learn more about our Kratom Detox by visiting our webpage or calling to speak with a compassionate member of our team. #### 7-OH Ban: Is 7-Hydroxymitragynine Illegal Now? On July 1st, 2026, the U.S. Drug Enforcement Administration (DEA) announced action to temporarily place certain 7-hydroxymitragynine (7-OH) substances and related synthetic compounds into Schedule I of the Controlled Substances Act. The announcement has left many consumers asking the same question: Is 7-OH illegal now? No, not yet. While the DEA has announced its intent to temporarily place certain high-potency 7-hydroxymitragynine (7-OH) products and related synthetic compounds into Schedule I of the Controlled Substances Act, the agency has initiated the scheduling process rather than finalized it. The action targets certain enhanced 7-OH products and does not mean all kratom products are federally banned. The federal action focuses on enhanced 7-OH products, including products with 7-OH above a specified threshold, as well as synthetic derivatives such as mitragynine pseudoindoxyl, MGM-15, and MGM-16. These are not the same as traditional kratom leaf products that contain only trace levels of naturally occurring 7-OH. For people who regularly use 7-OH products, those who have developed physical dependence may experience withdrawal symptoms. Understanding what the DEA’s action means, what products are affected, and when to seek medical help is critical. What Is 7-OH? 7-hydroxymitragynine, often called 7-OH, is an alkaloid associated with the kratom plant. In the natural kratom leaf, 7-OH occurs only in trace amounts. The products raising concern today are different. Many contain isolated, enhanced, synthesized, or highly concentrated 7-OH. These products may be sold as tablets, capsules, gummies, liquid shots, drink mixes, powders, or other concentrated extracts. Because these products can contain much higher levels of 7-OH than traditional kratom leaf, they may produce stronger opioid-like effects and carry a greater risk of tolerance, dependence, and withdrawal. What Did the DEA Announce? The DEA announced two Notices of Intent related to 7-OH and kratom-derived synthetic compounds. One notice addresses the temporary placement of 7-OH above a specified threshold into Schedule I. The second notice addresses three synthetic 7-OH derivatives: Mitragynine pseudoindoxyl (MP) Dihydro-7-hydroxymitragynine (MGM-15) MGM-16, the 9-fluoro derivative of 7-hydroxymitragynine According to HHS and FDA, MP, MGM-15, and MGM-16 do not occur naturally in the kratom plant. MP is described as a chemical rearrangement product of 7-OH, while MGM-15 and MGM-16 are synthetic derivatives of 7-OH. Does This Mean All Kratom Will Be Banned? No. The DEA’s action is not intended to regulate natural kratom leaf that does not contain enhanced levels of 7-OH. Traditional kratom leaf contains trace levels of naturally occurring 7-OH, but the federal action is focused on enhanced, concentrated, and synthetic 7-OH products. The DEA is targeting high-potency 7-OH products and related synthetic compounds, not every single product made from the kratom plant. What Kratom Products Are Affected? The DEA action targets products containing certain high-potency or synthetic kratom-related substances, including: 7-hydroxymitragynine (7-OH) exceeding the DEA's proposed threshold of more than 0.050% by weight or more than 1 mg per product Mitragynine pseudoindoxyl MGM-15 MGM-16 These compounds may appear in products marketed as kratom extracts, 7-OH tablets, gummies, capsules, powders, liquid shots, and other enhanced formulations. The HHS also noted that mitragynine pseudoindoxyl (MP), MGM-15, and MGM-16 are synthetic or chemically modified compounds that do not naturally occur in the kratom plant. Why Did Federal Agencies Take Action? Federal regulators are concerned because enhanced 7-OH products are significantly different from and more dangerous than the traditional kratom leaf. These products pose public health concerns because of their potency, addictive potential, and opioid-like effects. The FDA had already issued warning letters in July 2025 to companies selling illegal products containing 7-OH, including tablets, gummies, drink mixes, and liquid shots. In December 2025, the FDA, the DOJ, and the U.S. Marshals Service seized approximately $1 million worth of unlawful 7-OH dietary supplements and food products from three Missouri firms. The DEA’s action is a response to an emerging public safety threat involving highly concentrated synthetic 7-OH products. What This Means If You Use 7-OH If you use traditional kratom products, this announcement may not affect you in the same way it affects someone using high-potency 7-OH tablets, shots, or synthetic derivatives. However, if you regularly use concentrated 7-OH, MGM-15, pseudoindoxyl, or similar products, this federal action could affect availability. Products will become harder to purchase, retailers may remove them, and online sellers may stop carrying them. For people who are physically dependent, suddenly losing access can trigger withdrawal. Common 7-OH withdrawal symptoms may include: Anxiety Restlessness Insomnia Sweating Nausea Muscle aches Irritability Cravings Depression or mood changes Withdrawal severity can vary depending on the specific product, dose, frequency of use, and overall health. Should You Quit 7-OH Cold Turkey? Quitting suddenly can be extremely difficult if your body has become dependent on 7-OH or related synthetic compounds. Some people may be able to stop on their own. Others may experience significant withdrawal symptoms that make it hard to function, sleep, work, or avoid returning to use. If you have been using 7-OH products daily or in high amounts, consider medically detoxing at The Coleman Institute to prevent relapse and reclaim your sobriety. Treatment for 7-OH Dependence If you’ve become dependent on 7-OH, you may assume your only options are a 30-day inpatient rehab program or long-term medication-assisted treatment. But those aren’t your only options. At The Coleman Institute for Addiction Medicine, we provide a five-day outpatient medical detox program designed to detox patients from 7-OH and other opioid-like substances without requiring an extended residential stay. Treatment begins with a comprehensive medical screening performed by one of our medical providers. During this evaluation, we assess your medical history, current medications, substance use patterns, withdrawal risk, and any other factors that may affect your care. Based on that assessment, we develop an individualized detox plan tailored to your needs. Our approach is also abstinence-based. Rather than replacing one opioid-like substance with another, our goal is to help patients safely stop using kratom products without starting long-term maintenance medications such as Suboxone. Instead, we use non-addictive comfort medications and evidence-based medical protocols to help manage withdrawals throughout the detox process. If changing laws have made you reconsider your kratom or 7-OH use, or you’ve been trying to quit but haven’t been able to on your own, you don’t have to go through this alone. Frequently Asked Questions Is 7-OH illegal now? Not yet. The DEA has announced its intent to temporarily schedule certain high-potency 7-OH products and related synthetic compounds. The proposed action applies only to specific enhanced 7-OH products and does not ban traditional kratom leaf or all kratom products. Will the DEA ban apply to MGM-15? Yes. MGM-15, also called dihydro-7-hydroxymitragynine, is one of the synthetic derivatives included in the DEA’s temporary scheduling action. Will the DEA ban apply to pseudoindoxyl? Yes. Mitragynine pseudoindoxyl, also called MP, is specifically included in the DEA’s action. Will this ban all kratom? No. HHS stated that the action is not intended to regulate natural kratom leaf that does not contain enhanced levels of 7-OH. Can 7-OH cause withdrawal? Yes. Regular use of concentrated 7-OH products can lead to tolerance, physical dependence, and withdrawal symptoms when use stops. Final Thoughts The DEA’s action marks a major turning point for high-potency 7-OH products and related synthetic compounds, such as MGM-15, MGM-16, and mitragynine pseudoindoxyl. For consumers, the most important takeaway is that the federal action targets enhanced 7-OH and synthetic kratom-related compounds, not traditional kratom leaf as a whole. For people who have become dependent on these products, the bigger concern may be withdrawal. If you or your loved one is worried about stopping 7-OH, professional recovery support can help make the process safer and more comfortable. #### 8 Quotes About Quitting Drinking From Famous People I carry a pen around at work (even though I have had to resign myself to using electronic medical records...sigh) because my patients in recovery say the most profound things. I mean, they’re not even trying to—and astonishing, inspiring things come out of their sober mouths as they work through an accelerated opioid detox or alcohol detox. I grab whatever I can to write on, often the back of a prescription pad, and beg them to, “Slow down! I want to capture this word for word!” As part of my job to write blogs, I can find any kind of facts and research on Google, but hearing real people say real things is what truly gets my writing mojo going. Just because most of my patients are everyday, real people (although we’ve treated a few celebs in our time at the Coleman Institute for Addiction Medicine), doesn’t mean their words aren’t powerful. I will collect them in a blog article at some point, but I wanted to share a few notable words from some notable people that have found incredible contentment in recovery. “The priority of any addict is to anesthetize the pain of living to ease the passage of day with some purchased relief.” — Russell Brand “I remember grey miserable nights. I was in a coma for most of it, so I missed the whole decade, including the Beatles. One day I just thought, ‘I’ve had enough of this.’ It was simple. I didn’t want to go on feeling bad. I don’t miss drinking, not at all. I don’t want to ever go back there.” — Anthony Hopkins “I tried to drown my sorrows in alcohol, but the bastards learned how to swim.” — Frida Kahlo “I am more successful than I have ever been. I feel very positive where I never did before, and I think that’s all a direct result of getting sober.” — Jamie Lee Curtis “I got sober. I stopped killing myself with alcohol. I began to think: 'Wait a minute, if I can stop doing this, what are the possibilities?' And slowly it dawned on me that it was maybe worth the risk.” — Craig Ferguson “I decided that the single most subversive, revolutionary thing I could do was to show up for my life and not be ashamed.” — Anne Lamott "But like most drunks that had gotten sober, I got to the point where I was deteriorating faster than I could lower my standards, you know? So, I was getting to a point where I was living in a way that involved waking up sick and with a lot of shame and just kind of animal confusion.” — Anne Lamott If you need help to stop drinking alcohol, inspiration is all around you. At the Coleman Institute for Addiction Medicine, our focus is getting real people safely off alcohol, opiates, and benzodiazepines. Please call us if we could be of service. Joan R. Shepherd, FNP SCHEDULE A CALLBACK #### 8 Tips for Sober Travel You have completed your detox, gotten through the worst of the Post-Acute Withdrawal Syndrome (PAWS) and now you are thinking “I need a vacation.” Great idea! Just like every other part of your recovery plan, this needs to be carefully thought out and planned. Some Tips: 1. Travel Partners — Whether it be a spouse, partner or friend, they need to be people who are aware of your sober status and supportive of your recovery. 2. Locations — There are companies that specialize in sober travel and cruises. Some vacations ideas that tend to not have alcohol involved are yoga or meditation retreats. 3. Minimize stress — Inevitably something will happen to derail your plans&mdashl;lost luggage, weather-related delays, etc. All you can do is plan the trip as carefully as you can and, if the unexpected occurs, try to maintain a positive attitude. Don’t assume that anything that goes wrong is your fault. If something goes awry, do what you can to remedy the situation and accept that the rest is out of your control. Take deep breaths, close your eyes, and focus on trying to deal with things as gently and positively as you can. 4. Local Resources — For those in 12 Step recovery and other peer support groups, there are meetings worldwide. You can research and download the meeting options in advance in case you are in need. Print out a copy so it is always at the ready. 5. Transportation — Airports, airplanes, and trains are a big trigger for many people when it comes to alcohol. Recognizing this as a trigger will help. Enlist your travel partner or other friends and if you are triggered reach out. Some people “bookend” and identify a person who they can text or call when they arrive at the airport, walk past a bar, get on the airplane and then once they arrive at their destination. 6. Hotels — Did you know you can call ahead and ask the hotel to make your room alcohol free? They will remove the minibar in advance of your arrival&mdashlno questions asked. 7. Take care of yourself — eat as well as you can, drink lots of water, exercise and move your body, take a break when you need to. Self-care doesn’t need a vacation. Stick to your routine as much as possible. 8. Use technology — There are thousands of resources at your fingertips through your phone. Sober meeting apps, podcasts, Facebook groups, meditation apps, sober tracking apps. Research and get them on your phone before you leave. Just like everything else, sober travel will be new territory. There will be challenges but the more you think about this in advance, enlist help from others, and plan ahead, the more you are putting your recovery first, where it needs to be. You just may find that this will be the best vacation you have ever had not dealing with the after-effects of substances and appreciating the beauty before you. Have fun! You have worked extremely hard to get to this point. Safe travels! Deborah Reich, MD SCHEDULE A CALLBACK #### A Drug-Free Dad It was very gratifying to see Benjamin* for his naltrexone implant follow up appointment earlier this month. He first came to the Coleman Institute-Richmond for his rapid opioid detox about eight months ago to get off methadone. Ben is in his thirties and works full time in a job that he doesn’t love, but suits him well enough for now. He lives with his 2 year old daughter and her mother. He goes to the gym most days. He did some counseling when he was newly sober and he attends the occasional 12-step recovery meeting. He avoids contact with people he knows who are actively using drugs. He said the first 3 to 4 months were not easy. He says he drank a lot of alcohol and smoked a lot of pot in those first months. And then, at his counselor’s suggestion, he decided to see how he felt without using anything. He admits to being somewhat surprised to realize that he actually felt pretty good- he was able to sleep, had a good appetite and plenty of energy for work, family and fun. In short, life is really, really good. He can’t believe how great it is to be off methadone. His big question now: When to stop the naltrexone? Currently Ben gets a naltrexone implant every two months. Naltrexone is a pure opioid antagonist, or blocker. With the Coleman Institute’s naltrexone implant, all the opiate (mu) receptors are filled continuously for about two months. Therefore, the body actually feels no cravings for opiates. Even if someone took the random pain pill with the naltrexone pellet intact inside them, there would be no effect. When the naltrexone wears off, there is no withdrawal because it is not an opioid like methadone or a partial agonist like buprenorphine. However, because the body has not had opiates for at least two months, tolerance is reduced, and a person can be very susceptible to overdose if they choose to use opioids again, particularly if they are injecting. There is not a one-answer-fits-all for when to stop naltrexone and it is important to consider many factors. Just wanting to stay clean and feeling passionate about it may not be enough. Many of our successful patients come to realize that often when they used their drug of choice, they were avoiding dealing with some kind of problem, big or small. When the drug use stopped, they were left with the reality of their problems. Learning coping skills and problem solving while dealing with the physical aspects of early sobriety can be challenging. (I asked Ben what it was like to parent a 2 year old while he’s sober—he laughed and said, a lot harder!) This is why we strongly encourage our patients, and assist them to find meaningful counseling/therapy/support while keeping naltrexone on board as the brain heals and begins to create its own endorphins again. For many people, we recommend using naltrexone for at least a year. That’s Ben’s plan right now, but he is open to suggestions. He doesn’t want to go back to a life of opiate dependence. Please feel free to call me or any of our team if you have any questions about the pros and cons of using naltrexone therapy. Joan R. Shepherd, FNP v*Not his real name #### A Fast and Easy Way to Detox off Opioids These were not my words, but the words of a patient who completed a 5-day opioid detox with us a few weeks ago. A couple of years ago, his detox would probably have been 3 days—he believed he was using a gram or a gram and a half of heroin a day—but when fentanyl was discovered in his urine, the length of his outpatient detox was increased. This is both for his comfort and his safety. At the Coleman Institute for Addiction Medicine, we have been getting people off opioids safely and comfortably for over twenty years, and the recent ubiquitous presence of fentanyl has definitely caused a change in our protocols. I am always curious about how a patient finds us. Was it word-of-mouth? Or an online search? Tony (not his real name) said he had searched "the most painless way to get off opioids" in Google. Is the Fastest Way to Detox the Right Way to Detox? Some years ago Dr. Coleman, like a handful of other doctors, was performing Ultra-Rapid Opiate Detoxes (UROD or URD) for people on the path to freedom from their Substance Use Disorder. This entailed a stay in the hospital and having all the opioids removed from their respective receptors while the patient was under general anesthesia. There is no doubt that flooding a person with naloxone and/or naltrexone will eliminate opioids “ultra-rapidly.” However, this abrupt method is far from gentle or comfortable. Patients waking up from being anesthetized experienced all the profound withdrawal one might expect. Plus, using general anesthesia adds another layer of complexity and potential complications. What is Outpatient Detox and Why is it a Better Treatment Experience? After seriously considering all the pros and cons of doing Ultra-Rapid Detoxes (aka anesthesia detoxes) in a hospital setting, Dr. Coleman came to the conclusion that an outpatient procedure just made more sense. It accomplishes the same result—helping people get off pain killers and other opioids—but in a more comfortable, safer, and more affordable way. Furthermore, the outpatient detox experience allows for dialogue between the patient, the patient’s support person, and our knowledgeable staff. Not much conversation happens when a person is under anesthesia. While the opioid withdrawal process is accelerated from a 7-10 day cold turkey experience (or much longer in the case of buprenorphine or methadone), I am reluctant to tell an inquiring patient that our detox is easy. That being said, we do all we can to make it is the most comfortable experience possible for people desiring to get off drugs like Percocet®, Vicodin®, Fentanyl, Opana®, Roxicodone®, Dilaudid®, Tramadol, Methadone, Suboxone, heroin…and now, more and more, kratom. Finding the Right Detox Treatment For You Tony himself was an extremely satisfied customer. Having detoxed cold turkey on several occasions in the past, he couldn’t bear the thought of doing it again that way. These past painful memories kept him locked into continued use. He had tried kratom and Suboxone bought off the street to detox himself but just couldn’t make it last. Finally, in desperation, typing the search words into the computer, he found the Coleman Institute. I don’t want to say Tony "breezed through" his detox, but I will say, it was one of the smoothest detoxes I have worked with, and I’ve been doing this for over thirteen years. (Dr. Coleman has been doing this for over 25 years.) We tell our patients to expect to feel a couple of hours of relative discomfort and then about twenty to twenty-two hours of feeling okay.   UNDERSTANDING ACCELERATED OPIOID DETOX   The Dangers of Quitting Opioids Cold Turkey Retching, vomiting, diarrhea, severe stomach and muscular cramping are the usual consequences of abrupt opioid withdrawal. Is it actually dangerous? Perhaps people with comorbidities who suffer extreme dehydration and potential electrolyte imbalances from the gastrointestinal effects of a cold-turkey opioid withdrawal are at risk for serious medical consequences. But for most people, opioid withdrawal is simply unbearable—and terrifying. I think this is what prevents so many from discontinuing their opioid use or abuse. Patients who use opioids recreationally and come to the Coleman Institute for Addiction Medicine quickly acknowledge that they are not having fun or getting high any longer; they are simply loathed to stop using these substances because of the excruciating physical discomfort. Is a Painless Detox Possible? Many people with Opioid Use Disorder are eager to explore options for opioid detox, especially a painless opioid detox. The close attachment of opioids to receptors in the brain can make the associated withdrawals highly uncomfortable, if not dangerous. In short, all detoxes have the potential to be painful. What is experienced during a detox is determined by an individual’s substance history, medical history, and more. The Coleman Method, pioneered by the Coleman Institute, offers a safer, faster, and more comfortable way to start your journey toward recovery. The Coleman Method uses a non-addictive opioid blocker called Naltrexone to reduce cravings for opioids and patients succeed in their long-term recovery. While a 100% painless detox is difficult to predict, patients at the Coleman Institute rest easy knowing they are receiving one of the most comfortable detoxes possible. How an Outpatient Rapid Opioid Detox Using the Coleman Method Works Our process is to use micro-doses of naltrexone each day to displace the opioid from the receptor, while quickly and effectively addressing any symptoms that may start to emerge. The naltrexone is the workhorse of the operation and it is not snake oil—as the naltrexone takes the place of the opioid on the receptor, patients are likely to experience some withdrawal symptoms. Tony and his support person’s first day at the office involved completing paperwork and being educated by our staff on the details of administering comfort medications. We also do blood work and get an EKG at the initial visit. Tony received his first micro-dose of naltrexone prior to leaving. At each subsequent visit, we met with Tony and his father to hear how things went, review and adjust the comfort medication as needed, and administer ever-increasing micro-doses of naltrexone. An accelerated detox off methadone or buprenorphine products is usually an eight-day procedure. Short-acting opioid detoxes are generally scheduled to last for five days. The final day is the longest, as we hang an IV and remove any traces of opioids that might be left on the receptors before placing a long-acting naltrexone implant. How Does Accelerated Opioid Detox Help With Withdrawal? Because the micro-dose naltrexone has been bumping the drugs off the brain’s receptors incrementally each day—and the body has been naturally eliminating the drug—the final day is usually pretty comfortable. (We always offer our support person a nice meal from a menu of great local take-out places, because we anticipate they will be with us through lunchtime and finish up in the afternoon). Sometimes I suggest that patients visualize a huge boulder being pushed out of a hole and being replaced with a beautiful tree. By the end of one of our Accelerated Opioid Detoxes, a "forest" of naltrexone populates the receptors, leaving no empty spaces for opioids to land. In Tony’s case, he had never before had five comfort medications offered during a detox. (His father, the chosen support person who stayed with him throughout the entire process, admitted he had once purchased 2 fifths of vodka to get his son through a tough detox in the past). Tony’s worst detox symptoms were chills and a jerking sensation in his arms and shoulders. Again, these did not last more than two hours, nor were they debilitating. The medication and several warm showers helped greatly with his symptoms. Plus, our staff is available 24/7 if either the patient or the support person is concerned or has questions. Finding The Right Detox Treatment Facility Finding a reputable place to help someone responsibly and safely get through an extremely difficult process is even more challenging. The Coleman Institute started with a single office in Richmond, Virginia, and because of its unique approach—providing an accelerated, outpatient process using naltrexone as its main MAT (medication-assisted treatment)—we have grown to train providers in 12 different states. Perhaps your search will end here, as well. We promise a highly-skilled, compassionate staff that will provide you with what is likely the safest and most comfortable—opioid detox on the market. Please call or schedule a callback if we can answer any questions. Joan R. Shepherd FNP   SCHEDULE A CALLBACK #### A Monthly Suboxone Injection? If you are considering a Suboxone Injection to detox to treat a Substance Use Disorder? Explore how using a monthly buprenorphine (Suboxone) injection can help you on the road to recovery. Explore the recap of Dr. Peter Coleman’s YouTube video, “A Monthly Suboxone Injection?” here. Buprenorphine Injection Many people might have already heard about Sublocade, which is a new monthly buprenorphine injection. It's kind of like taking Suboxone for a month, but instead of taking a daily Suboxone® injection, you only have to have a monthly buprenorphine injection. Buprenorphine Injection’s been around for a while now, and it's starting to get more and more acceptance. Buprenorphine Injection Cost Right now, it's quite expensive. I wish it were a little less expensive because it would benefit the people on buprenorphine products. Weekly Buprenorphine Injection There's even a newer version that's coming out that will have more dosing flexibility in a weekly version as well. Eventually, You’ll Need to Detox off of Buprenorphine As most people know, buprenorphine is a partial agonist and partial antagonist for people who have Substance Use Disorder. However, it’s an addictive drug. Eventually, you will need to detox off of it once you’re ready. But because it's so long-acting and smooth, it doesn't get you high. And so it's a pretty good bridge for people who aren't ready to be on Naltrexone and fully abstinent. Suggested Read: What’s the Difference Between Using Naltrexone and Buprenorphine? UNDERSTANDING ACCELERATED OPIOID DETOX Buprenorphine Treatment Long-acting Buprenorphine is a good treatment. Taking it every day is useful, but taking it every month is turning out to be a very, very effective way of treating it. Because patients get a monthly shot once a month, they stop thinking that they might have a low level or a higher level. They stop obsessing about whether they're on the right amount or anything. They just get on with their lives and start working on their recovery program and just accept that they're on the right treatment, and they can just get on with the things in their lives and on their recovery. We see the same thing happening with Vivitrol and with their implants. Conclusion As soon as we put the long-acting Suboxone injection in patients, they stop thinking about it. They stop thinking and obsessing about their opioid problem, and they can concentrate on their recovery. And so it's very, very helpful, much better than the once-a-day treatment. I think Sublocade and the new one coming out will find a beneficial part of the whole treatment for Substance Use Disorder. Fortunately, here at the Coleman Institute, we have a good method of getting people off of buprenorphine products. When they have completed the detox, they've got their life together. We have a lot of patients who are detoxing quickly, rather than the slow taper off of Suboxone®. But I think Sublocade is a beneficial drug. Suggested Read: Why is it So Hard to Detox Off of Suboxone and Other Forms of Buprenorphine? SCHEDULE A CALLBACK #### A Moral Failing Or A Brain That Needs Healing? For those of you interested in learning more about how addiction specifically affects the brain, I encourage you to watch Dr. Kevin McCauley’s movies and YouTube presentations. Dr. McCauley was an Air Force surgeon who became addicted to pain medications after he went through a surgery himself. Rather than receiving treatment, he was sent to Leavenworth Prison. He took advantage of his time in prison to learn everything he could about this incredible condition that was so powerful it compelled him to continue to take drugs even though he knew it was jeopardizing everything he valued. How do Drugs Work in the Brain? As Dr. McCauley states it best, he breaks down how the various regions of the brain are individually affected by drug use and addiction, painting a very accurate, but not pretty, picture of the condition we see in many of our patients being treated at the Coleman Institute. He expands upon this stating, "Those of us who practice addiction medicine know that we are working with patients who are not at their best. We try to protect their dignity until they find the tools to get better." As the need for the addictive drug — be it Oxycontin®, heroin, morphine, Dilaudid®, fentanyl, or Vicodin®, just to name a few—becomes stronger and stronger, the more the brain is "highjacked." Because most drugs specifically interfere with the way our brain communicates (via neurons which send, receive, and process signals) some drugs can actually activate these in the wrong way due to their chemical structures. What this does is allows the drugs to attach to our neurons and replicate the brain's own chemicals leading to abnormal messaging being sent back and forth. Drugs specifically like amphetamine, cocaine, or opiates, can also cause these neurons to give off an excessive amount of neurotransmitters that prevent the normal day-to-day cycling of our brain activity to occur. This in turn, heightens and disrupts the normal functioning of the brain and can do significant damage if not properly treated. For instance, it is often saddening to watch as family members and support systems see loved ones turn into someone they do not recognize. While each individual's addiction is much different from the next; many often find themselves driven away from their loved ones as their mannerisms are taken by control of the drugs and addiction. What Parts of the Brain are Affected by Drugs? To provide further perspective on which areas are affected the most by drug use, we touch base on the "basal ganglia". This area of the brain plays a vital role in positive affirmations and reward systems. For instance, many activities that seem pleasurable like eating, socializing, and relaxing all stem from this area in the brain. However, when an individual is addicted to a drug this area will over-activate and adapt to the presence of the drug itself, replacing the actual reward feelings that one would typically experience with only a reward to taking the drug itself. Aside from this key area of the brain drug use also affects both the "prefrontal cortex" and "extended amygdala"; which both play a role in the ability to think and focus and maintain stress. For those addicted to drugs, these areas are often heightened so much that one feels an unusual stressor when not on the drug and result in compulsive disorder rather than the ability to think through their addiction or gain any control. UNDERSTANDING ACCELERATED OPIOID DETOX Why Choose an Accelerated Opioid Detox? For those loved ones that are aiding support for an individual who is addicted can experience a very tough job. It can be painful and embarrassing. They sometimes can become fed up with their child/partner/friend who they are tying to help. Instead of gratitude, they get abused. But people who choose to work in this field understand that these are the drugs talking. This is a damaged brain and it can heal. At The Coleman Institute we offer an Accelerated Opioid Detox using the Coleman Method. With the Coleman Method our outpatient detox program can be finished in as little as three days. By removing the opioids from your brain in the fastest most comfortable means possible, you eliminate the risk of self-detoxing and can rid your body of opioids with little disruption to your day-to-day life. SCHEDULE A CALLBACK At the Coleman Institute, we know far too well how devastating and complicated both short-term and long-term effects of addiction can be for those struggling. Yet, there is light at the end of the tunnel. By overcoming your addiction and seeking professional treatment, you can be on your way to a healthier and more improved lifestyle. If you are looking for more information on how to treat addiction, treatment options or continued therapies - you can find excellent care at The Coleman Institute. Joan R. Shepherd, FNP #### A Sobering Experience I just returned home from a “virtual” first oncology appointment with a friend. In the midst of the international COVID crisis, my friend now has to deal with the fact that her time on this planet is limited. She is confronted with that “if you had one year to live” scenario. It’s really hitting me hard and making me reflect on several things. It’s amazing how one experience can completely change your perspective. Cancer is an Equal Opportunity Disease Cancer is often not preventable. It can strike anyone young or old, rich or poor, famous or not famous. It’s one of those sad facts of life. Hopefully, there will be medical breakthroughs and a definitive cure someday. Substance Use Disorder is Treatable Addiction, on the other hand, is a disease we can do something about. It’s true that there are no magic cures and it’s very difficult to combat, but it IS treatable. Millions have overcome this brutal disease through the decades. Now more than ever, there are many evidence-based options for treatment. There is a fit and path for anyone and everyone when they are ready and willing to try it. Personally, this experience with my friend has made me think that I would not want to be in a position someday and think “if I hadn’t….” or “if I only had…” UNDERSTANDING ACCELERATED OPIOID DETOX Reflecting on Substance Use Disorder Think about your addictions and how they may play out in the future. Are you potentially shortening your life? Are you setting yourself up for a painful, preventable end of life? Do you and your family deserve better? Are you willing to go to any length to rewrite your own story? This is a particularly good time for reflection. If nothing else, we all have time on our hands. Treatment for addiction is available and possible. We at the Coleman Institute are here to help. Reclaim your life. As they say in the AA promises “We will not regret the past, nor wish to shut the door on it.” Let us help you find YOUR path to recovery. Schedule a call below. Deborah Reich, MD SCHEDULE A CALLBACK #### Accelerated Opioid Detox: Explained Using the Coleman Method Here at the Coleman Institute, we know that drug addiction is a disease. It's not your fault, but it's devastating and it affects an awful lot of people. Since 2002, we've helped over 8,500 people successfully detox off of drugs or opioids and we’re here to help. What I'd like to do is explain to you exactly how we do our accelerated opioid detox. Because I find that when family members and patients really understand what we're doing, it helps them move through the process because it makes sense to them. Explore the recap of Dr. Peter Coleman’s YouTube video, “Dr. Coleman Explains Accelerated Opioid Detox using the Coleman Method” here. How Do Opioids Work? All opioid drugs — Fentanyl, heroin, methadone, Oxycontin — work on the endorphin receptors in the brain. The endorphin system is in our brain to give us pain relief if we're in a lot of pain, but also to give us energy. Artificial drugs like heroin and others overpower that system and give people a much stronger effect. It feels great, but when it starts wearing off, they feel horrible, and so they've got to keep using. When they don't have it, they go through what we call cold turkey; very, very painful. More like this: What Is Dopamine & How Does Keep Me Using Opioids? Trying to Detox Cold Turkey The best way to think of it is that when patients come to us, they have a brain opioid level. They've still got the drugs sitting in their brain. When they're using, they use drugs and the level goes up and then it starts wearing off so they have to use more. But if they get put in jail or they go to a regular treatment program, they go through what's called cold turkey, and over seven to 10 days, those drugs come out of the system. It's so painful that most people can't go through it at all. They rob, they steal, they sell drugs, they borrow, they do whatever it takes to get the drugs. More like this: How Can I Get Off These Bloody Pain Medications? Ultra Rapid Detox To get people through that process, which is very painful, we used to do an anesthesia detox called Ultra Rapid Detox. Some people still do this, but we've moved on and found a much better way. With the Ultra Rapid Detox, you're given naltrexone, which is a blocking drug. It pushes all of the drugs off the receptors in about five minutes. The idea is the patient would wake up and say, "Wow. Thanks, doc. I'm off the drugs and I feel great." In reality, they felt horrible, and it was such a shock to the system that there were even some serious problems and people had to be put in the hospital. More like this: Why We No Longer Perform Anesthesia Detox Accelerated Opioid Detox We've moved on and found a much better process called the Accelerated Opioid Detox. UNDERSTANDING ACCELERATED OPIOID DETOX How Accelerated Opioid Detox Works The way that works typically is we have people stop using the drugs about 6:00 pm the night before, so by the time they come into us on day one, they're already in mild withdrawal. We give them sedatives and comfort drugs to get them through the first day. Then on the third day, they're already a long way detoxed and we can push the rest of the drugs out over about six to eight hours. We've even improved it over the last 12 years by giving micro doses of naltrexone. Each day we give a little bit of naltrexone and now we're putting people on this curve so that by the last day, it's very easy. They're already almost completely detoxed, and we often can get it done by 1:00 or 2:00 on an outpatient basis. Patients are amazed at how comfortable they feel even though all the drugs are gone. At the end of the detox, we put people on naltrexone because that blocks the opioid receptors and it helps heal the brain and it helps to decrease cravings, and it helps if they do have a slip-up. We also use naltrexone implants, which provide a low level of naltrexone for two whole months, and sometimes we put them on Vivitrol, which is a one-month injection. Conclusion Patients are amazed at how good they feel. They come back for follow-up visits and most of them have almost no cravings and they're able to get on with their lives and concentrate on their therapy, and they're starting to feel great. SCHEDULE A CALLBACK #### Access To The Soul When I was eating lunch recently with my friend Ellie, who volunteers at the Richmond jail teaching meditation and yoga, she mentioned a quote by Dr. Parker Palmer, an educator and activist. He says, "The human soul doesn't want to be advised or fixed or saved. It simply wants to be witnessed - to be seen, heard and companioned exactly as it is." I've been thinking about that idea and how it relates to the work we do at the Coleman Institute. Obviously, people sign up for a very specific service when they seek our help; most people are coming for rapid opioid, alcohol or benzo detoxes. And Dr. Coleman has finessed this process so carefully for many years it is a very functional and--dare I say - elegant way to detox. But deeper than the actual product that we offer, part of what surprises people when they come through our doors is the feeling of complete acceptance of who and where they are in their journey to wholeness. Although we are doing some "fixing, advising, and saving," I think what we offer to our patients is the opportunity to return home to themselves. We help to lift the crushing veil of unreality that using these substances creates. Only then can a soul be truly "witnessed, seen, heard and companioned." It's a miracle and a privilege to witness patients returning to the office, often almost stunned at what has opened up in their lives. Sometimes people just need the chance to have access to their souls again. Joan Shepherd, FNP #### Adam's Opioid Addiction and Recovery Story I have written this before in many blogs, and (as long as I continue to write) this will remain a constant: my inspiration comes directly from our patients. Although I change personal details to protect their privacy, the core of their stories is what moves me and what I deem so worthy of sharing. Yesterday I was particularly touched by two patients: “Adam” and “Eve”. Struggling with Opioid Dependency Adam is 35. He has a several year history of struggling greatly with an addiction to opioids. From pot to pills to heroin to fentanyl, Adam has dodged multiple overdose bullets and experienced legal, medical, emotional, and social consequences. He grew up in a family that abused drugs and alcohol. It wasn’t until he took part in a recovery program during a prison stint, that he became aware there was actually a different way to live. He has aspired to that ever since. But it hasn’t been smooth or easy. Adam has experienced many bumps in the road on his journey to recovery. Family Impacted by Opioid Dependency He was released from a six-month period of incarceration last year. Before going in, his girlfriend of many years, Sally became pregnant with their first child, a son they named Gabe. Sally loves Adam, but she did not want him living with them. She wants Adam to have a lot of recovery time under his belt before they “play house” together. Adam, who is incredibly respectful of this, moved into a recovery house when he got released. Finding the Path to Recovery with Naltrexone There are so many aspects that need to be addressed when one is casting off the chaos of a life controlled by addiction to opioids. Following treatment, many behavioral and lifestyle changes need to take place, which often begins with a recovery residence. These homes can help provide a spectrum of services, including structure, comradery, access to recovery resources, help with transportation and employment, and more. Adam found a place where he felt safe and supported and right away, became engaged in the life of this community. Adam also very wisely came to the Coleman Institute for monthly Vivitrol injections. For those who don’t know, Vivitrol is a form of long-acting naltrexone. This is a medication used for people who have an Opioid or Alcohol Use Disorder. For opioids, it will block the actual opioid receptors, rendering them ineffective. For alcohol, it will diminish the cravings and impulse to drink. It is a wonderful option as a Medication Assisted Treatment (MAT) for opioids and alcohol. The other 2 forms of Medication Assisted Treatment for opioid use are buprenorphine and methadone. Although these treatments have their own pros and cons, many people prefer naltrexone because it does not create a physical dependence like the other two. The hurdle with using naltrexone is that all opioids have to be ‘washed out’ prior to receiving it in order to prevent precipitated withdrawal. However, Naltrexone therapy is a safer, much more comfortable detox treatment option. “Washing out” the opioids, AKA Accelerated Opioid Detox, is what the Coleman Institute for Addiction Medicine has specialized in for many many years prior. This is discussed in a different blog article posted here. UNDERSTANDING ACCELERATED OPIOID DETOX Ongoing Commitment to Recovery When Adam came earlier this week for his monthly injection and check in, I was surprised to learn that he’d been asked to leave his recovery house. He admitted that he’d used cocaine twice but said no one there even knew about that. He was suspected of bringing in the fentanyl that caused another resident to overdose. Adam adamantly denied doing this, and I believe him. I could feel myself getting tense as I listened to this story. Adam has made so much progress and is a full time carpenter with plans to learn HVAC. He has so much to live for, and he adores Gabe and Sally. He had been made a scapegoat. “How are you handling it?” I asked. “And are you feeling resentful? Angry?” He looked at me and smiled wryly and said simply, “I can’t afford to carry a resentment. If I do, I’ll relapse, and it will kill me. Sally’s letting me stay with her until I can find another recovery house.” This is how this old nurse practitioner was inspired by a young man living with and learning from his Substance Use Disorder. Outpatient Accelerated Opioid Detox All individuals struggling with dependency deserve a life free from addiction. Recovery from addiction to opioids is not something that can be done alone. Although the journey isn’t always easy, the Coleman Institute is here to help. From detox, to ongoing treatment and the support journey after, we are here to help guide those suffering from addiction to opioids to a happy, healthy future. Joan Shepherd FNP SCHEDULE A CALLBACK #### Addiction Kills Connections I had a conversation with my 30-year-old daughter the other evening. I said some things that she thought were entertaining and she decided she needed to start a reverse baby-book for me, writing down things I say that she thinks are funny. (When they were little, I did a good job of capturing on paper their quips and questions and witty musings. One of their favorite things to do on visits now is to re-read these vignettes.) I had such a profound feeling of gratitude that we could be so present with each other, and enjoy each other's company. Connection for humans - and other species - is vital. Johann Hari, a journalist whose TED talk has become incredibly popular says the opposite of addiction is not sobriety, it’s connection. We see this played out every day at the Coleman Institute for Addiction Medicine. In fact, some of the most poignant stories patients have shared with me in my twelve-plus-year career at the Coleman Institute involve the ways their addictions have severed connections with the people they love most…and how recovery has redeemed and restored them. The Social Connection Theory and Addiction For over 30 years, numerous models of addiction have competed with one another in areas of treatments, strategies, and methodologies. Despite extensive research however, there has been one commonality that has stayed strong which is the influence of connection on addiction behaviors. With any substance use, comes a shift in overall priority and we see it time and time again. Since addicts typically lean on a drug to fill in that "positive" and "rewarding feeling, individuals tend to drift more towards the drug to make them happy than the typical leisurely activities that they were so drawn to before. This re-prioritization, is what also creates such a negative effect on relationships. As before, a patient would look forward to quality time around the dinner table with family and that sparked happiness, comfort, and support. Whereas the drug manipulates the reward pathways in the brain, fundamentally impacting one's overall health, career, hobbies, and even family structures. Negative Addiction Behavioral Traits: Distrust Enablement Loss of Support Unreliability Changes of Mood, Appetite, or Sleep Loss of Interest Denial Years ago I remember a miner from West Virginia telling me how on payday, he could stop at no less than 40 places to buy Oxycontin®, fentanyl, morphine, Percocet®, Vicodin®, and pretty much any other drug on his way home from work. Which he did until he completed an outpatient opioid detox at the Coleman Institute. I’ll never forget the tears in his eyes when he told me that now on payday, his kids gather around him, competing to tell their father the chores they’d completed because he was able to pass out allowance to them. ASK FOR HELP Another patient described how, shortly after he became sober, his mother was diagnosed with cancer. He became the main caretaker for her, something that would have been impossible prior to his Accelerated Opioid Detox off heroin and fentanyl. The entire purpose of his life during his using days had been to not get dopesick, and his world had shrunk down to one thing: how to get his fix. There was no room for caring for anyone else. He had spent years stealing from and lying to his mom. He told me during the time he was able to share with her toward the end, they laughed and cried together. She told him she was proud of him — a gift that only recovery could bring him. Treating Addiction and Detox Recovery I can’t recall the number of patients over the years who came to us, separated from their spouses. While some marriages ultimately end, many more are healed as the patients move forward in their recovery and their families learn more about substance use disorder. It is a miracle to see a person restored to his or her true self. It can take a while for trust to rebuild. Last week I worked with a young woman getting off methadone who has experienced several slips back to heroin during her time at various methadone clinics. She was distraught about her relationship with her father. “He just doesn’t understand what I’m going through. He wants to know why I can’t just stop.” I can only imagine how many terrified days her father has lived through, waiting for the call that his beloved little girl is dead. Hopefully, as she moves moment-by-moment, day-by-day through her recovery, there will be another beautiful story of redemption and connection to share. At the Coleman Institute, we are continually driven and dedicated to developing treatments that are safe, comfortable, and affordable. Our main goal is in helping patients achieve freedom from addiction and support them through our unique, customized, programs to help detoxify and stabilize them from the negative effects of drug use. We specialize in treatment areas for opiates, heroin, methadone, oxycontin, and alcohol - with a 98% patient success rate. If you are curious about how we can help you begin to rebuild your relationships and reconnect with the people you love, please call us or schedule a callback to learn about what we do. Joan R. Shepherd, FNP SCHEDULE A CALLBACK #### Addiction, Family, and Recovery As a clinician, when first meeting a patient I am very interested to learn about their family and relationships. For some, sadly, they may have exhausted all ties to family and their relationships may be slim to non-existent. In other scenarios, the person in active addiction has significant relationships within their family system and people who are invested in their loved one’s sobriety. In both of these cases the information is critical to building out a recovery plan. Living With Active Addiction Active addiction threatens the home environment, disrupts family life, confounds relationships, and often undermines finances, along with emotional, mental, and physical health. When a loved one is suffering from addiction, it raises many difficult questions and feelings for their family and friends. They may find themselves struggling with painful and conflicting emotions, including anger, sadness, anxiety, depression, shame, guilt, self-blame, and fear. The Path to Freedom Starts Within Once a person has cleansed their brain and body of substances, they can begin the healing process. A significant part of that healing process involves taking inventory of their lives and making the changes necessary to live without the use of substances. They are challenged to evaluate their thoughts, feelings, and behaviors and replace them with healthy alternatives. UNDERSTANDING ACCELERATED OPIOID DETOX It is critical that the family also acknowledge that they too need to learn and practice how to think or practice things differently, and begin their healing process. Both need to start implementing change and learn to connect with each other within a new relationship. Healthy Family Life and Healthy Recovery Families may benefit from consultation and possibly treatment to help explore creating healthier communication, expression of feelings, and expectations. Recovery is a journey, one that requires exploring new options, choices, and may push people out of their comfort zones. Our hope is that everyone finds their path to recovery and new ways to explore a healthier life! Amanda Pitts SCHEDULE A CALLBACK #### Alcohol Addiction & Detox, Explained by Experts Alcohol is often used to relax, socialize, celebrate, mitigate, de-stress, and more, but it is actually one of the most commonly abused drugs in the United States. In fact, an estimated 88,000 Americans die annually from alcohol-related causes, making alcohol the third leading preventable cause of death in the United States. Despite its dangers, there is a certain level of societal acceptance associated with heavy drinking and alcohol abuse. For many people, alcohol may never become anything more than a way to relax or celebrate. But when it begins interfering in one’s life, it may have progressed into an alcohol addiction. The team of addictions experts and specialists at the Coleman Institute are dedicated to educating those who think they might be suffering from alcohol addiction and their loved ones. Here are some of the most common questions about alcohol addiction, answered by our addiction experts. Is Drinking Red Wine Every Night Risky or Safe? Answered by the Coleman Institute founder, Dr. Peter Coleman. Watch it on YouTube Drinking wine every night, whether it's red or white, is somewhat of a risk. If you have a genetic vulnerability for addiction, then drinking wine every night can lead you down a path of drinking more and more and getting into negative consequences and not even seeing it, being in denial, and ending up with alcoholism. For people who don't have the genetic vulnerability, then it's probably relatively safe. In fact, a few years ago it came out that red wine might cut down on heart attacks and strokes. Drinking wine every day can have some negative effects. Alcohol is a poison–a toxic chemical. We use alcohol to wipe down surfaces in hospitals where we don't want any bacteria or viruses to live. And so when you consume alcohol – even in small amounts – it's killing some brain cells. Most people who don't have the genetic vulnerability for addiction don't get into major trouble with alcohol consumption. However, even without genetic vulnerability, sometimes alcohol affects marriages. In little ways, it can affect relationships and communication ability. It can lead to falls, especially as people get older. You should really think carefully about drinking wine or alcohol everyday, assess why you are doing it, and whether the risks and benefits line up in your favor. Is It Safe to Detox Cold Turkey off of Alcohol? Answered by the founder of the Coleman Institute, Dr. Peter Coleman. Watch it on YouTube No, it is not safe to detox cold turkey off alcohol on your own. Over time, as alcohol use increases, the brain and the body tolerate it less and less, so withdrawal becomes much worse and much more dangerous. People can die from untreated alcohol withdrawal. They can have seizures, shutting down the whole body and leading to delirium tremens, where people are trembling, delirious, and out of touch with reality. People suffering from these alcohol withdrawal induced delirium tremens can even see and hear things that are not there. It is extremely dangerous. The kidneys and the liver can start shutting down and–untreated–these withdrawal symptoms can also be very, very dangerous. Bottom line; if there's any kind of trembling, if people are having a drink in the mornings or anything like that, then it's time to start seeking professional medical help. Can You Detox Off Alcohol at Home? Answered by a Coleman Institute Nurse Practitioner at our Richmond, VA office., Caitlin McManus, AGPCNP-BC. Watch it on YouTube. A question that we get quite often is whether it's safe to detox at home by yourself when you're detoxing from alcohol. And the simple answer to this is no, it is not safe to detox at home when you are detoxing from alcohol. The reason for this is that when the brain is used to having alcohol in the system and being suppressed by alcohol, when there's abrupt deprivation of alcohol from the brain, you start to have withdrawal symptoms. And these can start even within six hours of the last drink, in some cases. Those initial symptoms tend to include things such as nausea, headache, tremors or shakes, loss of appetite. But symptoms can progress very rapidly and severely over the next 72 hours. The severity of symptoms depends on a few things. It depends on your age. It depends on how long you've been drinking for. It depends on how much you've been drinking. So with every person, alcohol withdrawal can look very different. But the fact is that symptoms can get to be very severe, and we look at a 72-hour window for those severe symptoms. By that third day, symptoms can get so severe that they can include a high heart rate, high blood pressure, confusion, seizures, and even hallucinations. And even death. That is why we do not recommend ever detoxing by yourself at home–because the risk of those symptoms is just too great. Alcohol withdrawal should and can be managed with medications. So please, if you're thinking about reducing your alcohol intake or trying to stop drinking, ask for help from experienced addiction specialists like those that work at the Coleman Institute. GET THE ALCOHOL DETOX GUIDE What Happens During an Outpatient Alcohol Detox? Answered by a Coleman Institute Nurse Practitioner at our Richmond, VA office. Brittany Ilagan, AGNP-C. Watch it on YouTube. If a patient is interested in an outpatient alcohol detox with us, what they'll usually do is fill out a screening form that's online. The screening form has information like past medical history, medications you're currently taking, and even some psychiatric history. A practitioner will then go over the information with you to determine whether you are a good candidate for an alcohol detox with us. Then the night before you start, we ask that you stop drinking at midnight so that when you come in the morning we can start the medications to help prevent alcohol withdrawal seizures. On your first day, we'll have you come in early in the morning–usually around 8:30–and we'll have you start filling out consent forms and then bring you back as soon as possible so we can start those medications because we don't want you to have any type of withdrawal symptoms. Usually alcohol withdrawal seizures are more prevalent within the first 12 to 24 hours after stopping drinking, because there's overactivity in your brain from stopping the alcohol use. After we bring you back, we'll start an IV, give you some fluids, and then a provider will come in, talk to you about our program, what medications we'll be using, and go ahead and start the medication that is like a blanket over your brain to calm down those excitable neurons so that you won't have a seizure. We'll continue giving you that medication throughout the day, usually about every 45 minutes to an hour. You are monitored very closely throughout the day. We also provide medication that helps with anxiety and lowers your blood pressure because your blood pressure does tend to increase during alcohol withdrawal. We are also checking your vitals very frequently and can give medications as needed. After receiving medications, we will have our case manager come and talk with you to develop an aftercare plan. Patients typically leave around 4 pm in the afternoon, accompanied by your support person who helps to continue giving you the medications. We provide your support person with everything they may need and lay it out very clearly. We have charts to tell you exactly what medications to give and when to give them. Then we'll see you in the morning for that second day in the clinic. We can review what happened overnight as well as what we should do that day and finish the taper of medication. On the third and final day, you continue the taper of medication as well as any other needed medications and usually begin naltrexone therapy to reduce cravings and help prevent relapse. We will talk about the medications you need to continue and aftercare with case management, including continued naltrexone therapy. How Do You Sleep After Quitting Alcohol? Answered by a Coleman Institute Nurse Practitioner at our Richmond, VA office. Watch it on YouTube. One of the most common questions that the medical team and the case management counseling teams here at the Coleman Institute get asked after folks go through detox is about insomnia. It's extremely common for people who have completed opioids or alcohol withdrawal process to experience insomnia. That is common for all types of detox treatments, not just ours. Since I am a counselor, I always talk to people about the behavioral aspects of managing insomnia. We talk about sleep hygiene as the group of skills that can help people improve the quality of their sleep. Sleep hygiene is very basic common sense skills, but oftentimes when I talk to folks about it, there's usually one or two things in there that they haven't necessarily heard of before or that they haven't thought of as being important to consider when they are trying to get good quality sleep. Avoiding caffeine and sugary drinks as well is also very important. What a lot of people don't realize is that it's good to avoid caffeinated beverages like coffee and soda up to six hours before your bedtime. A lot of people think about just after dinner or just in the evening as the time when they should stop drinking soda or stop drinking coffee, but it actually does take a while for your body to process out the stimulant that is caffeine. Trying to limit your consumption of these beverages six hours before your bedtime is also very helpful. Having a consistent bedtime and a consistent waking up time is also really important. It helps get your body into a predictable rhythm. The longer that you stick to that schedule, your brain will actually begin to automatically start producing sleep chemicals 15- 20 minutes before it knows that you're going to bed. Having a consistent bedtime and a consistent wake up time is super important. Oftentimes, that's one of the areas where folks seem to struggle. They may be going to bed really late on the weekends and waking up whenever they feel like it. While it may feel good to have a “sleeping in” day or there may be fun things going on the weekends, spending time with friends or family, what have you, it confuses your brain. As much as you can, sticking to a regular sleeping time and regular wake up time is very helpful. We also like to recommend different apps that help people meditate and wind down at the end of the day, YouTube videos as well. Certainly, I know that sounds like it may go against my earlier advice to avoid screens, but in general, as long as you're not staring at the screen for a long period of time, scrolling on social media or watching a television show, it's okay to look at the screen long enough just to pull up a relaxing video. Some folks like white noise videos so that they're not sleeping in silence, ocean waves are also very popular. The Calm app has certainly made that pretty accessible. A lot of folks know about the Calm app and it's one that a lot of our patients like and use when they're trying to get to sleep. There are also different types of over-the-counter home remedies that people swear by. Warm milk is a popular one, there's also chamomile tea that people enjoy, peppermint tea. Both chamomile and peppermint tea are naturally decaf so you're not getting that stimulant effect, but it's also cozy, having a warm cup of tea maybe with some honey in it. The same thing with a warm cup of milk. If nothing seems to work and people are just really, really struggling with insomnia, we always encourage them to touch base with our medical team here at the Coleman Institute. There are different options that our team can talk with our patients about. We really want folks to be getting good, restful sleep. Sleep is when your brain heals, so it is incredibly important. It's important all the time, but certainly very important during recovery. We always want people to have the best experience possible after their detox, and we know sometimes that can come with a little discomfort, but we are always here for our patients. We want to support them even after they finish up their detox. This is one of the most common questions that we get asked, so we're very familiar with the complaint and we're very comfortable helping people find a way to manage it. Detox off Alcohol at a Coleman Institute Near You Detoxing from alcohol on your own can be dangerous so it is important to consult with a medical professional if you are ready to address alcohol addiction or dependence. Schedule a callback with a Care Advocate to learn about alcohol detox with the Coleman Institute today. Many people prefer our outpatient alcohol detox because they can spend nights in the comfort of their own bed, instead of in a hospital or inpatient facility. SCHEDULE A CALLBACK #### Alcohol Addiction, Day Drinking & Returning to the Office After COVID Gabby completed a screening form to come to the Coleman Institute for Addiction Medicine looking for a safe way to stop drinking alcohol. Reviewing it before I called her back, I noted that Gabby was 35, a data analyst, married for ten years and had two children. Neither of her parents had any history of any sort of Substance Use Disorder (SUD), and Gabby noted that she had never attended any form of treatment in the past for her alcohol use. According to her form, she was currently drinking the equivalent of at least two bottles of wine daily, some days with additional cocktail drinks, and had been doing so for about ten months. Back to the Office After COVID-19 Quarantine When I spoke to her on the phone, Gabby sounded frightened. Tearfully, she told me she had learned at a recent meeting, employees would be expected to return to work in person. This was going to be very difficult given the habit of daily drinking she’d fallen into. Gabby told me she partied in college, sometimes to excess, but as the years went on and she got married, had children, and a demanding job, her drinking became more just part of a routine of having a couple drinks a night. “I kind of equated it with being a grown-up. My husband, Tim and I would have a drink or two after work and exercising, or after the kids’ soccer games or practice, or while we hustled around fixing dinner, checking backpacks for assignments, checking homework…it was just a part of the fabric of our lives and it helped me relax. A reward after a busy day of hard work.” COVID-19 Normalized Heavy Day Drinking On weekend days it was easy to drink a couple bottles of wine, because they often started earlier. Theirs is a very social neighborhood, and Gabby never felt like she was drinking much more than most of her friends. When COVID-19 hit in the spring of 2020, Gabby’s life—like lives all over the world—was turned upside down. Suddenly she found herself working from home while her husband, whose position as distribution warehouse supervisor deemed essential, was out of the house. This also left her responsible for managing the bulk of the educational and social challenges for their six and eight-year old daughters. Gabby started uncorking her bottle earlier and earlier, eventually ordering cases at a time from the ever-efficient delivery modalities that had multiplied during COVID-19. Boxed wine was always on her grocery list. She and her friends joked about the drinking; she assumed they were drinking just as much. They shared dozens of memes with each other, normalizing and justifying their drinking to cope. "Putting a drink today in every room of my house and calling it a pub crawl.” “Mommy celebrates every moment with you, darling; that’s why she drinks so much.” “Once upon a time some kids did as they were told and mommy didn’t have to lose her sh*t and drink out of a box before noon.” “If you combine wine and dinner the new word is winner.” “I need a drink, just kidding, I need ten.” “I could really use a hug from something alcohol-based right now.” “S.L.I.F.= Sorry liver, it’s Friday.” Impact of Alcohol Industry Growth During COVID-19 I was curious about how this year had looked from the perspective of the alcohol industry and asked a guy who’s been a sales representative for every major alcohol brand for over thirty years. He requested to be anonymous. “I have never seen a year like the one that we have had. When it comes to sales at the retail level, typically two days before Christmas is the busiest day of the year, both dollar wise and volume of sales. During the pandemic, many of the busiest retail outlets had their largest dollar volume day in their history in late March 2020. But the pandemic continued, and when December 23rd came, it was-per historical data—again, the busiest day ever, but it eclipsed the previous numbers by upwards of 30%.” “So, financially, for the retail industry, it was an absolute boom. Another interesting phenomena happened when the stimulus money was distributed. Higher priced ticket items such as bourbons from $75 to $2000 per bottle were going out the door regularly. Sales of the larger bottles of liquor, known as ‘handles’ were trending up in the double digits. The most amazing category was the consumption of any wine that was packaged in a box. The three-liter category has increased by nearly 80% during these pandemic times.” GET THE ALCOHOL DETOX GUIDE Signs Drinking is More Than Just a Habit Gabby had started to lose her appetite. She put this down to stress and not having enough time anymore to focus on a healthy diet. She frequently felt sick after eating, but drinking calmed that down, and it also took care of the very mild tremors she was starting to have a couple hours after waking up. Her husband persuaded her to see her primary care provider. Gabby told her doctor that she was drinking pretty regularly but didn’t give all the details. Her doctor did some bloodwork, and Gabby learned that her liver enzymes were elevated. Suddenly the “S.L.I.F.” meme wasn’t so funny. Alcohol Consumption and Liver Disease A study done in 2018 shows the highest ever increase in cirrhosis-related mortality—driven by alcohol-related disease— among people aged 25-34 between the years of 2009-2016. This increase in the amount of liver related disease caused by alcohol use is not so surprising when the results of an earlier study reported in JAMA Psychiatry showed the significant increase in heavy drinking, especially by women from 2001-2002 to 2012-2013. We don’t yet have data on what has happened during COVID-19, when drinking rates have skyrocketed. Increased Health Risk Among Women Drinkers Women are at much higher risk than men for alcohol related liver problems. On average, women weigh less than men and have less water in their bodies than men. Because alcohol is mostly in body water, if a man and woman of the same weight drink the same amount of alcohol, the woman’s blood alcohol concentration will likely be higher, increasing her risk of harm. I checked in with April Ashworth, AGPCNP-BC, a nurse practitioner who works at Bon Secours Liver Institute in Richmond, Virginia. “There has been a significant increase in alcohol use, especially among those who typically have a few drinks in the evening and are now working from home. They tend to start drinking earlier and consume more. 'Day Drinking' now becomes the norm. It’s just more accessible. This is definitely the trend I am seeing.” This is consistent with a recent article published by NPR. They interviewed liver specialist Dr. Jessica Mellinger at the University of Michigan, who stated she has seen a 30% increase in cases of alcoholic liver disease which includes “milder fatty liver and permanent scarring of cirrhosis, as well as alcoholic hepatitis. Accelerated Alcohol Detox at the Coleman Institute Gabby signed on for a medical detox at the Coleman Institute. Not everyone needs a medical detox, but it’s important you talk to your doctor before stopping abruptly, because of the possibility of an alcohol withdrawal seizure. I have heard from many people over the years who have gone to the emergency room with the hopes of getting a safe detox, but they are simply prescribed a small amount of anti-seizure medication and sent off. Particularly during COVID-19, hospitals have been triaging what they consider to be the most urgent cases. Doing a safe, confidential, out-patient detox at a Coleman Institute office gives you more than just a safe detox. Our case managers and clinical staff help connect you with other resources like counseling and medication to help you reach your goals around sobriety. If your drinking has escalated during COVID-19, you are not alone. Schedule a call below if you have questions about how to get help and hopefully prevent further damage to your liver. Joan R. Shepherd, FNP SCHEDULE A CALLBACK #### Alcohol Detox: Five Signs Your Liver Is Healing The decision to reduce or abstain from alcohol often marks a pivotal moment in a person’s life. This commitment often emerges from deep introspection, recognizing the negative impacts of excessive drinking on personal relationships, work-life, and overall health. Overcoming prolonged alcohol use is not just a triumph over a habit; it symbolizes regaining control, restoring health, and embarking on a new chapter of well-being. Central to this recovery narrative is the liver. This vital organ plays a critical role in filtering toxins from the bloodstream, and it undergoes significant stress and damage with consistent and heavy alcohol consumption. The liver is also remarkably resilient, possessing a unique capacity to regenerate and heal itself, and can rebound extremely quickly when given the chance to heal. When alcohol consumption decreases or stops, the liver often begins this natural healing process. Understanding how to detox your liver from alcohol and recognizing the indicators that your liver health is improving can offer reassurance and positive reinforcement on your journey to recovery. But how can you tell that your liver is actually healing after you've stopped drinking? Here are five signs your liver is healing from alcohol: 1. Improved Skin Color and Texture Your liver plays a critical role in detoxifying your blood. When overwhelmed with alcohol, it struggles to efficiently process toxins, which can then manifest on the skin. One of the common signs of liver damage from alcohol is a yellowish tint to the skin and eyes, known as jaundice. Once you begin your detox, one of the first signs that your liver is healing from alcohol is a reduction in this yellowish tint. Additionally, as your liver function improves, you may notice that your skin becomes clearer and regains a healthier glow, as the liver becomes more adept at processing and eliminating toxins. 2. Reduced Fatigue Another function of the liver is to convert stored energy into usable energy. A damaged liver struggles with this function, leading many heavy drinkers to feel perpetually tired. This is not just the typical hangover fatigue but a chronic sense of exhaustion that doesn't improve with sleep. As you abstain from alcohol and your liver heals, this function improves. Over time, you might notice an increase in your energy levels during your liver detox. This newfound energy can be a sign that your liver is recovering and functioning more optimally. As you progress in the recovery process, your energy levels will continue to grow as your liver continues to heal and your general health continues to improve. 3. Improved Digestion The liver produces bile, a substance crucial for digestion, especially in the breakdown and absorption of fats. Excessive alcohol use hinders these processes and damages the liver’s ability to function. A liver that's been compromised by alcohol might not produce bile as efficiently, leading to digestive issues like bloating, gas, and diarrhea. As you detox from alcohol, your liver's ability to produce bile improves. Consequently, you might experience fewer digestive issues and find that certain foods are easier to digest. Yet another sign that your overall liver health is improving. GET THE ALCOHOL DETOX GUIDE 4. Cognitive Improvements It's well known that heavy alcohol consumption can affect brain function, leading to memory problems, foggy thinking, and even mood swings. What's lesser-known is that the liver's health can indirectly influence cognitive functions too. When the liver is damaged and cannot efficiently process toxins, these toxins might remain in the bloodstream for longer, impacting brain function. Upon reducing or quitting alcohol consumption, as the liver heals, its filtering capacity increases. This can result in clearer thinking, better memory recall, and improved mood stability. 5. Normalized Blood Tests While outward signs are beneficial indicators, the most definitive way to know your liver is healing is through blood tests. Liver function tests, including ALT, AST, and bilirubin, can provide insights into the health of your liver. After detoxing from alcohol, over weeks or months, depending on the individual and extent of liver damage, you may find these values returning to a normal range. This normalization signifies that the liver is healing and regaining its function. Your liver has the remarkable ability to regenerate and heal itself, given the right conditions. Cutting out or significantly reducing alcohol consumption can provide it with a much-needed break and the chance to repair itself. However, it's essential to note that while many individuals will experience liver healing post-detox, the extent and rate of recovery vary from person to person. Some damage, especially after prolonged and excessive alcohol consumption, may be irreversible. If you're concerned about your liver health due to alcohol consumption, it's crucial to get accurate information and consult with an experienced and respected healthcare professional. At the Coleman Institute, we have helped 98% of patients successfully complete their outpatient detox over the past two decades using Naltrexone therapy and our innovative outpatient detox methodology. If you are struggling with excessive alcohol use and are ready to take the next step on your road to recovery, or just want to learn more about the Coleman Method and outpatient detox, call our office at (877) 773-3869. to get started. By understanding the signs that your liver is healing, you can gain encouragement and motivation on your journey to better health. Remember, positive progress toward reduced alcohol consumption goes a long way in improving your life and overall well-being. SCHEDULE A CALLBACK #### Alcohol Detox: Timeline, Treatment, and Recovery We all encounter difficult challenges that we must overcome at various points throughout our lives. For many, one of the most daunting is the struggle with alcohol dependence and addiction as part of an Alcohol Use Disorder. It is a condition that stealthily creeps into lives, often unnoticed at first then gradually tightening its grip, becoming a major concern and affecting health, relationships, and overall quality of life. Alcohol Use Disorder is not just a habit; it is a complex health issue that involves psychological, physical, and social factors. The journey to overcome this begins with a critical and challenging first step: detox and withdrawal. Alcohol detox is the process of purging the body of alcohol and managing the withdrawal symptoms that follow when you quit drinking. This is a necessary phase and a foundational step on the road to reclaiming one’s life from alcohol. It is not merely about stopping alcohol consumption—it is about safely navigating alcohol withdrawal, which can be as perilous as it is pivotal. Whether you or a loved one is facing this challenge, understanding the intricacies of alcohol detox—the timeline, the various alcohol addiction treatment methods, and the journey toward recovery—can be empowering and help lead to long-term success. Finding the Right Alcohol Detox Program For You There are several different types of alcohol detox treatment programs, each suited to different levels of dependence, addiction, and personal circumstances. Each method varies in terms of the level of medical intervention, support, and environment in which the alcohol detox occurs. Choosing the right type of detox is crucial, as it can significantly impact the individual's comfort and safety during the withdrawal process, as well as the likelihood of successful recovery. Self-Detox: Abruptly discontinuing alcohol consumption can lead to significant discomfort and serious health risks. Individuals who do not perceive their drinking to be excessive can face alcohol withdrawal seizures upon sudden cessation. Attempts to gradually decrease alcohol intake over a period often fail, as the discomfort during this tapering process is usually too severe. Patients attempting to detoxify on their own without medical assistance may suffer from symptoms like confusion, agitation, hallucinations, tremors, or even Delirium Tremens (DTs). Additional risks include hyperthermia, cardiac arrhythmias, and complications from concurrent medical or psychological conditions. Seeking professional medical assistance is crucial to mitigate these risks. Inpatient Detoxification: This process is conducted in a hospital or drug rehabilitation center and typically spans 4 to 10 days, varying from patient to patient. During inpatient detox, medications such as benzodiazepines are administered to alleviate withdrawal symptoms and prevent seizures. However, inpatient detoxification can be costly and disruptive to everyday life. Additionally, health insurance may not always cover the entire duration needed for a patient to fully recover. Outpatient Detoxification with The Coleman Method: Our innovative alcohol detox method offers a comfortable and effective outpatient detoxification alternative. Patients appreciate the ability to undergo detox in the comfort of their home or hotel, away from the clinical atmosphere of a hospital. We utilize Phenobarbital and other medications to safely and comfortably detoxify patients, often within just three days. Phenobarbital is particularly effective for detox due to its targeted action on the brain and its long-lasting effects, which aid in a smoother transition to recovery. Our patients are monitored daily, and medication dosages are adjusted to ensure comfort without excessive sedation. GET THE ALCOHOL DETOX GUIDE Typical Timeline for Alcohol Detox and Withdrawal The timeline for alcohol detox can vary depending on the individual's level of alcohol dependence, physical health, and other factors. Here's a step-by-step breakdown of the alcohol detox timeline when using the Coleman Method: Before the Detox Begins: Before your first appointment, one of our physicians or nurses will speak to you over the phone and conduct a screening evaluation. It is advised to not stop drinking suddenly before beginning treatment as it may cause seizures. Our protocols allow alcohol consumption until midnight the day of your first appointment. We will also request that you arrange to have a support person who can be with you during the entirety of your treatment and for 48 hours following treatment. Patients in detox should not drive a motor vehicle, and they should be monitored at all times to ensure their safety and comfort. Day 1: Your first alcohol detox appointment will start at around 8:00 a.m. We will take a thorough medical history and give you a physical examination including procedures like blood work, EKG, and other labs as necessary. We will also measure your vital signs, take a breathalyzer, and assess your level of withdrawal. From there, we start the detox treatment by replenishing all of the vitamins and minerals that alcohol has depleted from your body. We stabilize your condition and give you comfort medications to help calm you and reduce the severity of withdrawal symptoms. This first appointment typically takes about 6 to 8 hours. After this appointment, you will be discharged into the care of your support person. They will be given detailed instructions to ensure your detox goes as smoothly as possible. Intermediate Day(s): The Coleman Method alcohol detox process typically takes 3-4 days. After the first day, patients attend the clinic daily and continue oral Phenobarbital medications along with their other comfort medicines. Doses of medicines are reviewed daily and adjusted. Final Day: By the final day of the detox, the patient’s body is completely free of alcohol. We review and agree on a comprehensive treatment plan for long-term recovery. We administer long-acting Naltrexone, and the patient can be discharged. Plans for follow-up medical care are established. What Is Naltrexone Therapy for Alcohol? After finishing your detox, we use Naltrexone Therapy as part of the Coleman Method to help patients sustain their momentum as they make the transition to post-detox recovery. Naltrexone, a non-addictive medication, binds to the opiate receptors in the brain that are associated with the rewarding sensations experienced during alcohol consumption. By blocking these receptors, Naltrexone reduces the craving for alcohol and diminishes the enjoyment derived from drinking. At the Coleman Institute, our unique formulation of Naltrexone is designed to slowly release the medication over a period of eight weeks through a pellet-sized implant that is inserted under the skin. We typically recommend patients remain on Naltrexone Therapy for at least one year following detox to provide time for the brain and body to heal, to establish strong support systems, and to develop new, healthier habits to help ensure recovery success. Make the Choice to Get Help Today Following detox with the Coleman Institute, many of our patients in long-term recovery say the same thing—they wish they decided to detox sooner. There is no better time than now to start the process of reclaiming your life from alcohol dependence and addiction, and we are here to help you detox safely, comfortably, and as quickly as possible, with sustained support, resources, and addiction medicine expertise. Contact our home office in Richmond, VA, or one of our nationwide clinics near you and take the first step toward overcoming Alcohol Use Disorder and creating a brighter future for you and the ones you love. SCHEDULE A CALLBACK #### Alcohol Habit vs Addiction - How It Forms Although author James Clear makes it, well, clear—that addiction is not just someone’s “bad habit”, I think it totally makes sense for people in recovery to utilize some of the concepts he captures in his best selling book, Atomic Habits. Clear has taken the topic of habit creation, broken it down to bite-sized pieces, and gives discrete suggestions for any of us attempting to create a good habit or eliminate a bad one. 3 Tiers to Habit Formation A profound concept introduced early on in his book is the idea of a 3-tiered awareness of new habit formation. The first level is to simply aspire to reaching a goal such as I will run a half marathon. The goal is clearly stated. Actions to follow can easily be applied to achieving it. The second, deeper level is to change systems. This involves carefully scrutinizing one’s current habitual behavior, then re-organizing, re-arranging, re-structuring the environment to achieve success toward the achievement of the goal. So, for running a half marathon, the systems changes may include: having two pairs of excellent training shoes committing to a running partner keeping the shoes, socks, and other running necessities prepped and ready at all times having great music or podcasts saved just for the runs But it is the third and deepest layer of habit formation that caused me to think about my patients, acquaintances, friends, and family who are in recovery. This deepest level of habit formation comes when the identity itself is changed. Now, instead of the goal being to run a half marathon with all the systems intact—at this deeper level, the person thinks of himself as a runner. Habit Can Become Addiction When does a person in recovery cross this rather magical line? From my perspective, it is different for everyone. All people who have a substance use disorder, whether to opioids, alcohol, cocaine, pot, benzos—or a behavioral addiction, have unique stories and paths. These behaviors and substances allowed people to escape the suffering of anxiety, depression, boredom, and various levels of traumatic experiences, at least until the substances and behaviors became the cage rather than the key to freedom. So even though James Clear, or any author who is an expert on the science of behavioral change has plenty to offer all of us, people with substance or behavioral use disorders will likely need additional counseling. GET THE ALCOHOL DETOX GUIDE Habit Strategies in Recovery If a person seeking recovery and sobriety would like to apply Clear’s strategies to helping them change their relationship to an addictive substance, how would that look? Clear lists 4 stages necessary in habit formation or as he refers to it, the habit loop: Cue Craving Response Reward The cue triggers a craving, which motivates a response. The response provides the reward, which satisfies the craving, and ultimately becomes associated with the cue. As he breaks down each step of the habit loop, Clear has suggestions for intervening at each level. Following are the “Laws” he has come up with for creating a good habit, and the inverse of each law to break a bad habit. To Create a Good Habit The 1st Law: Cue - Make it obvious The 2nd Law: Craving - Make it attractive The 3rd Law: Response - Make it easy The 4th Law: Reward - Make it satisfying. To Break a Bad Habit Inversion of the 1st Law - Make it invisible Inversion of the 2nd Law - Make it unattractive Inversion of the 3rd Law - Make it easy Inversion of the 4th Law - Make if unsatisfying In blogs to follow, I will look at each law and see how our patients might be able to apply these as part of their recovery program. In the meantime, if you or a loved one is struggling with addiction to opioid pain medications, heroin, fentanyl, methadone, buprenorphine, or alcohol and are considering sobriety, give us a call and learn about the programs the Coleman Institute for Addiction Medicine provides. Please call us at 877-773-3869. This is the first post of a five-part series. Check out the other posts in this blog series here. PART 2 | PART 3 | PART 4 | PART 5 Joan Shepherd, FNP SCHEDULE A CALLBACK #### Alcohol Use Disorder: Easy to Meet Criteria A lot of patients I see don’t really know they may meet the criteria for alcohol use disorder. I can tell you that it’s not that hard to qualify, and more and more people are entering the ranks. From 2001 to 2012, the prevalence of alcohol use disorder (AUD) increased by 50% in the US general population (from 8.5% to 13%), affecting nearly 1 in 6 Americans. This increase disproportionately affected women, older adults, and persons of lower socioeconomic status, according to JAMA Psychiatry 2017;74:911‐923. How Do I Know If I Have Alcohol Problems? To be diagnosed with AUD, individuals must meet certain criteria outlined in the Diagnostic and Statistical Manual of Mental Disorders (DSM). Under DSM–5, anyone meeting any 2 of the 11 criteria during the same 12-month period receives a diagnosis of AUD. The severity of AUD — mild, moderate, or severe — is based on the number of criteria met. To assess whether you or a loved one may have AUD, here are some questions to ask. In the past year, have you: Had times when you ended up drinking more, or longer than you intended? More than once wanted to cut down or stop drinking, or tried to, but couldn’t? Spent a lot of time drinking? Or being sick or getting over the after effects? Experienced craving — a strong need, or urge, to drink? Found that drinking — or being sick from drinking — often interfered with taking care of your home or family? Or caused job troubles? Or school problems? Continued to drink even though it was causing trouble with your family or friends? Given up or cut back on activities that were important or interesting to you, or gave you pleasure, in order to drink? More than once gotten into situations while or after drinking that increased your chances of getting hurt (such as driving, swimming, using machinery, walking in a dangerous area, or having unsafe sex)? Continued to drink even though it was making you feel depressed or anxious or adding to another health problem? Or after having had a memory blackout? Had to drink much more than you once did to get the effect you want? Or found that your usual number of drinks had much less effect than before? Found that when the effects of alcohol were wearing off, you had withdrawal symptoms, such as trouble sleeping, shakiness, irritability, anxiety, depression, restlessness, nausea, or sweating? Or sensed things that were not there. Source: National Institute of Alcohol Abuse and Alcoholism GET THE ALCOHOL DETOX GUIDE Calculate Your Alcohol Dependence If these questions don’t convince you, you may want to complete The Audit C, a very simple tool with three questions. How often do you have a drink containing alcohol? A. Never B. Monthly or less C. 2-4 times a month D. 2-3 times a week E. 4 or more times a week How many standard drinks containing alcohol do you have on a typical day? A. 1 or 2 B. 3 or 4 C. 5 or 6 D. 7 to 9 E. 10 or more How often do you have six or more drinks on one occasion? A. Never B. Less than monthly C. Monthly D. Weekly E. Daily or almost daily The AUDIT-C is scored on a scale of 0-12. Points are allotted as follows: A = 0 points B = 1 point C = 2 points D = 3 points E = 4 points In men, a score of 4 or more is considered positive for identifying hazardous drinking or active alcohol use disorders. In women, a score of 3 or more is considered positive. However, when the points are all from Question #1 alone (#2 & #3 are zero), it can be assumed that the patient is drinking below recommended limits and it is suggested that the provider review the patient’s alcohol intake over the past few months to confirm accuracy. Generally, the higher the score, the more likely it is that the patient’s drinking is affecting his or her safety. Source: Substance Abuse and Mental Health Services Administration An Easy Comfortable Alcohol Detox At the Coleman Institute for Addiction Medicine, we help people who have decided to be abstinent from alcohol do so safely. In the privacy of our clinic, with your support person present, the patient is monitored as medication is given to reduce dangerous withdrawal symptoms. Our patients return for the following two days to assess physical and emotional response to the treatment, and to review medication effectiveness. Please give us a call at 877-773-3869 if you are considering abstinence and want to detox off alcohol safely. Not every person who stops drinking needs a medically assisted detox in a clinical setting, and our call center can help you discern this. Joan Shepherd, FNP #### Alcohol: One Superman's Kryptonite Abraham is a soft-spoken man in his mid 40’s. He is a born listener, discerning when he speaks, and reminds me of the old adage to use words only when it improves upon the silence. Abraham found the Coleman Institute for Addiction Medicine online when he was trying to figure out a safe way to stop drinking alcohol. As an established barber in his community for the last eighteen years, Abraham admitted to me that he sipped bourbon all day long as he coiffed his clients and they shared their stories. A Heavy Drinking Habit “I like good bourbon,” Abraham told me. He has several customers that share this appreciation and, after their barbering needs were met, many of them spent time socializing into the evening while finishing off their respective bottles. The conversation often circled back to the virtues and qualities of what makes one bourbon stand out compared to another one. He enjoyed the company of bourbon connoisseurs. Abraham’s schedule allows him to be off on Mondays and Tuesdays when his shop is closed. He relishes his time at home and is a devoted family man. He and his wife have three grown children who are out of the home, and his ‘baby girl’ Elisha, age 14, is a high school freshman. “That one, she’s my heart,” he told me. And it was due to Elisha’s inquiries that Abraham was able to take a look at his drinking. Warning Sign of Alcohol Use Disorder As part of her physical education curriculum at school, Elisha’s class was learning about drugs and alcohol. After dinner one evening when Abraham was still at the shop, Elisha quietly asked her mother, “Is Daddy an alcoholic?” Elisha associated her dad with the smells of bourbon and aftershave. He never got loud or mean, but she rarely saw him without a glass, sipping throughout the afternoon and evening. Many evenings he would start watching a movie with her, but rarely got to the end before he nodded off. She learned in school about how alcohol can damage the liver and the brain and how many drinks are considered ‘high risk’ for men and women. She knew immediately her daddy fell into the high-risk category, and she was terrified. Elisha’s mom was startled when her daughter asked the question. She, too, had been worried about Abraham’s drinking, but didn’t know Elisha was really paying attention. (High-risk alcohol use is defined by the National Institute on Alcohol Abuse and Alcoholism (NIAAA) as more than four drinks per day or 14 in a week for men, and more than three drinks a day or seven per week for women.) GET THE ALCOHOL DETOX GUIDE The Decision to Stop Drinking Abraham felt like he’d been punched in the gut when his wife told him about Elisha’s questioning. “I’m her superman,” he told me quietly, tearing up. Alcohol was his kryptonite. And that’s what led to his decision to stop drinking. He wanted to really be there for his daughter. Stopping alcohol abruptly can be dangerous, and it is important to understand if your drinking is at the point that you require medical intervention. As described on our website: The sustained use of alcohol deprives the brain of crucial nutrients and, when left untreated, can lead to brain damage and seizures. The Coleman Method for alcohol detox begins by replenishing the vitamins and minerals your brain needs, then we offer medication to keep you calm, comfortable and safe as your blood alcohol level drops. After a few hours of careful monitoring and supervision, you’ll be able to go home. For the next two days, you’ll return to our office regularly as you continue to completely detox. Following the detox, patients get a naltrexone implant. Naltrexone helps people curb their desire for alcohol. Family As Motivation for Sobriety Abraham has been to the office for one follow up visit since he stopped drinking, and, unsurprisingly, is listening to his customers’ stories with a new filter. Recognizing he is early in sobriety, he is certainly not preaching the virtues of abstinence with arrogance, but he is humbly sharing his experiences with others, and has actually found several former drinkers who have helped him reinforce his commitment to himself, his wife, and Elisha. He feels better, he has lost twelve pounds, and he sleeps better. “I am staying awake until the end of the movies I watch with my daughter,” he told me with a huge grin. She is delighted. If you are feeling compelled to explore your own drinking habits and are concerned about possible dangers of abrupt cessation, please schedule a callback with one of our addiction treatment experts today. There may be someone out there just waiting for the return of their superhero. Joan R. Shepherd, FNP SCHEDULE A CALLBACK #### All I Want For Christmas Is Sobriety To choose nursing or medicine as a profession comes with the reality that, at some points in your career, you will likely be covering weekends and holidays. So when my children were young, I had to take my turns doing shifts on Thanksgiving and Christmas for many years. As much as I loved being home during a holiday, from the beginning I was always grateful to be the one "wearing the uniform" rather than being the patient when I did have to work. Being in the position to help someone who has to be stuck in a hospital over the holidays could be pretty gratifying. I still feel that way. We schedule patients at the Coleman Institute for Addiction Medicine for Accelerated Opiate and Alcohol Detoxes over the Thanksgiving, Christmas, and New Year’s holidays. Clearly these patients would rather be elsewhere, not having this illness of addiction take over their holiday time. For many of these people, treatment during a holiday is the best way to fit it into their schedules. For them, it has become a life or death situation. They know they are losing their dreams, their families, their professions — their very lives — as long as they continue to use. Among the many things I am grateful for are my colleagues. To a person, I can’t imagine working with a group of people who are more compassionate and knowledgeable about helping people detox off opioids, including the oxycodone family, hydrocodone and hydromorphone products, fentanyl, heroin, buprenorphine, and methadone. We also have a growing number of people coming in to detox off of kratom. UNDERSTANDING ACCELERATED OPIOID DETOX Some of our detoxes are pretty straightforward: People are choosing to get off varying amounts of opioid pain medication, and the protocol goes smoothly. Many families come to us with more complications and complexities. Lots of bottled up emotions can erupt when a loved one is going through a detox, and it is sometimes difficult for a family member to ‘love the patient and hate the disease.’ We get it. If the holidays are the best timeframe for you or a loved one to enter 2020 drug- or alcohol-free, please give our office a call and find out how we can best work around you and your family’s schedule. We are committed to being here for you 365 days a year. And because we are an outpatient clinic, you and your support people or persons can enjoy being together at home, a nearby hotel, or an Airbnb. If you need some help—we know the problems don’t stop during the holidays. Give us a call at 877-773-3869. Joan Shepherd, FNP SCHEDULE A CALLBACK #### An Overdose Can Be An Opportunity The sad fact is that there are thousands of overdoses happening in the US every day. For the last year or so, over 120 of these daily overdoses were fatal, but there were many more where the person survived. They are unintentional overdoses, and are truly near-death experiences. The unintentional happens when the drug user takes so much of an opioid--often in combination with benzodiazepines or alcohol--that they almost stop breathing and come within minutes of dying. But fortunately, they are revived with Narcan (Naloxone). Overdoses are much more common now that fentanyl is being mixed into heroin and frequently it is being mixed into pills that are sold on the street as prescription drugs. What is especially tragic about this situation is most of these non-fatal overdose patients are revived by rescue squads or in Emergency Rooms, but are then discharged back into the same environment - and of course, almost all of them immediately resume their drug use. Many people who have recently had an overdose are very ready to change. The reality that their addiction has almost killed them is quite powerful. All people with addictions have two competing voices in their heads: One that tells them things aren't that bad and there is no need to change right now. The other voice is telling them that this is horrible and dangerous and needs to stop. An overdose can change the balance of those two voices. Given the right intervention many of these people will be willing to start a recovery program. Some states, like Vermont, have instituted a hub and spoke system to provide an immediate intervention. The goal is that every overdose patient is evaluated at that time by a substance-abuse and mental health professional and encouraged to start a treatment program. Frequently, they are stabilized on medication assisted treatment in the "hub", and then sent out along the "spokes" to regional programs which provide local counseling and treatment. It is a fantastic intervention that should save many lives. A new monthly injection of buprenorphine, called Sublocade, is also being tested to see if it can be helpful. (For more information on Sublocade, see the Ask The Doctor article in this newsletter) Another way to help patients after an overdose would be to keep them in a hospital for a few days, complete their detox and then start them on a naltrexone implant or a Vivitrol injection. Then, they would be completely abstinent and able to participate in an outpatient or an inpatient treatment program. The evidence from brain studies is more and more clear. When patients are using opioids, their brain is not processing information and making good decisions. Their ability to accurately assess risks and consequences is greatly diminished as is their ability to accurately assess emotions like fear, remorse, and guilt. Drug users genuinely believe that things are not really that bad. An overdose event can crash through that wall of denial and force the user to see reality, but only for a short period of time. There is a window of opportunity for people to make a change, and experience shows that the window closes very quickly. Going forward, we can only hope that systems and processes are established between insurance companies, emergency providers, hospitals, and treatment programs so that we can seize this opportunity for having patients directed into long-term recovery as often as possible. We all need to be able to reach out to help patients when they are the readiest to accept help and most ready to change. Peter R. Coleman, MD #### Anesthesia Detox (Ultra-Rapid Detox): Why We No Longer Perform It Because older detoxification techniques were often painful and unsuccessful, addiction medicine researchers wanted a better approach. By the 1980s, these researchers pioneered the Anesthesia Detox, which was intended to provide a more comfortable and effective detoxification experience for individuals struggling with opioid dependence or addiction. This treatment method has many names and variations, including: Ultra-Rapid Detox (URD or UROD) Rapid Drug Detox Anesthesia-Assisted Rapid Opioid Detoxification (AAROD) Rapid Opiate Detox under Sedation The Truth About Anesthesia Detox (Ultra-Rapid Detox) Anesthesia Detox involves putting the patient to sleep on a ventilator, which breathes for them. Then you administer an opioid antagonist (Naltrexone) to push all of the opioid drugs out of the brain extremely rapidly. The patient should wake up feeling happy that the drugs were gone and their detox was over. The idea was for the person to sleep during the most severe withdrawal symptoms. In truth, when they woke up from the rapid detox under sedation, they felt horrible. Their brain hadn't healed much at all. They were often highly agitated, confused, delirious, and delusional. In some cases, patients needed to be strapped to their beds for their safety. The patient's body systems were under great stress. In one study, individuals treated with Ultra-Rapid Detox: Showed no better resistance against relapse Had a much higher occurrence of negative effects Had even greater discomfort than other detox options This treatment method could be even more dangerous given other potential risk factors such as: Co-occurring Mental Health Disorders: Individuals with underlying mental health disorders might experience exacerbated symptoms during or after the procedure. Allergic Reactions: Allergies to anesthesia medications or other substances used in the procedure could lead to severe complications. Anesthesia Sensitivity: Some individuals might have an unusual sensitivity to anesthesia drugs, making them more prone to complications. Anesthesia Side Effects: Anesthesia carries inherent risks, such as breathing problems, allergic reactions, or adverse reactions to medications. Unpredictable Withdrawal Response: The exact response to anesthesia-assisted detox or Ultra-Rapid Detox can vary between individuals, potentially leading to unexpected outcomes. Substance Use History: A long history of Substance Use Disorder can complicate anesthesia administration and increase the chances of adverse reactions. Liver or Kidney Dysfunction: Impaired liver or kidney function can affect the metabolism and elimination of anesthesia drugs, leading to potential complications. Respiratory Issues: Those with respiratory problems, like asthma or chronic obstructive pulmonary disease (COPD), could face difficulties during the procedure. Cardiovascular Risks: Ultra-Rapid Detox involves stress on the cardiovascular system, which can be dangerous for individuals with heart conditions. There were no fatalities in our program. But other physicians performing Anesthesia-Assisted Detox procedures have had a number of patients who didn't survive it. UNDERSTANDING ACCELERATED OPIOID DETOX Different Methods for Detoxing Off Opioids In that era, Anesthesia Detox or Sedation Detox was the best treatment addiction medicine experts could offer. But now, there is a safer alternative to Anesthesia Detox. In fact, the Coleman Institute has not performed an opioid detox using anesthesia since 2001. There are several other options available to people looking to get into a detox program for opioid dependence or addiction. Each method varies in terms of the level of medical intervention, support, and environment in which the opioid detox occurs. Choosing the right type of detox is crucial, as it can significantly impact the individual's comfort and safety during the withdrawal process, as well as the likelihood of successful recover Self-Detox: Abruptly discontinuing opioid use can lead to significant discomfort and serious health risks. Individuals who do not perceive their opioid use to be excessive can face severe withdrawal symptoms upon sudden cessation. Attempts to gradually decrease opioid intake over a period often fail, as the discomfort during this tapering process is usually too severe. Patients attempting to detoxify on their own without medical assistance may suffer from symptoms like nausea, vomiting, diarrhea, muscle aches, agitation, and intense cravings. Additional risks include dehydration, severe anxiety, and complications from concurrent medical or psychological conditions. Seeking professional medical assistance is crucial to mitigate these risks. Inpatient Detoxification: This process is conducted in a hospital or drug rehabilitation center and typically lasts up to 10 days, varying from patient to patient. During inpatient opiate detox, medications such as methadone or buprenorphine may be administered to alleviate withdrawal symptoms and prevent severe complications. However, inpatient detoxification can be costly and disruptive to everyday life. Additionally, health insurance may not always cover the entire duration needed for a patient to fully recover. Outpatient Detoxification with The Coleman Method: In 2001 we developed a greatly improved rapid detoxification treatment—our Accelerated Outpatient Detoxification. This rapid detox treatment process is a much safer and gentler way of getting people off of opioids. To accomplish this, our Accelerated Outpatient Detox: Spread the process out over 3-4 days (depending on the substance you are detoxing off of) Uses specialized comfort medications Does not use anesthesia With these considerations in place, we were able to make the opioid withdrawal process (aka detoxification) much more comfortable and safer. An Accelerated Detox at the Coleman Institute seeks to reduce withdrawal symptoms. Plus, approximately 98% of our patients have completed their detoxification and have started on Naltrexone therapy. Naltrexone is a non-addictive opioid blocker that reduces cravings and helps reduce the risk of relapse. Naltrexone gives patients some support so they can focus on building the health needed for long-term recovery. We currently offer long-lasting Naltrexone as an injection (Vivitrol) or as an implant that slowly dissolves under the skin. Get Into Accelerated Opioid Detox at the Coleman Institute Our patients have loved this improved, next-generation opioid detoxification process. We've had many patients undergo a dangerous Anesthesia Detox elsewhere, and then come to us for our safer Accelerated Outpatient Detox. They have consistently told us that the Coleman Institute’s opioid withdrawal management process is a much better experience. They were grateful and extremely happy to be drug-free through this improved detoxification process. The Coleman Institute's Accelerated Outpatient Detox is a generation ahead of Anesthesia Detox. If you or a loved one are looking for an alternative to a Sedation Detox or Anesthesia Detox, we can help. There is no waitlist or extended waiting period to get a spot in one of our outpatient opioid detox programs: Call our team now in Richmond, VA, or one of our detox clinics around the nation, or schedule a callback below to learn about your Accelerated Outpatient Detox options. Peter R. Coleman, MD SCHEDULE A CALLBACK #### Applying the Water Wheel Analogy to an Addiction Free Life I am a fan of Fr. Richard Rohr, a Franciscan priest in New Mexico. He's a little controversial in some more conservative Catholic circles, and perhaps that's why I like him. Last week one of his daily Lenten readings discussed the idea that creation is a continuous "water-wheel" of the Trinity emptying itself, pouring into, receiving, and emptying again. He says, "It's no good telling people to let go if they can't be assured they will be re-filled. . . I can let go because I trust I will always be filled up again. That's the pattern of reality." Emptying Physical Dependence and Guilt in Addiction This line made me think about the courage it takes our accelerated opioid detox patients to ‘let go’ and allow their grip on substances to be released. UNDERSTANDING ACCELERATED OPIOID DETOX The physical dependence compounded by the shame and guilt-filled stories that our patients carry on their shoulders like boulders, creates its own waterwheel phenomena. It is extremely difficult to disengage from this ongoing cycle: physical need for the substance, relief, resolve to stop using, craving/withdrawal, using the substance, guilt/shame/despair. . . Re-Filling to Strengthen Character and Sobriety What we see in our alcohol detox, opioid detox, or benzo detox patients who break the cycle and achieve long term sobriety is an extraordinary “re-filling,” usually more than they’d ever anticipated. A resource I suggest our patients try when they are in the business of re-creating (re-filling?) themselves is the Character Strengths survey (link here).  This free survey rates a person’s 24 character strengths in order of strongest to weakest. Write your the top 5 strengths across the top of the page(the survey only takes about 15 minutes and you get results right away), and on the left, create a column of 4-5 of your most important roles. Here’s an example:                          Sense of Humor    Love of Learning    Gratitude    Appreciation of Excellence    Perseverence    Role 1: Spouse           Role 2: Parent           Role 3: Son           Role 4: Banker           Role 5: Race Car Driver             The fun part is filling out in each box—or at least a few—how to utilize your character strengths intentionally in each important role, every day. I encourage people to write some of their best ideas on index cards and place them strategically in their daily environment or use the timer on their phone to remind them to use these ideas. Let the re-filling begin! Joan R. Shepherd, FNP SCHEDULE A CALLBACK #### April is Alcohol Awareness Month Alcohol Awareness Month was established in 1987 to help reduce the stigma associated with Alcohol Use Disorder (AUD) by encouraging communities to reach out to the American public each April with information about alcohol, alcohol addiction, and recovery. Alcohol addiction is a chronic, progressive disease, and can be fatal if untreated. Treatment and recovery from AUD is available and possible!   Alcohol awareness month takes on added significance this year because of the international COVID-19 pandemic. As stress levels are heightened, it is normal to seek comfort in any way that we can. For those with alcohol and other addictions, turning to their substance of choice — although easy — will only make matters worse.   GET THE GUIDE TO ALCOHOL DETOX Awareness of Our Relationship With Alcohol Perhaps in addition to alcohol awareness month, April 2020 could be viewed as a time to recognize and place our attention on our own personal relationship with alcohol. Warning signs of alcohol abuse include: Drinking to calm nerves or boost a sad or anxious mood Guilt about drinking Unsuccessful attempts to cut down or stop drinking Lying about or hiding drinking habits Causing harm to oneself or someone else as a result of drinking Needing to drink increasingly greater amounts in order to achieve desired effects Feeling irritable, resentful or unreasonable when not drinking Medical, social, family, or financial problems caused by drinking If you or a loved one are struggling with your drinking we can help. Our offices remain open during this difficult time to detox you safely and help you begin your recovery. Please call us at 877-773-3869 to see if the Coleman Method is right for you. There is no better time than now. Take April into your own hands. Deborah Reich, M.D.     SCHEDULE A CALLBACK #### Avoiding Dependency and Addiction if Opiate Painkillers are Prescribed Unfortunately, it happens all the time. Patients are prescribed narcotic painkillers for legitimate reasons and then, become addicted to them. Most of the time, the doctors who are prescribing the medicines are good physicians who mean well. They are just trying to relieve pain in order to help their patients, but the very prescription that is given to relieve pain can often turn into a lifetime of misery. Historically, no data has been available on just how often this happens, but a recent study provides some frightening answers. Prescribed Opiate Pain Medications The study looked at over one million patients who were given a new prescription for opiate pain medications and then followed them to see how many were still taking opiates 12 months later. They excluded any patients who had received an opiate prescription in the prior 6 months - so the one million excluded any chronic pain patients who may have already been addicted. The study also excluded any patients with cancer. What they found was very scary for patients who were prescribed opiates for more than one day. The study found that if the patient was prescribed opiates for only one day there was a low chance these patients would turn progress to long-term use, but, if the patient was given a script for just 10 days, there was a 1 in 5 chance (20%) that the patient would still be taking them 1 year later. The results are astounding. Consuming a prescription of opiates for only 10 days leads to chronic use for over 20% of the patients. It was even worse if the patients were given a script for 30 days. If patients received opiate scripts totaling 30 days of narcotics, the likelihood that they would still be taking opiates 12 months later was up to 30%. The implications for physicians and patients are clear - avoid these drugs as much as possible.   UNDERSTANDING ACCELERATED OPIOID DETOX   Treating Medical Conditions While In Recovery I frequently get asked by patients who are in recovery how they should handle situations like kidney stones, broken bones, or surgery where they will likely want or need some form of opiate pain medicine. Unfortunately, we frequently see patients who come to us for detoxification off of opiates. They were in recovery but then developed a medical condition that required pain medicines. We all need to be extremely careful. Recommendations for treating a medical condition while in recovery include: Have the physician use regular doses of the same meds that they would normally use during any procedure and immediately post-op. Ask the doctor how long the average person needs to stay on opiate medicines for this condition, and how quickly can people stop taking the opiates. Use non-opiate pain relieving methods - ice, NSAID’s (non-steroidal, anti-inflammatory drugs), Tylenol, etc., as first line. Only use the opiates if these other methods are insufficient to relieve the pain. When you do require opiates for pain, go home with an average dose for no more than one week. Have someone else hold the medicines and dispense them as needed – with no intention to make you suffer – just put an extra step in between wanting the medicine and taking the medicine. Continue weekly visits with the physician who is prescribing the medicines until opiates are no longer needed. When these suggestions are followed, it is easier to avoid a return, or even a start, towards opiate dependence or addiction. The current opioid epidemic has made it clear that it is very important for physicians to prescribe as few of these drugs as possible and for patients to take as few of these drugs as possible. SCHEDULE A CALLBACK #### Binge Drinking: When To Get Help for Alcohol Use In today's society where a glass of wine at dinner or a beer with friends is the norm, the boundary between enjoying a moderate drink and veering into excessive or “binge” drinking territory can be hard to recognize. Throughout celebrations, gatherings, and even stressful days, this distinction is crucial for those who may be at risk of developing an Alcohol Use Disorder. Identifying and addressing binge drinking and its associated risks for alcohol dependence or addiction can have a major impact on your physical health, mental well-being, interpersonal relationships, and overall quality of life. So how do we define binge drinking and when should you seek help for excessive alcohol use? Read on to learn more about the tell-tale characteristics and potential dangers of binge drinking from our team of addiction medicine experts at the Coleman Institute. What Is Binge Drinking? Technically speaking, binge drinking is defined as consuming alcohol in a manner that brings the blood alcohol concentration (BAC) levels to 0.08 g/dl or above within a short time frame, typically about two hours. For women, this usually means consuming four or more drinks within that period, and for men, five or more drinks, though these thresholds are based on general guidelines and can vary depending on factors such as body weight, age, alcohol tolerance, and overall health. The definition of a "drink" in this context refers to approximately 14 grams of pure alcohol, which is found in 12 ounces of beer, 5 ounces of wine, or 1.5 ounces of distilled spirits. Binge drinking is characterized by several key behaviors and consequences that differentiate it from moderate alcohol consumption, including: Direct intent to become intoxicated Rapid decline in judgment and coordination Participating in dangerous or unhealthy activities Engaging in unsafe sexual practices Driving under the influence Impaired memory In addition to the physical characteristics of binge drinking, social and emotional aspects also play a critical role. Binge drinking is frequently associated with social gatherings, celebrations, and stressful situations where alcohol serves as a key component of the event or as a coping mechanism. This behavior is often normalized in these settings, despite its potential for negative outcomes. A regular pattern of binge drinking can lead to a cyclical process where individuals use alcohol to deal with the aftermath of their previous drinking episodes, including hangovers, guilt, and anxiety. This cycle can exacerbate underlying mental health issues, contribute to the development of alcohol dependence or addiction, and strain personal and professional relationships, adding to the potential negative effects of binge drinking and its broader impacts on an individual's life. FREE GUIDE TO UNDERSTANDING ALCOHOL DETOX The Dangers of Binge Drinking The dangers associated with binge drinking are both immediate and long-term. The initial risks can jeopardize the safety and well-being of the individual as well as those around them. The intake of large quantities of alcohol quickly while binge drinking can cause: Impaired cognitive functions Diminished motor skills Poor decision-making Blackouts and memory loss Potential for alcohol poisoning Heightened risk of severe injury or death The long-term repercussions of binge drinking extend far beyond the immediate aftermath of a night out. Regularly engaging in this pattern of alcohol consumption can lay the groundwork for a host of chronic health conditions, including: Liver disease, including fatty liver, hepatitis, and cirrhosis Heart disease, such as hypertension and increased risk of stroke Increased risk of certain types of cancer, including breast, liver, and colorectal cancers Development or exacerbation of mental health conditions like depression and anxiety Increased risk of substance use disorders Strained relationships due to erratic behavior and neglect of responsibilities Decreased work performance and potential job loss Personal financial difficulties Potential legal issues In addition to health implications, binge drinking can erode the fabric of personal and professional relationships, leading to isolation and a breakdown in communication. The cumulative effect of these issues highlights the critical need for awareness, treatment, and support for individuals who binge drink and are at risk of developing dependence or addiction to alcohol. When To Seek Help for Binge Drinking It can be difficult to determine when a person’s binge drinking has reached the point where they need to seek professional help from addiction medicine specialists. Recognizing the need for treatment is the first step towards recovery. Here are signs that your binge drinking may be a more serious alcohol problem: Inability to limit consumption Missing work or school Failing to meet family obligations Experiencing withdrawal symptoms Engaging in risky behavior Feeling guilty or ashamed Many individuals may not recognize the escalating severity of their situation, attributing excessive drinking to social norms or using it as a coping mechanism for stress. However, acknowledging the presence of a problem and the need for specialized assistance from addiction medicine experts is an important step in the journey toward a better life free from alcohol, as the transition from recognizing a pattern of harmful behavior to actively seeking help marks the beginning of the path to recovery. Get Help with Binge Drinking at the Coleman Institute If you or someone you know exhibits any of these characteristic signs of excessive binge drinking or Alcohol Use Disorder, our detox methodology using the Coleman Method can help overcome alcohol’s grip and provide the help necessary to reclaim your life and get into recovery. Our innovative outpatient program has a 98% completion rate. The journey may be challenging, but the outcome—a healthier, more stable life—is worth the effort. Contact the patient care advocates in one of our nationwide detox clinics near you and make the choice to get help today. SCHEDULE A CALLBACK #### Bipolar Disorder and Substance Use Disorder: How to Get Help I was recently invited to speak to a class of student nurses and discuss how 12-Step Recovery programs like AA can help someone struggling with bipolar disorder and substance use disorder. Bipolar Disorder and Substance Use Disorder Someone I met in the past with bipolar disorder and substance use disorder was a young woman, in her late 20’s. Sarah grew up in a chaotic home. Her mother was very likely undiagnosed and was left untreated with bipolar disorder and a multiple substance use abuser. Her father did not have the capacity to deal with the situation and was not very present in Sarah’s life. Sarah spent her teen years fluctuating between deep depression, self-harm, and high-risk behavior. She started with alcohol and pot, dabbled with cocaine (too expensive), and ended up on pills, then heroin. Somewhere along her journey, she made it into a 28-day treatment program. There she began to learn a little something about herself and the disease of addiction. Dual Diagnosis It was during that program that she realized that like her mother, she met the criteria for bipolar disorder. This is called a dual diagnosis, when a person not only has a substance use disorder, but also a mental health diagnosis; such as depression; a higher level of anxiety, bipolar user disorder, or one of the schizoaffective disorders. As you might imagine, adding alcohol or other drugs on top of a diagnosis like this can make it difficult for a person to navigate the complexities of human life. UNDERSTANDING ACCELERATED OPIOID DETOX Dual Diagnosis Treatment Sarah began treatment for her bipolar disorder. Between that and the new world of support, she found that in her recovery community at AA, her experience of life was like a wave after wave of unexpected emotions. She was also experiencing what she described as “miracles.” Her miracles? Friendship with sober people. A full-time job with benefits. Laughter. A sponsor who she meets with regularly and can call day or night. Sleeping like a rock. Crying when she has another breakthrough. Compassion for her mother, and a very small sliver of hope that maybe, her mother will come to see she doesn’t have to live life the same way. Dual Diagnosis Treatment Options I hope you’ll call our offices if you or a loved one has any doubts about your ability to experience freedom from addiction. While I’ve talked a lot about 12 Step recovery programs in this post, we recognize that a variety of different programs can be useful for different individuals, and we connect our patients with the full range of options, including: SMART Recovery, Celebrate Recovery, and Refuge Recovery. And in the 12 Step world itself, there are more-individualized options like Y12SR (Yoga 12 Step Recovery). Please choose the path that is the best fit for you. Conclusion I think the great gift of AA and other recovery meetings is the discovering and owning of one’s own innocence; recognizing finally and wholly that each of us is a beloved, unique creation, no matter what we do or have ever done. Such a hard message to swallow for people who have spent years covering their pain with false beliefs and gathering ‘evidence’ that they are undeserving. Richard Rohr says, “Free and un-earnable love is a humiliation for an egocentric or narcissistic personality. We have no control over it. Only a radical experience of grace can move us beyond the self-defeating and tired storyline of reward and punishment, in which almost all lose. Only a deeply personal experience of unearned love can move us beyond a worldview of arbitrary requirements to a worldview of abundance and availability.” When Sarah came in for a visit last week, this ‘worldview of abundance’ was very clear. “I never believed the sense of freedom I feel was possible,” she said. “It is such a sense of relief. I get to be sober from my bipolar disorder and substance use disorder. I get to use it in the service of others…I can’t wait to spend the rest of my life sober.” Joan Shepherd, FNP SCHEDULE A CALLBACK Last Updated: January 17, 2022 #### Breaking Up With Your Addiction Consider addiction as an abusive partner. After the novelty wears off, the dynamics and red flags of an unhealthy relationship with a substance come to light – poor communication, controlling behavior, and gaslighting, to name a few. Addiction and Poor Communication Addiction is not concerned with who you are as a person and certainly has no interest in emotional wellness. In fact, addiction would rather you keep quiet and suppress your feelings. Addiction does not want to be a listening ear, or to offer supportive advice. Addiction will simply give you the cold shoulder if you ask. Addiction Controls Behavior Addiction is a selfish partner that demands all of your time and attention. It will keep you distant from your loved ones, passions, and responsibilities. It will subdue your talents. Addiction will argue that it does allow some freedoms, of course. The freedom to spend money on it, for example, and the freedom to experiment with other substances, because this is not an exclusive relationship. GET THE ALCOHOL DETOX GUIDE The Gaslighting of Addiction Addiction wants you to doubt your ability to find purpose and meaning. It wants you to believe that this is all you are good for. Addiction would have you think that your relationship is a positive one. “I make you happy, right? I make you feel good, and I’m always here for you when you need me.” End Your Toxic Relationship With Addiction Even when an unhealthy relationship ends, there is a time and a place to mourn. This is a natural part of the healing process and sets the stage to fully commit to the “new you.” Memories of the good ‘ole times will occasionally come to mind, but rather than entertain them, reframe your thinking to consider the memories of those not so good times – arguments with loved ones, your first DWI, when you were sick in bed due to withdrawal. Schedule a callback today and let us help you end this toxic relationship. Our unique approach, coupled with aftercare and Naltrexone therapy, has helped thousands of people free themselves from addiction. Because you deserve better. Erin Short, LCADC SCHEDULE A CALLBACK #### Bring It Home - Please Spread The Word The Opioid Epidemic has clearly gained national attention. Recent legislation allows qualified doctors, nurse practitioners and physician assistants to treat 275 patients with Substance Use Disorder per year with Suboxone or buprenorphine, instead of the previously allowed 100 patients per year. Additionally, the number of methadone clinics continues to increase. As many of our patients and their families have found, using buprenorphine or methadone to help a loved one off opiates (i.e. maintenance treatment) is a fairly accessible Medication-Assisted Treatment (MAT) option. With the prevalence of methadone clinics, and the ability of doctors to easily and quickly prescribe Suboxone in an office setting, this is a convenient treatment for many people and can help save precious lives. However, patients seeking treatment at the Coleman Institute have come to understand that rather than using a legal opioid to treat an opioid addiction, their preference is to choose Naltrexone, a non-addictive blocker of opioids. As our patients and their families have realized, getting a person onto Naltrexone, whether in an implant, injection (Vivitrol) or oral form, can be challenging. In order to use Naltrexone, the body must be free of all opiates. Dr. Coleman and the Coleman Institute staff have worked for over 20 years to create the safest, most convenient and cost effective way to get people through an opiate detox and onto Naltrexone. We are asking for your help in making this option more accessible to more people. Our patients travel from all around the US and other countries in order to get off opiates and start Naltrexone therapy. You may be one of our committed patients, friends, or family members who have made elaborate plans for childcare, taking time off work, engaging help from family and friends, and paying for transportation and lodging because this option is not available at a facility near you. We believe as more medical professionals understand the scope of the addiction problem and learn about Naltrexone as an abstinence treatment alternative to buprenorphine, Suboxone and methadone, they will be motivated to help their patients achieve sobriety through the same methods that we use at the Coleman Institute. Our goal is to make this abstinence option available to more people, minimizing the hassle factors and costs. In order to do this, we are asking our patients and their support team to reach out to doctors in their local communities who may be interested in learning how to bring the Coleman Institute's outpatient detox program closer to home. If you know a doctor in your area who would be interested in learning about our rapid outpatient opioid detox program, please contact Andrew Blake, our Chief Operating Officer at andrew@thecolemaninstitute.com or 804-353-1230 ext 312. Thank you for considering this. The more people that are in recovery, the more resources will be available to you and your loved one. Joan R. Shepherd, FNP #### Buyer Beware – Fentanyl Can Be In Any Street Drugs Often, I feel like the only thing I have been writing and teaching about the last few months is how bad fentanyl really is, how many people it is killing, and how it is increasingly becoming an alarming and dangerous situation. Nonetheless, I still feel compelled to write this newsletter article on fentanyl, because the situation with fentanyl is becoming worse by the day. Hopefully, by now, everyone in America knows that fentanyl is the causal factor responsible for the ever-increasing overdose death rate from people using street drugs, especially heroin. Everyone needs to be and should be aware that fentanyl is probably the most dangerous addictive drug ingredient ever invented, that it is now readily available on our streets, and it is being mixed with heroin and other substances to increase potency. Fentanyl is a new synthetic opioid that can be made very cheaply in labs and smuggled into America. It does not need to be made from poppies or any other plant material. It can be made by just putting a few chemicals together in a lab. And, fentanyl can deliver a much more intense high than even pure heroin. We have heard over and over from addicts who say they are “bored with heroin” and the thing they want more of is fentanyl. It is incredibly dangerous, since fentanyl is 50 times stronger than heroin. A lethal dose is about the size of a grain of rice and is less than 1 milligram - compare that to a baby aspirin, which is so tiny but contains 81mgs! It is almost impossible to know the amount of fentanyl and so easy for anyone to accidentally consume too much and have a serious or fatal overdose. People buying powder on the street have no idea if what they are buying is too weak and a waste of money, or if it is the dose that is so powerful it will kill them. It has been determined that fentanyl was what led to the death of Prince. It was most likely fentanyl that killed Tom Petty. But now the situation is even worse. We are now hearing that drug dealers are mixing fentanyl into other street drugs. There have been multiple deaths where people were not even trying to use heroin. People have died from fentanyl when they thought they were buying Xanax®, Percocet®, or other drugs and sedatives. People have died from fentanyl when what they thought they were buying was amphetamines or speed. We have even heard of people who bought pot and it turned out to have fentanyl mixed in with it. It is bad enough if people are looking for a high from opiates and they get fentanyl mixed in with the heroin, but it is even worse when this incredibly dangerous drug is mixed in with other drugs. I am not sure there is an easy solution. People who are using or considering using any kind of street drug need to be much more aware of this situation and recognize the real danger and potential consequences. Peter R. Coleman, MD #### Can I Get Addicted to Xanax If I Have Anxiety? Xanax, also known as Alprazolam, is one of the most commonly prescribed psychiatric medications in the United States. It’s a fast-acting benzodiazepine that helps reduce symptoms of panic attacks and generalized anxiety. However, many people wonder - Can I get addicted to Xanax even if I’m taking it as prescribed for anxiety? The answer is yes; Xanax carries a high risk for dependence and misuse, even when taken under a doctor’s supervision. Understanding how this medication works, its potential risks, and alternative anxiety treatments can help you make informed decisions about your health. How Xanax Works for Anxiety Xanax enhances the effects of gamma-aminobutyric acid (GABA), a neurotransmitter that slows down brain activity; this produces a calming effect, reducing feelings of anxiety and panic. While this can provide short-term relief, Xanax does not treat the underlying causes of anxiety, and long-term use can lead to physical dependence. Can You Get Addicted to Xanax? Yes, Xanax has a high potential for addiction because of how it interacts with the brain’s reward system. Even when taken as prescribed, the body can develop a tolerance, meaning higher doses are needed to achieve the same effect. These factors contribute to the high risk of dependence and addiction over time. Risk Factors for Xanax Addiction - Duration of Use - The longer you take Xanax, the higher the likelihood of dependence. Dosage - Higher doses increase the risk of addiction. Personal History - A history of substance use disorder and/or mental health conditions may increase susceptibility. Frequency of Use - Taking Xanax regularly, even at a low dose, can lead to dependence. Signs of Xanax Dependence & Addiction If you are taking Xanax for anxiety, it’s important to recognize the warning signs of dependence and addiction, which can include - Feeling like you need Xanax to function daily Increasing your dosage without medical advice Experiencing withdrawal symptoms when you miss a dose Craving Xanax or obsessively thinking about when you’ll take your next dose Neglecting responsibilities or relationships due to Xanax use Safer Alternatives for Managing Anxiety If you are concerned about Xanax dependence, there are safer long-term treatment options for managing anxiety, including - Therapy - Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT) are highly effective evidence-based approaches to anxiety. Non-Addictive Medications - Selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs) are often recommended as first-line treatments for anxiety disorders. Lifestyle Changes - Regular exercise, meditation, breathing techniques, and improved sleep can significantly reduce anxiety symptoms. Herbal & Natural Remedies - Some people find relief through supplements like magnesium, ashwagandha, or L-theanine (consult your doctor before use). What to Do If You’re Worried About Xanax Dependence If you believe you may be developing a dependence on Xanax, the most important step is to talk to a medical professional. Quitting Xanax cold turkey can be dangerous due to the risk of withdrawal complications, such as seizures. A medically supervised detox is the safest way to discontinue benzodiazepines. At The Coleman Institute, located in Richmond, Virginia, we offer a safe and effective Xanax detox program to help people overcome dependence. Our outpatient Rapid Benzo Detox Program provides medical oversight, comfort medications, and a personalized plan for long-term recovery. Conclusion While Xanax can sometimes be helpful in short-term treatment plans for anxiety, it also carries significant risks. If you or a loved one are struggling with Xanax use, know that help is available. Exploring alternative treatments to benzos and seeking professional guidance can lead to a healthier, more sustainable approach to managing anxiety and fostering long-term recovery. For more information on our approach to Xanax Detoxification, visit our Rapid Benzo Detox Program webpage! #### Can I Really Be Addicted To Tramadol? If you think tramadol is a benign drug, think again. This past spring we met Frank, a middle-aged man from the southwest who was using large amounts of tramadol daily, originally for back pain. His doctor prescribed a certain amount, the rest he purchased online. He educated himself enough to recognize he had developed quite a tolerance to the tramadol, and although he was able to wean himself down to a slightly lower dose, the side effects of withdrawal prompted him to seek help. What is Tramadol? Tramadol is used to treat pain in adults that is severe enough to require an opioid analgesic and for which other treatments do not work. It is sold under brand names including Ultram, Conzip, and Rybix. In addition to acting as the opioid pain receptor, tramadol also inhibits the uptake of two neurotransmitters, norepinephrine and serotonin, which may add to its pain-relief effects. What others tend to not realize is that Tramadol, similar to opiates such as morphine, fentanyl, or oxycodone, has many of the same effects as an opioid and can result in just the same dangerous dependencies. Patients are often shocked to learn that tramadol can create.a physical dependence. Indeed, tramadol was originally approved by the U.S. Food and Drug Administration (FDA) as a non-controlled analgesic. However, changes to the controlled substance status of tramadol were made when reports of drug abuse, misuse, and criminal diversion were noted. In fact, at the Coleman Institute for Addiction Medicine, we detox several people a year off of this medication. In addition, the continued use of Tramadol has become relatively common, although the drug has been shown to cause a craving response similar to that for oxycodone. In the end, individuals become so addicted to the medicate seeing induced drug-seeking behaviors and leading to dependence and further addiction to drugs. UNDERSTANDING ACCELERATED OPIOID DETOX Tramadol Withdrawal Symptoms For many, Tramadol withdrawal can cause not only the typical opioid withdrawal symptoms but also contribute to anxiety, depression, mood swings, insomnia, tremors, and more. What Tramadol does is that it affects the brain system and neurochemical pathways that when heightened decrease the normal brain activity and substitute by producing a level of dopamine and other neurotransmissions. This system is often what contributes to overall drug abuse and addiction, considered to be one of the most dangerous aspects when using the drug. Tramadol Physical and Mental Side Effects In addition to withdrawal symptoms like anxiousness and insomnia, many patients can also experience additional effects related to the drug such as: Heart Palpitations Depression Nausea Lack of Focus and Cognitive Ability Increased risk-taking behaviors Treatment for Tramadol Addiction Like many other harmful drugs that lead to addiction, there are treatment options available for Tramadol. It takes the right research and finding a skilled professional team - to ensure a smooth and safe recovery. At The Coleman Institute we offer a variety of addiction and dependency treatments with a detox process that is customized, prevents relapse, and ensures the best possible recovery. To provide actual patient insights, our friend Frank did well during his detox process. We scheduled a five-day minimum for a tramadol detox, but because Frank was taking over 500mg a day, we extended him out for seven days. Each day we reviewed precisely what dosage and when to give Frank his comfort medications. By receiving a daily micro-dose of Naltrexone, by day 7 most of the Tramadol was of of his detox went very smoothly. Frank, his wife, and son were in a comfortable room, and we always provide a nice lunch for any support teams. In the end, Frank was so grateful to find a place that could help him. He was ready to be present for his wife and happy be a more involved father to his son. If you have any questions about tramadol or how to safely stop using it, or are struggling to stop using medications such as Oxycontin®, Percocet®, Roxicet®, Vicoprofen®, fentanyl, heroin, Suboxone®, or methadone, please don’t hesitate to call us at 877-773-3869. SCHEDULE A CALLBACK Joan R. Shepherd, FNP #### Can I Use Kratom To Detox Off Heroin? Several months ago, a 26-year-old man from Northern Virginia came to our Richmond office for a Heroin Detox. He had been using heroin for about 2 years after being on oxycodone for surgeries he’d had shortly after high school. Jim had graduated from a good HVAC program and was a reliable employee. He loved working with his hands. But unfortunately, he was just blowing all his money on heroin. He was scheduled for a 3-day Heroin Detox because he was using under 2 grams of heroin. Usually, if someone uses over 1.5 or 2 grams of heroin daily, or if there might be some fentanyl involved, we will have them come in for 4 to 5 days. More like this: How to Detox Off Heroin: What It Takes & Getting Help Is There Such a Thing as a Comfortable Heroin Detox? The first day of a patient's detox off heroin at the Coleman Institute is usually pretty comfortable. After that, we give patients a small dose of naltrexone with several other medications to minimize any symptoms they may experience. So it was a little unusual when Rene, Jim's girlfriend, and support person, called us saying that Jim was displaying strong withdrawal signals. He's having diarrhea and has vomited a couple of times. He has terrible body aches and says he feels like he needs to beat on his legs to stop the pain. Those are the classic signs of acute opioid withdrawal. But why was Jim having such a violent reaction when most people generally sleep through their first day with the Coleman Institute's detoxification protocol? More like this: How Can I Avoid The Pain of Heroin Withdrawal? UNDERSTANDING ACCELERATED OPIOID DETOX Kratom for Opioid Withdrawal We had Rene bring Jim back to the office, and after further conversation with him, the answer emerged. Jim had neglected to mention that—and we had failed to ask if—he had been using Kratom to help withdraw from heroin. This is a common self-treatment, as an estimated 2,101,000 individuals over the age of 12 have reported using Kratom in 2020. He had purchased the Kratom about a week before coming to our facility. In Jim’s case, however, this only compounded his problem. As we delivered naltrexone to remove the opiates already present on his opioid receptors, Jim was loading them up again with Kratom, exacerbating his withdrawal symptoms. We get it. It was a little like playing Whack-A-Mole. As we pushed the heroin off, freeing his receptors, the Kratom was ready to take a position on an empty receptor. So, instead of just the original 1.5 grams of heroin, which we could easily and comfortably handle during a 3-day Heroin Detox, Jim’s use of Kratom made it more difficult and actually added more time to the process. Kratom For Opioid Withdrawal Kratom is a plant-based drug that is native to Thailand, Malaysia, Indonesia, and Papua New Guinea. Small doses of Kratom can create a stimulant effect so many believe it can increase energy and stamina. But in truth, Kratom is physically addictive as well. More troublesome is that Kratom is often promoted as a potential cure for substance use disorder by presenting it as an herbal product that can aid in the treatment of opioid addiction, including heroin, fentanyl, opioid-based pain medications, and more. Large doses of Kratom produce a sedative effect very similar to opioids and it affects the brain in the same way that opioids do, turning a potential cure into another crippling addiction. Kratom is difficult to wean oneself off of, as Kratom withdrawal symptoms (like opioid withdrawal symptoms) can turn severe and dangerous. Common Myths About Kratom With this misrepresentation of Kratom, it can be difficult to know what is true and what a myth about Kratom. Here are the most common myths about Kratom that we hear from our outpatient detox patients: Kratom is completely safe because it's natural: This is false. Just because something is natural does not necessarily make it safe. There are many natural substances that can be harmful or even deadly in the wrong doses. Kratom can't be addictive: The truth is the impact of Kratom on the brain is very similar to opioids and you can even experience Kratom withdrawal symptoms, much like opioid withdrawal symptoms. Kratom is legal everywhere because it's just a plant: The legal status of kratom varies by country and even within regions of countries. In some places, it's completely illegal, while in others, it's restricted or regulated. Kratom is safe to mix with other substances: Combining kratom with other drugs or medications can be dangerous. Can I Use Kratom To Detox Off Heroin? At one time, researchers thought it would make sense that Kratom would help with opioid withdrawal. But, if you think about it, for a person withdrawing from heroin, heroin will “help” with the opioid withdrawal. So will oxycodone, fentanyl, Percocet, etc. The problem is that you are simply perpetuating the situation. More like this: How to Detox Off Heroin: What It Takes & Getting Help Kratom Withdrawal Experience "Kratom: Unsafe and ineffective," an article on the Mayo Clinic website, describes multiple problems and safety concerns regarding Kratom, including death. Although many individuals attempt to use Kratom to get off of heroin, they do not realize the negative effects. Some of the severe outcomes of using Kratom were seizures, high blood pressure, and multiple side effects, including: Weight loss Dry mouth Chills, nausea, and vomiting Changes in urine and constipation Liver damage Muscle pain Kratom also affects the mind and nervous system: Dizziness Drowsiness Hallucinations and delusion Depression and delusion Breathing suppression Seizure, coma, and death I was surprised to hear that substances made from Kratom may be contaminated with salmonella bacteria. Again, from the Mayo Clinic article, “As of April 2018, more than 130 people in 38 states became ill with Salmonella after taking Kratom. Salmonella poisoning may be fatal, and the U.S. Food and Drug Administration has linked more than 35 deaths to Salmonella-tainted Kratom. Salmonella contamination has no obvious signs, so the best way to avoid becoming ill is to avoid products that may contain it.” How Does Kratom Affect a Heroin Detox? So, after cracking the Kratom quandary, Jim's detox proceeded with much more ease and comfort. We were able to give him a little extra comfort medication and extend his detox for another day. He ultimately did very well, and it is now a standard part of our protocol to question our patients about using Kratom. Jim's ultimate goal was to go on long-acting naltrexone, which is an opioid blocker and does not cause any physical dependency. Providing Medically Assisted Treatment (MAT) with naltrexone has been our specialty at the Coleman Institute for nearly 20 years. However, all the opioids must be out of the system before a person starts on naltrexone, including Kratom. Questions About Using Kratom to Detox off of Heroin? It can be very confusing to know the ins and outs of various treatments and what substances should and shouldn’t be used to help a patient detox off opioids like heroin, morphine, and codeine, and opioids such as Percocet®, Vicodin® Roxicet®, Dilaudid®, etc. Please schedule a callback if you have any questions or concerns about kratom or other addictive substances. Joan R. Shepherd, FNP SCHEDULE A CALLBACK Want To Learn More About Kratom? #### Can Opioids Make Pain Worse & How to Get Help A patient shared this story and this question with me a few weeks ago: "I've been working with a doctor to find a solution for my back pain for the past two years. I tried every treatment in the book from physical therapy, to ibuprofen, to cortisone injections. After months of consulting with my doctor, we arrived at the perfect regimen to reduce pain: one tablet of acetaminophen-oxycodone, a potent opioid, in the morning and one tablet of acetaminophen-oxycodone at night." "This medication can be taken every four hours as needed for breakthrough pain. This pill brought my pain from a 10 down to a 2." "Recently, I was running after my grandson around the basement, where I proceeded to stub my toe. I felt an excruciating, intense pain in my toe. My usual pain level went from a 2 to 11, off the charts. The pain was simply unbearable for several hours. Why was my pain so unbearable? I thought I was on the perfect regimen taking acetaminophen-oxycodone twice daily!" Why Pain Can Be Worse With Opioid Painkillers Opioid based painkillers are extremely powerful and dangerous substances. Many patients see the drug as a potential option to treat long-term pain. But they can worsen pain and lead to addiction. While at low doses, opioids can make a patient feel sleepy, higher doses of the substance can slow your heart rate, breathing, and even lead to a potential fatality. While the typical use of painkillers is to treat pain and relieve hurting; opioids can also be known to make pain worse. There are two types of pain: acute and chronic. Chronic pain is typically defined as a pain lasting more than twelve weeks; whereas acute pain generally lasts for a short period of time. For those experiencing acute pain, it can be caused by injury, surgery, trauma, or medical procedure. Contrary to chronic pain, however, acute pain can usually diminish when the cause has been treated or healed. Prescription opioids like hydrocodone or oxycodone are one of the many options for treating acute pain. However, studies have shown that, after being on opioids such as acetaminophen-oxycodone for more than four weeks, an individual can become more sensitive to the pain itself. As a result, when a person experiences a minor injury, such as a stubbed toe, for instance, being on opioids can make their pain much worse. UNDERSTANDING ACCELERATED OPIOID DETOX An opioid's primary mechanism in the body is to block pain. So how do opioids block pain? Pain is transmitted through the body by the brain and spinal cord. Pain signals travel through the brain and spinal cord by receptors on nerve cells. Opioids block these receptors on nerve cells, thus blocking pain signals and messages. It is interesting to note that after opioids wear off, the body reacts by producing more receptors on nerve cells to allow the pain signal to travel throughout the body. What Is Opioid-Induced Hyperalgesia Increased production of nerve receptors can be associated with increased pain. Over time, chronic use of opioids causes opioids to become less and less effective and leads to the production of more and more nerve receptors. As a result, a person has a heightened response to pain, known as opioid-induced hyperalgesia. Lastly, our body has natural substances, known as endorphins, which behave similarly to opioids. Endorphins block pain responses. Studies have shown that long-term use of opioids decreases the ability of the body to create endorphins. As a result, a person loses the ability to decrease and treat pain naturally. Signs You Are At Risk for Opioid-Induced Hyperalgesia As opioids continue to be prescribed in order to treat pain, Opioid-Induced Hyperalgesia (OIH) becomes more of a significant issue. In order to understand if you are at risk for experiencing OIH, there are a few common evidential factors to consider. Risk Factors of Opioid-Induced Hyperalgesia: Methadone use Opioid use Tissue damage Fibromyalgia patients Shingles patients History of substance abuse Patients with co-occurring disorders (COD) If you believe that you may be at risk for Opioid-Induced Hyperalgesia, there are certain warning signs that can trigger the need to consult a physician. For those experiencing hyperalgesia, they tend to feel extreme pain even though their injury or condition may not be worse. If you are experiencing pain that feels as though it is getting worse over time and extending to other areas of your body, you may be experiencing OIH. For many patients symptoms of Opioid-Induced Hyperalgesia include: Decentralized pain Pain that is difficult to define Long-lasting pain It is important to recognize that if you are feeling any of the symptoms above, treatment is available. While recovery from Opioid-Induced Hyperalgesia will take time, the majority of patients recover from this condition. Treating Opioid-Induced Hyperalgesia at Coleman For many patients that have increased their dose of opioids some unintended consequences can occur. Once you have prolonged opioid exposure many can experience a paradoxical effect called Opioid-Induced Hyperalgesia (OIH). This condition is mostly defined as a paradoxical reaction where an individual receiving opioid medications for the treatment of pain can actually become more sensitive to certain painful activities. In addition, individuals have exemplified their personal symptoms of OIH as a "growing sensitivity to pain" while taking opioids. What individuals taking the substance do not realize, is that opioids are not actually helping ease their pain. This dangerous drug is in fact making their pain worse. Individuals with OIH also may feel a lot of pain even if their health problem or injury may not be getting worse. The upside to those experiencing Opioid-Induced Hyperalgesia, is that there are opioid use disorder treatment options available. Many treatments use receptor antagonists that can block pain receptors and suppress your overall pain response. One of these antagonists is Naltrexone. At The Coleman Institute, our Accelerated Detox plan specifically involves reducing and stopping opioid consumption. We use Naltrexone therapy to help patients focus on their psychological healing without the temptations to use again. This method has a 98% completion rate and can be diminished in as little as 3 days. It has also aided in reducing cravings for opioids, preventing relapse, and offering a more comfortable means to recovery. We understand for many of our patients doing so can be difficult and frightening. Are you suffering from opioid-induced hyperalgesia or experiencing the symptoms of opioid withdrawal? The Coleman Institute for Addiction Medicine has years of experience helping patients in this situation. Our Accelerated Opioid Detox can help you get out of the cycle of Opioid-Induced Hyperalgesia and onto the path toward recovery. SCHEDULE A CALLBACK #### Changing Behavior To Stop Opioid Use An estimated 2 million people in the United States have a substance use disorder related to opioid pain medications. To put that into perspective, that is 1 in every 13 individuals. Too often these people suffering from addiction feel as if there is no way out. What they don't know is that although it may feel impossible to resist the impulse, you can treat opioid addiction. The reason that change can feel so difficult for patients, is because of the opioids ability to cause a strong physical dependency. Furthermore, the withdrawal itself can often become so intense that it promotes the continuation of drug use. However, with the right amount of motivation, willpower, and detox method, there is a nearby road to recovery. It is not outside of the norm to struggle with addiction and become frustrated. Because opioid addiction changes the brain and creates compulsions, overtime, these changes can make it seem as though individuals are experiencing a state of “euphoria.” When realistically what is happening is that the opioid is masking the actual symptoms, making treatment feel difficult until the proper treatment is reached. The good news is that at the Coleman Institute, we recognize the entire journey from substance use to recovery. By implementing a behavior framework, eliminating barriers, and building a strong support network - you can be on your way to stopping opioid addiction, quickly. Eliminating Barriers to Treat Opioid Disorders Willpower has often been noted to play a role in the loss of control when it comes to substance use. BJ Fogg, author of Tiny Habits, says: "...motivation and willpower get a lot of airtime. People are always looking for ways to ramp them up and sustain them over time. The problem is that both motivation and willpower are shape-shifters by nature, which makes them unreliable." Fogg says for people to change a behavior, there must be the perfect storm of three components happening simultaneously: Motivation Ability Trigger or Prompt A Framework for Behavior Change He goes on to explain that you can visualize this model in two dimensions. (See Fogg Behavior Model.) Along this vertical axis is the level of motivation for a behavior and it can range anywhere from high to low. Along the horizontal axis is the ability to do a behavior. Like the vertical motivation axis, the horizontal axis is also a continuum. On the right is high ability, and he labels that side as "easy to do". On the left side of this horizontal axis are behaviors that are "hard to do". What this framework further identifies is that when motivation, ability, and prompt come together - that is when a true behavior will occur. If for some reason one element is missing from the equation, the behavior will not happen as it should. This framework is very important in relevance to addiction, as addiction itself is very much type of behavior or habit. If you apply this framework specifically to addiction nd learn how to apply it to the challenging problem to stop use, you can create a new habit and break the bad habit in this specific approach. The key to understanding this framework in response to addiction is identifying the prompt (trigger). If you assume that ability and motivation are always constant, the prompt turns out to be the key factor in deterring the behavior. Hence, the reason why patients are addicted to certain things. For specific example, if an individual is depressed and feels pain after surgery, opioids will soothe them for some time. When the effect wears out, the pain and depression will be back which was the prompt. Until this prompt is not removed, this behavior will continue until the brain has reinforced the behavior the more you do it. Fro many the prompt (trigger) can differ. It can range from social situations or mental states; yet the ability to find and eliminate the prompt will lead from addiction to recovery. Motivation, Ability, and Prompt in Action Here’s a further example: Let’s say I’ve decided I need to cut down on sugary sweets. My motivation may be high because I’ve gained a few pounds, and I’ve been told by my doctor I am in danger of developing diabetes. If a prompt comes along in the form of freshly made donuts delivered to the break room, with the aroma stirring my dopamine to new heights, my mere visit to the break room makes the behavior of eating the donut much easier. In contrast, if my motivation is still high, but I avoid the break room, the ability to avoid eating the donut(s) is easier. The donut is the prompt, the motivation is the desire to cut down on sugary treats, and the behavior is eating or avoiding the donut. Fogg points us to the action line, which shows the relationship between motivation and ability. If someone is anywhere above the action line when prompted, they will do the behavior. Eat the donut or avoid the donut, depending on the scenario. If they are below the action line, they won’t do the behavior. UNDERSTANDING ACCELERATED OPIOID DETOX Using Behavior Change in Substance Use Disorders A substance use disorder is far more complex than a simple behavior change model would suggest. Addiction is a bio-psycho-social condition and requires interventions at all these junctures. However, I do think it is helpful to utilize this science of behavioral change and find ways to intentionally incorporate these concepts to enhance a recovery program. Patients who come to the Coleman Institute for Addiction Medicine are generally quite high on the motivation scale. Our patients are no longer having fun with their drugs (if they ever did — many of our patients were simply overmedicated by doctors for pain conditions). These people want to stop using opioids such as hydrocodone, oxycodone, hydromorphone, oxymorphone, heroin, and — as we are seeing most often these days — fentanyl. The Coleman Institute Difference Using Fogg’s model, our Accelerated Opioid Detox can skew the horizontal axis to the right, making the act of detoxing easier to do. Our program differs from many approaches in several distinct ways: We treat our patients in an outpatient setting. The first and last days of what is usually a 5-day detox will require a stay of several hours. The intermediate days, about 20 minutes. This also means no hospital expenses. We utilize a safe combination of multiple comfort drugs. I have heard tough stories from my patients who have gone to ‘detox’ programs, having been promised way more than was ever delivered. Families or other chosen support members are integrally involved in our process from the beginning through the end. Our treatment utilizes long-acting naltrexone to ensure that physical cravings are no longer a prompt for sabotaging success. If you would like more information for yourself or a loved one, consider taking advantage of this effective treatment that can launch recovery and freedom from opioid dependence or opioid addiction. True, long-lasting, recovery will require a lifetime of self-knowledge and daily attention and intention, but getting off the opioids must happen first. If you are motivated, let us help you. Joan R. Shepherd, FNP SCHEDULE A CALLBACK #### Changing the Brain after Opioid Detox I've spent some time recently listening to interviews with Dr. Rick Hanson, a neuro-psychiatrist. Based on his and others research, he teaches very specific strategies that have been shown to affect the human brain in positive ways. Like many species, we are more biased toward paying attention to the negative rather than the positive. As Dr. Hanson puts it, our thoughts about negative experiences are like Velcro, our thoughts about positive experiences are like Teflon. I was thinking about this in the context of people who come to the Coleman Institute for a medically assisted alcohol detox or opioid detox. Even though our patients come to us freely and have made the decision to embrace recovery, I often hear them caught up in the web of negative thinking: I’ll never succeed I’ve failed my family I’ve screwed up my life I’ll never have a good job again, etc. Dr. Hanson synthesizes some of the research from the continuously growing data on the brain’s neuro-plasticity into a formula, if you will. Anyone can apply these simple techniques, creating more positive ‘wiring’ in our own brains. What will this positive wiring achieve? Oh, nothing much…just peace, love, gratitude, wisdom, and contentment. Dr. Hanson's HEAL Acronym H-Have a good experience. E-Enrich the experience Bask in it for 12-20 seconds Allow the experience to be as intense as you can Try to make it be ‘multi-modal’—feeling it in your body, your emotions, your thoughts Let it be novel, try to have this experience as if you were a child Notice it’s salience, or relevance to your life A-Absorb it Imagine you are a sponge and the experience is like water; you are soaking it up L-Link it Link the positive to the negative by contrasting the current situation to a previous negative parallel situation. UNDERSTANDING ACCELERATED OPIOID DETOX Detox Patient Using the HEAL Acronym I practiced this with my patient, let’s call him Joe, who has now got several months off heroin. We applied the technique to recalling his first Christmas being clean in several years. H-Have a good experience Joe had the good experience of being home on Christmas morning and not needing to “get well”. E-Enrich It He looked around the room at his 2 young children, wide eyed and tearing into presents, looking at him with astonishment that Santa had brought the very gifts they’d hoped for! He noticed how much he loved the feel of their comfortable old couch, the smell of the coffee. He recalls that he actually had the presence of mind to fix a coffee for his wife…He felt these sensations in his belly and got teary-eyed. He allowed himself to dwell in remembering this whole experience for 20 seconds. A-Absorb It He closed his eyes and let the images virtually move through him and in him. L-Link It Joe recalled the previous Christmas--as much as could remember--making excuses to do a ‘quick chore,’ leaving his wife to do Christmas for his kids. Make A Decision To Reclaim Your Life Dr. Hanson’s research shows that by doing this kind of exercise several times a day, day after day, will physically change the brain. It will not get rid of our deeply wired negative (and often appropriate) responses to fear and anxiety, but it will help us be less reactive when a situation doesn’t need a full-on stress response. For our Coleman Institute patients who are bravely choosing to live a life without drugs, practicing these techniques in ordinary every day situations can be powerful. Life is made up of thousands of daily opportunities: not waking up sick with withdrawal symptoms, showing up to work on time, feeling the pride of being responsible as you pick your child up on time, depositing a paycheck, calling your Mom. . . The drugs need to go first, though, so the brain can truly start to heal. Please give us a call if we can help. Joan R. Shepherd, FNP SCHEDULE A CALLBACK #### Choosing a Support Person to Help with Your Detox Embarking on a journey of recovery from opioids or alcohol is a pivotal step, one that often requires not only medical intervention but also the support of a caring network. At the Coleman Institute, we understand the profound importance of having a solid support system during the detox process. Selecting the right support person can significantly impact your detox efforts, providing emotional grounding and practical assistance during challenging times. Here are a few tips on how to select your support person. Understanding the Role of a Support Person in Detox A support person plays a multifaceted role in your detox. They are your confidant, cheerleader, and sometimes a lifeline during moments of vulnerability. Their responsibilities might include helping you manage your medication schedule, providing transportation to treatment sessions, or simply being there to listen when you need to talk. The right support person offers empathy without judgment, encouraging your progress and helping you stay committed to your recovery goals. A support person also serves as a crucial link to your detox program and addiction medicine specialists. They can help navigate the complexities of appointments, follow-ups, and the often overwhelming paperwork involved in treatment processes. For those in recovery, who may feel disoriented or overwhelmed by the logistics of their care regimen, having a reliable support person to handle or assist with these tasks can significantly reduce stress and allow them to focus more fully on their detox and recovery. The importance of the emotional support a dedicated person provides cannot be overstated. A support person's presence can provide the necessary encouragement to persevere. They are there to celebrate successes, no matter how small, and to offer continuous emotional support. Qualities of an Effective Detox Support Person Selecting a support person during detox is a pivotal decision that requires careful consideration of their key qualities. This person will be your pillar during one of the most challenging phases of recovery, so it's essential to understand what makes a support person effective. These qualities not only foster a supportive environment but also empower you throughout your outpatient detox: Empathy and Understanding: Look for someone who genuinely tries to understand what you are going through without passing judgment. This quality is crucial as it helps in creating a safe space where you can express your feelings and challenges openly. Reliability: Dependability is a cornerstone in any support relationship. Your support person should be someone you can count on to be there when they say they will, whether for a therapy session or a middle-of-the-night phone call. Knowledge of Dependence, Addiction and Recovery: While they don’t need to be experts, some knowledge of the challenges and processes involved in detox and recovery can be immensely beneficial. This understanding can make them better equipped to help you navigate the recovery path and provide appropriate support during tough times. Strong Communication Skills: Effective communication helps in reducing misunderstandings and builds a stronger relationship. Your support person should be able to listen actively and speak clearly, providing encouragement and feedback when needed. Positive Influence: Choose someone who leads by example. A support person with healthy habits and a positive outlook can influence you to adopt similar behaviors, which is invaluable during recovery. The characteristics of an effective support person are foundational to a successful detox process. When choosing your support person, prioritize these traits to ensure they can provide the empathy, reliability, knowledge, communication, and positive influence needed during recovery. By doing so, you equip both yourself and your support person with the best tools for navigating the path to sobriety and healing. GUIDE TO UNDERSTANDING ACCELERATED OPIOID DETOX How to Choose the Right Support Person for Your Detox Choosing the right support person for your detox journey should not be taken lightly. The following steps will guide you in identifying the best individual for this vital role, ensuring they are well-equipped to assist you effectively. Evaluate Your Relationship: Reflect on your relationships and consider who makes you feel safe and respected. Your support person should be someone you trust deeply and feel comfortable with during vulnerable moments. Discuss Expectations: Once you have someone in mind, discuss your needs and expectations with them. Make sure they are willing and able to commit the time and energy required to support you through detox and beyond. Consider Their Life Circumstances: Your chosen support person should have the capacity to assist you. This means they should ideally be in a stable place in their own life, not currently struggling with substance use or major personal challenges. Look for Someone Outside Your Usual Environment: Sometimes, choosing a support person outside of your usual social or family circle can be beneficial, especially if your regular environment is not conducive to recovery. Selecting the right support person is more than just picking a companion; it’s about finding someone who can genuinely contribute to your journey towards sobriety. By carefully evaluating your relationships, discussing clear expectations, considering their life circumstances, and possibly looking beyond your immediate social circle, you can establish a support system that fosters a safe and supportive environment for your detox. Preparing Your Alcohol or Opioid Detox Support Person Once you have chosen your support person and confirmed their commitment to assist you with the process, prepare them for the role with the following steps: Education: Provide them with resources or involve them in your treatment sessions to educate them about addiction and the recovery process. Understanding the medical and psychological aspects of detox can help them provide better support. Set Boundaries: It’s important to establish boundaries that protect the emotional and physical well-being of both you and your support person. Discuss and agree on what is and isn’t acceptable in terms of support and personal space. Develop a Communication Plan: Agree on how often and through what means you will communicate. Regular check-ins can be a good way to maintain connection and provide updates on progress or challenges. Plan for Emergencies: Make sure your support person knows what to do in case of an emergency, including who to call and what steps to follow, should you experience a crisis during detox. Preparing your support person is a critical step in ensuring they are equipped to assist effectively during your detox journey. By educating them about the intricacies of addiction and recovery, setting clear boundaries, establishing a robust communication plan, and preparing for emergencies, you lay a strong foundation for a supportive relationship. This collaborative preparation fosters a conducive environment for detox. The Right Person (And Program) for Your Detox and Recovery Choosing the right support person is a critical step in the journey towards recovery. This individual’s role can profoundly impact your ability to navigate the challenges of detoxification and move towards a healthier future. At the Coleman Institute, we encourage you to consider these guidelines carefully as you select a support person. Remember, the right support can make a significant difference in your detox, providing you with the strength and stability needed to reclaim your life. Contact the care advocates in our Richmond, VA, clinic or at one of our locations around the country to get help with choosing your support person and get started in one of our outpatient detox programs today. SCHEDULE A CALLBACK #### Coleman Method for Outpatient Detox off Opioids and Alcohol Dr. Peter Coleman shares his story and offers innovative treatment recommendations in his YouTube video, Coleman Method for Outpatient Detox off Opioids and Alcohol. We Get What It’s Like At the Coleman Institute, we get what it’s like. Dr. Peter Coleman has been in recovery himself since 1984. Addiction is a horrible and devastating disease. UNDERSTANDING ACCELERATED OPIOID DETOX An Innovative Approach We’ve developed an innovative detox program that gets people through detox safely and comfortably, usually in as little as 3 days. Naltrexone implants help people stay in recovery long term so they can get the freedom they’re looking for. Our Mission We love to see people get better. Feel free to call us and ask for help. SCHEDULE A CALLBACK #### Curbing the Cravings: Naltrexone and Addiction I had to laugh when Miriam (not her real name) told me the best thing about sobriety is that her husband is not so annoying to be around. The hardest thing: dealing with cravings. Miriam is in her late 50’s and completed an Alcohol Detox at the Coleman Institute for Addiction Medicine four months earlier. She was at the office to receive her 3rd naltrexone implant. “Naltrexone blocks opioid receptors that are involved in the rewarding effects of drinking and the craving for alcohol. It has been shown to reduce relapse to problem drinking in some patients.” Naltrexone is the medication that the Coleman Institute has specialized in for over twenty years. It is, in the collective experience of all our providers, hands down, the best medication for helping people diminish cravings for alcohol. Cravings. In his introduction to Dr. Judson Brewer’s book The Craving Mind, Jon Kabat-Zinn says, “Our habits of craving seem to be the root cause of so much of our suffering, both large and small.” And Dr. Kevin McCauleysays this about cravings: "Craving for the addict is being up in the middle of the night, craving just one more hit, one more drink and the sound of ice tumbling in a glass, one more pull on a syringe," he said. "Make no mistake — that is genuine, profound suffering ... Even if addicts aren't using, they are craving, and within that craving, there is intense suffering." ASK FOR HELP Miriam had been drinking almost daily for close to 30 years. Like many women, she was able to stop drinking easily both times she was pregnant. Her glass of wine after work while preparing dinner became two, then a half bottle. She did everything she could to not focus on the steady increase in her drinking, and always found ways to normalize it. She put the (now daily) bottle immediately into the outdoor recycling bin so neither she nor her husband would see the bottles pile up inside over the two week pick-up period. She began to order more wine from a place that did home delivery so when she went to the ABC store or the grocery store it didn’t look like she was buying too much. She doesn’t really remember when one bottle became two, but she clearly recalls that it took more and more for her to even catch a buzz. Her cravings were increasing, but the pleasure was diminishing. Addictive drugs keep spiking dopamine in the brain, so there is never true satiety, but rather the continuation of needing more and more and more to scratch an itch that the drug is perpetuating. Everyone who stops using addictive drugs deals with cravings. This is one reason a person in recovery may choose to have naltrexone be a component in their toolbox. My patients tell me they no longer feel the strong tug of needing a drink with the help of this medication. Addiction therapists and recovery meetings are also integral resources for helping with cravings, especially in early sobriety. In fact, "Coping with Urges and Cravings" is Point 2 of the SMART Recovery 4-Point Program, and we often recommend these meetings to our patients. Their website has many free tools available to people who are on the behavioral change continuum. While I can’t guarantee that Miriam will continue to find her husband less annoying, I know for a fact that over time as she learns ways to deal with her cravings, they will definitely subside over time. If you want to discuss your drinking or have questions about the safe way to stop, please give us a call. Joan R. Shepherd, FNP SCHEDULE A CALLBACK #### Detox Recovery - 10 Things That Sabotage You “If we keep doing what we're doing, we're going to keep getting what we're getting.” — Stephen Covey It is a pure joy to be in the profession of addiction medicine. Every day brings opportunities to learn, challenges to unravel, and patients who inspire our staff, validating the years of collective experience the Coleman Institute for Addiction Medicine brings to the table. The success stories are abundant. When people do "the next right thing," moment-by-moment, amazing changes unfold. Just ask anyone in long-term recovery to share his/her story with you. But—especially in early recovery—it is not uncommon for people to make choices while the brain is still healing that can herald a relapse. Alcohol and opioids (Percocet®, Vicodin®, oxycodone, fentanyl, heroin, Dilaudid®, methadone, hydrocodone, etc.) can wreak havoc on one’s ability to make good decisions. Beware of falling into traps that may jeopardize your sobriety! Based on many years in the field, these are the Top Ten Ways I have witnessed people sabotage their recovery: 1. Try to do it on their own. If you haven’t heard it yet, embrace this insight: the opposite of addiction is connection. Watch Johann Hari’s TED talk here to see what I’m talking about. Then, go be with someone who supports your most important endeavor: staying sober. 2. Blame parents for their current predicament. In the setting of our clinic, as patients embark upon their detox, we frequently witness severe lashing out and blaming directed at parents, for why the patient finds himself in his current situation. Remaining a victim to one’s past is an excellent way to sabotage recovery. Not taking responsibility for one’s own life, and having some oft-told tales about how hurtful one’s parents have been, is a handy reason to start using again. Be assured, there will always be someone around ready to play that sympathy card and agree with all the injustices visited upon you. He may even treat you to your next hit. * *By the way, it is important to get help if you’ve had trauma. I am not in any way diminishing the idea of getting help or denying the fact that a lot of parents really. 3. Believe "I got this." Complacency kills. Occasionally after a patient in recovery gets a couple of clean months under her belt, she will call us to cancel her next naltrexone implant or Vivitrol appointment. The brain will heal, but it’s a slow process, and after the pink bubble of early recovery wears off and real life, unembellished by mind-altering substances settle in, the patient who has not cultivated substantial coping skills is at increased risk for relapse. 4. Skip treatment. See Number three. 5. Believe everything you think. Although we see most patients in long-term recovery regain an executive functioning capacity, growing evidence suggests there may be deterioration of the brain’s white matter due to heroin use. This makes it all the more imperative that the person with Substance Use Disorder (SUD), especially on opioids, work closely with professionals who can be guides as they navigate early life without drugs. Twelve-step recovery programs often refer to Stinkin’ Thinkin’. Having a sober group to test hypotheses that are drawn from a damaged brain is a really good idea. 6. Be judgy about recovery meetings. I meet a lot of people who are really judge-y about Alcoholics Anonymous (AA) and Narcotics Anonymous (NA). Patients tell me they don’t want to hear people “whining” and telling war stories and glorifying their drug use. Fair enough. However, after so many years of working with people in this setting, I see the most success when a person is able to drop their defenses and be willing to try anything and everything to stay in recovery. I recall a man I met early on in my career with the Coleman Institute. He didn’t love AA meetings, but he didn’t have insurance or any resources to go to alternative counseling or therapies. He had made up his mind to do 90 in 90; that is, to attend 90 meetings in 90 days. I truly admired his determination and dedication to his sobriety; his willingness to do whatever it took. For patients who dismiss recovery meetings as gripe sessions, I encourage them to attend a meeting with this intention: listen for that one helpful thing they can use today. A good friend of mine texts me the One Thing from her weekly AA meetings. This mindset drops resistance and dials up willingness. 7. Don’t use medication. Patients seeking treatment for a Substance Use Disorder have usually tried to quit before they ever get to the Coleman Institute. They are motivated and determined to stay clean. Many insist they don’t need medication, whether it is naltrexone, methadone or buprenorphine to treat opioid dependence or addiction. Their argument actually makes a lot of sense. They tell me that medication is not going to keep them sober, that they have made the choice to stay sober. Sadly, the statistics just don’t bear this out. “Medication-assisted treatment of opioid use disorder with physiological dependence at least doubles rates of opioid-abstinence outcomes in randomized, controlled trials comparing the psychosocial treatment of opioid use disorder with medication versus with placebo or no medication." And now we have data showing long-acting naltrexone is equally effective at helping people maintain abstinence. The Coleman Institute has specialized in the use of long-acting naltrexone for over 25 years, and many of our offices offer buprenorphine treatment options as well. 8. Stay super busy. I have lots of patients who believe that filling every moment in their day is the ticket to remaining sober. Food prep, long workouts, multiple meetings, committee work, children’s activities, day jobs, etc.…anything they can do to avoid being plagued by their thoughts. But consider this: everything you have ever read about mindfulness and meditation is true. Unless you can be at home with your own mind, you will never know true peace. And if you don’t know peace, it will be oh so easy to relapse. I urge you to take a mindfulness class. Mindfulness-Based Stress Reduction (MBSR) is one of the original programs. Grounded in evidence-based research, MBSR teaches the techniques and benefits of mindfulness. Classes are available online and live, often in beautiful locations such as the Omega Institute in upstate New York. The gift of mindfulness is learning to see all your thoughts as visitors whom you can choose to acknowledge seriously or dismiss with a wink and a nod, and that it is truly your choice to make the distinction. Not only will cultivating the skill of a mindfulness/meditation practice help you from de-railing your sobriety, but it will also provide perpetual entertainment as you become aware of the mundane, ridiculous, and brilliant thoughts that come and go perpetually between your ears. 9. Slip into the past. Many of my patients use drugs or alcohol, at least partly, to deal with things that happened in their past. Things that were done to them, or things they did to themselves or to others. With the shield of unreality removed, staring into the past, dwelling in shame and remorse, can quickly steer even the most determined user to resume his habit. This is like walking into a field of landmines. And it’s is why we emphasize over and over again the importance of working with knowledgeable and compassionate addiction professionals. They are the explosive ordnance disposal (EOD) experts of the damaged human psyche. As a US Army EOD expert “defeats and exploits unexploded ordnance, improvised explosive devices and weapons of mass destruction” that’s what addiction therapy specialists do for our patients. 10. Slip into the future. As Byron Katie so aptly puts it: If you want a life of fear and terror, get a future. I think the fear of whatever that void looks like to a person confronted with stopping addictive substances is one of the strongest powers around. What lies on the other side of quitting drugs or booze? And how could it possibly ever compete with the sensation an opioid delivers? This is not to discourage one from making plans and setting goals, but to be aware of how quickly the mind will depart from the present moment and into the future. It’s why I think starting the morning with an intention-filled ritual is so powerful. Wake early, pray or meditate, journal, express gratitude. Set the stage for your day to encounter each of your present moments with the clarity you have earned through sobriety. As I come to the conclusion of my list, I recognize I could easily double it. Suffice it to say, when you choose Recovery, choose long and choose well. Call us to learn about the treatments we offer to help you or a loved one get off opioids or alcohol. We too are in the long game. #### Detox With Compassion and Competence: Fentanyl, Heroin and Methadone Last week was busy and wonderful at The Coleman Institute’s main office in Richmond, Virginia! We helped a married couple with two children detox off a variety of opioids, most recently heroin, which they had been using for several years. Amazingly, they had kept it a secret from their family, but their lives had turned into a series of exhausting, shame-filled activities centered around getting money for drugs, hiding, and trying to hold things together with a very thin thread. Another great guy came from Oklahoma with his entourage; the whole family was with him. He had a great sense of humor, took a lot of ribbing from his brother and it was a privilege to help him get off the 120mg of methadone he’s been a slave to for seven years. That’s a lot of methadone to get off, and this guy brought an amazing attitude to the whole experience. Finally, a woman who’s been on the maximum doses of fentanyl for back pain for many years, sick of her dependence on medications, tired of the side effects, the lack of energy, the minimal pain relief being provided, bravely went through an Accelerated Opiate Detox. I checked in with her a couple days later. She also works in the medical field and said, “I cannot find one bad thing to say about my experience. Every single one of you were so nice and professional. I told my Mom I want to volunteer at The Coleman Institute.” That feels pretty good because our staff really does love working in this specialized field and are decidedly non-judgmental. We’ve got the right blend of compassion and competence to get people through a tough process. Our founder, Dr. Peter Coleman, is in long term recovery himself and has created a supportive culture throughout our national network of addiction treatment centers. Just a reminder: we are open 365 days a year. Many people choose to detox with us over the holidays to miss the minimum amount of work. Call our staff now if you are looking for professional, competent, compassionate…and actually, fun people to help with your opiate detox. If fear of withdrawal symptoms is what is standing in the way of your recovery, please don’t let that be the barrier. Our medically-supervised withdrawal process is comfortable and fast enough that 98% of patients complete it successfully. Joan R. Shepherd, FNP #### Detoxing off Opioids: 5 Things That Could Stop You If you are considering changing your relationship with opioids, explore 5 things that may stop you from detoxing off opioids and what you could do about it to get your life back. Accelerated Opiate Detox We help people with Substance Use Disorder (SUD) get off opioids using an Accelerated Opioid Detox process. Dr. Coleman created this process more than 25 years ago, and it continues to evolve. As a proven outpatient procedure with a 98% completion rate, patients living near one of our offices can spend most of their detox in their own homes. I still don’t know of any program that uses micro-doses of naltrexone over several days to successfully allow people to transition to a long-acting form of naltrexone. Some people consider this technique a form of “rapid detox,” but—significantly—we do this without anesthesia. More like this: How Long Does Naltrexone Last & How Can It Aid in My Recovery? Medication-Assisted Treatments (MATs) The Medication-Assisted Treatments (MATs) for SUD include buprenorphine, methadone, and naltrexone. The first 2 medications are long-acting opioids which: Occupy the opioid receptor Keep a person from experiencing withdrawal from whatever short-acting opioid a physical dependence has developed. If a person stops these medications abruptly, the patient will experience similar withdrawal to stopping their pain medication or another opioid. For example, if the drug is lost, stolen, or otherwise unavailable. More like this: Medication-Assisted Treatment (MAT): Higher Success for Recovery Naltrexone and MAT Naltrexone, the third evidence-based form of MAT, acts as a ‘blocker,’ occupying space on the opioid receptor without causing physical dependence. It eliminates physical cravings, but there is no withdrawal when naltrexone is stopped. More like this: Naltrexone: Medication-Assisted Treatment For Opioid Use Disorder The Coleman Method The Coleman Method for outpatient withdrawal management slowly ‘bumps’ the existing opioids off the receptors, replacing them with naltrexone, and accompanying this process with a time-tested combination of comfort medications. Most patients come to the Coleman Institute for help getting off pain medications such as oxycodone, hydrocodone, tramadol, morphine, methadone, buprenorphine, etc. Other patients use street opioids such as heroin and fentanyl or over-the-counter substances like poppy-seed tea or kratom. Fentanyl Laced Pills A vast majority of patients who have been purchasing pills, rather than getting prescriptions from their medical providers, believe them to contain oxycodone or hydrocodone. Still, almost invariably, these are pressed pills and include large amounts, if not all, fentanyl. Recently, a patient swore he purchased his pills from someone who got prescribed pain medication from their doctor. He was astonished to learn there was no trace of oxycodone at all in the pills. This prompted me to call a toxicologist at a urine drug testing lab to see how accurate these tests were. The toxicologist told me that the expertise of the drug dealers making and selling pressed pills on the streets is now too good. That often, pharmacists cannot tell the difference simply by studying the medication visually. Similarly, many patients purchasing anxiety medication on the street rather than having it prescribed by their medical providers are shocked to learn that opioid compounds were found in their urine drug screens (UDS). These medications include alprazolam (Xanax®), diazepam (Valium®), or lorazepam (Ativan®). I have even heard people taking what they believed to be an innocent “headache tablet” discover that it was tainted with fentanyl. And fentanyl is often in cocaine, too. This is such an unbelievably dangerous situation! More like this: That Street Pill Might Be Fentanyl and One Pill Can Kill Detoxing off Opioids: 5 Things That Could Stop You What prevents someone from seeking help to stop using opioids? These are the five main reasons I have seen working for many years as a medical professional at the Coleman Institute. 1. Price of an Opioid Detox Cost vs. Using Opioids Detox can be expensive, especially if a person has no insurance. However, some insurers, including Blue Cross Blue Shield, provide in-network coverage for our outpatient detoxes using The Coleman Method. Our prices depend on the substance someone is using and the duration of the detox. These detoxes can be between 3 to 10 days. However, if cost is a top consideration, it may be helpful to look at the long-term cost of staying on opioids. According to information from StreetRx, these are the prices people are currently paying for opioids bought off the street: The street price of fentanyl tablets is approximately $1.95 per milligram. The average street price of methadone is roughly $1.00 per milligram. The average street price of oxycodone is approximately $1.40 per milligram. The average street price of Percocet® is roughly $1.75 per milligram. The average street price of Vicodin is approximately $1.45 per milligram. If you have prescription benefits, this is less important. However, you don’t have to be a math whiz. For example, if someone is buying 100 mg of Percocet® every day, a relatively small dose in the spectrum of what we treat, they are spending about $5,000 a month on their habit. Included in the price of an Accelerated Opioid Detox offered at the Coleman Institute is 6 months of long-acting naltrexone and case management. Further, the cost of an outpatient detox program is far less than that of an in-patient program. More like this: Accelerated Opioid Detox: Explained Using The Coleman Method 2. Opioid Withdrawal Pain People who have experienced not being able to get their opioids or pain medication and know what withdrawal entails are legitimately terrified to suffer this again. The Coleman Method uses a minimum of 5 comfort medicines to help treat the symptoms of opioid withdrawal. We would rather ‘over-deliver’ than ‘over-promise.’ I let my patients know that they will experience about 20-22 hours of relative comfort and 2-3 hours of relative discomfort during a typical detox. Patients invariably tell us this is the ‘easiest detox’ they have ever had. When you call to discuss your particular situation with one of our providers, we are happy to answer any questions about the comfort meds for you. More like this: How Can I Get Off These Bloody Pain Medications?   UNDERSTANDING ACCELERATED OPIOID DETOX   3. How Long Does It Take To Detox From Opioids? The usual time frame for an Accelerated Opioid Detox (AOD) is between 3 to 10 days. However, your health history, the substance used, and other medical factors play a role in determining the exact number of days needed for your opioid detox. How Long Does It Take To Detox From Pain Medication? Typically, a person who is prescribed and taking 150mg or less of pharmaceutical-grade medications such as Roxicet® or hydrocodone may be able to do a 3-day detox. More like this: How Can I Get Off These Bloody Pain Medications? How Long Does It Take To Detox From Fentanyl or Methadone? A detox that involves fentanyl, or the chance that fentanyl may be present, but you’re not sure, will typically require a minimum of 5 days. A detox off methadone or buprenorphine products is generally scheduled for 8 days. In most cases, we can help patients get off even very high doses of methadone (200mg+ daily). Unless a person is on an extremely high amount or has other coexisting medical concerns. In that case, we may extend the detox to 10 days. More like this: Detox With Compassion and Competence: Fentanyl, Heroin, and Methadone Outpatient Detox Program Our patients appreciate the format of an outpatient detox program. Rather than being stuck in an impersonal hospital with the possibility of limited access to loved ones, our model allows the patient and their support person to have a relatively brief daily visit to the clinic. After, they can enjoy the comfort of staying home, being in a hotel, or nearby Airbnb for the detox duration. It is as close as you can get to an “at-home detox” while benefiting from access to the amenities and equipment of a physician’s office during daily outpatient visits. Although we do not complete detoxes or insert naltrexone implants on the weekends, we see patients 365 days a year, minimizing the time people need to take off from work. In addition, we do our best to schedule patients at their earliest convenience. More like this: Coleman Method for Outpatient Detox off Opioids and Alcohol 4. Is an Opioid Detox Safe? Our staff is dedicated to making this experience comfortable for our patients and safe. This is why we insist that a reliable support person accompanies each patient we treat. The comfort medications we use generally cause some sedation, so the support person is responsible for transporting the patient and giving medicines as instructed. Our outpatient approach eliminates the additional risk of complications from such procedures rather than using general anesthesia as an ultra-rapid detox in a hospital setting. Additionally, a provider is on-call for patient support 24/7. More like this: Why We No Longer Perform Anesthesia Detox 5. Fear of Stopping You have probably heard the sentiment, “the best time to plant a tree was 20 years ago. The next best time is now.” It takes a giant leap of faith to commit to living a life free of opioids. Our medical and case management staff work as a team to provide you with the resources you will need going forward. Some people will benefit from in-patient treatment after completing a detox; others may find that an intensive outpatient program or one-on-one counseling meets their needs. All our patients will have the opportunity to discuss a treatment plan with their case manager. More like this: the Coleman Institute Resources Conclusion There is probably nothing quite as satisfying for our staff as seeing our patients enjoying the fruits of their drug-free life. If you have other concerns besides those I’ve listed here, we are happy to address them to the best of our ability. Please schedule a callback with one of our Care Advocates below by clicking the button below or call 877-773-3869 to speak with us right away. Joan R. Shepherd, FNP   SCHEDULE A CALLBACK   #### Do This 1 Thing to Stay Off Opioids Forever Using willpower to change a behavior means working hard to achieve something; Merriam Webster defines will power as “energetic determination.” If I need willpower to accomplish something, then I am attempting a task that I feel some level of conflict about doing. Like a part of you knows that you need or should do something, but another part of you feels resistance to doing it. This holds true for someone who also has decided to stop using drugs, yet when the choice to use is no longer an option, resistance drops. However, perhaps the most important part of getting to this place of diminished resistance is creating an environment conducive to succeeding. How Opioid Addiction Occurs Many times individuals that use opioids even for a short period of time can often find themselves in an addictive cycle and all too often, overdose. While this may be shocking to some, it's true that the length of time you use opioids is no indication of who is vulnerable to addiction or dependence. Substance Use Disorder in itself is a disease which starts as a pleasurable sensation and ends in an irresistible urge to use and crave the drug. Opioids are in fact highly addictive and this is due mainly to the way in which they trigger endorphins of your brain and activate the infectious "reward centers". By releasing these endorphins, an individual's perception of pain vs. pleasure is masked by the drug and often enough when the drug does wear off it leads the individual wanting more and navigating through a toxic road towards addiction. Known risk factors of opioid use and addiction may include: Family history of drug abuse Young age Heavy tobacco use Stressful circumstances Prior drug or alcohol rehabilitation Contact with high-risk environments or people Legal issues History of criminal activity Opioid Treatment Options Regardless of a patients experience with opioids, misuse, or addiction; there are treatment options available and behavioral therapies that can change lives. To provide some perspective, at the Coleman Institute I put a third naltrexone implant in my patient, Sandro. Now, Sandro had just over a year off of fentanyl-laced heroin. He had spent six of his 37 years behind bars for crimes directly related to his addiction. He never wanted to be inside a jail again. He went on to tell me that in past attempts to get off opioids he tried to stay in contact with his old friends who were actively using. These were friends he spent his childhood with and was related to many of them. However, with extraordinary willpower, he was able to stick to his decision not to use when he was with them for brief periods of time. But when stress was high, the feeling of deprivation was overwhelming, and willpower waned, he invariably relapsed. During his last stint in prison, he worked in earnest on his sobriety. He went to every meeting that was offered and took advantage of one-on-one time with sober leaders. He made it a point to hang out with clean guys as much as possible. He read recovery literature. Even given the constraints of being in prison, he found ways to change his environment. He said that as soon as he started keeping the commitment to himself, he was rarely bothered by other prisoners to buy drugs. He says eventually, “It was kind of like I was wearing a new set of glasses, and the only things I could see were things associated with being clean. Like everything else was filtered out. My brain felt peaceful. It was weird—but wonderful.” The most important thing he learned during this time was the importance of changing who he hung out with on the outside. (Changing his environment) He made plans to meet up with the people who brought meetings to the prison when he was released. He made and kept a promise to himself not to contact old friends that might still be using. FREE GUIDE: UNDERSTANDING ACCELERATED OPIOID DETOX Accelerated Opioid Detox Treatment For many patients, like Sandro, the Coleman Institute provides an Accelerated Opioid Detox that removes the opioids from the brain in the fastest, most comfortable means possible. In Sandro's case, he agreed to come into the Coleman Institute every two months for his opioid detox and gain what we call a "naltrexone implant". Naltrexone is a pure opioid blocker that does not cause physical dependence, unlike some other medication-assisted treatments (MAT), such as buprenorphine or methadone. The small implant, about the size of a pill, is placed under the skin in the abdominal area and lasts for about two months, sharply reducing physical cravings from opioid addiction. The implant works for people who are not only stopping drugs like heroin, but also for pain medications such as fentanyl, Percocet®, Vicodin®, Oxycontin®, and other variations of oxycodone and hydrocodone. (It is also extremely effective for blocking alcohol cravings). Using naltrexone therapy has been the focus of treatment at the Coleman Institute for over twenty years. NALTREXONE THERAPY FOR OPIATES FAQs In addition, the Accelerated Opioid Detox plan provides patients with the ability to detox in as little as three days, rather than the typical ten days you would spend self-detoxing. Like Sandro, you can be on your way to writing your own success story, changing your environment, and holding a healthier lifestyle. Just look at Sandro, to date, he remains highly motivated, and it is paying off for him in all areas of his life. He was recently promoted at his job. His children love that their dad is hanging out with them, attending their sports events, and helping them with homework. His fiancé, pregnant with their first child together, has a new level fo trust for this man she loves. But perhaps the most touching testimony this 6'2, 200-pound man gives is when he talks about his mother and the pride and gratitude she feels, having her son back. Sandro talked about this as I placed his implant ,and there wasn't a dry eye in the room, including Sandro's. As Benjamin Hardy, author of Willpower Doesn’t Work says, “ If you remain in an environment conflicting with your personal rules, you have only two choices: Conform to a bad environment or battle it through willpower. Both of these are very poor options and ultimately lead to the same place.” At the Coleman Institute, we know that opioid addiction is a chronic disease and treat it as such. We would be happy to walk you through what that process and treatment plan would look like for you and create an environment worth fighting for. A life of recovery is waiting for you. Joan R. Shepherd, FNP SCHEDULE A CALLBACK #### Does the Military Test for Kratom? Kratom use in the United States military has shifted from a gray area to a growing concern. While kratom is often marketed as a legal supplement, recent actions by the Department of Defense and individual service branches make it clear that kratom use is prohibited in military service and subject to enforcement. For service members, the real question is no longer just whether kratom appears on a routine drug test, but whether continued use, and how someone chooses to stop, could affect their life, including their health and career. The Military is Paying Closer Attention to Kratom Recently, the Department of Defense has taken a stronger stance on substances that may impair readiness, judgment, or health, even if those substances are not federally scheduled drugs. In September 2025, the Defense Department declared kratom use a violation of the Uniform Code of Military Justice (UCMJ), enforceable under Article 92, effective December 31st. Individual branches have reinforced this position through official communications. The Navy and Marines issued an All Navy Message (ALNAV 003/26) prohibiting kratom and kratom-derived compounds, citing health risks, potency concerns, and the unregulated nature of modern kratom products. The Air Force has made a public warning to service members that kratom is on the DoD’s prohibited substance list. The Army Criminal Investigation Command has warned that kratom use may result in serious consequences under the UCMJ as well. What Kratom Products Did The Military Ban? Use of any substance derived from kratom is not allowed in the U.S. military. The military’s scrutiny includes kratom’s active compounds, such as Mitragynine and 7-hydroxymitragynine (7-OH). The ban includes all forms, including naturally derived, semi-synthetic, and fully synthetic forms. Many modern kratom products are no longer simply leaves or powder. Selections range from gummies, vapes, capsules, and more. They are often sold as enhanced or concentrated formulas, including nano kratom and psuedoinoxyl. Some of these products contain highly concentrated 7-OH, which the military has specifically flagged as especially potent and risky. Can the Military Test for Kratom? Yes, the military can test for kratom. While kratom may not appear on every standard drug test panel, specialized laboratory testing can detect kratom alkaloids when testing is ordered. The idea that ‘kratom is safe because it isn’t tested for’ is a very risky assumption, especially as the military tightens oversight of substances it considers a threat. The Issue for Kratom Users in the Military For many service members, kratom use begins as a way to cope with pain, stress, fatigue, or trauma, and gradually becomes part of a daily routine. With regular use, individuals may experience physical and/or psychological dependence, withdrawal symptoms, or escalation to more potent forms of kratom due to an increased tolerance. Kratom use now carries severe risks within the military due to the military's crackdown on mind-altering substances. Treatment Approach Matters in the Military Choosing a treatment approach is where many service members encounter an unexpected issue. Many treatment programs respond to kratom dependence by transitioning patients onto opioid replacement medications, such as Suboxone or methadone. But at the end of the day, those drugs are still opioids. Service members generally cannot continue serving while prescribed opioid-based maintenance medications. Being placed on these medications may lead to duty restrictions, medical disqualification, or administrative separation. For military personnel, swapping kratom for an opioid-based medication may stop kratom use, but it can also create a new barrier to continuing service. The Coleman Institute for Addiction Medicine uses an abstinence-based approach with non-addictive comfort medications. Our approach ensures that you’re not swapping one addiction for another. Seek Help and Begin Recovery Across military guidance, one message is consistent: early intervention and action are encouraged. Seeking help before enforcement, testing, or disciplinary action protects your health, reduces career and legal risks, allows you to enter treatment on your own terms, and prevents your kratom use from continuing to spiral out of control. For many service members, the challenge isn’t deciding to stop kratom but finding a way to stop that aligns with military expectations. The Coleman Institute’s kratom detox can be completed in just 5 days, whereas other treatment facilities will typically require you to be admitted inpatient for a minimum of thirty days; when you’re serving the military, most aren’t able to step away from their everyday life for a whole month. Kratom Detox at The Coleman Institute For individuals seeking a fast, effective, and safe treatment option, The Coleman Institute offers a medically supervised, abstinence-based, 5-day outpatient kratom detox program. Unlike many programs, The Coleman Institute does not use any opioid replacement medications such as Suboxone or methadone. Instead, we focus on using non-addictive comfort medications and providing an outpatient structure that allows for flexibility. Our approach allows individuals to quit kratom without substituting another medication that could interfere with their ability to serve. Following detox, we offer Naltrexone Therapy to help with cravings and prevent relapse. Naltrexone and its extended form, Vivitrol, are opioid antagonists and do not show up on urine drug screens, unlike Suboxone. If you or a loved one needs to stop using kratom products, we’re here to help. Call us now to take the first step toward lasting recovery. #### Don't Label Me as an Addict “I want you to understand, I am not an addict,” Rebecca (not her real name), a 32-year-old social worker calling from Philadelphia, spoke emphatically into the phone. “The pain I have is 100% legitimate and I work with a pain management specialist who is well respected. He warned me that if I spoke to a detox center, they would pigeonhole me as an addict. I simply can’t get off my pain medication by myself; I have tried and tried, and I get too ill…and then I give up.” She was quiet for a moment and then softly began to cry. “My husband and I want to have a baby and I don’t want to be on this damn medication if I get pregnant.” Getting Started with Prescription Drug Detox Rebecca was calling to find out details about an Accelerated Opioid Detox at the Coleman Institute for Addiction Medicine in Richmond, VA. She explained to me that for over twelve years, she had suffered with extreme pain from endometriosis and the various interventions and surgeries done to mitigate the condition. She worked closely with her pain management physician in Philadelphia, who responsibly prescribed her medication. Over the years Rebecca took anywhere from 40mg to a maximum of 100mg of oxycodone a day, depending on the intensity of the pain during flare-ups and following painful procedures. Over the last two years, Rebecca noted that she was taking the medication more regularly than in previous years. Her current daily dose had stabilized at about 80mg most days, but she realized she was developing a tolerance at this dose, and it often felt like she needed more. She emphasized that she never took more than prescribed and always consulted her doctor before attempting any dose change. But taking 80mg a day was making her nervous and depressed. She didn’t want the pain, but she didn’t want to be dependent. Earlier in the year she had traveled out of town with her husband and had forgotten to pack her oxycodone. Several hours into the trip she began to feel fever, chills, nausea, and diarrhea, and thought she was coming down with the flu when she realized she was experiencing withdrawal. Unable to find any other solution, they had had to curtail their plans and return home. Rebecca spent an entire visit discussing this with her doctor and even when she attempted to cut down with his assistance, she experienced withdrawal symptoms. During this discussion with Rebecca, I had a powerful insight at how much courage it must have taken for her to make inquiries at a place with the words Addiction Medicine in its title. Words matter. Opioid Use Disorder (OUD) is a specific diagnosis. So is Opioid Dependence. UNDERSTANDING ACCELERATED OPIOID DETOX The Stigma of Opioid Use Disorder and Addiction A person diagnosed with OUD may continue to use opioids despite the use of the drug causing relationship or social problems. They may fail to carry out important roles at home, work, or school because of opioid use. Often, they will spend a lot of time seeking, obtaining, taking, or recovering from the effects of opioid drugs. They will take more than intended and may continue to take them even knowing that this is causing a physical or psychological problem. Rebecca did not fall into this category; she was not drug-seeking or displaying aberrant or problematic behavior. She never failed a urine drug screen, and she never took her medications other than prescribed. She was, however, developing a tolerance to the medication because that is how opioids work. Tolerance means an increased dosage is needed to produce a specific effect. I had never really considered the fact that the name of our business might discourage people with uncomplicated opioid dependence to reach out for help, turned off by the thought that our staff would automatically categorize anyone coming here as an ‘addict’ or someone with a substance use disorder. The Coleman Method for Prescription Drug Dependency In truth, over the almost 19 years I have worked at the Coleman Institute, I suspect roughly a third of our patients have come here to receive help getting off their pain medication. One of my very first, very memorable patients, was a resilient man in his late forties who was the survivor of a rare type of abdominal cancer. He had had multiple surgeries and was in remission. His treatment included several pain medications and while he had managed to wean himself down, he was stuck on a very small amount of prescribed transdermal fentanyl. Try as he may, he could not get off this 25mcg dose without becoming violently ill. He detoxed beautifully with a three-day outpatient detox procedure. Since that time, I have been able to participate in hundreds of successful Accelerated Opioid Detoxes for people wanting to get off their pain medication--people who have been taking their meds precisely as prescribed by their doctors. It is certainly true that we also treat many patients for OUD who started out being prescribed pain medications and for a variety of reasons, they were unable to continue getting their medicine. Sometimes their prescribers have lost the privilege to prescribe, sometimes the offices have simply closed. Others were prescribed by their primary care providers who then decided they no longer wished to participate in pain management. In smaller cities or rural areas, it can be very difficult to find a pain management specialist. In some of these cases, our patients found alternative ways to get their medication, desperate not to suffer terrible withdrawal. Much of the illicit pain medicine is fentanyl, pressed into pills that look so realistic, it is even difficult for a pharmacist to tell it from a legitimate pill. Respect and Results for Patients My colleagues and I who work to help patients get off opioids understand that whether a person is physically dependent on legal or illegal opioids, getting off of them is difficult, and we have the highest respect and regard for each and every patient and their specific situation. The Coleman Institute provides a minimum of five comfort meds, given around the clock to help make this process as tolerable as it can possibly be. Since ours is an outpatient procedure, patients bring their own support person with them. Depending on the type and amount of opioid being taken, and other medical conditions, our detoxes are usually between 3 to 8 days duration. Rather than ‘ease’ someone onto methadone or Suboxone, the Coleman Institute specializes in clearing the opioids out of the system and getting patients onto long-acting naltrexone, which is a non-addictive opioid-blocking agent, curtailing the cravings for opioids. We believe in using long-acting naltrexone because once opioids are stopped, the brain needs to heal. People are vulnerable and may experience Post-Acute Withdrawal Symptoms (PAWS) or find themselves extra emotional and not quite sure how to handle it. It can be very tempting to return to the opioid during this period, but if naltrexone is on board, the opioid receptors will be blocked or occupied, and opioids will have no effect. It is very protective to use long-acting naltrexone during this time. Even if our patients have simply been taking pain medication and do not have the diagnosis of Opioid Use Disorder, the support of good follow up can make a big difference in the long-term success of staying opioid free. The Coleman Institute provides six months of naltrexone therapy and case management for the duration of treatment at select offices including our Richmond, VA location. Many of our patients have opted to continue treatment for months or years following their detox. Rebecca and I spoke for a long time, and I provided all the information I could, so she had a good understanding of our program. I think by the end of our conversation she was reassured that no one in our office would assume she was a ‘drug abuser’. She is signed up to come in next month, with her husband as her support person. I do hope you or a loved one won’t be put off by seeing the words Addiction Medicine in our title if you need help to get off pain medication. We are happy to answer all your questions, so please give us a call. SCHEDULE A CALLBACK Take care, Joan Shepherd, FNP #### Dr. C & Dr. B Talk Naltrexone vs Suboxone: Part 1 In part 1 of Dr. Peter Coleman's and Dr. Banimahd's interview, they discuss how you can detox off opioids with naltrexone as medication-assisted treatment (MAT) versus using Suboxone. Explore the recap of Dr. Peter Coleman’s YouTube video, “Dr. B interviews Dr. Coleman about the Coleman Method for Opioid Detox and Naltrexone MAT” here. Dr. Coleman & Dr. B Talk Naltrexone vs. Suboxone: Part 1 Dr. Banimahd Hi everybody, it's Dr. B, and today I have an exceptional guest, Dr. Peter Coleman from the Coleman Institute. And today, we're going to talk about an exciting topic, something you don't hear much on my channel, and we're going to have an incredible insight into this. We're going to talk about naltrexone as medication-assisted treatment (MAT) versus Suboxone. So, Dr. Coleman comes to us from Richmond, Virginia. Dr. Peter Coleman Yeah. Dr. Banimahd We've known each other for two to three years, and a little background on him from my end. He's the founder and the medical director of the Coleman Institute. And he's been doing this for quite some time. And now they've sort of been absorbed in by Bay Mark Health Services, which is quite a large organization. I know them well; they're a wonderful organization. They work in the substance abuse space. Is that correct? Dr. Peter Coleman Yeah. UNDERSTANDING ACCELERATED OPIOID DETOX Dr. Coleman’s History With Substance Abuse, Recovery, and Helping Others Dr. Banimahd Before we get into what we’re talking about, can you tell us a bit of yourself, Dr. Coleman? Dr. Peter Coleman Sure. I'm a physician initially from New Zealand, went to medical school, and then came to America in 1983 as a family practice resident in Virginia. But I was already suffering from Alcohol Use Disorder myself. More like this: Alcohol Use Disorder: Easy to Meet Criteria Abusing Alcohol, Cocaine, and Opioids Dr. Peter Coleman I was heavy into drinking and then using other drugs like cocaine. And then I got into opioids, and on October 28th, 84, I had an overdose, and I was forced to go into treatment. And I didn't know anything about addiction at the time. More like this: The Single Most Important Thing to Know When Detoxing off Opioids, Alcohol, or Benzos Undergoing Treatment from Alcohol and Opioids Dr. Peter Coleman I certainly didn't think I had a problem. I was convinced I was just a bit of a risk-taker and someone who liked excitement, but I certainly didn't know I had an alcohol or a drug problem, but the Board of Medicine forced me to go to treatment for four and a half months. And during that time, I came to see that reality. I'd been suffering badly for a long time and was very depressed. Realizing Family Past With Alcohol Dr. Peter Coleman And I realized I came from an alcoholic family. My mom was an alcoholic. My uncle and his daughter died of suicide because he was a bad alcoholic. My brother is also an alcoholic. So I started learning all about addiction. I realized I wanted to help people. More like this: The Myth of the ‘Functioning Alcoholic’ Starting a Fellowship in Addiction Medicine Dr. Peter Coleman Then I did a fellowship in addiction medicine, and I've been working in the field for 34 years and sort of just dedicated my time to helping people get clean and sober. It's been a fabulous journey. Conclusion Stay tuned for Part 2 of Dr. Banimahd and Dr. Peter Coleman’s interview on the Coleman Institute’s Facebook and Twitter. SCHEDULE A CALLBACK Looking for the rest of the webinar series? Check out parts 2-6 below: Dr. Coleman & Dr. B Talk Naltrexone vs Suboxone - Part 2 Dr. Coleman & Dr. B Talk Naltrexone vs Suboxone - Part 3 Dr. Coleman & Dr. B Talk Naltrexone vs Suboxone - Part 4 Dr. Coleman & Dr. B Talk Naltrexone vs Suboxone - Part 5 Dr. Coleman & Dr. B Talk Naltrexone vs Suboxone - Part 6 #### Dr. Coleman & Dr. B Talk Naltrexone vs Suboxone: Part 2 In part 2 of Dr. Peter Coleman's and Dr. Banimahd's interview, they discuss how you can detox off opioids with naltrexone as medication-assisted treatment (MAT) versus using Suboxone. Have you missed part 1? You can catch up on a brief history of Dr. Coleman here. Explore the recap of Dr. Peter Coleman’s YouTube video, “Dr. B interviews Dr. Coleman about the Coleman Method for Opioid Detox and Naltrexone MAT” here. Opioid Crisis Dr. Peter Coleman Then came the opioid crisis back in the late '90s. We started seeing many people starting to use heroin coming in from Columbia, which was very potent, and many people died. And when you look at success rates with heroin and other opiates, it's horrible. Almost everybody relapses unless they use some form of medication-assisted treatment (MAT). Then, you see people go to jail for three months or six months, or six years. And if they don't get treatment, they're back using again as soon as they get out. It makes no sense. And there were a lot of overdoses and death, so it was a significant need. So I thought, "well, what can you do?" More like this: Medication-Assisted Treatment (MAT): Higher Success for Recovery Long-Acting Naltrexone Dr. Peter Coleman I realized that naltrexone is a drug that's been out since about 1982 as a tablet. But it doesn't work well as a tablet because people take it for one day and get high the next day. So then I heard about this implant. So you could put this naltrexone implant and insert it into the person's subcutaneous (fat tissue). Dr. Banimahd This is the early 90s, correct? Dr. Peter Coleman 98. Dr. Banimahd 98. Dr. Peter Coleman Yeah. The naltrexone implant would last six to eight weeks. So as soon as you put it in, people are like, "Wow, my cravings have gone." Because their opiate receptors are blocked by naltrexone, they can't get high even if they try; a lot of them try but can't get high, and they love it because their cravings are gone. They're like, "I got my life back. This is amazing." More like this: How Long Does Naltrexone Last & How Can It Aid in My Recovery? Dr. Peter Coleman So that's what we started doing. So the Coleman Institute has been doing this for 21 years now. The big challenge is how we get them detoxed. You've got to get people entirely off drugs to detox before you can put them on naltrexone. So, we've developed the Accelerated Opioid Detox that is now being offered in Orange County. Needing to Find Another Doctor Dr. Peter Coleman So we needed to find another doctor, and that's when we came across you. We interviewed about seven or ten doctors, and you rose to the top as the guy we wanted to work with. And it's been a great relationship ever since, providing the treatment that we've developed out here. So that's kind of what we do. Using Naltrexone in the 90s Dr. Banimahd I feel the same way about you guys. I want to go back to when you first started doing this. So in the late '90s, you're like, "You know what? I can use naltrexone." Dr. Peter Coleman Yeah. Dr. Banimahd Then you started considering the issue of, "Well, how do I get them to the place where I put this naltrexone implant in?" Dr. Peter Coleman Yes. Dr. Banimahd And you weren't happy with the fact that they can take the 50-milligram pill every day; I think it's 50 mils, it is 50 milligrams? Dr. Peter Coleman Yeah, yeah. Dr. Banimahd So you wanted something a little more stable and held them kind of accountable to their choices, at least in the early stages. What were you doing in the beginning? Were you telling them to, "Hey, stay clean for a few days and come and we'll do an implant?" And did that develop? Dr. Peter Coleman Yeah. UNDERSTANDING ACCELERATED OPIOID DETOX The Coleman Method Dr. Banimahd I'm familiar with your method and know proprietary issues. But, I love it for the right patients that we choose. I want to think it's me, but I've gotten so good at it. I've had a few methadone guys that they're like, "This, was it? This is a joke." And I'm like, "Well, I'm good at it." And I'm just joking. I'm like, "I might be better at it than everybody out there except Dr. Coleman." But it's a beautiful way you approach it. But in the beginning, what were you doing? Were you telling people, "Hey, stay clean for a few days and then come back?" More like this: How Do I Get Off Methadone? Dr. Peter Coleman We tried that, and no one could do it. And so, we had to develop a way of getting people off all the opioids. And so the way I look at it is people come in, they've got the drug sitting on their receptor. When they come in to see us, they've reached a pretty high level and got a get to zero before you can put them on naltrexone because, as soon as you put them on naltrexone, they're going to go straight to zero in five minutes. And so, instead of a ten-day withdrawal period, they're going to zero in five minutes. It's traumatic for the body. The Truth About Anesthesia Detox Dr. Peter Coleman So for the first three years, I did the anesthesia detox to hire an anesthesiologist. We'd put them to sleep for four hours. Dr. Banimahd Wow. Dr. Peter Coleman Yeah. Put a tube down into their stomach, crush up naltrexone, give it to them, and you'd watch their body go through this horrible withdrawal, but they were asleep. So they didn't care. The problem is they woke up, and they still felt terrible. They hadn't recovered. All the drugs were gone off their receptors, they were clean, but their body and brain hadn't healed yet. So it was a horrible next few days where they would be confused and delirious and out of touch with reality and agitated and dangerous, frankly. More like this: Why We No Longer Perform Anesthesia Detox Dr. Banimahd And there are all the dangers associated with going through the anesthesia procedure, whether side effects. Accelerated Opioid Detox Dr. Peter Coleman That's right. So in 2002, I learned some techniques of how Australian doctors do it. And I combined some things I'd been doing, and we came up with this outpatient procedure, no anesthesia, spread it out over three or four days, but still get almost a 100%. We still get a 97% success rate. And like you said, we talked to some insurance executives in Boston last week, and they're going to start covering our program. And I was like, "We've gotten good at it." So we know exactly how much medicine to give of this kind and this kind to get them to zero. And the patients are usually, like you said, "That's it? I'm done?" More like this: Accelerated Opioid Detox: Explained Using the Coleman Method Dr. Banimahd Yeah. Dr. Peter Coleman Yeah. Not for everybody. It's tough for some people. Some people genetically seem to be more set up to have a stricter withdrawal than others. More like this: 5 Things You Must Know Before Starting Naltrexone Therapy Dr. Banimahd Yeah. And we'll get a little more into that in the following article. Conclusion Stay tuned for Part 3 of Dr. Banimahd and Dr. Peter Coleman’s interview on the Coleman Institute’s Facebook and Twitter. SCHEDULE A CALLBACK Looking for the rest of the webinar series? Check out parts 1 and 3-6 below: Dr. Coleman & Dr. B Talk Naltrexone vs Suboxone - Part 1 Dr. Coleman & Dr. B Talk Naltrexone vs Suboxone - Part 3 Dr. Coleman & Dr. B Talk Naltrexone vs Suboxone - Part 4 Dr. Coleman & Dr. B Talk Naltrexone vs Suboxone - Part 5 Dr. Coleman & Dr. B Talk Naltrexone vs Suboxone - Part 6 #### Dr. Coleman & Dr. B Talk Naltrexone vs Suboxone: Part 3 In part 3 of Dr. Peter Coleman's and Dr. Banimahd's interview, they discuss how you can detox off opioids with naltrexone as medication-assisted treatment (MAT) versus using Suboxone. Have you missed part 2? You can catch up on the opioid crisis in the 90s and how Dr. Peter Coleman created the Coleman Method to combat it here. Explore the recap of Dr. Peter Coleman’s YouTube video, “Dr. B interviews Dr. Coleman about the Coleman Method for Opioid Detox and Naltrexone MAT” here. Dr. Banimahd and the Coleman Institute Dr. Banimahd I want to note how I came into contact with Dr. Coleman. Many of you know I operate in Orange County, and I think the treatment industry here could be better. So let's leave it at that. So I have continuously used in my tiny bubble and space, and I don't work with anybody else, whether physicians, treatment facilities, detox programs, etc. Dr. Coleman didn't reach out to me at first. It was through a business contact or associate. They were reaching out to me, and they're like, "Hey, the Coleman Institute's reaching out to you." And they send me a couple of emails and a letter. And I just kind of threw it away, right? Dr. Peter Coleman That was us. Dr. Banimahd I was very turned off because I had just left the university, and I was very turned off by what I saw down here. Then you called, and I was like, "Wow, that's kind of interesting." And you're like, "We're coming out there." So I'm like, "Sure. We can meet." I was so impressed with your professionalism, knowledge base, and integrity with you. You came out with Gene and Andrew. I was so impressed because I kind of have blinders on to a certain extent for the most part. And we'll get into this with maintenance treatment, being Suboxone, and so forth. But I was so impressed with you guys, and I'm happy we went forward with this. So that's how our relationship originally began. Patient Selection for the Coleman Method Dr. Banimahd Let's talk about patient selection if we can. Dr. Peter Coleman Sure. Dr. Banimahd I have my own experience with it. So I have some thoughts on it. And I've noted that you guys sort of push this as medication-assisted treatment (MAT). I know SAMSHA, the kind of ruling body that is the head honcho on all of these issues, the professional body medication-assisted treatment; they also call naltrexone medication-assisted treatment (MAT). Tell me your thoughts on that, and can you expand on that for me a little bit? More like this: Naltrexone: Medication-Assisted Treatment For Opioid Use Disorder UNDERSTANDING ACCELERATED OPIOID DETOX Medication-Assisted Treatment (MAT) Dr. Peter Coleman Sure. Like I said earlier, almost nobody stays clean and sober. There have been studies going back 40, 50 years, even where you put people on a farm in Tennessee or something. And soon as they got out, they were back using. You put them in jail for six years, and they're back using as soon as they get out. The addiction is so strong. There was a program that I was working on within the early 90s. And we looked at our alcohol patients, and they had about a 70% success rate doing an IOP, Intensive Outpatient Program. When we looked at our opioid patients zero, not one person even completed the program, let alone stayed sober. So, that's what you're up against with opioids. There's something about the way they work in the brain, the strength of how good they feel, how long the memories and the cravings and the desire to use just a little bit stays that it's almost impossible for people to resist it without some form of medication-assisted treatment. Methadone to Treat Opioid Addiction Dr. Peter Coleman So that's why methadone came out in the 70s, but people don't really like being on methadone. They prefer not to be. And so, Suboxone wasn't available when I started. So it was methadone or nothing, which didn't work. So when I heard about these naltrexone implants, medication-assisted treatment, it was like, "That's perfect." It's nonaddictive. There's no withdrawal. You don't have to get off of it. You don't have to go through any withdrawal when you're finished. It completely blocks the cravings. The only question is how can you give it to somebody, so it lasts long enough that it will do some good? Because we knew that once a day, tablets just didn't work. People didn't take them. How Does Vivitrol Work? Dr. Peter Coleman And I've got some ideas about why that works. It turns out cravings for a drug have a lot to do with its access. So when you put an implant or Vivitrol, which is the other form of naltrexone, long-acting. Dr. Banimahd It blocks access. Dr. Peter Coleman There's no access to heroin anymore because you can't get high even if you use two or three grams of heroin. And so people know that, and they stop thinking about it. It's like if you're trying to quit smoking and you're on a retreat, and there are no cigarettes anywhere around for a whole week, you stop thinking about cigarettes. As soon as you come back to town, you start thinking, "Should I have one?" Because there's access to it. When people take the oral tablet, it's just one day, and they know it. And so their brain is already thinking, "I could get high tomorrow. I'm not going to, but I could." And so I've had patients say when they unscrew the cap, it's reminding them that they could get high. That's completely different from a Vivitrol shot where you're done for a month. With an implant for two months, you're done. They love it. Patients just have no cravings. The key then is keeping them on it long enough for their brain to go back to normal and for their behaviors to change to learn what real recovery's really about. Because I hate to say, most people want a shortcut. Most people just want the problem to be gone and done with, and it's naive. It's immature and doesn't work that way. Addiction is a Disease People have habits. Most people we think have an addiction because of a genetic vulnerability in the brain. And then once they use drugs of some kind or another, it kicks off that disease, and that disease remembers, and it stays there for the rest of your life. So you've got to work at your recovery for the rest of your life. You've got to stay away from vulnerable situations. You've got To not put poisons in your brain that might kick the addiction back in. And people need to learn that that doesn't happen overnight. You can't remember any new skills. How long did you go to med school? You don't get to be a doctor by just saying, "I want to be a doctor." You have to go to med school and study and learn and change. Dr. Banimahd Sure. Conclusion Stay tuned for Part 4 of Dr. Banimahd and Dr. Peter Coleman’s interview on the Coleman Institute’s Facebook and Twitter. SCHEDULE A CALLBACK Looking for the rest of the webinar series? Check out parts 1-2 and 4-6 below: Dr. Coleman & Dr. B Talk Naltrexone vs Suboxone - Part 1 Dr. Coleman & Dr. B Talk Naltrexone vs Suboxone - Part 2 Dr. Coleman & Dr. B Talk Naltrexone vs Suboxone - Part 4 Dr. Coleman & Dr. B Talk Naltrexone vs Suboxone - Part 5 Dr. Coleman & Dr. B Talk Naltrexone vs Suboxone - Part 5 #### Dr. Coleman & Dr. B Talk Naltrexone vs Suboxone: Part 4 In part 4 of Dr. Peter Coleman's and Dr. Banimahd's interview, they discuss how you can detox off opioids with naltrexone as medication-assisted treatment (MAT) versus using Suboxone. Have you missed part 3? You can catch up on patient selection for The Coleman Method here. Explore the recap of Dr. Peter Coleman’s YouTube video, “Dr. B interviews Dr. Coleman about the Coleman Method for Opioid Detox and Naltrexone MAT” here. Essential Differences Between Suboxone and Naltrexone Therapy for People Addicted to Opioids Dr. Peter Coleman So people have to know that. So we are recommending everybody stay on naltrexone MAT for at least a year. Some people aren't ready for that level of commitment to their recovery. They don't want to stop that much. They just don't want the craziness of the heroin. They're better off, but they don't want to stop completely. They want to keep the options open to still do a little cocaine on the weekends or do some ecstasy here and there or still smoke pot or still drink on the weekends and stuff. Those aren't excellent candidates for naltrexone MAT. They're better for Suboxone because if they mess up, or when they mess up, and a lot of people even plan it, they're not going to die of an overdose. They're going to be able to get back on the Suboxone. You see patients that I'm treating with Suboxone. They'll take the Suboxone, and then they'll use heroin on the weekends. Then, they'll stop for a day or two, so they can still get high again. More like this: Important Differences Between Suboxone and Naltrexone Therapy for People Addicted to Opioids Dr. Banimahd Sure. Dr. Peter Coleman Those aren't good candidates for naltrexone. So, they're better off staying on this Suboxone until they grow up a little bit and realize what they want out of life. They want to be happy. They want to be stable. They want to have people who love them, and they want to feel good about themselves. Suboxone can help people grow like that if they stay with it. And then they're good candidates to switch to naltrexone. So that's a big part of our business now is getting people along their recovery journey; they've maybe used methadone for a few years or Suboxone for a while, and now they're ready to give it all up and just be on naltrexone. So that's kind of where I see it. More like this: Switching from Suboxone® to Naltrexone Patient Success Story - Getting off Methadone Dr. Banimahd I try to follow your patients, the ones that I did a procedure on, as much as I can. And some of the most beautiful success stories I've had is guys being on years of methadone, and you should see the text I get that one of them, his father had me call in and leave a message on his birthday. More like this: Overcoming the Fear of Stopping Methadone Dr. Peter Coleman Right. Right. Dr. Banimahd And the surprise was calling him in, but I've had three of your clients that have been long-term methadone users. Dr. Peter Coleman Has now switched to naltrexone. Dr. Banimahd And one of them we're going on over a year. Another one we're on four to five months. Another one we're in seven, eight months. They're doing wonderfully. Dr. Peter Coleman Yeah. It's very gratifying. Those are good candidates. They have stability on methadone, and now they don't need it. What we do with our accelerated detoxes, we can get the methadone out in eight days instead of having to wean down over 18 months, which is what usually happens. And frankly, most people fail. They try weaning down, and then it's just too painful. So they go back up, and yeah. Using Suboxone Dr. Banimahd Because it's such a topic of controversy in North America, at least you are not against Suboxone or that kind of medication? More like this: A Monthly Suboxone Injection? Dr. Peter Coleman Not at all. No, I think it's all about patient selection. Dr. Banimahd Exactly. UNDERSTANDING ACCELERATED OPIOID DETOX Meeting Patients Where They Are At Dr. Peter Coleman You need to meet the patient where they're at. No different than any other medical disease we treat. If you've got a person with diabetes, you've got to figure this a person who's good for insulin. Some people only need diet and exercise, and that's all they need. So you've got to tailor. Same with cancer treatment. Or any treatment. More like this: Restoring Hope: The Gift of Detox Dr. Banimahd Good. Dr. Peter Coleman Yeah. Dr. Banimahd I agree 100%, and you mentioned something I often say, "meet the patient where they're at." And for me, that's an expression of harm reduction. As you said, you meet them where they're at, the guy that's using. I, myself, don't turn, and a lot of practices in town, if you test, I don't use the word dirty, I use positive for urine, if you test positive for urine, you're fired from the practice. Dr. Peter Coleman Right. Dr. Banimahd I do not do that. Dr. Peter Coleman Sure. Dr. Banimahd It's just now you have to see me every week. And I like that. I noticed you said, “meet the patient where they're at." Dr. Peter Coleman Yeah. Conclusion Stay tuned for Part 5 of Dr. Banimahd and Dr. Peter Coleman’s interview on the Coleman Institute’s Facebook and Twitter. SCHEDULE A CALLBACK Looking for the rest of the webinar series? Check out parts 1-3 and 5-6 below: Dr. Coleman & Dr. B Talk Naltrexone vs Suboxone - Part 1 Dr. Coleman & Dr. B Talk Naltrexone vs Suboxone - Part 2 Dr. Coleman & Dr. B Talk Naltrexone vs Suboxone - Part 3 Dr. Coleman & Dr. B Talk Naltrexone vs Suboxone - Part 5 Dr. Coleman & Dr. B Talk Naltrexone vs Suboxone - Part 5 #### Dr. Coleman & Dr. B Talk Naltrexone vs Suboxone: Part 5 In part 5 of Dr. Peter Coleman's and Dr. Banimahd's interview, they discuss how you can detox off opioids with naltrexone as medication-assisted treatment (MAT) versus using Suboxone. Have you missed part 4? You can catch up on the difference in treating addiction with Suboxone versus naltrexone here. Explore the recap of Dr. Peter Coleman’s YouTube video, “Dr. B interviews Dr. Coleman about the Coleman Method for Opioid Detox and Naltrexone MAT” here. Patient Selection, Exclusion, and Inclusion Criteria for the Coleman Institute Detox Programs Dr. Banimahd I want to discuss the whole patient selection criteria, exclusion criteria, and inclusion criteria. You've spoken to it quite a bit. I have found in my practice that because the patient is stable enough to reach out, get everything resources together in terms of the loved ones, and follow directions, they're already at a place where they're ready for treatment. What are your thoughts on that? Dr. Peter Coleman Yeah. Many other doctors will say, "How can you work with drug addicts and heroin addicts?" Because they're used to seeing these people in the emergency room or passed out on the street with an overdose, and they never listen to what you say. They never do what you tell them to do. And I say, "Well, we're getting people at the point; they're ready to change. We're getting people who have already found us on a website. They've already called us. They've already mentally figured I'm sick of my life. And I want to change." They don't understand what's involved and how difficult it will be, but they're eager and willing to try something different. More like this: How the Hell does I Stay Sober Now?! UNDERSTANDING ACCELERATED OPIOID DETOX Family Support to Detox from Opioids Dr. Peter Coleman Their family is involved because it suffers just as much, if not more, than sometimes the patient does. So it's horrible as you've seen where the families they're going to bed every night, wondering if their kid will be alive tomorrow because they're shooting up fentanyl now, and it's horrible. More like this: Loving Someone to Death: Supporting Recovery Without Enabling Ready for a Change - to Detox Completely from Opioids Dr. Peter Coleman So they come to us; they're ready to change. And then they're incredibly grateful because we get it over with really quickly. I mean, in four days, they're done. They're finished. And yeah, they don't feel great. They still have a little insomnia and stuff to work through, but there's an end in sight. And so people like that. And then, as you said, we get so many patients who are so grateful and so happy two months later, six months after that, they've got a new life and that they're not going out and using heroin every day. It is very gratifying. So it's a pleasure working with these people, mainly when you accept it as a disease. If it's a genetic illness that nobody wanted to have in the first place, they just fell into it because of bad genes. Almost everybody tried using some drugs when they were teenagers, but most people didn't like it that much. But people with the disease of addiction did want it; their brain got activated by that process, by that dopamine surge. And then they kept going and ended up with all these problems. So they're so grateful when you treat them with respect and recognize that it's not their fault and that they're on the same team as you are trying to get out of this hole. Dr. Banimahd I agree. Dr. Peter Coleman Yeah. Conclusion Stay tuned for Part 6 of Dr. Banimahd and Dr. Peter Coleman’s interview on the Coleman Institute’s Facebook and Twitter. SCHEDULE A CALLBACK Looking for the rest of the webinar series? Check out parts 1-4 and 6 below: Dr. Coleman & Dr. B Talk Naltrexone vs Suboxone - Part 1 Dr. Coleman & Dr. B Talk Naltrexone vs Suboxone - Part 2 Dr. Coleman & Dr. B Talk Naltrexone vs Suboxone - Part 3 Dr. Coleman & Dr. B Talk Naltrexone vs Suboxone - Part 4 Dr. Coleman & Dr. B Talk Naltrexone vs Suboxone - Part 6 #### Dr. Coleman & Dr. B Talk Naltrexone vs Suboxone: Part 6 In part 6 of Dr. Peter Coleman's and Dr. Banimahd's interview, they discuss how you can detox off opioids with naltrexone as medication-assisted treatment (MAT) versus using Suboxone. Have you missed part 5? You can catch up on what it takes to be ready to detox from opioids with naltrexone therapy here. Explore the recap of Dr. Peter Coleman’s YouTube video, “Dr. B interviews Dr. Coleman about the Coleman Method for Opioid Detox and Naltrexone MAT” here. Navigating Post Detox Dr. Banimahd Any thoughts or recommendations? What do you think about post-procedure treatment intervention of any kind, psychosocial or medical? What is it that you recommend to patients? I have my own little thing, which is different from yours. More like this: Healing the Brain After Opioid Detox and Withdrawal Dr. Peter Coleman Yeah. So, it's not rocket science. It's pretty straightforward. There's a Dr. Robert DuPont, who has studied doctors who went through a rehab kind of like I did. The success rate is about 92% five-year success. Whether they were on opioids, heroin, fentanyl, alcohol, cocaine, whatever it was. Dr. Banimahd For doctors? Dr. Peter Coleman Yeah. Phenomenal success rate. And when you look at that program's features, I wish everybody could get that program because 92% success rate is phenomenal. It was about 78% with no slip ups and then another 16 odd percent with one short relapse five years later. So what they find is that it's extended treatment upfront. UNDERSTANDING ACCELERATED OPIOID DETOX Getting Therapy for Post Detox Dr. Peter Coleman So, usually three or four months of pretty intensive therapy, which can be an IOP, it's terrific if they live in a halfway house where there's a lot of structure and stuff like that, so they don't mess up. There's complete abstinence. So it's a program where there's no alcohol, no pot, no addictive drugs going in the brain, just substituting one for another. So it's, it's accepting the fact that you've got the disease of addiction. You're not just a cocaine addict or an alcoholic. You've got this chemical dependency problem that you need to be off of everything and learn how to live. So there's intensive therapy, and then there's follow-up with urine drug screens and stuff like that. And almost everybody had to go to some support group, like 12 Step, AA or NA, or Smart Recovery or something like that. More like this: the Coleman Institute Addiction and Recovery Resources Abstinence-Based Model For Long-Term Recovery So really, it's a good treatment upfront abstinence-based model and support groups and some ongoing therapy. You have to get the chemicals out of your brain at the end of the day. Most people use drugs because they kind of want to be satisfied, you know? And they think the drugs kind of give it to them. "Oh, I don't feel as shy or as nervous or whatever. My life's exciting." You've got to find those things in recovery without putting some chemicals in. And it just takes time to do that. Dr. Banimahd So you're not dismissing the importance of that psychosocial intervention and long-term recovery. Dr. Peter Coleman It's essential. Dr. Banimahd You do the procedure. Dr. Peter Coleman You've got to learn how to be happy. Dr. Banimahd Absolutely. Dr. Peter Coleman That doesn't happen overnight. It doesn't happen just because you want it to happen. It happens because you do the work of recovery. More like this: Taking the First Step in Your Recovery Journey Dr. Banimahd Yeah, a lot of work. Dr. Peter Coleman Yeah, yeah, yeah. Conclusion Stay tuned for Part 7 of Dr. Banimahd and Dr. Peter Coleman’s interview on the Coleman Institute’s Facebook and Twitter. SCHEDULE A CALLBACK Looking for the rest of the webinar series? Check out parts 1-5 below: Dr. Coleman & Dr. B Talk Naltrexone vs Suboxone - Part 1 Dr. Coleman & Dr. B Talk Naltrexone vs Suboxone - Part 2 Dr. Coleman & Dr. B Talk Naltrexone vs Suboxone - Part 3 Dr. Coleman & Dr. B Talk Naltrexone vs Suboxone - Part 4 Dr. Coleman & Dr. B Talk Naltrexone vs Suboxone - Part 5 #### Dr. Coleman & Dr. B Talk Naltrexone vs Suboxone: Part 7 In the final part of Dr. Peter Coleman and Dr. Banimahd's interview, they discuss how you can detox off opioids with naltrexone as medication-assisted treatment (MAT) versus using Suboxone. Have you missed part 6? You can catch up on how the abstinence-based model for long-term recovery can help you navigate your post-detox life here. Explore the recap of Dr. Peter Coleman’s YouTube video, “Dr. B interviews Dr. Coleman about the Coleman Method for Opioid Detox and Naltrexone MAT” here. Using Naltrexone as Medication-Assisted Treatment (MAT) Intervention Dr. Banimahd So what we have here is we're using naltrexone as Medication-Assisted Treatment (MAT) intervention as pharmacological intervention. So we're making the detox in the initial stages when people are ready, and by the way, I know that this is just for all opioids across the board. We also do for even Suboxone® when someone has a hard time with Suboxone® or methadone. More like this: Medication-Assisted Treatment (MAT): Higher Success for Recovery Dr. Peter Coleman Quickly and safely, and comfortably. Dr. Banimahd Quickly, safely, under a doctor's supervision, and comfortably, we're using a sort of comfort medication. Dr. Peter Coleman And successfully. 98% of people start the program and get on naltrexone, which is phenomenal. The only people that don't do that are kids who didn't want it anyway. Their parents wanted them to do it, and they're like, "No." Dr. Banimahd And I've had a couple of those. Dr. Peter Coleman Yeah. Dr. Banimahd And I recommend they don't do it. Dr. Peter Coleman Yeah. Yeah, exactly. They're better for Suboxone®. Dr. Banimahd Yeah. Dr. Peter Coleman Until they grow up a bit. Yeah. More like this: The Truth About Suboxone® & How to Detox The Coleman Institute for Addiction Medicine Locations Dr. Banimahd So I know that the home office or medical clinic is in Virginia. I do know you have what? 11, 12 locations across the country? Dr. Peter Coleman Yeah. It's been fun. Yeah. We've been able to teach doctors, like yourself, in different parts of the country how to do the procedure. And then we support them. So, for example, we have a call center where people can call, learn how the system works, what's involved, and get all the details. Then they call you, and once they know that they want to do it, they'll contact you before starting the procedure. And you'll review the whole history with them over the phone to make sure they are a good candidate. And that there is no kind of red flags that we might need to tweak things a little bit. Sometimes we'll extend the detox out another day or two if there's a considerable amount or if they're using vast amounts of fentanyl, or if they've recently used methadone or Suboxone®—something like that. More like this: Accelerated Opioid Detox: Explained Using The Coleman Method Dr. Banimahd And I love that about you guys because there's a lot of professional integrity here. Dr. Peter Coleman Yeah. UNDERSTANDING ACCELERATED OPIOID DETOX Dr. Banimahd Working With Patients Dr. Banimahd As some of you guys might know, I'm very much a control freak on who comes through my doors and what I do with patients. I was always like that, even when I was at the university. So I love that the patient eventually comes to me, I get to review the case, and I make my decision. And I love the fact that there's so much flexibility. Sometimes I get a methadone patient, and whatever it is, they've signed up for a 7 or 8-day program, I will extend 9 or 10 days. And you guys are great with that. So I love that, and it's been working. More like this: How to Get Off Methadone with the Coleman Institute Dr. Peter Coleman It's all about getting the patient where they want to be. Dr. Banimahd Exactly. Dr. Peter Coleman Clean and sober. Yeah. Conclusion Dr. Banimahd So anyway, Dr. Peter Coleman with the Coleman Institute. I work with them and my viewers who know me out there; I'm pretty selective about who I work with. So it's been a pleasure the last couple of years because it's been another perspective on treating patients suffering from addiction. And it gives me one more piece of the arsenal to offer to them. So in that way, it's been fantastic for me as well. Dr. Coleman, thank you so much for joining me today. I know you came from Virginia. I know you did some surfing. Did you enjoy that? Dr. Peter Coleman It was fabulous, yeah. Dr. Banimahd Did you? Okay. Well, I'm glad you enjoyed that. Dr. Peter Coleman I tried out a new carbon fiberboard that's really light and much easier to use. So it was enjoyable. Dr. Banimahd You do that paddle surfing kind of thing. Dr. Peter Coleman Yeah. If you have found yourself struggling with opioid addiction, please call us. You are not alone. We are happy to provide more details about our Accelerated Outpatient Detox programs. SCHEDULE A CALLBACK Looking for the rest of the webinar series? Check out parts 1-6 below: Dr. Coleman & Dr. B Talk Naltrexone vs Suboxone - Part 1 Dr. Coleman & Dr. B Talk Naltrexone vs Suboxone - Part 2 Dr. Coleman & Dr. B Talk Naltrexone vs Suboxone - Part 3 Dr. Coleman & Dr. B Talk Naltrexone vs Suboxone - Part 4 Dr. Coleman & Dr. B Talk Naltrexone vs Suboxone - Part 5 Dr. Coleman & Dr. B Talk Naltrexone vs Suboxone - Part 6 #### Drinking Alcohol in Moderation, What Does This Mean? If you are reading this, you or a family member is likely questioning whether or not you or they are drinking alcohol in moderation or if it is a problem. Here’s what you need to know. Questions to Ask When Considering Alcohol Consumption Many situations and concerns can spark these questions: Am I an alcoholic? Do I drink too much? Why is my husband mean to me only when he drinks? Is it okay if I only drink on weekends, even if people tell me about things I did that I don’t remember? Should I be worried if I cannot remember conversations after a night of drinking? My liver function tests are elevated, and my doctor told me it’s because of alcohol. I have a tremor if I stop drinking. My sleep is disrupted after drinking. I don’t get a buzz from wine anymore, and now I drink vodka. The list goes on and on. More like this: Alcohol Habit vs Addiction – How It Forms Drinking Alcohol in Moderation, What Does That Mean? There is no way that I can tell you whether you will be able to go from being a heavy, problematic drinker to being a moderate one. However, I can tell you many people with Alcohol Use Disorders (AUDs) would like to think so. Moderation is difficult to achieve for most people with moderate to severe Alcohol Use Disorder (AUD). However, some can achieve moderate drinking without it resulting in a full-blown relapse. Firstly, I would say that some of the underlying issues, either through therapy or some other mechanism, that contributed to alcohol use in the first place need to be addressed: Trauma Anxiety Depression Stress Without any work or intervention, the chances of success in moderating drinking are much lower. More like this: Alcohol Use Disorder: Easy to Meet Criteria Naltrexone for Alcohol Use Disorders (AUDs) Naltrexone is an FDA-approved medication for use in the treatment of Alcohol Use Disorder. It works by blocking endorphins; the pleasure molecules released when one drinks, giving them that initial positive feeling. Therefore, when a person takes Naltrexone, that initial pleasurable feeling from drinking is nonexistent. Therefore, some people do not even feel like or bother drinking. More like this: Curbing the Cravings: Naltrexone and Addiction GET THE ALCOHOL DETOX GUIDE A Sober Life Isn’t A Boring Life This quote came across my Instagram feed recently. “Sobriety is anything but boring. So, sober life is boring? Yes, I was spoon-fed that lie by advertising, movies, television, and people since birth too! But, being present for every moment in life is not boring; it is fascinating!” It hit me in all the right ways. It is so true that we have been conditioned to believe—especially when it comes to alcohol—that we need a buzz for anything to be fun or even to grieve. Any major life event—whether happy or sad—will most likely involve alcohol. Even gatherings such as playdates, book clubs, funerals, and now, of course, Zoom calls involve alcohol (excluding work Zoom calls, I hope!) Call me “sober-curious” or whatever, but I voluntarily gave up alcohol over 2 years ago. The lack of distraction, added time, clarity, not to mention money in my life has afforded me so many blessings. My relationships with family and friends have never been better. I can drive anywhere anytime without thinking twice. I can read and do puzzles with laser focus. More like this: Who Am I Without Alcohol? Detoxing from Alcohol with the Coleman Institute Whether abstinence or moderation is your goal, medical detoxification from alcohol may be necessary for some people. This is VERY important to consider and discuss with your primary care doctor. We at the Coleman Institute can also help you decide whether a medical detox is necessary before you stop or cut back on your drinking. Detoxing from alcohol on your own can be dangerous and even lethal so please do not go “cold turkey,” before consulting with a medical professional. If you have any questions, please schedule a callback with a Care Advocate to learn about the Coleman Method for detox today. Deborah Reich, MD More like this: Stop Drinking Alcohol: 5 Questions to Ask Yourself SCHEDULE A CALLBACK #### Drugs Have Made My Life Bearable “Tripping Over Joy” What is the difference Between your experience of Existence And that of a saint? The saint knows That the spiritual path Is a sublime chess game with God And that the Beloved Has just made such a Fantastic Move That the saint is now continually Tripping over Joy And bursting out in Laughter And saying, “I Surrender!” Whereas, my dear, I am afraid you still think You have a thousand serious moves.” ― Hafiz, I Heard God Laughing: Poems of Hope and Joy Finding the Ability to Let Go I first heard this poem years ago; I was moved by its simple, yet profound message then — and am moved by it still — whenever I come across it. Clearly if these words move me so much, I must be the person who still thinks, “I have a thousand serious moves.” Even writing this, I have a rueful smile on my lips. How easy it is to become mired down by our thoughts and beliefs about our circumstances! And how difficult it is to simply let go. UNDERSTANDING ACCELERATED OPIOID DETOX Life Circumstances and Powerless Over Addiction The first step of Alcoholics and Narcotics Anonymous says “We admitted we were powerless over alcohol/our addiction and that our lives had become unmanageable.” What a profound relief this statement, if allowed to permeate one’s being, can bring. For my patients addicted to substances who are locked up not only in a prison of their bodies due to the way opioids, benzos, alcohol, stimulants, and other chemicals affect the body’s tolerance…but also in prisons of their minds, believing the elaborate stories they have conjured up for themselves and their justifications to continue to suffer. Many of the plots of these stories involve being a victim: of poor parenting, of unfortunate genetics, of life circumstances that led to the perfect storm culminating in a severe substance use disorder. Addiction Holds Your Mind and Body Hostage I urge anyone with an addiction problem that is causing them to suffer and preventing them from sitting at the banquet table that is this life, to consider the relief they might feel to simply be. To be receptive to all life has to offer without the need to be convinced that circumstances are far too unbearable to experience without the numbing or enhancing power of a chemical. To be able to experience, in words attributed to Zorba the Greek, the “full catastrophe” that is life. To be able to ‘trip over joy’ on a daily basis. I have worked with and know far too many people who have surrendered their armour, opened their arms, and fully allowed life to delight and surprise them. They take their recovery seriously, but not so much themselves. The first step in reaching this peaceful place is safely becoming free of the chemicals that hold the brain and body hostage. A Comfortable Way to Detox Quickly The Coleman Institute for Addiction Medicine has been working with people who desire long-term recovery for over twenty-five years. If you or a loved one is struggling to stop drinking alcohol or to get off opioid pain medication, heroin, methadone, fentanyl or buprenorphine products, we can provide a safe and comfortable detox experience. Joan Shepherd, FN SCHEDULE A CALLBACK #### Energy After Heroin Detox - And Then Some It was a pretty typical day at the Coleman Institute. Patients were being seen in various stages of recovery: a patient at the beginning of a detox off Opana®, another a few days into a detox off Xanax®, a person scheduled to get Vivitrol but who had relapsed on Vicodin®, a gentleman following up with three months of sobriety off alcohol, a repeat naltrexone implant for a patient now 8 months off heroin, and one patient, Caitlin*, who was on her eighth and final day of an Accelerated Opioid Detox from 130 mg of methadone. Caitlin was struggling. Physically, it wasn’t too bad. Like most of our patients who come to us for methadone detox, Caitlin experienced a couple of hours a day feeling some discomfort, but the meds we prescribe help quite a bit, and she stayed tolerably comfortable for the other 20-22 hours of the day. It was turning out that the most difficult part of the detox for Caitlin was the mental, psychological, and emotional stuff that was coming up. She knew that after this detox she would be stepping into a quagmire of legal and custody issues that had been looming over her for some time. Making the decision to get off methadone was her first step in embracing a life of sobriety and emotional maturity. And she was terrified. Meanwhile, back in the procedure room, Maria* laid on the table, awaiting her 5th naltrexone implant. She had been coming regularly since her detox off heroin and fentanyl eight months earlier. Maria is a well-known and well-loved patient to all of us. She usually has the nurses and me laughing over one of her stories—as we are inserting her implant! Over the years we have seen her through romances, a brief marriage, the birth of her beautiful son, and multiple dramas, with a fierce addiction to opiates punctuating many chapters. In the last several months her absolute devotion to her recovery and her child have allowed her to stay sober and navigate complex and humbling court appointments and decisions. She has never been happier, never looked healthier, never been in such a place of surrender to her disease, allowing for all the powers of healing to regenerate pieces of her she thought were long gone. I decided to ask if she would go speak to Caitlin; to be a living, breathing testament to the miracles that invariably line up and tumble over themselves as the universe conspires with a person committed to her recovery. I try to make these little spontaneous meetings happen whenever I can. It means a great deal to the patient to hear from someone who has gone through their own detox and is beginning to enjoy the fruits of the decision. It’s easy for those of us who work at the Coleman Institute to say how great our program is, but for a patient to hear it from a patient is even more powerful. What I also suspected, but didn’t share with either of the girls, was that giving Maria a chance to share her story with Caitlin would be a whole lot more helpful to Maria than Caitlin. Sure enough, a few days later, I received this email from Maria. She gave me permission to share it. Good morning, Joan, I wanted to thank for yesterday. I appreciate the opportunity to speak to the girl yesterday detoxing. I was hesitant at first because I’ve been there, and I think that it may have helped me more than it helped her. It was a humbling experience. I was so thankful that I did and honored that you asked. I felt for her mother and her child more than anything. On the way home, I was thinking that was me 8 months ago. If there’s ever anything or anyone that you think I can help please let me know. You, Dr. Coleman and the staff have really helped me get through my toughest time and my biggest struggle. A lifetime of thank you’s couldn’t express how truly grateful I am for you guys. You people save lives! On another note, I saw this poem yesterday. I found it interesting and wanted to share it. I can’t share things like this with many due to the fact that a lot of people don’t understand how truly complex addiction is. Have a great day and I will see you in two months. It was written by Grateful Addicts in Recovery. It truly is a privilege working in this field with our courageous, kind, and clever patients. Give us a call if we can help you figure out the next best step. *Names and some details changed to preserve confidentiality Joan R. Shepherd, FNP #### Energy After Quitting Suboxone® Benny called the office a few days ago to discuss refills for sleep medication. Three months earlier he detoxed at the Coleman Institute for Addiction Medicine after 8 years of taking Suboxone® for an opioid use disorder. Prior to being prescribed Suboxone®, Benny had a bad pill habit and was close to using heroin. (He was using pills when it was still much easier and safer to buy them on the street.) Benny is a professional in the IT world, a father of two little ones, with a strong marriage of ten years. Suboxone®, which is a mixture of buprenorphine and naloxone, was the perfect medication to transition him from using street drugs and to stabilize him as he grew into his recovery. Over the years he had a strong presence and involvement in recovery meetings and he developed a solid meditation practice. He was in a good position to stop taking Suboxone®. Is Suboxone® a Life Sentence? I have heard time and again from patients over the years that when they started on buprenorphine, there was often no discussion about the “end game,” or how and when they might stop. Many people told me their prescribers felt they should stay on it for life, like a diabetic who needs insulin. Others have shared that their doctors were reluctant to have the discussion or didn’t seem invested in helping them to wean down. Benny was able to take himself down to 3 and 4 mg of Suboxone® for periods of time, but felt like he was in a constant state of withdrawal, especially when he tried to go lower. Finding our outpatient accelerated opioid detox facility was exactly what he needed, and indeed, he was off Suboxone® and onto naltrexone (an opioid blocker) in 8 days. Life Without Suboxone® Benny’s sleep is almost back to normal. He rarely uses the non-addictive sleep medication we prescribed to help him through the first several weeks when getting a few hours of sleep in a row was almost impossible. “Not only was the lack of sleep tough, the lack of energy just about killed me.” As a full-time father, employee, husband, and homeowner, Benny’s plate was full. He was unaware of the extent that the Suboxone® was keeping his energy going, that his own body had stopped making dopamine after years of having it supplied externally by a pill. UNDERSTANDING ACCELERATED OPIOID DETOX Energy Without Opioids “That’s finally getting better, too,” he told me gratefully, “There were a few moments when I wondered if I’d made the right decision to get off the Suboxone® — it is so easy to let life just continue, and not rock the comfortable boat…but I knew I didn’t want to be on this stuff forever, and I knew my recovery was strong.” When I asked Benny what advice he had for people who were experiencing the same difficult post-opioid-detox energy slump, these are the suggestions that helped him: Drink lots of water. Keep flushing your system and stay hydrated. Resume (or start) an exercise regimen, but keep it really humble at first. “Just making myself push a stroller around a few blocks became my greatest ambition when I first returned home. Eventually the walk became longer, and within three weeks I was slowly jogging again. I’m back to my daily four to five mile run now….The exercise is super important.” Keep a journal. For Benny, spending about 15 minutes a day before anyone else was awake, gave him a chance to focus on his intentions. He would often read some inspiring literature and use that as a starting point. It also included a place to check off his accomplishments; a way to document-visually — the progress he was making. Meditation is a huge part of Benny’s life, and he believes his ability to sit still with discomfort-be it physical, mental, emotional, or spiritual — largely comes from this practice. Benny swears by his daily vitamins and probiotics. Prioritize sleep. He made a rule for himself to have lights off by 10:00 pm and to arise no later than 6:00 am. Moving with the earth’s light cycles is known to help people function optimally. Importantly, he leaned hard on his recovery community. His early sobriety was formed on the bedrock of NA, AA, and immersing himself in step work and having a sponsor. He re-entered that world, which helped him to remember why he was making this difficult choice. It’s a big decision to stop taking opioids, especially if you’ve been on them for a long period of time. We can help you figure out if an accelerated outpatient opioid detox is a good option for you or your loved one. Schedule a callback below. Joan R. Shepherd, NP SCHEDULE A CALLBACK #### Escaping Pain With Opiates What would you have to give up if you stopped blaming yourself? I heard this question asked during a podcast by Tara Brach, who teaches topics on meditation. She was making the point that so often the voice that appears and reappears in our head has the tone of Aversive Judgment. This voice is not like the Wise Discrimination voice that cleanly processes problems to arrive at solutions; this is the voice that is telling - if not shouting - the story of What's Wrong With Me. When we are stuck in Aversive Judgment mode, it's uncomfortable. We want to escape. No one wants to stick around to hear a critic going on and on, blaming us for choices we've made, mistakes that have hurt others or ourselves, making comments about how we look, how we should look, where we should be in life by now, etc. - whether the critic is in our world or in our head. We can become peculiarly complacent, almost having a nervous treaty with this blaming aversive judgment voice; after all, it's familiar. It's the known enemy, and we've got our wary dance steps down. When the voice becomes intolerable, there is great justification to escape: opiates, booze, benzos, food, porn, gambling. . . easy to run from discomfort into the familiar, habitual choices. But behaviors that rise from self-hatred only make things worse. Yesterday I got a call from a patient I am very fond of. He's been a professional athlete and he is the main person in his family caring for an aging parent with severe dementia. He has relapsed several times. He hasn't ever truly allowed himself to go much past the first layer of recovery; continuing to convince himself all he needs to do is a rapid detox without rehab. Like many of our patients, he believes that keeping himself busy will keep him sober. He called with such shame to 'have' to be calling me yet again. He's been using regularly for a few months now. He had spent $700 the night before last on heroin and cocaine, stayed up til the morning then went to work. He made it through the day, collapsed when he got home and called me the following day. "I'm so disgusted with myself. When I think of the money I've spent and what I could have now. . . I'm sick of not being successful. . .I'm sick of not achieving. . . I'm sick of not having a girlfriend. . . " Tara Brach talks about staying present beyond the blaming. A tender look beyond the blaming often reveals fear, shame, guilt, sadness, and disappointment; "All the flavors," she says, "of vulnerability." After his last detox, I sent this guy information on signing up for a cognitive therapy based mindfulness class offered throughout the year. I really believe in the power of this approach, of watching our raggedy-ass thoughts (i.e. Aversive Judgment) with compassion, eventually, hopefully, and learning to be kind to ourselves. Learning to accept some level of discomfort whether it takes the form of mental, emotional or physical pain. Since my patient has had three rapid opioid detoxes at the Coleman Institute, you may correctly conclude the detox itself is far less painful than the suffering he endures by listening to and believing the cruel voices in his head that can only temporarily be relieved by substances. He's returning to the Coleman Institute next month for another rapid opiate detox. Hopefully he'll go beyond the detox and beyond the blaming this time and find some real peace. We'll certainly be there to support him. Joan Shepherd, FNP #### Evidence-Based, Medication-Assisted Treatment: Suboxone® or Naltrexone? I had the great pleasure of seeing Pam last week at the Richmond office of the Coleman Institute for Addiction Medicine. Pam detoxed off Suboxone® two months ago through our accelerated outpatient detox process. With long-acting opioids, such as methadone and buprenorphine, the outpatient withdrawal management process is 8 days. However, many individuals like Pam are always curious which treatment is best - Suboxone or Naltrexone, when it comes to completing a drug detox. For many, opioid use disorder (OUD) is common and it is a disorder that millions of Americans suffer from. Whether you are detoxing off opioid substances such as Percocet, Roxicet, Vicodin, and heroin, or fentanyl it generally takes 3-5 days, depending on a few different factors; one being the treatment method. While the most common and effective FDA-approved medications are Suboxone and Naltrexone, they both tend to differ vastly in terms of how they work, their effects, withdrawal symptoms, and the potential for overdose. What is Naltrexone Naltrexone is a common medication that has been used for many years when it comes to treating opioid use disorder. The way that Naltrexone works is that it trains the brain to treat dependence for opioids, it blocks the effects of opioid receptors and in turn decreases cravings and urges to use again. With Naltrexone, it comes in two forms - pill or injectable and once taken typically begins working within one hour of dose. For many patients, the ability to take Naltrexone as a pill is oftentimes convenient as you can take the prescription from home and not have to worry about disruption in day-to-day life activities. Additionally, Naltrexone is typically recommended for individuals who haven't taken opioids for at least 7-14 days and have no history of liver disease, kidney disease, or hemophilia. At the Coleman Institute, we find our patients that use Naltrexone Therapy as a detox "freed" of intense cravings with the ability to look beyond their physical symptoms in order to focus on a healthier tomorrow. We offer two specially formulated Naltrexone options for patients depending on their unique circumstances and both give patients weeks of support at a time. For the best chance in a lifelong recovery from opiate addiction, we recommend that most patients continue with Naltrexone therapy for a year after completing detox to give them enough time to develop new, healthy habits. UNDERSTANDING ACCELERATED OPIOID DETOX What is Suboxone? Suboxone is a detox treatment option that has two main ingredients which are Naloxone and Buprenorphine. Buprenorphine is a partial opioid antagonist that blocks opiate receptors and reduces cravings. Naloxone is the second portion which counters the direct effects of opioids. Combined, these two work together to alleviate the withdrawal symptoms that are so common with opioid addiction. For those that are using Suboxone therapy, the medication is typically only available as a film that melts in your mouth in order to pass to your bloodstream. This medicine works very quickly by attaching to the same brain receptors that opioids would. It is important to note however, unlike Naltrexone, Suboxone does have the ability to cause physical or psychological dependence if taken for an extended period of time. At the Coleman Institute, we have an Accelerated Opioid Detox program that is available for patients who are ready to come off of buprenorphine. Because each Suboxone treatment also stays in the body for weeks at a time, traditional detox from this drug itself can cause pain, anxiety, and fatigue. The treatment for Suboxone detox typically takes eight days instead of the usual three days. To provide further perspective, our patient Pam, chose to use Naltrexone therapy. She lives about two hours outside of Richmond and had traveled with her mom and her dog to get her second dose of three naltrexone implants as part of her early stage treatment process. Pam smoked pot and drank in high school. It was not until after high school she started to use pills from time to time. At some point, she had the horrible realization that she had developed a physical dependency on the pills. She was so ashamed, she did not tell her parents why she was dropping out of college. She got a job in the service industry and went on to have a very expensive pill habit. She stayed abstinent from opiates for six years without being on any Medication-Assisted Treatment (MAT). Then she started dating a guy in recovery who relapsed. After impulsively taking "just one" 10mg oxycodone from this guy’s stash, she was full blown using again after just one week. She didn't let this go on for long before she moved back home with her parents, found a reputable clinic, and went onto Suboxone (buprenorphine/naloxone). She didn’t let this go on for long before she moved back home with her parents, found a reputable clinic, and went onto Suboxone® (buprenorphine/naloxone). Buprenorphine, methadone and naltrexone are the 3 evidence-based approaches of Medication-Assisted Treatment (MAT) for opioid use disorder. I asked about her choice to go on Suboxone® when she returned to live with her parents in the town where she’d grown up. Even though Pam had been opiate-free for six years without the help of MAT, her relapse completely unnerved her. “I really thought I was no longer vulnerable”, she told me. “I had become complacent, I guess…but truthfully, I didn’t think I needed the support of recovery groups. I felt like I was doing a pretty good job staying clean by hanging out with good people, working, and being very physically active. I thought I was done with that phase of my life. Clearly, I wasn’t. "Suboxone® was right for me at that time. I was able to get off the oxycodone pretty easily, although part of me was reluctant to start on Suboxone®. UNDERSTANDING ACCELERATED OPIOID DETOX Owning to the high risk of relapse in opioid-dependent individuals, the most commonly prescribed treatment is maintenance treatment in which opioids with longer absorption times and half-lives are prescribed, such as methadone or the partial agonist buprenorphine, such as found in Suboxone and other products. Pam had been taking Suboxone 8mg/2mgday for two years and weaned to 2mg/0.5 daily when she came to our office for help with a detox. (many people don't know that stopping Suboxone abruptly can precipitate severe withdrawal). Although the buprenorphine was a good fit for Pam in many ways, she was quite anxious when she anticipated stopping; by then she'd heard horror stories from people who had tried to get off on their own. She discussed this extensively with the counselors and the addiction physician at the clinic and they told her about naltrexone. Naltrexone (our specialty at the Coleman Institute for Addiction Medicine for over twenty years) is a pure opioid antagonist - also called a blocker. It sits on the opioid receptors leaving no room for opioids to inhabit. And although it is available as a daily oral dose, compliance is obviously significantly better if taken in an extended release formulation such as a slowly dissolving implant or a monthly Vivitrol injection. Naltrexone sounds like a great way to transition from Suboxone to ultimate abstinence. Pam liked the fact that it was a pure blocker, and didn't create either physical dependence or tolerance." “When I told my counselors I was interested in going forward with this, there was a bit of an issue. They told me I would have to have the Suboxone® completely out of my system before I started the naltrexone. I was weaned from 8mg to 2mg/day over the course of several months, which was not easy, but I was motivated. But when it came time to drop down below 2mg a day, I just couldn’t tolerate it. I was working at a day-care center at the time, and I was so irritable. I wasn’t sleeping, my bowels were a mess, and my anxiety was through the roof. I googled around looking for solutions and that’s when I heard about the Coleman Institute.” Accelerated Opioid Detox At the Coleman Institute, we care about providing our patients with a positive, safer, and faster way to start their journey towards recovery. As you can see from our patient Pam, there are both pros and cons to using various Medication-Assisted Treatment in order to treat opioid use disorder and every patient's situation should be evaluated uniquely. If you or a loved one is suffering from opioid addiction, it's important to remember that you are not alone. Opioid addiction can be treated and with an outpatient detox program you can be on your way to a healthier lifestyle in as little as three days. if you would like to discuss the options, please give us a call. SCHEDULE A CALLBACK Joan R. Shepherd, FNP Learn more about our accelerated opioid detox process from Dr. Peter Coleman.     #### Exercise and Addiction Recovery In my experience, many patients with various substance use disorders have found exercise to be beneficial to their healing and recovery. This can be especially true for those that are in early recovery and are experiencing some post-acute withdrawal symptoms, more commonly referred to as PAWS. Exercise Can Battle Withdrawal Symptoms Many people talk about the loss of energy, fatigue, sleeplessness that may be present during this healing process. Exercise can be a great tool to offset some of these symptoms. Exercise does NOT need to be complicated! Exercise takes many different shapes and forms. It could be a low impact walk or a high intensity boot camp workout. Please take note that the intensity level does not equate to effectiveness; one size does not fit all! Exercise Provides Structure In Your Day Having structure is very important during early recovery. Having a regular and consistent exercise plan can occupy some of that space and provides you with control and predictability. It is also something that can prevent you from engaging in other unhealthy activities, for example: “I can’t go out drinking tonight because I have a workout in the morning.” Exercise can even help to restore a normal sleep schedule. GET THE ALCOHOL DETOX GUIDE Exercise During Recovery Feels Good Once your body begins to heal and your overall state of mind starts to shift, you will start to feel good after engaging in exercise. Start with an exercise that you know is enjoyable to you, especially if you are in early stages of recovery, since your body and mind are beginning to heal. Be sure to set yourself up for success. Once you have had a few successful experiences, think about trying something new to continue to stretch your exercise skills! Exercise is Good for Your Brain Research shows that exercise can increase the nerve connections in your brain, which will help heal the damage that occurred while actively using substances and alcohol. Exercise has also been found to help decrease symptoms of depression. For those in early recovery, it can decrease urges to use and distract from cravings. Overall, exercise has so many benefits that I hope this has sparked your motivation! Amanda Pitts, LADC-1 SCHEDULE A CALLBACK #### Expecting Miracles I’m not saying that miracles can’t and don’t happen anytime and anywhere, but seeing miracles is a daily occurrence in my job. For instance…this week James* came in to get his second naltrexone implant. April did the implant, but she grabbed me on his way out and said, “I knew you’d want to say hello to James.” Now I’m getting older and a lot of times it takes me a minute to remember who I’m looking at. That’s what was going on as I looked at this handsome, smiling young man in front of me. He grinned kind of sheepishly and said, “ Sorry I gave you guys such a hard time during my detox.” And then I remembered. James was terrified of the Accelerated Opiate Detox process. He had heard some horror stories about the ultra rapid detox done under anesthesia, but even more than that, he was terrified to give up his dope. It had become a very reliable friend to him. He had a three-week old son at home, and he knew he wanted to be the kind of dad this little one deserved. So he took a deep breath and went through with it. Checking on him the first couple weeks after he was done, James was struggling with anxiety and sleeping issues. We encouraged him, gave him some tips, urged him to continue with the therapist we’d helped him find and assured him what he was feeling was normal. And now, here he was, two months later. The 145 pound, 6 foot, acne-ridden guy that was with us in January was transformed. James has put on 15 pounds. His skin is clear, his smile is huge. He proudly flashed us a picture of his son. That’s a miracle. Look for another miracle story in the next couple days. Joan R. Shepherd, FNP *I don’t use anyone’s real name, and I change details that might identify a patient. #### Falling in Love with My Pillow (and Other Benefits of Sobriety) Who doesn’t want a better night’s sleep? I know I do. It makes me feel more invigorated and ready to face the day without thinking, “When can I take a nap?” Oh, and coffee helps too. I have a friend—let’s call her Kayla. About a year ago, Kayla shared an article on her Facebook page about a new “movement” called Sober Curious. The basic premise of the article was that an increasing number of people are questioning their drinking habits, abstaining from alcohol, and loving the results. Kayla was one of them and had read a number of books addressing this concept of choosing to abstain from alcohol and reaping the benefits. ASK FOR HELP Being curious and looking to sleep better, I fired up my Amazon Prime app and ordered a few books. You know where this is going. Yup, here I am, alcohol-free (AF) for a bit over a year, and I can honestly say I haven’t looked back. Sure, there are times I think, “Wouldn’t a glass of wine be nice,” but the overall positive effects of being alcohol-free are so profound that the thoughts have become quite rare and fleeting and almost incomprehensible. I would be hard-pressed to come up with a negative thing to say about sobriety from alcohol. But I can go on and on about the positive effects: Better sleep Clearer mind A sense of well-being Increased presence More meaningful relationships Significantly reduced expenses from dining out Improved mood Increased energy and productivity Sense of gratitude If I must be honest, though, I can think of one negative in my case. I have developed a new love of ice cream. But it’s not just ice cream; it’s all the toppings as well. While most people lose weight when they go AF, I have put on the “Freshman 15”. In the scheme of things, I’ll take it. With a cherry on the top. For many people, the disease of Alcohol Use Disorder or addiction is way more complicated, and the desire to stop and to read a self-help book is not enough. Not even close. Getting free from the grips of alcohol can be much harder and potentially dangerous. Supervised medical withdrawal is sometimes necessary. We here at the Coleman Institute for Addiction Medicine are ready to help you take your first step towards freedom from alcohol in a safe and comfortable way. In as little as 3 days. Once you are detoxed from alcohol, we will help guide you through a program of sobriety that makes sense for you. We offer naltrexone therapy as a proven way to reduce cravings from alcohol following detox. We also have a very high detox completion rate, so the odds are really in your favor. Give us a call. We can take the first steps together. Dr. Deborah Reich SCHEDULE A CALLBACK #### Feeding the Tiger Metaphor - What Is It & How to Get Help Recently a mother of one of my patients expressed her concern that although her daughter was willingly going through our Medically Assisted Opioid Withdrawal process and committed to not using narcotics, she was insistent about her intention to continue using pot when she returned home. Her daughter insists it is the only thing that helps with her anxiety. I don’t make any moral judgments about using marijuana, but I think it’s probably useful for someone who has the disease of addiction to be curious about alternative approaches to dealing with anxiety. There are so many great tools and therapists available to help people learn to coexist with their anxiety, and I struggle to simply see them surrender to a pharmaceutical “solution.” Acceptance and Commitment Therapy and Addiction I love the work that Dr. Stephen Hayes does with his Acceptance and Commitment Therapy or ACT. Here’s his way of describing what happens when we avoid dealing with anxiety. It’s an excerpt from his book Get out of Your Mind and Into Your Life: Feeding the Hungry Tiger Metaphor Imagine you wake up one morning and just outside your front door you find an adorable tiger kitten meowing. Of course you bring the cuddly little thing inside to keep it as a pet. After playing with him for a while, you notice he is still meowing, nonstop, and you realise that he must be hungry. You feed him a bit of bloody, red mince meat knowing that’s what tigers like to eat. You do this every day, and every day your pet tiger grows a bit bigger. Over the course of two years, your tiger’s daily meals change from hamburger scraps to prime ribs, to entire sides of beef. Soon your little pet no longer meows when hungry. Instead, he growls ferociously at you whenever he thinks it is meal time. Your cute little pet has turned into an uncontrollable, savage beast that will tear you apart if he doesn’t get what he wants. Your struggle with your painful thoughts & feelings can be compared to this imaginary pet tiger. Every time you empower your pain by feeding it red meat of experiential avoidance (i.e. anything you do that helps you avoid upsetting thoughts and feelings), you help your pain-tiger grow a little bit larger and a little bit stronger. Feeding it in this manner seems like the prudent thing to do. The pain-tiger growls ferociously telling you to feed it whatever it wants or it will eat you. Yet, every time you feed it, you help the pain to become stronger, more intimidating, and more controlling of your life. UNDERSTANDING ACCELERATED OPIOID DETOX Free Your Brain From Addiction Undoubtedly, many of the patients who find their way to The Coleman Institute have been feeding their tiger. I wonder where Dr. Hayes would take his metaphor after a person commits to a rapid detox off of opiates? Do they return home to an even angrier, hungrier, more ferocious tiger? Not likely. Getting the brain freed from substances is the starting point for people to accept their reality without too many embellishments that generate anxiety. For those for whom anxiety is their habitual state, be reassured-- it is a condition that is treated with incredible success in therapy. For patients who can’t get to a therapist easily, I often suggest The Mindfulness and Acceptance Workbook for Anxiety by Georg Eifert & John Forsyth. I love talking about this with patients and if you ‘d like to discuss it further, you can find me at The Coleman Institute’s Richmond, Virginia office from Monday through Thursday each week. Joan R. Shepherd, FNP SCHEDULE A CALLBACK #### Feeling Normal After Fentanyl Detox Audrey was worried about "feeling normal" after a Fentanyl Detox. So the Coleman Institute provided her with tips that helped her navigate through Post-Acute Withdrawal Symptoms (PAWS) and get a restful night's sleep. Audrey’s Fentanyl and Heroin Detox Story Audrey and her cousin Jim showed up at the office without an appointment. They were concerned. 5 days earlier, Audrey had completed a heroin and fentanyl detox at the Coleman Institute, with a bit of Suboxone® that she added at the end of her use to help stave off horrible withdrawal symptoms. She didn’t have the easiest detox I’ve ever seen, but she got through it and was able to have a naltrexone implant placed on day 6. She was also able to appear at her scheduled court date 48 hours after completion. More like this: Live a Life Free From Fentanyl Addiction with Naltrexone Audrey’s Support Person, Jim Jim had been Audrey’s support person through her Fentanyl Detox. Jim himself has been off narcotic pain medication for about 8 years after developing a physical dependency that morphed into addictive behavior following a series of surgeries and treatment with various opioids. Many of our patients have been prescribed pain medication such as Oxycontin®, Percocet®, Roxicet®, hydrocodone, morphine, tramadol, etc., and come to our offices for Accelerated Opioid Detox (AOD). Based on this history, Jim had a good understanding of what Audrey was going through. Still, the truth was that he had never experienced fentanyl. When Jim was still physically dependent on his drugs, he could get pills from people getting them from their doctors and pharmacies. Nowadays, most pills people buy on the street contain fentanyl. Fentanyl is 50 to 100 times stronger than morphine and much more challenging to stop using. More like this: Suboxone® Alternatives to Detox Off Pain Medication and That Street Pill Might Be Fentanyl Fentanyl Is Causing Longer Detoxes 14 years ago, we could do an Outpatient Heroin Detox or complete a detox for those taking 150mg to 200mg of pain medication in 3 days. With fentanyl, the minimum time for an Accelerated Detox is 5 days, and sometimes people do better with 6 or 7 days. Fentanyl is hard to quantify; so often, we find ourselves basing the length of the detox on how well our patient is doing. I don’t recall that anyone has gone longer than 8 days to get off fentanyl.   UNDERSTANDING ACCELERATED OPIOID DETOX   Post-Acute Withdrawal Symptoms (PAWS) for Fentanyl Detox Audrey’s biggest short-term challenge was that she wasn’t sleeping. Jim said she hadn’t slept more than 2 hours a night for the last 5 days since completing our outpatient detox program. This was worrisome for Audrey because she ran her own hectic and successful company and had issues to deal with daily (if not hourly). Not to mention some looming legal problems. One of the teaching points for our patients is to help them be ready for and expect some Post-Acute Withdrawal Symptoms (PAWS). Sometimes, when we prescribe our comfort meds at the start of the program, we add in extra, anticipating our patients will need some help for a little while once they go home. Probably the 2 most difficult things people deal with during and after detoxes are trouble sleeping and lack of energy. I’ve learned that when a drug is stopped, patients will experience the opposite effects of the drug. Opioids, which flood the brain with higher dopamine levels than the brain can compete with, give people bursts of energy. It is not a big surprise that insomnia, lethargy, and fatigue are the opposite effect. Recently, I heard a podcast interview with Dr. Anna Lembke, a Stanford Addiction Psychiatrist. In her book, Dopamine Nation: Finding Balance in the Age of Indulgence, she reinforces everything we say to our patients: You will get through this. Promise. More like this: What Is Dopamine & How Does It Keep Me Using Opioids? Feeling Normal After Fentanyl Detox I can’t provide an exact timeframe for everyone because of the type of drug, the amount and length of time a person has been taking it, and other medical or psychological conditions. But generally, we have seen that most patients begin to feel normal within 2 weeks to a month. In the severest cases, complete dopamine restoration can take several months. The single most important thing our patients can do is commit to abstinence. Hence, the brain has a chance to return to its baseline, or homeostasis. More like this: Is Recovery Possible For Fentanyl Addiction? Post Detox Support with the Coleman Institute Even though we know it may take several months for the brain to rebuild its dopamine supplies completely, it will happen. Patients who complete our Fentanyl Detox programs are routinely prescribed medication to help them get through this challenging period. In addition, our case managers have scheduled check-ins with our patients. They will be able to make sure they are doing okay and communicate with the clinical staff if intervention is needed. It’s helpful for our patients to understand that the initial Post-acute Withdrawal Symptoms (PAWS) after a Fentanyl Detox can be uncomfortable. However, it’s not the intense discomfort of acute, cold-turkey withdrawal with debilitating gastrointestinal side effects and flu-like symptoms. Instead, PAWS is restlessness, insomnia, anxiety, and to a lesser extent, some stomach cramping or muscle aches. This is an opportunity to practice some willingness to be uncomfortable. This is also when help from friends in recovery, support groups, and counseling is invaluable. More like this: Addiction Myths Helping Audrey Sleep Talking to Jim and Audrey, I learned that she had not been using any of the extra comfort meds we had prescribed since she returned home. Although she came to us because she was using heroin and fentanyl, she admitted that, ironically, she didn’t like to take pills. We discussed how a sleep aid could help in the short term, assuring her this was just a temporary situation. She was relieved. We arranged for a phone follow-up in a few days to assess her sleep and discuss any other concerns. At the follow-up, some of Audrey’s PAWS were improving, but she was still struggling with only getting 4.5 to 5 hours of sleep. I prescribed different sleep medications and took a thorough inventory of her sleep hygiene habits: How much caffeine was she consuming? Was she getting any physical exercise? Was she completely blackening her room at bedtime? How much was screen time happening at rest? How close to bedtime was she eating? We discussed some non-pharmaceutical tips to help her get better, more consistent sleep. She will follow up with her case manager in a few days, and I suspect things will be looking a lot different by then. More like this: Healing the Brain After Opioid Detox and Withdrawal Treating Fentanyl Addiction at the Coleman Institute The artist Georgia O’Keefe once said, “To create one’s world takes courage.” We provide a safe, more comfortable, and affordable detox in an outpatient setting. The Coleman Institute has specialized in using long-acting naltrexone to help people detox off of fentanyl or opioids for over 25 years. Consider contacting the Coleman Institute if you are ready to ‘create your world’ and realize you have crossed the line into a physical dependence or addiction to opioids. In the meantime, stay safe. Joan R. Shepherd, FNP SCHEDULE A CALLBACK #### Fentanyl in Cocaine: The Deadly Pairing I heard a disturbing report on National Public Radio (NPR) this morning. The report was called: Fentanyl-Laced Cocaine Becoming A Deadly Problem Among Drug Users. More and more people are dying from fentanyl being placed in cocaine. Heroin Laced Fentanyl Already we are losing thousands in the United States to heroin laced with fentanyl. At the various Coleman Institute locations around the country, it is becoming more the rule than the exception that, when a person comes in to detox off heroin, he or she also tests positive for fentanyl. Sometimes they admit to knowing about fentanyl and sometimes they are shocked to learn about it. The good news is that if they have shown up for a detox, it didn’t kill them. NPR Article on Fentanyl-Laced Cocaine The NPR article states that more and more cases of cocaine laced with fentanyl are showing up; at least 10 states have reported finding the combination. Many people are able to use cocaine periodically because it does not create physical dependence. But, when it is laced with an opioid and used regularly, physical dependence develops. A new customer is created because they will do whatever it takes to avoid the horrible symptoms of opioid withdrawal. Accelerated Opioid Detox (AOD) At the Coleman Institute, we specialize in Accelerated Opioid Detox (AOD), to help get people off Percocet®, Vicodin®, Opana®, Dilaudid®, fentanyl, heroin, methadone, buprenorphine, etc. Some of our locations also have accelerated processes to get people off alcohol, as well as benzodiazepines such as Xanax®, Ativan®, and Valium®. For the opioid and alcohol program, we insert a naltrexone implant under the skin of the abdomen after the completion of the medically-supervised detoxification. The slow, steady release of naltrexone will occupy – thus blocking — opioid receptors for about two months in most patients. For people receiving naltrexone for alcohol, they experience less cravings, less impulse to drink, and experience less pleasure in drinking. UNDERSTANDING ACCELERATED OPIOID DETOX If you are wondering “does suboxone block coke”, the answer is simple, naltrexone does not block cocaine. When patients return for follow-up naltrexone implants, we routinely do a urine drug screen (UDS) and catch up on how life without opioids is going. Needless to say, for the vast majority of these people, life is far better. Their energy, sleep, relationships, depression, anxiety, employment, and health are all improving. Most have clean urines and are engaging in some kind of counseling, treatment programs, or recovery meetings. Occasionally we find pot, benzos, or cocaine in the UDS. The presence of any of these drugs does not prevent receiving the naltrexone implant. Because naltrexone only affects the opioid receptors, it really does not help a person who chooses to use these other substances, nor is it dangerous to combine them with naltrexone. Our conversation with these patients will morph toward inviting them to become curious about why they continue to feel compelled to alter their reality. But rarely do we refuse the naltrexone implant. Conclusion Now, with the news of fentanyl in cocaine, urging patients to avoid cocaine will become a greater priority. We encourage most of our patients to stay on naltrexone for at least a year. During that time, we encourage them to engage in treatment to learn the coping skills it will take to live a life free from altering their reality with drugs. It is concerning to think that a patient who has achieved the impressive feat of stopping opioid use may succumb because of a spontaneous, ill-planned, use of cocaine. Joan R. Shepherd, FNP SCHEDULE A CALLBACK Last Updated: January 17, 2022 #### Fentanyl Withdrawal Symptoms: What to Expect When Detoxing Fentanyl, a potent synthetic opioid used medically to manage severe pain, is a catalyst for the worst drug epidemic in our nation’s history and is responsible for the deaths of approximately 200 people each day. Estimated to be 50 to 100 times more potent than morphine and about 50 times more potent than heroin, fentanyl is highly addictive and causes dependency with just a few doses. When a person stops using fentanyl they can experience extremely uncomfortable withdrawal symptoms, but these can be mitigated with an effective detox program administered by experienced medical professionals. What Is Fentanyl? Fentanyl is a prescription opioid, often used in a medical setting for pain management, especially in cases of severe pain like after surgery or for patients with chronic pain conditions. It is available under various brand names and in various forms, including patches, lozenges, and injectable solutions. Due to its potency, it carries a high risk of overdose, especially if used outside of medical recommendations or mixed with other substances. Its illicit use or misuse has been a significant factor in the opioid crisis observed over the past few decades. Why Do Fentanyl Withdrawal Symptoms Occur? When a person uses opioids like fentanyl consistently over time, their body becomes accustomed to the presence of the drug and develops a dependency. The brain changes its chemistry and function to adapt. Once the drug is no longer available or is taken in lesser quantities, the body reacts, leading to withdrawal symptoms. Symptoms of Fentanyl Withdrawal Fentanyl withdrawal symptoms can vary in severity and duration based on various factors, including the length of use, the dose, and individual physical characteristics. Here is a breakdown of what someone might experience: Early Symptoms (6-12 hours after the last dose) Anxiety or agitation Runny nose Excessive yawning Insomnia Sweating Teary eyes Muscle aches and pains Peak Symptoms (2-3 days after the last dose) Nausea and vomiting Diarrhea Abdominal cramps Goosebumps Pupil dilation Rapid heartbeat High blood pressure Intense drug cravings Late Symptoms (up to a week or more after the last dose) Depression or mood swings Fatigue Trouble concentrating Continued drug cravings GET THE FENTANYL DETOX GUIDE Post-Acute Withdrawal Syndrome (PAWS) For some individuals, even after the initial withdrawal symptoms have passed, a second phase known as post-acute withdrawal syndrome (PAWS) can set in. Post-Acute Withdrawal Syndrome symptoms include: Mood Fluctuations: Including periods of irritability or anxiety. Sleep Disturbances: Continuing insomnia or altered sleep patterns. Cognitive Challenges: Difficulty with memory, concentration, or decision-making. Physical Symptoms: Dizziness, numbness, or increased sensitivity to pain. While PAWS can last for weeks to months, understanding and preparing for it is crucial. Ongoing counseling, support group participation, and healthy lifestyle habits can help manage PAWS symptoms. Fentanyl Detox and Treatment Near You Given the intensity of withdrawal symptoms and the potential for complications, it’s essential to approach fentanyl detox under medical supervision. The Coleman Method utilizes Medication-Assited Treatment (MAT) with Naltrexone—a non-addictive, non-opioid that blocks the euphoric and sedative effects of opiates—alongside other comfort medications to clear the brain of Fentanyl quickly and ease withdrawal symptoms. Our outpatient detox program has a 98% completion rate and can be finished in as little as 5-6 days. There is no need for a hospital stay, and patients’ daily routines remain largely uninterrupted. For those living close by, nights can be spent at home, ensuring rest in a familiar setting, and those traveling can return to their hotel or place of lodging each day. Once your Accelerated Fentanyl Detox is done, we assist you in addressing any lingering withdrawal symptoms, reinforcing your progress toward recovery. Coping Mechanisms for Fentanyl Detox For those undergoing fentanyl withdrawal, certain coping mechanisms can aid the process: Stay Hydrated: Drink plenty of water to counteract the dehydrating effects of symptoms like sweating, diarrhea, and vomiting. Nutrition: A balanced diet can support recovery. Vitamins and minerals, especially from fruits and vegetables, can help repair the body. Exercise: Mild to moderate exercise can release endorphins, natural painkillers, that can help with muscle aches and mood swings. Mindfulness and Meditation: Practices like meditation, deep breathing exercises, and progressive muscle relaxation can alleviate anxiety and stress. Sleep: While insomnia is a common withdrawal symptom, establishing a regular sleep pattern helps. Avoid caffeine in the evening and try relaxation techniques before bed. Detox Complications and Concerns Like most opioids, Fentanyl withdrawal can be severely uncomfortable. However, some complications can arise: Dehydration: Due to symptoms like vomiting and diarrhea, there’s a risk of dehydration. This can lead to more severe complications if not addressed. Relapse: The intense cravings during withdrawal can lead to relapse, which carries a high risk of overdose, especially if the person takes the amount they were accustomed to before detoxing. The Coleman Method uses Naltrexone therapy to curb these cravings by blocking opioid receptors in the brain throughout the initial recovery period, reducing the risk of patients feeling the “high” normally associated with opioid use. Mental Health: Depression, anxiety, and other mental health issues can be exacerbated during withdrawal, increasing the risk of self-harm or suicidal thoughts. A Beacon of Hope for Recovery Despite the challenges, countless success stories of recovery from fentanyl addiction highlight the human spirit's resilience. Comprehensive treatment, community support, and societal interventions can help reduce the risk of relapse. With ongoing research, evolving treatments, and heightened awareness, society can move towards a holistic approach to manage and mitigate the challenges posed by fentanyl and other opioids. Detoxing from fentanyl is a difficult process, but recovery is possible. Remember—reclaiming your life from fentanyl dependency or addiction is a journey, and every step is progress toward a healthier, more fulfilling future. SCHEDULE A CALLBACK #### Finding Help to Detox Off Heroin Every day my colleagues and I at The Coleman Institute for Addiction Medicine work with people who are holding their breath, desperate to keep their child, spouse, partner, or dear friend alive and free from the ravages brought on by addiction to various substances. We are fortunate to have as an integral part of our team, compassionate and qualified case managers and social workers who amplify our program from a safe, efficient, out-patient drug detox rubric to a spectrum of bespoke services; individual treatment for people with varying levels of care needs. The Starting Point Once a client is engaged with the Coleman Institute, the journey toward recovery begins to reveal itself. But regardless of what substance a person desires to stop, physical detoxification has to be the starting point. We specialize in helping people get off alcohol, benzodiazepines, and opioids in their many faces: heroin, fentanyl, methadone, buprenorphine, codeine, Dilaudid, hydrocodone, morphine, tramadol, kratom, oxycodone, oxymorphone, etc. A Mother’s Real Experience I asked the mother of a patient who detoxed off opioids and who is now well into her second year of sobriety to write a guest blog describing her experience: I remember exactly where I was on a hot August day when I got a call from my ex-husband saying he had discovered that our daughter, 30, was using opiates. Stunned, I found a parking place and tried not to completely freak out. There would be time for that later. I remember thinking, “Our lives have changed forever.” UNDERSTANDING ACCELERATED OPIOID DETOX Not Knowing What to Expect Call me naive, but I never thought this child would choose to use anything other than alcohol and marijuana, both of which I already knew were part of her recreational activities. So I was shocked and afraid for her. I told her dad that we needed to act immediately, that her next use could be her last. Neither of us had any idea of how to proceed. When to tell her we knew? How to tell her, what words to use for the best outcome? Was she in so deep she’d need rehab or could she just stop? Ah, how clueless I was. Our Plan Forward She was living out of town so we had to wait for her to come home for a visit. Her dad and I wanted to hammer out exactly what to say and we had no idea where to start. I had heard of a local residential treatment program, so I called and spoke to a woman there who gave me important advice: whatever we do or say, we must do it out of love for our girl, not anger. Tell her how much we love her. And have a plan in place. I sought help from a local Nar-Anon group a friend told me about. That group was immensely helpful in helping us form our plan and move forward. Meanwhile, every day I was worried out of my mind about her using, possibly fatally, and the confrontation we were getting ready to have. On the next weekend she was home, she found out that we had discovered her secret so we agreed to meet the next morning. My stomach hurt and my heart ached and I was full of fright. We sat down in the family room and talked about our fear and our love for her and that we hoped she’d be willing to go to the local program and talk to them about her options. We set the rule that she could not stay in either of our houses as long as she was using. So she reluctantly agreed to go and she and I headed directly there. They were expecting us. What To Do Next When we arrived, she met with an intake staff member for 45 minutes. He impressed upon her the need to get help immediately, that if she kept using, she would ultimately die. Heroin is fatal. It was a heavy message, and she came out of his office shaking and tearful. He took us to see the women’s residential recovery house and pressed her to make a decision to sign on, but she wanted to think about it. Back at her dad’s, I called another nearby rehab program; really because it was the only one I knew of. They said she could come, and her insurance agreed to cover it so her dad and I took her there the next day. We drove away feeling like we’d done the right thing, and she’d be safe there. Two hours later she called and said we had to pick her up. What?? A girl who had been there for several days had told the director that, because her boyfriend was the brother of a friend of our daughter, she felt uncomfortable. We felt that that was an unreasonable decision but picked our daughter up, headed home and wondered what to do next. A Pinnacle Moment Because she had not been using that long and she was detoxed, we decided that she would put together her own program by going to meetings and not using. Her dad and I thought that maybe we’d caught it early enough that this might work. What did we know?! That was November and we lived on eggshells through the holidays. I told the few friends who knew about what was going on that I felt we’d dodged a bullet. It was a combination of denial and hope that we were done with the situation. At lunch with her one day, I asked her if she was using drugs because I suspected that she might be and she flat out denied it, even swore on her beloved dog that she was not using and I wanted to believe her. She was lying. In January, she called me in tears. “I’ve relapsed and I’m so sorry, but I’ve already called the rehab program and they have room, and I’ve called my insurance company, and I’ve called the Coleman Institute about their detox program.” This time was different. She had tried to detox herself and it was a horrific experience. She described the violent chills and shaking and getting into the shower with a blanket around her as she desperately tried to get through it. She really wanted help this time. I was so grateful that she had not resumed use when things got bad but sought help instead… that was a pinnacle moment. Getting the Help She Needed She spent a week following Coleman’s medical detox protocol -- prescribed meds to help her get through the withdrawal mostly by sleeping and a visit to the clinic every morning to check in. Then she packed her suitcase again and we headed back to the treatment program where she remained for the next month. At this facility, the residents are up every morning at 5 to go work out at the Y. Days are filled with one-on-one sessions with three therapists as well as group meetings. She had been needing intensive therapy like that for years, and she immersed herself in the opportunity to learn and heal. By the time her dad and I attended family day, she had made giant strides and was embracing her recovery without hesitation. The intensive therapy was giving her the space to dig into issues that had been needing attention. She came home after a month and decided to live with me for a while. I was honored to watch her recovery unfold through meetings, a sponsor and determination. She was enthusiastic and positive and remains so 17 months later. She has moved out into her own apartment and recently got a promotion at her job. I know there are no guarantees, but every day that she is clean and sober I am grateful for. Sharing the Journey Our daughter has been very public about her recovery, a position I felt uncomfortable with at first. My father was an alcoholic and back in the day we didn’t speak of it to anyone… it was a family secret that made us all unhealthy. When I mentioned to her that maybe she shouldn’t be quite so open about her story, she admonished me, “Mom, there is no shame in recovery!” She was right and I have chosen to be open as well, hoping that our story may help someone else. I so appreciate the people who helped us when our heads were spinning and set us on a healthy path. They helped us understand the urgency of the situation. The staff at the Coleman Institute were professional, friendly and non-judgmental. Her 30-day treatment program matched her needs. And I’m especially thankful for support from members of the Nar-Anon group at a local church. We could not have done it alone and are grateful for the guidance and kindness of everyone. SCHEDULE A CALLBACK #### Five Facts About Kratom and Opioid Withdrawal One of the biggest roadblocks for people who want to stop using opioids is the fear of severe withdrawal. Many patients come to us after attempting to use other substances to try and mitigate their withdrawal symptoms. One of the substances we’ve heard about recently is kratom, which has gained popularity in recent years due to the belief that it can help patients deal with the symptoms associated with detox and withdrawal from opioids. But when a person attempts to self-detox by using a substance like kratom, they may be doing themselves more harm than good. So is Kratom an effective solution for patients detoxing from opioids? Here are five important facts to know about kratom and opioid withdrawal. Fact #1: Kratom Triggers Opioid Receptors in the Brain So what is Kratom exactly? It is a powdery substance derived from a tropical tree native to Southeast Asia. The leaves of this tree contain naturally occurring compounds called alkaloids, which interact with the same opioid receptors in the brain that activate when opioid drugs like fentanyl, heroin, and various types of prescription opioid pain relievers are used. Kratom’s effects vary depending on the dose. At low doses, kratom can produce stimulant effects, such as increased energy, alertness, and sociability. Higher doses of kratom can cause more opioid-like sedative effects, such as pain relief, sedation, and euphoria. The opioid-like effects seem to be the reason that kratom is promoted as a way to help with opiate withdrawal symptoms. But kratom use is not without its dangers. Kratom’s side effects can be very serious. Fact #2: Kratom Can Lead to Dependence or Addiction When a person ingests kratom, the alkaloids in the leaves stimulate the same opioid receptors in the brain that are stimulated when a person uses fentanyl, heroin, and other opioid drugs. Because these receptors are such powerful reward centers in the brain, any substance that stimulates them has the potential to be addictive. Kratom is no exception. People who attempt to replace opioids with kratom risk trading one addiction for another, or worse, becoming addicted to both kratom and opioids. Kratom’s effects are so similar to opioids that people who are trying to use kratom to transition away from opioids can be at high risk of relapsing back onto the more dangerous opioid they are trying to quit. Prolonged use of kratom can lead a person to develop a tolerance that diminishes its effectiveness and requires them to take larger and larger doses to feel the same effects. As the brain adapts to kratom usage, physical and psychological dependence can take hold. A person can feel, both physically and mentally, that they need to keep taking kratom just to feel normal. Stopping kratom use at this point can lead to serious withdrawal symptoms. Fact #3: Kratom’s Withdrawal Symptoms Can Be Severe Kratom use, like the use of any substance that can cause addiction and dependence, can lead to severe withdrawal symptoms when use is stopped. The symptoms of kratom withdrawal are very similar to the symptoms associated with opioid withdrawal. They include: Abdominal cramps Muscle aches and pains Excessive sweating Blurred vision Nausea Vomiting Diarrhea Anxiety Irritability Fatigue Severe cravings for kratom People who form a dependence or addiction to kratom can find it very difficult to stop using it because of how uncomfortable these withdrawal symptoms can be. FREE GUIDE TO UNDERSTANDING ACCELERATED OPIOID DETOX Fact #4: Kratom Isn’t Safe to Use Just Because It is “Natural” There is a common misconception that because kratom is “natural” and derived from a plant, it should be safe to use, but this is far from the truth. Kratom use comes with many side effects, including: Agitation Increased heart rate Drowsiness Vomiting Confusion Seizures Hallucinations Slowed or stopped breathing Risk of coma, overdose, or death The FDA has not approved any form of kratom for any medicinal use. Very few scientific studies have been done on the effects of kratom or how kratom interacts with other substances a person might be using. There are no consistent standards of quality. There is no agreed-upon safe dose. The market for kratom in the United States is virtually unregulated, and the DEA recently listed kratom as a Drug and Chemical of Concern. There have been reports of kratom being contaminated with salmonella and making people who use it ill. Other reports have shown that kratom can contain high levels of heavy metals, which can lead to heavy metal poisoning and cause vital organ damage to the brain and liver. There have also been reports of overdoses involving kratom. Most of these overdoses also involved an opioid or another substance that contributed to the overdose, but some overdose cases were only attributed to kratom. Fact #5: Kratom is Only Legal in Certain Areas Kratom’s legality in the United States varies from state to state. In some states, kratom is completely legal with virtually no restrictions. In some states, kratom is legal in most of the state, but is illegal in certain municipalities. In some states, kratom is legal, but with certain age restrictions. And in some states, kratom is outright banned. Each state where kratom is currently legal has its own set of rules and regulations that govern the manufacturing, distribution, sale, marketing, and consumption of kratom, and new bills are being introduced all the time at both the state and federal level that could further change kratom’s legal status. If you are thinking about using kratom to help with opioid withdrawal, you may be entering a legal gray area. It is best to find a trusted opioid detox method that is legal with proven results. The Coleman Method: An Outpatient Opioid Detox Program That Works The best way to stop using opioids while mitigating uncomfortable withdrawal symptoms is to seek out professional help and an effective treatment program. There are many options for medical detoxification with their own strengths and weaknesses, and Accelerated Opioid Detox using the Coleman Method offers a safer, faster, more comfortable option than many traditional methods. Our outpatient detox program can be completed in as few as 3 days and has a 98% completion rate. We use a combination of comfort medications and Naltrexone, a medication that blocks the opioid receptors in the brain to reduce cravings and block the effects of opioids, to remove the opioids from the patient’s brain and make the withdrawal process safe and comfortable. No hospital stay is required, and we do not use general anesthesia or potentially addictive medications. We also offer post-detox support using long-acting Naltrexone in either implant or injection form that offers lasting support and helps our patients form healthier habits to start a new life free from addiction. If you or someone you know is ready to get into detox and recovery for opioid use, please know that you don’t have to go it alone. The addiction recovery specialists at the Coleman Institute are here to help you. Contact the patient care team in our Richmond, VA, office or call the nearest nationwide location now for more information. SCHEDULE A CALLBACK #### Flumazenil for Benzo Withdrawals - The Coleman Institute's Outpatient Detox Approach Benzodiazepines, commonly known as benzos, are medications frequently prescribed to manage anxiety, panic disorders, and sleep issues. Drugs such as Xanax, Ativan, Klonopin, and Valium can be helpful in the short term, but prolonged use can lead to dependence and, for many people, a difficult road when it's time to stop. If you've tried to reduce or stop your use of benzodiazepines and experienced distressing withdrawal symptoms, you're not alone. We've worked with thousands in similar situations at The Coleman Institute. That's why we developed our Rapid Benzo Detox program, which includes a unique and highly effective component, Flumazenil. The Coleman Institute is the only provider in the United States offering this Flumazenil-assisted protocol. This treatment is available exclusively at our Richmond, Virginia, and Denver, Colorado, locations. Understanding Benzo Withdrawal People often begin taking benzodiazepines under a doctor's care, with good intentions and a valid need; whether it's to treat anxiety, get sleep under control, or manage symptoms of panic disorder. But over time, the body becomes dependent, and stopping the medication abruptly, or even tapering slowly, can lead to overwhelming withdrawal symptoms. Common benzo withdrawal symptoms include: Intense anxiety or panic attacks Insomnia or disrupted sleep Muscle stiffness, tremors, or spasms Light, sound, or touch sensitivity Mood swings or irritability Poor concentration or brain fog Nausea, dizziness, or heart palpitations These symptoms can range from mild to severe and may last for weeks or even longer after stopping. The fear of going through withdrawal is often what keeps people stuck in a cycle of continued use. This is where Flumazenil can make a real difference. What Is Flumazenil & How Does It Help? Flumazenil is a medication that was originally developed to reverse the effects of benzodiazepines in emergency overdose situations. However, when administered in a slow and controlled way, it has a unique benefit: it can help the brain reset its sensitivity to benzodiazepines. Benzodiazepines act on the brain's GABA receptors, which regulate feelings of calmness, sleepiness, and relaxation. Long-term use of benzos can desensitize these receptors over time. When you suddenly stop taking the medication, the brain becomes overstimulated, leading to the intense symptoms of withdrawal. Flumazenil helps gently re-regulate these receptors, which can ease the symptoms of withdrawal and shorten the detox process. The Coleman Institute's Flumazenil-Based Detox Protocol At The Coleman Institute, we've developed a structured, medically supervised outpatient program that combines Flumazenil with comfort medications and compassionate care. This approach allows patients to stop benzos quickly and safely, without the need for hospitalization or inpatient rehab. Key benefits of our Rapid Benzo Detox program: Detox in as little as 8 days Outpatient care with no overnight stay Effective Flumazenil infusion protocol Daily clinical monitoring & comfort medications Compassionate, experienced medical team Aftercare planning to support your long-term recovery This program is carefully customized for each individual and includes daily IV Flumazenil infusions along with medications to manage symptoms like sleep disturbances, anxiety, and physical discomfort. You won't find this protocol anywhere else in the country. Why Choose The Coleman Institute? Since 1998, The Coleman Institute has helped thousands of patients nationwide detox from substances including opioids, alcohol, benzodiazepines, and more. We're known for our compassionate, evidence-based outpatient programs prioritizing comfort, safety, and effectiveness. Whether you've been taking benzos for a few months or many years, we're here to help you take the next step toward healing, without judgment and with support every step of the way. Who Is a Good Fit for This Program? Our Flumazenil-based detox is ideal for people who: Have been taking benzodiazepines regularly & want to stop Tried tapering off benzos in the past without success Experienced intense withdrawal symptoms during previous attempts Are seeking a discreet, non-residential treatment option Want a faster & more comfortable alternative to long-term tapering Whether your use started with a prescription or otherwise, our priority is to help you detox safely and begin your recovery with confidence. What to Expect During Your Detox Your treatment experience is tailored to your individual needs, but here's what most patients can expect: Pre-detox medical evaluation to assess health history & current usage Daily clinic visits for IV Flumazenil infusions & symptom management Comfort medications to reduce physical & emotional distress Medical supervision & monitoring throughout the process A personalized aftercare plan to promote long-term success Many patients report improved clarity, reduced anxiety, and better sleep even before detox is complete. Recovery is Possible & We Can Help Benzodiazepine dependence can feel isolating, but we're here to help you along your recovery journey. Our unique Flumazenil-assisted outpatient detox program can help you reclaim your life with fewer withdrawal symptoms and a much smoother transition off benzos. We are the only treatment center in the U.S. offering this Flumazenil-assisted outpatient detox protocol. Call us today at 571-620-5985 to speak with a recovery expert. #### Freakin' Fentanyl Oscar* is 26 years old, has a girlfriend of five years and a one-year-old son. He has worked for a well-known delivery company for the better part of four years and has excellent insurance and benefits. Several months ago, he was physically dependent on fentanyl. When Oscar called the Coleman Institute for Addiction Medicine in Richmond, Va., he told me that he had ‘played around’ with opioids in his teenage years, taking a Percocet or two at parties, and of course, his friends always knew there would be hydrocodone to share whenever anyone had their wisdom teeth removed. He smoked a little cannabis and drank some beer, but rarely overdid it. He was the guy who always had a job and was always a very reliable employee. When Pain Pills Lead to Dependency Working in the delivery business is an extremely physical job. Covid caused demand for these types of services to skyrocket and--not surprisingly—a corresponding rise in aches, pains, and injuries among people who work in that business. Oscar somewhat naïvely accepted the occasional pain pill from various colleagues. A back sprain caused him to miss several days of work, but there was pressure to be back, and he really does love his job. Thinking it would expedite his return to work, Oscar found a colleague who was able to get him about a month’s worth of pain medication. Oscar found that not only did his back feel better, but his energy was amazing! Suddenly he was breaking his own personal best delivery records, and if he had a pill prior to coming home, he was—in his mind—a better father and partner. Very quickly he was able to justify the use of pain medications to himself. His life seemed better in so many ways. Of course, Oscar had heard about all the dangers of being on such drugs. Frequently he told himself he should take a ‘drug holiday’ to cleanse his body, but even his denial wasn’t strong enough to recognize that within six to seven hours, if he didn’t have a pill, he’d start sweating and feeling a little queasy. The colleague supplying him with pills was getting them from someone who got them from someone who got them from someone—who got them prescribed by a doctor. They were pharmaceutical grade pills and actually did contain oxycodone. But then something—the details are unknown to Oscar—broke down the distribution chain. The pills were no longer available. “It was horrifying,” Oscar told me, “to realize I didn’t just want these pills, I needed them.” UNDERSTANDING ACCELERATED OPIOID DETOX Unknowingly Taking Fentanyl Oscar’s colleague was a resourceful guy and assured Oscar he could find another source. And he did. He provided Oscar with a bottle of small blue pills that were scored and stamped with a letter and a number. Clearly, he told himself, these were legitimate pills, even though they looked slightly different from the previous ones. And the pills were now necessary for Oscar to be able to get through a morning of work. He was less interested in the energy they gave him and more concerned about not getting sick. “I was disgusted with myself. I had known so many people that had fallen into this trap and I thought I was way too smart for it to happen to me.” He was spending lots of money on the pills and worse, he was lying to his girlfriend. He started looking around on the internet for possible solutions and was overwhelmed with the barrage of information out there. He started to get suspicious that his pills were not oxycodone, but instead were fentanyl. This was even more terrifying because he was aware that fentanyl is 100 times stronger than morphine and he read that a portion of fentanyl the size of a grain of rice was enough to kill someone with low or no tolerance. The opioid crisis has rallied many people in our country to respond. Medical treatment for Opioid Use Disorder (OUD) has become more available as fewer restrictions have been placed on medical providers prescribing medication such as Suboxone (buprenorphine/naloxone). Suboxone is known as a partial agonist because the buprenorphine component will attach to the opiate receptors, keeping a patient from withdrawal. “It can last for a good 24 hours, so a person using this for his OUD does not necessarily need another dose of opioids every few hours to reduce the risk of withdrawal. Methadone is another medication widely available in clinics around the country. Both Suboxone and Methadone are medications that will occupy the opiate receptors and when correctly dosed, relieve the cravings for opioids. Alternatives to Suboxone and Methadone #### From Anxiety to Peace Besides helping people release themselves from chemical addictions and launch new lives through our various Accelerated Opioid Detox programs, we also have a pretty robust family practice. Many people in our community with addiction issues become our family practice patients. It’s helpful for your doctor to know your history and understand the medical problems that accompany alcohol and/or other drug addiction. I am humbled and inspired when people with long-term sobriety come for an office visit. There is an air of joy, acceptance, and perspective. In contrast to patients who are experiencing acute anxiety (which is not uncommon in early recovery), these patients radiate a peacefulness about them-even in the presence of complex medical, emotional or social issues. The message they send is: I could have been dead so many times in the past because of things I’ve done, every extra day is a gift. Most of these folks spend some part of their week in ‘selfless giving.’ They are quietly accessible to others who need help. They live in deep joy but not in deep drama. The staff at The Coleman Institute in Richmond, Virginia are no strangers to the occasional difficulties that arise during rapid opioid detox, and we know how to help our patients through it. However, it is incredibly gratifying to watch these patients continue to unfold into greater self love and improved health over the years as they embrace long term recovery. If you or a loved one need some help getting off opiates (or alcohol or benzos), I hope you’ll call. If you’d like to continue in Family Practice with us, we’re available and ready to help. Joan Shepherd, FNP #### From Bad Habit to Full Fentanyl Recovery We answer “what good can come from a bad fentanyl habit?” and how the Coleman Institute can help you live a life in full fentanyl recovery. Fred’s Story While meeting with my patient Fred yesterday, who sees me for the Coleman Institute’s Accelerated Opioid Detox, I was reminded of the illuminating work of one of my favorite social psychologists, Dr. Martha Beck. Fred is 35 and has been off the streets for about 8 months now. He told me that he is daring to have hope again. While this is scary, Fred adds another 24 hours of sobriety and continued growth each day, spiritually, emotionally, mentally, and physically. He builds evidence that he can have the kind of life he wants. More like this: Is Recovery Possible For Fentanyl Addiction? “Steering by Starlight” Exercise for Recovery I thought about Dr. Martha Beck because of an exercise from her book Steering by Starlight. Her intention with this exercise is to help people look at an adverse or tragic event in their life. Then map out how it may have contributed to something in their life they currently cherish. It goes something like this: Think of a Very Good Thing (VGT) in your life-a relationship, a pet, a job, your recovery, a treasured object, “without which your world would feel significantly bleaker.” Next, recall a positive turn of events in your life that enabled you to have this VGT. This is a ‘proximate cause’-something that is directly linked to your Very Good Thing. Now read over the event you just described and describe something else that happened to make that event possible. This is an ‘antecedent to the proximate cause’ in fancy terms. Her next step is to continue this ‘future to past’ chain until you can think of one piece of “bad luck” that helped your VGT come into your life. Her exercise helps shift one’s perspective from seeing “bad things” as separate events from positive things. But instead to be able to say: “My destiny was to have this Very Good Thing. So, therefore, this bad thing happened to make my Very Good Thing possible.” And this is how I heard Fred connecting his dots when we spoke yesterday. More like this: Addiction Resources Fred’s Very Favorite Thing Fred’s Very Favorite Thing is being back in school and pursuing his education. He is in his first semester toward completing a psychology degree he started some years ago. He was generically interested in psychology some years ago but now has a passion for working with people who have Substance Use Disorders (SUD). He has simultaneously taken the first steps to become a Certified Peer Recovery Specialist. Proximate Cause The proximate cause of this event was being asked to be the recovery house manager in which he lives. Being in this position opened doors for him. It gave him the confidence to see the leadership qualities in himself that other people recognized. Antecedent to the Proximate Cause An antecedent to the proximate cause (if we’re all fancy here) would be the court-ordered mandate that he spend a year in a recovery house. Fred was fortunate enough to have a judge, a lawyer, and a parole officer who recognized treating Substance Use Disorder (SUD) as a health problem. Rather than simply a crime, it may produce far better outcomes for people’s lives. More like this: 5 Scary Things People With Substance Use Disorder Believe Bad Event Continuing to move backward in the narrative, it wasn’t hard for Fred to find the “bad event” that eventually supported his Very Good Thing. About 14 months earlier, Fred had a terrible incident with a horrible drug dealer. It led to many legal consequences, including being put in the position of testifying against this terrifying guy. But unfortunately, it also led to medical issues because this scary guy shot Fred in the abdomen, which required weeks of being hospitalized. Beyond physical healing, Fred continues to work with therapists because of the horrendous Post Traumatic Stress Disorder of this experience. In addition, he was previously self-described as a strong extrovert. Fred challenges himself to interact with people in his house but still struggles with being in public places. However, he has found great comfort in a nearby library and can participate in his university classes online.   UNDERSTANDING ACCELERATED OPIOID DETOX   Accelerated Opioid Detox At the Coleman Institute, we treat people with Substance Use Disorders, meeting them where they are. Our Accelerated Opioid Detox helps people achieve their recovery goals by providing Medically-Assisted Treatment (MAT) as an alternative to using heroin, fentanyl, or other short-acting opioids. Other patients seek our services in getting on naltrexone, another form of Medication-Assisted Treatment for Substance Use Disorder (SUD). Naltrexone is considered an opioid antagonist, for it completely sits on and blocks the opioid receptors from other opioids. As a result, it does not produce physical dependence; therefore, there will be no withdrawal when one stops taking it. More like this: Live a Life Free From Fentanyl Addiction with Naltrexone How Does an Accelerated Opioid Detox Work? A person must be free from short-acting opioids before they can have naltrexone to avoid experiencing precipitated fentanyl withdrawal symptoms. The Coleman Institute has long specialized in removing heroin, fentanyl, kratom, oxycodone, buprenorphine, hydrocodone, and other opioids through our Accelerated Opioid Detox (AOD) program. Depending on what drug is being taken, our outpatient fentanyl withdrawal management program using The Coleman Method lasts anywhere from 3 to 10 days. The fentanyl detox program includes a generous regimen of comfort medications, substantial involvement with the patient’s support person of choice, 6 months of case management and follow-up, and 6 months of naltrexone therapy in most cases. Many insurance companies now recognize that not everyone with a Substance Use Disorder desires treatment with a long-acting opioid such as Suboxone®. So, several are covering the cost of the detox on an in-network basis at specific locations. More like this: The Truth About Suboxone® & How to Detox Conclusion The opioid crisis in our country has shaken us into abrupt awareness of the need for good treatment. Resources are abundant, and more people who have once been the victims of fentanyl addiction have turned their lives around to serve people in similar circumstances. In addition, professional and medical programs have expanded curriculums to include training in Substance Use Disorder. If you are struggling with addiction issues or have a loved one doing so, please call us to discuss our various fentanyl programs. I am inspired every day by the people I work with who have gone ‘through the fire’ to get to the other side and found the freedom to be in full fentanyl recovery. It would be a privilege to work with you. In the meantime, stay safe. Joan R. Shepherd, FNP SCHEDULE A CALLBACK #### Gaining Energy Back After Opioid Detox - 6 Easy Ways Part of the reason the Coleman Institute is so successful in helping patients from around the world detox off various substances (alcohol; opioids, including heroin, buprenorphine, and methadone; and benzos, including Ativan®, Xanax®, and Valium® from one of our many locations is because we recognize not only are we treating a condition, we are treating a person. Food Informs Our Body's Energy We love and enjoy working with our patients. Our staff learns something from each one of them. In fact, the protocols that we use to help people detox from long-term opioid use have been tweaked, nuanced, and perfected over the years because we specialize in listening to our patients and responding accordingly. We see them as individuals, and that is why we know that getting off the addictive substance is simply the first step in helping them reclaim their lives and begin to deal with their own unique situations. And the longer I practice in the medical field, both in Primary Care and with Substance Use Disorders (SUD), the more I believe that we need food to be our medicine, focusing on the bio-individuality of all patients. Studies continue to demonstrate how food affects every aspect of our health, including our mood, and–really-how could it not? Post-Detox Coping Skills for Low Energy What we eat is exactly what fuels our body to create neurotransmitters, hormones, enzymes, and certain vitamins that affect our ability to enjoy life, handle stressful situations, and maximize energy throughout the day. In fact, we now know that 90% of serotonin— the feel-good chemical-- is produced by the gut The physiologic, emotional, and psychological demands on a person during and after an opioid detox are profound. Most patients experience decreased energy after detox, particularly a detox off opioids such as Vicodin®, Percocet®, Roxicet®, Oxycontin, Dilaudid®, heroin, buprenorphine, methadone, etc. Coupled with decreased energy comes the imperative for learning coping skills which, for some patients, is a brand new skill set. UNDERSTANDING ACCELERATED OPIOID DETOX At the Coleman Institute, we are careful to educate patients who complete an Accelerated Opioid Detox about Post Acute Withdrawal Symptoms (PAWS). These symptoms will differ from patient to patient depending on the drug(s) being detoxed, the length of time a patient has been using opioids, the resilience and attitude of the patient, and other variables. And while we provide targeted medications to help with these symptoms, it is important to recognize the undeniable role diet plays in our health and healing. In fact, it makes little sense for a patient to invest the significant resources of time, money, and energy required to complete an opioid detox and ignore the obvious intervention of nourishing the body with the correct fuel. Vitamins and Supplements for Recovery Following Detox During any healing process, the body benefits from additional support from natural sources. There are many vitamins and supplements to help aid in recovery from a substance use disorder. They can help by addressing some side effects of withdrawal. Here’s a list of common vitamins and supplements: Vitamin C: Vitamin C has been shown to increase endorphin levels which can be very soothing during opioid withdrawal. Additionally, Vitamin C is a means to prevent and/or treat many health conditions. Passionflower: This herb has been shown to reduce anxiety, which is a very common complaint amongst those in recovery. Passionflower interacts with brain chemicals in a way that offers relief during withdrawal. Multi-Vitamin: Those with substance use disorders often have vitamin deficiencies. It's important to reload the vital vitamins the body needs to successfully heal in recovery. As always, speak with your doctor before introducing a vitamin regime. Post-Acute Withdrawal Symptoms and Energy Loss Post-Acute Withdrawal Symptoms or PAWS is a group of symptoms that can last many weeks or months after refraining from substance use. A person affected by PAWS can have brain fog, feel lethargic, experience high levels of anxiety, have trouble sleeping, and experience mood swings for seemingly no reason. PAWS can be very difficult for those in recovery and those that care for and love them. A combination of therapy and medication has shown to be successful long-term for many looking to heal from their use disorders. Rebooting Energy After Opioid Withdrawal In a blog article earlier this year, Five Ways to Boost Energy After Opioid Withdrawal, I outlined some basic ideas for restoring energy after going through an opioid detox. I included some broad suggestions about self-care, including dietary tips, because sadly, the Standard American Diet (SAD) does little to create an optimal response for healing. One of the biggest culprits in a typical American diet is the over-consumption of sugar and simple carbs. And while I recognize that stopping the addictive substance is clearly a priority, why not optimize recovery by further refining the previous dietary suggestions? Following are six tips from the Institute for Integrative Nutrition to help you cut down on sugars and simple carbs. Prepare to be amazed by the energy you will experience by trying this for a month. 1. Avoid simple sugars. In general, Americans are eating and drinking way too many simple sugars.This means to trade your table sugar in for more complex sugars, like sweet root veggies. The more complex the sugar, the better. An exception to this rule is fructose found in whole fruit. For many healthy people, fructose eaten in the form of whole fruits, in moderation, is a great source of energy and nutrients. Whole fruit also contains fiber, which means the sugar breaks down more slowly. 2. Eat protein and vegetables 15 minutes before eating simple carbohydrates. This is suggested for two reasons. First, glucose and insulin levels are generally lower when protein is consumed first. Secondly, these foods may fill you up so that you ultimately eat less sugar or carbs. When this isn’t possible or practical, eating protein at the same time as sugar can also help. If nothing else, don’t eat carbs and sugars alone. Protein plays a role in the health of every cell in your body. Crackers with peanut butter are better than crackers by themselves. 3. Stabilize insulin levels before meals with insoluble fiber. Vegetables are the best source of insoluble fiber. Pairing your carbohydrates with insoluble fiber can significantly reduce glucose and insulin levels. You can blend some kale into smoothies, pair a sandwich with a side salad, or throw some broccoli into your rice. 4. Find supplements may help balance blood sugar. There are three supplements that can help with blood sugar stabilization and combat the effects of a high-fat diet. These are: Berberine Resveratrol And, Chromium Berberine is a supplement with a long history in Chinese medicine. Berberine is a compound found in many plants. It can help aid in weight loss and blood sugar maintenance. Resveratrol is an extract that can help the body produce the beneficial short-chain fatty acids that help with blood sugar control. It may also help protect the brain from Alzheimer's. Chromium is a mineral that helps insulin function optimally. It can be found in supplement form and naturally found in whole grains, brewer’s yeast, broccoli, and black pepper. (Some supplements may not be good for some conditions or taken in tandem with certain medications, so check with your doctor to be sure.) 5. Get good sleep. I’ve talked about the importance of sleep before, but didn’t mention that sleep also affects blood sugar. Generally, during sleep, blood sugar levels remain stable, despite the lack of eating during this time. When a person is sleep-deprived, their insulin response to blood sugar decreases. As a result, blood sugar isn’t cleared from circulation as quickly, and levels are higher than normal. Also, after a poor night of sleep, breakfast will create higher spikes in blood sugar. If you have had a poor night’s sleep, try to resist the urge to grab a donut, and instead opt for a high-protein, low-sugar meal, like eggs, Greek yogurt, or a high-fiber, low-sugar cereal. Less sleep translates into increased appetite. It can also trigger cravings for foods rich in simple carbohydrates for a quick energy burst. These are quickly converted into blood sugar or glucose. If you’ve ever noticed yourself craving carbs or junk food after a long night, this is why. The bottom line is to make rest a priority. Seven to eight hours of sleep is ideal, though some individuals may require more. 6. Aim for a healthy weight, and adjust your set point. Excess visceral fat can mess with a person’s blood sugar balance. According to the Set Point Theory, our bodies have a “set point” weight that it generally gravitates toward when finding balance. It seems like some factors may influence a person’s set point in a negative direction. So, the question remains, how can you lower your set point? Individuals may be able to positively alter their set point by: Managing their blood sugar Losing weight slowly and steadily Abstaining from eating three hours before bedtime Revving up their metabolism with spices, like cayenne, cinnamon, turmeric, and cardamom And, exercising in intervals, with a focus on building muscle. The idea is to keep cortisol levels low while decreasing visceral fat. A final thought to keep in mind is that people tend to lose more weight and keep it off when they engage in community. The support, accountability, and sense of belonging that the community offers are key. This is consistent with what we believe about recovery groups for various addictions, too. Remember, at the Coleman Institute, we see you as a whole person, not just an addict. Your true ‘treatment’ for the rest of your life is more than stopping an addictive substance; it is learning that every action you take, including how you feed your body, will ultimately lead you closer to, or further from what you value. We are happy to answer any questions you may have, whether you are contemplating a detox or are putting together your recovery plan. Don’t hesitate to call us at 877-773-3869 or schedule a callback Joan R. Shepherd, FNP SCHEDULE A CALLBACK #### Get Clean or Screw It? Sometimes it is hard to think beyond the next two months or so. It is very easy to say “f**k it, I may not even be here in two months if the coronavirus gets a hold of me…” And for many, there is a sense of the relief from responsibility that comes with being confronted by our complete vulnerability and lack of control. A well-patterned groove that finds comfort in chaos. Oh, the pleasure of slipping into the oblivion that alcohol or other drugs provide. A few days ago I read a blog by Benjamin Hardy, PhD. He posits two questions: What decisions are you glad you made before COVID-19 happened, which are helping you better cope with the situation? How is your future self helping you get beyond COVID-19? Even though these are insanely challenging times, our patients who have chosen the path of recovery are able to answer question number one with extreme gratitude for their sobriety and the coping skills they have been practicing. Coping Skills Ease the Pressure of Coronavirus Every time in the last few months or years, when they felt discomfort or an urge to drink or use and allowed themselves to be in the suffering without numbing the feeling with a behavior or a substance, is totally serving them now. These choices have allowed them to bring presence to this time of fear and uncertainty and to be there--first for themselves--and then for their families and friends. President Roosevelt said, “Courage is not the absence of fear, but rather the assessment that something else is more important than fear.” Maybe the Pandemic of 2020 is your time to get clean. Perhaps it’s appropriate to consider Dr. Hardy’s second question, “How is your future self helping you get beyond COVID-19?” GET THE ALCOHOL DETOX GUIDE What could it be like for you to emerge from this situation as a re-created version of yourself, substance free? Getting off the alcohol or drugs is obviously just the first step. The real change comes from returning to your true self, exploring why the substances were important for you, and recognizing you are already complete; that you are enough; that you can bear the suffering. Stay Strong During COVID-19 The Coleman Institute for Addiction Medicine—at the time of this writing—remains open to patients who are choosing to take advantage of this time to get clean. We have over 25 years experience in getting people off opioids such as heroin, fentanyl, Oxycontin®, hydrocodone, hydromorphone, oxymorphone, kratom, methadone, or buprenorphine, and helping them to get on long acting naltrexone. We are also continuing our alcohol detox program. Both the alcohol and accelerated opioid detox programs are outpatient treatments. We are carefully screening patients and implementing extreme precautions to protect patients, their families and our own staff. Perhaps this is the right time for you to ask yourself, what is more important than your fear? If so, give us a call so we can answer your questions. Stay safe. Joan Shepherd, FNP SCHEDULE A CALLBACK #### Get Sober For Christmas One of the most moving themes I hear from my patients has to do with how different their lives are in sobriety at the holidays. A big, tattooed, talented father of two told us while we placed his long-acting naltrexone implant that the best thing about being clean was not being sick on Christmas morning. He did not need to find pills or dope, he was able to watch his kids scream with delight as every package was opened. He had even helped to assemble a dollhouse on Christmas Eve. A brutal task—clean or sober. Celine came to us in the fall of last year because her first grandchild was on the way. Celine had patchy periods of not drinking, but even those were becoming fewer and fewer. Each morning she woke with the resolve not to drink, but by "Happy Hour" all those compelling early morning reasons were overshadowed by her brain’s quiet insistence that ‘one drink is fine’. Of course, it was more like one bottle. Then a bottle and a half; then two. Celine had managed to be sober for her daughter’s wedding, and it was a joyful occasion. She was proud of herself, and her beautiful daughter was so grateful to have her mother be truly present. Her daughter’s pregnancy—and Celine’s relapse—quickly followed. Without going into all the details, Celine was charged with a DUI; it wasn’t her first. This very elegant, 64-year-old woman, former owner and CEO of her own company was given 30 days in jail, to be served on weekends. She was mortified. ALCOHOL DETOX FAQS She came to us for help and was started on long-acting naltrexone to help with cravings and Antabuse® (disulfiram) as a deterrent. Celine followed every suggestion offered, including attendance at Intensive Outpatient Treatment (IOP), attending 12 step meetings, and finding a sponsor. At this writing, Celine is 18 months sober, and at every visit, she shows me pictures of Luke, her very charming grandson. Not only was she sober for his birth, his first Christmas, and all the other firsts that go along with having a wee human around, she is able to help her daughter and son-in-law by caring for Luke for several hour chunks of time. “Everyone told me how fun being a grandmother would be, but I didn’t get it until now. I am so grateful for my sobriety and that I can be there for my daughter. I am so grateful Luke’s first months aren’t just a fuzzy blur, and that I’m competent to hold him, let alone care for him. I am so glad he will have memories of a grandmother who played with and read to and cuddled him—and doesn’t associate me with an alcohol smelling, word-slurring drunk.” The programs at the Coleman Institute for Addiction Medicine help patients safely and comfortably get off alcohol and opioids. These very addictive substances can be dangerous and difficult to stop on one’s own, or to stop abruptly. We work with motivated patients (although ambivalence is normal, so don’t let that stop you!) in an outpatient setting, so your loved ones can be an integral part of your 3 to 8-day treatment, depending on what you are being treated for. You can call us at 877-773-3869 or schedule a callback and get details about our program or other good programs out there, but I think the most important question to ask yourself is: What do I value in my life? Are the behaviors I am choosing every day getting me closer to those values, or farther away? SCHEDULE A CALLBACK If an addictive substance is moving you farther and farther away from what you value most, consider giving us a call to see how we can help you. Can you imagine the gift it would be for your loved ones if you were sober this Christmas? Joan Shepherd, FNP #### Getting Energy Back After Ending Methadone Use Ramon decided to stop taking methadone during the COVID-19 pandemic. Was it essential or was it elective? Perhaps in Ramon’s case, it was a bit of both. Going to a methadone clinic was never what he pictured for himself. Ramon’s story includes neck and back surgery, several years of pain medication, a move to a rural community where the nearest pain management doctor was over an hour’s drive, and finally — resignedly — driving 45 minutes a day to the methadone clinic. A Difficult Medication Regimen While Ramon, age 56, happily married and a grandfather of 3, got along well with the staff at the clinic, it was difficult for them to personalize his medication regimen. He had a very active job that involved a lot of traveling. This often meant he would leave his home by 4:00 am to be first at the clinic so he could then travel to his working destination. He didn’t want to be in pain or in withdrawal, but he had to be alert enough to drive and function well. Experimenting with the “just right dose” was challenging. For most of his time at the methadone clinic, Ramon was on 80 mg a day. But at one point, frustrated with being locked into this lifestyle, had weaned himself down as low as 20 mg daily. A dose that low was not sustainable. He was in a perpetual state of chills, diarrhea, and muscle cramping. Many of these symptoms are notably due to Post-Acute-Withdrawal Syndrome (PAWS) PAWS as it is referred to, which is the result of a drug withdrawal having a toxic effect on the chemicals in the brain. Those who are in an intoxicated state or in substance withdrawal can experience many adverse effects during this time. These effects can further increase anxiety, psychosis, and depression levels. It is important for those dealing with PAWS, to have the aid of a medical professional that can oversee the detox process and can help to manage such symptoms. At The Coleman Institute, we recognize that these symptoms can be difficult, uncomfortable, and life-threatening. This is why our team of medical professionals are trained and available 24/7 to support patients, provide treatment plans, and offer guidance even through the most troublesome of times. Detoxing During Coronavirus National epidemiological data has shown a direct acceleration during COVID-19 of the number of overdose-related deaths from May 2019 to May 2020. At the very peak of the pandemic, more than 81,000 fatalities occurred from drug overdose-related scenarios. This also being the highest number of fatalities ever recorded in a 12-month period. Due to the Coronavirus, those who have had substance use disorder have been hit particularly hard. For instance many individuals, lost the feeling of having supportive communities during this time due to feeling of "isolation" and "non interaction". Opioids also spread to be the main substance that drove an increase in overdose fatality, increasing 38.4% from the 12-month period. For many, the choice of a rapid detox cleanse may seem nonexistent during "non-normal" times but it is even more important to protect your health and well-being during such an outbreak. Detox is essential to many individuals' road to recovery and those suffering from a substance use disorder during the pandemic could see even more adverse effects on health during this time. When the COVID-19 virus began sweeping across the country, all the clients at the clinic were given take-home doses amounting to a week or several week’s worth. The staff checked in with them regularly by phone and all clients were instructed to be readily available for these calls. Ramon’s frustration peaked when he was expected to come to the clinic for random urine screening. “I don’t have the kind of life that I can stop everything at any time and drive 45 minutes away at the drop of a hat…and I was terrified to go near that clinic with the hundreds of patients they serve.” Not every client at the methadone clinic was as mindful of social distancing and hygiene as Ramon was. Having tried to stop methadone himself in the past, Ramon knew he couldn’t do it on his own. His wife searched “Rapid Methadone Detox” online and found the Coleman Institute for Addiction Medicine. Ramon gave us a call. UNDERSTANDING ACCELERATED OPIOID DETOX A Personalized Detox Experience . . . Even During COVID-19 While most other detox programs typically offer treatment for patients currently on 30 mg of methadone or less, our outpatient program at the Coleman Institute can detox patients from methadone doses up to 300 mg. Besides methadone and buprenorphine products, the Coleman Institute specializes — and has for over 25 years — in helping people off the whole spectrum of opioid medications including: Oxycodone and hydrocodone products Hydromorphone and oxymorphone Fentanyl Heroin Kratom We have even helped detox off poppy seed tea. Detoxes are completed with the use of long-acting Naltrexone, which is a non-addictive opioid blocker that reduces cravings and helps to reduce the risk of relapse. Ramon had a good detox experience. We kept him comfortable with multiple medications, and by day 8, he was free from methadone. He felt like a man who was released from prison. . . until a few days later when he called the office and told me he had zero energy and he couldn’t sleep. Both of these conditions, the lack of energy after an opioid detox and insomnia, are extremely common. What makes it more difficult in Ramon’s case include his age, the length of time he had been on opioids (a few years of short acting opioid pain medications before he even started the methadone), and methadone itself, which is more difficult to stop. Real Tips to Replenish Energy After Detox While there is no magic pill available to restore energy after an opioid detox, there are several strategies that will help a person through it: Sleep as well as you can. Avoid caffeinated products. Get rid of anything in your bedroom that lights up — even your little green charging light can make the brain think it’s time to wake up. In Ramon’s case, I prescribed some strong (non-addictive) sleeping medication. Indulge in self care. Drink lots of water. Eat well. Get outside and walk — slowly and mindfully — letting yourself be captivated by nature. (I detest sounding like Pollyanna, but being in nature is scientifically proven to make you healthier and happier.) Please journal. Keeping a diary of your daily thoughts, feelings, physical sensations, aspirations, bits of learned wisdom is not only helpful while you are doing it, but will be so powerful to look back on in a few months when you are really back to normal. Consider being part of an on-line recovery community. I am so impressed by the realm of available meetings offered around the world at all times of day or night. AA, NA, SMART Recovery, Refuge Recovery…just to name a few. Even if you aren’t a ‘meeting kind of person’, hearing how others are reaching out for help or to share solutions, can cultivate a mindset of gratitude and hope. Is an opioid detox essential or elective? If you’d like to discuss your situation further, please give us a call at: 877-773-3869. Joan R. Shepherd, FNP SCHEDULE A CALLBACK #### Gray Area Drinking: 6 Warning Signs & How to Get Help If you are considering changing your relationship with alcohol, explore 6 warning signs that you may be a gray area drinker and how to get help with the Coleman Institute. What Is Gray Area Drinking? As we begin to think about Substance Use Disorders (SUD) in new ways, one thing that has changed is thinking about alcohol consumption. In the past, if you had a “drinking problem,” you were an “alcoholic.” However, it is now recognized that patterns around alcohol consumption differ vastly, and the problems can come in many forms. One such area is a zone recently dubbed “Gray Area Drinking.” Just as it sounds, gray area drinking is when your drinking habits are in a zone that is hard to define. Not black, not white. Is it a problem or not? Am I drinking too much, or is that “normal?” Gray Area Drinking Guidelines We can start by looking at the guidelines as set forth by the NIAAA: “Moderate Drinking is defined as limiting intake to 2 drinks or less in a day for men and 1 drink or less in a day for women, when alcohol is consumed. Drinking less is better for health than drinking more.” The Substance Abuse and Mental Health Services Administration (SAMHSA), which conducts the annual National Survey on Drug Use and Health (NSDUH), defines binge drinking as: “5 or more alcoholic drinks for males or 4 or more alcoholic drinks for females on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past month.” More like this: Alcohol Use Disorder: Easy to Meet Criteria Even within these guidelines, there is ambiguity. It can come down to taking a cold hard look in the mirror. So how do you know if you have a problem? How do you know if you need help? How do you know if you need an alcohol detox? GET THE ALCOHOL DETOX GUIDE Gray Area Drinking: 6 Warning Signs Here are some ways that one can try and better understand if there is an issue: Start by looking inside. What is your gut telling you? What would you hear if you were to be completely honest with yourself? Deep down, do you feel you have a problem with alcohol? What would you see if you were a loved one and looked at yourself? What would you tell your loved one? Ask your spouse or best friend, or adult children. Scary, I know! But do they feel that drinking is a problem for you? Speak with your primary care doctor. Read! There are some fantastic books that can help you understand yourself and your relationship to and with alcohol. Consider attending a peer support meeting to see if other people’s stories resonate with you. More like this: The Myth of the ‘Functioning Alcoholic’ Conclusion Here’s the thing: gray area drinking can easily be overlooked and justified as “normal” when it is affecting your life in many negative ways. Giving up alcohol can be difficult because it has become a ubiquitous part of our lives and cultures. Usually, we are forced to look into our problems by someone at home or work or come to our own realization. There can be a tremendous amount of denial which needs to be faced. Either way, we at the Coleman Institute have helped thousands of patients safely, effectively, and successfully cease drinking and be inducted into long-acting Naltrexone. Either an implant or Vivitrol®. If you have questions, we would be glad to speak confidentially. Together we can see whether the Coleman Method may be just the program you need to stop the cycle of drinking. Deborah Reich, MD SCHEDULE A CALLBACK #### Great Reasons to Keep Using Opioids As I tell my patients all the time: you didn’t use drugs because you were ignorant, you used drugs because they were helping you with something. Until they weren’t. As Russell Brand, the British comedian, author, and activist says, “A counselor at the treatment centre where I got clean, herself a woman in recovery, surprised me when she said, ‘How clever of you to find drugs. Well done, you found a way to keep yourself alive.’” (Recovery: Freedom From Our Addictions) Of course, by the time people with Substance Use Disorders come to the Coleman Institute for Addiction Medicine to detox off various opiates (heroin, fentanyl, variations on oxycodone and hydrocodone such as Percocet®, Roxicet®, Vicodin®, etc., and the long-acting players such as methadone and buprenorphine products) the help the drugs may have offered earlier, is no longer helping. Now the drugs have become a problem. A prison. A death sentence. ACCELERATED OPIOID DETOX FAQS When people recognize they must stop their drug of choice, but are still ensnared by the opposing, compelling reasons to use, I suggest they fill out a Cost Benefit Analysis (CBA). This is a tool from SMART Recovery®. SMART Recovery® is an international non-profit organization that provides assistance to individuals seeking abstinence from addictions. SMART is an acronym for Self-Management and Recovery Training. Here’s how it works, and this is taken directly from the SMART Recovery website: Divide a piece of paper into four squares, and label the squares for each of the questions below, and list your answers. Then consider if you are getting the results you’re looking for, or if change might be something to consider. 1. What do I enjoy about my addiction, what does it do for me (be specific)? List as many things as you can that you like about whatever you are addicted to. a. Where possible, find alternative ways of achieving the same goals. b. Recognize positive thinking about the addiction as a potential relapse warning sign. c. Realize that there are some things you like about the addiction you will have to learn to live without. d. List what you enjoy about your addiction so you can ask yourself if it is really worth the price. Realize that you aren’t stupid; you did get something from your addiction. It just may not be working on your behalf anymore. 2. What do I hate about my addiction, what does it do to me (give specific examples)? List as many of the bad, undesirable results of your addiction as you can. Here it is extremely important that you use specific examples. Specific examples have much greater emotional impact and motivational force! a. Ask yourself honestly “If my addiction was a used car, would I pay this much for it?” b. Review this list often, especially if you are having a lot of positive, happy thoughts about all the great things your addiction does for you. 3. What do I think I will like about giving up my addiction? List what good things you think/fantasize will happen when you stop your addiction. a. This provides you with a list of goals to achieve and things to look forward to as a result of your new addiction-free lifestyle. b. This list also helps you to reality test your expectations. If they are unrealistic, they can lead to a disappointment based relapse. 4. What do I think I won’t like about giving up my addiction? List what you think you are going to hate, dread or merely dislike about living without your addiction. a. This list tells you what kinds of new coping skills, behaviors and lifestyle changes you need to develop in order to stay addiction free. b. It also serves as another relapse warning list. If all you think about is how much life sucks now that you are not doing your addiction, you are in a relapse thought pattern that is just as dangerous as only focusing on what you liked about your addiction. The creators of the tool suggest that this be an organic document. It becomes more powerful as one continues to review and add to it, the farther one moves into recovery or considers recovery. It is also a very helpful document for a person to bring to a recovery meeting or to their therapist to jumpstart conversations about urges, coping skills, or other observations. If your analysis reveals you are ready to stop using your drug of choice, please give us a call. The Coleman Institute for Addiction Medicine provides accelerated opioid and alcohol outpatient detox programs around the country. We have helped thousands of people to extend their list in favor of recovery. Joan R. Shepherd, FNP SCHEDULE A CALLBACK #### Grief and the Genetic Component of Addiction All week long our staff has had the pleasure of working with Juliette who came to us for a dual detox off alcohol and buprenorphine. She couldn’t have chosen a better support person, her Aunt Leila, who is tough, wise, and adores Jules. When I opened the door to get her started on the last day of her 8-day accelerated opioid detox off Suboxone®, Juliette and her aunt were quietly listening to a song on her phone. Their eyes were moist. I sat down and Juliette began to fill in her story for me. Juliette is in her early thirties and, like her brother Jimmy, started playing around with drugs at an early age. There was definitely a family history of addiction. Her father was an alcoholic and was addicted to pain medication. Although he ultimately got sober, he was never able to re-connect well with his family. Is Addiction a Genetic Disease? Years of family drama made Jimmy and Jules very close; they were everything to each other. He was the one who turned her on to pot, and when they partied with others, he was always protective of her, especially around his friends. As Jimmy moved on to harder drugs, he began to put some distance between himself and Jules. He did not want her to tread down the same path. Eventually his drug use led to a conviction and Jimmy ended up in jail. Meanwhile Juliette--beautiful, talented, and ambitious, completed studies and internships to become a head chef. By now, she had a baby boy and a tenuous relationship with his father. She visited Jimmy when she could, called, and described in detail the delicacies she would prepare for him when he got out. During this time, except while pregnant, Jules’s drinking became a regular habit. She found the people she worked with in the service and restaurant industry loved to try different cocktail recipes and good wine. After a long shift, hanging out with coworkers was relaxing and satisfying. She was living with her mom and knew her son, JoJo, was safe. Lots of the staff used drugs and every once in a while, Juliette would take the random pill offered to her. She liked the way the pills made her feel, but after seeing what happened with Jimmy, Jules was careful not to let the pill use be more than occasional. UNDERSTANDING ACCELERATED OPIOID DETOX From Recovery to Relapse to Overdose When Jimmy was released from prison, the reunion was as sweet as Juliette had imagined. No one could make JoJo laugh like Uncle Jimmy. His energy was contagious, and best of all, he came out of prison clean—and intended to stay that way. It wasn’t long before he found a construction job and was quickly moved to the position of a supervisor. As the rest of the story began to unfold, Juliette struggled. “I don’t really know what happened…Jimmy had been out of prison and clean for two years. At some point, he started using heroin again.” He tried to hide it from her, but she knew something had changed. He didn’t come around as often as he used to, and when he did, he “wasn’t all there.” She and her mom tried to talk to him, imploring him to get help. The last time Juliette saw Jimmy alive, he was almost like his old self she remembers. He enthusiastically had both Jules and their mom listen to his ‘new favorite song’, Where Rainbows Never Die by The SteelDrivers. A week later, it was the song they played at his funeral. From Downward Spiral to Detox Jimmy’s overdose sent Juliette into a downward spiral. In spite of her successful position as head chef and her responsibilities as a mom, the loss of the most important person in her life was too much to bear. It wasn’t hard to find pills and heroin, which of course were mostly comprised of fentanyl. For two years, this is how Juliette managed her grief. Over the years, I have often been moved by the stories of an intervening boss. In Jules’s case, the owner of the restaurant quietly offered her support. Jules accepted, and began to see a doctor for Suboxone. The street drugs stopped, although the binge drinking continued. When Juliette reached out to the Coleman Institute last month, she was finally prepared to stop both the drinking and the Suboxone. At the Coleman Institute for Addiction Medicine, we help people get off street drugs like heroin, fentanyl, pressed pills, and kratom, as well as prescribed pain medications such as Percocet®. (Generics include oxycodone, hydrocodone, hydromorphone, morphine, etc.) We also offer outpatient alcohol detox and—in Richmond, Virginia—a Rapid Benzodiazepine Detox using flumazenil. How Our Accelerated Opioid Detox Works The format of our Accelerated Opioid Detox treatment is to ‘bump’ off the opioids in a safe and efficient timeframe and in an outpatient setting. This allows our patients to stay with their own support person in their own home, or if out of town, in a local AirBnB or hotel. Our patients come daily for micro-doses of naltrexone, based on the particular drug we are eliminating, and at the completion of the detox, we insert a long-acting naltrexone implant (in Richmond) or inject Vivitrol (in Wellesley). The long-acting naltrexone occupies the receptors where the opioids used to be. The naltrexone implant dissolves over approximately a two month period and effectively blocks the use of other opioids. We encourage our patients to consider staying on a long acting form of naltrexone for at least a year. A Safe and Comfortable Detox Because Juliette had a dual Substance Use Disorder which included both Alcohol and Opioids, her detox was extended one day so we could safely address her stopping the alcohol without dangerous medical complications. She completed both detoxes beautifully and is very excited to return to her work as head chef next week. As part of her treatment program, our Case Manager has also set Juliette up with a grief counselor. While we were talking, I wrote down the name of the song on my hand, and have spent quite a while this morning listening to it. The phrase that is “riffing” through my heart right now is this one: I will make my way across the fields of cotton And wade through muddy waters one last time And in my dreams I come out clean When I reach the other side. Schedule a callback below if we can help you or a loved one safely detox off an addictive substance that has taken over your life. Joan R. Shepherd, FNP SCHEDULE A CALLBACK #### Happiness in Recovery: One Patient's Experience Not every patient we see for follow up after a detox has profound spiritual experiences to share with us. Billy was in last week. He's 23 and is eight months clean. Grinning like a kid. So happy. "Billy, what are you doing with all your extra money?" I asked. "Toying with my truck." "What does that mean?" His grin got bigger. "New suspension, headers, new intake, new tires. Tinted windows. Not legal to drive it on the road." Amen. Joan Shepherd, FNP #### Has Your Drinking Crossed the Line? People often schedule consultations with our office to explore questions about their alcohol use. Drinking is so ubiquitous and our culture is so alcohol-centric, that frequently people aren’t sure whether their drinking is “normal” or if they are developing a troublesome and dangerous relationship with alcohol. A podcast that I frequently recommend is The Bubble Hour. Each episode is an interview with someone about their recovery from addiction.The host of the podcast, Jean, also writes a blog documenting her journey from early sobriety and has created an online platform to connect people struggling with addiction. One of her most frequently visited blog articles is about when she knew she had a drinking problem. Here are a few of the things she lists: Unable to stop drinking daily Unable to reduce or limit amount Drinking alone Shame about bottles in recycling bin Hiding extra alcohol in cupboard Continual concern about having enough alcohol on hand Obsessive awareness of alcohol at every event – planning when and how to get in the "right" amount to get through the evening while still managing to drive sober to and from events, and appear "normal" to the outside world Becoming very agitated when unplanned changes disrupted my pattern – specifically I recall a friend dropping by and my husband poured her a glass of wine. I began to panic knowing that it meant there would not be enough to get me through the evening. I secretly drank shots of scotch before bed to compensate. I felt guilty about resenting my friend for visiting unannounced. Spending the last hour of work each day deciding if I would stick to my plan of quitting drinking or stop at a liquor store on the way home, all the while knowing I would certainly pick up more wine. Rotating stores because I was embarrassed about buying wine every day, but never buying more too much at once because I was planning to quit "tomorrow." Finding out that my drinking habits fell into the "high risk" and "heavy drinking" categories. I knew my drinking was only increasing, never declining, and I was running out of categories. Next stop: rock bottom. No thanks. ASK FOR HELP The National Institute for Health has a very comprehensive website that includes multiple tools for people to assess their drinking. I will often direct my patients to look at these categories, paying particular attention to their drinking patterns. Many people are shocked to learn that they fall into a High-Risk pattern, assuming they are normal social drinkers. Not everyone needs medical help to detox off alcohol, but the Coleman Institute for Addiction Medicine specializes in helping those at high risk to safely stop drinking. We have locations around the country, and in confidential, compassionate, and competent settings, hundreds of patients have detoxed from alcohol. If you are questioning your own drinking pattern, or are concerned about a loved one, please give us a call. Freedom waits on the other side. Joan R. Shepherd, FNP SCHEDULE A CALLBACK #### Healing the Brain After Opioid Detox and Withdrawal Raphael (I don’t use patients' real names, so I thought this would be a fun one) came to the office recently to have his monthly Vivitrol injection. Vivitrol is the trade name for a long-acting formulation of naltrexone, which is a pure opiate antagonist or blocker. After the rapid detox, Vivitrol is often given monthly to occupy the endorphin receptors in the brain to help fight cravings and help with a successful recovery. Raph completed a rapid opioid detox with The Coleman Institute several months ago. Prior to that, he used heroin and assorted pills for almost a decade. He has a small, but growing construction company. He used to work for someone but had to create his own business because of a felony charge for possession some years ago. He told me that a couple of weeks before this office visit he was looking for something inside the toolbox on the back of his truck when he found a small bag of heroin. Raph said it was like time was suspended; he held the bag in his hand, staring at it as if an alien had started growing up out of his palm. He felt shock, disbelief and—interestingly—most strongly, he says he felt fierce anger. What Happens to the Brain on Drugs Repetitively using opioids changes the brain’s ability to function. If Raphael had found his little bag of heroin when he was still actively using, he very likely wouldn’t have hesitated to use it. The brain of the opioid user desires to repeat the behavior again and again to get the same good feelings. Without opioids the human brain coordinates the activity of billions of neurons throughout the body, but opioids totally override this ability and functioning is altered. When a person repeatedly consumes opioids, the brain is imbalanced but is always trying to right itself. #### Help for Chronic Pain Patients A lot of the patients who come to us to be detoxed off opiates have never used street drugs. They are chronic pain patients who have become dependent on opiate pain medicine prescribed to them in a doctor’s office. These are patients who started on narcotic pain medication for significant painful conditions, but they are now stuck on the medicine and unable to stop on their own. It can be a very cruel situation because they are taking chronic pain medicine, but they are still in a lot of pain. Sometimes, they become dependent on the opiate pain medicines because they had to take the medicine for such a long period of time. This caused their body to become very dependent on the painkiller medications. Sometimes, they had a pre-disposition for addiction, so the opiate pain medicine very quickly set off a physical dependency. In other situations, they had a previous addiction to alcohol or other drugs, and now, they have been prescribed narcotic pain medicines and that quickly leads to them being becoming addicted to this new medicine. When these opiate pain medicines are taken over a lengthy period of time, they change the brain and the body in ways that are not helpful. Chronic pain is quite different from acute pain. In an acute pain situation, like a broken bone, the brain responds well to the pain by making its own natural endorphins and any pain medicine works well to supplement relief. But, in a chronic pain situation, opiates are often taken over a prolonged period of time. When opiate medicines are taken over a protracted period, tolerance starts building up rapidly so that the same dose of medicine loses its effectiveness, and then, people need more and more in order to receive the same effect. Unfortunately, when high doses of the narcotic medicine are taken, more side effects start showing up, as well. Worse yet, is the brain’s endorphin system gets suppressed so that the brain loses its ability to make its own endorphins. This typically causes the patient has have less energy, less good quality sleep, and more pain. People often notice they are having a lot more of the same pain they were taking the medicine for, but they also have a lot more other aches and pains. This can even transfer into emotional pain, as patients taking opiate pain medicines for a long time, often feel more irritable, grumpy, depressed, and anxious. They generally don’t feel very happy. They have low energy. They are usually frustrated and lose much hope for a better future. Of course, they do get some relief from these negative feelings when they take their opiate pain medicine, but they only achieving a short period of relief. The pain medicines quickly wear off and this leaves the patient feeling worse than before. As a result, the typical pain patient has to still live with a lot of pain. The pain they originally started with is still there and not getting any better. And, the rest of their life feels painful, too. Sometimes, it is very hard for patients to determine if the pain they are feeling is really that bad, or they are just suffering with withdrawal from the opiate pain medicines they are taking. It is difficult for the patients to know if they would be better off without the pain medicine, since it is really not helping relieve the pain. A number of patients come to us wanting to get off their pain medicine because they have come to believe that that the pain medicines are really not working well, and their quality of life is poor. They are willing to take a risk that the pain they are suffering from, will not be too bad, and in fact, they have starting to believe that they will actually be better off without opiate pain medicines. Our experience has been very dramatic with these patients. Over 90% of the chronic pain patients who have detoxed off their opiates have found that the pain they have is actually less when compared to when they were taking their opiate painkillers. This month, we have a video of a patient who was in this chronic pain dilemma. And, he was willing to share his story of what his life was like on the painkillers, and then, let us video him as he went through our accelerated detoxification. He has found, like most of our patients, that just a few weeks after the detoxification, his pain is considerably less and his quality of life is dramatically better. #### Help Me, Please! My Doctor Won't Stop Prescribing Pain Medication This was the call I received from a woman who was desperate to get off her opioid pain medication. To protect her privacy, her name has been changed for the purpose of this post. Janine is a 52-year-old woman who had her first surgery in her late twenties for a gastric by-pass. She did fairly well and lost about eighty pounds, which she was able to keep off for several years. In her mid-thirties, she had complications with the surgery and for the next eleven years, she had a series of operations to repair, revisit, or revise the original surgery. These were difficult years and Janine experienced almost constant pain, even when she was months beyond the actual procedures. She was maintained on her pain medications first by her gastro-intestinal surgeon, then by her primary care doctor. The CDC defines chronic pain as “pain lasting longer than 3 months or past the time of normal tissue healing outside of active cancer treatment, palliative care, and end-of-life care.” But as the condition of chronic pain continues to be studied and understood, the more evidence builds for using non-pharmacologic interventions and non-opioid medications. What are the best ways to treat chronic pain without opioids? Opioid pain medications such as Percocet®, Roxicet®, Vicodin®, Dilaudid®, and fentanyl create a physical tolerance in the body which means a person needs more of the same medication to have the same effect. Over the years, Janine’s doctors, in an effort to help her discomfort, continued to increase her dosage. Now, eight years after her last surgical procedure, Janine is maintained on an average of 200mg of oxycodone daily. She has never ‘gone to the streets’ to buy her medication, although she admits that one time her medication was lost or possibly taken, and when she ran out, she borrowed from a friend. She had signed an agreement with her primary care doctor that said if she lost her medication it would not be replaced. She was terrified to be released from the practice with no alternative and equally terrified to experience withdrawal. SCHEDULE A CALLBACK What is included in a Pain Management Agreement with your doctor? She has tried many times over the years to stop taking these medications. Janine had discussed getting off her pain medication with her doctor and he had her on lower doses from time to time, but invariably she found she needed the higher doses just to feel normal. The truth was, he really didn’t want to keep prescribing it for her, but he was trying to help her out. Like many primary care doctors, he was not really sure how to help her get completely off opioid medication. Janine was not always able to have an appointment with her regular doctor, and others in the office were not comfortable prescribing controlled medications to her. She felt trapped. The CDC concedes that most primary care providers are concerned about patient addiction and report insufficient training in prescribing opioids. Explicit guidelines exist for prescribing opioids in the primary care setting, but even slowly tapering patients off these medications is a long, drawn-out, and difficult process. Janine found the Coleman Institute for Addiction Medicine online and called us at 703-991-0330. She had a lot of excellent questions and we had a long chat, allowing her to ask every question she had about our accelerated opioid detox process. She is scheduled to come in for a four-day opioid detox with us in two weeks. ACCELERATED PAIN MEDICATION DETOX What to expect when you sign up for an Accelerated Opioid Detox at the Coleman Institute in Richmond, Virginia? Janine will stop taking her oxycodone the evening before she arrives, and a support person is required to be with her at all times. Janine’s husband, Jim, is coming with her. After signing the paperwork, meeting with our aftercare team, and having any other questions answered, our nurses will draw labs and get an EKG. Our labs are looking for a normal red and white blood count, checking the health of the liver and kidneys, and looking for the blood-borne infections Hepatitis C and HIV. We will give Janine her first dose of comfort medications in the office and thoroughly explain the record-keeping and medication schedule to Jim, who will give the rest of the doses. A nearby pharmacy will deliver all the needed medication right to our office so they won’t have to navigate around an unfamiliar town looking for a pharmacy. She will receive a very small injection of naltrexone and they will head back to a hotel, which is about 7 minutes away. For the next two days, Janine and Jim will come to the office for check-in and for Janine to receive low doses of naltrexone. Her final day will be a long day. We will have them in a private room with their own bathroom. We’ll provide lunch for Jim, and we will slowly, gently flush off whatever oxycodone may still be left on Janine’s opioid receptors. When that’s done, usually by around 3:00-4:00 o’clock, we will insert a naltrexone implant in her abdomen and send them home. This may be more than you need to know for now, but if you have any questions or your well-meaning doctor is uncertain how to help you, please give us a call—or have him call us at 877-773-3869. Dr. Coleman meets regularly with insurance executives to help them understand our extremely successful process for opioid detox and encourage them to provide coverage, and so it’s possible your insurance will pay for this procedure. Even if you have been on chronic pain medications for years and years, you can get off of them. We witness this every single day. Joan R. Shepherd, FNP READ MORE POSTS LIKE THIS #### Heroin as a Painkiller - How to Detox & Get Help If you are using heroin or other opioids to cope with emotional pain and are ready to live a life free of addiction, the Coleman Institute can help. Explore the best way to get off heroin with the Coleman Method, why it's important to experience our emotions, and how to live a life free of addiction. Opioids or Heroin as a Painkiller For generations, the medicinal prowess of opioids in mitigating physical pain has been indisputable. Opioids are fantastic pain killers for physical pain. Opioids relieve the pain of terminal cancer, general surgery, and broken bones. But, it is more apparent to me that opioids are even more potent in relieving emotional pain. I think this is why the relapse rate is so high for people with opioid or heroin addiction. I believe that so many people go back to using opioids even after they are fully detoxed. They have such strong memories of how good they felt on opioids and they want to get those good feelings back. But, it is more apparent to me that opioids are even more potent in relieving emotional pain. I think this is why the relapse rate is so high for people with opioid or heroin addiction. Opioids don't just block physical pain; they also release dopamine, a neurotransmitter associated with pleasure, reward, and well-being. This can lead to a temporary feeling of euphoria, making the user feel distant from emotional distress. Emotional pain, often underestimated, is often deep-seated, stemming from trauma, loss, and unhealed wounds of the psyche. They have such strong memories of how good they felt on opioids and they want to get those good feelings back. Using opioids to avoid emotional pain doesn't solve the underlying issues. Instead, it often compounds them. When the drug wears off, the emotional pain returns, often more intense than before, leading to a vicious cycle. As we grapple with the opioid epidemic, it's essential to recognize and address not just the physical but also the emotional allure of opioids as a painkiller. More like this: When Pain Medication Becomes a Dependency Opioid Relapse Rate For a long time, I have been wondering why so many people get off heroin or opioids and then relapse somewhere down the road. Studies show that between 40-60% of people suffering from a substance abuse order relapse. Frequently, people will be in jail for years and then use opioids as soon as they get released. Patients often go into a 28-day treatment program but are back using opioids again within a week of discharge. The success rates for patients with opioid or heroin addiction to stay completely drug-free are very low. More like this: How to Detox Off Heroin: What It Takes & Getting Help Heroin Detox With Naltrexone Therapy This is why we recommend Naltrexone therapy to all of our patients. With naltrexone, we can block cravings, reduce the risk of relapses, and give people a fighting chance to make the changes necessary for long-term recovery. It has become more and more evident to me that a considerable part of the reason for this high relapse rate is the fact that opioids relieve emotional pain so well. Of course, the drugs come with many side effects and, of course, are highly addictive. Still, they are potent painkillers for the emotional system. For more information, check out these helpful posts on relapse: How to Avoid Opioid Use Relapse. UNDERSTANDING ACCELERATED OPIOID DETOX Using Opioids or Heroin to Numb Emotional Pain All of us live with some emotional pain. However, our emotions operate unconsciously, so we are not aware of them. Our emotional system is very powerful. It is designed to keep us functioning in healthy and in safe ways. Regularly, our brains are vigilantly keeping track of threats and dangers. Usually, we are not really aware of it, but our brains have low anxiety, fear, and worry levels. Sometimes, these emotions rise to the conscious level, and we become aware of these feelings. Many of our feelings feel negative, so we don’t like experiencing them. They are there to help us avoid making mistakes and allow us to make better decisions, but they are uncomfortable. From time to time, all of us are aware of feelings like anxiety, regret, loneliness, boredom, low self-esteem, fear, sadness, and anger. The problem with opioids or heroin is that they are very potent painkillers, and they numb out these negative emotions. When people use opioids, they feel “comfortably numb." They no longer have to handle their anxiety, their stress, their anger, their loneliness, or boredom. It is a very powerful effect. Opioid users like this feeling, and even years after they quit, they can still remember how good that felt. This is because the memory circuits in the brain last a long time, especially the ones associated with these emotions. So it is no wonder that patients will return to opioid use in times of stress, even after long years of abstinence. More like this: The Connection Between Mental and Physical Pain Why It's Important to Learn From Our Emotions The secret to recovery then is to sit through whatever emotional discomfort comes along and learn other ways to deal with it. If we change our attitude about emotions and see them for what they really are, then we can learn from them and change. Our emotions are our teachers. Our emotions are there to provide feedback that something needs to change. If we feel bored, we need to find something fun to do. If we feel lonely, we should call friends, find new hobbies, or go to meetings. In many cases, behavior therapy can help undo the bad habits your brain is accustomed to, or reverse the bad situations one might put themselves in that would encourage relapse. If we feel sad, we can share those feelings with a therapist or friends and grow from the experience. If we feel sad, we can share those feelings with a therapist or friends and grow from the experience. The last thing we should be doing is using drugs to numb or trying to escape those feelings. When in recovery, it’s important to change your behaviors for a happy, healthy life in recovery The Buddha said that life is suffering but that we need to transcend suffering. That means we need to stop perceiving our painful emotions as suffering and instead see any emotional pain we have as a helpful guide. Our emotions are our best feedback loop to help us know when to change things and how to become happy regularly. This is the path to achieving true bliss - not some drug-induced shadow of true happiness. SCHEDULE A CALLBACK #### Holiday Detox To choose nursing or medicine as a profession usually means that sometime in your career, you will be covering weekends and holidays. So when my children were young, I had to take my turns doing shifts on Thanksgiving and Christmas for many years. As much as I loved being home during a holiday, from the beginning I was always grateful to be the one ‘wearing the uniform’ rather than being the patient when I did have to work. Being in the position to help someone who has to be stuck in a hospital over the holidays was actually pretty gratifying. We have patients at The Coleman Institute who are going through Accelerated Opioid Detoxes now, over this this holiday season. Clearly they would rather be elsewhere, not having this illness of addiction take over their holiday time. For these people, coming in over the holiday is the only way they can make it work into their schedules. For them, it’s become a life or death situation. They know they are losing their dreams, their families, their professions—their very lives--as long as they continue to use. And once again, it is with lots of compassion Dr. Coleman, the staff at the Coleman Institute, and I see these patients over the holidays. We already have patients booked over the New Year, so even while we won’t be seeing family practice patients, we will be working with patients going through a detox. If you need some help—we know the problems don’t stop during the holidays. We can be here for you. Joan R. Shepherd, FNP #### Holiday Survival Guide: Staying Sober Over The Holidays There is so much support out there for people committed to their sobriety, especially during the holidays. The added stressors of gifts, events, parties, and relatives can intensify urges and vaporize a resolve in the afternoon that was solid in the morning. Many people have published guides to staying sober during the holidays. This year I have canvassed our own successful patients in recovery and gathered their thoughts for you. Take advantage of these, as well as the suggested resources listed below. Do whatever you can do to wake up every morning of the holiday season, grateful for a clear head and tasting the freedom of your recovery. Advice from Other Patients in Recovery to Staying Sober During the Holidays Cal ‘s intention for this holiday season is to write his plan and share it with his wife and teenagers, employing the concept of having Accountability Partners. Jillian, age 23: “I’m making a care package for myself…treats, Christmas CD’s, cozy socks, one of those adult coloring books, kettle corn, etc… I am writing myself a letter while my resolve is strong, to remind myself why I want to stay sober. My mom is writing me a letter as well, and that will go into the care package.” Meetings, meetings, meetings. (A recurring theme among many patients in recovery). In fact, many people referred to AA Alcathons, an event that offers 24 hours of continuous AA meetings and hospitality for the holidays, including Thanksgiving, Christmas and New Years. (Check your local AA meeting chapters to find one in your area). Emphasized repeatedly by many folks: Make a plan. A couple of mid-30’s patients who have found a great friendship through our group meeting have developed their own version of a Drinking Game to play during old Christmas movies. It’s the basic premise of noting statements or sentiments or themes repeated during the movie (such as reference to a surprise, hearing the word Christmas Day, the theme of “it’s complicated” regarding a romantic situation…). They will be armed with cranberry juice and seltzer. From Dick: “Keep busy. Don’t sit around and feel sorry for yourself watching Christmas specials. Go volunteer somewhere.” Brenda adds: regarding parties, if you can, tell the host ahead of time that you will not be partaking. Ask if you can bring some Perrier or other sparkling water and lemon slices to provide yourself with a holiday drink (usually people will be glad to have that for you.) From Jamie: the worst time is the first 15 minutes when people are offering drinks, so plan ahead. During that time: focus on greeting people, give hugs and handshakes, get a non-alcoholic drink in your hand. Then you will naturally get distracted with other conversations and hopefully not get triggered. Suzy is 30. She will celebrate her first year of sobriety in two months. During the last ten months, she has paid off all her debt and is living well within her means. Her Christmas gift to herself is a ticket to Paris with a sober friend, falling on her first sober Anniversary. “I haven’t celebrated a sober Christmas yet, and I am really looking forward to it.” Spicer piped in: If you do get triggered by someone else's delicious-looking glass of wine, step back silently or for real. Take some deep cleansing breaths. Remember how good you will feel the morning after without the alcohol in your system. Drink lots of sparkling water and focus on hydration and health. Bob weighed in: If all else fails, say your goodbyes and well wishes early. Leave knowing that you got to see people who are hopefully important to you and most of all, took care of yourself. That is a lot to celebrate! Evie from group says: Completely letting go of resentment, fear, self-pity, self-centered and self-seeking motives has helped me more than anything when I’m in a large gathering of my family. But believe me, it’s a practice! Sam is prepared to talk to his sponsor “before, (during if necessary), and after any holiday gatherings. Drive yourself so you can leave whenever you want to. “You can’t choose your family, but you can choose your friends. Have a sober friend you can go visit if you leave your family.” Recognize you are not the worst off. Beware of victim mentality as you head into the holidays. “Don’t be a loner. Plan in advance, and be sure to have an “emergency escape” strategy. Paul says, “I have learned not to think of myself as the center of attention at parties, weddings, or any gatherings. Very few, if anyone will care that you’re not drinking.” Brie: “I remind myself that triggers and urges are likely to come and my mantra is They Don’t Last Long, This Too Shall Pass. Ride the Wave. This makes it kind of fun to visualize myself surfing the wave of an urge and bringing myself back to shore, calm and sober. The more I have practiced this, the fewer urges I have. Now they are more like fleeting thoughts, and those are much easier to deal with.” Frank says how much setting short-term goals in early sobriety has helped him. “In a party situation that would look like: speaking to 3 people I don’t know, drinking a total of 4 glasses of water, making it a point to remember names…stuff like that.” He set short-term goals in early recovery, and now with almost two years under his belt, his goals are more long term. He attributes his current sobriety to really learning to forgive himself when he messes up, and not dwelling in self-contempt. Several more references to self-care during the holiday season: Early to bed, early to rise. Exercise regularly without overdoing it. Eat well at least 80 percent of the time. Don’t say yes to every invitation if it’s too stressful. As one of my patients laughed and said when I asked for his input on this topic, Alcoholics find out what works for them, then they stop doing it. Be aware that all of life is simply sitting, standing, or lying down. Everything else is going on in your head. You don’t have to believe everything you think. Be sober, be blessed. If we can play a role in helping you or a loved one stay sober through our accelerated opioid and alcohol detox programs at the Coleman Institute, please give us a call at 877-893-3869. We see patients 365 days a year. We, too, are available during every holiday. For more tips and information about making it through the holidays, check out these additional resources: Unpickled Holiday Survival Guide by Jean McCarthy Living in Recover: A Holiday Survival Guide Joan Shepherd, FNP SCHEDULE A CALLBACK #### Holidays and Sobriety: Make a Plan I saw Loreen, age 32, in follow-up yesterday. She has now gone 20 days with no alcohol. Making Choices Based on Freedom For almost a year she was coming to our office regularly to get a Vivitrol shot to help her deal with her drinking. She had been very resistant to the idea of stopping drinking altogether, so she used naltrexone in the form of monthly injectable Vivitrol to help her cut down. I don’t know if she ever told me the true amount of alcohol she had daily. People are embarrassed to admit how much they are consuming. Over the years I have often heard medical professionals say you need to double the amount that a patient tells you. I do know that every month when Loreen came in faithfully for her Vivitrol, she seemed to be holding on with a thread. She had learned last year that her liver enzymes were elevated. It scared her enough to cut down, but not to stop. She was making a lot of her choices based on fear, not freedom. GET THE ALCOHOL DETOX GUIDE Ready to Hear the Answers When any person comes to the Coleman Institute for Addiction Medicine for help getting off any substance, our staff readily meets them where they are. The truth is, many patients are not committed to giving up drinking altogether, and I am afraid that keeps some people from learning more about treatment. I think the fear of being judged, labeled, or trying to quit and failing, or the questions about if they need to quit drinking, can keep a person from asking for help or even getting more information. If you’re afraid to hear the answers, it may keep you from asking the questions. Our job as I see it is to first understand what our patient wants. This may be as important as knowing exactly how much of, or what type of substances one is using, taking or drinking. Abstinence is not everyone’s goal. The idea of never drinking again or never using again can be pretty terrifying and can keep people feeling quite ambivalent and stuck. Reducing Use Loreen never missed an appointment for her monthly Vivitrol injection. She defiantly held on to her 3-4 drinks a day and stated she was content with the fact that she had decreased her alcohol consumption from sometimes 18 beers/hard seltzers a day down to this ‘minimal’ amount. (Even at this greatly reduced amount, Loreen meets the criteria for At-Risk Drinking. The National Institute on Alcohol Abuse and Alcoholism defines at-risk alcohol use for healthy women as more than three drinks per occasion or more than seven drinks per week and any amount of drinking for women who are pregnant or at risk of pregnancy. Binge drinking is defined as more than three drinks per occasion.) As with many patients we have seen over the last year, Covid had significantly contributed to escalating Loreen’s drinking. She works for a company doing customer service and spends her workdays answering emails. It was far too easy to drink at home and she didn’t think her work was suffering. At least, she never had any complaints from her manager. Filling the Void As I got to know Loreen and she opened up a bit more at each visit, I came to realize that her deepest desire was to stop drinking. And it was her deepest fear. First, she was fearful of the physical aspect of quitting. She had considered stopping on her many times but was aware of the possibility of an alcohol withdrawal seizure. And then she was afraid of the looming question: how will I do anything without alcohol in my life? What will fill that void? We talked about outpatient alcohol detox. At first, she was resistant for all the reasons mentioned. However, once the seed was planted and she took time to think about it, the safety aspect felt good to her. Then she was concerned about missing work. She only had four more days left in her PTO package. Our outpatient alcohol detox at the Coleman Institute for Addiction Medicine requires three days of coming to the office, followed by 48 hours of supervision by the support person of the patient’s choice. By doing her detox on Wednesday, Loreen was able to fit this into her schedule far more easily than she thought. She is also one of the fortunate people whose insurance covers almost 100% of the detox. So yesterday was twenty days without alcohol. Covid be damned, we hugged when we saw each other. She had tears in her eyes. She is so tentatively proud of herself because she doesn’t remember the last time she has gone this long without a drink. Finding the Right Treatment She is feeling better. One of the things she is most delighted about is her skin and face. She told me her bloat has disappeared. Since I’ve only seen her with a mask, I can’t say for sure, but I believe her. We invited her to join a weekly Zoom group, and she has now attended twice without using her camera. She plans to continue seeing a doctor for mood disorders. She may not need pills since she stopped taking drugs after all. Tips for Staying on Track Although I’ve never been a big Halloween-er, a 2011 article in Time magazine lists Halloween as one of the Top 10 drinking holidays in the country! So, since her appointment happened on the brink of this holiday, I asked Loreen if she historically celebrated. Indeed, she did. Very cleverly she had already made plans to protect her budding sobriety over the holiday weekend. She opted out of a big party where people will be downing caramel apple pie shots and be obliterated by pumpkin spice brew. She had a couple of friends over to watch the original Halloween with Jamie Lee Curtis, and maybe The Shining. Dressed in costumes, they planned to walk through town to pick up their favorite take-out and make huge bowls of popcorn. And eat plenty of candy. She couldn’t wait! She has been humbled at the amount of support her friends and family are showing her. Her close friends voluntarily are choosing not to drink when they are together--at least for now. I encourage you, especially if early in your sobriety to be ready, like Loreen, with a plan to protect your newfound freedom from alcohol or drugs. Even though Halloween doesn’t come with the same emotional baggage other winter holidays bring, here are a couple of ideas to increase your odds of success: Mix up some Halloween Mocktails-In a 2-second search I found recipes for Autumn Harvest Punch, Apple Moscow Mules, and Sparkling Cranberry Cinnamon Mocktails. Find a local haunted adventure. There are always events happening around Halloween, like haunted houses and hayrides, mazes, and whatever local haunted attractions are near you—classic horror movies, graveyard tours, concerts, etc. Check your local listings to see what's happening nearby and bring a family or friend who supports your sobriety. Decide to just enjoy hanging out and watching the kids make their way down the streets tripping over costumes, adjusting masks, and going for the record amount of candy. Most importantly, honor how you're feeling today, so if you'd rather stay in and watch scary movies instead of going out, do it. Simply not drinking can take up a lot of energy, especially early on, and especially during the holidays. It won't always be that way, but if that's where you are today, you aren't alone. We love and respect our patients. This fall, our founder and leader, Dr. Coleman is celebrating thirty-seven years of sobriety. His gratitude for and devotion to his own and other people’s recovery permeates the spirit of our clinic. If you want some compassionate, non-judgmental, competent medical care, give us a call. In the meantime, stay safe. Joan R. Shepherd, FNP SCHEDULE A CALLBACK #### Hopeless To Hopeful – Two Guys and a Year Of Sobriety Sometimes I can go several months between seeing a patient because he or she is on another provider’s schedule. It’s one of the nice things about our office – that all of the providers can get to know each other’s patients. Earlier this week, I had the privilege of following up with two wonderful men who both completed alcohol detoxes at the Coleman Institute for Addiction Medicine just over a year ago. I had seen both of them in the first few months in their early periods of recovery, and they were both doing what they were "supposed to be doing," and getting along okay. Physically, they were both feeling better, although Kyle in his early 40’s found that he had gained quite a bit of weight, particularly going after sugary foods and carbs. He was a bit anxious as he still had some court issues ahead, including weekend jail time. And Kyle is a respected, oxford-shirt wearing professional. He had never experienced the inside of a jail – until that pesky DUI. Needless to say, he was highly motivated to check off anything on the list that might reveal to the judge what an upstanding citizen he was. He was seeing a counselor and attending an Intensive Outpatient Program (IOP), volunteering at a homeless shelter, and he was coming to our office monthly for Vivitrol® injections – a long-acting form of naltrexone. He has now reached a year of sobriety and while many of the activities he was doing after his DUI were more fear-inspired, it was amazing to hear him describe the state of his current life. He is sleeping 8-9 sound hours a night. He has been promoted at his job and reports that the CBT (cognitive behavioral therapy), originally "used" on him by his counselor, is something that he now uses to help the co-workers he manages to solve their work-related issues. He has lost over 30 pounds and is a regular at the gym. He has returned to playing his saxophone, long discarded and languishing in the attic. Perhaps most importantly, his relationship with his wife has never been better. He is happy. What to Expect in an Alcohol Detox? For each patient different needs are met when it comes to treating any alcohol use disorder (AUD). Depending on what one's pattern of alcohol is like and their symptoms will almost always indicate what type of care one would need in a program. While many tend to think that detoxification is the main area of treatment, this is only the first step in getting to sobriety. With an Alcohol Detox, this can easily manage the withdrawal symptoms and treat potentially deadly complications. In order to avoid any serious health risks like heart disease, stroke, cancer, or dementia (which all stem from alcohol abuse) a detox can be the first phase of treatment. Aside from your alcohol detox there are many continued steps such as support groups, therapies, and individual counseling; in order to help ensure that you do not relapse or fall back into a heavy drinking regimen. For those individuals who have specific severe drinking problems, they may be in the detox recovery stage for quite longer before getting into counseling. GET THE ALCOHOL DETOX GUIDE Alcohol Withdrawal Symptoms Patients can experience withdrawal symptoms during any alcohol detox and they are common. While these symptoms can be mild for some, others may experience more severe indicators. Typical alcohol withdrawal symptoms include: Anxiety Shakiness Depression Hallucinations Sweating Unstable blood pressure Nausea Fatigue Unlike Kyle's experience after alcohol detox, another patient, Carl, had a different outlook in his journey to recovery. Exceeding expectations of his family and friends; while often surprising our staff at the Coleman Institute, this is Carl's story. Carl is about fourteen months into recovery. Carl is a retired professional, dare I say, a former big shot with lots of connections and experience. His drinking really accelerated when he retired and he was determined that his retirement years were going to be spent enjoying his wife, his children, and his grandchildren. That’s when he came to the Coleman Institute for Addiction Medicine for alcohol detox. Carl is quiet. He is often looking down during conversations, and what I quickly learned is that he is always deeply listening. He listens, he processes, and maybe he will speak. If he chooses to speak, it’s measured and relevant, perhaps bordering on the profound. I am reminded of the quote attributed to Gandhi: “Speak only if it improves upon the silence.” That would be Carl, improving upon the silence. Carl, too, has done his "homework." He goes to one-on-one counseling, as well as group meetings weekly. His counselor has come to count on him as a leader in the group sessions, enough so that recently when the counselor couldn’t be present, he asked Carl to take over the group session! Carl was open to recovery meetings early on, even though aspects of the meetings were not necessarily aligned with every one of his beliefs. He continues to attend both AA, NA, and Smart Recovery meetings, remaining open to any ideas or ways of being that will enhance his recovery. He particularly enjoys Smart Recovery meetings and is now doing the facilitator training program. It is on his list to explore a Refuge Recovery meeting, a Buddhist approach to recovery from addiction. Why Choose an Alcohol Detox? It may be hard and even difficult at times to realize when casual drinking has become a crossover to true abuse or addiction. When it comes to better understanding alcohol intake or alcohol use disorder, there are many resources that can provide guidance in how to identify if you may have AUD. Here are a few common patters that signify that Alcohol Use Disorder (AUD) may be prevalent: Failed to meet responsibilities at work, school, or home Continued to drink alcohol in situations that were potentially hazardous Gained tolerance to alcohol by needing more each day and noticing it does not affect you Became less involved in work or social related activities because of alcohol use Have cravings, or a strong desire to taste alcohol Have tried to cut down your alcohol intake, without success Have consumed alcohol in large amounts over extended periods of time If you are struggling with alcoholism, then an alcohol detox is right for you. With serous withdrawal symptoms ranging from uncomfortable to potentially fatal - we can take these risks seriously and treat your addiction safely. At the Coleman institute, we have created a safe method to restore brain and body function in an outpatient setting with little disruption to your day-to-day activities. Once your body is free of alcohol, we will also be there to guide you every step of the way including individual counseling, a 12-step program, or assisted Naltrexone Therapy to reduce cravings. If you or a loved one are contemplating a life free from alcohol or opioids, please give us a call and let us help you get started safely. If you or a loved one are contemplating a life free from alcohol or opioids, please give us a call or request a callback and let us help you get started safely. GET THE ALCOHOL DETOX GUIDE Joan R. Shepherd, FNP #### Hospice Care and an Addiction Treatment Clinic This may not be what you would expect to read in a blog of an addiction treatment program but opioids are my best friend right now. You see, my father in law is dying. Sure, he’s 95, but a month ago he was working and driving! And yet here he lies at a beautiful hospice house high up on a hill beyond a Home Depot and Costco. Life goes on down there. The lake nearby is filled with geese, one of which I almost ran over on the road making my way up the hill. The facility is new and clean with huge rooms and lots of friendly workers. Their only job is to make sure that our dying family member is comfortable. Every so often my father in law wakes up and grimaces or moans out in pain. It’s sad and hard to watch. The nurses are quick to administer pain meds, opiates, and within minutes his entire face relaxes and he falls back into a deep peaceful looking sleep. Opioids are miraculous when used as intended – to treat acute pain conditions, cancer or end-of-life pain, and sometimes chronic pain. It’s when tolerance or physical or emotional dependence develop that problems can arise, often leading to addictive behaviors and severe consequences. Today I arrived at the hospice after a 22-minute drive from the Addiction Treatment Clinic where I work on Fridays. It’s there that I witness and hear stories of the devastation that opioids can also cause--where opioids have either been overprescribed for pain control or misused to treat not physical but emotional and psychologic pain. It has caused loss of family, jobs, homes, financial security, and self-worth. I admitted five new patients into the clinic today. All five are hoping to start over and to gain or regain sobriety. One patient had been in rehab and detox at least 50 times but here she was trying again. Maybe this will be THE time. Two patients in recovery brought their young children with them who happily played on their iPads while we chatted. These are examples of patients benefitting from Medication-Assisted treatment (MAT) A place where patients can begin to rebuild their lives, one day at a time. UNDERSTANDING ACCELERATED OPIOID DETOX There are so many opportunities and treatment methods available for reclaiming lives adversely affected by opioids and alcohol. There is an approach for everyone and anyone that chooses sobriety. Medication-Assisted Treatments are available, including Naltrexone. Naltrexone therapy is our specialty at the Coleman Institute for Addiction Medicine. Naltrexone is a non-addictive form of Medication-Assisted Treatment, which can be delivered in long-lasting formulations by injection or implant. It is also available in a short-acting oral form. It reduces cravings for opioids and alcohol and blunts any euphoric feelings which may arise from the use of opiates. One can only receive Naltrexone therapy if they are completely free or opiates in their bodies. Sometimes a medical detox is necessary to achieve this. At the The Coleman Institute for Addiction Medicine, we can safely and comfortably detox you and help you find your path to recovery and freedom from addictive substances. In just 3-8 days you can be substance-free and can begin planning your new life in recovery. We practice a holistic approach and will assist you in developing a personalized, comprehensive aftercare plan that will work for you. Please contact us. Our Care Advocates are trained and waiting. Deborah Reich, MD SCHEDULE A CALLBACK #### How Can I Avoid The Pain of Heroin Withdrawal? Typical scenario at the Coleman Institute: A patient and their support person arrive at the office to begin an accelerated opioid detox from heroin, fentanyl, Dilaudid®, Percocet®, Vicodin®, etc. Many patients also seek our help to come off long-acting MAT (Medication-Assisted Treatment) methadone or buprenorphine products. Heroin Withdrawal Progression and Symptoms The patient is nervous. He or she is in the early stages of withdrawal. Many have been through withdrawal before and they are terrified to experience the grueling physical symptoms: chills, sweats, muscle pain, abdominal pain, vomiting, diarrhea…to name a few. If our patient has followed our guidelines--that they can use until 6:00 pm the evening prior to starting our program - their withdrawal symptoms are generally around a 3-4 out of 10. Not horrible, but the fear of the future they are imagining, based on the past they have experienced, can catapult a patient from a 3 to a 9 pretty quickly. Because the Coleman Institute’s providers throughout the country are leading experts in using naltrexone to treat opioid addiction, we are well prepared to address these concerns. How Our Heroin Detox Works Upon arrival the patient will settle up at the Front Desk and complete final paperwork and consent forms. Our Coleman Institute patients are our priority, and we want them out of discomfort as much as they want it, so we move them quickly to the ‘clinical’ side. After vital signs, EKG, and blood-work are taken, a provider—either a nurse practitioner or a doctor will meet the patient and his/her support person. The screening form is reviewed and a brief physical assessment is performed. Medications are given which are specifically chosen to mitigate all the previously mentioned withdrawal symptoms. It is not unusual for patients to say things like, “You don’t understand—I have a really high tolerance to medications. These aren’t going to touch my symptoms.” And every blue moon, they are right. If that’s the case, we’ve got some other tricks up our sleeves. Most often, however, when we return to their room to discuss medications with the support person, our patient has fallen asleep. Individualized Treatment To Keep You Comfortable During Detox At The Coleman Institute, our method for individualized treatment uses the Coleman Method. This method specifically uses both non-addictive medications to completely remove the opioids attached to your brain receptors. With the patient's comfort level in mind; this method provides the fastest, most comfortable way possible for treatment. In addition, our Accelerated Opioid Detox takes as little as three days, requires no hospital stay, and is a much safer option than attempting a detox on your own. During the daily visits throughout the detoxification process, our providers not only assess the objective findings, but also do a thorough assessment of the subjective symptoms our patient may be experiencing. Based on how each patient is individually responding to his/her medication regimen, we will adjust the protocol We can also provide naltrexone to accelerate the body's natural process of eliminating opioids and allow the brain to begin to heal. By using Naltrexone, it also will give the patient reduced cravings, amore importantly, if relapse happens - the medicine prevents the patient from feeling "high". In most situations, the Coleman team recommends that patients continue with Naltrexone therapy for a year after completing detox, in order to get on the right path to recovery and developing a healthy lifestyle. Minimal Withdrawal Symptoms for an Easier Heroin Detox We understand that with substance use, comes the potential development of significant psychological dependence, and even addiction. More so, when patients are using opioids for a longer amount of time and in larger amounts. For all instances, we know that withdrawal should be handled by an experienced medical professional and with the right therapy and treatment. For our patients suffering with withdrawal, we provide an assisted withdrawal process combined with access to recovery support services. In addition, our experienced and licensed professionals recommend additional resources that can aid in their recovery in order to take that first step towards a drug-free life. Tips for Coping with Opioid Withdrawal Have someone you trust accompany you during your treatment (a family member, spouse, close friend, companion) as an added support system Take all prescribed medications (Naltrexone) as prescribed and call us directly with any questions or concerns Avoid surrounding yourself with others that use substances while recovering or those who may not support your sobriety Follow a healthy regimen in eating healthy foods and drinking plenty of fluids Implement medication, exercise, or a calm environment into your daily routine Recognize that withdrawal is part of the process and that The Coleman Institute offers support during your road to recovery While many patients report a couple hours of discomfort, they state that the medication and a hot shower do get them through it. They generally report about 22 hours of feeling reasonably comfortable. We welcome questions from the support people and our patients! We all know that this is not the kind of doctor’s visit when you go in for a cold or sore throat, or even to get a physical or be started on blood pressure medication. The practice of addiction medicine is a unique area of specialization, and we love to field questions and have discussions throughout—and following—a detox at the Coleman Institute, for any concerns that may arise later. There is no stupid question when it comes to finding the right way to detox!! UNDERSTANDING ACCELERATED OPIOID DETOX Please give a call if we can address any general or specific questions as you gather data to find your best strategy for an opioid-free life. Joan R. Shepherd, FNP #### How Can I Get Off These Bloody Pain Medications? A recent publication by Health and Human Services (HSS) reports that opioid prescriptions in the US peaked at 255 million in 2012 and decreased to 191 million in 2017. Prescribers—and the rest of the world—have become well aware of the unanticipated consequences of over-prescribing opioid pain medications. And although we know escalating the dose of a patient’s opioid pain medication can cause harm, so too, can quickly reducing a patient’s long-term opioid analgesics. The Coleman Institute for Addiction Medicine has heard from many people who have been prescribed opioid pain medications for years. These medications include, but are not limited to: Oxycontin®, Opana®, Vicodin®, Roxicet®, morphine, fentanyl, and methadone. These people have been caught in the sometimes knee-jerk reaction as their doctors, interpreting the message to reduce long-term opioid analgesics, have tapered their patients too quickly or abruptly stopped prescribing. What happens When You Discontinue Your Meds Too Quickly? The recent HHS Guide for Clinicians on the Appropriate Dosage Reduction or Discontinuation of Long-Term Opioid Analgesics lists the risks of rapid opioid taper: Significant withdrawal: Feelings of exhaustion, anxiety, trouble sleeping, and irritability spike during a rapid taper off of opioids. These feelings pose a risk for relapse and therefore should be mitigated with the help of a medical professional. Exacerbation of pain: Opioids cause the body to produce excess endorphins and dopamine, causing an irregularity in these naturally occurring processes. When the opioids no longer over-aid this process, the body feels pain until the brain heals and can self regulate these chemicals once again. Forcing yourself to do this too quickly can be physically excruciating. Serious psychological distress: Withdrawal symptoms are intense for anyone to deal with alone. Bringing on too many too quickly can take a toll on one’s psychological health. Feelings of isolation and constant stress can occur when moving too quickly through a tapering process. Thoughts of suicide: Thoughts of suicide are an especially insidious symptom of withdrawal. The combination of physical dependence and emotions returning to the surface rapidly of one’s mind can be overwhelming. If you are having thoughts of suicide it is vital to speak with someone immediately. The National Suicide Prevention Lifeline can help 24 hours a day by calling 800-273-8255. Seeking illicit opioids as a way to treat their pain or withdrawal symptoms: Unfortunately, it is common for those looking to treat their withdrawal symptoms by trading in one substance use disorder for another to help cope with the loss of the previous substance. Being kind to yourself is helpful by not forcing a recovery process too quickly. Therefore, “unless there are indications of a life-threatening issue, such as warning signs of impending overdose, HHS does not recommend abrupt opioid dose reduction or discontinuation.” They suggest several reasons for prescribers to continue tapering to a reduced opioid dosage or discontinuing altogether. These include the patient requesting their medications be reduced or discontinued, pain and function are not noticeably improved on the medication regimen, or the patient is receiving higher opioid doses without evidence of benefit from the increased amount.   UNDERSTANDING ACCELERATED OPIOID DETOX   These tend to be the main reasons patients seek the expertise of the Coleman Institute. While we also serve people who have become addicted to illegal or street drugs, a large percentage of our patients have been taking their medications exactly as prescribed (with maybe a few exceptions) and are ready to stop. How Does an Outpatient Opioid Detox Work? Gone are the days of detoxing alone in a clinic, with your life passing you by. Our outpatient opioid detox means you don’t have to put your life on hold or let responsibilities go awry. With an outpatient opioid detox at the Coleman Institute, you are able to come into one of our locations, bringing your support person with you, for your treatment. Treatments typically last an hour but will be dependent on your specific situation. Once your treatment is completed, you return to the comfort of your own home or hotel! No uncomfortable overnight stay in a stale, cold clinic. Can You Detox From Opioids in 3 Days? The Accelerated Opioid Detox using the Coleman Method helps people shorten the opioid detox process. Each patient has their support person with them 24-7 so we are able to administer plenty of comfort medications as the opioids leave the body. This outpatient approach uses a sedative medicine and Naltrexone to help patients detox in as few as three days. This is also dependent upon the health and age of the patient and the amount of medication a patient has been taking. For specific patients, the longer end of the range is for people desiring to get off long-acting opioids such as methadone or buprenorphine. This accelerated detoxification can be between 3-8 days, respectively. Are You a Candidate for a 3 day Opioid Detox? Recognizing opioid addiction can be difficult at times for patients. Opioid addiction is often characterized as a powerful, compulsive urge to use opioid medication, even when a patient generally is no longer required medically. Many patients also realize that opioids can have a great potential for causing addiction yet still be unaware in predicting if they are vulnerable or abusing the drug. In many cases, even when the medication is prescribed appropriately and taken as directed it can still cause intense craving and feel like something you can't live without. Because opioids trigger the release of endorphins, your brain also may feel-good and distract from the specific perception of pain, yet when the opioid wears off you can find yourself "craving" as soon as possible. Hence, safe choices that are made available such as accelerated detoxification. Importantly, this method, which Dr. Coleman has taught to providers around the country, is an outpatient procedure. Our patients are able to stay in the comfort of their homes, local hotel or Airbnb®, with their family during the entire detox procedure. Time in our office is spent reviewing medications, answering questions, and meeting with aftercare staff to plan out the next steps upon returning home. If you are questioning your need to be on long-term opioid analgesics, please give our office a call. You may find, as most of our patients do, that your body is able to handle pain far better than you ever thought, or that the pain is actually far less than when opioids were first prescribed. My colleagues and I look forward to working with you or answering any questions. You can reach us at 877-773-3869 for information on our programs. Joan R. Shepherd, FNP   SCHEDULE A CALLBACK   #### How Can Naltrexone Make Life Better in a Pandemic? The use of naltrexone has been a cornerstone of the treatment for Substance Use Disorders at the Coleman Institute for Addiction Medicine in Richmond, Virginia, since its inception over 20 years ago. Naltrexone is an opioid antagonist with no opioid agonist properties. It is, essentially, a blocker on the opioid receptors. While it sits on these receptors, it does not create euphoria or physical dependence or tolerance or addiction. Instead, it prevents opioids from landing on the receptors. In our patients who use naltrexone to help with an Alcohol Use Disorder, the impulse and pleasure for drinking are diminished. For our patients addicted to opiates such as heroin, codeine, and morphine— or synthetic versions such as Percocet and other oxycodone products, Vicodin and other hydrocodone products, Dilaudid (hydromorphone), Opana (oxymorphone), Tramadol, as well as kratom and poppy seed addictions, naltrexone simply blocks the receptor. Stopping an addictive drug at any time is a difficult proposition. As I have learned from my patients over the many years I have been working in this field, my patients do not use alcohol, pills, injections or herbs because they are stupid or morally bereft. These substances have reliably helped to relieve pain or anxiety, boredom or loneliness, depression or insomnia. For many, these substances have helped to numb intolerable memories. CHRONIC PAIN MANAGEMENT FAQS Symptoms of Opioid and Alcohol Withdrawal It takes courage on many levels to stop using these substances, and to stay off them. On a physical level, abrupt cessation of opioids causes well known symptoms: Muscular pain Diarrhea, vomiting, or nausea Restlessness or sweating Anxiety Dilated pupils or watery eyes Cramping abdominal pain Fast heart rate Excessive yawning Goosebumps Insomnia Tremors People dependent on alcohol who stop drinking abruptly may experience: Sweating Fever or water-electrolyte imbalance Restlessness or irritability Delirium or hallucination Fast heart rate Tremor Anxiety Dilated pupil Insomnia Seizures Shallow breathing Choosing to stop using addictive substances during the COVID-19 pandemic adds another whole layer of challenge. How can I do this safely? How can I get the support I need? Is there a place near me to detox off opioids or alcohol to minimize travel? Why Using Naltrexone is a Good Idea During the Pandemic? Perhaps one of the most compelling reasons to choose naltrexone as your Medically Assisted Treatment (MAT) —particularly for an opioid use disorder— is that unlike buprenorphine (i.e. Suboxone®, Subutex®, Zubsolv®, etc.) or methadone, naltrexone does not create a physical dependence or tolerance. Both methadone and the buprenorphine-types of medications necessitate multiple appointments, and because by law, urine drug screens are required, some of these will have to be live appointments. At the Coleman Institute in Richmond, Virginia, we use a long acting form of naltrexone which will last approximately two months. As far as making plans, this means completing the actual detox in 5-8 days and having all follow up appointments with our staff virtually, until the next naltrexone implant is due in two months. (Suture removal is necessary 10-12 days after the implant.) If the first step toward recovery is to physically stop using the addictive substance, the Coleman Institute provides one of the safest and most efficient methods to do so. Our program is an outpatient process allowing the patient and their support person to stay together during the entire treatment. We have limited the number of patients going through detox to achieve safe distancing and have instituted other measures to keep staff and patients safe. Our trained social workers will continue to follow up regularly and virtually with our patients to help them personally navigate their unique path of recovery. If you or your loved one is looking for a safe, convenient option for detoxing during the COVID-19 pandemic that specializes in naltrexone therapy, we are here for you. Schedule a call back with one of our Care Advocates today. Joan R. Shepherd, FNP SCHEDULE A CALLBACK Learn More About Naltrexone with Joan R. Shepherd, FNP #### How Did We Get Here? It should be no surprise to anyone reading this that we are in the middle of the worst opioid epidemic to ever strike our country. Thanks to fentanyl (a powerful synthetic opioid), the 2016 mortality figures are even worse than 2015 – over 60,000 deaths. To put this in perspective, there were more overdose deaths in that one year than the entire Vietnam war! How did we possibly get here? A Powerful, Dangerous Opioid Epidemic A powerful recent book outlines the history of the current opioid epidemic. The book is called Dreamland, and was written by Sam Quinones. He is an investigative journalist and tells the story in a very compelling and very readable manner. I recommend it to everybody. In fact, it has become required reading for the incoming class at Virginia Commonwealth University. The author provides a lot of answers to the question of how we got into this terrible situation. Here are a couple of my observations on how we got here. Addiction is a Disease First, the disease of Chemical Dependency has been constant over time. The disease has always been with us, affecting about 10% of the population. What does change over time is the drugs that people use. Alcohol has been ever-present, but other drugs come and go. What tends to happen is a new drug comes on the scene and people don’t really know how dangerous or addictive it really is - so, the drug becomes widely used. Eventually, the truth comes out and people stop using it quite as much - but then, other drugs are there to replace it. We saw this happening with opiates at the turn of the 20th century. Around 1900, about 1-2% of the entire population was addicted to opiates. Opiates could be obtained without a prescription from any pharmacy. People didn’t know how addictive they were. But, over a short period of time, it became obvious, and so, in 1914, Congress passed the Harrison Act making opiates a scheduled drug that could only be prescribed by doctors and dispensed by pharmacists. Other cycles happened with amphetamines in the 1950s, Valium in the 1960s, Xanax in the 1970s, and then, cocaine in the 1980s. Now we are seeing it happen again with opiates. Heroin: A New Drug on the Streets In the late 1990s, coinciding with this ignorance of how dangerous opiates really were, we started to see the appearance of high potency, powdered heroin. In the old days, heroin that came into the country was so impure that people had to use needles to try it and of course this turned a lot of people off from experimenting or trying it a few times. By the mid-1990s, very potent heroin started appearing from South America and other countries, and this allowed people to start to snort it. Many young people tried it because it was a powder that looked just like cocaine. It lasted about 12 hours and it was a lot cheaper than cocaine. They didn’t realize how addictive it was. A lot of young people had no fear of this new drug. They very quickly become physically dependent, and very quickly, they needed more and more. UNDERSTANDING ACCELERATED OPIOID DETOX The other development that was happening around this time was the medical community had started to prescribe huge amounts of opioids. Doctors became misled into thinking that opiates were not really very addictive and that opiates could be safely used for long-term pain treatment. Doctors were also led to believe that patients shouldn’t feel any pain, and so, if pain persisted, it was quite safe and appropriate to increase the dose. If patients were still in pain, they should just be prescribed more. Drug companies like Purdue Pharma made billions of dollars. Lots of other people made lots of money by obtaining these pills and selling them. The number of people being addicted and fatal overdoses skyrocketed. Fentanyl: Even More Dangerous Than Heroin Unfortunately, things have yet to really improve. It is true that physicians are now better educated and informed about effective ways to treat pain, and so, the number of new prescriptions for opiates is decreasing. But, drug importers and dealers have stepped in, and now, cheap heroin has become readily available all over the country. To make things worse, fentanyl is becoming readily available. Fentanyl is 50 times stronger and many times more dangerous than heroin. It is being mixed in with street heroin. Drug users have no idea what they are really using. Overdoses have skyrocketed. Physicians Decrease Opioid Prescriptions There is some good news: Physicians are finally starting to prescribe less opiates. Everyone is now becoming more aware of dangers these drugs present. Community groups are organizing all over the country to educate and help people get into long-term recovery. The justice system is even recognizing that it is not helpful to just punish people who have the disease of addiction. Many jails are now offering drug rehabilitation and there are many drug courts providing a treatment structure to help people to truly recover and get into long-term recovery. There is hope that, over time, the number of people experimenting with opiates will decline, and those who have become ensnared in addiction will find long-term recovery. Peter R. Coleman, MD SCHEDULE A CALLBACK #### How Do I Know It's Safe to Stop Drinking Alcohol? People in true recovery — beyond the physical act of not drinking or using, and in true emotional recovery — are easy people to be around. In the greatest of paradoxes, they, the wounded healers, have found strength through their weakness. They have learned wisdom not from doing it right, but from doing it wrong. The Cycle of Stress and Drinking Bev is a medical professional in her 50’s who came to the Coleman Institute for Addiction Medicine for an outpatient alcohol detox in Richmond, Virginia. She now has a little more than six months of not drinking under her belt. Bev was what she called, a “normal drinker” for many years. She started drinking in college and enjoyed partying. She and her husband have two daughters and she did not drink during her pregnancies, but as the pace of life and the stress of being in management in a busy medical setting grew, so did her drinking. She would wake up in the morning with a strong resolve not to drink. She never missed work because of her drinking, but almost always started her day with a dullness from the previous night’s drinking. Extremely busy at work and with children’s after school activities (pre-COVID-19), she started thinking about her ‘reward’ of a drink and to de-stress as she drove home each evening. She told me she basically ran into the kitchen and uncorked a bottle before taking off her coat. As she prepared the evening meal and listened to her kids recounting their day, she easily drank 3 big glasses of wine. Warning Signs It’s More Than a Bad Drinking Habit When her husband got home from work, Bev said she would often open a new bottle of wine to create the illusion this was her first drink of the evening. Her consumption grew to an average of one and a half bottles of wine a night, but it was easily two on the weekends. She hid not only the bottles of wine she bought, but would take the empties to a trash receptacle away from their home. GET THE ALCOHOL DETOX GUIDE Her sleep was awful, her temper was bad. She grew intolerant of the people with whom she worked. When COVID-19 hit, she told me, “I had a meltdown.” She started working a few days a week from home and uncorked her first bottle by 11:00 am. “I was in charge of procuring PPE’s for staff and creating new protocols. Both of my girls were home from school, and my husband’s job was deemed essential as well, so he was not able to be particularly helpful at home…I felt this bipolar sense of terror and relief that Amazon Prime could deliver wine to me every day of the week. Working in the medical field, I was so ashamed of myself. My daughters started noticing my hands shaking in the morning as I dragged myself around the kitchen making coffee. I had to do something. I had known some people who had gone to the Coleman Institute, and I found you online. Thank God.” Suffering From Alcohol Use Disorder Fr. Richard Rohr uses the analogy of electricity to describe how a person suffering from whatever pain life has brought him, transforms it into something greater, something useful, something powerful. He says: "Most people are like electric wires: what comes in is what goes out. Someone calls us a name, and we call them a name back. That is, most people pass on the same energy that is given to them. Now compare an electric wire to those big, grey transformers that you see on utility poles. Dangerous current or voltage comes in, but something happens inside that grey box and what comes out is, in fact, now helpful and productive." Bev is working on a strong program. She has taken advantage of online recovery meetings and agreed to go to an Intensive Outpatient Counseling program (IOP) that our aftercare team helped her find. She has found companionship and compassion, and the tools she is learning through these venues are helping her — much to her surprise and delight — in her own management position. She is truly transforming her suffering into a vehicle of help and hope to others. Do You Need An Alcohol Detox? Not everyone needs a medical detox off alcohol, but it can be dangerous to stop drinking abruptly if your body has developed a strong tolerance. Some people have mild to moderate tremors or sweating until they get a drink in their system. It’s important to check with your doctor if you are concerned or unsure. The Coleman Institute for Addiction Medicine in Richmond, Virginia or Wellesley, Massachusetts provides a safe, private, convenient, and welcoming three-day outpatient detox for appropriate patients. If you or a loved one is in need of this service and are ready to try living without alcohol, I encourage you to give us a call at 877-773-3869. Joan R. Shepherd, NP SCHEDULE A CALLBACK #### How Important Are The Medical Staff In An Opioid Detox? My patients, the struggles they have endured, and the efforts they have made to achieve sobriety inspire many of my blogs. But yesterday at work, I have to say, I was moved so much by my coworkers. A young man was with us for a simple accelerated opioid detox. He is under 20 and he has been on opioids since about the age of 16. He has overdosed a couple of times and he has tried to stop on his own multiple times. We have a pretty elegant detox process to get opioids safely and relatively comfortably off the opioid receptors, and Greg was already at this point. UNDERSTANDING ACCELERATED OPIOID DETOX He was on his last (3rd day) of our detox. As the end of the treatment approached, his father came to us, concerned and said, “Greg says he doesn’t want to get the naltrexone implant.” Naltrexone is one of the three Medication-Assisted Treatments (MAT) available and approved by the FDA in combination with counseling and behavioral therapies used to treat opioid use disorder. (Methadone and buprenorphine are the others). Naltrexone occupies and effectively blocks the same opioid receptors that would otherwise be available to opioids such as heroin, fentanyl, Oxycontin®, hydromorphone, oxymorphone, hydrocodone, tramadol, (increasingly) kratom. The Coleman Institute for Addiction Medicine has been using naltrexone as the mainstay of its treatment regimen for over twenty years. Our protocols include using naltrexone in a long-acting formulation, either as an implant, which reliably lasts for about 8 weeks, or an injectable form of naltrexone which lasts for about 30 days. We believe it is extremely important to use a long-acting formulation of naltrexone, rather than a daily oral tablet, especially in the early stages of recovery when the temptation to relapse can be overwhelming. This is why all of us working with Greg rallied around to urge him to reconsider. MEET OUR STAFF For the rest of the day, various staff members went into Greg’s room. Our nurse, Kim had bonded with him during her weekend shift. She has raised 2 sons and loves boys. She walked outside with Greg so he could have a smoke. She listened to his concerns and expressed hers. Johnnelle and Alona spent time sitting with and joking with him. Bridget offered sage advice from her years of working in the field. Dr. Coleman and Erin, one of our amazing nurse practitioners, came in, sat down, and spent time with Greg and his Dad, having frank discussions about the pros and cons of getting the implant. This boy had gotten under our skin and we just didn’t want to see him become another statistic. In the end, Greg chose not to get the long-acting naltrexone. We supplied him with daily oral naltrexone tablets and a prescription for emergency naloxone in case of overdose. He and his dad were assured that if he changed his mind, we would schedule him in a heartbeat to get the implant. Statistically, the numbers are bleak for people with Opioid Use Disorder (OUD) who don’t use some form of MAT, whether it is naltrexone, buprenorphine, or methadone. Patients who choose the Coleman Institute for an accelerated opioid detox often do so in order to take advantage of the long-acting naltrexone, which can only be used when all opioids are out of the body. It is a process that Dr. Coleman and the colleagues he has trained and worked with for decades have perfected and continue to improve. And, while having state of the art protocols and years of experience are reason enough to come to us for an accelerated opioid or alcohol detox---over and over again I have to hand it to the people I work with. They all, to a number, care deeply and individually about our patients. If you or a loved one would like to ask some questions about what to expect from an accelerated opioid or alcohol detox at the Coleman Institute in Richmond, Virginia or one of our many affiliate offices around the country, please give us a call at 877-773-3869. Joan Shepherd, FNP SCHEDULE A CALLBACK #### How Long Do Opioids Stay In Your System? Opioids encompass a wide range of substances, including powerful prescription medications like fentanyl, oxycodone and hydrocodone, as well as illicit drugs such as heroin or street fentanyl. Each opioid has unique characteristics, including varying half-lives and rates of metabolism, which affect the duration of its presence in the body. With so many common myths and misrepresentations about opioids, their effect on the body, and how long they stay in a person’s system, it is important to get credible information from trusted medical professionals and addiction specialists. By exploring how long opioids can remain in the body and understanding the factors that influence their clearance, you can better understand opioid detox and the path to freedom from addiction. How Long Does Morphine Stay In Your System? Morphine is a potent opioid analgesic derived from the opium poppy plant. It is commonly prescribed to manage severe pain associated with cancer, major surgeries or traumatic injuries. Morphine works by binding to opioid receptors in the brain and spinal cord, providing pain relief. The duration of its effects can vary depending on the formulation and route of administration. Intravenous morphine typically lasts for 2-4 hours, while extended-release formulations can provide relief for up to 12 hours. The drug itself can stay in the body for approximately 1-3 days, with metabolites detectable in urine for several days. How Long Does Heroin Stay In Your System? Heroin, an illicit opioid drug derived from morphine, is highly addictive and extremely destructive to individuals and communities. It is often associated with a range of serious health risks, including overdose, infectious diseases like HIV and hepatitis, and can lead to criminal activity and disrupted personal relationships. Heroin addiction is a prevalent and persistent public health concern that requires comprehensive approaches that encompass prevention, harm reduction, and effective addiction treatment strategies to address its devastating effects. Its effects typically last for a few hours, but the drug can be detected in the body for a relatively short period. Heroin has a half-life under 30 minutes, but its metabolite, morphine, stays in the body for two to three days. How Long Does Fentanyl Stay In Your System? Fentanyl is a potent synthetic opioid painkiller. It is many times stronger than heroin and morphine, and the duration of its effects depends on the formulation. Fentanyl is approved for use by the FDA and is primarily prescribed as an analgesic for the management of severe pain, particularly in cases where other opioids may not be effective. It is commonly used in medical settings such as during surgical procedures, as well as for chronic pain conditions like advanced cancer pain. Due to its high potency, fentanyl can provide rapid and intense pain relief, making it a valuable option for individuals who require strong pain control after a serious injury. Short-acting fentanyl effects may last a few hours, while long-acting versions can last up to 72 hours. Fentanyl may stay in the body for 24-48 hours, but its metabolites may be detectable in your system for several days. However, fentanyl is lipophilic, which means it likes to combine with or dissolve into fat cells in the body. This can cause fentanyl to remain in someone’s body even longer than the time frames listed above, and can lead to protracted withdrawal symptoms. UNDERSTANDING ACCELERATED OPIOID DETOX How Long Does Oxycodone Stay In Your System? Oxycodone is a semi-synthetic opioid prescribed to treat moderate to severe pain. It can be administered orally in the form of immediate-release tablets, extended-release tablets, or oral solutions, allowing for controlled and sustained pain relief. The oral route of administration generally results in slower absorption and a longer duration of action compared to other routes, such as intravenous or intranasal, with immediate-release formulations providing pain relief for up to 6 hours, while extended-release versions can last up to 12 hours. However, regardless of the route of administration, the elimination half-life of oxycodone remains relatively consistent, as it typically remains in the body for 48 hours. How Long Does Oxycontin Stay In Your System? OxyContin is a brand name for extended-release oxycodone and is primarily used for the management of moderate to severe pain when around-the-clock opioid treatment is required. It is commonly prescribed for chronic pain conditions such as cancer-related pain or severe musculoskeletal pain. OxyContin's extended-release formulation provides a controlled release of oxycodone over a 12-hour period, allowing for sustained analgesic effects and minimizing the need for frequent dosing. Its active ingredient, Oxycodone, stays in your system for one to two days. How Long Does Percocet Stay In Your System? Percocet is a combination pain medication containing oxycodone, a semi-synthetic opioid, and acetaminophen. It is prescribed for the short-term management of moderate to moderately severe pain. Percocet is often used after surgeries, dental procedures, or painful injuries, offering a balanced approach to pain management by combining the opioid effects of oxycodone with the non-opioid properties of acetaminophen. Its effects typically last up to six hours and it remains detectable in the body for approximately 48 hours after use. How Long Does Hydrocodone Stay In Your System? Hydrocodone is a semi-synthetic opioid used to treat moderate to severe pain. It is one of the most frequently prescribed opioids and is often used to treat acute pain for chronic pain conditions like back pain or osteoarthritis when other non-opioid analgesics have not provided sufficient relief. The effects of hydrocodone typically last around four to six hours, and it can stay present in your system for up to four days. How Long Does Vicodin Stay In Your System? Vicodin is a medication that pairs hydrocodone with acetaminophen. It may be prescribed for mild-to-moderate pain relief following surgeries, injuries, or chronic pain conditions. Vicodin prescription is typically reserved for short-term use due to the potential risks associated with long-term opioid use and acetaminophen-related liver toxicity. The effects of Vicodin generally last up to six hours, and its active ingredient Hydrocodone can remain detectable in the body for two to four days. Please note that the duration of drug effects and the detection times mentioned are approximate and can vary depending on factors such as individual metabolism, frequency of use, dosage, and other factors. When considering an opioid detox program, it is crucial to remember that individualized care and comprehensive support are key. Schedule a callback below to get personalized information about our outpatient Accelerated Opiate Detox. SCHEDULE A CALLBACK #### How Long Does Adderall Stay in Your System? Adderall is a prescription stimulant often used to treat Attention-Deficit/Hyperactivity Disorder (ADHD), but it's also commonly misused for its energizing and focus-enhancing effects. Whether prescribed or taken recreationally, stopping Adderall after prolonged use can be challenging. For those who are trying to quit or have a drug test, a very common question is, "How long does Adderall stay in your system?". Understanding Adderall's Duration in the Body The length of time Adderall stays in your system depends on several factors, including: Formulation type: Immediate-release (IR) Adderall usually clears the body in about 24 hours, while extended-release (XR) can be in your system even longer. Individual metabolism: Factors like body weight, hydration, and liver function can impact how quickly your body processes the drug. Dosage and frequency: Higher doses can extend the time Adderall is detectable. For those who may be subject to a drug screening, whether for work, legal reasons, or medical treatment, Adderall can typically be detected in urine for up to 7 days if you’ve been using it long-term, and even longer in blood or hair samples. Saliva testing can detect Adderall for a shorter window of time compared to other methods, usually within 24 - 48 hours. What Withdrawal from Adderall Feels Like Coming off Adderall can be mentally and emotionally difficult. Common withdrawal symptoms include: Fatigue and low motivation Anxiety, irritability, or depression Intense cravings Sleep disruptions Support is available if you're struggling to stop taking Adderall. A Safer, More Comfortable Way to Quit Stimulants At the Coleman Institute, we have developed an Outpatient Stimulant Detox Program aimed at safely addressing Stimulant Use Disorder with minimal disruptions to daily life. What You Can Expect: A medically supervised, customized detox plan Comfort medications to ease symptoms Daily check-ins (virtual or in-person) during the first week Most people can return to their daily routine by Day 5 We also provide continued support through follow-up appointments and case management because detox is just the beginning of recovery. Why People Choose Us Patients across the country trust our outpatient detox program for being: Safe and medically supported Non-residential and flexible Personalized to your unique situation Backed by over 25 years of experience Whether prescribed by a physician or obtained from non-medical sources such as the dark web, Adderall, as well as other prescriptions like Vyvanse and Ritalin, can be difficult to stop, but recovery is possible. Start Your Recovery Journey You don't have to face Adderall withdrawal by yourself. The Coleman Institute's outpatient detox program offers a supportive and effective way to abstain from stimulants such as amphetamines.   Request a confidential callback to learn more! #### How Long Does Alcohol Stay In Your System? Drinking alcohol can have a profound impact on your overall health. It not only influences your immediate behavior through intoxication, but also poses long-term risks to your brain, liver, and other organs if used excessively. From the moment it is consumed, alcohol begins a journey through your body, affecting every part and process it encounters. But how long does it take for alcohol to complete this journey, and how long is it detectable? Read on to explore how long alcohol stays in your system, how to expedite its removal, and the significant effects it has on the body. Understanding Alcohol Metabolism To understand how long alcohol stays in your system, it is crucial to know its metabolism process. When you consume alcohol, it is rapidly absorbed from the stomach and small intestine into the bloodstream. The liver, the primary site for alcohol metabolism, processes most of the alcohol you consume. An enzyme called alcohol dehydrogenase (ADH) converts alcohol into acetaldehyde, a toxic compound that is further metabolized into acetate, a less harmful substance. However, the liver can only metabolize a small amount of alcohol per hour, approximately one standard drink. This rate can vary depending on factors such as age, gender, and liver health. Consequently, consuming alcohol faster than the liver can process it leads to an increase in blood alcohol concentration (BAC), resulting in intoxication. How Long Does Alcohol Stay in Your System? So exactly how long does alcohol stay in your system? There is no one-size-fits-all answer. It largely depends on the amount of alcohol consumed, the rate of metabolism, and individual factors such as weight, age, sex, and overall health. On average, it takes about one hour for the body to metabolize one standard drink. Therefore, consuming multiple drinks will proportionally extend the time alcohol remains in your system. Alcohol detection tests can trace alcohol in your system for varying durations. For instance, breathalyzers can detect alcohol for up to 24 hours, while blood tests can identify its presence for up to 12 hours. More advanced tests, like hair follicle tests, can detect alcohol consumption for up to 90 days. FREE GUIDE TO UNDERSTANDING ALCOHOL DETOX How to Get Alcohol Out of Your System Many people who consume alcohol regularly seek out methods on how to remove it from their system quickly to avoid lingering issues such as a hangover or other side effects of alcohol use. While there is no magic solution to purge alcohol from your body instantly, certain measures can facilitate its natural metabolism: Hydration: Drinking water can help mitigate dehydration caused by alcohol consumption, though it does not directly speed up the metabolism of alcohol. Healthy Diet: Consuming foods rich in vitamins and minerals can support liver function, potentially aiding in the faster metabolism of alcohol. Rest: Giving your body ample rest allows it to recover and process alcohol more efficiently. These strategies can help clear alcohol from your system quickly, but the impact of drinking—especially excessive drinking—can still affect your overall health in negative ways. The Effect of Alcohol on the Body Alcohol has a profound and wide-reaching impact on the body that goes beyond the immediate effects of intoxication. Its influence extends to several critical systems, affecting everything from how your brain functions to the health of your liver. Understanding these effects is crucial for anyone who consumes alcohol, as it underscores the importance of moderation and the potential risks associated with excessive drinking. Here's a closer look at how alcohol affects various bodily systems: Central Nervous System: Alcohol is a depressant, meaning it slows down brain function. This can lead to slurred speech, impaired judgment, and delayed reflexes. Chronic alcohol use can cause long-term damage to the brain, affecting memory and coordination. Digestive System: Alcohol irritates the stomach lining, which can lead to gastritis and, in severe cases, ulcers. It also impairs nutrient absorption, leading to nutritional deficiencies. Cardiovascular System: Excessive drinking can lead to high blood pressure, heart disease, and stroke. Liver: The liver is particularly vulnerable to alcohol-related damage. Prolonged heavy drinking can lead to fatty liver, hepatitis, fibrosis, and cirrhosis. The effects of alcohol on the body are both immediate and long-term, impacting vital organs and functions in ways that can compromise health and well-being. It is essential to be aware of the risks and to monitor consumption to avoid the more severe consequences of excessive drinking.  Detoxing Off Alcohol with the Coleman Method While there are ways to support the body's natural processing of alcohol, there is no shortcut to eliminating it from your system. If you are struggling with excessive drinking and want to take the next step toward an alcohol-free life, the Coleman Method can help you get through the detox and withdrawal process and into recovery. Our outpatient detox program has a 98% completion rate and has helped thousands of patients overcome alcohol dependence and addiction over the past two decades. Contact the addiction medicine specialists in our Richmond, VA, office, or one of our nationwide clinics near you to schedule a callback and start your own success story today. SCHEDULE A CALLBACK #### How Long Does It Take To Get Energy Back After Opioid Withdrawal? A patient called the other evening. He finished his rapid opioid detox about a week ago. The man has a very physical job and is the father of a 4-month-old baby, Noah. Noah is the reason he finally decided he had to stop using opioids once and for all. He has been using high dose opiates for over 20 years, with a few small blocks of abstinence thrown in. He did well through his opiate detox; the man was able to stay pretty comfortable getting off the equivalent of somewhere between 300-450 mg of mixed opiates. He was also using heroin. He was able to detox from opioids in 3 days. On the first day, we planned, together, for him to stop using opioids. The next day when his previously overstimulated endorphin receptors were dropping from lack of opioid use, we gave him a small dose of Naltrexone to avoid the feelings of “going cold turkey.” On day three, his endorphin receptors were free from the effects of opioids. He was amazed at how comfortable the detox and withdrawal process was. Naltrexone therapy helps to decrease cravings and allows the brain to heal. It also offers protection from slip-ups. Vivitrol injections can also help by offering sustained endorphin receptors for months after. His call came because he is so very frustrated with his lack of energy since detoxing. from opioids. With a job installing granite counters and a tiny baby, not to mention the mother of this tiny baby who is desperate for his help, this man wants to feel energized. Now. Yesterday. He wants a magic pill and he is certain there is something I can prescribe for him to help. If there is, I haven’t found it. The Impact of Opioid Withdrawal on Energy Levels With over 2 million Americans abusing opioids, and the loss from overdose growing by the day, many are experiencing the difficulty that comes with dependency and withdrawal. When you stop taking opiates your body goes through withdrawal. The body's endorphin receptors take a dive and the body feels this in many unpleasant ways. For some, unpleasant symptoms may persist even after the body has detoxed.  One of the most common complaints from those in recovery is having low energy and feeling very irritable. This lack of energy can be debilitating, making it difficult to carry out daily activities and maintain a normal routine. The feeling of constant exhaustion can also exacerbate other symptoms, such as irritability, mood swings, and depression, creating a vicious cycle that can be challenging to break. One of the signs that your energy is low due to being in a state of post-withdrawal is exhaustion paired with trouble concentrating, memory problems, or anxiety. This combination of symptoms can significantly impact an individual's ability to function effectively at work, school, or in social settings. Difficulty concentrating and memory problems can make it hard to complete tasks or follow through with commitments, leading to frustration and a sense of inadequacy. Anxiety can further compound these issues, making it hard to relax or feel at ease in various situations. FREE GUIDE: UNDERSTANDING ACCELERATED OPIOID DETOX PAWS and Low Energy After Opioid Withdrawal In conjunction with feeling low energy post-withdrawal, he was also feeling irritable and frustrated. These feelings fed his exhaustion and he knew he had to gain some insight into managing these symptoms. He was feeling the effects of Post-acute-withdrawal-syndrome or PAWS. PAWS is a condition that affects many individuals after they have undergone a medically supervised detoxification from opiates. Unlike the acute phase of withdrawal, which involves intense symptoms over a shorter period, PAWS can linger for weeks, months, or even years after initial detoxification. It’s characterized by a range of symptoms, including feelings of lethargy, headaches, nausea, muscle aches, irritability, anxiety, and depression. These symptoms can be quite debilitating and make the recovery process seem overwhelming. One of the most common and persistent symptoms is a profound sense of fatigue. This isn't just typical tiredness but a deep, pervasive exhaustion that can make even simple daily tasks seem insurmountable. Individuals often experience mood swings, irritability, and frustration. These emotional fluctuations can be intense and unpredictable, contributing to a sense of instability. Many people report difficulties with concentration, memory, and decision-making. This cognitive fog can interfere with work, school, and personal relationships. Insomnia or disrupted sleep patterns are frequent issues. Poor sleep exacerbates other symptoms, creating a cycle of fatigue and irritability. Additionally, headaches, nausea, and muscle aches are common physical symptoms. These can sometimes mimic the flu, adding to the overall discomfort. Managing PAWS requires a multi-faceted approach focusing on physical health, mental well-being, and social support. It's crucial to identify and avoid situations, people, or environments that can trigger cravings or relapse. A balanced diet is essential. Proper nutrition helps replenish depleted nutrients, stabilize blood sugar levels, and improve mood and energy. Focus on whole foods rich in vitamins and minerals, and stay hydrated. Regular exercise can be a powerful tool in managing PAWS. Physical activity releases endorphins, which are natural mood enhancers. Exercise also improves sleep quality, reduces stress, and boosts overall energy levels. Establishing a regular routine can bring a sense of normalcy and control. Regular sleep schedules, meal times, and planned activities can help stabilize daily life. Practices such as mindfulness, meditation, and yoga can help manage stress, reduce anxiety, and improve emotional regulation. Using Natural Dopamine to Fight Low Energy After Opioid Detox Dopamine is the neurotransmitter that allows us to feel pleasure. It is made in our brains so we can enjoy food, sex, laughing, a beautiful sunset, fishing, hunting or whatever it is that personally brings you pleasure. Unfortunately, when the brain is constantly overloaded with exceedingly high levels of dopamine from an external source like opioids, it eventually stops making its own. It can’t compete. If external sources of dopamine are not introduced into the brain for about four months, the brain will begin to make its own again. And that’s what we tell our patients. One of the standard questions we track at the Coleman Institute when people return for their follow-up Naltrexone implants specifically addresses this: What is your energy level on a 0-100% scale? Most people don’t have their energy levels back to 100% by four months, but almost invariably people are feeling better in 2 to 4 weeks. It is closer to two weeks for patients getting off short-acting opiates such as most painkillers and heroin; closer to four weeks for patients detoxing off methadone and Suboxone. NALTREXONE THERAPY FOR OPIATES FAQS The Right Way to Improve Low Energy After Opioid Withdrawal Part of my job is to help people manage their expectations about restoring energy after detox. Some patients say they have used various amino acid supplements that seem to help with a quicker recovery. Others say exercising, working hard, and avoiding naps during the day help. I believe the body wants to heal from opioid use and it will. I think it’s important to put the best "fuel" into our bodies we can, but I haven’t met a patient yet who doesn’t eventually feel and look better within a few months, even if the only change they make is stopping opiate use. Managing Low Energy Levels After Opiate Withdrawal When he asked us if we had any tips on how he could manage PAWS, we were happy to share with him what we have seen work well for others. Be realistic. Recovery from opioids takes time and it’s important to be patient with yourself and others. Get to sleep early. The body has a lot of healing to do when going through recovery after opiate detox. Make a plan to get 8 hours every night. Journal your experiences. Journaling can help you pinpoint patterns in your thoughts and identify other ways of reacting. Make an appointment with a mental health professional to help support you. Problems with memory are a common occurrence with PAWS. Writing things down can be extremely helpful to keeping up with daily tasks. Joining a 12 step program can be very helpful as you get to meet other people who are going through the same thing as you. Cyclical thinking can be interrupted by listening to music, talking with friends, or getting some physical exercise. Learn more about boosting energy after opioid withdrawal. Take the First Step Toward Opioid Detox and Recovery So I have great faith that Noah’s dad will regain his energy, hopefully, sooner than later. And when that little guy looks up into his dad’s face and smiles and laughs, or when he takes his first few steps, I think some genuine dopamine will be coursing through this proud daddy’s brain. If you or someone you know is struggling to reclaim their life from the destructive power of opioids, you can also find help like Noah did at the Coleman Institute. Our Accelerated Opioid Detox program can put you on the path to freedom from addiction. All it takes is one phone call. Contact the addiction medicine specialists in our Richmond, VA, office or in one of our nationwide clinics near you today to learn more about the Coleman Method for opiate detox, or request a callback below. SCHEDULE A CALLBACK #### How Long Does Naltrexone Last & How Can It Aid in My Recovery? For a person struggling with opioid addiction, the freedom to wake up in the morning and not need to chase the drug to keep from being sick is nothing short of miraculous. Although there are always some exceptions, most patients who use long-acting naltrexone are astonished at how quickly the cravings are absolutely gone. I have heard this over and over again from our patients. If you are wondering how long does naltrexone last, and how it can aid in your recovery, we have the answers below. Attending a Conference - Setting up the Scenario I recently attended a conference where participants were challenged to surrender their electronics, tobacco products, alcohol, sugar, caffeine, gum, any medications or supplements not prescribed by a medical provider, and between-meal snacks for the duration of the event, which lasted a little longer than a week. The tension in the room was palpable. Lots of murmuring. Hands went up in the air to get clarification. Questions were raised about exceptions to this situation or that situation. I suspect every brain in the room was in overdrive anticipating what the absence of these things would mean. I myself was agonizing about turning over the sack of organic mixed nuts I had brought to the conference so that I would have healthy snacks. I was unsure that I would not give into the eight-dollar bag of peanut M&Ms from that wretched temptress: the minibar refrigerator. Once those of us who chose to take part in this exercise gave up our electronics and other items, the experience was easier than I’d expected. As our teacher said, “No Decision, No Fear.” Removing Temptations It was true. Once the agreement had been made and the option to begin the morning with a cup of coffee or snack between meals was gone, my brain and its noisy “Team of Thoughts” became quiet…at least about those situations. This exercise is a great example of how using long-acting naltrexone as a Medication-Assisted Treatment for opioid dependency can work. It takes the decision of whether to use opioids (pain medications, heroin, fentanyl, etc.) off the table. Because naltrexone is a pure opiate antagonist, it actually sits on the opioid receptors, thus blocking them from any other opiate that may be introduced. UNDERSTANDING ACCELERATED OPIOID DETOX How Long Does Naltrexone Last? Some patients have told me they opted to come to the Coleman Institute for an Accelerated Outpatient Opioid Detox “instead of going to therapy”. It is important to note that these are not mutually exclusive, and our belief is that patients benefit from both. With the recognition of the enormous opioid epidemic our country is experiencing, the options for therapy after detox are numerous and increasing daily. But it often makes sense to detox before going into therapy so that your brain can better begin to absorb the skills necessary for sustained recovery. To answer the question “how long does naltrexone last?”, a one-month injection of Vivitrol provides our patients with about 28 days. With a naltrexone implant, the results can last even longer. Long-Acting Naltrexone Options 1. Vivitrol There are a couple of options for long-acting naltrexone. It comes in the form of a monthly injection under the trade name Vivitrol. The injection goes into the large gluteal muscle and the medication is slowly released for about a month. Many insurance companies will cover the cost of Vivitrol. 2. Naltrexone Implants Naltrexone implants are another option, and the Coleman Institute has been a national leader in the use of them for over fifteen years. This implant, or pellet, is placed in the fatty tissue of the abdomen. It’s about the size of a vitamin tablet. We make a half-inch incision and close it with 3 stitches. Once it heals, it leaves a small scar-like what you might see from a laser gallbladder removal. Our implants bathe the opioid receptors with naltrexone for about 8 weeks. More like this: Medication-Assisted Treatment: Higher Success for Recovery Conclusion Let the Coleman Institute help you to sift through some of the overwhelming choices that become urgent for families in crisis. Freedom from opioids with long-acting naltrexone treatment is possible. Joan R. Shepherd, FNP SCHEDULE A CALLBACK Last Updated: January 14th, 2022 #### How Long Does Opioid Withdrawal Last? Over the past few decades, opioid addiction and dependence have emerged as critical health crises, affecting countless individuals across the globe. While progress has been made in developing faster, more efficient forms of opiate detox, understanding the process of opioid withdrawal is a vital step in addressing the issue. Read on to find out more about the physical impact, duration, and challenges of opioid withdrawal as we shed light on the timeline and provide valuable insights for those seeking recovery from opioid use disorder. Understanding Opioid Withdrawal So how long does opiate withdrawal last? First you have to consider the different factors influencing a person’s withdrawal experience. Opioid withdrawal encompasses a range of symptoms experienced when someone who has become physically dependent on opioids either significantly reduces or stops their use. Opioids, which include both prescription painkillers and illegal substances like heroin and fentanyl, create significant changes in brain chemistry, particularly in areas related to pain and pleasure. Regular use of opioids leads to physical dependence, a state where the body requires the drug to function normally. When the drug is reduced or stopped, the body experiences a range of physical and psychological symptoms as it attempts to regain balance without the opioids. The severity and duration of withdrawal symptoms can vary based on several factors, including the type of opioid used, length of use, dosage, and the individual's overall health. The Opioid Withdrawal Timeline  This timeline is a general guide and can vary significantly based on individual factors such as the type of opioid used, duration of use, personal health, and whether the person has tapered their use or stopped abruptly. Contact an addiction medicine specialist to get a treatment plan and timeline suited to your specific situation. 6-12 Hours After Last Dose: Early Withdrawal Begins Onset of initial symptoms, which can include: Anxiety Muscle aches Increased tearing Insomnia Runny nose Excessive sweating Frequent yawning 24-48 Hours After Last Dose: Peak of Early Withdrawal Intensification of early symptoms and possible appearance of additional symptoms, such as: Agitation Diarrhea Heart palpitations High blood pressure Fever 72 Hours After Last Dose: Peak of Acute Withdrawal Typically, symptoms reach their peak in intensity and discomfort and can include: Nausea and vomiting Abdominal cramping Dilated pupils Goosebumps Blurred vision Rapid heartbeat 1 Week After Last Dose: Symptoms Begin to Subside At this time there is typically a gradual reduction in the intensity of physical symptoms, while psychological symptoms may persist or become more pronounced, including: Anxiety Depression Irritability Cravings for opioids 1-2 Weeks After Last Dose: Continued Decrease in Physical Symptoms Most physical symptoms significantly diminish, while ongoing psychological and emotional challenges and the potential for continued cravings remain. Post-Acute Withdrawal Syndrome (PAWS) This stage occurs in some individuals, lasting for months. Symptoms can include: Chronic fatigue Anxiety Sleep disturbances Mood swings Reduced concentration Periodic cravings Again, this timeline will vary due to a variety of influencing factors. It's important to approach this process under proper medical supervision, as withdrawal can be both physically and emotionally challenging. GUIDE TO ACCELERATED OPIOID DETOX Factors Influencing the Duration of Opioid Withdrawal Type of Opioids Used The duration of opioid withdrawal can be influenced by several key factors. Firstly, the type of opioid used plays a significant role. Short-acting opioids, like heroin, often lead to a more rapid onset of withdrawal symptoms compared to long-acting opioids, such as methadone or extended-release formulations. The latter may result in a delayed but prolonged withdrawal process. Additionally, the duration and intensity of opioid use are crucial factors. Individuals who have used opioids for a longer period or at higher doses are likely to experience more prolonged and severe withdrawal symptoms. The method of cessation also impacts the withdrawal timeline. Gradual tapering off of the opioid, as opposed to abrupt cessation, can lead to a more extended but often less intense withdrawal process. Metabolism and Physical Health Another critical factor is the individual's physical health and metabolic rate. People with faster metabolisms may process opioids out of their system more quickly, potentially shortening the withdrawal duration but possibly intensifying the symptoms. Pre-existing physical health conditions can also influence the nature and length of withdrawal symptoms. Furthermore, psychological factors and mental health play a role. Individuals with co-occurring mental health disorders like depression or anxiety may experience more pronounced and extended withdrawal symptoms. Psychological readiness and stress levels can also affect how the body and mind respond to withdrawal. Social and Environmental Factors Finally, environmental and social factors can significantly impact the withdrawal process. Supportive and stress-free environments can aid in a smoother withdrawal, while stressful or triggering environments may exacerbate symptoms and prolong recovery. The availability of medical and emotional support, including access to healthcare professionals and support networks, can also greatly influence the duration and experience of opioid withdrawal. These factors highlight the complexity of opioid withdrawal and underscore the importance of a personalized approach to treatment and recovery. Managing Symptoms During Opioid Withdrawal Managing the symptoms of opioid withdrawal is crucial for a successful transition to sobriety. Medical interventions are often the first line of defense in this process. Medications such as Naltrexone can be used to alleviate withdrawal symptoms and curb cravings as part of a rapid detox opioid treatment program. Naltrexone works by acting on the same opioid receptors in the brain but is non-addictive and helps aid patients in the recovery process. Non-medical interventions are also vital in managing withdrawal symptoms. Psychological support through counseling or therapy can help address the emotional and psychological aspects of withdrawal, such as anxiety, depression, and cravings. Additionally, in-person or online support groups can provide a sense of community and shared experience that is invaluable during recovery. Lifestyle changes play a crucial role in managing withdrawal symptoms. Regular exercise, a healthy diet, and adequate sleep can all help in reducing the severity of symptoms and improving overall well-being. Techniques such as meditation, yoga, and mindfulness can also be beneficial in managing stress and improving emotional regulation during the withdrawal process. It's important to note that each individual’s experience with opioid withdrawal is unique, and therefore, a personalized approach to symptom management is essential for effective recovery. Long-term Recovery and Support from Opioid Use Long-term recovery from opioid use is a multifaceted process that extends beyond the initial withdrawal phase. Continued medical support is often necessary, with many individuals benefiting from ongoing medication-assisted treatment (MAT). Regular check-ins with healthcare professionals are also important to monitor recovery progress and adjust treatment plans as needed. Are you ready to take the next step and start your new life in recovery? Contact our team at the Coleman Institute and learn more about how we’ve helped 98% percent of patients successfully complete outpatient detox with the help of the Coleman method for rapid detox from opioids. SCHEDULE A CALLBACK #### How Much Pain Does It Take Before Someone Stops? Most people who get into recovery do so when the pain of their using and the pain of their lifestyle is greater than the fear of stopping and trying a new way of life. Usually, this requires a crisis - like a health scare, legal problems, a threatened divorce or something similar. But lately, I have been wondering how much the scare of dying from an overdose will actually cause someone to stop using heroin and get into treatment. The risk of dying from using street drugs has never been higher. Just this week we heard about four fatalities in Petersburg, Virginia and another 16 overdoses. These overdoses seem to have been caused by one batch of carfentanil. Heroin use has always been very dangerous with a high overdose fatality rate. Every heroin user knows there is a significant risk every time they use heroin. But now, with the new drugs coming in from China and Mexico, the risk has gone through the roof. Fentanyl is 50 times stronger than heroin and carfentanil is 5,000 times stronger! (See my "Ask the Doctor" column for more info about carfentanil.) The drugs are cheap to make and easy to import into the U.S. There are reports of drug dealers bringing in massive quantities of fentanyl from China and pressing it into tablets that look like Percocet, except they have enough fentanyl in them to cause instant death. Anytime someone buys what they think is heroin, or even look alike prescription drugs on the street, they are taking an incredible risk. So, if the chance of dying every time someone used heroin was 90%, would they stop? Most likely they would, because that would be so ridiculous to use in the face of those odds. But, what if the chance of dying was 1 out of a 100? That may be what it is these days now that fentanyl and carfentanil are being added to the heroin that is for sale. If it is that high, the life expectancy of someone using street heroin could be about 3 months! So, the question is why are people continuing to still buy and use street drugs when they know that the risk of dying is ridiculously high. Why are they not seeking or coming in for treatment with methadone, Suboxone, or naltrexone? These treatments save people's lives, and they are readily available. Sometimes they are covered by insurance or are available through Community Service Boards at no cost to the patient. Surely every person, even people with drug addiction, evaluate the risk of what they are doing compared with the pleasure they will get from doing it. The risk / benefit equation has flipped so much in the last couple of years, that it is hard to fully understand why people would take the risk. There are a couple of possible answers to this question. One is simply ignorance or lack of knowledge. It may be that the people buying street drugs really do not understand just how dangerous this can be. Maybe they don't realize that fentanyl and these other drugs are becoming more commonplace. We are now finding traces of fentanyl in over 50% of the people using street drugs who come in for detox. Most of them thought they were using heroin, but what they were actually using was far more dangerous. UNDERSTANDING ACCELERATED OPIOID DETOX A second possibility is that people using opiates are so unhappy with their life and have a level of depression where they just don't care if they live or die. They are willing to keep using even though they know the risk is high, because they don't care anymore. They can't see there can be happiness and joy in life if they were able to get off the drugs because they are so down, so mired, and stuck in their drug world. The most likely possibility is they believe they will be different and they will not make a mistake and overdose. The problem is these drugs poison their brain's ability to accurately assess risk. They may have used hundreds of times and then be lulled into thinking that the risk is really not that bad. Opiates strongly stimulate the reward system so people feel a lot of pleasure when they use these drugs. But, there are also opiate receptors in the frontal lobes - the thinking and decision-making part of the brain. Because the frontal lobes are also affected by the drugs, there is good evidence that the ability to weigh the risk from the drug using behavior is severely affected and diminished. This means the very drugs people are using, make it almost impossible for the addict to make decisions about what is safe and what is not safe. It is a serious problem that can only be overcome by awareness, education, clean time and being in an environment which promotes normal, rational thinking to return. We have to attack this opiate crisis with a multi-pronged approach. We need to make sure everyone is fully aware that these drugs have changed and they are now so dangerous that people need to seek and get into treatment immediately. A fatal overdose could happen at any time to anyone. We need to make sure treatment is readily available and that everyone knows how to access treatment. If you have a loved one, or know someone who is using, it is time to do what you can to help them get into treatment so their brain can heal and they can start making good decisions again. Peter Coleman, MD SCHEDULE A CALLBACK #### How Pain Perpetuates Addiction My good friend sends me articles she reads that have to do with addiction. This morning she sent me a quick story from the New York Times that describes a woman’s experience of having surgery in Germany: “After Surgery in Germany, I Wanted Vicodin, Not Herbal Tea.” She asks each of the three doctors participating in her care to, please, be sure to prescribe just a few Vicodin for the first days of her recovery. (Vicodin contains the narcotic pain medication hydrocodone.) Her gynecologist, her surgeon, and her anesthesiologist all refuse. Politely. She paraphrases her anesthesiologist’s message: “Pain is a part of life. We cannot eliminate it nor do we want to. The pain will guide you. You will know when to rest more; you will know when you are healing. If I give you Vicodin, you will no longer feel the pain, yes, but you will no longer know what your body is telling you. You might overexert yourself because you are no longer feeling the pain signals. All you need is rest…” She goes on to describe how they were right, the pain really wasn’t that bad—the boredom was the worst of it. She needed to rest, she needed to spend time in bed, and that was difficult for her. But she did it. Without narcotics. Even without a history of addiction, this author was making heroic attempts to avoid the pain she believed was inevitable. It is easy to imagine how a person who is genetically vulnerable to addiction, facing the prospect of some type of pain, and having access to pain medication could get caught up in this vicious cycle. In Recovery: Freedom from Our Addictions (p. 32), Russell Brand provides a succinct 5-point guide to the cycle of addiction: Pain. Using an addictive agent, like alcohol, food, sex, work, dependent relationships to soothe and distract. Temporary anesthesia or distraction. Consequences. Shame and guilt, leading to pain or low self-esteem. And off we go again. Pain can obviously come in the form a physical condition, and we have helped countless people with chronic pain conditions get off their prescribed opioid pain medications in a few short days with relative comfort. But more often, the pain we see in the people who come to us for help getting off of opioids, benzos, or alcohol stems from, or has morphed into, an emotional pain based on unquestioned beliefs--beliefs that feed on each other and corrupt the lens through which their world is experienced. Until questioned, the beliefs often drive the behavior. When an addictive substance is taken long enough, a person becomes tolerant and physically dependent. The first step in untangling this sticky web is to stop the chemicals. This is extremely difficult, and in some cases, dangerous to do on one’s own. The Coleman Institute has specialized in safely and comfortably helping people to ease off opiates like hydrocodone or oxycodone, break off benzodiazepines like Xanax® or Valium®, and end their alcohol use. This is where our expertise resides, but knowing that it is only the beginning of our patients’ journey to recover their lives, we assist them to find the best and most fitting treatment after their detox. We can’t over-emphasize the importance of working with a trusted therapist or finding a home in a Recovery Community, such as Alcoholics Anonymous or Narcotics Anonymous. The compulsion to continue to use drugs is unlikely to go away unless the root of the pain is understood in a compassionate, healing setting. Please call us if we can be the first step in un-packing the burden of pain that you or a loved one carries. Joan Shepherd, FNP #### How the Hell do I Stay Sober Now?! It is easier than ever to become lost in the rabbit holes our minds are diving into — fear of the future, fear of the unknown… If not already happening, many of us will likely also experience the reality of being host to a virus which may or may not make us, our loved ones, or our colleagues ill. My gratitude extends to all who are taking seriously the social distancing actions and other important measures to keep people safe. It is truly choosing to live in the reality of the current situation. For people with any kind of substance use disorder, this can be particularly challenging. I go back to an oft-cited resource, Johann Hari’s TED Talk in which he now famously posits: the opposite of addiction is not sobriety, the opposite of addiction is connection. I have been hearing from people who are committed to their sobriety and depend on the interaction with others at their meetings are falling into panic mode. More than ever, it is imperative to find a peaceful locus within, and to find virtual ways to connect with each other that create peace, rather than incite inward chaos and fear. Reliable Connection is Possible During COVID-19 As hardship often brings out the resiliency and strength in people, COVID-19 has prompted more opportunities for virtual meetings and gatherings on a multitude of digital platforms. I have been asking people for suggestions for online resources that support sobriety and recovery, and offer a few below. I am sure there are many more out there and I implore you to keep searching and share the good ones with others. Alcoholics Anonymous Online Intergroup Their site is a very comprehensive website. I was impressed by the depth and breadth of audio/visual offerings from open to closed meetings, speaker meetings, LGBTQ, and much more. Not only that, there are meetings in multiple languages, and on their homepage is info to contact someone ASAP if you feel that you are going to relapse, available 24 hours a day, 7 days a week. Narcotics Anonymous Narcotics Anonymous (NA) is well positioned to provide live help to keep people sober. I actually called their 800-777-1515 number before 5:00 a.m. and reached a helpful human within a minute. While she couldn’t give me specifics about virtual meetings, she did say a person with substance use disorder who calls the NA number can be connected with a person in recovery if that’s what is urgently needed. She advised that I look at the NA World Services website for information about virtual or online meetings. I did. Again, I am impressed. Clearly many of these meetings were set up well before COVID-19 was compelling people to socially distance themselves. In fact, a brief search for web meetings produced 293 results—around the world, throughout the day, in multiple languages, and in all time zones. Speaker meetings, text study, beginners meetings, and more. The NA phone app also provides instant access to several meetings hosted on Zoom throughout the day. UNDERSTANDING ACCELERATED OPIOID DETOX LauraMcKowen.com A friend in long-term recovery recommended Laura McKowen as another online resource. She is a blogger, a teacher, and recent author of We Are The Luckiest: The Surprising Magic of a Sober Life. She offers on-line self-questioning and self-development classes in a small group weekly format. Prompted by the need for people in recovery to meet, she is hosting free meetings 5 days a week via Zoom. I was one of 280 plus participants who logged in Sunday morning. McKowen clarifies that this is not an AA meeting and in order to respect people’s privacy, meetings are not recorded. She opened with a reading and meditation, then a guest told his story. After that, she called on several people who wished to speak. Interestingly, many of the participants were people who found that the 12 step recovery meeting format of AA was not the right fit for them, and have entered their own recovery through alternative pathways. I was impressed with the sense of connection, and strongly encourage you to check out her website if you’d like access to the zoom instructions to attend a meeting. Hello Someday Coaching A few weeks ago I interviewed the lovely Kasey McGuire, of Hello Someday Coaching. Kasey’s tag-line tells it all: Drink Less. Live More. Life, Mindset, Sobriety & Success Coaching for Busy Women. For women who have been plunged into an amorphous world of working from home in the wake of the COVID-19 and are feeling lost without more structure, working with Kasey may be a God send right now. She provides accountability and connection through one on one coaching. Telehealth Resources Can Help You Stay Sober Many established treatment centers are offering on-line and virtual meetings. If you are finding yourself with a little free time, I urge you to look into some of these resources. Perhaps one of the best pieces of advice for people to strengthen their sobriety resolve is to decrease the amount of time spent looking at new stories. Talk about being whipped into a frenzy! Some of the best gurus of our times are responding to the world with inspiring YouTube messages. Tara Brach (Facing Pandemic Fears with an Awake Heart), Tommy Rosen (What is The Coronavirus Trying to Teach Us?), Eckhart Tolle (Staying Conscious in the Face of Adversity), and Martha Beck (The Gathering Room: Love in the Time of COVID-19) are a few that I have found helpful. Finally, if you want a great way to get out of your head for a little while, and into your body, check out Billie Carol’s Yoga of 12 Step Recovery (Y12SR). This offering is for those among us with any kind of addiction: substances, behavioral addictions, food, or perhaps recognizing that you might be someone who is just a little bit addicted to your own thoughts. Billie is offering these for free on Zoom twice a week, Tuesdays and Thursdays from 5:30-7:00 pm. These meetings are not recorded, and while open, are still anonymous. Here are the links: Meeting IDs: ⁠ ⁠Tuesday meeting: https://zoom.us/j/210822932⁠ ⁠Thursday meeting: https://zoom.us/j/238480⁠ During the live Zoom meeting that Laura McKowen hosted last weekend, I was struck by the sharing of a woman who has struggled with frequent alcohol relapses who now (like many) finds herself working from home and homeschooling 3 children. Through tears she said, “In years to come, I want to remember the Pandemic of 2020 as the time I got sober.” Most of us are going to have the opportunity to look back on this time and recall how we responded. Think about — and maybe even journal —the future you describing to your children, grandchildren, old friends--how you spent the Pandemic of 2020. Perhaps you will describe a period of growth, insight, and sobriety. At this writing, the Coleman Institute has deemed detoxes to be essential. Thorough screening protocols are in place. If we can help you remember the Pandemic of 2020 as the time you got clean, give us a call at 877-773-3869. Joan R. Shepherd, FNP SCHEDULE A CALLBACK #### How to Avoid Opioid Use Relapse First of all, plan to fail. I don’t want to sound pessimistic, but over 2.5 million Americans suffer from opioid use disorder, which contributed to over 70,000 overdose deaths in 2017. Once the brain gets basically highjacked by opioids and is being held hostage or damaged, don’t expect much in the way of good, near-term decision-making. The opioids take on the quality of air: the brain perceives them as necessary for survival. That’s why it’s a good idea when a person has finally made the decision to stop using opioids once and for all, to plan to fail. Let me explain. Signs of Opioid Relapse Prevention A person can quit opioids, go to therapy, change their friends, change their lifestyle, and change their environment as much as possible, but inevitably something will happen that will put them in the direct path of opioids again. You just can’t control every environment. Too often, a person in early recovery will find himself in a situation that catches him off guard and triggers him beyond anything he’s prepared for. This where Implementation Intentions come in. A well-researched idea in motivation psychology, Ben Hardy, author of Willpower Doesn’t Work (2018), describes it this way: “Implementation intentions come down to knowing ahead of time exactly what you’ll do if you veer off course, as well as defining precisely what veering off course means for you. It’s planning to fail so you can proactively respond.” (page 111) As you can see, preventing relapse from occurring is much more than just telling yourself "no" and removing all scenarios that could hinder your road to recovery. Understanding that relapse is quite common and requires a secure prevention plan with treatment, is the first step. With both in hand, you can feel safe in knowing you have the right account for the physical, emotional, and situational triggers that could very well occur during your detox journey. Overtime, your tolerance to the opioids will very well decrease and when it does, you will not be able to handle the levels you once were used to, resulting in a potential for overdose and even fatality. Warning Signs of Opioid Relapse Behavioral Changes Emotional Stress Negative Feelings Financial Burden Resisting Treatment Reminiscing on the "High" Doubtful of Recovery Accelerated Opioid Detox Treatment In 2022, 1.6 million individuals qualified for having an opioid use disorder (OUD), and over 100,000 lives were taken due to overdose. This is exactly why the Coleman Institute has created a safe space and a means for using long-lasting formulations like Naltrexone, to firmly commit patients to stop the use of drugs in a comfortable, efficient way. Once a patient has completed our rapid, our accelerated, outpatient detox, the naltrexone becomes the built-in implementation intention. It's not that we don't have confidence in our patient's intentions or motivations, but we know how difficult it is for the damaged brain to give up the idea of ever using opioids again. And, early recovery is an extremely vulnerable time. That's why with the Coleman Method, you can ensure a treatment plan of as little as three days to rid your body from opioids and get back the life you deserve. ASK FOR HELP How does a Rapid Opiate Detox Work? Because the opioid receptors are occupied when using a long-lasting formulation of naltrexone, patients feel no physical cravings for opioids. This is one of the single best strategies for beginning the next phase of recovery and building the groundwork for a lifetime free of craving and using drugs. Furthermore being able to take back what patients truly value; their health, family, friends, and loved ones. We find that when enrolling in the outpatient detox program, individuals have a 98% completion rate and finish the treatment plan in as little as three days. With the combination of naltrexone (or any evidence-based, Medication Assisted Treatment--MAT) and counseling, it is beyond important to during the detox. Although some patients do stay on naltrexone for many years (it's a very safe medication), at some point, most people want to stop. Working with trained therapists who can guide patients to create strategies for the inevitable roadblocks when they are no longer under the safety net of naltrexone, is another form of implementation intensions. The Coleman Institute for Addiction Medicine has locations around the country specializing in safely, comfortably and affordably getting people off opioids and onto long-acting naltrexone therapy. Please call us if you have any questions going forward about how this works and if it’s the right therapy for you or your loved one. Joan R. Shepherd, FNP SCHEDULE A CALLBACK #### How to Detox Off Heroin: What It Takes & Getting Help If you are wondering how to detox from heroin or fentanyl, explore how you can detox with the Coleman Institute. In this blog, we’ll answer how long our heroin detox takes, driving and work-related questions, choosing a support system, and more. How to Detox From Heroin When you detox off heroin, it is not pain-free, and it can cost you some money. We encourage you to talk with your insurance company if they cover your treatment. Today several health insurance companies pay for an accelerated Outpatient Opioid Detox (including oxycodone, Percocet, Roxicet, Dilaudid, Opana, hydrocodone, Vicodin, Vicoprofen, Tramadol, heroin, fentanyl, methadone, Suboxone®, kratom, and benzodiazepines. This type of treatment is called a ‘rapid detox,’ although our Coleman Method doesn’t use general anesthesia and is much safer than traditional Ultra Rapid Opioid Detox approaches. More like this: How Can I Avoid The Pain of Heroin Withdrawal? Why Detox off of Heroin Your children need you; your spouse wants you back. As Ryder Carroll says, “there never has been, nor will there ever be, another like you. Your singular perspective may patch some small hole in the vast, tattered fabric of humanity. Uniqueness alone, however, does not make you valuable. If you don't do, if you don't dare, then you rob the world—and yourself—of the chance to contribute something meaningful.” More like this: Finding Help to Detox Off Heroin Picking a Support Person Once you can finance detoxing from heroin or fentanyl, you will need a solid support person. Let me emphasize here: pick a support person who has your back and is reliable. They will need to commit to being with you 24/7 during this process and for 48 hours after you complete it. In addition, they are responsible for holding on to and dispensing your medication. Please do not offer this position to your buddy, who is still getting high; I’m sure he’s a nice guy, but he’s not qualified for this. It is perfectly okay to have more than one reliable support person as long as we meet with them, understand their responsibility, and take it seriously. How Long Does It Take To Detox From Heroin? Our program is an outpatient detox that takes place over several days. We provide copious amounts of comfort medicine as we put our patients into short bouts of precipitated withdrawal to get the opioids out of the system. Heroin Detox Drug We do not use snake oil. Our end game is not to start you on Suboxone, Subutex, or any other buprenorphine product. We know you need comfort meds for this, and we typically begin with five. UNDERSTANDING ACCELERATED OPIOID DETOX Going to Work or Driving We are keeping you comfortable enough that you cannot drive, nor can you go to work. Even working from home, don’t even think about it. You will be provided with light sedation throughout this experience, and you don’t want your next evaluation to reflect that you were stoned at the last few Zoom meetings and making no sense. Many people commute if they live within an hour or two from our physical office. This is okay, but at each office visit, you will be receiving a micro-dose of naltrexone. For the uninitiated, this means there will be a lot of action on the opioid receptors as the naltrexone competes to take the place of the pain medication (or street drug). In other words, this is when the accelerated portion of the Accelerated Opioid Detox is happening. Most patients will experience 20-ish hours of relative comfort and two to four hours of relative discomfort. The discomfort can occur on your commute home, so you may want to consider staying at a hotel or Airbnb nearby. Charlie’s Heroin Detox Experience Case in point: Charlie started a detox with us a couple of days ago. I had reviewed his screening form with him last week, which is a pretty realistic turn-around time. Charlie is a high-end, niche carpenter who custom builds cabinetry for restoration projects, both residential and commercial. He makes good money but doesn’t have insurance. Charlie has been on opioids for close to ten years. He has tried to stop using on his own multiple times. Charlie was briefly on methadone, then Suboxone for many years. When detoxing got too expensive and time-consuming, he decided to get off the Suboxone himself by using heroin, which can be laced with fentanyl. I understood his logic. Getting off Suboxone can be agonizingly slow and challenging, especially if you’ve been on it for a while. So he figured that switching to short-acting opioids would make the detox simpler and more accessible. He could get through a day or two, but the withdrawal off of fentanyl is excruciating. So every day when he woke up, his first thought was getting the $60-$100 to keep himself from being sick. If we average that to $80/day, that’s $28,800/year spent on fentanyl alone. The money would have paid for a few detoxes and an expensive place to stay. More like this: 3 Important Differences Between Suboxone and Naltrexone Therapy for People Addicted to Opioids and Is Recovery Possible For Fentanyl Addiction? Finding Heroin Detox at the Coleman Institute While I am so glad Charlie finally made it to our clinic. The tragic thing he told me is that he has been looking at our website and wanting to come for three years. But unfortunately, Charlie put off coming to us because of his fear of the pain of opioid withdrawal. He just shook his head in despair when he thought about the money that he’s spent, the money that didn’t go to his children, or to take his family on vacation, or into a college fund, or to renovate their own home as his wife kept begging him to do. They are no longer married, and he desperately wants to salvage his relationship with his children. More like this: How Can I Avoid The Pain of Heroin Withdrawal? Starting Heroin Detox Treatment On his initial day, he sat with his brother-in-law, an excellent support person. I could see the panic in Charlie’s eyes as we discussed how the next few days would look. He received his first dose of comfort medication in the office and was feeling a bit better when they left, but it wasn’t until Day 2 that Charlies expressed his great relief. “I felt some stretching sensations and like a pulling-feeling in my muscles, but I used the medication, took two showers, and within three hours, I was sleeping. I didn’t eat much, but Ken made sure I drank fluids. I am so relieved. I know I can get through this now.” Accelerated Opioid Detox I mentioned earlier that our goal is not to induct people onto Suboxone; we are national experts on getting people onto naltrexone, a pure opioid blocker or antagonist. There are many upsides to naltrexone therapy, but I think our patients most appreciate that it does not cause physical dependence or build a tolerance in the body. In addition, there is no withdrawal when a person stops taking naltrexone. However, naltrexone comes with its unique warning: without the blocking effect of the naltrexone in one’s system, it is very easy to overdose, especially if one returns to using IV opioids. Reduced tolerance to opioids occurs after someone has been through withdrawal and is not taking the drug. This is precisely why the Coleman Institute uses a long-acting form of naltrexone after our Accelerated Opioid Detox and encourages patients to keep using it for at least a year. At the same time, they build the healthy habits needed for long-term recovery. Conclusion Enslavement to opioids, whether prescribed or bought illegally, is a wretched master. I urge you to stop now. Find the support person, make the time, and consider whether treatment might be the best investment you can make in yourself. Please call us if this has raised more questions; my colleagues and I can answer them. Joan R. Shepherd, FNP SCHEDULE A CALLBACK #### How to Detox off Suboxone with Naltrexone Claire (not her real name) juggles a lot in her life. She is a full-time college student. She works part-time. She is getting married over Thanksgiving. She has an opioid addiction. How Claire Got Here Her first attempt to complete college failed when she started using pills at age 20. She never believed the occasional pill she took to catch a little buzz would ever result in her life being completely undermined. She quickly developed a tolerance and started using it daily. She was caught with drugs and detoxed in jail. When she left jail she did a 30-day treatment program. She was pretty involved in recovery Meetings for the first several months, but as time went on, she felt less of a need to attend. She worked, met Tommy, a nice guy — who had no experience with drugs — and she told me she started to think of herself as someone who really wasn't an addict. She drank a little with her friends and smoked some pot from time to time. She decided to return to school to complete her degree and she and Tommy set a date for their wedding. But then stress happened. How Stress Impacts Relapse The pressures of being back in school full-time while continuing to work were worse than Claire anticipated. She started drinking regularly to relieve the mounting anxiety she felt with her intense schedule, as well as planning a wedding. Drinking escalated to several drinks daily. She was sleeping poorly and waking up feeling horrible. Memories of previous failures in school haunted her. She felt like she was on a slippery slope. It wasn’t long before she turned to pills. She reasoned that using opiates briefly would help her stop the cycle of drinking she found herself in. Pills, difficult to find and very expensive, quickly turned to heroin. Fortunately, Claire came to see us after only a couple of months of heroin use. She wanted to be on long-acting naltrexone, which had worked for her in the past. FREE GUIDE: UNDERSTANDING ACCELERATED OPIOID DETOX The Dangers of Relapse in Stressful Times When Dr. Coleman talks about why people relapse, dealing with strong emotions is always a front runner. A person who has not developed the skills of coping with difficult situations or feelings, may naturally turn to a substance or behavior in times of stress, rather than actually dealing with the problem. The instant relief that may accompany this strategy can create the foundations of physical dependence on an addictive substance, and a lifetime of not learning how to successfully navigate reality. Even people who have achieved some degree of recovery are at risk of relapse if they are confronted with an unresolved situation or have continuously buried unacknowledged feelings. The Difference Between Naltrexone and Suboxone? Currently there are three Medication-Assisted Treatments (MATs) for someone with an Opioid Use Disorder (OUD). Methadone Medication-Assisted Treatment for Opioid Use Disorder Methadone is a long-acting opioid to help people stop using short-acting drugs, whether it’s heroin, fentanyl, or even prescription pain medications. Being on this type of treatment typically involves daily visits to a methadone clinic. These treatment programs work with their clients to get them to a dose of methadone that stops the cravings for short-acting opioids. Many of these treatment programs offer (and/or require) counseling. By requiring a daily visit, people whose lives were marked by chaos may finally have some structure. Suboxone Medication-Assisted Treatment for Opioid Use Disorder Suboxone and other buprenorphine-containing medications are another form of MAT for a person struggling with opioid addiction. Unlike methadone, buprenorphine is considered a partial opioid; it occupies the same receptors in the brain that methadone and other opioids (like heroin, fentanyl, oxycodone, hydrocodone, hydromorphone, oxymorphone, morphine, tramadol, etc) occupy, but it binds more strongly to the receptors than the short-acting opiates/opioids, blocking their effects, without fully activating them. This means that the effect of Suboxone is less strong, so people don't get high from it, or at least much less high. This allows the drug to block withdrawal and reduce the craving for opioids. It is a highly controlled substance, and different treatment programs and insurance companies have different requirements for patients. Most people who decide to use this type of MAT will need to go to their clinic weekly at the beginning, then every other week, and sometimes they will be able to get prescribed a month at a time. I remember when this medication first came on the market, it was referred to as the “white-collar-methadone” because people did not have to come to a clinic daily and could be prescribed a month at a time. Since the opioid crisis, however, there are stricter regulations governing how this medication can be prescribed. Like other forms of MAT, clinics may require counseling, random urine screening, and pill counts to be sure the patient is in compliance. Although for many people, this is far more convenient than daily dosing at a methadone clinic, getting to a clinic weekly or twice a month can create challenges around work schedules or for people with transportation issues. Importantly, because both methadone and Suboxone are opioids or partial opioids, abrupt cessation can cause severe withdrawal symptoms. Naltrexone Medication-Assisted Treatment for Opioid Use Disorder Naltrexone is the third form of MAT. Unlike the two previous treatments, naltrexone binds to the opiate receptor as if it were an opiate, but it doesn’t "turn on the switch." Instead, it acts as a pure blocking agent. We frequently use the image of a magnetized key going into its corresponding lock to describe the action of naltrexone as it binds tightly to the receptor, occupying the receptor and preventing the possibility of a competing short-acting drug (like heroin, fentanyl, or oxycodone) a place to "land." Being a pure blocker, naltrexone does not cause physical dependence, so when the naltrexone wears off, there are no withdrawal symptoms. How Claire Found Recovery Claire met with our Recovery Support Specialist, Bridget Walsh, and together they came up with a plan to keep her accountable and opiate free during those two weeks. To support this endeavor and help manage some of the other issues she was facing, Claire reached out to a counselor suggested by Bridget as well as VCU's Rams In Recovery program for additional guidance. In Richmond, students at VCU have access to excellent Collegiate Recovery resources through this program. Two weeks later, Claire returned to the office and received her Vivitrol injection—a long-acting form of Naltrexone. Naltrexone is a non-addictive drug that secures itself to the brain’s opioid receptors to diminish cravings and aid in recovery. Used following a comprehensive detox program, Naltrexone supports patients in long-term sobriety without activating opioid receptors, making it a preferred option for those looking to completely remove opioids from their system. Claire’s use of Naltrexone therapy, along with professional support and school resources, helped her to get into recovery and start living life on her own terms. At the time I am writing this article, Claire still proudly remains opiate-free. How The Coleman Institute Can Help with Switching from Suboxone® to Naltrexone The Coleman Institute for Addiction Medicine has specialized in using naltrexone for over thirty years. Naltrexone is available in both a daily oral tablet, a monthly injection, or a long-acting implant, which reliably covers the opioid receptors for about two months. Recovery from an addictive substance can be a complex process and many people dealing with it have a multitude of unique moving parts to manage. By the time a person is in the throes of physical dependence, unraveling oneself may feel overwhelming. At the Coleman Institute for Addiction Medicine, we are pretty good at breaking down these seemingly insurmountable situations into workable steps. If you or a loved one are struggling to find your own path to freedom from opiates or other addictive substances, please give us a call. If we are not the right fit for you, we can probably steer you toward someone who is. Joan Shepherd, FNP SCHEDULE A CALLBACK #### How to Detox Without Inpatient Rehab - Outpatient Detox Medically Supervised Outpatient Accelerated Detox Many people hesitate to break free from addiction because they fear detox. They picture long inpatient rehab stays or hospitalization, being forced to share a patient room with other people, painful withdrawal, and time away from work and loved ones. Others attempt to stop using on their own, hoping to ‘tough it out’. Detoxing without medical support is not safe. Withdrawal from substances such as opioids and alcohol can lead to severe physical and psychological complications, including seizures, dehydration, and relapse. At The Coleman Institute for Addiction Medicine, we offer a safer alternative: Accelerated Outpatient Detox. Our one-of-a-kind program helps patients detox from addictive substances in as little as three days, without hospitalization or general anesthesia, and always under expert, licensed medical supervision. Detoxing Without Medical Support Is Dangerous Attempting to quit cold turkey or detoxing at home can result in dangerous, challenging, and extremely uncomfortable withdrawal symptoms that are detrimental to your health. These symptoms may include: Severe vomiting, diarrhea, and dehydration Uncontrolled anxiety, tremors, or agitation Heart irregularities or seizures Delirium tremens (for alcohol withdrawal) Depression or suicidal thoughts A higher risk of relapse and overdose Medical detox is essential to ensure safety, stability, and comfort. Our professionals monitor and manage withdrawal symptoms with non-addictive comfort medications and clinical care, reducing both the risks and the discomfort. A Better Alternative to Inpatient Detox Traditional hospital-based detox programs can last several weeks and often use replacement opioids such as methadone or Suboxone. These programs can be costly, disruptive to daily life, and difficult to complete. The Coleman Institute’s outpatient detox programs provide a medically supervised yet flexible alternative with non-addictive comfort medications. Patients have their own private room during the day at the facility and return to their home or lodging each night, avoiding the disruption of inpatient rehab while still receiving clinically excellent care. With over 25 years of experience and a 95% completion rate, The Coleman Method is among the most trusted outpatient detox options available today. How The Coleman Method Works Pre-Detox Evaluation A licensed medical provider reviews your history and develops a personalized treatment plan with you. You’ll receive clear instructions before starting, including when to stop using substances before treatment begins. Day One Patients arrive in mild withdrawal. Our team conducts a comprehensive medical assessment. Comfort medications and micro-doses of naltrexone for opioid detoxes, or Phenobarbital for alcohol detoxes, begin to be used. Day Two & Beyond Withdrawal symptoms are carefully managed, and you meet with a compassionate case manager. Medications are adjusted as needed throughout the detox. Final Day A comprehensive treatment plan for long-term sobriety and plans for follow-up medical care are established. Long-acting naltrexone (Vivitrol) can be administered to support ongoing recovery. Outpatient Detox Programs at The Coleman Institute Our accelerated detox method supports individuals detoxing from a wide range of substances. Each program is fully outpatient, medically supervised, and abstinence-based. The Coleman Institute for Addiction Medicine offers: Opioid Detox - for heroin, fentanyl, prescription painkillers, and more Alcohol Detox - medically monitored to prevent withdrawal complications Suboxone Detox - to safely transition off maintenance therapy Methadone Detox - a structured approach for long-term users Kratom Detox - for individuals dependent on kratom products Stimulant Detox - for cocaine, methamphetamine, and more Benzodiazepine Detox - for Xanax, Valium, Klonopin, and more Each of our protocols is customized to your specific needs and overseen by trained medical professionals. Why Choose The Coleman Institute You won’t find The Coleman Institute’s unique, effective approach anywhere else in the United States. The benefits of our program include: Detox completed in as few as three days No hospitalization or anesthesia required Non-addictive comfort medications to minimize withdrawal Naltrexone Therapy (Vivitrol) to prevent relapse Six months of follow-up care and case management Abstinence-based, no methadone or Suboxone maintenance 25+ years of experience and 95% completion rate Our treatment services allow patients to begin recovery safely and comfortably, with minimal disruption to their lives. Continuing Care After Completing Detox Detox is only the beginning of recovery. Every patient receives personalized case management for up to six months after completing detox. Our case managers help coordinate ongoing support, such as: Individual Therapy Support Groups Family Counseling Partial Hospitalization Program (PHP) Intensive Outpatient Program (IOP) Outpatient Program (OP) Sober Living Housing Ongoing Naltrexone Therapy This continuum of care provides the structure and accountability necessary for sustaining sobriety. The Coleman Institute’s Locations The Coleman Institute for Addiction Medicine is available in five U.S. states. We have facilities nationwide, including: Richmond, Virginia (Headquarters) Denver, Colorado Tampa, Florida Atlanta, Georgia Orange County, California Patients frequently travel from out of state for our accelerated, outpatient detox programs. The Best Way to Detox Without Going Inpatient Detoxing alone is unsafe, but detoxing without going inpatient can be safe when performed under medical supervision at The Coleman Institute. Thousands of patients throughout the country have completed detox safely through our Accelerated Outpatient Detox programs. With expert clinical oversight, effective medical protocols, and compassionate care, we help patients take their first step toward lasting recovery safely, comfortably, and without the need for inpatient hospitalization. Start your recovery today! Call 877-773-3869 or schedule a callback to learn more about our Outpatient Accelerated Detox programs. #### How to Get Addiction Help if Spouse Isn’t Supportive Rebecca was here for a follow up after her alcohol detox at the Coleman Institute for Addiction Medicine. Two weeks earlier she and her husband of 38 years had spent the day with us in a quiet, private, comfortable room to help Rebecca carefully stop drinking alcohol. While she had been a daily drinker for some 40 years, over the last 3 years her drinking has escalated to a minimum of 2 bottles of wine each day. A standard bottle of wine holds 750 ml, about 25.4 ounces, or approximately six glasses. The National Institute on Alcohol Abuse and Alcoholism defines at-risk drinking: “For healthy adults in general, drinking more than these single-day or weekly limits is considered 'at-risk' or 'heavy' drinking: Men: More than 4 drinks on any day or 14 per week Women: More than 3 drinks on any day or 7 per week About 1 in 4 people who exceed these limits already has alcohol use disorder, and the rest are at greater risk for developing these and other problems. Again, individual risks vary. People can have problems drinking less than these amounts, particularly if they drink too quickly.” We all know how ubiquitous over-consumption of alcohol is in our culture. It is very easy to look around and find other people who are drinking as much as or more than you are, and in that comparison, to let ourselves off the hook. People who are in denial or a pre-contemplative state of being unaware that their drinking is problematic justify their behavior by noting that they are still ‘highly functioning’—they go to work, they train for athletic competitions and are loyal to their workouts, they are highly involved in family and community activities, and don’t believe they drink more than other folks. It’s important to know that you don’t have to hit a mysterious bottom before you decide to examine your drinking patterns. However, if you are a little concerned that your drinking may be becoming a problem, consider asking yourself these four simple questions. The CAGE questionnaire is a tool used by health care providers to screen patients for possible alcohol use disorder. A total score of 2 or greater is considered clinically significant. Have you ever felt you should cut down on your drinking? Have people annoyed you by criticizing your drinking? Have you ever felt bad or guilty about your drinking? Have you ever had a drink first thing in the morning to steady your nerves or to get rid of a hangover (eye-opener)? Interesting, yes? ALCOHOL DETOX FAQS Rebecca had clicked positive for the first three questions when she went to see her own primary care provider. She admitted to me later on that she generally opened her first bottle of the day by 11:00 a.m. She poured a glass, nibbled on some cheese, and called her sister for a daily chat. After that bottle was open, it was pretty easy to get through it as she read her books and magazines, waiting for her husband to come home from work. Rebecca herself had retired from a successful marketing career about four years earlier. This extra free time, she realized was a great trigger for her. When her husband came home from work, she would open the next bottle of wine, he poured himself one glass of scotch, and over the course of the evening, she would easily consume the second bottle. As her husband became more and more aware of the extent of Rebecca’s drinking, he tried to address it with her. She was very defensive and annoyed (see CAGE questionnaire #2) at his admonishments to cut down. She felt after years of hard work, she deserved to "enjoy herself." Their relationship had gone from being quite close companions to her falling asleep early, slurring her words, frequent stumbling, and minimally participating in household responsibilities. Her husband was taking on more and more of the chores; it became easier to do them himself than to ask for her help. His greatest concern was that Rebecca would drink and drive. He worried that if he suggested she keep her drinking down to one bottle, she would drink that, and head out for a second. In order to ‘help’ avoid this scenario, he began to restock the refrigerator every day with two nice bottles of pinot gris— her favorite. It finally took a drunken fall resulting in a broken wrist for Rebecca and her husband to have a frank and honest discussion about her drinking. Rebecca was, in her words, “disgusted with myself." They went together to her doctor to discuss safe ways to stop this cycle, and her doctor recommended the Coleman Institute. Our two-week follow up was wonderful. Rebecca was beaming and couldn’t overstate how happy her husband was to "have her back." Rebecca is enjoying the bliss of early sobriety. She feels determined to stay alcohol-free and claims not to miss it at all. We will continue to follow up with Rebecca. Sometimes when the early blush of sobriety wears off, and triggers such as boredom, frustration, loneliness, or anxiety try to regain their old space, the resolve to stay sober is challenging. Our experienced staff is well-positioned to help guide patients through their challenges with sobriety, whether it is a referral to counseling, joining one of our own groups, or using medication. Please call us at 877-893-3869 if you would like to learn more about how we can help you. Joan R. Shepherd, FNP SCHEDULE A CALLBACK #### How to Get Energy Back After Opioid Withdrawal Patients who have stopped using opiates using the Coleman Method and gone through the opioid detox and withdrawal process often wonder why their energy levels are so low and ask about ways they might boost it. Long-term opioid use can have life-threatening side effects that range far beyond the difficulty of withdrawal symptoms. Such long-term consequences include increased risk of cardiovascular complications, hyperalgesia, increased risk of infections, and even psychological and cognitive deficits. After extended use of opioid pain medications such as Oxycontin, Percocet, Opana, Dilaudid, Vicodin, etc., stopping is no easy matter. Neither is the first several weeks of detox and withdrawal. Cessation of these opioid medications leaves the brain with a deficit of dopamine, the neurotransmitter associated with pleasure and reward. Not only is there a lack of dopamine to contend with, but many patients who have been using opioids for an extended time have not focused on other important aspects of their health. Eating, sleeping, and moving have often been compromised and impaired. Getting Your Energy Back After Opioid Withdrawal There are no magic pills or shortcuts, but people absolutely can restore their brains and bodies, leading to optimal energy levels. This healing process after opiate detox requires intention and compassion. It helps to have a solid plan. My suggestion? Get a blank book and create a personalized Habit-Tracking plan. Incorporate these five items to start, adding other energy-enhancing goals to support the commitment to avoid relapse and remain drug-free. Below are five suggestions for boosting energy after opioid withdrawal: 1. Relax After Your Opioid Detox. In the early days following a rapid opioid detox, patients routinely plague themselves with energy-draining thoughts such as: I had more energy on pills. I’ll never feel better. I can’t function like this. I always relapse, this detox process will be no different. I can’t bear the physical sensations. I can handle a lower dose of opiate-based medications. The recovery community refers to such thoughts as Stinkin’ Thinkin’. Fighting or trying to resist or suppress these thoughts saps unnecessary energy. In The Joy Diet, Martha Beck, Ph.D., talks about the importance of starting your day with "doing nothing." "Doing nothing" means do nothing intentionally: Meditate, practice mindfulness, contemplative prayer, or do pranayama breathing exercises at a designated time for a certain duration every day. Without the awareness of the patterns of thoughts that recur over and over again, it becomes all too easy to believe one’s own thoughts—even if an alternative thought might be as true—and bring peace rather than stress. Remember, the brain has developed neural pathways reinforcing thoughts and behaviors supporting opioid use. The goal now is to create new pathways of thinking and action. This can only happen when we become quiet enough to notice the thoughts. A major key to a successful treatment is learning how to change these deeply rooted thoughts and behaviors. Enormous amounts of energy can be harnessed by decreasing resistance while dialing up awareness to such repetitive, harmful thoughts. This step is essential for learning that we are people who have thoughts, but we are not our thoughts. Any long-term recovery and rebuilding energy after opioid withdrawal requires the skill of separating ourselves from our thoughts and a positive focus on mental health. UNDERSTANDING ACCELERATED OPIOID DETOX 2. Get Good Sleep in Early Recovery Trouble sleeping may be the most frequent concern we hear from patients who have been treated at the Coleman Institute. According to the National Institutes of Health, over 75% of people suffering from an opioid use disorder have sleep problems. You just can’t overrate the importance of sleep in restoring energy levels, particularly after going through the process of stopping Percocet, Roxicodone, Oxycontin, etc. Although we offer medications to help with this in the short term following the opioid detox process, creating habits that support sleep is key. Many resources are available online detailing proper sleep hygiene. Consistently mentioned tips to restore sleep include: Avoid caffeine. The energy-enhancing effects of caffeine are well known and may provide a temporary ‘buzz’, but this may come back to bite at bedtime. Some people are more susceptible to the effects of caffeine than others. Try weaning slowly for a week, then turn to caffeine-free beverages. Go Dark. When it’s time to sleep, turn off any gadget that makes light. The blue light that comes from our electronics interferes with “melatonin production and stimulates the alert centers in the brain as a survival benefit to keep us awake and aware in daylight.” Kelly Brogan, MD, A Mind of Your Own; page 186. Using a lightweight eye mask can be an incredibly helpful device if it is difficult to completely darken a room. Even people who insist they cannot tolerate wearing anything on their face may be pleasantly surprised at the effectiveness of an eye mask. The National Seep Foundation suggests limiting daytime naps to 30 minutes.  Napping can’t replace inadequate nighttime sleep, but a short nap of 20-30 minutes can help to improve mood, alertness, energy levels and performance. Exercise.  As little as 10 minutes of aerobic exercise, such as walking or cycling, can improve nighttime sleep quality. Between 76-83% of individuals who engage in light to vigorous exercise daily report better sleep quality. Most people should avoid strenuous workouts close to bedtime, although the effect of intense nighttime exercise on sleep differs from person to person. Keep a consistent bedtime. Figure out a good 7-8 hour chunk of time for sleep that works with your life, and try to honor these hours…even on the weekends. Many smartphones have settings to remind you when bedtime is nearing, and when it’s time to rise and shine. Allow 3 hours between your last meal and bedtime; if you need a bedtime snack, Dr. Kelly Brogan, MD, author of A Mind of Your Own, suggests a handful of raw nuts. 3. Eat Healthy After Your Detox Good eating habits have often been compromised in people who have been on long-term opioid-based pain medications such as Opana, Percocet, Dilaudid, and Vicodin. Many of these people also suffer from chronic constipation. They have likely forgotten the feeling of energy that comes with a healthy appetite and a healthy diet. There are so many recommendations for the best diet out there, it can be mind-boggling. Vegan? Vegetarian? Pescatarian? Paleo? Mediterranean? Although all of these diets differ in some way, there seems to be agreement about a few things: Avoid processed food as much as possible. These are foods that generally come in a box or a package and have a long list of ingredients. If a product has a shelf life that allows food to stay intact long after it’s made, that’s probably a great thing for the food manufacturer, but not a great thing for the body. Especially a body that has just gone through the opiate detox and withdrawal process. Why put more toxins in? Eat food that looks as much like it did when it came out of the ground or dropped off a tree. Think about it—our bodies are not so different now than when we first evolved. But the foods that are so readily available for consumption often look nothing like the original fruit, grain, vegetable or nut that was its origin. As the science of nutrition continues to evolve, it seems the trend continues to go back to basics. Healthy fats, such as those found in olive oil, coconut oil, nuts, avocados, certain types of fish, are believed to be heart-healthy and non-inflammatory. As much as possible, stick to these fats. Watch out for hidden sugars. Sugar causes a quick insulin release from the pancreas, which can then drop blood sugar so low that energy levels plummet. This low energy causes people to eat more sugary products to try to restore their energy, and a vicious cycle ensues. 4. Fight Low-Energy After Withdrawal With Exercise Patients getting off Percocet, Dilaudid, Opana, etc. are "returning to their bodies." Without these opioid-based medications, they may be intimidated by physical sensations they haven’t felt for some time, and be guarded about making any moves that could potentially cause pain. While it is important to clear any vigorous exercise program with a medical professional, it is also true there may be nothing that generates more energy after an opioid detox than moving one’s body. Start slowly. Gentle stretching and walking are one of the best formulas out there. The majority of our patients who have been treated with opioids such as long-term morphine are stunned at the minimal discomfort they experience when the meds are gone and they start to move again. Not only do people benefit physically from moving, but psychologically as well. Both walking and being out in nature have been shown to reduce depression and improve mental health. Mild aerobics can create natural endorphins which can aid in improved moods, heightened energy levels, and more restful sleep. Increased feelings of wellness play an important role in preventing the return to substance use. Another great option to help move the body is yoga and meditation. It’s a wonderful addition to an established recovery process. Yoga means to yoke, which means to connect the body and mind. The things we do with our minds affect the body and vice versa. There are lots of varieties of yoga and meditation so finding which one resonates is key. The goal is to allow your brain to take a break, and subsequently your body. Sobriety is an evolutionary process, and yoga and meditation can help you continue to strengthen your ongoing recovery from opioids. 5. Track Progress After Opioid Withdrawal Patients who come to the Coleman Institute in our Richmond, VA, office or in one of our regional clinics around the nation to get off fentanyl, Roxicodone, Oxycontin, or other opioids typically have scheduled follow-up appointments every one to two months. Therefore, it is easy for us to see the progress patients have made in restoring energy levels, sleep, relationships, and mood. One of the most beneficial practices for our patients is to keep a journal. A brief—or lengthy—daily entry is a powerful motivator as people see the progress they are steadily making. There is nothing as satisfying as reading back on the first low-energy, foggy days post-detox, and realizing how far one has come. Use the front pages of the journal for your Habit-Tracking, as noted earlier, and the following pages to document the journey itself. Realistically, it will likely take the body several weeks to begin to rebuild dopamine after detoxing from opioids. These first few weeks are a great opportunity to start to incorporate energy-building life-long practices. The first step, of course, is to get off opiate-based pain medications. Opioid Detox & Withdrawal Timeline The amount of time it takes to detox off opioids can vary significantly based on individual factors, including the type of opioid used, duration of use, personal health, and whether the person has tapered their use or stopped abruptly. Contact an addiction medicine specialist to get a treatment plan and timeline suited to your specific situation. 6-12 Hours After Last Dose: Withdrawal Begins Onset of initial symptoms, which can include: Anxiety Muscle aches Increased tearing Insomnia Runny nose Excessive sweating Frequent yawning 24-48 Hours After Last Dose: Peak of Early Withdrawal Intensification of early symptoms and possible appearance of additional symptoms, such as: Agitation Diarrhea Heart palpitations High blood pressure Fever 72 Hours After Last Dose: Peak of Acute Withdrawal Typically, symptoms reach their peak in intensity and discomfort and can include: Nausea and vomiting Abdominal cramping Dilated pupils Goosebumps Blurred vision Rapid heartbeat 1 Week After Last Dose: Symptoms Begin to Subside At this time there is typically a gradual reduction in the intensity of physical symptoms, while psychological symptoms may persist or become more pronounced, including: Anxiety Depression Irritability Cravings for opioids 1-2 Weeks After Last Dose: Decrease in Physical Symptoms Most physical symptoms significantly diminish, while ongoing psychological and emotional challenges and the potential for continued cravings remain. Post-Acute Withdrawal Syndrome (PAWS) This stage occurs in some individuals, lasting for months. Symptoms can include: Chronic fatigue Anxiety Sleep disturbances Mood swings Reduced concentration Periodic cravings Again, this timeline will vary due to a variety of influencing factors. It's important to approach this process under proper medical supervision, as withdrawal can be both physically and emotionally challenging. What is the Safest Way to Detox From Opioids? For those looking to detox off of opioids, the most effective approach is usually to enlist the help of addiction specialists, like those at the Coleman Institute, to remove opioids from the brain in the fastest, most comfortable way possible, followed by Naltrexone Therapy to reduce cravings and help patients succeed in their long-term recovery. Our Accelerated Opioid Detox uses the Coleman Method to deliver a positive experience for those suffering from Opioid Use Disorder. Here is a synopsis of how the Coleman Method works: Day 1: We will ask you to stop using the drugs about 6:00 pm the night before your first appointment. This means you will arrive for your appointment on day one already in mild withdrawal. We give you a tiny dose of naltrexone and then a customized set of comfort medications to address symptoms that may start to emerge. Intermediate Days: The second day of the rapid detox is similar to the first in that you continue to receive another tiny dose of naltrexone and comfort medications throughout the day, adjusting dosages as necessary. Final Day: The remaining opioids are gently removed from your brain, typically over 6 to 8 hours, while you relax in a comfortable bed in our office. Then we administer long-acting Naltrexone, and you can return home knowing that all of the opioids have been removed from your brain. With the right preparation, anyone facing dependency or addiction can find the path to recovery from opioid addiction through a safe outpatient detox program and by implementing proven methods to get their energy back after opioid withdrawal. Get Into Opioid Detox Today at the Coleman Institute With over 8,500 patients treated using the Coleman Method, you can feel confident that our process and protocols are well-refined to give you the best possible detox experience and help you launch your recovery journey. The Coleman Institute is dedicated to making this process safe, gentle, and effective. We’ve been the leaders in Medication-Assisted Treatment using the opiate blocker, Naltrexone, for Opioid Use Disorder for over 20 years Contact our team of addiction specialists in one of our nationwide clinics near you and take back your life today. Joan R. Shepherd, FNP SCHEDULE A CALLBACK  #### How To Get Fentanyl Out of Your System and Get Your Life Back Fentanyl, a synthetic opioid and a major driver of the ongoing opioid crisis in America, has garnered widespread attention due to its exceptional potency and the rapid onset of its effects. This drug, which is up to 100 times more powerful than morphine, was initially developed for pain management treatment of cancer patients. However, its use has expanded outside medical boundaries, leading to a significant public health issue. The fentanyl crisis in America has escalated rapidly, with the substance being linked to a growing number of overdose deaths across the nation. Its addictive properties pose significant challenges in terms of dependency and withdrawal, making it one of the most dangerous drugs on the illicit market. It is often mixed with heroin or cocaine, which increases the risk of a fatal overdose. Many users are unaware of its presence in these drug mixtures, which contributes to the high rate of accidental overdoses. The potency of fentanyl means that even a small amount can be deadly, and its presence in the drug supply has turned the opioid epidemic into an even more urgent crisis. Getting fentanyl out of your system and overcoming dependence and addiction is particularly challenging due to its powerful grip on both the body and mind. However, with the right approach to detox and ongoing support, recovery and a return to a drug-free life are possible. The Effects of Fentanyl on the Body It is important to understand how this synthetic opiate functions inside the body in order to safely, quickly, and effectively detox from fentanyl. Here are a few ways fentanyl impacts a person’s system: Opioid Receptors: When fentanyl enters the body, it quickly travels to the brain and other parts of the central nervous system. It binds to opioid receptors, which are primarily responsible for opioid-induced pain relief. Pleasure vs. Pain: The binding of fentanyl to these receptors triggers a cascade of neurotransmitter releases. It inhibits the release of pain-signaling ones and increases the release of dopamine, which is associated with pleasure and pain relief. This leads to a significant reduction in the perception of pain, which is why fentanyl is so effective as a painkiller. Effects on the Brain and Body: Apart from pain relief, fentanyl also affects areas of the brain that regulate emotion, leading to feelings of euphoria. This effect on mood and sensation is what contributes to its potential for misuse. Respiratory Depression: One of the critical and dangerous effects of fentanyl is its ability to depress the respiratory system. By acting on brainstem areas that control breathing, fentanyl can cause slowed or stopped breathing, which is the primary cause of overdose fatalities associated with opioid use. Rapid Onset and Potency: Fentanyl is highly potent and acts very quickly once it enters the body. Its effects can be felt within minutes, which is why it's often used in medical settings for immediate pain relief. However, this rapid onset, combined with its high potency, also increases the risk of overdose, especially when used without medical supervision or mixed with other substances. The profound and varied effects of fentanyl on the body underscore the complexity and danger inherent in its misuse. Understanding how fentanyl interacts with the body's opioid receptors, alters pain perception, affects mood and emotions, and impacts respiratory function is crucial for individuals and communities in addressing the challenges of fentanyl dependency and addiction and the risks of overdose. How to Get Fentanyl Out of Your System Getting fentanyl out of your system safely and effectively involves a multi-step approach, primarily because of the drug's potency and the severe withdrawal symptoms that can occur. Here’s a step-by-step guide on how to clear your body of fentanyl and start your journey to long-term recovery. Find a Detox Program: The first and most crucial step is to seek out experienced addiction medicine specialists for assistance through a medical detox program. Detoxing from fentanyl should never be attempted alone due to the potential for severe withdrawal symptoms and other health risks. An effective detox program from trusted medical professionals ensures a safe and controlled environment for your fentanyl detox. Our Accelerated Fentanyl Detox Program with the Coleman Method has a 98% completion rate and uses Naltrexone to curb cravings, provide ongoing support, and promote long-term recovery. Hydration and Nutrition: Proper hydration and nutrition are essential during detox. Fentanyl withdrawal can lead to symptoms like sweating, vomiting, and diarrhea, which can cause dehydration and nutrient depletion. Counseling and Support: Psychological support is crucial to recovery. Counseling, whether individual or group therapy, can help address the psychological aspects of dependence and addiction and aid in developing coping strategies. Long-term Treatment Plan: Detox is just the first step in overcoming fentanyl addiction. A long-term treatment plan, which may include ongoing medication-assisted treatment (MAT), support groups, and lifestyle changes, is necessary for sustained recovery. Avoid Triggers: Understanding and avoiding triggers that could lead to relapse is important. This might involve changes in your environment, social circle, or daily routines. Regular Exercise and Stress Management: Incorporating regular exercise and stress management techniques like meditation, yoga, or deep breathing can help manage cravings and improve overall well-being. Remember, the process of detoxing from fentanyl can vary depending on the length and severity of use. It's important to approach this process with the guidance and supervision of healthcare professionals to ensure safety and effectiveness. GUIDE TO UNDERSTANDING FENTANYL DETOX Outpatient Fentanyl Detox For Better Life Balance The Coleman Method for Fentanyl Detox uses tailored doses of comfort medications and Naltrexone therapy to help patients who want to stop using fentanyl detox safely in as little as 5-6 days. This methodology creates a safe and comfortable way to detox. But one of the most popular reasons patients choose our Fentanyl Detox is because it is an outpatient opioid treatment program; this means you can return home (or to your hotel) each day to maintain your daily responsibilities. For many, this is what enables them to get their normal life back faster after a detox. For example, if you are a busy mother of two who wants to be there when your kids return home from soccer practice, or you want to make sure you can still see your dog every day during treatment, this outpatient detox makes that possible. When you can keep your daily life moving forward during a Fentanyl Detox, you are already on the path to freedom from addiction when your detox is complete. Our program has fewer risks than other programs and causes little disruption to our patients’ daily routines. Over the past 20 years, the completion rate of our program has been 98%. Naltrexone Therapy And Recovery From Fentanyl Addiction Our Fentanyl Detox prioritizes safety with a distinct focus on comfort, too. To accomplish this, we offer Naltrexone Therapy. Naltrexone Therapy helps with Fentanyl Detox because Naltrexone is an opioid receptor antagonist. This means it binds to the same receptors in the brain that opioids like fentanyl do. However, unlike opioids, Naltrexone does not activate these receptors. Instead, it blocks them, preventing opioids from producing a high. Blocking the opioid receptors also helps reduce the intense cravings that drive people to seek out and use fentanyl. Naltrexone can also help manage fentanyl withdrawal symptoms by mitigating the effects of any opioids still present in the body. While it does not eliminate withdrawal symptoms, it can make the detoxification process much more manageable. This means you can detox more comfortably than other detox methods like going “cold turkey” and safer than intensive programs like an Ultra-Rapid Detox. Plus, if for some reason, you do relapse, the Naltrexone medication helps to block the “high” feeling, thus helping you stay on your path to recovery and getting your life back. Reclaiming Your Life After Fentanyl Detox Dealing with a Substance Use Disorder like Fentanyl dependence or addiction is not easy, but choosing to get help and completing a detox is a huge step forward. It may be one of the hardest yet most rewarding things you will do. Here are three things to remember when getting your life back on track after getting into recovery from Fentanyl. Don’t Live In the Past: Your future is, you guessed it, ahead of you. Continually beating yourself up over your past can result in tremendous guilt. Don’t let the negative thoughts win. You are already moving your life in a positive direction, keeping looking forward.  Cut Ties Where Needed: Getting your life back may mean leaving an old life behind. If your previous life was surrounded by temptations to relapse, cut them off. Getting your life back means freedom from dependence or addiction. Surround yourself with people who support you and your recovery. There’s No Such Thing As Perfect: Recovery is a lifelong journey and it is not always linear. Cut yourself some slack while you get your life back; you are not perfect and neither is recovery, and that’s ok. Get Help With Fentanyl Detox at The Coleman Institute If you or a loved one struggles with fentanyl dependency or addiction, seeking professional guidance and exploring treatment options like the Coleman Method can be a life-changing decision. With the right support and resources, individuals can overcome the devastating effects of fentanyl use and embark on a path to lasting sobriety. You, too, can become one of our many success stories. Contact us now in our Richmond, VA, office or one of our nationwide clinics near you for more information about our accelerated fentanyl detox program. You don’t have to struggle alone. We’re here to help. SCHEDULE A CALLBACK   #### How to Get into Recovery or Stay There during the Holiday Season One of the most profound sentiments I hear from patients in recovery from various substances is the sense of pure gratitude they feel on a holiday morning when they wake up knowing that they won’t have a hangover and that they won’t have to come up with excuses to leave their family and figure out how to get something to keep from being sick. As the holidays approach, there are many resources published to give people ideas and strategies for remaining off addictive substances and—if you or a loved one are in early recovery—Congratulations! I urge you to start planning your strategy now. For anyone who remains ensnared in the nightmare of addiction, I want to emphasize that the holidays may be your best time to consider an outpatient detox.   Holidays Allow Time For Inpatient Detox Many people will have time off during the holidays, so it can be a window of opportunity to seek medical treatment without drawing attention in the workplace. For people who are struggling with heroin or fentanyl use, it typically takes just 6 days to complete an outpatient detox at Coleman Institute for Addiction Medicine and get onto the non-addictive opioid-blocking medication called naltrexone. We recommend that patients take another day or 2 at home before returning to work. Detoxing from other opioids such as the pain medications oxycodone, hydrocodone, hydromorphone, tramadol, etc. may require anywhere between a three-to-six-day timeline—again with the recommendation of waiting 48 hours prior to resuming work in person. We are detoxing many people off kratom these days, and this too generally takes just 6 days. The timeline is a bit longer for people who are choosing to detox off methadone or buprenorphine products such as Suboxone or Zubsolv, or benzodiazepines, which require an 8-10 day outpatient detox program at the Coleman Institute for Addiction Medicine. For people interested in a convenient outpatient alcohol detox, our program is three days. Patients who live near one of our offices are able to spend nights in the comfort of their own beds. Others opt to travel and stay in a nearby AirBnB or hotel. All of our outpatient detox programs require a support person to accompany the patient. We recognize the difficulty of detoxing off substances and have built a program which includes using several medications to keep our patients comfortable, some of which may cause drowsiness. The support person will administer most of the medications, provide transportation, and be in communication with our medical team if there are any questions or concerns. Please give our office a call to schedule an opioid or alcohol outpatient detox soon if you would like to use this holiday season to start your journey to recovery.   Suggestions for Holiday Sobriety In the meantime, here are a few suggestions gathered over the years from people who have committed to being sober during the holidays. We at the Coleman Institute wish you and your family all the best this holiday season and in the New Year!   UNDERSTANDING ACCELERATED OPIOID DETOX   Ben’s Notes-to-Self for Sobriety From Ben: “I remind myself every single morning how good it feels to be sober (and how great it will feel come January). I plant this thought in my mind every morning. I stick notes with this thought strategically around my home and in my car.”   Jerry’s Plan for Sobriety Support From Jerry: “I do a lot more social outings and events during the holidays and I have practiced with therapists, friends, and sponsors on how I will respond if I am somewhere and get offered drugs. It is powerful to have practiced these responses over and over in my head. So far, it has worked, because I have definitely been in places where drugs were offered…and not just during the holidays.”   Beth Stays Busy to Avoid Alcohol Use From Beth: “I carefully limit the amount of time I spend with relatives who make me crazy. If most of my extended family is gathering for the holiday, including my cousin who drinks like a fish, I am sure to only overlap a day or two. I try to get to my parents a couple days early when things are quieter and I can prepare some food. I’ll hang with the bigger crowd Christmas Eve, and head out Christmas day. This has worked so well for me and my husband!!”   Jane’s Research in Recovery From Jane: “I know not everyone benefits from 12 Step meetings, but I find them very comforting, especially during the holidays, and especially when I am traveling. Being around like-minded folks who share a common goal of sobriety is beyond helpful for me. I do the research well before I arrive and without making a big deal of it, I let my family know that attending these meetings are on the calendar ‘in ink.’”   How Sam "Stays In" to Stay Sober From Sam: “I know some people might say I’m isolating, but I am super busy much of the year, so I pretty much ‘skip’ the holidays. I have a couple of friends who do not have good holiday memories or traditions and they come (or don’t) to my home, claim a La-Z-Boy®, order take out, and we watch football!! We laugh about the guilt-free zone we’ve created.”   Alice’s New Traditions in Recovery From Alice: “I have started making my own holiday traditions, inviting sober friends or friends/family I know are okay not drinking. It is refreshing to be with these people and we always go around the table stating what we are grateful for. Needless to say, our sobriety is always at the top. I get good ideas and inspiration for staying sober during the holidays from these friends.”   Shan’ee Stays Active to Maintain Sobriety From Shan’ee: “I make sure when I visit my family for the holidays, we have plans to DO things, and not just sit around. It’s too easy for another drink and another drink and another drink to happen. Even though I now have almost four years sober, it really bugs me to see my family and friends centering activities around booze. Between holiday concerts, plays, service opportunities, baking, church activities, I keep myself and my family busy.”   Keeping a Recovery Journal with Suzy From Susy: “I have found that journaling has been an incredible help for me to question my beliefs around addictive substances and behaviors. Before I head out for a social event, I journal what my fears and anxieties are. I try to be compassionate and be a ‘listener’ to my thoughts. I address my anxieties in writing, as if I were being a best friend to someone—and I am—to myself! Often I will write a ‘fantasy’ about going out and drinking and all the consequences that follow. That’s enough to keep me sipping ginger ale!!”   Bill’s Holiday Recovery Plan From Bill: “I now prioritize traveling to a new place every holiday. I do lots of research and learn about the cultural holiday celebrations. I always figure out where a NA or AA meeting will be. My family understands this and I visit them during the year at lower pressure times.”   Angela’s Serenity Prayer for Sobriety From Angela: “I should just get the serenity prayer tattooed on my body, but it is definitely tattooed in my head. I say it often, and double/triple during the holidays.”   Health-Focused Holiday for Jim’s Recovery From Jim: “I am sure to incorporate exercise and plenty of rest over the holidays. When I was using, I was always ‘over-performing’ to keep people from suspecting how bad my addiction was. Now I bask in sleeping in, spending time to prepare healthy meals, enjoy conversation with dear friends, and working out. I feel rejuvenated to start the new year.”   Taffy’s Recovery Tip From Taffy: “I find a good recovery book or recovery memoir that I save and savor over the holidays!”   Paul’s Openness to Recovery From Paul: “I finally started telling people I’m in recovery. I got tired of saying I’m on antibiotics or I’m on call and therefore couldn’t have a drink. Nearly everyone knows someone who is in recovery and I didn’t want my friends to inadvertently tempt me; they have been very cool. It’s your choice whether or not you want to tell people.”   Lamon’s Alternative to Alcohol From Lamont: “I bring my own beverage to any place I go. I was a bartender for many years, so I’ll often bring myself a batch of a great, creative mocktail.”   Dawn Steers Clear from Holiday Alcohol Use in Recovery From Dawn: “I learned the hard way a few times, so now I know to have my own transportation and I don’t have to rely on or wait for someone who may want to party all night. If I don’t want to end up the designated driver, I’m clear up front or I’ll just take an Uber.”   Staying Sober and on the Path to Recovery Over the Holidays I hope these tips from previous patients are helpful for you. Remember, the best time to plant a tree was twenty years ago, the second-best time is now. Schedule a callback with us. Here’s to a safe and peaceful holiday season. Joan Shepherd, FNP   SCHEDULE A CALLBACK #### How to Get Off Methadone with the Coleman Institute I had the pleasure of seeing my patient Isabel (not her real name, but I love this name) in the office for her regular monthly Vivitrol injection. Vivitrol is a long-acting, injectable form of naltrexone. Naltrexone is an opiate blocker, also called an opiate antagonist. When naltrexone is present in the system, there is “no room at the inn” for opioids. The receptors are blocked and opiates have nowhere to rest, so they simply leave. It is also non-addictive. This is why naltrexone is gaining more and more popularity as a form of Medication-Assisted Treatment (MAT) for people with Opioid Use Disorder. Back to Isabel Isabel came to our office for a detox off methadone two years ago—in the winter of 2015. She was on 100 mg/day of methadone, which was treatment for her previous addiction to 400mg/day of oxycodone. Some people find it ironic that the most common way of dealing with an opiate addiction is to put people on opiates. The difference, of course, is that the opioid of choice—methadone—is a very long-acting drug. And if you are getting it at the clinic, it is legal. Instead of needing to take pills (or heroin)—gotten legally or illegally—several times a day, the methadone stays in the system for over 24 hours. Some of the drawbacks that patients have described to me include: Having to go to the clinic daily, which can make it very difficult to hold down a job, especially if there is significant travel time to the methadone clinic. Not being able to take a vacation; it's tough to travel very far when you need to be at your clinic every single day, and unless you are a well-known and trusted patient, it's hard to get "take-homes." And yet, for many people, a methadone clinic provides needed structure, a place to go that is consistent, and people to connect with. Isabel had been a patient at her methadone clinic for 4 years when she just wanted to be free of the restrictive lifestyle this demanded. She was a single mom; a dental hygienist who had lost her position, but was working closely with the regulatory board to someday get her license back. She was active in recovery meetings and—although she loved her parents dearly, was tired of living with them. Her Accelerated Opiate Detox (AOD) off methadone at the Coleman Institute’s Richmond office took 8 days. While most other detox programs typically offer treatment for patients currently on 30 mg of methadone or less, our outpatient program at the Coleman Institute can detox patients from methadone doses up to 300 mg. Because it is an outpatient procedure, Isabel was able to return home after her daily check-ins with us. She opted for a naltrexone implant and then began the process of rebuilding her life. UNDERSTANDING ACCELERATED OPIOID DETOX Isabel said when she contemplated getting off methadone and ‘being in recovery’, she really thought nothing good was ever going to happen for her. Then, at about three months clean, she said it was like springtime came to her: “I felt like I could take a full breath. I looked around and things seemed new. I got hired again and started paying down my debts. When I begrudged paying a bill, I would remind myself how easily I spent the same amount on two days worth of drugs in the past.” She paid off bills, she bought a new car, she was promoted at her job, and she even took her first vacation in years. Isabel’s big news today was that she had just finished signing a stack of papers and, for the first time ever in her life, she is purchasing a house. She and her son are moving out of her parents’ home at last. Methadone as a form of MAT can be a good choice for many people, and although some people stay on it for a lifetime, others may be ready for an opioid-free form Medication-Assisted Treatment (MAT). The Coleman Institute in Richmon, Virginia or Wellesley, Massachusetts, can successfully bridge people from methadone to naltrexone in 8 days, the same period that it takes us to treat patients on buprenorphine, another long-lasting opioid used as a form of MAT. If you have any questions about switching from buprenorphine or methadone to the long-acting opioid-blocker, naltrexone, feel free to give me a call. Joan R. Shepherd, FNP SCHEDULE A CALLBACK #### How to Safely Stop Drinking Vet me if you like, but after a little browsing on the internet, I read that: Only 9% of people are successful in keeping with their New Year's resolutions. Most people quit with the new year goals on the second Friday of the month. 43% of people are most likely to give up on their New Year's resolution by the month of February. That’s part of the reason I was so happy to see Mel last week. Mel, age 56, came to the office for an injection of naltrexone, which she has done faithfully now each month for the last year. A year ago, Mel was consuming a minimum of 2 bottles of wine daily and (per self-report) still performing well at work. She had several employees who reported to her as their regional sales manager and since she was able to mostly work from home, she felt like everything was under control. Her anticipation and craving grew each day as 3 o’clock neared, when she opened a bottle of wine to allow it to breathe. She had a hard rule in place not to start drinking before 4:00 pm, which gave her a sense of feeling ‘in control’ of her alcohol consumption. She enjoyed the buzz of the first few drinks. Then she continued to drink to maintain the buzz, which was not particularly successful. As a single woman without children, she usually fell asleep in an overstuffed chair in front of the television around 11:00 pm and groggily went to bed around 1 or 2 in the morning. Waking up in time for her first meetings wasn’t too hard; she oversaw scheduling them, so her colleagues were used to afternoon or late morning meetings via Zoom. Risk of Long-Term Alcohol Consumption Life was rolling along and even though Mel knew she was drinking too much, she was able to compartmentalize this thought, especially after she received a significant bonus and raise for her good work. She assumed many of her friends and colleagues were consuming similar amounts of alcohol, and they often sent each other humorous wine memes. She recognized that she was consuming fewer calories from actual food, forgetting chunks of conversations she had with her family and friends, and was somewhat embarrassed about her recycling, but it wasn’t until one of her best friends was diagnosed with liver failure that her wakeup call came. Sal and Mel had been friends since college days. They were in each other’s weddings and Mel was Godmother to Sal’s daughter. They both climbed their respective career ladders and were each other’s support systems during their divorces. They started drinking in college and never stopped. How Much Alcohol Is Safe to Drink? I don’t know the amount of alcohol Sal was consuming, but both Sal and Mel are representative of the dramatic increase in alcohol consumption among women. According to a study cited by the National Institute on Alcohol Abuse and Alcoholism looking at alcohol use patterns in the United States from 2001 to 2002 compared with 2012 to 2013, there is an 80% increase in heavy alcohol consumption among women. Gender differences make women more susceptible than men to the detrimental effects of alcohol. As defined by the National Institute on Alcohol Abuse and Alcoholism (NIAAA), for women, low-risk drinking is no more than 3 drinks on any single day and no more than 7 drinks per week. For men, it is defined as no more than 4 drinks on any single day and no more than 14 drinks per week. Interestingly, this week Canada came out with revised guidelines related to alcohol consumption, stating that no amount of alcohol is good for you and quoted Dr. Catherine Paradis, interim associate director of research at the Canadian Centre on Substance Use and Addiction, that consumption of even two drinks per week has been associated with an elevated risk of seven types of cancer, including breast and colon cancer, as well as cardiovascular disease. Dr. Paradis, who was a co-chairwoman of the panel that developed the new guidelines, noted that the World Health Organization had recently declared that the harms associated with drinking alcohol had been “systematically evaluated over the years and are well documented” and that “when it comes to alcohol consumption, there is no safe amount that does not affect health.” (Source). The internet is rampant with “evidence” that small amounts of alcohol may be beneficial to a person’s health. Our Canadian neighbors are clearly interpreting the ‘research’ differently and I can’t help but wonder if-and-how the giant alcohol companies will choose to respond and if the USA will revise its current, more lenient recommendations In any case, Mel’s best friend, Sal, was put on a list for a liver transplant. Shocked into the reality of the devastation alcohol had caused to her friend, Mel made herself a promise to quit drinking. On the day she made this decision, she told me she gave away 38 bottles of wine (some that had apparently cost her well over $100). That night she barely slept and experienced tremors and vomiting. Accurately worried that she had developed a physical dependence on alcohol, she called the Coleman Institute for Addiction Medicine and scheduled a detox. We were able to get her in the very next day, informing her it would be safer for her to consume enough alcohol to mitigate her symptoms before her arrival. Stopping alcohol abruptly can be dangerous. Detox Treatment for Alcohol Addiction At the Coleman Institute, we help people who want to safely stop drinking alcohol with a three day outpatient detox. This approach allows our patients to stay in the comfort of their homes, reducing stress and cost while increasing privacy and simplicity. Because we use medications that might cause drowsiness, we do require our clients to have a support person with them for the entire duration of treatment. Our patients are given medications that help with possible side effects and—importantly–reduce the risk of alcohol withdrawal seizures. At the conclusion of the detox process, we prescribe both naltrexone and disulfiram (aka Antabuse) for most patients. I think of naltrexone as a medication that increases quality of life by helping to reduce the cravings for and enjoyment of alcohol. While it doesn’t make one sick to drink alcohol while taking naltrexone, it does seem to reduce the impulse to drink. I have had patients over the years tell me that while taking naltrexone they “could drive past a liquor store and it might as well have been a shoe store”, and “I could go out to eat and not be jonesing for the drink someone at the next table was having”. Disulfiram is more of a deterrent medicine; drinking alcohol while taking it can cause uncomfortable flushing, nausea, and even vomiting. For those who are determined to stop drinking and feel they may be tempted, the disulfiram provides an extra layer of protection. As far as keeping New Year’s resolutions or achieving any other goals, James Clear, author of Atomic Habits emphasizes the importance of creating identity-based habits; that one must decide what kind of a person one wants to be, and then prove it to oneself through small wins. Mel took a big first step by reaching out to us, and each day for over a year now, she has worked to create habits consistent with her vision of herself as a non-drinker. For her this has meant hiring a sobriety coach, reading copious amounts of literature to have an almost encyclopedic knowledge of the way alcohol affects the human body physically, chemically, and emotionally, and by coming in monthly for Vivitrol injections. If you are ready to think of yourself as a healthy person with healthy habits and want to drop the alcohol safely, please give us a call. We can tell you step-by-step what is involved. We would be honored to celebrate a one-year anniversary with you as well! Take care, Joan R. Shepherd, FNP GET THE ALCOHOL DETOX GUIDE #### How To Spot the Signs of Overdose From Opioids The opioid epidemic continues to ravage communities across the globe, bringing with it a devastating increase in overdose incidents. At the Coleman Institute, we are committed to educating our community about the dangers of opioids and the critical importance of recognizing an overdose as it unfolds. Knowing the signs of an opioid overdose can mean the difference between life and death, making this knowledge essential for everyone, particularly those who have loved ones struggling with opioid addiction. Understanding the Opioid Overdose Epidemic The opioid epidemic has seen a staggering loss of life, with the U.S. Centers for Disease Control and Prevention (CDC) reporting that over 932,000 people succumbed to drug overdoses between 1999 and 2020, and opioids were implicated in 75% of the drug overdose deaths in 2020 alone. The COVID-19 pandemic further exacerbated this crisis, marking a grim milestone with over 81,000 overdose deaths in the year ending May 2020—the highest ever in a single 12-month period. Experts attribute this sharp increase to the pandemic's widespread impact, including heightened isolation, increased stress, and significant disruptions to drug treatment and recovery support services, illustrating how external societal factors can deeply influence public health crises. Several key factors have contributed to the rise in opioid overdoses. The initial surge in opioid prescriptions dramatically increased the availability of these drugs, making them more accessible to both patients and recreational users, as well as those who might sell them on the illicit market. Opioids are known for their highly addictive properties, and individuals who start with prescribed medications can quickly develop dependencies. Once addicted, these individuals may seek out opioids in any form, including more dangerous illicit drugs like heroin or illegally manufactured fentanyl. In recent years, the increase of fentanyl, a synthetic opioid up to 50 times stronger than heroin, has further exacerbated the crisis. Often mixed with other drugs due to its potency and low cost, fentanyl increases the risk of overdose, particularly because users are frequently unaware of the drug's actual strength. Additionally, economic and social factors such as poverty, lack of healthcare, mental health issues, and economic despair contribute to higher drug use and addiction rates, further complicating the epidemic. Recognizing the Signs of an Opioid Overdose An opioid overdose can rapidly incapacitate a person, leading to potentially fatal consequences. It is crucial to recognize the signs of an overdose early and act immediately. Quick action can also mitigate longer-term complications for those who survive an overdose, emphasizing the life-saving importance of rapid and informed responses. Here are the primary indicators of an acute opioid overdose: Loss of Consciousness: Unresponsiveness could indicate that a person has overdosed. If you call their name or lightly shake them and they do not wake up or respond, it’s a severe warning sign. Shallow, Slow, or Stopped Breathing: One of the most dangerous symptoms of an opioid overdose is the depression of the respiratory system. This might look like slow, irregular breathing, or a complete stop in breathing. Pinpoint Pupils: Also known as miosis, the constriction of pupils to a small pinpoint size can be a tell-tale sign of opioid overdose. Choking Sounds or a Gurgling Noise: Sometimes referred to as a “death rattle,” these sounds indicate that air is struggling to get through respiratory passages. Blue or Purple Lips and Fingernails: This is caused by hypoxia, which is the lack of oxygen to the body’s tissues, and is a direct result of slowed or stopped breathing. Pale, Clammy Skin: Another sign of opioid overdose is cold and clammy skin that might appear bluish or purplish in lighter-skinned individuals and grayish or ashen in darker-skinned individuals. Vomiting: In the event of an overdose, the body may react by vomiting, which can be dangerous if the individual is unconscious as it increases the risk of suffocation. Limp Body: In cases of severe overdose, the body may become floppy and limp due to the relaxation of muscles. GUIDE TO UNDERSTANDING ACCELERATED OPIOID DETOX What To Do If You Suspect an Opioid Overdose If you observe any of the signs mentioned, it is crucial to act quickly. Every second counts, as the progression from overdose to a potentially life-threatening condition can occur rapidly. If you think someone is having an opioid overdose, here are the following steps to take to get them help as fast as possible: Call Emergency Services Immediately: Always call 911 if you suspect someone is overdosing. Provide clear and concise information about the situation and follow any instructions given by the dispatcher. Administer Naloxone if Available: Naloxone (Narcan) is a life-saving drug that can reverse the effects of an opioid overdose if administered in time. Many states have made naloxone available without a prescription, and we encourage everyone, especially those who have a loved one at risk for opioid overdose, to keep it accessible. Try to Keep the Person Awake and Breathing: Stimulate them by calling their name or gently shaking them if they are not awake. If they are able to swallow and breathe, lay them in the recovery position — on their side, with the top leg crossed over the body and the top arm supporting the head, keeping the airway open and clear. Stay With the Person Until Help Arrives: Monitoring the individual’s breathing and consciousness is crucial until emergency services take over. Getting Into Detox and Avoiding Opioid Overdose Early intervention can save lives, and understanding how to spot the signs of an opioid overdose and how to respond can make all the difference. However, preventing an overdose is always preferable to treating one. Here are some steps that can be taken to help prevent an opioid overdose: Educate Yourself and Others: Awareness and knowledge are powerful tools in combating the opioid crisis. Follow Prescriptions Carefully: If you or a loved one are prescribed opioids, take them exactly as directed by a healthcare professional. Dispose of Unused Medication: Many incidents of misuse and overdose start with medications that were left unsecured. Dispose of opioids that are no longer needed. Get Support: For those struggling with dependence or addiction, seeking help can be the most crucial step. At the Coleman Institute, we understand that opioid addiction and its potential for overdose is a difficult reality. If you or someone you know is struggling with opioid dependence or addiction, our Accelerated Opiate Detox program may be the answer. Contact our team of care advocates in our Richmond, VA, office or call one of our nationwide clinics near you to learn more about the Coleman Method and get into detox today.  SCHEDULE A CALLBACK #### How to Stop Drinking Alcohol: A Step-By-Step Guide Deciding to seek help for alcohol dependence or addiction can be a difficult process. If you are struggling with excessive alcohol use, you are likely already aware of how it can negatively affect your life, relationships, and health. However, acknowledging the problem and deciding to make a change is often the hardest part of getting into detox and recovery. Below are steps you can take to stop drinking and start your path to freedom from alcohol addiction today. But before diving into these strategies for how to stop drinking alcohol, it is essential to understand the nature of alcohol dependence, addiction, and Alcohol Use Disorder (AUD) in general.    Understanding Alcohol Dependence and Addiction Alcohol Use Disorder is a chronic disease characterized by the inability to control drinking despite adverse consequences. It often involves physical dependence, where the body becomes reliant on alcohol to function normally, as well as psychological dependence, where drinking becomes a central part of one’s life. Recognizing the signs of an AUD is critical in deciding to take the steps necessary for detox and recovery. Common indications of alcohol dependence or addiction can include:   Increased tolerance (needing more alcohol to achieve the same effects) Withdrawal symptoms when decreasing or stopping alcohol use (anxiety, tremors, sweating, nausea, and more) Loss of control over your drinking Neglecting daily/life responsibilities Continued use despite spiraling problems How to Stop Drinking: Step 1 - Acknowledging the Problem Acknowledging that you have a drinking problem, whether excessive drinking or AUD, is the first and most critical step on the path to recovery. This process involves a deep level of self-awareness and honesty about how alcohol has impacted your life. It requires you to look beyond the immediate pleasure or relief that drinking might bring and confront the broader consequences that have unfolded as a result of alcohol use. This step can be particularly challenging because denial often serves as a common defense mechanism. Denial helps to shield you from the painful reality of alcohol dependence and addiction and the changes that recovery demands. However, it is essential to break through this denial and face the truth of your situation, as recognizing the need for change is necessary for recovery. Here are a few ways you can start to acknowledge that you have a problem with alcohol:   Reflect on your drinking habits. Start by taking a detailed and honest look at your drinking patterns. Consider how often you drink, the quantity of alcohol you consume, and the situations or emotions that trigger your drinking. Keeping a drinking diary for a few weeks can provide a clearer picture of your habits and their impact on your daily life. Listen to feedback. Pay close attention to the concerns expressed by friends, family, or colleagues about your drinking. These individuals often notice changes in your behavior and the negative effects of your drinking before you do. While it can be difficult to hear criticism, accepting their feedback with an open mind and heart can be a pivotal step toward acknowledging your addiction. Assess the consequences. Take time to consider the physical, emotional, and social consequences of your alcohol use. Think about any health issues you may have developed, such as liver problems, fatigue, or frequent illnesses. Emotionally, reflect on feelings of guilt, shame, or depression that arise from your drinking. Socially, examine the impact on your relationships, work performance, and social activities. Understanding the full scope of alcohol’s impact on your life can help break through denial and highlight the need for change. Recognize patterns of denial. Denial often manifests in various forms, such as rationalizing your drinking, blaming others for your behavior, or minimizing the severity of your problem. Becoming aware of these patterns is crucial. Ask yourself if you often make excuses for your drinking, downplay its effects, or shift responsibility onto others. Recognizing these behaviors is a significant step toward accepting the reality of your addiction. Consider the future. Think about how your life might change if you continue drinking excessively versus if you choose to seek help. Envisioning a future where alcohol no longer controls your life can be a powerful motivator. Consider the goals you have, the relationships you want to improve, and the health you wish to regain. By going through this process, you can break through the barriers of denial and take this crucial first step toward recovery. Remember, acknowledging the problem is not a sign of weakness but a courageous act of self-awareness and the beginning of your journey toward a healthier, more fulfilling life.   How to Stop Drinking: Step 2 - Get Professional Detox Help Quitting alcohol can be an extremely challenging endeavor, especially when attempted alone. The physical and psychological grip of alcohol often makes it difficult to break free without support. Seeking professional help significantly increases your chances of success by providing you with the tools, resources, and encouragement needed to navigate the journey to sobriety. Addiction experts, such as our dedicated team at the Coleman Institute, offer specialized care and support tailored to your unique needs, ensuring you receive the most effective treatment possible. Selecting the right type of alcohol detox for you can be hard if you aren’t familiar with the types of options and programs that are available. Here are some common forms of alcohol detox methods:   Self-Detox: This option is not recommended and can be extremely dangerous, as abruptly stopping alcohol consumption can lead to severe discomfort and significant health risks. Even those who do not believe their drinking is excessive can experience dangerous withdrawal symptoms, such as seizures, upon sudden cessation. Individuals who try to detox on their own without medical support may face symptoms like confusion, agitation, hallucinations, and tremors. Seeking professional medical assistance is vital to safely manage these risks. Inpatient Detox: Inpatient detoxification occurs in a hospital or specialized rehabilitation center and typically lasts between 4 to 10 days, depending on the individual's needs. During this process, medications like benzodiazepines are administered to reduce withdrawal symptoms and prevent seizures. However, inpatient detox can be expensive and disruptive to daily life, and health insurance may not always cover the entire duration required for a full recovery. Outpatient Detox with the Coleman Method: Our innovative alcohol detox method provides a comfortable and effective outpatient detoxification option. Patients can detox in the comfort of their home or a hotel, avoiding the clinical environment of a hospital. We use Phenobarbital and other medications to safely and comfortably detox patients, often in as little as 3 days. Phenobarbital is particularly effective because of its targeted action on the brain and its long-lasting effects, which facilitates a smoother transition to recovery. Our patients receive daily monitoring, and medication dosages are adjusted to ensure comfort without excessive sedation. Choosing the right detoxification program is crucial to your efforts to stop drinking. By understanding the different options and seeking professional guidance, you can safely navigate the alcohol withdrawal process and get into long-term recovery.   GET THE ALCOHOL DETOX GUIDE     How to Stop Drinking: Step 3 - Implementing Lifestyle Changes Once you have completed your alcohol detox and are in early recovery, making significant lifestyle changes is key to maintaining your sobriety. These changes not only help reduce the chances of relapse but also create a healthy and supportive environment that fosters overall well-being. By adopting these new habits and routines, you can build a strong foundation for a lasting recovery.   Nutrition and Hydration: Focus on a balanced diet rich in vitamins and minerals to repair damage caused by alcohol and support overall health. Stay hydrated to flush toxins and improve energy levels. Exercise: Regular physical activity boosts mood, reduces stress, and improves physical health. Find enjoyable exercises to stay motivated and active. Sleep: Ensure 7-9 hours of quality sleep each night to support physical and mental well-being. Create a relaxing bedtime routine and a conducive sleep environment. Mindfulness and Relaxation: Practice meditation, deep breathing, and progressive muscle relaxation to manage stress and cravings. Mindfulness helps increase awareness of thoughts and feelings. Building a Support System: Surround yourself with supportive friends, family, and peers. Attend support group meetings regularly for encouragement and accountability. Establishing Routine and Structure: Plan daily activities that promote health, relaxation, and personal growth. A regular schedule helps regulate your body’s natural rhythms. Avoiding Triggers and High-Risk Situations: Identify and avoid triggers and high-risk situations that may lead to relapse. Develop strategies to cope with or avoid these triggers. Personal Development and Setting Goals: Set short-term and long-term goals related to career, education, relationships, or personal interests. Working towards these goals provides motivation and reinforces positive changes. Seeking Professional Help When Needed: Regular therapy sessions with a licensed counselor or therapist can provide ongoing support. Specialized treatment programs offer structured support and additional resources for maintaining sobriety. By incorporating these lifestyle changes, you can create a supportive environment that promotes sobriety and overall health. Recovery is an ongoing process that requires dedication and effort, but with the right strategies and support, you can build a new life free from alcohol.   How to Stop Drinking: Step 4 - Long-Term Support Long-term support is crucial for sustained recovery. Building a strategy with ongoing treatment, recovery resources, and supportive individuals who can provide encouragement and guidance is essential to maintaining sobriety and avoiding relapse. Here are a few options for long-term support that can significantly enhance your recovery journey.   Naltrexone Therapy: Naltrexone Therapy is an effective long-term support option for maintaining sobriety after your initial detox. Naltrexone is an opioid antagonist that reduces cravings and blocks the euphoric effects of alcohol, helping to reduce the chances of relapse. At the Coleman Institute, we offer Naltrexone Therapy in various forms, including a small implant as well as recurrent Vivitrol injections. Vivitrol is a long-acting form of Naltrexone administered once a month, providing continuous support without the need for daily medication. Healthy Relationships and Structured Daily Routine: Fostering supportive relationships and establishing a structured daily routine provides stability and encouragement. Surround yourself with individuals who support your sobriety and plan your days with a mix of activities that promote health, relaxation, and personal growth, reducing the likelihood of encountering high-risk situations. Continued Education, Skill Development, and Professional Therapy: Pursuing personal development and setting goals provide motivation and a sense of accomplishment. Combined with regular therapy sessions, these efforts help address underlying issues, improve coping mechanisms, and build resilience against stressors, contributing to a fulfilling and sober life. By integrating these long-term support options into your recovery plan, you can build a robust foundation for your new sobriety. Each component plays a crucial role in helping you navigate the challenges of recovery, providing the tools and support you will need for continued success.   Get Into Alcohol Detox Now at the Coleman Institute Stopping drinking is a challenging but achievable goal. By acknowledging the problem, getting professional help, implementing lifestyle changes, and seeking long-term support, you can overcome your alcohol dependence or addiction and lead a healthy, happy life.  At the Coleman Institute, our outpatient detox programs have a 95% completion rate and no wait time to get into treatment. Call our Richmond, VA, office today or one of our nationwide clinics near you to take the next step on your road to recovery and learn more about the Coleman Method.  Remember—you are not alone, and we are here to help you stop drinking alcohol when you are ready.   SCHEDULE A CALLBACK #### How to Stop Reacting and Start Responding to Create Your Best Life I was just re-reading a reference to Victor Frankl. I read his book, Man’s Search for Meaning many years ago. Frankl, a Jewish psychiatrist, was imprisoned by the Nazis in WWII. During his time in the concentration camps, he suffered unimaginable indignities and torture and has become known for his writings from that time. In spite of horrifying conditions and never knowing if he would die from the extreme circumstances or by being sent to the ovens, Frankl comforted and inspired both prisoners and guards. In the midst of this experience, Frankl appreciated and emulated a fundamental principle about human nature: Between stimulus and response, man has the freedom to chose. Despite the atrocious treatment he and the other prisoners received, he chose to hold onto his dignity and chose his response to his miserable conditions. I often think about this as I am working with my patients at the Coleman Institute for Addiction Medicine who are in the grip of physical dependence on medications such as Percocet®, Roxicet®, hydrocodone, Oxycontin®, Dilaudid®, heroin, or fentanyl. UNDERSTANDING ACCELERATED OPIOID DETOX These drugs effectively eliminate that space between stimulus and response, robbing people of their ability to create meaningful lives. As the drugs take hold of the brain, values shift. Previously held values such as being a role model and good provider for one’s family, being a dependable employee, being a concerned son or daughter, being a caring friend, responsible citizen, etc., are replaced by the exclusive and pervading value of simply not getting sick from lack of their drug, and acquiring it at all costs. Steven Covey, author of The 7 Habits of Highly Effective People talks about the uniquely human attributes we have that allow us to create our lives: Self-awareness (the ability to step back and "watch" ourselves…) Imagination (our ability to create in our minds beyond our present reality...our future) Attitude (our ability to respond to things in our environment) Conscience (an inner awareness of right and wrong, principals that govern our behavior, and our alignment with them), and Independent Will (the ability to act, based on our self-awareness). Just as addiction to substances robs people of practicing these uniquely human qualities, recovery restores them. Clarifying the opiate receptors is the beginning of recovery. It is what the Coleman Institute has specialized in for over 20 years. In a comfortable outpatient setting, with family members and/or trusted friends playing an integral part of the process, we safely and comfortably remove opioids from the body and the brain. We use micro-doses of naltrexone to remove the opioids and provide long-acting naltrexone to keep our patients opioid-free. I cannot express to you the collective joy our staff feels when patients return for follow up visits and describe their experiences reclaiming and recreating their lives. Perhaps because of their near-brushes with the depths of despair, a Substance Use Disorder can cause, their pleasure in the contrast of a clean life is sweeter than for those who never suffered from the condition. Should you or a loved one realize that an opioid or alcohol addiction is interfering with your uniquely human attributes of imagination, attitude, and independent will—and that you now only react to stimuli, rather than respond, please consider giving us a call. You truly can change. Joan R. Shepherd, FNP SCHEDULE A CALLBACK #### I Think my Coworker May Have an Addiction Here’s the scenario: Your coworker is exhibiting uncharacteristic behavior at work and you are concerned it may possibly be an addiction problem. It could be to alcohol, prescription or nonprescription drugs or even a behavioral addiction to gaming, gambling or sex. What should you do? This is a very difficult position to be in for sure. You could ignore the whole thing thinking that might be the easiest, most comfortable way and you don’t want your friend to get in “trouble” with the boss or even worse, get fired. The thing is however your coworker is already suffering and in trouble, especially if you are noticing it at work, and it’s likely only going to get worse for them. You know in your heart of hearts that being a bystander is not the right thing to do. What if something dire happens to your friend, their family, a completely innocent stranger or the organization you both work for? You would most likely regret not reporting your concerns to someone. Hopefully, you will decide that your coworker needs your help. Because s/he most likely does! Addiction is serious. Addiction is a disease. A disease of the brain, body, and soul. And like many diseases, addiction can be treated. Not cured, but treated. Just as you wouldn’t ignore the fact that your coworker has had a hacking cough for a month, the signs of addiction should also not be ignored. What are some of the signs you may see? Some include: Frequent or prolonged absences from work, often without prior notice Frequent and lengthy trips to the bathroom where substances could be stashed and/or used Mistakes, diminishing productivity, lateness, uneven work performance, distraction Behavioral changes-moodiness, arguments, changes in quality of interactions with co-workers Inappropriately dressed for the weather; sweating or other physical signs of addiction or withdrawal Change in hygiene or personal appearance. Injuries related to falls or fights What is my responsibility? You have a certain professional responsibility to your company. Addictions can affect your entire organization from the janitor to the CEO. It can affect personal paychecks, reputation and the future of your company. Everyone that you work with, including you, could be adversely affected. And of course, there are moral and ethical responsibilities. We are in the midst of an opioid crisis that in America alone was responsible for more than 72,000 deaths in 2018 according to the National Institute of Drug Abuse (NIDA.) The National Institute on Alcohol Abuse and Alcoholism (NIAAA), reports approximately 88,000 alcohol-related deaths. The opioid crisis has decreased the life expectancy of Americans for the first time in decades. It is costing billions of dollars to our economy. These statistics are shocking in and of themselves and no class, race, profession, or part of the country is immune. What should I do? Unless you are really, really good friends with your coworker confronting them alone is not a good idea. Chances are they will deny the problem and get angry with you. The best course of action is the one that communicates your concern while maintaining professionalism and ethical treatment of your co-worker. Your unique knowledge of your co-worker and your roles within your place of work may impact the timing, setting and manner that is most likely to result in a productive conversation. Regardless of your particular relationship with your co-worker, attempting to employ a confrontational approach or threatening potential consequences from continued use are not likely to yield positive results. These approaches can communicate a sense of judgment that may result in your co-worker’s denial and heightened defensiveness that may impede future conversations about substance use. If you decide to have a conversation with your co-worker about their suspected substance abuse, it is important to communicate early and often that your actions are motivated by a concern for his or her health. Remember, the goal of the conversation is to assist your co-worker in identifying potentially hazardous behaviors and encourage them to access appropriate treatment. The goal is not “being right” and it is unlikely that your co-worker’s initial response will be one of acceptance and gratitude. Denial and avoidance are characteristic aspects of substance dependency and moving beyond this mindset requires motivation and effort on the part of the person using substances. You alone cannot walk s/he through the recovery process, but you can guide and walk alongside s/he with understanding that everyone’s pace and path to recovery to unique. Your first step could be to research your organizational policies. There may be a mechanism already in place on how best to handle the situation. If there is a Human Resources (HR) department they can be available to discuss your concerns, even initially about an anonymous employee. If your company has an Employee Assistance Program (EAP) or other options for seeking consultation around the matter as well. There are laws in most stated to protect the rights and privacy of both yourself and your coworker. One of my favorite quotes which I believe could pertain to this scenario is: “Anyone who saves a life is as if he saved the entire world.” The Coleman Institute for Addiction Medicine is equipped to handle medical detoxification from opiates or alcohol safely, comfortably and confidentially. We have sites throughout the country. But again, leave the details of treatment and recovery to your organization, your friend and their supports. Hopefully, you have helped begin the process of healing and recovery. Whether they know it or not. Dr. Deborah Reich SCHEDULE A CALLBACK #### I'm Addicted But I'm Not An Addict Looking at my schedule a few weeks ago, I saw that a new patient was coming in for a consultation to learn more about our Accelerated Opioid Detox (AOD). Detox means different things to different people. If you google the word, you’ll find references to various liquid diet plans, colonic cleanses, and great spas you can go to for relaxation and restoration. When we talk about detox at the Coleman Institute for Addiction Medicine, we are talking about helping people get off various substances. These substances can include alcohol and a variety of medications such as Oxycontin®, hydromorphone, hydrocodone, Vicodin®, Vicoprofen®, fentanyl, heroin, and even Suboxone® and methadone. For people whose bodies have gotten used to these medications, or built up a tolerance to them, it can be extremely painful, difficult, and occasionally dangerous, to stop them abruptly. Some people, including the gentleman on my schedule today, have been prescribed pain medication for various surgeries. It is not unusual for them to have been taking these medications for years, and to have a pretty good and honest relationship with the prescribing doctor. Most doctors who prescribe pain medications for their patients have been trying to help keep their patient’s pain at bay, and often this results in regularly increasing the milligrams of medicine the patient receives. They do this because this type of medication causes tolerance; in order to get the same effect, the body needs more and more. SCHEDULE A CALLBACK The problem is, when a person taking these kinds of medications wants to stop taking them, they will experience withdrawal. This is described as the worse kind of flu you could ever have: vomiting, diarrhea, body aches, etc. and it can go on for over a week—or even weeks depending on what medication they have been prescribed. This doesn’t make anyone an addict. This makes them physically dependent. But my patient didn’t know this. The owner of an extremely successful painting company, he was so ashamed and embarrassed when he told me how he had struggled to get off these medications. He was terrified about being in our office and being labeled as an addict. He had tried many times over the years to stop on his own, and would often make it for days, and in some cases several weeks. Because he had multiple surgeries over an eight-year period, he was invariably put on these medications again and again, until finally, his body couldn’t function "normally" without them. ACCELERATED PAIN MEDICATION DETOX He didn’t "abuse" the drugs and he didn’t buy them "off the street." He had known his doctor for many years and his doctor never questioned him or worried he was diverting his drugs. He was a pillar in his community and his church. But when he talked to his doctor about stopping them, his doc didn’t have many good suggestions. “He told me to wean down. Which I did ... Until I couldn’t. I couldn’t get out of bed; I didn’t want my grandchildren coming over. I barely took care of the yard. I had no energy, and I was mean to my wife…but I’m not an addict.” We spent a long time talking and by the time he left, he told me he’d learned more in this one visit than he’d ever learned at a doctor’s office before. I think it was such a relief for him to know that his dependence on these medications had nothing to do with any moral failing; that anybody subjected to these meds for a certain amount of time responds in the same way. He signed up for the Accelerated Opioid Detox using the Coleman Method and based on the amount of medication he’d been on, we scheduled him for four days. His wife and his daughter were his support team, and he completed his outpatient detox beautifully. The Coleman Institute for Addiction Medicine not only helps people who have become dependent on pain medications through completely legitimate means, but also people who are dependent on heroin, fentanyl, and other illegal drugs. Our expertise allows us to care for any patient struggling with opioid dependence in a respectful, professional environment; we do not judge our patients, we help them reclaim their lives. Please call us at 877-773-3869 if you have any questions about getting off opioids for yourself or a loved one. Joan R. Shepherd, FNP READ MORE POSTS LIKE THIS #### If I’m Taking Suboxone®, Can I Really be in Recovery? The answer to this question depends on whom you ask. There are those who define recovery as the complete abstinence from any mind-altering drugs. And Suboxone®, a medication that combines the opioid buprenorphine with the blocker naloxone, does activate opioid receptors but it produces a smaller response. It relieves drug cravings without the high or dangerous side effects caused by other opioids. Regular use can lead to physical dependence. So, can it really be considered recovery if I'm taking it? Perhaps this is not the right question to be breaching. The more relevant question may be: What beliefs and behaviors can best support your recovery, to live a life in the service of what you value According to Richard Rohr, founder of the Center for Action and Contemplation, "Bill Willson saw 'emotional sobriety" as the final culmination of the Twelve Steps. Full sobriety is not just to stop drinking (drugging), but to become a spiritually awakened person who has found some degree of detachment from your own narcissistic emotional responses. Suboxone vs. Naltrexone vs. Methadone Therapy For years the Coleman Institute for Addiction Medicine has specialized in Accelerated Opioid Detoxes to help people get off and stay off opioids such as oxycodone, hydromorphone, hydrocodone, fentanyl, heroin, kratom, and methadone, as well as buprenorphine. After clearing opioids from the body, we use long-acting naltrexone in the form of an implant or injection. This treatment is an excellent choice for many people and continues to be an available option at all the Coleman Institute offices around the country. Currently there are threeMedication-Assisted Treatments (MATs) for patients with an Opioid Use Disorder (OUD) - Methadone, Suboxone, and Naltrexone. While each one of these treatments can be commonly prescribed to treat opioid addiction, their overall effectiveness in treatment varies greatly. Take Methadone for example, like heroin or opiates, this medication is known as a "opioid agonist" and is typically used in parallel with other addiction treatment therapies. While safer than some opioid agonists, if not carefully managed, it is easy for patients to get intoxicated or overdose. When we look at another treatment, like Suboxone - contrary to Methadone, this treatment works on its own and is considered to be a safer alternative for detox. However, the substance is highly controlled and different treatment programs differ in requirements for patients. For those using Suboxone, it binds more strongly to the brain receptors than the short-acting opioids, making the treatment block overall effects without fully activating them. For many patients they tend to lean towards Suboxone due to its monthly dosage instead of daily, yet, because this drug is an partial opioid it can cause severe withdrawal symptoms. Despite the two pervious treatment options, Naltrexone is a treatment that when taken "binds to the opiate receptor" as if it were an opiate while acting as a pure blocking agent. Many times we describe the use of Naltrexone as a "tight bond to the receptor" preventing the possibility of a competing drug like heroin or oxycodone to interfere. For those patients using Naltrexone as a treatment, this option typically does not cause physical dependence and therefore eliminates withdrawal symptoms from occurring. Of all the treatments, given our thirty years of experience, we recommend Naltrexone. The Path to Recovery Looks Different for Everyone As awareness of the opioid crisis has exploded over the last decade, so has the opportunity to understand more about the disease of addiction, particularly Opioid Use Disorder (OUD). This growing body of knowledge reinforces over and over again to those in the medical addiction profession that treatment is not a "one-size-fits-all" phenomena. And while historically the Coleman Institute's focus has been on treating Opioid Use Disorder with long-acting naltrexone, there have always been a few patients on Buprenorphine (Suboxone, Zubsolv, or Bunavall). These patients have found that this treatment allows them to manage all the moving parts in their own lives, putting attention on the most important areas, and eliminating drug-seeking behavior. The Substance Use Disorder Recovery Process It's also helpful to recognize that different patients experience different recovery styles once their path towards treatment and a healthier lifestyle. What one individual chooses as a moderator during their treatment may differ completely from the other. For example, the way you deal with stress, who you allow as your support system, and what you do during your detox can all play a role during your recovery. Take Steven, a recent patient who stated how important it was for him to find a treatment plan and team that made understanding his addiction open and honest. He states, "Had it not been for the case manager who showed thoughtfulness, patience and training; I would not have made as much progress in my recovery." Like Steven, many patients have been first introduced to treatment programs where the main mission is to provide a "temporary fix" by implementing substances that can actually do more harm than good. At the Coleman Institute, our treatment plans focus solely on the patient's path to recovery in a professional, compassionate, and supportive environment. Offering honest and open communication, from the beginning of your detox journey to the final days towards your journey to an improved lifestyle. READ MORE POSTS LIKE THIS We are pleased to share that our treatment options in the Richmond, Virginia office include buprenorphine treatments as we welcomed the expertise of Applegate, our affiliate who also is devoted to helping people achieve their life goals through recovery. Their proficiency in treating patients with Suboxone dovetails beautifully with the philosophy of the Coleman Institute for Addiction Medicine to work with our patients where they are and to provide the best options for sustainable, long-term recovery. Choosing any of the Medication-Assisted Treatment (MAT) options requires careful consideration of each patient's unique circumstances. We welcome your call at 804-294-2212 as you navigate through these complexities. Joan R. Shepherd, FNP We also offer a medically-assisted alcohol detoxfor people who's drinking is at such a level that it is dangerous to stop abruptly. SCHEDULE A CALLBACK #### Is Heroin a Stimulant or a Depressant? With widespread misconceptions and social stigmas more commonplace than ever, heroin dependence and addiction often remain shrouded in myth and misunderstanding. While many still consider it to be caused by an individual’s moral failing, at its core, heroin use disorder is a complex interplay of psychological, biological, social, and environmental factors. Many patients have similar kinds of questions when they first reach out to our team at the Coleman Institute, and one we encounter frequently is whether heroin is classified as a stimulant or a depressant. This question is not just a matter of academic curiosity; it's crucial for understanding heroin's impact on individuals and society. The distinction between stimulants and depressants reveals much about how a substance interacts with the human body, particularly the brain. It shapes our approach to treatment, our legal frameworks, and even how we as a society perceive those who use and struggle with heroin dependence and addiction. Learning more about heroin’s pharmacological effects, its history, and its modern-day implications can help shed light on what heroin truly is versus what it is often purported to be and help those struggling with heroin dependence or addiction take the first step toward getting into heroin detox and, hopefully, long-term recovery. Understanding Dependence and Addiction: What is Heroin? Known scientifically as diacetylmorphine, heroin has profoundly impacted public health and social landscapes across the globe. To fully grasp the complexities of heroin and its effects, it's crucial to understand its nature, origins, and the way it interacts with the human body. Heroin was first synthesized in the late 19th century, intended as a pain reliever. It is derived from morphine, a naturally occurring substance extracted from certain varieties of the poppy plant. In its pure form, heroin is a white, odorless, bitter-tasting crystalline powder. However, street heroin is often found in various forms and colors, indicating impurities and additives. Initially marketed as a non-addictive morphine substitute and cough suppressant, heroin's high potential for addiction quickly became apparent. Its legal status shifted over the decades, and today, it is classified as a Schedule I substance, indicating no accepted medical use and a high potential for abuse. Heroin's impact on society has been multifaceted and profound, spanning public health crises, social and economic upheaval, and global law enforcement challenges. It has precipitated a dramatic rise in addiction and overdose deaths, strained healthcare systems with the spread of infectious diseases, and inflicted emotional and financial burdens on families and communities. But the question remains: Is heroin a stimulant or a depressant? The answer is not as simple as you might think. UNDERSTANDING ACCELERATED HEROIN DETOX The Initial “Rush” of Heroin Inside the Body Once administered, heroin's mode of entry—whether by injection, snorting, or smoking—significantly influences how quickly it affects the brain. Injection sends the drug directly into the bloodstream, providing an almost immediate effect. Snorting or smoking, while slightly slower, still ensures rapid absorption into the bloodstream through the mucous membranes or the lungs. Upon entering the bloodstream, heroin travels swiftly to the brain. Here, it undergoes a critical transformation. Heroin is a prodrug, meaning it’s inactive until it’s metabolized. In the brain, enzymes convert heroin into morphine. This transformation is crucial because morphine has a high affinity for binding to opioid receptors, whereas heroin itself has a lower affinity. The human brain contains numerous opioid receptors, part of the larger endogenous opioid system that regulates pain, reward, and addictive behaviors. When morphine molecules bind to these receptors, they trigger a cascade of neurological events. This receptor activation inhibits the release of certain neurotransmitters, leading to the suppression of pain, enhancement of pleasure, and a feeling of relaxation. This initial binding and the subsequent release of dopamine is what leads to the euphoric "rush" that many heroin users experience. Dopamine is a neurotransmitter associated with pleasure and reward, and its release in large amounts creates a sensation of intense pleasure and well-being. This phase is often described by users as a profound sense of euphoria, warmth, and detachment from physical and emotional pain. So is heroin a stimulant? Not really, as this initial rush gives way to the many characteristics that lead to heroin being classified as a depressant. After the Rush: The Depressant Effects of Heroin Following the initial euphoria, heroin’s depressant effects become more pronounced. As the drug slows brain activity, users may experience drowsiness, lethargy, and a sense of calm or sedation. This is due to the decreased activity in the central nervous system, manifesting in slowed breathing, reduced heart rate, and lowered blood pressure. The extent of these effects can vary based on the dose, the purity of the heroin, and individual physiology. With repeated use, the brain starts to adapt to the presence of heroin. This adaptation manifests as tolerance—needing more of the drug to achieve the same level of euphoria or pain relief. As tolerance builds, dependence can develop, where the body starts to rely on heroin to function normally. This dependence is what fuels the cycle of addiction, as the absence of the drug can lead to uncomfortable and sometimes severe withdrawal symptoms. So, while heroin is predominantly known for its depressant effects—slowing down brain activity and, consequently, the functioning of the central nervous system—its initial impact can mimic stimulation. The initial euphoria is often followed by a state of drowsy tranquility, which underscores its classification as a depressant. The Coleman Method for Accelerated Heroin Detox The Coleman Method for heroin detoxification stands out as a pioneering approach in the realm of addiction treatment, particularly for its efficacy and patient-centered methodology. Developed with an understanding of the complex nature of opioid dependence and addiction, this method emphasizes safety, speed, and comfort in the detoxification process. A few key features of the Coleman Method include: Rapid Detoxification: The Coleman Method significantly reduces the typical duration of detoxification. Instead of the prolonged period usually associated with self-detox or traditional methods, our approach can complete the detox process in as little as three days. Outpatient Treatment: Central to the Coleman Method is its outpatient nature. This means that patients can undergo detoxification without the need for a hospital stay, allowing them minimal disruption to their daily lives. Patients can even spend nights at home or a hotel if traveling, contributing to a more comfortable detox experience. Use of Medication: A key component of the Coleman Method is the use of a combination of medications and sedatives to alleviate withdrawal symptoms. This includes the administration of Naltrexone, a non-addictive opioid blocker, which plays a crucial role in reducing cravings and preventing relapse. The method involves a gradual detox process, with tailored doses of medications and micro-doses of Naltrexone to ensure maximum comfort and effectiveness. High Success Rate: The Coleman Method boasts a 98% completion rate for patients in our outpatient detox program. This is attributed to the method's focus on minimizing the discomfort often associated with detox, which can lead to relapse. Post-Detox Support: Following the detox process, patients are put on Naltrexone Therapy, either through a pellet-sized implant in the abdomen or through monthly injections of Vivitrol. This helps in blocking opioid receptors, aiding in brain healing, decreasing cravings, and providing a safety net during early recovery. The Coleman Method offers a compassionate and effective path to recovery for individuals struggling with heroin addiction. Our focus on rapid detox, outpatient convenience, and long-term recovery support makes it the best choice for those seeking a safer and more comfortable journey to detox and long-term recovery. Get Help with Heroin Dependence and Addiction Today If you or someone you love is struggling with heroin use, Accelerated Opioid Detox using the Coleman Method could be the answer you’re searching for. Find out why thousands of patients have successfully completed detox and reached long-term recovery through our innovative outpatient detox program and how you could join them when you call today. Contact the addiction medicine specialists in our Richmond, VA, office or at one of our clinics around the country near you to start your journey to reclaiming your life from heroin, or schedule a callback using the form below. SCHEDULE A CALLBACK #### Is Kratom Addictive & How You Can Detox Safely The short answer is Yes! First, let’s review what Kratom is and why it is of concern. Kratom is a plant derivative of Mitragyna speciose. It is an evergreen tree in the coffee plant family, which grows naturally in Thailand, Malaysia, Indonesia, and Papua New Guinea. As with other plant and herbal derivatives, people often make the false assumption that because it comes from a plant and is “natural,” it is safe. In the case of Kratom, this could not be further from the truth. The Truth About Kratom Kratom stimulates the opiate receptors in the brain. This is the same mechanism of action that opioids have. Moreover, with that comes the same set of problems. These problems include: Dependence Addiction Potential for Abuse Withdrawals Other reported problems include: Salmonella infection Seizures Liver Failure Death Why Are People Turning to Kratom? There are several reasons. Kratom has been touted as a recreational substance and, at low doses, it can cause a sense of euphoria. It is also marketed as a pain reliever, a mood stabilizer, an addiction treatment, and as a withdrawal management tool. It comes in capsule, powder, and extract forms, and can be ingested as a tea or in food. It is extremely bitter and unpleasant on its own. Kratom has become increasingly available throughout the US. It can be purchased on the internet and at many local tobacco and herbal shops. There are even books that tout its “miraculous” properties as well step-by-step guides about how to attempt to use it to detox from opiates. An Unregulated and Dangerous Substance It is important to remember that the Kratom market is completely unregulated. The FDA has issued several warnings and reports on the dangers of Kratom. It is NOT an FDA-approved substance and no adequate or controlled scientific studies have been performed on its safety or efficacy. To the contrary, there are multiple reports about its dangers. Furthermore, there are no meaningful government controls or inspections of quality to ensure that the product being sold actually is Kratom. There is a meaningful risk of contamination or adulteration. Kratom is Not a Withdrawal Management Tool Worst of all, when someone tries to use Kratom as a withdrawal management tool, they can find themselves dependent on and/or addicted to both opiates and Kratom. We have seen this happen with multiple people who ultimately turned to us for help breaking out of this situation. UNDERSTANDING ACCELERATED OPIOID DETOX There are only three FDA-approved medications for Opioid Use Disorder (OUD). These Medication-Assisted Treatments (or MAT) are: Methadone, Buprenorphine and Naltrexone. Unlike the first 2 substances, Naltrexone is a non-addictive opioid blocker (opioid antagonist) that reduces cravings for opiates and alcohol, and can block highs. Detox Off Kratom at the Coleman Institute We at the Coleman Institute for Addiction Medicine have successfully detoxed a number of patients off of Kratom. Because it works in the same way that opiates do, we have been able to apply our proven, safe and effective opioid withdrawal management protocols to help patients stop using Kratom. After a Kratom detox with us, patients begin Naltrexone therapy, as do all our opiate detox patients. The patient also receives 6 months of case management services with our dedicated aftercare planning team to support their long-term recovery. Remember that the brain does not distinguish between opiates and Kratom and so the same issues need to be addressed such as emotional effects, triggers, etc. We will work with you to personalize a treatment plan that will set you up for success. We are here to help patients recover from substance misuse, dependence or addiction, whether the substance is alcohol, an opioid like fentanyl or oxycodone, or--as in the case of this article--the plant derivative Kratom. Please call us at 877-773-3869 for more information. Deborah Reich, MD SCHEDULE A CALLBACK Here are some other resources pertaining to Kratom: https://www.drugabuse.gov/publications/drugfacts/kratom https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6612999/ https://www.fda.gov/news-events/press-announcements/statement-fda-commissioner-scott-gottlieb-md-new-warning-letters-fda-issuing-companies-marketing #### Is Rapid Opioid Detox Really Too Good To Be True? I am going to change the details for my patient’s confidentiality, but the basic story is spot on. Alana, a beautiful 23-year-old woman who lives far away from Richmond, VA, convinced her mother to bring her to the Coleman Institute for Addiction Medicine to help her stop using opioids. Since childhood, Alana has suffered from chronic headaches. She has been treated by neurologists using all the known and even some experimental medications and procedures. To abbreviate her story, she was put on opioids for several years, and then was switched to tramadol in an effort to get her off Dilaudid® (hydromorphone) and oxycodone. Then, of course, she became physically dependent on tramadol. She was put on buprenorphine to get her off the tramadol. Her headaches were long gone, but she was now physically dependent on the long-acting partial agonist, Suboxone® (buprenorphine/naloxone). In the midst of the headaches and the pain medication, Alana gave birth to a gorgeous baby girl, Estella. Last week Alana, Alana’s mother, Reysa, 2-year-old Estella, and Estella’s baby doll came to Richmond so Alana could detox off the buprenorphine. She had found us online and called that day. LEARN ABOUT ACCELERATED SUBOXONE® DETOX Traveling alone is one thing, but traveling with a child and all her gear to an unknown city is another whole adventure. Car seat, stroller, pull-ups, clothing, coloring books, and crayons were all packed and flown across the country with the family. Alana was full of hope. Alana’s mother was full of skepticism. How could her daughter really get off her pain medication in several days—in an out-patient setting, no less—when experts in her hometown had struggled for months at a time to wean her off her pain medication? But Alana was persistent and ultimately, persuasive. Airplanes, rental cars, hotels were booked. Alana is fluent in English, and Estella is getting there. English is a second language for Reysa, so understanding some of the nuances of how the Coleman Method works was a little difficult to communicate, although Alana did her best as our staff explained it to her. I could see the concern in Reysa’s face: not only had they spent a lot of time and money to get here, but the very worst thing would be to see her daughter, so full of hope, be disappointed. I tell patients sometimes that I wish I could hang their picture on the wall as "Patient of the Week," but of course, we are all about confidentiality. However, in another world, Alana’s picture would have been front and center. Her detox went as beautifully as we have come to expect over the more than twenty years the Coleman Institute has become the expert in rapid opioid detox using naltrexone therapy. The three generations of women were so lovely to work with. Each day as they came for their visit (her detox was five days), Reysa looked a little less concerned. They even had a chance to take Estella (and her doll) to our local petting zoo for an afternoon. At the conclusion of her detox and the placing of the naltrexone implant, in broken but heartfelt English, Reysa hugged me tightly. “I thought it too good for true,” she said. I nodded but didn’t speak because I had a big lump in my throat. Estella broke the silence by demanding a diaper change for her baby, and the ladies gathered their gear and headed back home. Oxycodone, hydromorphone, oxymorphone, the hydrocodone gang, fentanyl, buprenorphine products, tramadol, methadone, kratom, and heroin…Our accelerated outpatient detox safely and comfortably gets people off opioids whether they have been on them for months or years. I totally appreciate your skepticism and welcome the opportunity to answer any questions you might have if you or a loved one needs some help to get off opioids. Please call us at your earliest convenience. Joan R. Shepherd, FNP VIEW MORE PATIENT STORIES #### Is Recovery Possible For Fentanyl Addiction? Johnny first came to the Coleman Institute for Addiction Medicine when he was a young man, full of energy, and working hard at building a business. His work boots were a testimony to how he spent his time, and he dearly loved whatever vehicle he drove. Tall, charming, with a twinkle in his eyes, he owned two big trucks and a snowplow attachment, and when his city was covered in snow, he made bank. With the help of his father, he purchased more equipment, hired more guys, and continued to invest in and grow his business. Johnny never had a formal degree, although he took a couple of classes at a local community college. Sitting still was not his style, but oh was he street smart. How We Met We knew Johnny through his courtship with the beautiful woman he fell in love with and married on an island in the Caribbean; it was like a movie set. They had two sons. His business thrived. He was always doing things to help people. He had the means and the heart, and he much preferred repairing a broken fence or working on an engine with friends to watching Netflix. Johnny was addicted to opioids. He started with Oxycontin (and other narcotic pain medication) which was very easy to find and buy at one time. As prescribing laws tightened, he turned to heroin, and eventually, street fentanyl; pressed and powder. UNDERSTANDING ACCELERATED OPIOID DETOX The Stress of Success While many patients who get an Accelerated Outpatient Opioid Detox using the Coleman Method enjoy long-term sobriety following a single treatment, it took Johnny several attempts before his recovery truly took hold. At a return visit after relapsing following a long period of sobriety, Johnny told me that his success was a huge trigger. “After the snowstorm, every one of our trucks was out there plowing. I made over a million dollars that month. I went into ‘react-and-celebrate-mode’, called an old dealer I knew, and BANG, I was using again every day.” The Path to Recovery Becomes Harder Relapses and subsequent detoxes became increasingly difficult for Johnny. This is partly because fentanyl is a powerful synthetic opioid that is similar to morphine but is 50 to 100 times more potent. It also has to do with the way the brain adapts to the drug. Judith Grisel, the author of Never Enough, describes the plight of the opioid addict: "One way to understand the dilemma of the opiate user is to recognize that because there are no free lunches, the benefits that drugs confer will have to be paid back. In principle, moments of superb contentment demand an equal and opposite experience of distress; the benefit of euphoria will create a debt of dysphoria, and trying to avoid this unpleasant state by taking more drugs will just increase what you owe. In practice, the depth and extent of the withdrawal period are in direct proportion to the duration and intensity of the drug bathing the brain. Just as the first exposure is “best,” likewise, the first time someone tries to get clean is the easiest, and easier still if the period of using was of short duration….medicating it will not only put off the misery but strengthen it for next time.” Over the years, Johnny detoxed with us three times. He did well when he stayed on long-acting naltrexone—at first in the form of our naltrexone implants which will confer blockage for about eight weeks, and then he came monthly for over two years to receive a branded naltrexone injection called Vivitrol. Naltrexone rests on the same receptors that opioids use, so it effectively stops physical cravings. This is a huge help for people who are re-imagining, then re-creating a life free from drugs. The Effects of the Pandemic Only weeks ago, the CDC released some harrowing statistics: Drug overdose deaths in the United States rose 29.4% in 2020 to an estimated 93,331, including 69,710 involving opioids. The ‘season’ of Covid not only wreaked havoc directly by causing illness and death, but the casualties of isolation, job loss, extreme stress, homeschooling, fear, and anxiety took their toll as well. We knew alcohol consumption increased dramatically throughout the pandemic, and now our concern about opioid use is also confirmed. Although the Coleman Institute has stayed open throughout the pandemic, many of the treatment programs we guide our patients to for follow-up care were either temporarily closed or were doing the best they could through remote programming. This format was a godsend for some patients, but for others, just not intense enough to provide the necessary support. Again, this is a strong argument for utilizing long-acting naltrexone therapy. Finding Relief With Naltrexone Naltrexone, which is a pure opiate/opioid blocker (or antagonist) and therefore does not create physical dependence or tolerance, resides on the opiate receptors, thus blocking these drugs from occupying these receptors. It is an implant that lasts for approximately two months and will not only physically block the drug but also will eliminate physical cravings. The tricky part for someone who is using heroin, kratom, fentanyl, or other narcotic pain medications (Oxycontin, Roxicet, Dilaudid, Tramadol, Vicodin, Percocet, etc.) and wishes to switch to naltrexone is that--unless the opioids are completely out of one’s body--the addition of naltrexone can put someone into precipitated withdrawal. What Will Withdrawal Feel Like? Symptoms Of Opioid Withdrawal From Judith Grisel, Never Enough Panting and yawning Pain Irritability and dysphoria Restlessness and insomnia Fearfulness and hostility Increased blood pressure Diarrhea Pupil Dialation Increased core temperature Tearing and runny nose Chilliness and goosebumps This is what the Coleman Institute has specialized in for over twenty-five years. We work with our patients and their support people to slowly and carefully, replace opioids with naltrexone. At the completion of a detox, the opioids have been removed and the receptors are now loaded with naltrexone. Our program provides people with a total of three implants, spanning six months of protection from using opioids. And while this is an effective blockade, I cannot overemphasize the importance of coupling this treatment with counseling and the support of others who understand the unique challenges people with physical dependence on opioids face. Our case management services at the Coleman Institute for Addiction Medicine guide patients to find the right fit for their particular situation. Compassionate Treatment Johnny never felt like he needed the counseling piece, and I am still reeling from the call I received late last week from his wife, Gretchen. In a quiet, faltering voice she thanked us for all we had done for her husband over the many years of working together and the added years of quality time they’d had together. Sadly, last month Johnny was found dead in the driver’s seat of his Ford F550 with a needle in his arm. No one can guarantee that a loved one won’t have a fatal relapse, but I can assure you that this story is the exception. What we can do is offer effective, compassionate treatment and a realistic opportunity for a person ready to stop using opioids and rebuild the pieces of their life destroyed by their addiction. Please call our caring folks at 877-773-3869 and we can give you more details about how we can help you. SCHEDULE A CALLBACK #### Is The Coleman Institute Open? Why We Closed Briefly & What's Ahead If you've recently searched "Is The Coleman Institute open?" or "Why did the Coleman Institute close?", we're here to provide a clear and up-to-date overview of where we've been and where we're going. A Legacy of Compassionate Detox Care Since 1998 Founded in 1998 by Dr. Peter Coleman, the Coleman Institute has helped thousands of individuals safely detox from opioids, alcohol, and other substances. With a focus on outpatient medical detox protocols, we have long been recognized for our effective, comfortable approach to recovery. In 2017, The Coleman Institute joined BayMark Health Services, working collaboratively with Applegate Recovery. This partnership helped us provide evidence-based detox services as part of a larger behavioral healthcare network. Why Did the Coleman Institute Close? In late 2024, the Coleman Institute experienced a brief pause in operations during a leadership transition and organizational restructuring. This temporary closure allowed for internal updates and a thoughtful transition to independent ownership, ensuring continued alignment with our long-standing mission and values. Reopening Under New Independent Leadership As of 2025, the Coleman Institute has reopened as an independently operated organization, now led by Jennifer Gifford. Jennifer has been a part of the Coleman team since 2000 and now serves as CEO and owner. Her leadership reflects decades of experience and a deep commitment to the values that have defined Coleman since its founding. Is the Coleman Institute Open Now? Yes, the Coleman Institute is currently open and actively serving patients at our Richmond, Virginia, headquarters. Additional Locations Reopening We are also working to reopen several affiliate locations across the country in the near future, including: Denver, Colorado (Aurora) - Target reopening date in late May 2025 Atlanta, Georgia (Dawsonville) - Target reopening date in late May 2025 Tampa, Florida (Largo) - Target reopening date in early June 2025 Orange County, California (Santa Ana) Each site will resume services on a rolling basis, guided by our expert clinical leadership and commitment to the highest standards of care. Stay tuned for updates! #### Isn’t Suboxone® Just Trading One Drug for Another? Phillipa has been part of our practice for many years. She has as tough an Addiction Story as any I’ve heard. From getting a taste of hydrocodone as a teenager, she moved on to oxycodone, and finally to a fierce heroin habit which lasted for many years. She burned through people, money, jobs and her once beautiful arms and other body parts that provided access to her bloodstream. She acquired Hepatitis C and OD’d twice. After selling her mother’s silverware to get drugs, she sold herself. The story of Phillipa’s recovery is truly an Odyssey—and her recovery is an organic, ever-morphing entity. She lives with what the Buddhists call Beginner’s Mind; each day she wakes sober instead of sick is like opening an unexpected, undeserved gift. Phillipa was put on Suboxone®, a formulation of buprenorphine when she went to a treatment program. She attributes the medication, in combination with her therapy and recovery meetings, as a pillar of her progress. What is Suboxone®? Suboxone is a medication approved for the treatment of Opioid Use Disorder that combines the opioid buprenorphine with the blocker naloxone. It does activate opioid receptors but produces a smaller response. It relieves drug cravings without the high or dangerous side effects caused by other opioids. “At first I was just glad to have anything to keep me from being sick. Now I think of the Suboxone as one of the things that has provided me with real stability. How has Suboxone Helped with Recovery? “The things I value most in life haven’t changed, but it was like I couldn’t even think about them when I needed dope. All I could think about was ‘how do I not get sick? How can I find and pay for my drug?’" Today Phillipa is giving herself the chance to be the kind of mother her 13-year-old daughter deserves. Her other relationships are better too, especially as she co-parents with Sally’s father. “We mostly communicate without drama now,” she laughs. Phillipa’s health has improved, which is a gift to herself of course, but she is also proud of modeling this behavior for her daughter, as well. She is swimming a few days a week at the Y and she quit smoking about a year after getting clean. She works full time in a job with benefits. How Do You Reconcile Being on a Controlled Substance and Claiming Sobriety? “I’ve definitely heard people—mostly the ‘old-timers’ say that being on Suboxone is like trading one drug for another, but I disagree. Being on Suboxone has really helped me get my life back in order. My sponsor whole-heartedly supports me in this decision.” Will Phillipa stay on Suboxone indefinitely? It’s something she thinks about, but right now, she has no plans to change this part of her recovery program. The stability it provides is a godsend. At the Coleman Institute for Addiction Medicine, we specialize in helping our patients achieve recovery. This is a multi-faceted journey and can include counseling, medication, and support groups. Although historically our pharmaceutical approach to treatment has focused mostly on long-acting naltrexone, our understanding of the disease of Opioid Use Disorder has continued to evolve. We know this disease does not have a one-size-fits-all fix. Our Richmond office recently began offering buprenorphine services under the banner of our affiliate, Applegate Recovery, which brings its expertise in treating Opioid Use Disorder with Suboxone and other buprenorphine products. The best choice for medically-assisted treatment is not always obvious. We will be happy to help you discern the differences in treatment options to end a dependence or addiction to opioids such as oxycodone, hydromorphone, hydrocodone, fentanyl, heroin, kratom, or methadone. Please give us a call at 877-773-3869. Our office treats motivated patients 365 days a year. Joan R. Shepherd, FNP SCHEDULE A CALLBACK #### Isotonitazene (ISO) - Accelerated Outpatient Opioid Detox A powerful and dangerous synthetic opioid is making headlines, and it's far deadlier than many people realize. Isotonitazene, often referred to as 'ISO', belongs to the nitazene class of opioids, a group of synthetic drugs that can be multiple times stronger than morphine and significantly more potent than fentanyl. Since its emergence in the U.S. illicit drug supply in 2019, ISO has been linked to an alarming number of medical emergencies and overdoses. Part of what makes it so dangerous is how it can go under the radar; it's often mixed into counterfeit pills or street drugs without the user knowing. Even experienced opioid users may not realize they've taken it until it's too late. At The Coleman Institute for Addiction Medicine, we know how urgent it is to act when dealing with substances such as Isotonitazene. Our Accelerated Outpatient Opioid Detox program can help you safely and comfortably eliminate opioids from your system in days without the need for hospitalization. What Is Isotonitazene? Originally synthesized for pharmaceutical research but never approved for medical use, Isotonitazene acts on the opioid receptors in the brain. Additionally, these are the same receptors activated by heroin, oxycodone, and fentanyl; ISO binds to those receptors, despite being synthetic. Why Is It Dangerous? Extreme potency: Even tiny amounts can suppress breathing, cause unconsciousness, or lead to death. Unpredictable risk: Since ISO is often combined with other substances, people may unknowingly ingest dangerous doses. Difficult detection: Standard drug tests may not pick it up, delaying critical care in overdose situations. Why Quitting ISO Is Difficult Because Isotonitazene is so potent, the body quickly becomes dependent. Stopping cold turkey can trigger severe withdrawals. Signs & Symptoms May Include: Muscle aches & body pain Intense cravings Restlessness & insomnia Nausea, vomiting, & diarrhea Anxiety, irritability, & depression Sweats, chills, & flu-like symptoms For many, these symptoms are unbearable without medical intervention, making relapse common and recovery feel out of reach. How Accelerated Outpatient Detox Works Traditional detox programs may require weeks in a hospital or inpatient facility. Our Accelerated Outpatient Opioid Detox is different; it's faster, more comfortable, and helps you recover without putting your life completely on hold. Our Treatment Program Includes: Comprehensive Assessment: We evaluate your health, history, and usage to create a personalized treatment plan. Medically Supervised Detox: Over a few days, we gradually and safely remove opioids from your brain's receptors, reducing the intensity of withdrawal. Non-Addictive Medications: We use medications that control cravings and discomfort without creating new dependence. Relapse Prevention: Once the opioids have been flushed out of the system, we can start Naltrexone Therapy with Vivitrol injections, which block opioid effects and reduce the risk of relapse. Case Management: You'll have access to support during and post-detox, including follow-ups with your medical provider and referrals to continue addiction treatment (PHP, IOP, etc). The Importance of Naltrexone Therapy Detox is the first step, but we believe relapse prevention is critical for lasting recovery. Naltrexone works by binding to opioid receptors and blocking the effects of opioids if they are used again. Meaning that even if a slip occurs, the user won't experience the euphoric high that fuels the cycle of addiction. By incorporating Naltrexone after detox, we help patients: Reduces opioid cravings Supports early recovery Lowers relapse risk Why People Choose The Coleman Institute Faster Detox: Complete the detoxification process in days, not weeks. Outpatient Convenience: Return home or to a supportive environment each night. Comfort-Focused Care: Minimize withdrawal symptoms in a safe, supportive environment. Proven Success: Over 25 years of experience with a 95% completion rate and thousands of patients helped across the country. Naltrexone Therapy: Transition into Naltrexone Therapy for long-term sobriety right after detox. Nationwide Access: Locations available in multiple states with our detox protocol. Insurance & Payment Options Our philosophy is that life-saving addiction treatment should be accessible. At Our Richmond, VA Facility, We: Accept Insurance Anthem Blue Cross Blue Shield Sentara Health Plans Accept third-party financing Offer self-pay rates At our other locations in Georgia, Colorado, Florida, and California, treatment is available on a self-pay basis, with third-party financing options for those who qualify. The Coleman Institute’s Locations The Coleman Institute offers Accelerated Outpatient Opioid Detox at: Richmond, Virginia Atlanta, Georgia Denver, Colorado Tampa, Florida Orange County, California The Risk of Waiting to Stop Every day with Isotonitazene use is a gamble. However, because it's so potent and often hidden within other drugs, the risk of fatality is high, even for people with high opioid tolerance. The sooner you stop, the sooner you can protect yourself from becoming another statistic. Choose Recovery Today Recovery is possible, and it can start now. The Coleman Institute's Accelerated Outpatient Opioid Detox offers a safe, fast, and comfortable way to break free from Isotonitazene and start a new, healthier, happier chapter in life. Call us at 877-773-3869 to speak with a recovery expert. We'll answer your questions, verify your insurance, and help you take the next step toward a brighter future. #### Kava vs. Kratom: Are They Addictive? Kava and kratom have become increasingly popular as plant-based products used for relaxation, stress relief, mood enhancement, and overall wellness. While they are sometimes mentioned together, and even combined in the same products, they are still fundamentally different substances. Understanding how they work, their potential risks, and whether they can lead to dependence is critical for anyone considering their use. In this blog article, we'll compare kava and kratom, discuss their addiction potential, and examine the growing popularity of products that combine the two. What Is Kava? Kava is derived from the roots of the Piper methysticum plant, which has been used for centuries throughout the South Pacific. It's traditionally consumed during social gatherings and ceremonies; kava is known for producing feelings of relaxation, calmness, and reduced anxiety. The active compounds in kava are called kavalactones, which interact with neurotransmitter systems involved in mood and relaxation. People most commonly use kava to: Reduce stress Promote relaxation Support sleep Ease social anxiety Replace alcohol Kava is available as teas, powders, capsules, extracts, and ready-to-drink beverages. Is Kava Addictive? Kava is generally considered to have a relatively low risk of addiction. While some people may develop a habit of using kava regularly or become psychologically attached to its calming effects, kava does not typically produce the same pattern of tolerance, physical dependence, and withdrawal associated with opioids, alcohol, benzodiazepines, stimulants, or kratom. Most people who stop using kava do not experience significant withdrawal symptoms. However, like any substance that affects your mood, excessive or prolonged use can still become problematic for some individuals. What Is Kratom? Kratom comes from the leaves of the Mitragyna speciosa tree, a plant native to Southeast Asia. Unlike kava, kratom contains alkaloids that interact directly with opioid receptors in the brain. The two primary active compounds, mitragynine and 7-hydroxymitragynine (7-OH), can produce stimulant-like effects at lower doses and opioid-like effects at higher doses. People most commonly use kratom for: Pain relief Increased energy Improved mood Anxiety relief Self-medicating opioid withdrawal Today, kratom is sold in a variety of forms, including powders, capsules, extract shots, enhanced alkaloid products, and highly concentrated formulations such as 7-OH, MGM-15, pseudoindoxyl, and nano kratom products. Is Kratom Addictive? Yes, kratom can be addictive, says the American Psychiatric Association. Because kratom acts on opioid receptors, repeated use can lead to tolerance and physical dependence. Over time, many individuals find themselves needing larger amounts to achieve the same effects or using kratom simply to avoid feeling withdrawal symptoms. Common kratom withdrawal symptoms include: Anxiety Restlessness Irritability Fatigue Cravings At The Coleman Institute, we've helped those struggling recover from kratom dependence since 2018. Many of these patients initially viewed kratom as a natural alternative for pain management or mood support but later found themselves struggling to stop. What Happens When Kava and Kratom Are Combined? In recent years, manufacturers have introduced products that combine kava and kratom into a single beverage or supplement. These products are often marketed as wellness tonics, alternatives to alcohol, social beverages, or mood-enhancing drinks. While consumers may be attracted to the calming effects of kava, the inclusion of kratom significantly increases the risk of dependence. This can create confusion for users who may not realize which ingredient is responsible for the effects they experience or the withdrawal symptoms they develop when attempting to stop. Why Have Kava Products Like Feel Free Generated Controversy? One of the most widely recognized examples of a product combining kava and kratom is Feel Free. The beverage gained popularity as a botanical wellness tonic. Still, it later became the subject of growing concern among consumers who reported developing dependence, spending significant amounts of money to maintain daily use, and experiencing withdrawal symptoms when attempting to quit. While products like Feel Free contain both kava and kratom, addiction specialists generally point to the kratom component as the primary factor associated with dependence and withdrawal. The controversy surrounding these products serves as a reminder that natural ingredients do not equate to being risk-free. Consumers need to understand exactly what they are taking before assuming a product is harmless. One of the common things we hear from patients struggling with kratom use is ‘I didn’t know it was addictive’. Kava vs. Kratom: Which Is More Addictive? When comparing the two directly, kratom carries a significantly greater risk of addiction, physical dependence, and withdrawal. Kava is generally considered to have a low risk of dependence. Kava may become part of a person's routine and can be habit-forming for some users, but it generally does not produce the same cycle of escalating tolerance and withdrawal symptoms associated with kratom. When Should You Seek Help? You may benefit from medically detoxing off of kratom if: You use kratom daily Your dose continues to increase You've tried to quit unsuccessfully You experience withdrawal symptoms when stopping Kratom use is affecting your health, finances, work, or relationships Outpatient Kratom Detox at The Coleman Institute The Coleman Institute has helped thousands of patients from around the United States and beyond safely detox from opioids, kratom, and other substances through our medical detox programs. Our kratom detox program is designed to help patients safely stop using kratom without hospitalization or inpatient treatment. Most patients complete treatment in just five days, allowing them to return to their normal routines with minimal disruption to work, family life, and other responsibilities. Since 2018, we've helped patients overcome dependence on all different types of kratom products. Our program has a 95% completion rate and provides fast intake with no waitlists. Unlike many other treatment providers, we do not use addictive medications or opioid-based medications such as Suboxone. Instead, we provide an abstinence-based approach with compassionate medical support throughout the entire detoxification. For patients who want additional protection against relapse, naltrexone therapy may be available after detox; this includes long-acting Vivitrol injections, which can help prevent relapse, reduce cravings, and support lasting recovery. If you or a loved one is struggling with kratom dependence, contact The Coleman Institute today to learn more about our safe, fast, outpatient kratom detox program. #### Kratom & Poppy Withdrawal: How You Can Detox Safely If you are wanting to detox off of kratom or poppies but are nervous about going through withdrawal, we can help! Read on to learn how the Coleman Institute helped Brandy and Kevin with their poppy and kratom withdrawal. What Are Kratom and Poppy Used For? Kratom, a tropical evergreen plant from Southeast Asia, and the residue in unwashed poppy seeds contain opioid compounds with strong binding affinity, like scheduled pain medications. Both substances, if taken in high enough amounts for a long enough time will create physical dependency. Both can cause a person to experience withdrawal if the substance is not available. More like this: Changing Behavior To Stop Opioid Use Brandy’s Poppy Addiction Brandy was a bit embarrassed when we did our screening call after she completed her Accelerated Opioid Detox form. She took a deep breath and blurted out her story. Poppy Tea Addiction “About five years ago I was talking to my hairdresser, who knows everything that goes on in my life. I was so stressed out because of problems with my boyfriend, things were not going well at work, and I was having issues with some lower back pain. She mentioned that the thing that helped her get through the day was sipping on poppy seed tea.” Brandy had never heard about poppy seed tea, as most people haven’t, and was intrigued. Her well-meaning hairdresser provided all the details necessary for Brandy to become her own connoisseur of a not very tasty, but successfully pain-reducing, euphoria-producing beverage. Brandy went on. “I started buying poppy pods online, and I have to admit, at first, it was magical. My stress levels became almost non-existent as my back pain became a thing of the past. I only drank a cup from time to time, but almost without me noticing, I began to drink more and more. I justified it by telling myself ‘It’s a natural substance.’ It's not illegal, so it can’t be dangerous.’ But during Covid, there were some shipping issues, and I couldn’t get my poppy pods.” More like this: Cravings and Forming Habits Poppy Seed Tea Withdrawal Brandy actually thought she had Covid at that point. She developed extreme body aches, stomach cramps, chills, and sweats. She also experienced vomiting and diarrhea. But her Covid test was negative. She did a little online research and discovered in a panic that she was experiencing symptoms of opioid withdrawal. More like this: The Single Most Terrifying Thing About Admitting You Are Addicted To Opioids Kevin’s Kratom Addiction Kevin is a manager at a large supermarket. He is detail-oriented, reliable, smart, and kind. All these qualities helped him to rise quickly in his profession. Because he was kind Kevin is well-liked and well respected by co-workers and customers. Kevin called the Coleman Institute to inquire about detoxing off kratom, he shared with me his story of how he became addicted. “I was burning the wick at both ends, working long shifts at work, and taking online classes toward a business degree. I was exhausted. But, couldn’t afford to slow down.” “I also have a young child and my wife is a stay-at-home mom. Daycare is too expensive to justify her going back to work just now.” “One day a co-worker offered me a few capsules, filled with finely chopped green herbs. He told me it was ‘natural’, legal, and it helped his energy levels. Being a self-described ‘health-nut’, that sounded like a viable option for me.” More like this: Is Kratom Addictive? Kratom Addiction Potential Kevin found that this green gift did indeed help his energy! So he increased his intake of kratom. He found a nearby tobacco and vape store and online resources as his daily habit became less of a choice. His kratom use became more of an effort to stave off his physical dependence on kratom. Kratom Withdrawal Symptoms On the days that he attempted to not take kratom, he experienced similar symptoms to that of Brandy: muscular aches and pains, gastrointestinal issues, restless legs, chills, and sweats. UNDERSTANDING ACCELERATED OPIOID DETOX Treating Kratom & Poppy Withdrawal My first experience treating a patient with a poppy seed tea addiction was about eight years ago. She was a kindergarten teacher who sipped two pots slowly throughout her day. Since then, we have detoxed several people off of poppy seed tea and an ever-growing number of kratom. Both kratom and poppy seeds are “legal” and “natural”. But then again, so is poison ivy, but you wouldn’t want to ingest that either. Although most of the patients we treat at the Coleman Institute for Addiction Medicine come to us for help getting off pain medication such as Oxycontin®, hydromorphone, Percocet®, Vicodin®, Roxicet®, morphine, tramadol, or street drugs such as fentanyl and heroin. Accelerated Opioid Detox The process for getting off both poppy seed tea and kratom is similar. Over the years I have talked to patients who have used kratom to help detox off of heroin or fentanyl. The patients who I treat are those who were not successful using kratom this way or perhaps were able to stop using the stronger opioid, only to find they had become unable to stop using kratom. Suggested Read: Accelerated Opioid Detox: Explained Using the Coleman Method How to Detox off of Kratom and Poppies The Coleman Institute will schedule a five-day outpatient treatment for each of these detoxes. Patients are required to have a support person committed to staying with them 24/7 for the duration of the detox. The support person plays an integral role, administering the scheduled medication and providing transportation and support. Naltrexone Each day of the detox the patient will receive a micro-dose of naltrexone. This will begin the process of clearing the receptors of the addictive substance and replacing them with the pure blocking agent, naltrexone. Although the micro-dose is small, nonetheless, the naltrexone actively displaces the opioid compounds of the kratom and poppy seeds, so it does create some precipitated poppy and kratom withdrawal. The comfort meds that are part of the Coleman Method go a long way to ensure the patient’s discomfort is minimal. After several days of the body passively metabolizing the remaining kratom or poppy seed opioid compounds as well as receiving micro-dose naltrexone, a process that slowly ‘bumps’ the opioids off the receptors, the patient can get an implant of long-acting naltrexone. Naltrexone is a non-addictive opioid blocker, which reduces cravings and helps prevent relapse. At the Coleman Institute, this comes in the form of a pellet that is placed under the skin of the abdomen, dissolving over two months, creating a physical barrier on the opioid receptors, preventing other opioids to ‘land’, and eliminating the need for a daily oral pill. It also means there are no more cravings and there is no withdrawal when the implant wears off. Suggested Read: How Long Does Naltrexone Last & How Can It Aid in My Recovery? How Long Can You Take Naltrexone? A frequently asked question is how long a patient should continue to use long-acting naltrexone. This depends on many things, including what tools the patient has to deal with the situation(s) that caused him or her to use or take opioid substances to begin with. We will often suggest naltrexone therapy for a year while the patient takes advantage of the resources provided by our case managers. This may include referrals for in-patient therapy, intensive outpatient treatment, or individual counseling. Many patients find support with recovery groups either live or virtually. Conclusion When it comes to treating an Opioid Use Disorder (OUD), I believe more people would choose long-acting naltrexone as their treatment option of choice. The wash-out gap between stopping kratom and poppy seed tea to get on naltrexone can be very difficult, especially if those substances have been used long enough to create physical dependence. This is a huge barrier to surmount, and this is the niche where the Coleman Institute has excelled for over 25 years. If you have found yourself struggling with an addiction to either kratom or poppy seed tea, please give us a call, you are not alone. We are happy to provide more details about our accelerated outpatient opioid detox program. In the meantime, stay safe. Joan R. Shepherd, FNP SCHEDULE A CALLBACK #### Kratom Dependence - Why This ‘Natural Remedy’ is Dangerous In recent years, kratom has gained a reputation as a so-called ‘natural remedy’ for pain, anxiety, and even opioid withdrawal. Available in smoke shops, gas stations, and online, it is marketed as a legal herbal alternative to prescription medications. But as kratom use becomes more widespread, so do the stories of individuals developing kratom dependence, struggling with painful withdrawal symptoms, and needing help stopping. At The Coleman Institute, we are seeing firsthand how kratom can negatively impact people. Many are surprised by how addictive it has become for them despite its natural origins. Our Outpatient Kratom Detox Program helps those struggling safely, comfortably, and quickly detox from kratom. What Is Kratom? Kratom (Mitragyna speciosa) is a tropical tree native to Southeast Asia, with leaves that contain compounds called mitragynine and 7-hydroxymitragynine. These compounds interact with opioid receptors in the brain, producing effects similar to opioids, such as euphoria, pain relief, and sedation, especially at higher doses. Some users take kratom for its stimulant-like effects at low doses or to manage chronic pain, while others use it as a 'DIY remedy' for opioid withdrawal. However, regular use can lead to tolerance, physical dependence, and withdrawal symptoms similar to those experienced with other opioids. Is Kratom Addictive? Despite being unregulated at the federal level in the United States, kratom carries a very real risk of addiction. Continuous use leads to both physical and psychological dependence. Individuals who try to stop using kratom can experience withdrawal symptoms such as: Intense cravings Anxiety & irritability Mood swings & depression Insomnia Muscle aches Runny nose & watery eyes Nausea, vomiting, & diarrhea Because kratom withdrawal symptoms can be distressing and difficult to manage without medical intervention, many people continue using it just to avoid withdrawal, perpetuating the cycle of dependence. The Rise in Kratom Use and Its Consequences Many perceive kratom as a ‘safe’ or ‘natural’ alternative to opioids, but this perception is dangerously misleading. According to the FDA, there is growing evidence that kratom can cause addiction, seizures, liver damage, and even death in some cases. Emergency room visits and poison control calls related to kratom have also increased in recent years. Many find it difficult or even impossible to stop due to the severity of the withdrawal symptoms. That’s when kratom detox becomes necessary. The Coleman Institute’s Kratom Detox Program At The Coleman Institute, we offer an Outpatient Kratom Detox Program that helps people quit kratom quickly and safely without the need for an inpatient stay or overnight hospitalization. Why Choose Our Kratom Detox? Outpatient Setting – Detox in the comfort of a non-hospital environment for five days. Comfort Meds to Help Minimize Withdrawal Symptoms - Customized medications throughout the detox that greatly reduce patient discomfort. Compassionate, Personalized Care – Our experienced medical team provides continuous monitoring, emotional support, and a tailored treatment plan. Aftercare Planning & Relapse Prevention – Detox is only the first step. We help you develop a long-term recovery strategy to maintain sobriety and avoid relapse. Break the Cycle – Many of our patients have already tried to quit kratom on their own, sometimes multiple times, without success. At the Coleman Institute, people stuck in the cycle of dependence finally have a safe, proven way to move forward. Who Should Consider Kratom Detox? You may benefit from our kratom detox program if: You’re using kratom daily or multiple times per week You feel like you need kratom just to get through the day You’ve experienced withdrawal symptoms when trying to quit You’ve tried to quit before but couldn’t You want a safe, medically supervised way to start fresh Kratom dependence can affect your health, relationships, and daily life. If any of the above signs sound familiar, a kratom detox may be the right choice to reclaim your health. It’s Time to Break Free from Kratom Dependence If you or someone you love is struggling with kratom addiction, don’t wait for the situation to worsen. Kratom may be legal, but that doesn’t equate to being harmless. As dependence grows, so do the risks to your mental and physical health. At The Coleman Institute, we’ve helped thousands of people safely detox over the last 25 years from addictive substances, including kratom, with a 98% completion rate. Our compassionate team is here to help you achieve lasting recovery. Learn more about our Kratom Detox Program by visiting our webpage! Call us at 703-991-0330 to speak with a recovery specialist or schedule a callback. #### Live a Life Free From Fentanyl Addiction with Naltrexone If you are considering changing your relationship with fentanyl, explore how the Coleman Institute can help you live a life free from addiction with the Coleman Method using naltrexone. Tom’s Journey to Fentanyl Recovery I have been so inspired by one of my patients. I’ll call him Tom. He is 20 months off heroin and fentanyl. We worked with him through relapses and frightening near-death experiences when he overdosed. He lives in the projects and has seen far too much death and violence. His son has significant medical problems and has a heroin/fentanyl/cocaine habit. He and his ex are still close, but their marriage didn’t survive the pressures of their life in addition to Tom’s fentanyl addiction. Today his urine was positive for cannabis but clean for everything else. More like this: The Safest & Best Way to Detox Off Fentanyl Tom Finding the Coleman Institute Dr. Coleman and I talked about the definition of recovery and what it means to Tom. Dr. Coleman believes it is essential we ask our patients what recovery means to them. For someone like Tom, who has used street opioids for over twelve years, maybe using cannabis is Tom’s version of recovery. However, from my standpoint, I am reluctant to ‘judge’ someone for using what is now a primarily legal substance in the wake of their abstaining from potentially lethal street drugs. So, I took the opportunity to ask Tom this very question. What is his definition of fentanyl recovery? More like this: Is Recovery Possible For Fentanyl Addiction? Tom’s Definition of Fentanyl Recovery For now, Tom finds great joy in his work. His favorite healthy way to escape painful thoughts and situations is to immerse himself in his job. He is a chef at a popular local restaurant. His extroverted personality and devotion to excellence make him a star with colleagues and customers. However, he admits he wishes he could work 7 days a week. His employees have told Tom that as much as they cherish him, it is illegal for them not to insist on the occasional day off. His son does not want a relationship with him at this time, and this is one of the most painful things Tom deals with. Also, his neighborhood has seen one of its most violent years since he has lived there. Tom Asking, “Is Cannabis (Pot) Safe?” He told me he has been asking himself many challenging questions about if using cannabis (pot) is safe. Tom tends to use cannabis at bedtime and on his days off to help stave off racing thoughts. However, he recognizes that he turns to it when things feel too hard to deal with. He knows he is doing this and has been questioning this pattern because he is becoming more and more desirous of an utterly sober mindset. I am starting to entertain the idea that it may be a disservice to my patients when I look the other way as they tell me they are using a little or a lot of pot. I am beginning to recognize the importance of bringing up the idea of not using any mind-altering substances. This is part of Dr. Coleman’s definition of being in fentanyl recovery. Because Dr. Coleman believes that being in recovery includes growth in the emotional, spiritual, physical, and mental realms, he doesn’t see a place for substances that keep one stuck. However, most of my patients who are using cannabis fiercely defend it. “It’s the only thing that helps my anxiety.” “I can’t sleep without taking a couple of hits at bedtime, and I need to sleep to function.” “Sometimes my depression is so bad; it’s the only thing that helps me get through.” Without at least questioning the possibility of not using something, a person may continue to believe they need it. And we humans will eagerly ‘gather evidence’ to support any belief that we hold on to with a death grip.   UNDERSTANDING ACCELERATED OPIOID DETOX   Cannabis Withdrawal Symptoms It is a myth that there are no side effects from stopping cannabis, especially for someone who has been taking it for an extended period. The National Institute on Drug Abuse has this to say about withdrawal from marijuana: The main mental symptoms of cannabis withdrawal include: Being irritable Feeling anxious or worried Feeling depressed Being restless Having trouble sleeping at night and feeling tired during the day Having low appetite or losing weight You can also have physical cannabis withdrawal symptoms such as: Stomach pain Sweatiness Shakiness Fever Chills Headache Avoiding Pain and Seeking Pleasure Humans and all creatures are wired to avoid pain and seek pleasure. It is how we have survived as a species to a large extent. We desire food to avoid hunger, so we eat and survive. We desire sex, and we procreate to keep the species going. We desire water, and our thirst is quenched. When we feel emotional or psychological pain, using a substance can block it for some time. But invariably, the problem remains and often gets worse. I don’t usually write about people using cannabis. However, I have witnessed countless patients who have chosen to stop using and have no more withdrawal symptoms within a month. It’s just that we have bigger fish to fry. Accelerated Opioid Detox Our clinic specializes in helping people detox off opioids with our Accelerated Opioid Detox. Overdosing on opioids kills thousands of people every year; fentanyl has made the margin of error far worse since it is 50-100 times stronger than morphine. It is widely used by people claiming to sell heroin or pain pills on the street. Stopping opioids is difficult because of the severe physical side effects that happen when a person has developed a tolerance to the drug and needs it to prevent being sick. That’s why the Accelerated Opioid Detox program at the Coleman Institute is helpful. For over 25 years, we have specialized in getting people off street drugs (such as heroin, fentanyl, and pressed pills), pain medications (like Percocet® and other oxycodone products, hydrocodone, hydromorphone, buprenorphine products, and methadone), and over-the-counter substances like kratom and poppy-seed tea. Our treatment includes using long-acting naltrexone to help with the physical cravings and create an actual blockade on the opioid receptors. As a result, if an opioid is taken, there is no place for it to attach. More like this: Accelerated Opioid Detox: Explained Using the Coleman Method Outpatient Opioid Detox We treat people in a comfortable outpatient setting so that they can stay with their loved ones throughout the process. For a simple heroin or fentanyl detox, we generally have people come to the clinic daily for 5-6 days. Typically, an Accelerated Opioid Detox off buprenorphine products involves 8-10 days of treatment. Getting off opioids is more of a life-or-death situation than stopping cannabis. However, true recovery encompasses growth in all areas of our humanity—spirituality, physicality, emotionally, and psychologically. Perhaps our patients who have found freedom off opioids will meet their next level of liberation as they question and eliminate their cannabis dependence. More like this: Detoxing off Opioids: 5 Things That Could Stop You Conclusion A silver lining of the opioid crisis has been the increased awareness of ways to help people with Substance Use Disorder. Many high-quality programs and counseling services are available for fentanyl addiction, and recovery support groups are meeting in person and via Zoom. In addition, our Case Management team works with every patient to line them up with the most appropriate aftercare. If you or a loved one would like to explore living a life free from fentanyl addiction or getting off opioids, please call our office at 615-965-4255. In the meantime, stay safe. Joan R. Shepherd, FNP   SCHEDULE A CALLBACK   #### Living in Recovery: A Holiday Survival Guide A few years ago we shared the article below from the Crying Out Now blog as the holidays approached. It can be a difficult time for sober people or people struggling to get or stay sober. Now is a good time to prepare. Planning ahead can be incredibly helpful. Here are a few strategies you may wish to consider: "Think ahead. Is it hard for you to be around alcohol? Be honest with yourself. Now is not a time for heroics. Keep your expectations realistic: if it is going to be too difficult, maybe this year is a time to do something different. Don't set yourself up to fail. You can spend a quiet time at home watching movies or hanging out with other friends, volunteer at a shelter serving food, or go to a meeting instead. Holidays are usually about family. If there are people in your family who trigger you, be ready. You don't have to go to every fight you're invited to .. plan what you'll say or do if someone gives you a hard time. Have safe people to call - program their numbers into your phone in advance, and tell them you're going to call if things get tough. If everyone around you is drinking and it starts to bring you down, talking to someone else who is sober helps you remember that you are NOT alone. Bring your own beverages. This is especially important if you're going to be around people who don't know you're sober. If you always have a drink in your hand, people won't hand you alcohol or ask if you want something to drink. You don't have to over-explain. If someone is pressuring you to drink, be ready with an answer. A white lie is totally acceptable - tell people you're on antibiotics, or you're watching your calories and so you aren't drinking. Have an escape plan. If you can, bring your own car. Plan to go for a post-turkey walk - fresh air and exercise will get your endorphins flowing and help tamp down cravings. Plan your exit in advance. If everyone is going to settle in and drink and you don't want to be part of it ... don't. Tell whoever is hosting that you have to leave at a certain time so you don't get drawn in to staying longer than you want to. Remember to be proud of yourself - shame and guilt are huge triggers. Give yourself credit for staying strong. Think about the next morning, when you'll wake up hangover-free and rested. Think about how horribly you felt the morning after drinking, and how sober you don't wake up and think, "I wish I drank last night." Think through the drink. If you start romancing how nice "one drink" would be, remember how many times you told yourself you were only going to have one and failed. Having one is harder than having none, because once alcohol is in your system the obsession comes alive. Remind yourself the holidays don't last forever, and each holiday is a simple 24 hours, just like any other day. Don't put more importance on this day over any other. Go to bed. If the day is harder than you expected, go to bed early just to put the day to rest. Tomorrow is a new day. Believe in yourself. Getting sober and staying sober takes serious guts - you are brave and strong and true. If guilt, shame and remorse start talking to you, remind yourself that it's your disease sneaking in the back door. Let your sober voice ring loud and proud in your head. Forgive yourself for wanting to drink. Don't expect that you won't be hit with a craving; it's natural. Prepare for how you're going to handle the craving instead of berating yourself for having one. Be grateful. Make a gratitude list and carry it with you. Try to focus on the gifts you have in your life, all the possibilities that lie in front of you, instead of all the things you can't have. Sober, you can do anything." From all of us at The Coleman Institute, we wish you peaceful, joyous holidays. #### Lizard In My Pocket I often carry lizards in my pocket at work. They aren’t alive, but a nice variety pack of assorted colored, striped, spotted, plastic reptiles. I give them out to patients who are suffering from their experience of anxiety. When Anxiety Becomes Too Much Anxiety comes in many flavors: social anxiety, generalized anxiety, and panic attacks. It is a universal human phenomenon and can work to help us appropriately avoid situations or plan for certain outcomes. We all experience anxiety, it’s only when the anxiety begins to intrude on life that it becomes problematic. You’re not going to get a lizard from me if your anxiety is garden variety, run of the mill. UNDERSTANDING ACCELERATED OPIOID DETOX Staying in Overdrive Our old reptilian brain is always looking for danger in the environment to keep us safe. Usually, it is looking for lack and attack threats. Once perceived, it readies us for action in the form of fight or flight (sometimes to ‘freeze’). If our lizard brain is over-wrought or stuck ON, keeping the sympathetic nervous system on overdrive, anxiety may be playing a larger-than-necessary role in our lives. Living in a mostly constant state of anxiety is exhausting. Accepting Anxiety People ‘handle’ their anxious thoughts and feelings differently, but often it’s a combination of learning techniques like breathing or meditation, creating rigid rules or rituals around their eating and other behaviors, worrying, avoiding social situations, or using opioids, benzos, pot or alcohol to instantly relieve the uncomfortable sensations. Of course, many of our patients who started out using substances to help deal with their overwhelming anxiety have found they cannot stop using without going into withdrawal. It is a very common reason people come to us for a medically assisted withdrawal. Some of the newest research suggests that instead of learning to ‘manage’ anxiety, it may be more helpful to practice acceptance of the anxiety. In a way, trying to ‘fix the anxiety ‘problem’ suggests there is something wrong. Even that is a judgment that creates resistance. Recognizing the Lizard Tune What if, when anxiety—with all of its uncomfortable feelings, sensations, memories, thoughts…showed up, a person could learn to be present with all of that until it passed. Which it will, by the way. What if a person allowed himself to feel the discomfort for a few moments, and continued to do the things in their life that they value, despite the discomfort? What if, when anxiety showed up, a person could learn to recognize it is one of their Lizard Tunes, and say to their lizard, “Ah, thank you. I know you think you are keeping me safe from harm. But, lizard, here I am; the sun is shining, the ground is holding me up, I am breathing. It’s ok.” That’s the conversation that will bring forth a lizard from my pocket. Joan Shepherd, FNP SCHEDULE A CALLBACK #### Loving Someone to Death: Supporting Recovery Without Enabling When we talk about recovery and the interpersonal dynamics that often occur in relationships, “enabling” is the dirty word no one wants to hear. But what is enabling? How do we know when we’re loving someone too much? And once we can recognize it, how do we stop it? What Does Enabling Someone Mean? Simply put, enabling is any pattern of behavior that facilitates another person’s continued alcohol or drug use. Enabling is a spectrum of behaviors. On one extreme, there are obvious acts of reinforcing a person’s substance use disorder, like buying alcohol or drugs for them or driving them to get their substances. Most people can easily identify these examples as obvious enabling behaviors. The majority of the time, however, enabling is much subtler. It could be giving someone money for gas, putting money “on their books” if they’re incarcerated, making calls to treatment centers for them, or allowing them to come back to your house after asking them to leave. Enabling is a difficult behavior pattern to change because it is often motivated by fear of losing someone we love. However, enabling does not produce change. To be the best source of support and accountability for our loved ones with a substance or alcohol use disorder, we have to be able to set firm boundaries and make sure that whatever help we offer only helps for recovery. How to be Supportive But Not Enabling? The task facing families, friends, and loved ones is figuring out how to support someone with a substance or alcohol use disorder without enabling them. While enabling behaviors facilitate someone’s drug and alcohol use, supporting behaviors facilitate their recovery. The key question to ask yourself when trying to decide if you are enabling or supporting is, “Do my actions make it easier for someone to keep using drugs and alcohol than to try and quit?” If the answer is “yes,” then you are enabling. Support involves several components. It is up to each person and family to decide how to utilize these components in their own unique situations. Support Component #1: Boundary Setting Setting boundaries is difficult for many people, but particularly when dealing with a loved one’s substance use. The disease of addiction often compels the substance abuser to lie, manipulate, take advantage of, and otherwise disregard healthy relationship boundaries. It becomes difficult for friends and families to stand strong in the face of these behaviors but is an absolutely essential part of support. Setting good boundaries means: Being clear and consistent about what you will and will not tolerate. Part of this involves setting consequences if a loved one violates the boundaries. Following through on the consequences. In other words, if you tell a loved one “I will not allow you to use my car again”, following through means not relenting on this, even in the face of anger, manipulation, deceit, pleading, etc. Using assertive techniques to firmly yet calmly navigate conflict. Especially if setting boundaries is new in your relationship, it’s likely to cause surprise, anger, and perhaps desperation for someone who is struggling with a substance use disorder. As long as it is safe to do so, meet these emotions with a steadfast yet controlled firmness. UNDERSTANDING ACCELERATED OPIOID DETOX Support Component #2: Treating Addiction as a Disorder Another important ingredient in supporting a loved one’s substance use is treating addiction as a disorder. This can be a difficult approach to take because often substance use causes unimaginable emotional, psychological, financial, and physical damage to a family. It is a daunting task as a family member or loved one to separate the pain of past hurts from our behaviors towards the substance abuser. Here are a few ways to develop an understanding of substance use disorders: Read.There are many phenomenal books on the topic of substance use disorders, and a substantial number of those works are written specifically for families and loved ones. Speak to your family doctor, counselor, or reach out to an area substance use treatment clinic for recommendations if you are struggling with where to start. Join a support group for families. Programs like Al-Anon (the companion program to Alcoholics Anonymous designed for spouses and family members) and SMART Recovery are a treasure trove of both emotional support and factual resources. Speak with an experienced substance use disorders clinician. Whether it’s for weekly therapy or for a purely educational discussion, these professionals will have the training, experience, and expertise to offer you a solid foundation in learning about substance use disorders. Support Component #3: Always Focus on Recovery Lastly, good supportive behaviors always focus on recovery. Instead of giving them the $40 they ask for as “gas money”, think about offering to drive them to an AA or NA meeting of their choice and then home afterward. Talk with them about the ways in which their continued substance use hurts you and share your concerns with them in a candid and nonjudgmental way. Familiarize yourself with treatment options so that, if and when your loved one decides it’s time to try and quit, you are able to act quickly and decisively. Use proper terminology like “substance use disorder” and “recovery” when discussing a loved one’s drinking and drug use. Make recovery a part of your boundaries. GET THE ALCOHOL DETOX GUIDE Loving Someone to Death vs. Loving Someone Back to Life Think about enabling as “loving someone to death.” Enabling behaviors keep people stuck in their dysfunctional and dangerous patterns. We cannot ignore the deadliness of substance or alcohol use disorders; these are disorders that are chronic, progressive, and fatal if left untreated. Although motivated ultimately by love, enabling allows the disorder to continue. Supporting, on the other hand, is “loving someone back to life.” Setting boundaries, understanding the nature of substance use disorders, and putting the focus always on recovery allows our loved ones to see a path out of their current way of living, even if they don’t take advantage of that path right away. Supporting is difficult, and it demands an extraordinary amount of patience, compassion, and fortitude. But in the end, recovery is always worth the work and the wait. At the Coleman Institute for Addiction Medicine, our mission is to help people get into long-term recovery and stay there. If you or someone you care about is dependent on alcohol, opioids, or benzodiazepines and is looking for help with their recovery journey, please consider us as a potential resource. We have helped over 8,500 people using our unique Coleman Method for outpatient detox, which includes supportive case management and Medication Assisted Treatment using the non-addictive opioid blocker, naltrexone. Schedule a callback with one of our Care Advocates to learn more about the Coleman Method today. Hannah Clevenger, LCSW SCHEDULE A CALLBACK #### Low Energy After Opioids: What’s to Blame? “Please, Ms. Shepherd,” my patient begged, “please remove this naltrexone implant. I don’t want it anymore…” Evelyn is a 42-year-old high school teacher in New Jersey, and quite frankly, had one hell of a year in 2020. While all teachers deserve medals for Resilience and Creativity in the Educating-During-A-Pandemic realm, Evelyn’s job was further challenging because she works with special needs children. Her high school students have learning disabilities, many with limited access to internet services. In addition to trying to keep her students engaged and learning, on a personal level, Evelyn was devastated. Her mother had died from Covid and of course, neither Evelyn nor her siblings were allowed to be with her in the hospital. Like so many others, Evelyn and her family were robbed from celebrating her mother’s life with a meaningful funeral service. Evelyn found that her mind was racing with thoughts and anxieties she had no power to stop. A History With Opioids Became A Crutch In her twenties, Evelyn had briefly dabbled with opioids. She snorted heroin a couple times, was caught, and her parents intervened. But last year, as she found herself in a state of deepening anxiety and emotional pain, an old and astonishingly strong memory of the obliteration of feelings that came with her brief dalliance with street pills and heroin, she began to obsess over finding that peace again. It was easier to find opioids than she thought. ‘Respectable’ people hooked her up. And she justified to herself that it was pills, not heroin. Buying them on the streets kept her out of the doctor’s office and minimized her own possible exposure to the dreaded Coronavirus. Dealing With Opioid Cravings and a Career Within several months of taking these pills, Evelyn couldn’t lie to herself. She experienced withdrawal if she didn’t have a pill within four to five hours. Stacked on top of each other like a batch of ten-ton hotcakes were the responsibilities and challenges of her career, dealing with the loss of her beloved mom, and now, a very real addiction to street pills. Evelyn’s career in the education world with special needs children involved motivating and inspiring these young people. She could barely lift herself to seek help, feeling like such a hypocrite. How could she ever expect her students to do the right thing when she herself had succumbed to such depths? How ashamed her mother would be. She tortured herself with these dark thoughts. Her depression deepened. Family Support To Strengthen Outpatient Detox Treatment Evelyn has family near Richmond who acted immediately when she reached out, swaddling her with support. They helped her look for treatment options and, after eliminating Methadone and Buprenorphine as her preferred form of Medication-Assisted Treatment (MAT) for Opioid Use Disorder (OUD), she chose to come to the Coleman Institute for Addiction Medicine and have an Outpatient Accelerated Opioid Detox. The Coleman Method has focused on using this 3rd form of MAT to treat OUD for over 20 years: long-acting naltrexone. Upon arrival, Evelyn’s urine revealed that what she thought was oxycodone was actually pure fentanyl. She was surprised. (We weren’t. Fentanyl is in everything bought on the street.) UNDERSTANDING ACCELERATED OPIOID DETOX Naltrexone Therapy for Recovery Support Evelyn had some of the usual side effects one might see during an opioid detox, especially detoxing off fentanyl, but with several comfort medications and 24/7 support from our knowledgeable staff, she got through it in five days. We placed a naltrexone implant, and Evelyn went back to stay with her family for a few days before returning to her home and resuming teaching. About a week after the detox, Evelyn called the office. She was supposed to go back to work in two days, and she could barely drag herself out of bed. She had no energy, no appetite, and she still felt queasy. She had other issues that were not typically seen as part of a post-detox package. She was convinced these symptoms were the side effects of naltrexone. It's true that any medication has side effects, and naltrexone is no exception. The things she was feeling could have been attributed to naltrexone and Evelyn was desperate to feel good-- certainly to feel good enough to return to her challenging job. “I just need you to take this implant out,” she said. Low Energy After an Opioid Detox Because opioids flood our brain with more dopamine than it was ever meant to have, most people who stop opioids, whether prescription medication from a doctor or drugs bought off the street, will feel a great loss of energy, especially in the early part of the brain’s recovery. How Long Does Low Energy Last After Stopping Opioids? I am asked this question frequently, and I still don’t have a single one-size-fits-all answer. I always tell my patients to expect low energy after their opioid detox. When our patients return for follow up or we have a virtual follow up, it’s one of the first questions I ask. How is your energy? Are you starting to feel normal again? How are you sleeping? How is your appetite, your ability to concentrate? And the answers are all across the board. One of my patients who’d been on opioid pain medication supplemented by street fentanyl said he felt better precisely at “four weeks and three days”. I just followed up with a CEO of a thriving business who started taking pills for energy. She felt better in the time it took to remove her sutures, about 12 days later. Others experience a more amorphous return to normal—they suddenly realize one day that they haven’t had the thought, “how will I get through this day? I’m exhausted…” But I think the most common experience our patients have is the ‘wave pattern’. People will experience a ‘wave’ of Post-Acute Withdrawal Symptoms (PAWS) and then have an interval of feeling pretty good. Then another wave, another interval, and so on. Ultimately the waves lose their amplitude and the intervals between the PAWS gets longer and longer. Do The Side Effects of Naltrexone Mimic Opioid Withdrawal? But Evelyn struggled more than our usual patient. She extended her time off from work for more than a week. She was convinced her symptoms were coming from the naltrexone. She had researched this online and was gathering evidence to support her growing belief. Listening carefully to her concerns, I suggested she follow up with her primary care provider rather than jump to the conclusion that everything she was experiencing was caused by PAWS and naltrexone side effects. Some things just weren’t adding up. Therefore, I was unsurprised when I heard from Evelyn last week that, indeed, her blood work revealed an iron deficiency and a thyroid problem, and both were now being addressed. She was feeling good. She was talking to a therapist. She was attending 12-step recovery meetings via Zoom. And then she asked me, “Do I need to schedule my next implant, or will someone call me?” I stopped my answer in mid-sentence. “Evelyn, did you just hear yourself? Do you remember when you were begging to have the implant removed? And here we are, talking about scheduling your next one!!” She laughed—it was the first time I’d heard her laugh and it was a beautiful sound. Removing Opioids From Your Brain is a Process Getting off opioids is difficult but it’s not impossible. The Coleman Institute for Addiction Medicine can get you safely started by removing the opioids from your receptors and replacing the receptors with naltrexone. Low energy and mild side effects are to be expected temporarily, but our patients agree: the reward of finally—safely—being in recovery is well worth it. If you have any questions, please schedule a callback with one of our Care Advocates. We are here to help. Joan R. Shepherd, FNP SCHEDULE A CALLBACK #### Man Stops Using Fentanyl During 2020 Pandemic To Save His 80 Year Old Mother Heroes come in many forms. Earlier this week a young man traveled from Kentucky to the Coleman Institute for Addiction Medicine in Richmond, Virginia for an accelerated detox off heroin and fentanyl. (His urine drug screen revealed there was actually no heroin; it was all fentanyl). Admittedly grateful for a severe needle phobia, James was snorting about .2 to .3 grams daily, and had been using regularly for about three years. Prior to that, he’d enjoyed six years of abstinence from all mind-altering substances.  His relapse was fast and brutal and reminded me of a woman in long term recovery who told me, “…my disease is out there doing Cross-Fit, waiting for me to have a moment of weakness…” This is an extreme time in our planet’s history. Very few people have been untouched or are unaware of the radical practices necessary to keep ourselves and others safe from COVID-19.  A Leap of Faith During COVID-19 So, the decision to travel to Richmond, Virginia for a rapid opioid detox was not an insignificant one for James, or for our staff. And it was an enormous leap of faith for his support person to join him—Mariah, his 80 year old mother. Our office in Richmond — and other affiliated offices who have learned The Coleman Method for accelerated opioid detox — have decades of experience helping people get off opioids such as hydrocodone, tramadol, hydromorphone, oxymorphone, kratom, methadone, and the partial agonist, buprenorphine. Our process involves introducing micro-doses of naltrexone daily, carefully sweeping the opioids off the receptors, thus re-setting them.  The final step is to provide long acting naltrexone via an implant which will give freedom from opioid cravings and the inability to get high for about two months. (Some patients will work with their insurance companies to have access to Vivitrol®, a long acting injectable form of naltrexone, which covers the opioid receptors for about a month). FREE ACCELERATED OPIOID DETOX GUIDE Why Detox During a Pandemic When I queried James about his reason for choosing this particularly complex time to detox, he told me he couldn’t bear it if his being an addict and acting irresponsibly ultimately compromised his mother’s health. They lost his father three years ago, a significant contribution to triggering his relapse. He is back living with his mom due to losing his job and he realized that all of his contacts in his drug procurement process were “careless, sloppy, and stupid” when it came to mitigating the potential spread of COVID-19. “None of them are practicing anything like social distancing…they are still getting together with each other and getting high. I became acutely aware of how much risk I was exposing myself and my mom to.”  Mariah is an incredibly sharp woman, and one would never guess was eighty years old. She is grateful that her son made the decision to get clean and, even though she acknowledges it is a risky time to do anything but stay home, believes the risk/reward ratio supports their choice. A Reluctant Hero During Coronavirus Neither James nor Mariah are glorifying their reason for being here. Over the years, hundreds of my patients have chosen to detox largely because they value their families and were aware of the devastation their addiction created on so many levels.  But here we are, in the midst of one of the most challenging and extreme times our world has ever seen. In many ways, it would be a lot easier to stay home and stay stoned rather than travel here and get clean. In my opinion, James meets the criteria of the Reluctant Hero, a “tarnished or ordinary man with several faults or a troubled past, pulled reluctantly into heroic acts.” Patients and support people are screened, gloved, and masked when they come to the Coleman Institute. We are striking the balance between minimizing face to face exposure, but being completely accessible to our patients and their support people. If this bizarre chapter in our world’s history is calling you to be the hero of your own story, give us a call and we can see if we are the right fit for each other. In the meantime, be safe. Joan R. Shepherd, FN       SCHEDULE A CALLBACK #### Medically Assisted Treatment for Opana Withdrawal We just helped a gentleman with a Medically Assisted Treatment (MAT) to get off Opana® (oxymorphone). He was injecting about 40mg/day, often supplemented with oxycodone. When a patient contacts The Coleman Institute for information about how to detox off Opana®, we usually add an extra day or so to the procedure. This is one tough drug to stop using. In fact, this is the opening line of an article I read this morning: For the first time ever, the Food and Drug Administration has told a drug company to pull a painkiller off the market because it has such a high potential for abuse. They are, of course, referring to Opana®. Here’s the link to the full article: http://nbcnews.to/2saKnw7 While we have helped a few chronic pain patients to get off Opana®, more frequently we are assisting patients who have been abusing it. Most recently they are crushing and injecting it. The first time I met a person struggling to get off this drug, they were snorting it. I’ll never forget looking into this woman’s left nostril and seeing a chunk of Opana® that had not dissolved over several months. (A quick trip to and Ear Nose Throat Specialist took care of that part of the problem.) UNDERSTANDING ACCELERATED OPIOID DETOX Patients appreciate our Outpatient Medically Assisted Treatment to get off Opana®. They like that they do not have to be hospitalized, their family member and/or friends can be with them the entire time. They appreciate that they will not have to be exposed to the potential dangers (and expense) of anesthesia. Patients who travel from out of state can stay in a comfortable hotel near our office and make brief daily trips to our office. The process of removing the Opana® from the opiate receptors is done carefully and slowly, so the patient will be as comfortable as possible during his or her stay. We provide all the medications the patient will need not only during their stay, but also prescribe enough that they will have medications for their first several days upon returning home. We are available 24/7 to the patients support people, should any questions or concerns arise. Most patients are able to be completely free of Opana® in 4-5 days. At the completion of the Medically Assisted Treatment, they will receive a naltrexone implant which will curb their physical cravings. We love our patients, and we love freeing them from Opana® addiction. Please call our office if you would like to know more about how we can help. Joan Shepherd, FNP SCHEDULE A CALLBACK #### Medically-Assisted Treatment for Buprenorphine Use At The Coleman Institute, we continue to assist people with a medical withdrawal from short acting opiates, but we have a growing number of patients who are seeking our services to help get off of buprenorphine products like Suboxone or Subutex®. In an earnest attempt to stop using short-acting opiates, we hear from many people who are turning to doctors that prescribe buprenorphine to help them escape the wretched cycle into which addiction to prescription opioids or heroin has sucked them. It is a huge relief when you are in withdrawal—chills, nausea, perhaps vomiting and/or diarrhea, severe leg kicks and spasms—to receive a simple strip, dissolvable under the tongue in minutes, to absolutely halt these physical symptoms. Many people intend this to be a ‘quick-fix’ and plan never to use an opioid again, but what often happens is the patient continues to be prescribed Suboxone indefinitely. Patients tell us they frequently hear from these prescribers that they may need to stay on Suboxone for the rest of their lives. Just this week we helped three patients get off Suboxone: A 42-year old man, working as a high-level manager in a large communications company, who was put on Suboxone six years ago to get off street drugs, currently using 2 8mg strips a day. A 26 year old woman who was put on Suboxone three years ago after trying to detox herself off 60mg of methadone, able to wean herself down from 24mg/day to 4mg, but struggled to get below this. A 32 year old father of two young children who continued to use opioids after initially receiving Vicodin for wisdom tooth extraction; he found multiple opportunities to stay on prescription pain killers until a dirty urine had him kicked out of his practice and suboxone seemed to be his best alternative. He’s been splitting one 8mg strip now for several months. Suboxone is a partial agonist/antagonist. It goes to the opiate receptors in the brain and occupies them with a tenacious grip. This ‘satisfies’ the receptors for about 24 hours or longer. But when the buprenorphine in the Suboxone wears off, the withdrawal can be excruciating. And because of its chemical makeup and long half-life, the withdrawal can last for weeks. Most of the patients who seek Medication Assisted Treatment (MAT) off Suboxone never actually thought they would need help to get off this medication when they started. For many, the promise of relief of withdrawal symptoms trumped any other course of action. Often there are no good alternatives nearby to help people get off a short acting opiate and be completely opiate free. And more and more doctors, nurse practitioners, and physician’s assistants are becoming licensed to prescribe suboxone every day. It has become a very accessible alternative. That’s why Dr. Coleman is constantly working to educate doctors around the country to provide an alternative MAT for people who do not want to replace their short-acting opioid with a long-acting one. While buprenorphine may be the right choice for some people in certain circumstances, the segment of patients we serve are motivated to be opiate-free. For these people, that means there is a commitment to receiving treatment beyond the physical detox and really absorb and live what it means to be clean and sober. At The Coleman Institute, when we work together with a patient to get off buprenorphine, we use a pure opiate antagonist or blocker called Naltrexone at the completion of the medically-assisted withdrawal. We provide ongoing Medication-Assisted Treatment (MAT) using this non-addictive medicine (Naltrexone). Once the buprenorphine is off the receptors, they are populated by the Naltrexone and physical cravings are gone. We implant a Naltrexone pellet and urge patients to return every periodically for a year to continue this treatment. If you have any questions about getting off Suboxone or other forms of buprenorphine, please give us a call. Joan Shepherd, FNP #### Medication-Assisted Treatment (MAT): Higher Success for Recovery Recently, the New York Times ran an article proposing that most opiate addicts should receive Medication-Assisted Treatment (MAT). I couldn’t agree with them more. Success rates for patients with opiate addiction who are not treated with any form of MAT are horrible. Medication-Assisted Treatment An important study I have quoted for many years made this abundantly clear. The study was out of West Coast. It followed patients who went into a hospital to start their recovery from opiate addiction. About a quarter of the patients were not even able to complete the detoxification. The others were all offered good treatment options - 28-day inpatient rehab, outpatient counseling, recovery residences, etc. And, all these patients were motivated. They went into a hospital to get clean. But, there is something about opiate addiction that has a higher likelihood of relapse than other addictions. Hence, the need for MAT. Opioid Treatment Options - Using Methadone, Suboxone, or Naltrexone The challenge is many physicians have little or no experience with naltrexone therapy, so when they think of MAT, the only options they think about are methadone and Suboxone. Even the New York Times article recommended MAT, but the article did not once mention naltrexone. Suggested Read: 3 Important Differences Between Suboxone and Naltrexone Therapy for People Addicted to Opioids Methadone Methadone has been used since the 1970s. Experience and numerous studies show that methadone does cut down on crime rates and street drug use. But, most patients do not like being on it, and of course, it is much more addictive than heroin. It is also more difficult to detox off methadone than it is to detox off heroin. Suggested Read: How Do I Get Off Methadone? Suboxone The other MAT that most physicians think of is Suboxone. Suboxone has been approved as a treatment since about 2002. When it was first approved, it seemed like it could be a miracle cure. Patients reported reduced cravings and they used fewer street drugs. But over time, we have found there is quite a lot of abuse of Suboxone and the long-term success rates are not particularly high. In fact, a recent study followed a group of adolescents who were started on Suboxone while in an inpatient unit. Within only 2 months, half of them had relapsed and discontinued treatment. At the end of 12 months, only 10% of the group were abstinent – hardly a perfect treatment. Suggested Read: Switching from Suboxone® to Naltrexone UNDERSTANDING ACCELERATED OPIOID DETOX Naltrexone Naltrexone is the other Medication-Assisted Treatment that is now gaining more acceptance in mainstream medicine. For some time, naltrexone has been available as an oral tablet that lasts for about one day. It is effective if people take it, but in the real world, most people do not take it for more than a day or two. In some settings, particularly when probation officers observe people taking oral naltrexone, it can be effective. But, it is almost never effective if it is not being actively supervised. In fact, there is some thought that the act of taking the oral naltrexone could actually be a trigger, and thereby increase relapse rates. Some patients report that taking daily oral naltrexone actually reminds them they could use it if they wanted to and they sense their cravings go up. Suggested Read: Naltrexone: Medication-Assisted Treatment For Opioid Use Disorder Does Naltrexone Work? Naltrexone does work if patients are “encouraged” to take it over a long period of time. If the naltrexone is medically put into patients and they can’t “not take it”, it is extremely effective. For over 18 years, we have been using two-month naltrexone implants and our patients have great results. Because they last a longer period, our patients rapidly accept the reality that they can’t use and they do better getting on with their lives. Most report their cravings completely go away. Vivitrol Over the last several years, Vivitrol has become available as a one-month injection, and it too is very effective. Because it is FDA-approved it is usually covered by insurance, and so a lot more doctors are more familiar with it. Extended-Release Naltrexone Study In fact, a landmark study was just published in the New England Journal of Medicine (NEJM). In the study, Dr. Lee and his colleagues followed about 300 patients who were involved in the criminal justice system. Half of the patients received monthly shots of Vivitrol for 6 months, along with some counseling. The other half only got the counseling. Naltrexone and MAT Success Rate The patients who received the Vivitrol had a 57% success rate with no relapse, which is a remarkable finding. This is so much better than the 3% rate for patients without MAT. The other interesting result of this study was that the patients in the Vivitrol group had no overdoses, while the patients in the group that only received the counseling, had 5 overdoses. Conclusion It is exciting for me to be working in a treatment system where we are able to use the naltrexone version of Medication-Assisted Treatment (MAT) in all our patients. After every opiate detoxification, we insist on either a 2-month naltrexone implant or Vivitrol injection. At the Coleman Institute, we see incredible success with our patients. Since we recommend that our patients stay on naltrexone therapy for 12 months, we have the opportunity to see most of them back for follow-up visits. Our patients and their families are very grateful. One of our biggest issues now is convincing patients to stay with treatment. They often feel so good; they start thinking they can stop the Medication-Assisted Treatment. The evidence is clear: naltrexone should be continued for at least 12 months. More like this: Naltrexone Therapy Might Be The Right Choice SCHEDULE A CALLBACK Last Updated: January 17, 2022 #### Millennial Sobriety The following is a guest blog from a young woman who has chosen sobriety. It is a little longer than other blog articles, but I wanted to emphasize a couple of things by publishing it. One, you don’t have to hit rock bottom in order to stop drinking. Two, if you are concerned about, or questioning your drinking, you don’t have to label yourself as an alcoholic before giving abstinence a try. At the Coleman Institute for Addiction Medicine, we help people safely get off alcohol. Depending on how much and how long you have been drinking, it can be dangerous to stop on your own. Please call us at 877-773-3869​ if you or a loved one are ready to see what’s beyond the haze. Drinking. It was becoming a tiny bit of an issue, so I figured I’d do something about it. I have this one wild and precious life according to the renowned poet, Mary Oliver. And what was I going to do with it? Be hungover on all of my weekends? Feel groggy for work when I woke up on a Tuesday because I had just a few too many at a Monday evening happy hour? As an experiment, I decided I was going to be hungover on none of my weekends, or on any day of the week, for an entire year. Yes, three hundred and sixty-five days sans booze. As I had previously been unsuccessful in quitting drinking for Dry January or Sober October, (embarrassingly, it seemed I was unable to go even one week without getting a buzz on), I had low expectations. But in many ways, my old life wasn’t working for me anymore, I was craving a dramatic change more than I knew. Rapidly approaching thirty, I’d been looking to establish integrity in the way of following through with the goals I set for myself. This was a big one, absolutely, but it was one I felt would produce enough positive benefits to keep me motivated enough to see it to the end. I wanted to witness for myself if elective sobriety was truly as fabulous as Ruby Warrington made it out to be in her book, Sober Curious. With the seemingly endless emergence of craft breweries, happy hour specials, and events like weddings and bachelorette parties that seem to automatically take a hit by the mere mention of the word "sobriety," it might seem like an uphill battle for us Millennials trying to cut alcohol from our extracurricular activities. To even begin such an endeavor can be, at first, a daunting and isolating experience. I’ve never considered myself an alcoholic, so was it the stigma I was worried about over putting my drink down? A constant dread of how this action will force me to be perceived by peers who enjoy blowing off steam every now and again? Maybe I was worried that I would hate it, fearful of being someone who can’t stop drinking even if they really try. ASK FOR HELP I won’t lie to you, the first month was a painful challenge in the art of saying, "no" and wondering if I really meant it. Many of my friends did not understand my decision, but fortunately, for the most part, they respected it. The largest discomfort I found after my initial feeling of missing the habit of drinking was stagnancy in my sobriety. I thought, "I already quit drinking, that should be enough." This quickly revealed itself to be far from enough. Replacing drinking with an unhealthy dose of bad reality television and Chinese takeout is hardly the way to keep yourself motivated on this lifestyle path. You’ll probably discover that you have an abundance of energy once you quit drinking. Your life is a bit brighter, the newfound clarity is real. My advice? Ride that high. Grab hold of that new energy and siphon it. Don’t let it get away from you. The trick is to fill the void of your former drinking habits with interests and hobbies you’ve long abandoned for margaritas and a fistful of Aspirin the following morning. I for one had to turn the television off and start reading again. (Reading, what a novel idea for someone who wants to be taken seriously in the literary world.) Additionally, I got back into the practice of daily journaling and writing. Writing is my true passion and I realized I all but let it fall to the wayside in order to accommodate my drinking habits. Before sobriety, I convinced myself that without drinking, I’d lose my friends, that my social life would be reduced to sympathy coffee dates with people who thought I’d lost my mind or worse, had become boring. This could not be further from the truth. Over the past year, I’ve cultivated far deeper relationships with my existing friends, sobriety allowing me to be ten times more present, not to mention, I’ve been fortunate enough to rekindle old friendships with people I deeply cared about but who I’d lost touch with over the years. I’ve forced myself into uncomfortable positions, situations that historically would have caused me to immediately order a cocktail— the result being new friendships with wonderful people who I am learning from constantly. I can happily report that my social life has never been better. The sheer thought of elective sobriety prior to embarking on this mission was as close to Millennial blasphemy as I’d ever gotten, even by, or especially by, my own standards. But I’ll be damned if I’m not a week away from my one-year sober anniversary with no plans to return to drinking in the foreseeable future. Because I don’t want sobriety to turn into some sort of bleak, life sentence that deters me from ever again letting loose with a few cocktails, I’ll never say never. There’s always the option in my future to have a drink or two on a date or at an event where folks are happily indulging in a few glasses of champagne. However, it’s now become a point of, why the hell would I? If I drink tonight, would I wake up tomorrow morning for my yoga class or hit the gym with the same fierce energy I’ve cultivated in my months of abstaining from alcohol? Would I even make it to yoga? Would I feel as excited to spend my Sunday afternoon drinking kombucha and playing around with a new, healthy recipe I found on Pinterest? Maybe, but it’s highly doubtful. Not to mention, as egotistical as it sounds, I am loving the way my body and skin have taken to this lifestyle change— no more facial redness, an easy-shedding of several pounds around my midsection I didn’t want or need. I’ve also been blasted into a foreign-to-me state of financial security due to elective sobriety. Over the past few months, I’ve managed to save enough money by setting aside funds I would have otherwise used to cover a monthly bar tab to purchase a roundtrip ticket to backpack Southeast Asia next Fall. It’s important to remember that you are choosing sobriety for you, not to saddle up on your high horse and preach to others about a superior lifestyle you’ve discovered. Sobriety might not be the answer for everyone. Ruby Warrington touches on this in Sober Curious, the fact that a great way to lose a friend is to shove sobriety down their throat when they are not interested. You might find that people are curious about your findings, at which point, go crazy, explain the benefits and the struggles— be honest and real. But don’t do the whole, ‘holier than thou’ approach. It’s unbecoming and rarely well-received. My own experience with elective sobriety has resulted in unimaginable self-growth. I am confident in my abilities to write well, to be present for my loved ones, and to honor my health and body in a way I didn’t realize I was capable of. I’ve become braver when it comes to situations I was previously hesitant about and I’ve pushed myself physically in ways I would never have dreamed of doing even one year ago. Reporting live from the other side, elective sobriety is a safe bet for navigating towards a happier, more satisfying life. SCHEDULE A CALLBACK #### Mommy’s Little Juice Box As we know, parenthood is not for the faint of heart. Between raising children, a busy career, financial pressures, aging parents, changing bodies, the stresses can be overwhelming. Throughout the years, mothers have managed stress in different ways. In 1960 the first benzodiazepine, Librium, was introduced. Valium followed in 1963. These medications were advertised as “Mother’s Little Helpers.” Advertising slogans such as “Now she can cope,” and “You can’t set her free. But you can help her feel less anxious” were rampant. Take a pill and feel better. Easy peasy. But, as the dangers of benzodiazepine abuse and addiction have become more prevalent and better understood, alcohol has assumed a greater role in managing stress both for men and women—and increasingly for women. ALCOHOL DETOX FAQS A 2017 study sponsored by the National Institute on Alcohol Abuse and Alcoholism laid out our new pro-booze culture with these stark statistics: from 2001 to 2013, the prevalence of alcohol use among women in the U.S. rose nearly 16 percent. During the same timeframe, the percentage of women who have four or more drinks on a given day on a weekly basis shot up 58 percent. Those are astonishing statistics. Of all alcoholic beverages, wine is the most commonly imbibed by women. Cocktails are a close second. The problem with wine is that it is socially acceptable, easy to serve, and even expected. Stopping by to pick up a kid from a playdate? Have a glass (or two) of wine. Going to a kid’s sporting event? Have some wine. I don’t think that “let’s have some shots of tequila” would be looked upon in the same way. There is a phrase floating around: “The Mommy Wine Culture.” The Mommy Wine Culture is a “culture” that encourages drinking alcohol to take the edge off of parenting and which has been reinforced by internet memes, slogans and products with mantras like “mommy’s juice box” or “I wine because my kids whine.” It is all over social media, mugs, t-shirts—you name it. In many ways, what is happening resembles the 1950’s, but now mothers are using alcohol to help alleviate everyday stress. Moreover, alcohol is so ingrained into every aspect of our lives that it has even made its way into playgroups and kids' birthday parties. What begins as a social activity can sometimes transform into a real problem. So how do you know if you have crossed the line? If you have started to question yourself, you may have. If you find yourself making rules and setting limits on your drinking, you may have. If you can’t follow your rules or limits, you may have. Your primary care doctor or OB/GYN may be a good place to start. They have screening tools in which to help decipher healthy from unhealthy drinking patterns. From there you can come up with a plan in which to address the problem if there is one. We here at the Coleman Institute for Addiction Medicine are available to help you answer some of these questions as well as to provide a safe and relatively comfortable detox process if you need that. Please call us at 877-773-3869 so we can answer any questions that you may have. Let’s find ways to relieve stress and live a happier and healthier life together. You owe it to your family, and most importantly to yourself. Deborah Reich, M.D. SCHEDULE A CALLBACK #### My Pain Doctor Cut Me Off, What Do I Do? This has become a very common scenario and patients from all around the country are calling the Coleman Institute for Addiction Medicine for help. It’s important to understand the #### My Patient’s Most Shameful Secret One of the most troubling aspects of my job as a medical addiction professional reared its head last week as I entered the exam room for a follow-up visit with Gordon.* Gordon has had a very successful career in banking. He is the 64-year old divorced father of three grown children who adore him. He is very witty, personable, and engaging. Close to twenty years ago, Gordon began seeing doctors about back pain. His back issues were not the result of a serious accident, but golfing and a gene pool of some lumbar instability combined to give him a pretty bad case of sciatica. While a little physical therapy was offered, doctors were quick to prescribe opioid pain medications. After all, this was believed to be the best treatment at the time. A brief letter to the editor published in the New England Journal of Medicine in the 1980s is often cited as Ground Zero of the current opioid crisis. The author suggested that as long as a patient was in pain, it was safe to use opioid medication; addiction would not occur. Prior to this time, opioid medications were mostly restricted to acute severe pain conditions or terminal illness. The amount of prescribing increased dramatically as doctors and other medical professionals began to use opioid medication for less acute and more chronic conditions. Patients began to expect they should be free of pain, rather than receiving help to control their pain. Gordon, like thousands of others, fell squarely into this group. His doctors continued to prescribe, and his opioid medications made him feel good. He was able to not only function but thrive. He was a star in his profession, was in a satisfying second marriage, was an involved father and stepfather, and was able to golf several times a week. He told me he occasionally had some ‘nagging doubts’ about being on chronic pain medications, but he was reassured by his doctors that it was safe, and it would actually be quite difficult to get off of them. For all he knew, his pain would return if he stopped the meds. After about eight years of being on steadily increasing amounts of opioid pain medications, Gordon stopped kidding himself. He had no more–or very little—back pain; he knew he had a strong physical dependence on the medications, and he didn’t like it. He felt trapped. This was about the time Suboxone® was being highly promoted and publicized as a solution for getting people off opioid pain medications, and his doctor, believing him to be an excellent candidate, switched him over. Gordon stayed on Suboxone® for ten years. Ultimately, he wanted to be off this mediation as well, but after trying to stop on his own, he realized the degree of withdrawal involved. And with long-acting medications such as Suboxone® and methadone, the withdrawal can be quite protracted. Gordon told me that he actually walked into—and then out of—the Coleman Institute office a full three times before he was brave enough to schedule a consultation to learn about an accelerated opioid detox. UNDERSTANDING ACCELERATED OPIOID DETOX He went through the detox with flying colors, as most people do, and he is dealing with the expected physical symptoms that often occur in the wake of a detox after almost 20 years of using opioid medications: mainly trouble sleeping and low energy. Although we, the professionals who work with this condition daily, can reassure him that ‘this too shall pass’, and are helping him with some short term medications, Gordon is incredibly reluctant to take advantage of one of the most powerful aspects of the healing process: the camaraderie of being with other people who are going through, or have been through the same situation. And here’s what’s bugging me: The reason he doesn’t want to go to a recovery meeting is that he is so ashamed that he was on opioid medication for close to 18 years. He is worried he will see clients or friends and will be labeled and judged. This makes me so sad for him because he truly was an innocent "victim" of his well-intentioned doctors. Once his body became physically dependent, getting off the medications would have been excruciatingly difficult. But Gordon sees this as a moral failing. Dr. Brene Brown, author and social psychologist says, “ If we can share our story with someone who responds with empathy and understanding, shame can’t survive.” Although Gordon has obviously shared his story with our empathetic and understanding staff, my hope for him is that he can be as open with his children, and possibly with one of the many recovery support groups available to him. I have no doubt he will get through the physical discomfort of early recovery, however, my real hope for Gordon and all of our patients, is to recognize the innocence of their role as people treated with opioids by well-intentioned, but inadequately informed medical professionals. If you or a loved one is struggling with physical dependence on pain medication such as Nucynta®, Oxycontin®, hydromorphone, hydrocodone, tramadol, methadone, or buprenorphine; or have turned to street drugs such as heroin, fentanyl, or kratom, I hope you will give us a call 877-773-3869 to discuss an accelerated opioid detox. Please don’t let ill-placed shame keep you from reclaiming your life. Joan R. Shepherd, FNP SCHEDULE A CALLBACK *name and a couple of details changed to protect his privacy #### Naltrexone and Alcohol: How a Tiny Implant Can Have a Big Impact on Recovery At the Coleman Institute, we know overcoming Alcohol Use Disorder is never an easy task. But breakthroughs in addiction medicine now offer new options for safe, effective recovery strategies for those patients who struggle with excessive drinking. Among these advancements is Naltrexone therapy using a long-term implant, which has emerged as a groundbreaking tool in the arsenal against alcohol dependency and addiction and is the cornerstone of the Coleman Method. Understanding Naltrexone Therapy and the Coleman Method For many grappling with Alcohol Use Disorder, the path to recovery is marked by a relentless battle against cravings and the constant risk of relapse. Traditional methods of treatment, while effective for some, often leave gaps that can lead individuals back to their old drinking habits. This is where Naltrexone, a non-addictive and non-narcotic medication, steps in to change the game. Naltrexone therapy is a crucial component in treating Alcohol Use Disorder. It significantly reduces alcohol cravings by attaching to the brain's opiate receptors, which are responsible for creating the pleasurable effects of consuming alcohol. By blocking these receptors, Naltrexone diminishes the pleasure derived from drinking, aiding individuals as they navigate early recovery. The Coleman Method uses Naltrexone therapy consisting of a tiny, pill-sized implant following outpatient alcohol detox to curb cravings and ultimately help patients as they attempt to reclaim their lives from alcohol. The Naltrexone Implant: A Steady Hand in Recovery While Naltrexone is available in several different formulations, the implant version offered at the Coleman Institute has many significant advantages over traditional treatment methods. The Naltrexone implant is a small pellet inserted under the skin in the lower abdominal area that releases medication slowly over the course of eight weeks, providing a steady dose of opiate blockers when needed the most. Naltrexone therapy using the implant has several distinct benefits: Consistent Medication Delivery: The implant ensures a constant release of Naltrexone, maintaining steady levels of the medication in the body. This consistency is crucial in reducing cravings and the likelihood of relapse. Convenience and Compliance: Once implanted, the need for daily medication is eliminated, significantly improving treatment adherence. Patients don't have to worry about missing doses, which can be a common issue with oral medication. Long-Term Focus on Recovery: The long-lasting effect of the implant provides patients with a sustained support system, allowing them to focus more on recovery activities like therapy and support groups without the daily reminder of their condition. This consistent dosing is crucial, as it reduces cravings and supports patients in maintaining their treatment and recovery efforts. This steady supply not only maintains a consistent blood level but also removes the psychological burden of daily medication, reducing the likelihood of relapse. UNDERSTANDING NALTREXONE THERAPY Naltrexone Therapy Treatment Timeline At the Coleman Institute, we recommend patients stay on Naltrexone therapy following alcohol detox for at least 6-12 months. This duration aligns with the time it takes for the brain to heal from addiction and for individuals to adapt to changes in their recovery process. Naltrexone therapy during this critical period helps curb cravings while allowing patients to develop and reinforce new, healthy habits that are essential for long-term success. Six to 12 months of Naltrexone therapy post-detox provides a crucial buffer during this period of healing and adaptation. During this time, the brain is undergoing a process of neuroplasticity — reorganizing itself, forming new connections, and in some cases, repairing damage caused by prolonged alcohol use. Naltrexone assists in this process by reducing the urge to consume alcohol, which in turn helps to stabilize the brain's chemical environment. This stability is vital for the brain to heal and for the individual to learn and solidify new coping mechanisms. Additionally, the first year of recovery is often the most challenging in terms of avoiding relapse. It's a period filled with navigating triggers, managing stress, and rebuilding one’s life without alcohol. Naltrexone therapy provides critical support during this vulnerable time, helping to mitigate cravings and reduce the risk of a setback. This support allows individuals to focus more on other aspects of their recovery, such as engaging in therapy, building a support network, and developing healthier lifestyle habits. However, it’s important to recognize that recovery is a highly individualized journey, and the exact duration of Naltrexone therapy may vary from person to person. Some individuals may benefit from extending the therapy beyond 12 months, while others might achieve stability in a shorter time frame. The decision on the duration of Naltrexone therapy should be made collaboratively between the patient and their healthcare provider, taking into account personal circumstances, progress in recovery, and overall health and well-being. Naltrexone and Medication-Assisted Treatment Naltrexone therapy is a form of Medication-Assisted Treatment (MAT), a comprehensive approach that integrates the use of medications with behavioral therapies to treat addiction. The inclusion of Naltrexone in MAT programs has been a pivotal development, offering new strategies for individuals suffering from alcohol dependence or addiction. One of the key benefits of integrating Naltrexone into MAT is its ability to provide a holistic treatment plan. While Naltrexone works on the physiological aspect of addiction, behavioral therapies attend to the psychological and emotional facets. This dual approach ensures that both the physical dependency and the underlying emotional and behavioral issues are addressed, increasing the chances of a long-term recovery from Alcohol Use Disorder. The use of Naltrexone in MAT has also been shown to improve treatment adherence. Knowing that the physiological craving for alcohol is being medically managed can encourage patients to engage more fully in the behavioral aspects of their treatment plan. It provides a sense of stability and reduces the fear of relapse, allowing patients to focus more on therapy and recovery activities. Naltrexone therapy in MAT also plays a crucial role in improving the overall quality of life for individuals in recovery. By alleviating the constant battle against cravings, patients often experience improved mental health, better relationships, and a more positive outlook on life. It is important to note that Naltrexone therapy as part of MAT is not a standalone cure for Alcohol Use Disorder. It is most effective when used as part of a comprehensive treatment plan that includes support systems, lifestyle changes, and continuous monitoring and adjustment by healthcare professionals. The ultimate goal of MAT with Naltrexone is to support patients in maintaining long-term recovery and leading fulfilling, alcohol-free lives. Side Effects of Naltrexone Therapy Like any medical procedure, Naltrexone therapy has its risks and side effects. The implant requires local anesthesia and can cause minor issues at the implant site, including irritation, inflammation, or infection. Moreover, starting Naltrexone therapy without complete detoxification can lead to withdrawal symptoms. Therefore it’s crucial to fully complete an alcohol detox program before starting Naltrexone therapy. It is also important to inform healthcare providers about all medications, over-the-counter drugs, and supplements being taken, as Naltrexone can interact with other drugs, affecting its efficacy. Naltrexone Therapy at the Coleman Institute Naltrexone therapy using a long-term implant stands as a vital tool in the battle against Alcohol Use Disorder. This small implant, transcending its size, plays a significant role in stabilizing cravings and enhancing the success of long-term recovery. By integrating this therapy into a comprehensive treatment approach, the Coleman Method helps people transform their lives for the better, paving the way for sustained recovery. Are you ready to learn more about outpatient alcohol detox and Naltrexone Therapy with the Coleman Institute? Contact the addiction specialists in our Richmond, VA, office or one of our nationwide clinics near you and take the first step toward a life free from alcohol. SCHEDULE A CALLBACK #### Naltrexone Therapy for Addiction Recovery For those struggling with addiction, achieving and maintaining recovery can be challenging. Cravings and the risk of relapse often pose significant hurdles in sobriety, making it important to explore evidence-based treatment options. Naltrexone Therapy, including its extended-release form, Vivitrol, has become a powerful tool in preventing relapse and supporting wellness. Understanding Medication-Assisted Treatment (MAT) Medication-Assisted Treatment (MAT) is an evidence-based approach that combines FDA-approved medications with behavioral therapies to treat Substance Use Disorder (SUD). By alleviating withdrawal symptoms and reducing cravings, this approach helps individuals stay engaged in recovery while addressing the underlying psychological and behavioral aspects of addiction. At The Coleman Institute, we specialize in MAT, offering Naltrexone Therapy as a safe and effective option for people recovering from opioid and alcohol use disorders. Unlike other MAT options, such as methadone or buprenorphine, Naltrexone is non-addictive. It does not produce physical dependence, making it a preferred choice for many seeking long-term recovery. What is Naltrexone Therapy? Naltrexone is an opioid antagonist that works by blocking opioid receptors in the brain; this prevents the euphoric, sedative effects of substances like heroin, fentanyl, and prescription opioids. For alcohol use disorder, Naltrexone reduces cravings and diminishes the pleasurable effects of drinking, supporting abstinence and long-term sobriety. Key benefits of Naltrexone Therapy Relapse prevention by blocking the effects of opioids and reducing alcohol cravings No risk of dependence or withdrawal symptoms Long-term support for individuals committed to recovery Flexible administration options, including oral Naltrexone, implants, and Vivitrol injections To learn more about how The Coleman Institute uses Naltrexone Therapy for addiction recovery, visit our Naltrexone Therapy page. Vivitrol - Extended-Release Naltrexone Vivitrol is an extended-release injectable form of Naltrexone that provides one month of continuous medication with a single dose. This eliminates the need for daily medication adherence, reducing the risk of missed doses that could lead to relapse. Key benefits of Vivitrol Long-lasting protection against cravings and relapse Convenience, only one injection per month No risk of dependence or withdrawal symptoms Effective for both opioid and alcohol use disorders Reduces the risk of overdose by blocking opioid effects To start Vivitrol for opioid use disorder, you must complete detoxification from opioids to avoid precipitated withdrawal. For alcohol use disorder, Vivitrol can be initiated once alcohol detoxification is finished. Integrating Naltrexone Therapy into Recovery At The Coleman Institute, we incorporate Naltrexone Therapy into our treatment approach, which includes - Accelerated Outpatient Detox – A medically supervised outpatient detoxification program designed to help individuals detox safely and effectively in a shorter timeframe than traditional methods Naltrexone Therapy and Vivitrol Injections – Options for extended protection against relapse Medical Monitoring – Ongoing assessments to ensure safety and efficiency of treatment Compassionate Support – Case management and aftercare services to support lasting sobriety How Naltrexone Therapy Works for Different Substance Use Disorders Naltrexone Therapy is an effective treatment for both opioid use disorder (OUD) and alcohol use disorder (AUD). By working on the brain’s reward system, Naltrexone helps individuals break the cycle of addiction and focus on rebuilding their lives. Opioid Use Disorder - Blocks the euphoric effects of opioids, reducing the incentive to use; Helps prevent relapse and provides long-term support for individuals in recovery. Alcohol Use Disorder - Reduces the pleasurable effects of alcohol consumption, decreases cravings, and supports abstinence; Helps individuals maintain sobriety and avoid relapse. Is Naltrexone Therapy Right for You? Naltrexone and Vivitrol are not one-size-fits-all treatments. They are best suited for individuals who - Have completed opioid detox or alcohol detox Are committed to long-term sobriety Do not have contraindications, such as severe liver disease Are looking for a non-addictive MAT option Want a long-term solution to prevent cravings and relapse If you or a loved one is exploring treatment options for substance use disorders, Naltrexone Therapy may be a life-changing step toward lasting recovery. Learn More About Naltrexone Therapy in Richmond, VA Choosing the right treatment is an important step in the recovery process. If you’re considering Naltrexone Therapy or Vivitrol, our team at The Coleman Institute is here to help. The Coleman Institute has served the Richmond, Virginia, community since 1998, changing thousands of lives for the past quarter of a century. Learn more about our approach to Naltrexone Therapy or contact us today to speak with a specialist about your treatment options. #### Naltrexone Therapy Might Be The Right Choice I've been a nurse practitioner for about 16 years, almost nine of those at The Coleman Institute. When I interviewed with Dr. Coleman, I understood he needed a family nurse practitioner. It was a nice setting--close enough that I could walk or bike if I chose--and he seemed like a cool, laid-back Kiwi and a reasonable boss. I was strongly considering the position when he informed me that he actually ran two businesses under one roof: in addition to the family practice he also had a substance abuse program where he did outpatient rapid opiate detoxes. My pretty immediate response was to thank him politely for the interview, and continue looking at other career possibilities. I just didn't think I wanted to work with that population. With some hesitation I agreed to shadow him in the clinical setting. A few days later I returned to the office. It was clean, bustling, and friendly. We saw a couple of standard family practice patients, and then I followed Dr. Coleman into our first Coleman Institute visit. Scott, age 22, was lying on the exam table, one knee bent, his other long leg dangling over the edge. He wore a ball cap and a hoodie. Both his parents were with him and they stood when Dr. Coleman walked in. His mom burst into an ear-to-ear grin, his dad looked self-consciously from his feet to Dr. Coleman, also grinning. Scott raised himself to his elbows, looked at Dr. Coleman and with slow smile and they fist-bumped each other. This wasn't what I expected. In Scott's senior year of high school in one of the last soccer games of the season, he broke his femur. He had surgery and he received prescription opioids. Long after his surgeon stopped prescribing, Scott couldn't stop taking them. Street pills turned to heroin. Scott's story is now an all too familiar story, although nine years ago I still wasn't aware of the devastating consequences of over-prescribing narcotic pain medications. I did not know their expansive reach and how many families were being affected. Today of course, my awareness is at a whole new level. I meet dozens of families every month who seek our assistance to save the life of their child-or spouse or grandchild or sibling or friend - and help release them from the grip of opiate (or benzo or alcohol) addiction. When I met Scott, he was six months clean from opiates. He was at the office to receive his 3rd Naltrexone implant. I am humbled and delighted to say that since I said "yes" to working with Dr. Coleman, I have seen that smile again and again on the faces of countless people. It's an incredible privilege to be part of a team that has the expertise, experience, competence and compassion to safely help people through an outpatient opiate detox. Please don't hesitate to call our team at 877-773-3869 if you have questions. Our detox which includes Naltrexone therapy may not be the right fit for you or your loved one, but we can address your concerns and help steer you toward the appropriate place for help. Joan Shepherd, FNP #### Naltrexone Therapy with Vivitrol Injections: Long-Term Support After Opioid Detox Opioid Use Disorder is a complex and debilitating disease that affects millions of individuals and their families worldwide. The path to detox and recovery can be challenging, but medication-assisted treatments (MAT) like Naltrexone Therapy can give patients an assist when it comes to curbing cravings and staying off opioids. Naltrexone Therapy, a cornerstone of the Coleman Method for rapid detox and recovery, is often administered using a small implant that releases the medicine gradually over time. However, our addiction medicine experts sometimes recommend an alternative to this method: regular monthly injections of Vivitrol.  But what are MAT, Naltrexone, and Vivitrol? Read on to learn more about the role they can play in aiding recovery and what you can expect when receiving recurring Vivitrol injections after an opioid detox. What is Medication-Assisted Treatment? Medication-assisted treatment is a comprehensive approach to treating opioid addiction, which combines the use of FDA-approved medications with advanced treatment methods and therapy to provide a "whole-patient" strategy. The MAT method is designed to address the needs of individuals undergoing opioid detox and recovery, aiming to stabilize the body, reduce withdrawal symptoms and diminish the addictive urge to use opioids. The emphasis on combining medication with ongoing treatment and support is crucial and offers a more effective and sustainable path to recovery. MAT has been scientifically proven to improve patient outcomes, increase retention in treatment, decrease illicit opioid use and other criminal activity among people with substance use disorders, and improve the chances of obtaining and maintaining employment. The comprehensive nature of MAT, with its integration of medication and behavioral therapy, offers a holistic approach to detox and recovery. What is Naltrexone Therapy? Naltrexone Therapy is a form of MAT primarily used in the management of opioid and alcohol addiction. Naltrexone belongs to a class of drugs known as opioid antagonists and works by binding to the opioid receptors in the brain. But unlike opioids, Naltrexone does not trigger the release of dopamine and does not produce euphoria or pain relief. Its mechanism blocks the effects of opioids at the receptor level, which can significantly reduce cravings and the desire to consume opiates. Naltrexone Therapy helps block the high that these substances can induce, making it a valuable tool in the opioid recovery process. It is particularly effective for those who have completed detoxification and are hoping to avoid relapse. Naltrexone is also non-addictive, making it a safe option for long-term management of substance dependence. Before starting Naltrexone Therapy, patients must be free from opioid use for a certain period to avoid precipitating withdrawal symptoms. As with any medication, there are potential side effects, but for many individuals in recovery, the benefits of reduced cravings and the lower risk of relapse far outweigh these concerns. Naltrexone Therapy can offer significant aid to patients seeking to overcome dependence or addiction and reclaim control over their lives from opioids. GET THE GUIDE TO UNDERSTANDING NALTREXONE THERAPY What is Vivitrol? Vivitrol is an extended-release, injectable form of Naltrexone typically administered once a month. The injection provides a continuous blockade against opioids and helps curb cravings in early recovery. Unlike other MAT options, Vivitrol is non-addictive and does not require daily dosing, which can simplify the process and improve medication compliance for many individuals. If your Accelerated Opioid Detox using the Coleman Method includes a recommendation for Vivitrol injections, you can expect to receive a shot administered monthly in one of our nationwide detox clinics near you. These recurring injections as part of ongoing Naltrexone Therapy include a standard Vivitrol dosage of 380 milligrams with each intramuscular shot. At the Coleman Institute, we recommend at least 12 months of Naltrexone Therapy for every patient following rapid detox from opioids. This provides individuals with a tool to help limit persistent cravings, blunt the euphoric effects of opiate use if a relapse does occur, and ensure the best chances of sustained recovery and a life free from dependence or addiction. While Vivitrol is generally well-tolerated, it is not without side effects. Some patients report experiencing nausea, headache, dizziness, and fatigue. More serious side effects such as reactions at the injection site or liver damage are rare and should be reported to a medical professional immediately. Vivitrol Injections and Long-Term Recovery Success For many patients and their families who come to the Coleman Institute seeking help, Naltrexone Therapy—often in the form of monthly Vivitrol injections—is a game-changer when it comes to staying in recovery following an opioid detox. “Our son has been an addict for nearly thirteen years,” writes Charles C., father of a patient who came to the Coleman Institute recently for help with opioid addiction. “He has spent years prescribed to suboxone and more years prescribed to methadone. He has made countless attempts to detox at programs all over as well as at home.” Charles brought his son to the Coleman Institute for Accelerated Opioid Detox and witnessed firsthand the difference regular monthly Vivitrol injections can make for a person in recovery from opiate use. “Throughout his detox, he received increasing levels of Naltrexone to the point where his receptors were completely clear prior to receiving a Vivitrol shot upon completion of the program,” Charles said. “Since completing the Coleman program, we’ve experienced our son as we knew him prior to him using opiates. It has been years since we’ve been able to enjoy his true personality. …. The Coleman program hits the reset button for those that are ready to move on with their lives by ending those maintenance programs and sending a patient home with a Vivitrol shot.”  Charles’ son is just one of the thousands of patients we have treated with the Coleman Method and Naltrexone Therapy, which helps 98% of people successfully complete the detox process. Change Your Life with Rapid Opioid Detox If you or someone you know is struggling with Opioid Use Disorder, our team of addiction medicine experts at the Coleman Institute can assess your specific situation and determine if Naltrexone Therapy using Vivitrol Injections is right for you after the initial detox process. Contact the patient advocates in our Richmond, VA, location or in one of our regional detox clinics around the country to take the first step toward changing your life for the better in long-term recovery. Call us today or request a callback at the link below. SCHEDULE A CALLBACK #### Naltrexone: Medication-Assisted Treatment For Opioid Use Disorder When I write blog articles, my inspiration is drawn from the courageous patients who are re-writing the stories of their lives. Usually when I ask for permission to tell someone’s story, changing a few details to keep it confidential, people are willing to share. When I talked to Ben about sharing his story, he offered to write it in his own words. Clearly, I couldn’t have said it any better. Here is Ben’s Story: “After sustaining injuries during college football I was introduced to opiate painkillers. During my senior year of college I progressed to using Oxycontin without doctors’ prescribing them to me. After graduating and having free time on my hands my tolerance began to climb out of control. After getting married, I moved 600 miles away from home, where I didn’t know anyone in an attempt to stop using. I didn’t use for about a year, but only because I didn’t know anyone to get it from. I slowly learned the difference between choosing to quit and being unable to use. My wife was homesick and wanted to move back home and thought I was better but subconsciously I knew I was going to start using again, even feeling excited about it. I told myself everything would be ok and under control. I got high the day I moved back home. I worked long hours fueled by being high all the time and built a successful business from the ground up. The business that I worked so hard to build ended up causing my addiction to grow even faster. I had complete flexibility with my schedule and I used the funds to buy large quantities of oxycodone. At the worst point I was spending $10,000 a month on drugs while at home my wife struggled to pay the bills. I had to beg investors for more money to make ends meet at my business. It all came to a head when my wife started catching me using at home and at my office. I knew I had to make the choice to get better or I would lose my wife and son, who is due in April. After a brief unsuccessful stint with Suboxone therapy, my counselor recommended the Coleman Institute. I had nothing else to lose so…. why not? I am here today writing this down, just before having my naltrexone pellet implant--with high hopes for the future. I’m ready to wake up tomorrow and start a new life.” The Accelerated Opioid Detox at the Coleman Institute is unique. Ours is an outpatient medical detoxification process, allowing loved ones to participate in the care of their child, spouse, or friend. Our staff continues to be recognized for the competent, compassionate, and high quality care we deliver. Our office is one of the earliest utilizers of naltrexone as a highly effective Medication Assisted Treatment (MAT) for opioid addiction. Because of our success using naltrexone, many other doctors around the country have sought training in our methods and have joined the Coleman Institute team. We now have locations in 14 cities across the United States. To learn more about having a Medication-Assisted Treatment that does not produce physical dependency (like buprenorphine or methadone do), please give us a call. - Joan R. Shepherd, NP #### New Suboxone Limits for Physicians Recently, the U.S. Department of Health and Human Services decided to publish "Practice and Guidelines for the Administration of Buprenorphine for Treating Opioid Use Disorder" to expand access to medication-assisted treatments (MAT) by exempting physicians from certain requirements needed to prescribe buprenorphine for opioid use disorder (OUD) treatment. Since 2020, more than 83,000 drug overdoses have occurred in the United States, the highest number ever recorded in a 12-month period according to the Centers for Disease Control and Prevention (CDC). The increase in overdose fatalities only signifies the need for treatment services to be more accessible for people at risk and this action will expand access to availability of treatments (such as buprenorphine) for opioid use disorder treatment Treating Patients with Suboxone By choosing a Suboxone (buprenorphine/naloxone) detox it can help aid in preventing the use and purchasing of opioids; but the buprenorphine itself is a narcotic. Because each Suboxone dose does stay int eh body for weeks, traditional detoxing from this drug can result in over a month of pain, sleeplessness, anxiety, and other withdrawal symptoms. At the Coleman Institute, we recognize the fear and frustration of replacing one addiction with another and the challenge patients face when trying to detox from Suboxone. With patients who have adapted the Accelerated Opioid Detox program, it can meet the unique needs of individuals who are ready to come off Suboxone (buprenorphine/naloxone). By using non-addictive drugs, we're able to completely remove the narcotics attached to patients' brain receptors. Once the initial detox is complete, our team will work with you to treat any post-acute withdrawal symptoms to ensure that you are on the best road to recovery and complete healing. It is important to note that because the outpatient treatment takes days instead of weeks or months, there is very little disruption to your day-to-day lifestyle. Suboxone Treatment Rules When determining rules for Suboxone treatment, the government intentionally chose a design that was different from methadone programs. Methadone was approved as a treatment for opiate addiction around 1970. Because it is an addictive and abused drug, it could only be given out in licensed clinics. Restrictive regulations were put in place, including required daily attendance at the clinic, and supervised consumption of medications. In some ways, the regulations contributed to the problem. It is difficult for patients on methadone to travel or hold a job, and they are regularly exposed to other actively using drug addicts. In order to avoid the same consequences, rules for Suboxone were designed to allow a physician in private practice to prescribe Suboxone type products for up to one month or longer. There were, however, no requirements for counseling, drug testing, or any other case management services. The Suboxone program has been somewhat successful and has allowed many patients to change their drug addiction/dependent lifestyle. However, because there are very few regulations, we are experiencing an influx of clinics which provide prescriptions for Suboxone with minimal psychological help for the underlying addiction. Some of these clinics only take cash, spend minimal amounts of time with the patients, and do little more than supply drug addicts with their drugs. Without these clinics providing any other resources or encouragements to transition to a sober life, it is sometimes hard to tell a difference between them and people on the street who sell their products for cash. Current Suboxone Regulations Thankfully, the latest regulations will be an improvement to the industry. As of October 2020, the DEA regulations require that a legitimate prescription must include the full name and address of the patient. Additionally, any prescription issues must include a DEA registration number and a facility number to ensure credibility. Providers must be an Addiction Medicine Specialist with extra credentials, and they have to be in a qualified practice setting. The qualified practice has to accept insurance, provide case management, and be available for emergencies. These are major improvements that will hopefully change the Suboxone process and enhance access for patients who need treatment. #### New Year’s Resolutions and the Reality of January It’s the middle of January and I have already slipped! Well, this is why New Year’s resolutions don’t have a great track record of success. As a matter of fact, according to US World and News reports, 80% have succumbed by the first week in February. And the overall success rate is less than 8%. Not very good odds. There are many reasons that New Year’s resolutions don’t work. They are artificial They are not well thought out or planned They are unrealistic You have bitten more off than you can chew You aren’t ready You are doing it for someone else Don’t beat yourself up if you’re having difficulty staying true to a New Year’s resolution--you are clearly in the majority! The key is to look at your individual situation. If your resolution is about facing an addiction, it may require some additional tools. For example, you might be emotionally and, possibly, physically dependent on substances and need a medically supervised detox. Bottom line: when we speak of an addiction, it can be so complex that a simple New Year’s resolution is not going to be the answer. So, let’s start again. These are some of the questions to ask yourself What is the substance that is problematic? Am I committed to abstinence and recovery? What are the resources available to me? Who can I ask for help? What have I tried in the past? What worked, what didn’t? Do I need medical intervention? Abstinence and recovery is not a matter of willpower or white-knuckling it. It is a conscious choice and decision. But you will need help. Everyone does. Please don’t be afraid to ask for it. Rather than declaring a resolution, many people have been identifying a word or phrase that captures their theme for the New Year. Some that come to mind that might be helpful are recovery, freedom, inner peace, I’ve got this, success, hope, etc. Please call us at 877-773-3869 if you are interested in a safe and convenient outpatient detox. We can help you get your New Year off to a better start. Deborah Reich, M.D. SCHEDULE A CALLBACK #### Newly Sober During the Holidays Christmas music is now playing in stores and on the radio and you are newly sober. Congratulations! This is an incredibly vulnerable time for a newly recovered person. Even the music can be a trigger. Recovery is a process and will be tested many times over the years. It’s one day at a time. But that first holiday season IS tough. If you can acknowledge this and make a sober plan, you will be okay. First and foremost, be gentle on yourself. Here are just a few tips for maintaining that sobriety you just worked so hard to achieve. Chances are that you have gone through detox, rehab, IOP, or 12 step program. Remember those resources are still available to you and always be. Many have 24-hour support. 1. Have a plan….for everything. Don’t take any situation lightly or for granted 2. Identify an accountability partner-whether it be a friend, a family member or a sponsor. Speak to that person daily if possible, but certainly before and after attending any holiday get together 3. Remember, it’s just another day. Yes, it’s a holiday, but that does not mean your sobriety is on vacation. Protect it like you would your most prized possession. Right now it is! 4. Identify charged people and situations. Limit contact and avoid these people and situations if you must. If you have to limit your time at an event, limit your time. 5. If you have to skip an event, skip an event. Make an excuse if you have to. Take care of you. 6. If you must go, have an exit plan. Take your own car. Slip out without saying goodbye. Whatever you must do, do it. 7. Make sure that someone at that gathering knows that you are newly sober and ask them to help you and check-in with you throughout the event. This will be an honor for someone ASK FOR HELP 8. Celebrate in a way that does not involve substances…even if it means you eat 3 pieces of cake. 9. Remember that the cravings will pass. Don’t give them the power to derail you. 10. Avoid HALT-hungry, angry, lonely and tired. 11. Exercise before an event if you can. Hopefully, your natural endorphins will help see you through. 12. In the case of alcohol remember “One drink is too many, and a thousand is not enough.” 13. You are thinking that first sip or hit might feel so good-but then remember the guilt, shame and physical effects that you will feel afterward. It’s simply not worth it. 14. Everyone makes different choices – your choice has been to put down the substance. It doesn’t matter what day it is. Honor your choice! 15. Celebrate yourself. Acknowledge how far you have come. Remember there will be challenges, always. This day is no different than any other day. The holiday season does not have to be miserable. And, you don’t have to wait until after the holidays to address your addictions. We can help you NOW and will be there for you throughout the holidays. That’s our promise to you. Please call us at 877-773-3869 to learn more about our opioid and alcohol detox services at the Coleman Institute for Addiction Medicine. Deborah Reich, M.D. SCHEDULE A CALLBACK #### Nitrous Oxide Detox in Richmond, VA Nitrous oxide, commonly referred to as whippets, NOS, or Galaxy Gas, has become an increasingly misused substance, particularly among younger individuals. A now common party drug, repeated use can quickly spiral into dependence, brain damage, and emotional instability. At The Coleman Institute, we understand the dangers of nitrous oxide and have seen it firsthand. Although not classified as an opioid, nitrous oxide activates the opioid system and primarily exerts its effects through non-competitive antagonism of NMDA receptors. It being somewhat similar to opioids opens the door to an innovative detox solution, our Accelerated Outpatient Opioid Detox program. Let's break down what nitrous oxide is, why it's addictive, and how our outpatient detox treatment can provide a safe, comfortable, convenient, and effective path to recovery. What Is Nitrous Oxide? Nitrous oxide is a dissociative anesthetic with both medical and recreational use. In hospitals, it's administered as 'laughing gas' for pain relief and sedation. Recreationally, it's inhaled through balloons, dispensers, or tanks, producing a short-lived sense of euphoria, dizziness, giddiness, and even auditory and visual distortions. Common street names of nitrous oxide include: Whippets NOS N2O Laughing Gas Galaxy Gas Hippie Crack Canisters/Chargers Its popularity stems mostly from its accessibility, as smoke shops will have it in stock for sale. Commercially, they’re available as steel aerosol whipped cream dispensers. But its legality has fueled a widespread misconception, leading many to believe it's harmless. Nitrous oxide is not safe when used recreationally, frequently, or in high doses. Why Nitrous Oxide Can Become Addictive Unlike substances such as heroin or fentanyl, nitrous oxide isn't physically addictive in the classic opioid sense. However, many people find themselves using it compulsively, unable to stop even as their health deteriorates. Let’s explore why that is. Activation of Opioid Receptors Nitrous oxide involves the opioid receptor system, primarily through the release of endogenous opioids. These receptors are tied to pain relief, reward, and euphoria, making them foundational to the development of addiction. Although NOS does not cause typical opioid withdrawal, repeated stimulation of these receptors may create a feedback loop of emotional cravings, dysphoria, and compulsive use. Psychological & Neurological Dependency Nitrous oxide misuse can lead to: Brain fog & dissociation Depression & anxiety Irritability or apathy Peripheral neuropathy Symptoms include numbness, tingling, & nerve damage Vitamin B12 depletion This can lead to irreversible brain & spinal cord damage These negative effects can make attempting to quit even more difficult, especially without medical support. How Our Accelerated Detox Protocol Can Help The Coleman Institute specializes in outpatient, comfort-focused detoxification for opioid use. Given nitrous oxide's effect on the opioid system, our protocol can be helpful for individuals dependent on NOS and other substances.  Are you wondering what to expect at The Coleman Institute's detox program for nitrous oxide? Comprehensive Medical Evaluation Not all NOS users are alike. Some use occasionally; others inhale countless canisters a day. Our clinical team starts with a full assessment of: Your nitrous oxide use history Physical & psychological symptoms Any co-occurring substance use Mental & physical health concerns We personalize each treatment plan based on our patients unique needs. Non-Addictive Comfort Medications During detox at The Coleman Institute, patients are supported with: Expert treatment to help with withdrawal & cravings Medications that help reduce anxiety & mood swings Supplements to support neurological healing Close clinical monitoring to ensure safety & comfort Our approach is abstinence-based, allowing you to detox safely without replacing one addiction with another. Outpatient Flexibility Unlike inpatient rehab, our detox is done on an outpatient basis. That means no hospitalization, just daily visits to our facility. Our detoxes are completed in only a few days, with a 95% completion rate. Naltrexone Therapy for Long-Term Sobriety Because NOS affects the mu opioid system, patients may benefit from Naltrexone Therapy. Naltrexone is a non-addictive medication that: Blocks the euphoric effects of opioids Reduces withdrawals & cravings Can be administered as a monthly injection (Vivitrol) Naltrexone may not directly block nitrous oxide consumption, but by stabilizing the opioid system, it helps reduce cravings, being extremely helpful in recovery from N2O. What Recovery Looks Like After Detoxing At The Coleman Institute, we believe that detox is just the beginning; recovery is a journey, not a destination. That's why we work with you and your support network to create a continuing care plan tailored to your sobriety goals. Our case management connects you with: Therapy for trauma, anxiety, or depression Neurological rehabilitation for cognitive symptoms Recovery coaching or support groups We also offer Naltrexone Therapy as an aftercare option, with monthly Vivitrol injections at our facility. Why Choose The Coleman Institute? With thousands of patients treated over the past 25 years, we are one of the nation's most experienced providers of detoxification services. We are the only detox program in the country offering this outpatient approach for substances acting on the mu opioid receptors, like nitrous oxide. Ready to Break Free From Addiction? If nitrous oxide use has taken control of your life, or someone you love is struggling, it's never too early (or too late) to get help. Call us today, let's reclaim your life together. #### No One Made Me Come To Treatment “No one made me come to treatment – That’s good, right?” – I hear this all the time. Patients who come to us for help say this frequently. They are convinced that because they are coming for help voluntarily, it will make them more likely to stay clean and sober for the long term. I usually say to them – somewhat jokingly, “Well, good for you … but that won’t help you at all. . . unless you also do the necessary work to stay in recovery.” I tell them that wanting to come to treatment is just like wanting to go to the gym. Wanting to go to the gym only does you any good if you actually do go to the gym and work out! Wanting is not enough. Only putting in the time and doing the work will count. I have been asked to give a talk at the Annual Virginia Judges’ Conference in Norfolk in May. I will be giving the Judges an update on the current Opioid Epidemic and what we can be done to minimize the damage. A big part of my message is going to be that Judges can have a large influence on how many people get clean and sober, and how many stay in recovery for the long term. Judges across this country have already helped numerous people get clean and sober as a result of drunk driving offenses. UNDERSTANDING ACCELERATED OPIOID DETOX The truth is there are hundreds of thousands of people who are now clean and sober because they received a DUI and were forced into treatment. These people didn’t want to stop drinking, but they were forced to attend treatment in order to keep their driver’s license. Because they had to stick with their program over a protracted period, many of them came to appreciate and enjoy being sober and they are still sober today. We also see this phenomenon in health care professions. Physicians and nurses generally never come into treatment programs because they wanted to stop using. They most likely come to treatment because they have had a major problem and the problem came to the attention of the authorities. They went to treatment in order to save their medical license and to keep their careers intact. What happens is that, over time, they start to really see just how bad their problem is. They begin to see and experience reality. Most begin to fully appreciate that the drugs and alcohol were causing most or all of their problems. They start to appreciate that they will have a happier life if they stay clean and sober. By being forced to practice these new behaviors over a long enough period, they learn new habits. Studies of physicians who get treatment for their addictions show a long-term success rate of over 90%! GET THE ALCOHOL DETOX GUIDE There is plenty of evidence that people who are coerced into treatment – and monitored – actually have a better success rate for long-term recovery. This doesn’t make much sense until you start to think more about it. It turns out that doing recovery actions – practicing recovery behaviors – is actually more powerful than having good intentions. There are a couple of sayings in Alcoholics Anonymous. One is – “if you bring the body the mind will follow!” The second one is – “You can’t think yourself into good actions, but you can act yourself into good thinking”. Both slogans are saying the same thing. If you do the actions long enough it will begin to change the way you think about yourself. If you do the actions of a person in recovery - by going to support groups, making new sober friends, making amends for your past behaviors, helping others, etc., then you will become that person in recovery, and you will begin to see yourself in a new way. It is like learning to ride a bicycle. If you keep getting back on a bike, you will learn to ride it. How can you not? And, if you keep riding a bike and hanging out with other bike riders you will start thinking of yourself as bike rider. Think of the places you can go on your bicycle. Think of the places you can go with your new-found freedom! Peter R. Coleman, MD SCHEDULE A CALLBACK #### Non-Addictive Medical Treatment for Opioid Addiction Earlier this month we worked with a family from South Carolina at our Richmond Coleman Institute office. Accompanied by his parents and younger sister, Tim (not his real name), a 27-year-old college educated young man who works in the finance world, came to us for a Medically Assisted Withdrawal off Suboxone. Four years earlier, after struggling to stop using prescription pain pills (Roxicodone®, Percocet, and Opana), he easily found a doctor who was quick to prescribe Suboxone. Indeed, with the buprenorphine and naloxone provided by the Suboxone, his cravings for short-acting pain pills was gone. The doctor saw him each month and regularly prescribed him 30-60 8/2mg sublingual strips. He told him to use one or two a day, as needed. Several months after beginning Suboxone treatment, Tim was on day one of a week-long business trip when his Suboxone was stolen. He wasn’t too worried because he had an appointment scheduled with his doctor the following week. And anyway, he’d been contemplating stopping the ‘subs’ on his own. He felt confident about never going back to playing around with opiates ever again. He didn’t experience any particularly intolerable side effects in the first 48 hours, but soon after that, he started having flu-like symptoms. “I was having the chills, my back and bones ached and I couldn’t sleep. The restless legs were the worst.” He was embarrassed to admit to me that he actually didn’t tie these symptoms to Suboxone withdrawal right away; he didn’t really get that Suboxone was “addictive”. His prescribing doctor had failed to mention this, simply telling him that it was okay for him to stay on Suboxone indefinitely.   UNDERSTANDING ACCELERATED OPIOID DETOX   This is actually a very common scenario for us. Many patients who are seeking Medication Assisted Treatment (MAT) from opioids will be offered Suboxone. Some people will use it for a short period and hopefully remain abstinent; others like Tim, will have an indefinite plan for continued prescriptions. Countless patients and families tell me they were unaware that getting off Suboxone could be worse than getting off heroin or prescription opioids. Post Acute Withdrawal Symptoms (PAWS) from Suboxone and other buprenorphine containing products like Bunavail® and Zubsolv® can go on for weeks. It seems to be worse for some people than others, and perhaps this depends on the length of time and the strength of the medication. But all of our patients who have weaned themselves from 24mg to 16mg to 8 mg to 4mg—struggle greatly to get off the last 1-2mg. At the Coleman Institute we offer a Non-Addictive Medically Assisted Withdrawal Process for patients seeking to stop both long acting and short acting opioids. Our method accelerates the removal of opiates from the opiate receptors and replaces them with naltrexone. This means for instance, that instead of having a 30 to 50 day detox off of Suboxone, we complete it in 8 days. Naltrexone is a pure opiate antagonist, or an “opiate blocker.” When naltrexone is populating the opiate receptors, no physical cravings for opiates are felt. We strongly encourage patients to commit to taking naltrexone for at least a year, but no matter when they discontinue this medication, there are no withdrawal symptoms from it since it is not an addictive substance. Tim’s family is representative of many who, believing they are helping their child get the most effective treatment for opioid addiction, may not have the full understanding of just how difficult it can be to discontinue Suboxone. A Non-Addictive Medically Assisted Treatment may be a better choice. Joan Shepherd, FNP SCHEDULE A CALLBACK   #### One Pill Can Kill Here’s a recap of Dr. Peter Coleman’s video, “One Pill Can Kill”. The Dangerous Reality The DEA has recently come out with a campaign to get the word out, called One Pill Can Kill, and it's dramatic and it's true, and we've been hearing about it. The truth is, about 70,000 people last year experienced an overdose, almost all of it caused by fentanyl. The studies show that something like 20% of the pills that are made on the street that people are buying have fentanyl in a dose that's fatal in one pill. It doesn't kill quite that many people because a lot of people using stuff out there have tolerance, and so they can tolerate a little bit more than that. But for an uninitiated user, someone who thinks they're buying Xanax, or buying Valium, or buying some other pill, or anything, ecstasy, MDMA, who knows, it's a fatal dose. UNDERSTANDING ACCELERATED OPIOID DETOX No Way to Know Fentanyl is deadly. It's deadly every time you try it because you have no idea what you're buying if it's in a powder or it's in a pill or something like that. But if it's pressed and you think it's a real pill from a real pharmacy, it can be fatal. And I've seen pictures of these things and they look identical to the ones that are made by the pharmaceutical companies. I don't know why drug companies are putting fentanyl in things like that. It doesn't make any logical sense to me that if somebody's trying to buy Xanax or a downer or sedative that they would want to use an opiate. #### Opioid Detox Transcends Politics The world is experiencing unprecedented simultaneous events between the novel coronavirus compelling people to dramatically alter lifestyle habits and current events that are causing people to question how their deepest beliefs drive their actions and impact others. I work with people who share different political beliefs and I serve patients from different walks of life. Based on our upbringing and the news we listen to, we have all arrived wherever we are with our own version of what is true.   Your Truth and Your Opioid Detox In this sense, we are the product of everything we have consumed, whether it’s from our parents, our schools, our churches or our preferred source of information. That makes these ‘truths’ susceptible to being subjective and conditional. The good news is it has created a platform for meaningful dialog and the possibility of change where change is needed, but only if these changes are built upon the bedrock of the deepest values that serve humanity. So, although our clients at the Coleman Institute for Addiction Medicine may cover the spectrum of political beliefs and perceive the threat of COVID-19 differently, the physical act of detoxing from opioids has no preference for any ideological or philosophical opinions. Why is “Cold Turkey” Opioid Detox So Difficult? Detoxing off opioids is an equal opportunity offender, causing vomiting, diarrhea, and severe stomach and muscular cramping to anyone who goes through it. This is why it is so very difficult for people to simply stop taking this kind of drug. It holds a person hostage, and for those who have had the experience of a cold turkey detox, the terror of repeating this scenario will keep many locked in the misery of continuing to use, simply so they don’t get sick. UNDERSTANDING ACCELERATED OPIOID DETOX   Certainly for the clients we see at the Coleman Institute, they are no longer ‘having fun’ using their substance. The greatest portion of our patients are desperate to get off this horrible treadmill they’ve created for themselves. Opioid Detox at the Coleman Institute The opioids we help people eliminate from their bodies include hydrocodone products such as Vicodin® and Vicoprofen®, oxycodone, and the various forms it takes. Other opioids include hydromorphone (Dilaudid®) or oxymorphone (Opana®), fentanyl, Stadol®, kratom, poppy seed variants, and heroin. We also help people get off longer acting opioids and partial opioid agonists such as methadone and buprenorphine (Suboxone®, Zubsolv®, Butrans®, etc). Our accelerated opioid detox process is done in an outpatient setting so our patients can stay with their support person and have minimal time in our medical office. We use a combination of medications — each carefully chosen to address the symptoms of opioid withdrawal and achieve the right balance of comfort and safety. The Coleman Institute has been a leader in using long-acting naltrexone as its preferred form of Medically Assisted Treatment for opioid use disorder (OUD) for over twenty years. Upon completion of the detox, patients receive a naltrexone injection or implant. Differing from methadone or buprenorphine treatment, naltrexone is a pure opioid blocker and does not create physical dependence. Beyond the medical treatment, patients are provided a plan for ongoing treatment to create the greatest opportunity for long-term recovery. Detox Support at the Coleman Institute Our staff is — dare I say — wonderful. Sometimes I just smile to myself as I hear the laughter or the quiet chatter. The standards that guide our office are safety and science; the values are kindness and compassion. We understand how difficult it is to detox on your own. If you or a family member are dealing with the tough reality of trying to get off opioid medications, please give us a call at 877-773-3869. Although the emergence of COVID-19 has caused us to create some new protocols for staff and patient safety, we have yet to turn away the first patient. Joan R. Shepherd, NP SCHEDULE A CALLBACK #### Opioids for Chronic Pain: Can My Doctor Refuse to Prescribe Pain Medications? In an effort to help curb the opioid crisis in our country, more and more doctors are refusing to prescribe necessary opiate-based pain medication for patients suffering from chronic pain. In fact, a recent study found that approximately 40 percent of primary care doctors are now refusing to accept new patients who require a prescription for opioid-based pain medication. For many patients with chronic pain issues, this could lead to a situation where they cannot get the pain relief they need from proven, effective painkillers. Can your doctor refuse to prescribe pain medication to treat chronic pain? Learn more and find out how the Coleman Institute in Richmond, VA, and our detox clinics around the country can help you detox from pain medication with the Coleman Method and live a life free of addiction. John's Story of Prescription Opioid Pain Medication Dependency John is a 60-year-old man who was the victim of a motor vehicle accident in 1996 that left him with multiple injuries, including skull, vertebral and other bone fractures. He was hospitalized for several weeks. He had his entire face rebuilt and rods placed in his back while the doctor screwed other bones back together. He experienced severe acute and chronic pain, and— needless to say— because it was 1996, he was treated with a vast spectrum of prescription opioids, including hydrocodone, oxycodone, and hydromorphone. Treating Chronic Pain with Opioids in the ‘90s In the 1990’s doctors began to prescribe more opioid pain relievers, as they believed certain types of pain were inadequately treated. As a registered nurse on a medical-surgical unit in the hospital, I was tasked with asking and documenting every patient's pain level. This measure was considered the "5th vital sign." As a result, great efforts were taken to help physicians overcome the fear of using prescription opioids for pain management. It worked. As opioids became more widely used and accepted, the unintended consequences of the increased non-medical use of opiates have taken their toll, and opioid overdoses continue to mount. According to Psychiatry.org, "an estimated 3 to 19 percent of people who take prescription pain medications develop an addiction to them”. More like this: When Pain Medication Becomes a Dependency John Grew Dependent on Opioid-Based Prescription Pain Medication John, who had never had a Substance Use Disorder, became physically dependent on prescription opioids to manage his chronic pain. He never lost his pain medication. He never shared his pain medication. Instead, he faithfully went to his doctor—his family internist—who gladly filled his prescriptions for pain relievers. They had enjoyed years of knowing each other, and his doctor also was his wife's physician. His doctor's office would occasionally request a Urine Drug Screen to stay in compliance. But there were never any 'surprises' or illegal substances found. John’s Doctor Refuses to Prescribe Opioid Pain Medication Last year John's doctor told him that he would probably not be prescribing his opiate-based pain medications soon. But they told him not to worry; the office would help him find a pain medication specialist in the area. This news was more of an inconvenience and just a little problematic. Plus, he knew and liked the office staff, and John had well-established his monthly routine. It was a little frightening to anticipate turning all this over to a new pain management doctor: one glitch, one late prescription was terrifying. He knew the horrors of opioid pain medication withdrawal symptoms. He had experienced it only once since beginning pain management when he forgot to pack his painkillers and left for vacation. It never happened again. What he didn't know was that this trend was happening all over the United States. As a result, the government took urgent steps to dent the unanticipated consequences of years of overprescribing addictive opioid pain medications. More like this: What to Do if Your Doctor is Refusing to Prescribe (Opioids) Pain Medications CHRONIC PAIN MANAGEMENT FAQS Can Your Doctor Refuse to Prescribe Pain Medication? According to the CDC, more than 20 percent of Americans suffer from chronic pain, with many of those patients suffering from “high-impact” chronic pain. Medical providers find themselves in an increasingly difficult position when providing pain relief. Doctors are responsible for prescribing pain medications. However, they can also face serious legal issues for inappropriate prescribing, including malpractice liability, medical board discipline, and criminal convictions. A fascinating article in the American Journal of Law and Medicine describes why physicians are turning away from prescribing opioid pain medications, even for "legitimate" patients. According to a report by The American Medical Association (AMA), there has been a nationwide decrease in opioid prescriptions of over 44%. Most physicians who prescribe opiates for pain management have patients sign an agreement that includes behaviors expected on the part of the patient to receive prescriptions. If these behaviors are breached, dismissing a patient from the practice is simpler. But many offices simply refuse to treat patients with chronic pain due to complexities and extra scrutiny and are referring their patients to the care of pain management specialists. In this case, most offices will advise their patients of this decision, hopefully giving them some options and enough painkillers to get them to a new prescriber. More like this: Suboxone Alternatives to Detox Off Pain Medication The Dangers of Quitting Opioids Cold Turkey Unfortunately, over the years, I have heard people with Substance Use Disorder express that withdrawing from opioids “won’t kill you; it just feels like you’re going to die.” It is far more medically dangerous to abruptly stop drinking alcohol when consumption of it has been heavy and regular. In addition, people who have been on opiate-based pain medication for a short period may have some minor flu-like symptoms when they stop. The U.S Food and Drug Administration (FDA) has even received reports of serious harm in patients that suddenly quit taking pain medications after growing a dependency. Opioid Pain Medication Withdrawal Symptoms Those who have become physically dependent on opiate-based medications because of extended use may experience the following withdrawal symptoms for a prolonged period: Extreme muscle cramping Sweats Nausea Vomiting Diarrhea #### Opioids, Tobacco, and Relapse When patients come to the Coleman Institute for Addiction Medicine to detox off various addictive substances such as heroin, fentanyl, Percocet®, Dilaudid®, Roxicet®, or any other derivatives of morphine, they aren’t feeling their best. We generally ask people to stop using their short-acting opioid by 6:00 pm the evening before they arrive, and if they are coming to our clinic for a detox off longer-acting meds such as methadone or buprenorphine products, we ask them to stop using 48 hours before their arrival. Most of our patients have already tried to stop using on their own, so even though they aren’t looking forward to this gap without medication, they know they can get through it. They also know that shortly after they come through our doors, we will be providing several medications to relieve their symptoms. (See blog: The Easiest Way EVER to Get Off Opioids) Our patients are screened for their medical history so we can give them the safest detox possible. We review their medications and their health habits. It turns out that many patients, in addition to having a Substance Use Disorder (SUD) involving opioids or alcohol, are simultaneously addicted to cigarettes. In my early days of working at the Coleman Institute, I would routinely tell people, “Don’t worry about the cigarettes for now. Let’s focus on the opioids (or alcohol). That’s the most important thing. I also won’t hassle you about flossing your teeth or eating more broccoli at the moment.” UNDERSTANDING ACCELERATED OPIOID DETOX But I have had a major sea change in this regard. The research robustly supports a very strong correlation between smoking cigarettes and relapsing. And relapsing is the last thing patients who have gone through the rigorous process of detoxing want to go through again! I’m referring to an article posted on the National Institute for Drug Addiction website last year. The researchers analyzed data from two surveys done about 3 years apart, completed by over 5000 people with substance use disorders (SUD). When these people participated in the first survey, they were in remission. They had a follow-up survey about three years later. The researchers found that people who smoked cigarettes at the initial interview and who were still smoking 3 years later were about 1.5 times more likely to use drugs and twice as likely to have SUD at follow-up than those who quit smoking. And people who didn’t smoke at the initial interview, but started between interviews were almost 5 times more likely to report substance use at the follow-up compared with those who did not smoke! (I was really amazed at these numbers!) Why does cigarette smoking have this correlation? Dr. Heather L. Kimmel who works at the National Institute for Drug Addiction puts it this way, “Even though various substances have different pharmacological mechanisms, all drugs of abuse ultimately affect the same reward pathway. Abstinence from all of them will help the patient move to a new physiological state and, hopefully, a new mental state as well.” According to the National Insitute for Drug Addiction, “Tobacco smoking can lead to lung cancer, chronic bronchitis, and emphysema. It increases the risk of heart disease, which can lead to stroke or heart attack. Smoking has also been linked to other cancers, leukemia, cataracts, and pneumonia. Smokeless tobacco increases the risk of cancer, especially mouth cancers.” It just seems crazy to stop using opioids and continue to use tobacco. So, if you book an opioid detox with me at the Coleman Institute, I will probably make a gentle suggestion that this might be the perfect time to release your hold on all substances keeping you from your perfect health. Just saying. Joan R. Shepherd, FNP SCHEDULE A CALLBACK #### Over 60? 3 Great Reasons to Stop Drinking Now I asked my dear and accomplished friend, Leslie Eckford, to guest write a blog post on some things to consider regarding alcohol and aging. Leslie is the co-author of Aging with Care: How to Hire and Manage Caregivers at Home (Rowman and Littlefield 2018) and MindfulAging.com. You can learn more about healthy aging and care at the Mindful Aging Youtube Channel and Facebook page. Is a little bit of alcohol good or bad for your health? While the debate rages on, some things are undeniably clear. When it comes to aging and alcohol, the negatives outweigh the positives. Here are 3 compelling reasons for you to put the booze away for healthy aging. 1. Don’t Get Thrown off Balance With aging come inevitable changes. You may have sensory changes, such as needing a new prescription for your glasses sooner than when you were younger. You may have a harder time hearing your friend’s conversation in a noisy restaurant. As hearing and vision alter, it can result in hampering one’s sense of balance. We encourage people to counter this with regular exercise that includes strength-building and flexibility. But, add alcohol to that mix, and the risk of falls increases. Alcohol is well known to interfere with attention, physical coordination and reaction time. Combined with normal changes of aging, imbibing a few drinks can result in falls and injury. Falls in the elderly often result in injury, such as fractured bones. Hip fractures can spell faster decline for even a healthy aging individual. Drinking while aging is best avoided. GET THE ALCOHOL DETOX GUIDE 2. Your Hangover will be Worse As we grow older, our body has a harder time processing the toxins in alcohol that give you a hangover. Specifically, alcohol (or ethanol) is metabolized in the liver. The 2 enzymes that do the work are alcohol dehydrogenase (ADH) and aldehyde dehydrogenase (ALDH). In older adults, these enzymes fade in their efficiency to do the breakdown of ethanol. This results in a much worse hangover. For some people over 60, this can happen even with smaller amounts of alcohol consumption. Let’s remember what the symptoms of a hangover are. From the Mayo Clinic: Fatigue and weakness. Excessive thirst and dry mouth Headaches and muscle aches Nausea, vomiting or stomach pain Poor or decreased sleep Increased sensitivity to light and sound Dizziness or a sense of the room spinning Shakiness Decreased ability to concentrate Mood disturbances, such as depression, anxiety, and irritability Rapid heartbeat So, if you were hoping to enjoy unlimited cocktails in your golden years, think again. A hangover may have its charm as a badge of honor for some college-age kids, but it is remarkably unappealing for a wizened grown-up. 3. Common Age-Related Illnesses can Worsen with Alcohol Diabetes and hypertension (high blood pressure) can affect many people as they grow older. It is imperative to control these illnesses as they can lead to very serious complications of heart disease, stroke, memory loss, and disability. Alcohol consumption easily impairs a person’s efforts to manage these diseases. Consider that alcohol is related to some forms of cancer, can reduce immune system function and worsen osteoporosis. All of this on top of its well-earned reputation for ruining the liver should give anyone at any age pause to seriously consider abandoning this habit. Jump on the Healthy Aging Bandwagon There are many, many reasons to quit drinking. With the explosion in the aging population in this country and around the world, it would make sense to consider every action that you can take to improve your overall health for this life phase. As the saying goes, growing old ain’t for sissies. It is difficult and challenging. More and more, people are seeking the fountain of youth to stave off the ill-effects of age. Perhaps one of the most powerful things you can do is in the palm of your hand. Keep that glass empty. Leslie Eckford SCHEDULE A CALLBACK #### Over Sixty, Finally Sober: An Interview With An Alcohol Detox Patient With the goal of interviewing people who have inspired me during my tenure at the Coleman Institute, this month’s interview is with Walter. I have organized my interviews around author Annie Grace’s trifecta of ACT: Awareness, Clarity, and Turnaround. In her 2018 book The Alcohol Experiment, she encourages people to use these steps to explore their own relationship with alcohol. Walter came to our office for an alcohol detox over a year ago and now has about 18 months sober. He exudes integrity and authenticity. His dedication to learning about and sharing his newfound and growing expertise in the field of addiction in a quiet, humble way, continues to draw people to him. Walt was the oldest of three children. His parents were hard-working in their careers, and his mother, kind and loving, always made sure breakfast and dinner were available, despite her work schedule. Because he was able to work independently, Walter’s father would often take his son to the local beer joint for hours. As Walt got older, his father asked him to hide bottles from his mother around the house so he would have enough to drink later. He frequently woke Walt in the middle of the night to referee arguments (always verbal, never physical) with Walter’s mother. Walt suspected that part of the reason his mom drank was to verbally defend herself during these alcohol-induced arguments. Walt’s father had played college football and early on encouraged his son to play sports. Walt excelled both academically as well as in baseball and football. He didn’t start really drinking until he went to college. Annie Grace, the author mentioned earlier, synthesizes strategies and ideas from some of her favorite gurus to come up with a formula to assist people in examining and changing their relationship to alcohol. Follows is Walter’s story, organized around the principals of ACT: Awareness, Clarity and Turnaround. 1. AWARENESS   What were your beliefs about alcohol, your conscious reason for drinking?   “I joined a fraternity and began my true drinking career. I quickly found that I had the ability to make people laugh when I was under the influence. For the next 4 years, I realized that my drinking contributed in a positive way to these performances and what people expected of me.” Walt began a successful career in banking, while also playing semi-pro football and competitive softball. His drinking was limited due to the necessity of staying in shape to play sports, but by then he was starting to recognize that he didn’t drink like normal people. He drank to excess a couple of times a week. His belief: “I saw my drinking as a reward and stress reliever.” 2. CLARITY   Discover why you held these beliefs around your drinking, where it originated, and what seemed to support these beliefs.   Clearly, Walter was excelling even while he continued to drink. Professionally, he was regularly promoted and rose to the level of Vice President in his bank, in charge of 100 people. He married his best friend (they are still married—37 years) and raised two daughters with her. He made it to all of his children’s functions and was a very active parent in their activities. How easy it would be to support the belief that the alcohol wasn’t affecting him, that he could continue to drink this way! Walt had grown up seeing his parents performing all necessary functions of job and family while drinking heavily. Beliefs are often created on a subconscious level, and over time our brains continue to "gather evidence" to reinforce them.   ALCOHOL DETOX FAQS   3. TURNAROUND   In this third step, Grace invites her readers to allow the subconscious mind to let go of beliefs about alcohol by actually turning a belief around and seeing if the opposite isn’t truer, and coming up with reasons to support this new belief.   So if these are some of the beliefs: I function just fine at this level of drinking. I’m an effective parent even though I drink. I do well at my job despite my drinking. My health is not affected by my drinking. Then some opposite turnaround thoughts might be: I don’t function well at this level of drinking (and find examples to support this new belief.) I’m not an effective parent. (and find examples) I don’t do well at my job (and find examples) My health is affected by my drinking (and find examples). For Walter, it became harder and harder to continue to support the belief that alcohol wasn’t affecting several important areas of his life. Although he attended all his children’s functions, he says, ”I felt like I was the only parent in the crowd that had alcohol on my breath. I was reminded of my father.” He also knows in retrospect that his drinking affected both his career and athletic performances. When he retired, his drinking increased enough that it began to affect his cognitive abilities and balance. It became more and more difficult to hold onto beliefs about the ‘positive’ attributes of drinking. “It was apparent that all in my family knew that I had an addiction to alcohol,” and at that point, he knew he had to take action and do all he could against his addiction. This is the point Walt came to the Coleman Institute for alcohol detox and began therapy in earnest. As Walter has embraced his sobriety, it seems that every time I see him, there is another great story to support his new beliefs about not drinking. He has done training as a SMART Recovery facilitator, he has led group therapy sessions, his health has improved, and his family—a critical support system for him—has him back in a way that only people who get their family back from an addictive foray, can understand. I have even called him to come to the office and speak to others going through alcohol detox, to share his story to receptive patients. Walt is excited to face the present and the future. In his words, “I know that my sobriety is my greatest asset. It allows me to live my life with dignity and to face good or bad daily situations.” It can be dangerous to stop drinking on your own. If you have questions about stopping your own drinking, check with your doctor, or give us a call. We have several locations around the country to do help you do this safely. Joan R. Shepherd, FNP   SCHEDULE A CALLBACK   #### Overcoming Addiction: An Interview with Dr. Coleman There is never a shortage of material to use for writing a blog article for the Coleman Institute. Inspiration swirls around me in the form of patients who are discovering the amazing freedom they have found in recovery, community support around recovery that continues to grow, authors of books and blogs who share their own stories and insights, podcasts, research, my own colleagues, etc. With that in mind, I decided to set the goal of interviewing at least one person a month who has inspired me during the 11+ years I have worked as a medical professional in the field of addiction. I chose to use a format for the interviews based on the work of Annie Grace from her book The Alcohol Experiment. (Avery; 2018) Grace synthesized strategies and ideas from some of her favorite gurus to come up with her own formula to assist people interested in changing their relationship to alcohol. Her trifecta is ACT: Awareness, Clarity and Turnaround, and it has guided thousands of people to question, then change, their drinking habits. My interview questions are based on this format. My first guest interview is with Dr. Peter Coleman himself. AWARENESS What were your original conscious beliefs about the drugs and alcohol you were using? I loved drugs and alcohol from the first time I experienced them. It was so fun and pleasurable using them, that it exceeded any negative risks and harms. I thought then that the purpose of life was to experience the most pleasure humanly possible, and drugs totally fit into this philosophy. CLARITY Why did you believe that? Where do you think this belief originated? In New Zealand where I grew up, drinking was a huge part of being grown up; drinking qualified you as a member of a fun group. I’m not sure where the hedonic belief about experiencing every possible pleasure came from, except in the west we certainly hold up people who are successful by cultural standards: people with lots of money, power, prestige, and influence. What were you observing at that time that helped support those beliefs for you? I loved the feeling I got when I first drank alcohol. The first time I got drunk, I knew I wanted to do it again, even though it came with a nasty hangover. My first high with marijuana took me to this new world that I thought was so magical and exciting. With cocaine’s first high, it was the most pleasurable feeling I thought a human could possibly ever have. How did the drugs support these beliefs? The drugs were so instant and reliable. They continued to predictably produce good feelings and good experiences. I felt funnier at parties, and it was easier to talk to people. How did your environment, culture support these beliefs? In New Zealand, heavy drinking is a big part of the culture as a country. I surrounded myself with people who liked partying as much as I did—they weren’t just spending their time studying. ACCELERATED OPIOID DEXTOX FAQS TURNAROUND At some point, your subconscious brain was able to let go of these beliefs. How were you able to turn these beliefs around and come to a new understanding of what was true for you? In October of 1984, I had a drug overdose and was taken to the hospital. Because I was a doctor, I was forced to go to a 4-month treatment program. During the treatment, I had to list all the negatives that came with the drug experience. By age 28, I had accumulated a lot of negatives that I’d never seen before. When added up, it was clear that my drug and alcohol use came at a high price. In addition to the overdose that nearly killed me, I’d been arrested 2-3 times, I had had accidents, I had been quite depressed, I had failed a university course, and the drug use was affecting my performance at work, so I had been placed on probation. Around that same time, two of my friends died as a consequence of their alcohol and drug use. Being confronted with this list was stunning to me. It had never crossed my mind that I was partying so much. I really thought I was in control. Even with an overdose, I thought: that was just bad luck. Ok, so I made one little mistake. Treatment saved my life. I started realizing that I’d been chasing the wrong thing. I began to understand that I’d been pursuing pleasures rather than happiness. I came to appreciate that pleasure is a short term, brief, chemical reaction in the brain that always wears off…and what I really wanted was happiness: a long term, deeper feeling. This path was more and more apparent as I spent time with people in long-term recovery. I remember reading in some book the notion that happiness is a byproduct of living a right life. You can’t get it, it comes to you. Since that time, I have worked hard and done what I can to orient my life along this path, rather than looking for short-term pleasures/relief. Dr. Coleman will celebrate 35 years of recovery this year. His experience, insight, and love of working with people suffering with substance use disorders permeate the culture of the Coleman Institute, including all of its affiliate offices. Please call us to learn more about our outpatient alcohol, benzodiazepine, and opioid detox programs. And, if you have been through our treatment and would like to share your story in an interview, please be in touch! Joan Shepherd, FNP joan@thecolemaninstitute.com THE PATH TO FREEDOM STARTS HERE #### Overcoming the Fear of Stopping Methadone I was moved to write a letter to a patient who completed an Accelerated Opioid Detox off Methadone last week. She is in the Post Acute Withdrawal (PAWS) stage, which can be very challenging. I have changed the name of the patient, but wanted to share the sentiments with you—or a loved one—who might be considering life without opioids, but are fearful of taking the plunge. Dear Catherine, I enjoyed speaking to you, and I hope you continue to feel better every day, if only in the tiniest of increments, and that you are able to appreciate and savor the progress you are making. I have never gone through what you are experiencing, so all of my encouragement and advice come from being with people in similar circumstances for over a decade; witnessing their struggles, and celebrating their ultimate success to be finally free from opioids. I heard something yesterday that immediately made me think about you and our conversation. It’s from BJ Fogg, author of Tiny Habits. He was being interviewed on a podcast I like called The One You Feed. The host is a guy in long-term recovery and he interviews all kinds of inspiring guests. Here’s the quote that made me stop and find a pencil: "Hope and fear are vectors that push against each other and the sum of those two vectors is your overall motivation level. If you can remove the vector of fear, then hope will predominate and your overall motivation level will be higher. Speaking with you, I could hear the fear in your voice. I heard your concern about never being able to feel "normal" again, to sleep well, to focus. Your feelings and emotions are all over the place, you are exhausted, and your beloved partner doesn’t know what to do. You are filled with remorse when you lash out at her because "she doesn’t understand." Medications for sleep and anxiety are minimally helpful. You finally wept when you told me you don’t believe you have the tools to deal with this situation. Over the years I have come to learn from my patients that using mind- or pain-altering substances serves a purpose, even if this is not always well thought out, and even if only briefly. Over time, the substances often exacerbate the very conditions people used them for in the first place: anxiety, depression, loneliness, boredom, despair, pain. How to get off of Methadone Safely Many individuals become enrolled in Methadone Maintenance Treatment (MMT) plans to treat opioid addiction, yet are unaware of best practices to come off of Methadone. While a period of methadone treatments tropically consists of a 12-month cycle, many service providers rely on keeping patients continually on Methadone treatment to prevent relapse. The problem with continual use of Methadone that many patients fail to realize, is that it is incredibly difficult to detox from the drug, even harder, than heroin or opiates. Although there are tapering options available for Methadone use, research does show that success rates range only from 25%-50%. With much discouragement on the right treatment and risk of overdose, relapse, or death; the journey towards recovery can seem daunting. Fortunately, there are safe treatment options available, specifically for Methadone, that keep patients comfortable and leave little disruption to day-to-day life and activities. Coleman Method for Methadone Detox At the Coleman Institute we understand the importance of a safe and effective means for recovery from substances like Methadone. Which is why we have carefully created an Accelerated Opioid Detox program to meet the needs of our patients, families, and loved ones. With this detox program, our patients first are introduced to non-addictive drugs and sedatives, in order to completely remove the narcotics. While most other detox programs typically offer treatment for patients currently on 30 mg of methadone or less, our outpatient program at the Coleman Institute can detox patients from methadone doses up to 300 mg. Then, because Methadone stays in the body for longer periods of time, we extend the outpatient treatment to eight days (in most cases), rather than three. However, because the overall treatment takes days instead of months, patients experience very little interference with daily life scenarios. Once the treatment is complete, the Coleman team continues to work alongside the patient to ensure the best continual plan is set for further healing and recovery. Additional Methadone Continued Treatment Programs Include: Counseling Healthcare Services Psychiatric Therapy Life Coach Housing Aid UNDERSTANDING ACCELERATED OPIOID DETOX For Catherine's scenario, I want to reassure you that after working with her I was totally confident in the ability to not only get her through this difficult phase in her life but to be all the stronger for her and support her struggle. When she told us that she had lined up counseling and already attended a local recovery meeting, we initiated her like many others to incorporate journaling and find like-minded people to help her through this phase. She remembered what we talked about and acknowledged that she is serving a higher purpose to give her peace instead of angst. While it is normal to experience the physical, emotional, and uncomfortable feelings during recovery; it always comes as a surprise to many in turning the fleeting sensation into a focused and present initiative for change. Methadone Detox and Rehabilitation Centers The Coleman Institute has been helping people get off addictive substances for over thirty years. We specialize in Accelerated Opioid Detoxes, which include hydrocodone products, oxycodone products, heroin, fentanyl, kratom, buprenorphine, and methadone, to name a few. Our programs are unique in many ways, perhaps most notably, due to providing one of the only outpatient detoxes in the country specializing in the use of naltrexone. If you’d like to know more about what we do and how we do it, please call our contact center at 877-773-3869. Joan Shepherd, FNP SCHEDULE A CALLBACK #### Oxycontin vs Oxycodone: What's the Difference? New opioid detox patients at the Coleman Institute sometimes ask us the question, "What is the difference between Oxycontin and oxycodone?" Understanding the differences between oxycodone and Oxycontin is important for determining the right course of treatment during detox. Both have significantly contributed to the opioid crisis and the rise of overdose deaths across the United States in recent years, and both pose a significant risk of dependence and addiction. While they may sound similar in name, the prescription medications Oxycontin and oxycodone are distinct in terms of their formulation, usage, and effects. To understand the differences between oxycodone and Oxycontin, you have to examine their chemical properties, pharmacological impacts, applications in clinical settings, and the broader implications of their use, especially in the context of opioid dependence and addiction. What Are Oxycontin and Oxycodone? Both Oxycontin and oxycodone are opioid-based medications known for their potent pain-relieving properties and are commonly prescribed for moderate to severe pain. Oxycodone is an opioid analgesic medication synthesized from thebaine, an opioid alkaloid found in the Persian poppy. It was developed in 1916 in Germany as one of several semi-synthetic opioids in an attempt to improve on existing medications. Oxycontin, on the other hand, is a brand-name drug that contains oxycodone. The key characteristic of Oxycontin is that it is an extended-release form of oxycodone. It was introduced in the U.S. market in 1995 and has since been a subject of controversy due to its high potential for addiction and accidental overdose. What is the Difference Between Oxycodone and Oxycontin? Chemically, there is no difference between the oxycodone component in Oxycontin and other forms of oxycodone. The primary difference lies in the delivery method, formulation, and effects of the two pain medications.  Oxycontin is designed to release oxycodone slowly over a 12-hour period, providing long-term relief from moderate to severe pain for patients who need continuous, around-the-clock pain management. This controlled-release mechanism is also beneficial for managing chronic pain, as it helps maintain a steady state of the drug in the bloodstream, reducing the need for frequent dosing. Oxycontin is typically prescribed for chronic conditions like cancer-related pain or severe back pain. Because of its long-acting nature, Oxycontin is not suitable for sudden, acute pain. Oxycodone, in its immediate-release form, is more versatile. It provides faster pain relief but must be taken more frequently. This makes oxycodone suitable for pain that occurs intermittently or doesn’t require long-term treatment and for acute pain following surgeries, injuries, or as part of palliative care. It allows for more flexibility in adjusting doses depending on the pain level and is often prescribed to be taken "as needed.” Oxycontin vs Oxycodone: Dependence and Addiction Both Oxycontin and oxycodone carry a high risk of dependence and addiction, as is common with opioid-based medications. However, the risk may vary slightly between the two due to their differences in formulation and the manner in which they are consumed. Oxycontin, because of its high oxycodone content and extended-release properties, is often used for illicit purposes. The extended-release design means that each tablet contains a significant amount of oxycodone intended to be released gradually over 12 hours. However, individuals may tamper with the medication to bypass the extended-release mechanism. Methods such as crushing, chewing, or dissolving the tablets can lead to the immediate release of the entire dose of oxycodone at once. This can result in a powerful high, but it also significantly increases the risk of overdose and severe respiratory depression. Immediate-release oxycodone provides quick pain relief and can also be attractive to those seeking the euphoric effects of opioids. However, the need to take multiple doses throughout the day can make it more cumbersome for recreational users compared to extended-release formulations like Oxycontin. Additionally, because immediate-release oxycodone must be taken more frequently, it can be easier for patients and healthcare providers to monitor and manage its use, potentially reducing the risk of unintentional misuse or overuse. Despite these differences, both Oxycontin and oxycodone are associated with high rates of dependence and addiction when not used as prescribed. Long-term use of either medication, even under medical supervision, can lead to physical dependence, where the body becomes accustomed to the presence of the drug, and withdrawal symptoms occur if use is abruptly discontinued. What starts as a simple injury or medical condition can easily lead to dependence or addiction when prescribed these powerful opioids, even for the most cautious individuals. Many people start taking oxycodone or Oxycontin as prescribed, following their doctor's instructions, yet find themselves needing higher doses to achieve the same pain relief due to increased tolerance. This gradual increase can inadvertently lead to physical dependence, making it difficult to stop without experiencing withdrawal symptoms. Through no fault of their own, normal people can find themselves trapped in a cycle of dependence and addiction. GUIDE TO UNDERSTANDING ACCELERATED OPIOID DETOX Oxycodone vs Oxycontin: Regulatory and Legal Impacts The high potential for abuse of Oxycontin has led to significant legal issues for its manufacturer, Purdue Pharma, and has been a major contributing factor to the opioid epidemic in the United States. In response, Purdue Pharma reformulated Oxycontin in 2010 to make it more resistant to tampering, although this has only partially mitigated the problem. The legal scrutiny around Oxycontin also led to changes in how it is prescribed. The regulations surrounding opioid prescriptions have become more strict in recent years, with both drugs now being highly regulated. Physicians prescribing these medications are required to follow guidelines to prevent misuse and addiction, including prescribing the lowest effective dose and maintaining thorough patient records to help prevent issues with dependence and addiction. Oxycodone and Oxycontin Detox with the Coleman Method While OxyContin and oxycodone are closely related, understanding their differences is crucial in managing pain effectively as well as avoiding issues with dependence or addiction. Both medications have a place in individualized medical treatments but must be used judiciously and under strict medical supervision to minimize risks and ensure patient safety. If you are struggling with dependence or addiction to oxycodone, Oxycontin, or another opioid substance, our outpatient program offers one of the fastest, safest, and most comfortable ways to detox. Patients who use the Coleman Method to detox from opioids have a 98% completion rate for successfully finishing the detox process, and our use of Naltrexone Therapy during recovery helps curb cravings, dramatically reduce the chances of relapse, and provide much-needed long-term support. Contact us in our Richmond, VA, office or one of our nationwide clinics near you to take the first step toward reclaiming your life from opioids today. SCHEDULE A CALLBACK #### Pain Medicine: Is it Skewing Your Priorities? I am in the luxurious position of spending most of my time doing exactly what I want to do. Of course, there are still toilets to clean, laundry, bills and taxes, but I love my day job and spend my free time cooking good stuff, doing yoga, practicing calligraphy and hanging with friends and family. I’ve managed to pull this off in large part by taking to heart the advice I learned years ago from Steven Covey, a guru of many things, including time management. I saw him speak at a large seminar where he did the Big Rocks Demo. With two large empty jars in front of him, he filled the first one completely with small pebbles. Needless to say, when he tried to then put a large rock in the jar, it didn’t fit. In the second jar, he placed four or five of the large rocks. On top of these, he poured in smaller pebbles, then added sand, and finally water so the jar truly was filled to capacity. The point of the demo was an admonishment to create time in your life for the Big Rocks—the things that are most important. I don’t know what that means specifically for you, but for most people, it means time for our family, our health, our spiritual growth, jobs, fun and friends. LEARN ABOUT ACCELERATED PAIN MEDICATION DETOX Being in the grip of addiction--whether to substances such as Percocet®, Roxicet®, Dilaudid®, Vicodin®, fentanyl, heroin, Suboxone®, methadone, pot, booze or benzos—robs you of the best life has to offer. It causes you to ‘fill your jar’ with a thousand tiny pebbles, neglecting what’s most important. Geneen Roth who has written and speaks extensively about her experiences with eating disorders eloquently states, “Until we examine what we really want, we mistake indulgence (in what we think we want) for freedom.” I urge you to contact the Coleman Institute for Addiction Medicine if you need some assistance in releasing yourself from your addiction to any substance that is causing you to skew your priorities. Putting your Big Rocks in the jar first is what it’s all about. Call us now or request a callback by clicking the button below. Joan R. Shepherd, FNP SCHEDULE A CALLBACK #### Parents' Ultimatum: Stop The Heroin Or Go To Jail I interviewed Caylee for this blog article. Caylee has been coming to the Coleman Institute for Addiction Medicine for several years now for long-acting naltrexone treatments. She has close to four years of sobriety under her belt, and although many things impress me about this young woman, I think I’m most taken by the intensity she continues to put into her commitment to stay off drugs. As she says, “I can’t rest in complacency.” She started using drugs (mostly pot and alcohol to start, then heroin) because immediately it took away the pain and gave her self-confidence. Naturally an introvert, on drugs “I could talk to anybody.” She was with a group of like-minded people who all had mostly positive experiences with their drug-using. Obviously, this group of people was not stopping her; they certainly didn’t see her drug use as a problem, even though she OD’d the first time she used a needle. She describes the relationships she had with her drug-using friends as “great – they helped me get what I wanted.” ASK FOR HELP When using heroin became more of a physical need than a pleasurable high, relationships with people who truly cared about her went down quickly. She stole from her mother, racked up credit card debt, and shoplifted. She stole her sister’s clothing and sold it at an upscale consignment shop. She took out a title loan on her car for $2000, went to a hotel room, and spent the rest on drugs. When that ran out she lived in her car or in dirty hotel rooms. When I asked her when her thoughts about the drugs changed, she points to the day Capital One called her mom about fraudulent credit card use. Her parents confronted her and gave her an ultimatum, believing that Caylee needed the money for weed. Caylee says at first she couldn’t even get the word “heroin” out of her mouth, it was such an untenable notion to her parents. A daughter who used heroin did not fit into their worldview. When she finally did tell them she was addicted to opioids –specifically injecting heroin – she said her parents were equal parts shocked and relieved. The ultimatum her parents gave her was to stop using or go to jail. “And jail scared the shit out of me.” Her parents put cameras in the house, and although they tried to find a medical place for her to detox, there were no open beds for three weeks, so she detoxed cold turkey at home. “That was probably the best thing that could have happened for me.” (I love that she says for me and not to me :)). ACCELERATED HEROIN DETOX Caylee had tried both Suboxone® and methadone in the past in her attempts to stop using, but it was too easy for her to trade or sell it, and she always slipped back to heroin. She came to the Coleman Institute for long-acting naltrexone treatment and started attending intensive therapy and recovery meetings. Naltrexone is a non-addictive opioid blocker that reduces cravings for opiates and can block the highs. When Caylee was four months clean, her father was diagnosed with cancer. He died six weeks later. I asked Caylee what her life is like now. “Everything is good. I have a job and money. I do things without looking stupid, and I’m not getting sick. I have true self-confidence, especially in the way I stand up for myself at work. Probably the hugest thing is the trust my family has in me again--my Mom and sister. I’m making good relationship decisions. The last boyfriend I had, I met in rehab—he’s definitely not my type now. My relationships and friendships have changed drastically. I had a date last week—I’m not used to someone paying for me and opening the car door. He’s been clean for ten years. I’m definitely ‘pumping the breaks’ as I consider a new relationship.” Caylee is still not where she wants to be career-wise, but she continues to put in the effort toward moving forward. She has changed her expectations from wanting things to happen overnight, to knowing it takes time, effort, and it’s a process. She will probably return to school at some point. The last trip Caylee’s family had together before her addiction consumed her life was to Hawaii. This year, she and her mom and sister returned to Hawaii and there they scattered her father’s ashes. The toughest things she’s dealing with now? Death anniversaries. She has lost so many friends to drugs. Of course, her father’s death, and a year ago an ex-boyfriend committed suicide. She has learned to talk about the pain instead of bottling it up inside, and she stays committed to her sponsor and counseling. Caylee is one of the thousands of people who have found the joy in living again after the despair of addiction. If you or a loved one would like help getting off an addictive substance such as Vicodin®, Percocet®, Dilaudid®, heroin, fentanyl, methadone or Suboxone®, please give us a call today. I would love to do a redemption interview on your story. Joan R. Shepherd, FNP READ MORE POSTS LIKE THIS #### PART 2: Choose Healthy Habits All habits are behaviors that have been repeated enough times to become automatic. James Clear, author of Atomic Habits, breaks habits into simple feedback loops composed of four steps: cue, craving, response, and reward. His four laws of behavior change are rules we can use to build new (hopefully better) habits. The four laws are: Make it obvious Make it attractive Make it easy Make it satisfying Add This to Your Recovery Toolbox As I mentioned in my previous blog, a Substance Use Disorder is more than a “bad habit”. Substance and behavioral addictions are complex psychosocial, physical, and some say, spiritual conditions. My purpose in discussing Clear’s work is to encourage people who desire sobriety to consider using some of his concepts as part of their recovery toolbox. The more automatic a behavior becomes, the less likely we are to think about it. We tend to overlook things we’ve done thousands of times. One of the simplest yet most effective suggestions Clear makes is to compile a detailed list of habitual behavior. When I really sat and did this, trying to include the most subtle and repeated behaviors, there were so many, I found it useful to break them down into morning, work, and evening routines. The value in this exercise is to begin to shine the light of awareness onto habitual behaviors. We can’t change something we aren’t aware of. Support Sobriety With Healthy Habits I had discussed this concept with Kim, a 24-year old patient who has been sober now for a couple of tentative weeks. She already has some fairly extensive liver damage, and is desperate for sobriety. Her ‘homework’ was to write down her own habitual behaviors; we were looking for some possible landmines that might sabotage her attempts at sobriety. The first thing that caught her attention was her habit of looking at social media at stoplights, especially on her way home from work at the daycare center. By the time she got home, she realized, this very act already had her anxiety stirring. All she wanted to do by then was to find an escape for the anxiety and popping a bottle of beer had always been a quick fix. This small example was incredibly helpful to Kim. Kim not only wanted to stop the habit of drinking beer, she knew she also wanted to build better self care habits. Using Clear’s first law to make it obvious, Kim decided to fill her refrigerator with multiple colorful cans of seltzer water. A beautiful in-your-face display with each opening of the refrigerator door. GET THE ALCOHOL DETOX GUIDE Make It Invisible, Make Sobriety Visible To eliminate a bad habit — using beer to quell her anxiety —we talked about Clear’s inverse of the first law: make it invisible. It was a no-brainer to not have beer in the refrigerator, but Kim took it a step farther. Because she had really taken the time to explore her habitual behavior and was able to notice some of the triggers to her anxiety (which triggered her drinking behavior), Kim decided to actually make her phone invisible, or at least inaccessible to her on her ride home from work. She resolved to put the phone in her purse, far back in her car where she could not reach it while strapped into the driver’s seat. Interestingly, she found the first few days of doing this was “ridiculously hard” in her words. She committed to not even having the radio on during her rides home, and instead to focus on some breathing exercises her counselor had taught her. Make Your Recovery Plan a Habit Kim is committed to her sobriety, and as strongly advised, is taking a multi-faceted approach to her recovery plan. She is attending twelve step support meetings with other people her age through a collegiate recovery program and continues to see her counselor, as well as follow up with our office and her liver specialist. She has found the long-acting naltrexone implant to be incredibly helpful in reducing her impulse to drink. I hope in the future to have her write a guest blog, sharing her journey. In the meantime, if you have any questions about how the Coleman Institute for Addiction Medicine can help you or a loved one safely detox off alcohol, or the various opioids (Opana®, Oxycontin® and hydrocodone products, methadone, buprenorphine, heroin or fentanyl) please give us a call at 877-773-3869. Probably the most consistent response we hear from our patients is how loving and caring our staff is. This is the second post of a five-part series. Check out the other posts in this blog series here. PART 1 | PART 3 | PART 4 | PART 5 Joan R. Shepherd, FNP SCHEDULE A CALLBACK #### PART 3: Cravings and Forming Habits James Clear, author of Atomic Habits defines the Habit Loop as consisting of four components: the cue or trigger, the craving, the response and the reward. By breaking each component down he offers strategies for those who are attempting to create a new habit or extinguish an old habit. And as stated in part 1 and part 2. of this series, I am not suggesting that addiction — either a substance use disorder or behavioral addiction — is simply a bad habit. However, for those committed to discovering a life of sobriety, his tools can be an excellent addition to the recovering person’s toolbox. Make Recovery Attractive In part 2 of this blog series, I talked about the first of the 4 laws of creating a new habit according to Clear, make it obvious. The 2nd law, make it attractive, addresses the idea that our brain must find something rewarding in order to continue to do it. With addictive drugs such as opiates and opioids (Opana®, Oxycontin®, heroin, fentanyl, kratom, methadone, etc), benzodiazepines such as Xanax® (alprazolam), Ativan® (lorazepam), Valium® (diazepam), etc, and alcohol, the effects of these drugs — even the very anticipation of the effects of these drugs — produces the neurotransmitter dopamine levels to rise in the brain. The Role of Dopamine in Forming Habits Dopamine — almost a household word these days — spikes when the brain anticipates something good is about to happen. This is why it’s an imperative component in the formation of a habit. Very simply, addictive drugs provide such an overwhelming amount of dopamine to the brain that it overrides any relatively small amount the brain would normally make. This urge — or wanting — created by dopamine is great for keeping us alive as a species if we are seeking water to quench thirst, or shelter to be safe from harm. But it can be the devil to conquer when it comes to stopping an addictive drug. GET THE ALCOHOL DETOX GUIDE Use RAIN to Halt Triggers Turning Into Habits Treatment programs address this issue as a major part of teaching patients how to deal with inevitable urges that arise from triggers. One of the most concise approaches is attributed to Dr. Judson Brewer, Medical Director of the Yale Neuroscience Clinic. In his words: “With addicts, we use the RAIN acronym. We get them to: R – Recognize what craving feels like. A – Allow it to be present without pushing it away, allow it to come up, do its dance and fade away. I – Investigate what craving feels like in my body right now with curiosity. N – Note craving as it comes and goes along with tension, yearning, and tightness in the body. We have found in our research that the more these addicts practice this approach, the more skillful they become at ‘urge surfing,’ or ride out their urges without acting on them.” Make Old Habits Unattractive I credit Jean, mother of three young children, who completed a successful accelerated opioid detox off heroin at the Coleman Institute for Addiction Medicine, with utilizing this tool so effectively. She had been drug-free and doing well for several months when she found herself in a funk with negative thoughts and strong emotions taking up residence in her brain. Her old thought habits seemed to reignite with a new ferocity, compelling her to respond in deep-rooted reactive ways: whatever she could do to most efficiently avoid the discomfort she was feeling. In the past, heroin was the solution. Jean had learned and was still diligently practicing the notion of “this too shall pass,’ using the RAIN acronym. To her delight — and almost astonishment — the new thought habit she had been striving to create kicked in. She found that, although the stressful situation hadn’t gone away, she was able to ‘ride the wave of discomfort’, and get well beyond a reactive response. She was truly experiencing the “ecstasy of detachment,” described by authors of The Tao of Sobriety, David Gregson and Jay Efran, as “being relieved of the burden of believing that you must always do something special or immediate about upsets, losses, or cravings. Let them be, and they just might let you be.” Coleman Institute for Addiction Medicine Can Help The inverse of Clear’s 2nd law of habit formation, make it attractive, is to make it unattractive. Perhaps for those seeking recovery, the unattractiveness is in the knee jerk reaction; the attractive is simply the delicious feeling of letting it be. If you have any questions about how the Coleman Institute for Addiction Medicine can help you or a loved one safely detox off alcohol, or the various opioids, please give us a call at 877-773-3869. This is the third post of a five-part series. Check out the other posts in this blog series here.PART 1 | PART 2 | PART 4 | PART 5 Joan Russell Shepherd, FNP SCHEDULE A CALLBACK #### PART 4: Make Not Drinking Easy While it is widely accepted that substance use disorders and behavioral addictions are complex psychosocial/spiritual conditions and not just bad habits, I believe that incorporating insights from the highly studied topic of habit change can be a boon for anyone desiring recovery. In earlier blogs we examined the habit loop: cue, trigger, craving, response, reward. In Atomic Habits, author James Clear breaks each component of the loop into digestible pieces and gives specific ideas for leveraging the achievement of maintaining a desired habit. Make It Easy The 3rd law of habit change speaks to the response phase: make it Easy. Just as all recovery programs emphasize the importance of changing persons, places, and things, Clear agrees that you cannot overrate the impact of one’s environment in the creation and maintenance of any desired habit. If you want to stop eating junk food, make it easy and keep it out of the house. Out of the car. Out of your office. If you want to stop drinking alcohol, make it easier and keep it out of your home (if possible). Change Your Routine Change your route if driving past a certain stop is a trigger. I recall a patient from southwest Virginia who told me on payday that he could stop at 40 places on his way home to spend his entire paycheck on pills! Which he often did prior to his accelerated opioid detox* at the Coleman Institute. One patient told me she really struggled with fixing dinner when she stopped drinking because that’s when she would open her first bottle of merlot, turn up the tunes, and “sink into the drink” while cooking. Her way of dealing with this for several months was to pick up healthy, prepared meals, and just stop cooking. She even chose to stop listening to certain songs because of the strong triggers they evoked. In short, she changed her routine and her environment. Twelve step meetings abound at happy hour. Find one that’s convenient for you and before you get home, give yourself the chance to unwind and be with others who share the same goals for sobriety. You don’t have to love every meeting you go to; it can suffice as another notch in the not-drinking/using belt. GET THE ALCOHOL DETOX GUIDE Creating the Desired Outcome Clear distinguishes behaviors that will create an outcome with behaviors that become mired in preparation, the difference between being in motion and being in action. While I am a staunch believer in utilizing all appropriate tools to assist in developing coping skills when a person releases their grip on an addictive substance or behavior that has delivered them from anxiety, depression, loneliness and other kinds of suffering, I frequently see patients who have read all the literature about substance use disorder and can describe pharmaceuticals like a walking Physician’s Desk Reference. Many have gone — and then discounted — recovery meetings for various reasons. They love the planning, strategy, and talking about not using or drinking, aka motion behavior, but they are short on the action side of behavior. Implicit in creating a new habit is actually doing it. You need to get your reps in; you need to actually not drink or not use. Make Drinking/Using Difficult The inverse of law 3 to extinguish an unwanted behavior is: make it Difficult. How can you make drinking/using difficult in your own life? Several of my patients have been ‘helped’ with this by being required to have car breathalyzers attached to their vehicles, or being required to show up at a moments notice for a urine drug screen with serious consequences for a dirty specimen. If you haven’t experienced legal issues, what about committing to a daily check in with a sponsor, a partner, or a friend? Just as you find ways to make not-drinking or using easy, consider actions that will make the same behaviors difficult. As a new habit becomes more and more internalized, one moves from simply having the goal of changing a habit, to actually changing their very identity. From “I will not drink for 90 days” to “I am a person in recovery”. Over and over again in my many years as a medical addiction professional, I have been privileged to witness extraordinary outcomes for people who have chosen the opportunities inherent in a life of sobriety. If you are exhausted from being in the motion phase of your addiction and are ready to proceed to the action phase, give us a call at 877-773-3869. Our outpatient detox services are available 365 days a year. This is the fourth post of a five-part series. Check out the other posts in this blog series here.PART 1 | PART 2 | PART 3 | PART 5 Joan R. Shepherd, FNP SCHEDULE A CALLBACK *An accelerated opioid detox can help a person get off oxycodone products, hydrocodone products, hydromorphone, fentanyl, kratom, heroin, methadone, or buprenorphine, to name several. #### PART 5: What Feels Better Than Heroin? The 4th and final law in James Clear’s Atomic Habits refers to the final part of the habit loop, the reward. In order for a new habit to form and be sustained, any reward must be satisfying. The difficult thing about this step speaks to our biology and evolution. As our earliest ancestors learned to survive predators, weather, famine and drought, acting in the present rewarded them, often quickly. This type of environment is called an immediate return environment. Leap forward to 2020 and consider this. If we save a few dollars from a monthly or biweekly paycheck, we might get to retire someday. If we start a 529 account and diligently add to it, our child’s college may someday be paid for. If we don’t eat those sausage, egg, and cheese biscuits every morning, we may prevent visceral fat from forming around our organs and prevent heart disease. All these examples refer to the delayed return environment in which we live. But in some ways, our brain hasn’t caught up with the changing times. Our brain really, really likes a reward. Now. The Trouble With Instant Gratification The ability to delay gratification has been well studied. And, no surprise, in order to obtain success in almost any realm of life, delaying gratification has to happen. At some point, if you want to fit into those trousers, you have to say no to late night eating. To get the grades, you have to do your homework. To write your book, you have to turn off Netflix and begin. So how can we apply this to a substance use disorder when a brain has been hijacked by the unparalleled pull of an immediate dopamine response? How can anything else possibly be anywhere near as rewarding as the effect of the drug? There is science and there is grace. UNDERSTANDING ACCELERATED OPIOID DETOX Detox and Recovery is More Than Just Science The use and subsequent abuse of heroin wreak havoc on the normal chemical functions of the brain. The brain essentially goes into overdrive with these pleasurable chemicals and someone’s grasp on reality begins to fade after prolonged exposure. When the body starts to come off of heroin an immediate lack can be felt and feel terrible for the user. This results in a dangerous cycle of heroin abuse. At the Coleman Institute for Addiction Medicine, we see it all the time. The bliss, the gratitude, the humility, the self-pride (in only the best way) as our patients begin to tentatively claim the identity of a person in recovery. When they are at last able to strip off the chains of addictive substances that have kept them locked in their personal hell and, as Dr. Coleman often speaks about, learning first hand about the difference between pleasures and gratifications. There is almost a child-like awe as people in recovery see the world through this different lens. But it can only happen when the brain can get off the substances to which it has become physically dependent and to which it has developed a tolerance. This is where our program is so powerfully effective. Our Patient-Focused Approach Our Accelerated Opioid Detox process actively removes the addictive opioids from the receptors where they are attached within the body. These include pain medications such as hydrocodone and its various formulations, Opana®, Dilaudid® Roxicet®, methadone, and morphine products. We also detox people from street drugs such as heroin, fentanyl, and even kratom. A growing number of people who have achieved some stability in their lives and wish to stop taking buprenorphine also seek our detox to assist them in getting through the rather protracted withdrawal that inevitably comes with this type of long acting medication. Our patients find they are more comfortable than expected while the detox process clears the brain's receptors of the substance they’ve been abusing. A support person who is invested in recovery and being with their friend and patient is also very important to help someone see the process through. Make Sobriety Your Reward A book I often recommend to family members who have a loved one struggling with addiction is Jeff Foote’s (et al) Beyond Addiction. I’m sure now it was the sub-title that made me pick it up to begin with: How Science and Kindness Help People Change. If I was asked what we do at the Coleman Institute in 10 words or less, I’d say “We help people using Science and Kindness.” Our elegant detox, tweaked and improved and modified over more than twenty years by Dr. Coleman and all of us he has trained and taught, will get you off your opioids. We specialize in using naltrexone to populate the receptors, taking away the urge and the ability to use opioids, thus freeing our patients to enjoy a whole different spectrum of rewards in the one “wild and precious life” (thank you, Mary Oliver) we are dealt. A young college student that recently came to us for help told us how happy they were to feel the joys of completing semesters again with their peers. They were no longer in a haze and felt confident to return to learning and completing assignments with fresh ideas, eager to start their career. The weight of the shame that came with their use disorder no longer was center stage in their life. If you are in a place where you want to appreciate a different kind of reward, creating new habits, ready to embrace the long-term gratifications of keeping a promise, honoring a commitment, caring for your own body, and for others in your charge, we can help you get started. Give our office a call at 877-773-3869. This is the fifth post of a five-part series. Check out the other posts in this blog series here. PART 1 | PART 2 | PART 3 | PART 4 Joan Shepherd, FNP SCHEDULE A CALLBACK #### Patients Love Our Medically-Assisted Treatment Why do people love coming to The Coleman Institute? Partly it’s because our method of Rapid Non-Addictive, Medically Assisted Withdrawal from opioids just plain makes the experience tolerable. Our patients are generally highly motivated; they are exhausted from a life of dependence on pills or heroin or alcohol. They desperately want to stop, even though this desire is often coupled with overwhelming fear, anxiety and shame. For patients and family members, this can be a terrifying time. Parents fear their child will be the next in the brutal statistics of unintended opioid overdoes. They wonder what they’ve done wrong and what they could have/should have done differently. Spouses wonder if their partners will ever be clean and trustworthy again. Friends want their friends back. Patients are uncomfortable. Many must be wondering, “Is this snake oil? We’ve tried so many things before, how do we know this will work?” GET THE ALCOHOL DETOX GUIDE And from the moment they arrive, the fear, anxiety, and shame begin to dissolve. The fact is, we care, and our patients feel it. Our patients love being in an outpatient setting so friends and family members can be supportive and included in every step of treatment. The patient never has to be alone in a cold, impersonal hospital room. And I work with some of the most intelligent, compassionate, non-judgmental people I’ve ever met. From the people who take the first phone calls, to the women behind the front desk, to the nurses and medical assistants specially trained to care for the patients from the moment they walk in the door until they leave, each one of our patients and their support person is warmly welcomed. I and my Nurse Practitioner colleagues and Dr. Coleman himself couldn’t imagine work we’d rather be doing. Our Director of Recovery Services makes it a point to meet with all patients in our Richmond office one-on-one, to hear their story, and to help direct them to the most appropriate treatment when their Medically Assisted Treatment (MAT) is completed. UNDERSTANDING ACCELERATED OPIOID DETOX We take our jobs incredibly seriously, and all patients are on monitors keeping track of vital signs throughout the final day of the detox. But that doesn’t blur the spirit of compassion and camaraderie that develops between the staff, the patients, and the support people. Laughs and cries are shared. Our patients are funny, intelligent, beloved people who are grateful to have the opportunity to finally get clean. We hear about their children, their jobs, and their passions. It is a privilege to help these folks begin to overcome an obstacle that has prevented them from honoring what they truly value in life. Give us a call and we can supply you with all the technical and strategic details of how our Medically Assisted Treatment works through the use of a non-addictive opioid blocker called Naltrexone, but the best part of the treatment is what you’ll experience when you get here. Joan Shepherd, FNP SCHEDULE A CALLBACK #### Post-Opioid Detox Peace Patients who come to The Coleman Institute for a rapid opioid detox return every two months for their follow up naltrexone implants. I must admit it sometimes takes me a few minutes before I completely remember them. There are a couple reasons for this. One: I’m getting older. Two: people look so different when they have been off these drugs for two months. They are happier and healthier. Those who had lost weight because of drug use have regained weight, and those who were bloated tend to lose weight. Eyes, hair and skin reflect the absence of the toxins. However, there are those patients that are very easy to remember, from the first visit to the most current. Troy* is one of those. On the first day of Troy’s detox, he was ebullient. He bounced off the walls with enthusiasm for his new chance at sobriety. He talked and talked and talked. Very funny, very charming, flashing his great smile at everyone who came in--kind of like a big kid, a little over the top, really. There was some concern that he didn’t get that this part of the process was the first step, not the fix. Recovery is a journey, and getting through withdrawal and ridding the body of opiates are just the beginning. The real work and opportunity come as life continues to provide daily fodder for dealing with ups and downs on a drug-free basis. But Troy came back 2 months later, then 2 months after that. I didn’t see him on those visits, but yesterday I saw him for his 4th naltrexone implant—he was closing in on six months of being clean. I saw a very different man from the guy I met during the actual rapid opiate detox process. When I opened the door to the exam room, I felt like I was in the presence of the Buddha. Troy radiated a quiet peace and joy. I was speechless for a moment when I recalled my memories of first meeting Troy. As we began to talk I asked him to give me a ‘snapshot’ of life. Here is some of what he quietly and humbly shared with me. I actually wrote these down while he spoke: Since I stopped (using), my physical, mental, and spiritual health is better. I am making more sound decisions instead of jeopardizing my future. I’m regaining the characteristics that make me a better person. It takes a lot to reboot yourself when you’ve been doing wrong for 25 years. I’m learning to replace the negative with positive; that’s hard for an addict who wants what he wants when he wants it.Its an uphill battle, but worth it. Troy is working two full-time jobs; he and his wife are closer than they’ve ever been. He plans to continue to get naltrexone implants for at least a year. So, please don’t be offended if you return for a naltrexone implant after a detox with us. I may not remember you immediately, but I--and all the staff—will rejoice with you for the courage and commitment you show by coming back. *I usually change a person’s name when I write about them, but Troy is very happy for me to use his real name; in fact, I think he’s going to do a video testimonial pretty soon. #### Probuphine - A New Buprenorphine Implant Probuphine® was first approved by the Food and Drug Administration (FDA) in 2016 and prior to approval had several studies conducted that aided in approving its treatment for opioid use disorder (OUD). The test made significant progress in showing participants who continued their previous scheduled regimen for opioid detox with the addition of a probuphine implant. After thorough observation from the participant study those that implemented probuphine to their treatments showed significant positive change in energy, sleep, and overall quality of life. What makes this treatment unique, is that it provides a continual, low-level dose for up to six months for those who are already stable on low-to-moderate doses of other forms of buprenorphine. Additionally, it is the only type of treatment that is in the form of an implant, whereas other opioid medications are typically found in forms of pills or films. This alone provides patients with a convenient means of not needing to resort to taking a pill daily. Currently, over 10.1 million Americans misuse opioids at least once over a 12-month period. With treatment options like Probuphine, it revolutionizes the method of opioid treatment and controls cravings or withdrawal symptoms to result in balance, self-control, and management. What is Probuphine®? Probuphine® is an implant which contains Buprenorphine, the active ingredient in Suboxone, Subutex and Bunavail®. The implant is inserted under the skin and delivers a dose of the medicine for about 6 months. Buprenorphine tablets and film have been available since 2000 and they have become a very popular treatment option for many patients. Because the treatment works very similarly to an opioid drug, it is familiar in that it does not activate the brain receptors but does occupy the same receptors that heroin or oxycodone would directly affect The main reason why Probuphine is used is due to its effectiveness on improving long-term outcomes for individuals recovering from opioid disorders and is said to have a lower relapse rate. Benefits of Probuphine Probuphine® has the potential to relieve both of these problems. Once patients receive their implants they will not be able to skip doses or sell their medicine, and it will be lot harder to override their treatment. There are other potential benefits from this treatment. A six-month implant will make it more likely that patients remain in treatment for at least 6 months. It has also been said that an implant can break the cycle of having to take a pill each day. This may help patients feel more normal and less like a drug addict. There is also less likelihood of children accidentally taking the medicine and suffering from an overdose. Side Effects to be Aware of With all treatments, there are potential side effects you should be aware of. And, because Buprenorphine relieves the withdrawal and cravings of opiates it attaches to the same opiate receptors similar to Heroin or OxyContin. What this means, is that it binds so tightly that most patients have more trouble getting off Suboxone than they do getting off heroin. Additionally, the withdrawal symptoms of any Buprenorphine product tend to last so long that most patients have a history of going back on their substance or they go back to using street drugs. Another main concern for patients using Buprenorphine, is the diversion and misuse of the drug. Many patients will admit they frequently divert their medicine. They sometimes use less of the drug than they are prescribed, or they sometimes skip some doses in order to sell their "extra" doses to other people. There is quite a street value for Suboxone because it is cheaper than heroin and prescription opiates. It can tide heroin addicts over if they can't find or afford their drug of choice. Some people also misuse their Buprenorphine products by injecting them. More commonly, people misuse their treatment by skipping a few days so that they can then feel a stronger high from using heroin - not exactly what was intended by the FDA when they approved these treatments to help patients get into recovery. One issue is the amount of Buprenorphine that is delivered - are they appropriate levels, and are they consistent over time? In fact, the implants deliver quite high doses of Buprenorphine initially, but over the 6-month life span of the implants, the amount delivered drops off somewhat. This could lead to a potential problem due to the lower doses of Buprenorphine and a cause of increased number of relapses as the dose goes down. We find that many patients also believe that this six-month regimen is the only cure and tend to neglect other important aspects. It's vital that those who do take buprenorphine understand the emphasis on the treatment drug and still follow with therapy and recovery plans. A typical question we gain also surrounds what happens if people use extra drugs - either more Suboxone, or street drugs. In earlier studies, patients who received implants were also allowed to use extra Suboxone tablets for cravings - which many people did. But using extra doses of Suboxone while on the implant defeats the purpose of the implant, as far as diversion goes - people will still have "emergency" doses around that they can sell or use themselves. Another issue concerns what to do after the treatment is over. The implants have to be removed after the 6-month period and questions remain about how easy they will be to remove. Another question arises for the patients who don't come back to have the implants removed and what effect it will have on their long term health if the implant stays in for an extra year or two. Finally, it is not clear what will happen to patients when they want to stop their implant treatment. After the implant loses its effectiveness, patients will definitely go into major withdrawal. Withdrawal of Buprenorphine is much worse to recover from prescription opiates or Heroin. Presumably, the intention will be for the patients to transition back to oral Buprenorphine products and detoxify from those. Find out if Probuphine is right for you Here at the Coleman Institute, we are seeing more and more patients who get onto Suboxone or other Buprenorphine treatment and are unable to stop taking it. They cannot stand the long and intense withdrawal symptoms coming off these products. Fortunately, our Accelerated Opiate Detox program works very well for these patients. So, it may be that Probuphine® implants do have a place in the treatment of opiate dependence and addiction. There are a lot of questions, and as mentioned, we will likely have to wait for the product to be released before we really see how well it helps and what are the related problems. At the Coleman Institute, we have been using Naltrexone implants, as opposed to Buprenorphine Implants, for more than 17 years. These Naltrexone implants block all opiates and dramatically reduce cravings, helping patients stay off opiates. I have to say that when I look at the research on Buprenorphine implants, I am more and more confident and satisfied with our treatment protocols. Our patients usually report no cravings at all. They are able to concentrate on their therapy and their recovery program. Many are able to use the Naltrexone implants to achieve long term recovery. SCHEDULE A CALLBACK #### Pseudoindoxyl (Pseudo) Withdrawal - Outpatient Kratom Detox What Is Pseudoindoxyl (Pseudo)? Mitragynine Pseudoindoxyl (also known as Pseudo or MP) is one of the most powerful compounds linked to kratom and its opioid-like effects. It is created when 7-hydroxymitragynine (7-OH), one of kratom’s strongest active ingredients, is rearranged into an even more potent form. Certain kratom products are now marketed as containing concentrated 7-OH and Pseudo, usually in tablet or liquid forms. Kratom and its enhanced versions act much more like traditional opioids. People who use them often find themselves developing dependence quickly and experiencing withdrawal symptoms as severe as quitting fentanyl or other opioids. For individuals using Pseudo products, and for loved ones watching their struggles unfold, understanding what makes these products so dangerous is the first step toward finding and getting help. How Pseudo Is Different From Regular Kratom Standard kratom leaves mostly contain mitragynine, the plant’s primary compound. Mitragynine can create dependence over time and can lead to Kratom Use Disorder (KUD). Pseudo and other 7-OH enriched products are in a different category than typical kratom, especially when the two are mixed. 7-OH, 7-Hydroxy, or 7-Hydroxymitragynine, is an even more potent opioid-like compound that is present in small amounts naturally but often concentrated in extracts. Pseudo, MP, or Mitragynine Pseudoindoxyl is a rearrangement product of 7-OH that is formulated to be even stronger, now appearing in some marketed kratom products in stores as well as online. These factors make Pseudo potentially even more addictive and more difficult to stop using, especially alongside 7-OH. Many people don’t even realize they’ve moved from standard kratom into using synthetic products that are even more potent. What Pseudo Withdrawal Feels Like Because Pseudo acts like a strong opioid, withdrawal symptoms often mirror opioid withdrawal. Physical symptoms: Severe muscle & bone pain Nausea, vomiting, & diarrhea Restlessness & fatigue Sweating, chills, & goosebumps Increased heart rate or blood pressure Psychological symptoms: Overwhelming cravings Anxiety or panic attacks Depression & hopelessness Irritability & agitation Difficulty sleeping Many people describe Pseudo withdrawal as even harsher than expected, especially if they believed the kratom they were ingesting was just a safe herbal product. Why Quitting Alone Is Dangerous A common myth is that kratom is easy to quit. It’s not, especially when you’re using an enhanced version. Because of how it taps into the same receptors in the brain as opioids do, stopping suddenly without medical help often leads to: Intense withdrawal symptoms Higher risk of relapse Increased overdose risk Medical Detox is vital for people struggling with Pseudo withdrawal. Outpatient Detox for Pseudo Withdrawal The Coleman Institute for Addiction Medicine has been saving lives for over 25 years, and we’ve been helping people detox from kratom since 2018. Our Kratom Detox program safely manages withdrawal while allowing patients to return home each day. This makes recovery more accessible for people who can’t put their lives completely on hold or afford to stay in a 30-day residential rehab. Our Kratom Detox Approach: Short Treatment Timeline - Most detoxes are completed in just a few days instead of having to face withdrawals for weeks. Comfort-Focused Care - We use non addictive medications to help reduce withdrawal symptoms and cravings. No Hospitalization Needed - Our process is safe and outpatient-based with no inpatient stay required. Relapse Prevention - Many patients opt for Naltrexone Therapy to reduce cravings and protect against relapse. The Coleman Institute is Here to Help If you or a loved one is abusing kratom products, you may notice mood swings, anxiety, or repeated failed attempts to quit. It can be confusing and painful (mentally and physically), especially as these products are sold legally and often marketed as ‘safe’. But Mitragynine Pseudoindoxyl is not harmless. It acts like an opioid, and withdrawal can be extremely challenging. The good news is that with professional help, recovery is possible. Many people who once felt trapped by kratom addiction have broken free and started a new chapter in life. Find Help for Pseudo Withdrawal At our Virginia headquarters, The Coleman Institute accepts Anthem Blue Cross Blue Shield and Sentara Health Plans, along with self-pay and financing options. We also provide treatment in Colorado, Florida, Georgia, and California. Call us today at 540-253-1029 or schedule a callback to learn more about outpatient detox for Pseudo withdrawal. Whether you’re struggling yourself or supporting someone you love, you don’t have to face addiction alone. #### Questioning Your Beliefs About Substance Use John Gottman and Nan Silver are the authors of The Seven Principles for Making Marriage Work. Their approach for couples wanting to improve relationships is based on a seven-week program focusing on the positive aspects of their partners and their current situation. They emphasize how easy it is to fall into negative patterns of behavior with loved ones. At the Coleman Institute for Addiction Medicine, we work with people who are committed to making behavioral changes. Usually these clients are attempting to stop using alcohol (beer, wine, and/or spirits) or opioids such as morphine, heroin, Dilaudid® (hydromorphone), fentanyl, Percocet® (and other flavors of oxycondone), Vicodin® (and other flavors of hydrocodone). Both good and bad behaviors are born from beliefs. Sometimes beliefs surrounding substance use and abuse are so old and so deep that our patients can’t quite remember how they influenced what has now become a very soul-sucking, hamster-wheeling addiction. I like to emphasize how a thought repeated becomes a belief; how a belief repeated becomes one’s ‘personal religion’. As the reinforced thought is repeated over and over and over again, it begins to take up more and more ‘real estate’ in the brain, actually creating a neural default pathway. We then live our lives by the structures we’ve created—oftentimes when they are no working for us. ASK FOR HELP After a successful alcohol detox or ambulatory opioid detox at one of our many outpatient facilities, we recommend some type of therapy. Cognitive behavioral therapy (CBT) is an effective therapy for people with Substance Use Disorder (SUD). And research indicates that the skills individuals learn through cognitive-behavioral approaches remain after the completion of treatment. A tenet of cognitive behavioral therapy (CBT) is to notice or ‘catch’ the thoughts that don’t serve us, then challenge them. This can be difficult because once a neural pathway has been established our brains don’t always distinguish if this thought is good or bad, right or wrong, true or false; it simply becomes compelled to gather evidence to support whatever ‘fact’ we’ve created. When people learn to bring awareness to this process, they recognize the freedom to choose and intentionally ‘gather evidence’ to support any one of these thoughts. Then they can escape the prisons they’ve created in the forms of crippling thoughts leading to destructive behavior patterns. But establishing a new neural pathway takes practice. Find a person who has made a significant behavioral change for the better. If you query them carefully, you will find this is exactly what they did, even if they weren’t aware this was going on at the time. Just as Gottman and Silver have created an exercise to reinforce positive daily thoughts about one’s partner, this approach can be applied to any kind of behavior one is attempting to change. There is great power in journaling. What if, after a detox, patients created their own list of replacement thoughts, supporting their efforts to be sober? What a great addition to a new morning routine! I have created a suggested example here for a week, but this is clearly a personal exercise. Alcohol and opioids wreak havoc in infinite patterns for everyone seduced by their power. Monday Thought: I sleep better when I don’t drink alcohol. Task: Describe a good night’s sleep you had when alcohol-free (AF). Tuesday Thought: My mind is sharper when I don’t drink alcohol. Task: Name a situation where you were alcohol-free and your mind was clearer. Wednesday Thought: I eat more intentionally when I am alcohol-free. Task: Describe a specific eating situation that was intentionally better because you chose not to drink. Thursday Thought: I communicate more effectively with my partner (spouse, significant other…when I am alcohol-free. Task: Describe such an incident. Friday Thought: I adhere to my exercise regimen more consistently when I am alcohol-free. Task: Name a time you stuck to your exercise regimen because you weren’t drinking. As our patients begin the journey towards long-term recovery, keeping track of the positive aspects on paper (or computer) can be a marvelous tool, especially when coupled with therapy and/or recovery meetings. If you or a loved one are ready to begin the journey of recovery with a safe and comfortable detox, please call us at the Coleman Institute for Addiction Medicine. You may have some long held negative beliefs about what it means to detox off alcohol or opioids, and we may be able to offer you some alternative facts. Joan R. Shepherd, FNP SCHEDULE A CALLBACK #### Rapid Detox: The Easiest Way EVER to Get Off Opioids Are you struggling with opioid dependency or addiction? Perhaps your doctor has cut you off from your Percocet®, Roxicet®, Vicodin®, Dilaudid®, or other morphine-type prescription pain medications. Perhaps you have become involved with using street drugs such as heroin or #### Rapid Opiate Detox, Accelerated Opiate Detox and Ultra-Rapid Detox Helping to restore people to wholeness is really what our business is. For those who have taken a detour on their road to being the best version of themselves, we offer hope. We get people off opioids. When the brain has been abducted by the unnatural and indescribable need for opiates to flood their brains, it is difficult to think of or about anything else. The wake of destruction that can follow an addict’s actions can be immense: broken relationships and commitments, financial travesty, and deep shame. The first step is to get off the opioids. Many of the people who call us at The Coleman Institute have attempted to detox themselves in the past--often successfully, but brutally. The anguish of relapse and having to go through another detox keeps many people frozen in inaction. Having gone through a difficult detox in the past, many people are seeking a more compassionate approach. The words ‘Rapid Detox’ and ‘Ultra Rapid Detox’ are frequently searched for online, and that is one-way people are led to The Coleman Institute. But our Rapid Opiate Detox, (aka Accelerated Opiate Detox) is quite different from the Ultra-Rapid Detox available in other clinics. Anesthesia and Ultra-Rapid Detox An ultra-rapid detox requires true anesthesia. These patients are actually given such powerfully sedating drugs that an anesthesiologist must be present to administer them and keep track of potentially life-threatening situations that can affect the most important bodily functions: breathing and circulation. The theory behind this type of detox makes sense from the perspective of the doctors who do them: let’s get the opiates off the brain quickly while people are ‘asleep’ so they won’t feel any discomfort.   UNDERSTANDING ACCELERATED OPIOID DETOX   Unfortunately, reality doesn’t necessarily match the theory. That’s the reason Dr. Coleman switched from doing Ultra Rapid Detoxes in a hospital setting over fifteen years ago to the model we have been using ever since. 3 Reasons to Switch from URD to Accelerated Detox There were three main reasons he switched from ultra rapid detox to our accelerated detox: Safety, Comfort, and Cost. Safety: It’s simply more dangerous to go under anesthesia for a detox. Anyone who has had any procedure requiring general anesthesia is aware of the extensive warnings that must be acknowledged and signed. Imagine what stress the body is going through: not only are all the opiates being swept off in a matter of a few minutes, but all other organs are being affected by the sedating medications. The risk for complications rises dramatically. That’s why an Ultra Rapid Detox must be done in a hospital setting. At The Coleman Institute, our Accelerated Opiate Detox is safe enough to do in an outpatient setting. Our method, cultivated and improved over many years, provides concise instructions for our patients’ support person to dispense comfort medications on a simple-to-follow schedule. For most people, there is absolutely no reason to be subjected to the risks of anesthesia to simply get off opioids like Vicodin®, Percocet®, or Oxycontin®. Comfort: I remember talking to some recovery room nurses who worked with Dr. Coleman when he did the Ultra Rapid Detoxes in the hospital. They recalled that when patients came out of anesthesia, they were vomiting, having diarrhea and basically experiencing excruciating withdrawal symptoms. One nurse even said she remembers a patient grabbing an EKG monitor and hurling it across the room! No wonder. Just because the opioids have been quickly removed from the brain doesn’t mean the withdrawal is over. By extending our Rapid or Accelerated Opiate detox over several days (3-8, depending on what a patient is taking), we are able to keep our patients relatively comfortable. There is no need to push all the opiates out at once; as I often tell my patients, “we aren’t trying to torture you!” Our entire staff of doctors and nurse practitioners is well trained in utilizing the most effective medications to mitigate withdrawal symptoms. Each person’s detox is treated individually and if we need to adjust the medications to enhance the detox experience, each practitioner is prepared to do so. Cost: As you might imagine, the cost of our Accelerated Outpatient Detox program is significantly less than an Ultra Rapid Detox because our patients do not have the costs of anesthesia or hospital services. Some patients who are on chronic pain medications as the result of treatment for a work-related injury are able to get their Workers’ Compensation to cover the cost of their detox. We have had countless patients who have turned to our services for a kinder, gentler detox after experiencing an Ultra-Rapid Detox followed by a relapse. Dr. Coleman has performed both types, and he and his team are convinced that our Accelerated Opiate Detox is a far superior method. If you or a loved one would like more information, please give us a call at 888.736.1720. Joan R. Shepherd, FNP SCHEDULE A CALLBACK   #### Rapid Opiate Detox: Too Good To Be True? I had a great visit with my patient, Edward (not his name) earlier this week. Edward grew up in West Virginia and started using Oxycontin toward the end of his high school years. He got hooked and when pills became expensive, he started using heroin. Edward is kind, smart, shy, funny and a talented chef. Heroin robbed him of all those things. He spent several agonizing years avoiding relationships, betraying close friends and family, crashing anywhere he could, and basically cutting off any opportunity he had to continue to develop into the person he was capable of being. He just couldn’t stop using heroin; he became so sick when he tried. When he lost his oldest and dearest friend to an overdose, he didn’t want to live anymore if it meant being addicted to opiates. He found a Suboxone clinic near his home. The clinic was packed with people who seemed to be getting their lives back together. He knew some of the people were selling or trading their Suboxone for other opiates, but for several months he enjoyed the relief of having a legitimate and legal way to deal with his addiction. He was working steadily and began to date a girl who never touched drugs. He talked to the clinic about getting off the Suboxone and they suggested a tapering process. He did pretty well until he tried to get off the last 2 mg dose; he had underestimated the prolonged and difficult withdrawal off this long-acting partial agonist treatment. He tried hard to stop the Suboxone but on a particularly stressful workday, a coworker with a ready supply of heroin made it all too easy for Edward to resist. The wretched cycle resumed. First he lost his job, then his girlfriend. Edward had visited The Coleman Institute website over the years but was skeptical of doing a ‘rapid detox’ which seemed too good to be true, and besides, he didn’t have much money. Seeing his desperation and despair, Edward’s mother called our office. Our Intake team was able to get Edward on the schedule that week and in four days, with minimal discomfort, not only were the opiates completely out of his system, but he had a long acting implant already releasing the opiate-blocking agent, naltrexone. He and his mother came for daily office visits and then were free to return to a comfortable, nearby AirBnB that they had rented during the detox. It took about two weeks for Edward to really be able to sleep well, but we helped him out with some extra medication. (All our patients are sent home with medication to help with Post Acute Withdrawal Syndrome (PAWS), symptoms which happen to a greater or lesser degree to anyone detoxing from opiates. Trouble sleeping and low energy are the most common complaints.) This all happened about 6 months ago, and that’s why when I saw Edward this week, it was so gratifying to hear about his life. He has found a small group of guys who attend recovery meetings, and he has also found a church that caters to people in recovery. He has been asked to share his story with some of the other people who are wrestling with the disease of addiction. He has been promoted to the head chef position at a popular farm-to-table restaurant, and (fingers crossed) he had a date set up for that night with someone he’s been talking to for a while. (Can’t wait for the next visit to hear about all that.) Edward is in a good phase right now. It is so important in the early stages of recovery to have a lifeline to quality services. Staying engaged in meetings and checking in with addiction specialists helps keep people on track. The brain in early sobriety is still not always making good decisions and can be extremely vulnerable to triggers, thoughts, and situations that can result in relapse. Edward is committed to returning for two more naltrexone implants. (He can come by himself for these visits, since no sedation is needed to quickly insert the naltrexone pellet.) This will equal a year of abstinence from opiates. As we near the 12-month mark, our staff will work with Edward to formulate an on-going plan for continuing his sobriety. Addiction is a complex disease. Treatment options vary widely and the best choice for one person can look quite different than for another person. For some people, like Edward, using Suboxone for a few months was a good idea; when he knew he was ready to stop opiates all together, long acting naltrexone was an excellent choice for him. Luckily his relapse between getting off Suboxone and getting a naltrexone implant didn’t kill him. Our area of expertise at The Coleman Institute for over fifteen years has been to gently detox people off opiates (long or short acting) in an outpatient setting and safely get them onto naltrexone, which is a non-addictive opioid blocker. Please call our office if you have any questions about medically assisted detox and using long acting naltrexone. To this day, we know of no other clinic that does what we do! Joan Shepherd, FNP #### Recovering From Opioid Addiction: 6 Recovery Stories It is absolutely possible to stop using opioids and enjoy recovery. In fact, it is simple. It just may not be easy. Over the years working as a medical professional in the field of Substance Use Disorders (SUD), I have enjoyed poignant and memorable conversations with hundreds of patients who have shared recovery experiences. There are so many universal advantages to being off fentanyl and other opioids; no more being chained to the source of the medication (whether legal or illicit), no worries about losing prescriptions, no anxiety about travel dates aligning with picking up medication, libido getting its groove again, and so much more. But part of what makes our work at the Coleman Institute for Addiction Medicine so gratifying is the quiet victories our patients share. Naltrexone Implant to Aid in Sobriety Jimmy had us all teary-eyed when he told the story of how on payday he had no less than a dozen places he could stop on his way home to buy drugs. Visiting us for a 4th naltrexone implant, going into his 7th month of sobriety, Jimmy told us how now on payday, his three children were waiting for his arrival home, clamoring for their allowance, which he was able to give them for the first time in years. Accelerated Opioid Detox for the Holidays I’ll never forget Adam’s Christmas story. After an Accelerated Opioid Detox, he had several months of sobriety from high dose Oxycontin under his belt. (To be honest, he detoxed with us three times before he finally got sober). Adam was still in fairly regular contact with people in active addiction; many were old friends. One of his friends whose drug problem was out of control had a four-year-old son. Adam stopped by on Christmas Eve and realized there would be nothing from Santa for this kid in the morning. Any extra money was going into his dad’s veins. Adam went to a 24-hour CVS and pretty much bought out the toy section as well as a little lit-up plastic Christmas tree. (CVS has a rather robust toy selection during the holidays). My heart was in my throat when he told me he even wrapped the gifts himself and left them in the living room. (I’m not making this up and I didn’t see it on a Lifetime movie.) Robbie's Prescription Drug Detox Robbie struggled a lot with his drug use. College-educated, groomed for success, he just couldn’t resist the pull of these medications. He worked sporadically at jobs that didn’t fulfill him until he finally gave up and lived at home with his parents. No job. No interests but getting his daily dose. He longed for a career and a good relationship. Jump forward to eighteen months of drug-free time. At the most recent appointment for his naltrexone implant, we inquired ‘what’s new?’, Robbie had a quick answer. Now that he had a solid job, the hits on his dating app had picked up markedly. Girls were leery of guys without jobs, it seems. Just another perk in the ‘getting sober’ schema. Breaking Free from Pain Medication and Street Pills Through Detox Lorraine owns and runs a small, successful, and quickly growing delivery company based in Tennessee. She was prescribed pain medication for a back condition for years and ended up supplementing with pills bought off the street. She told me how she basked on this past Christmas morning with the knowledge that for the first time in recent memory, her waking thought was not I need my pills. She was able to be there, in every sense of the word, for her children and her husband. UNDERSTANDING ACCELERATED OPIOID DETOX Sober from Heroin and Fentanyl Tony is a country boy. He is incredibly shy, but once he gets talking, he has us all in stitches. Sober for almost 2 years now off heroin and fentanyl, I asked him about the money he wasn’t spending on drugs. “I knew how much I was spending on dope,” he says, “I just didn’t think about what I wasn’t doing for myself and my family.” For instance, in the last several months, with money that would have previously fed his addiction, Tony bought three cows, a horse for his daughter, and a new truck. No bull. From Cancer Remission to Accelerated Opioid Detox and Recovery Reserved and professional, Bill was treated for a painful cancer condition with high-dose pain medication. In remission for several years, he had still not managed to completely get off his prescribed Dilaudid® (hydromorphone) and fentanyl. After his Accelerated Opioid Detox with us, one of the most satisfying results (pun intended) he reported was his ability to finally move his bowels freely. This, of course, is a frequently reported benefit from many, many patients. Getting off and Staying off Fentanyl, Heroin, or Pain Pills When a person takes fentanyl (or other opioids such as Percocet®, Roxicet®, hydrocodone, Vicodin®, oxycodone, Opana®, tramadol, methadone, or buprenorphine…or opiates like codeine, morphine, and heroin) long enough, the body becomes physically dependent on these medications and builds up a tolerance. Tolerance is defined as needing increased doses of an opioid to achieve the same analgesic effect. That’s why I am rarely surprised when someone calls for help getting off pain medication and admits they are taking far beyond the 30-60mg daily dose originally prescribed by their physician. Over the years we have helped patients successfully get off of doses as high as 800mg a day (and even higher amounts, if people are accurate). While some medical providers prescribe combinations of short and long-acting pain medication (for instance the long-acting Oxycontin® twice a day with short-acting Percocet® or a hydrocodone product as needed every few hours for ‘breakthrough pain), many patients who have developed a tolerance to the prescribed dose have turned to other means to supplement their pain management regimen. Are Your Street Pills Actually Fentanyl? Almost without exception, our patients who have been finding medication from other sources besides their prescriber, are probably buying products containing illegal fentanyl. During our screening process, we will discuss this, and many people are absolutely certain that is an impossibility-- they have a trusted source for their extra medication and are astonished when they have a positive urine test for fentanyl. For anyone who is reading this and feeling trapped and ashamed by similar behavior, I want to reassure you how frequently people feel compelled to do this. Most of our patients are hardworking professional people, many in long-term relationships with families who love them, and responsibilities to tend to. Physical dependence and addiction are equal opportunity offenders, and anyone can develop a tolerance to these types of medications. Feeling ashamed and terrified to share this secret with loved ones is often a huge deterrent for getting help with opioid withdrawal. And getting help is important because opioid withdrawal can be a very painful experience. Accelerated Opioid Detox at the Coleman Institute If you or a loved one are contemplating how life might look without opioids, the Coleman Institute for Addiction Medicine may have some answers for you. Our Accelerated Opioid Detoxes are tailored to your particular situation, taking into account the amount and type of opioid you have been using, how long you have been on it, and other possible medical conditions you are dealing with. Getting off opioids is generally a very safe process, so our program is completely outpatient, and your support person is able to stay by your side through the entire experience. While I have heard from other patients who have experienced less-than-satisfactory detox experiences in the past, our program provides ample comfort medications to make this as tolerable and comfortable as possible. There are plenty of obvious benefits from getting off opioids. I’d love to add your small and powerful victory story to our ever-growing list. Please call us with your questions at 877-773-3869. Joan R. Shepherd, FNP SCHEDULE A CALLBACK #### Recovery Boys - Only 1 in 4 Recover From Opioids If you get a chance to watch the Netflix documentary film Recovery Boys, please do so. I attended a screening of the film at Studio Two Three in Richmond last night with Dr. Coleman and my nurse practitioner colleague, Lauren Farnsworth, to a pretty full audience. The filmmaker, Elaine McMillion Sheldon, was available afterward to talk and answer questions. #### Recovery: Rewriting Our Stories I had the fortune of recently attending a retreat focused on “rewriting our stories.” You may be asking, “Wait, how can I re-write my story... it already happened? I can’t change the past.” Exactly the point! We cannot change the past HOWEVER we can change how we think about our past experiences and help these realizations propel us towards new ways of thinking and beliefs. I came out of the workshop looking at some of my past experiences and although some were negative and difficult, I was able to find some positive aspects to look at and appreciate. It was hard. For example, my parents were holocaust survivors. How could I possibly find anything positive to think or say about that horrendous experience? Not taking away from the atrocities, I realized that my parents taught me a lot by their actions. Not to hold resentments, to have resilience, and that one can recover and heal as best as they can. This does not take away from their profound losses but it teaches me that as sad as it all is, I cannot change what happened to them, but I can still learn from their incredible strength. At the workshop, we used a lot of the writings and materials of Byron Katie. I had never heard of her before but the approach she presents made a lot of sense and presented a structure in which to work. Her approach, called “The Work,” is comprised of 4 questions to ask yourself about a belief or thought: Question 1: Is it true? This question can change your life. Be still and ask yourself if the thought you wrote down is true. Question 2: Can you absolutely know it's true? This is another opportunity to open your mind and to go deeper into the unknown, to find the answers that live beneath what we think we know. Question 3: How do you react—what happens—when you believe that thought? With this question, you begin to notice an internal cause and effect. You can see that when you believe the thought, there is a disturbance that can range from mild discomfort to fear or panic. What do you feel? How do you treat the person (or the situation) you've written about, how do you treat yourself, when you believe that thought? Make a list, and be specific. Question 4: Who would you be without the thought? Imagine yourself in the presence of that person (or in that situation), without believing the thought. How would your life be different if you didn't have the ability to even think the stressful thought? How would you feel? Which do you prefer—life with or without the thought? Which feels kinder, more peaceful? Next and most important is what I call the “Turnaround.” Turn the thought around The "turnaround" gives you an opportunity to experience the opposite of what you believe. Once you have found one or more turnarounds to your original statement, you are invited to find several specific, genuine examples of how each turnaround is true in your life. This approach is explained in more detail in Ms. Katie’s book “A Mind at Home with Itself: How Asking Four Questions Can Free Your Mind, Open Your Heart, and Turn Your World Around.” It is available in print or digitally. Remember, your addiction does not define you or have to control the rest of your life. All we have is the present and the future. Let us here at the Coleman Institute of Addiction Medicine help you detox from whatever substance you are currently addicted to. Please call us at. It’s never too late to rewrite your own story. Deborah Reich, M.D. SCHEDULE A CALLBACK #### Relapse After Surgery: When It Collides w/ Substance Use Disorder Patients with Substance Use Disorder may struggle with relapse after surgery. In this article, we discuss how both Al and Paula needed to receive help from the Coleman Institute after having surgery and taking prescribed pain medication. Al A patient we have come to know very well is with us again — his third time — for help with rapid opiate detox. It won't be as rapid as when he was getting off a gram of heroin a day or when he returned for a detox off Percocet. When Al called us last week, he was bummed. And desperate. He'd managed to go three years with using nothing stronger than over-the-counter non-steroid for the occasional back pain he was experiencing. Al’s Business Al is six foot three and owned his own business which offered land clearing, snow removal, excavate, and hauling services. So you can imagine how physically demanding his work is on his body. His wife and two small children have been with him through all the ups and downs of his struggles with benzos and opiates. Tooth Pain and Surgery About a month ago, Al was experiencing severe tooth pain from an abscess under his wisdom tooth. He needed some pretty serious dental work and needed it sooner than later. Al says he felt ok when he woke up after the surgery. The oral surgeon insisted on sending him home with Percocet and Al refused. The surgeon "won" and Al immediately handed the pills over to his wife to be in charge of issuing them. And by his own admission, after two doses, the whole situation spiraled out of control. Within a week he was buying pills and powder. And in a last-ditch attempt to stop using, he also bought a few Suboxone®. Suggested Read: Why is it So Hard to Detox Off of Suboxone and Other Forms of Buprenorphine? His Treatment His urine was positive for opiates, buprenorphine, and fentanyl. (The latter was a surprise to him, as it is to many of our patients these days). He's almost done with the detox and he'll be fine, but the buprenorphine has extended the detox to a few extra days. UNDERSTANDING ACCELERATED OPIOID DETOX Paula Now, contrast him with Paula. Paula’s First Detox Paula detoxed with us about five years ago. She is a lovely, hilarious, mother of 2 middle school boys, with a great HR job. Before working with us she would drive her "I'm the parent of a scholar"-bumper-stickered mini-van to meet her heroin dealer. She had been using heroin daily for about a year when we met her and she started treatment. She engaged in extensive treatment and came for about a year to receive naltrexone implants. I hadn't seen her until a month ago. Suggested Read: Naltrexone: Medication-Assisted Treatment For Opioid Use Disorder Heart Surgery Turns out after a visit with her primary care physician and cardiologist, Paula needed to have heart surgery. Both of those doctors knew her history of substance use and addiction, and they were as nervous as she might relapse after surgery from the use of narcotic pain medications after her operation. She scheduled a pre-op visit with us to discuss her options. Together we decided to put her on naltrexone for a few weeks after she no longer needed the pain meds. By creating a plan and informing her doctors about her history, Paula was able to use her pain medication for a minimal amount of time. Conclusion The reality is that many of our detox patients will have to face having surgery someday. Some find it useful to get all their providers on board and discuss a plan for pain control to minimize the risk of relapse after surgery. While it still may be difficult to come off the pain medications, the support of medical professionals who can check a realistic taper can make all the difference in a patient's remaining in recovery. SCHEDULE A CALLBACK Last Updated: January 17, 2022 #### Restoring Energy After Getting Off Opioids Once a person has successfully completed an accelerated (or rapid*) opioid detox at one of our outpatient Coleman Institute offices, a frequently asked question is: how can I boost my energy after I stop using opioids? There is not a magic bullet answer to this question, and I’d be highly suspicious of any snake-oil someone who tells you otherwise or tries to sell you on that claim. Based on years of clinical experience in addiction medicine and conversations with hundreds of patients, these are my top recommendations. #1 Commit to a Morning Routine Carve out early morning time to set yourself up for the rest of your day. This in itself may require enormous commitment, setting the clock an hour early, or preparing things the night before to facilitate having the extra time. Do it. It is so worth it. Benjamin Hardy, author, speaker, and entrepreneur frequently writes about the importance of using time in the morning for deep work. Just as intensive interval training followed by rest and recovery is shown to be the most effective way to physically work out, Hardy makes compelling arguments for applying this same approach to whatever is our priority in life. For people in recovery, especially in early recovery, their most important work is staying motivated, staying sober, and learning everything they can about substance use disorder. Read a few paragraphs from an inspirational recovery book, meditate on how this informs your own recovery, then journal your thoughts, your struggles, your Aha! moments. What sucks, what is fabulous, what’s funny… This journal will be an invaluable tool as time goes on and you can see your progress. For some people, attending an early morning recovery meeting is the key to start their day off. Time spent in journaling, meditation, or prayer before attending a meeting can prime your pump to get even more out of a meeting, to hear exactly what you need to hear that day. LEARN ABOUT OUR DETOX PROCESS #2 “Move your Ass” These were my patient, Jane’s words. After a successful detox off Suboxone®, she struggled with real physical fatigue. “It was all I could do to drag myself off the couch those first few weeks. Thank God my dog Hugo needed to be walked.” Indeed, I have yet to work with any patient who told me, “Man, I felt so much worse after I took a walk.” Start slowly, but start. Be prepared for your mind to tell you that exercise is impossible. It’s not. Take the first step, and work back into (or create your new) exercise regime. I frequently suggest yoga to people who are in recovery. The mind-body connection, the breathing work, the sense of carving out me-time on your little mat-island is so therapeutic. Many yoga studios have teachers trained in trauma-informed yoga. This creates an extra sense of security for people feeling particularly vulnerable in early recovery who may have experienced traumas leading to their substance use. #3 Feed Your Microbiome Well Our gut houses our microbiota, which is composed of trillions of different bacteria, viruses, fungi and other microscopic living things. Not only do these microbes impact our immune system, digestive, and heart health, It turns out certain species of bacteria are responsible for making the neurotransmitters that directly impact our moods. Evidence continues to build that this powerful ‘factory’ in our bodies may be the key to helping to modulate and regulate depression, anxiety and other mood disorders. You can find plenty of links to research, but in summary, to keep your gut as healthy as possible, these are some basics from the Healthline newsletter: Eat a diverse range of foods: This can lead to a diverse microbiome, which is an indicator of good gut health. In particular, legumes, beans and fruit contain lots of fiber and can promote the growth of healthy Bifidobacteria. Eat fermented foods: Fermented foods such as yogurt, sauerkraut and kefir all contain healthy bacteria, mainly Lactobacilli, and can reduce the amount of disease-causing species in the gut. Limit your intake of artificial sweeteners: Some evidence has shown that artificial sweeteners like aspartame increase blood sugar by stimulating the growth of unhealthy bacteria like Enterobacteriaceae in the gut microbiome. Eat prebiotic foods: Prebiotics are a type of fiber that stimulates the growth of healthy bacteria. Prebiotic-rich foods include artichokes, bananas, asparagus, oats and apples. Eat whole grains: Whole grains contain lots of fiber and beneficial carbs like beta-glucan, which are digested by gut bacteria to benefit weight, cancer risk, diabetes and other disorders. Try a plant-based diet: Vegetarian diets may help reduce levels of disease-causing bacteria such as E. coli, as well as inflammation and cholesterol. Eat foods rich in polyphenols: Polyphenols are plant compounds found in green tea, dark chocolate, olive oil and whole grains. Take a probiotic supplement: Probiotics are live bacteria that can help “re-seed" the gut with healthy microbes. ake antibiotics only when necessary: Antibiotics kill many bad and good bacteria in the gut microbiome. ACCELERATED OPIOID DETOX FAQS #4 Connect!! With over 5 million views, the TED Talk by Johann Hari, Everything You Think You Know About Addiction is Wrong has people embracing the concept that the opposite of addiction is not sobriety, it is human connection. This idea started gaining credence in the 1970s when large numbers of American soldiers ready to return home from Vietnam were addicted to heroin, and the government wanted to do something about it. Researcher Paul Alexander noticed that rats isolated in wire cages consistently chose morphine-laced water when given a choice between that and plain water. But when the rats were housed in what came to be known as Rat Park—full of all the amenities and playmates any self-respecting rat could want—they almost always chose the plain water. Similarly, rats who became addicted while in the wire cages preferentially chose the plain water when placed in this ideal environment. Often patients, filled with shame and the desire to keep their substance use secret, try to deal with things on their own. After completing an opioid detox using the Coleman Method, we work to connect patients with others in the form of inpatient therapy, intensive outpatient therapy, one on one counseling, recovery meetings—whatever treatment is most appropriate for each individual. Many people are finding great support from on-line recovery venues. Even the most stoic believers of doing-it-myself describe the relief, compassion, humor, and comfort they find when connecting with others dealing with similar issues. #5 Get a Calendar Stephen Covery wrote that “Your most important work is always ahead of you, never behind you.” The truth about restoring energy after being on opiates is that it takes time. Your brain needs time to heal and time to replenish its depleted dopamine stores. In my work with patients recovering from Opioid Use Disorder (OUD), feeling completely restored can take several months or more. Time is the most precious commodity we have. Organizing your life around the actions that prioritize your choice to stay sober empowers you to say no to anything that keeps you from this goal, and able to say yes to everything that affirms it. Put morning time, exercise, healthy eating, and connecting with those who share your intention for recovery on your calendar in ink! Please call us at the Coleman Institute for Addiction Medicine for any questions about our rapid opioid, alcohol, or benzo detoxes. Thousands of people have successfully detoxed with us and gone on to a lifetime of recovery. SCHEDULE A CALLBACK *The Coleman Method for opiate withdrawal management gets people off short-acting opioids such as Percocet, Roxicet, other oxycodone products; Vicodin®, Vicoprofen®, and other hydrocodone products; hydromorphone or Dilaudid®, morphine, fentanyl, heroin, kratom, etc. in a 3-5 day outpatient process. We also detox people from long-acting opioids such as methadone and buprenorphine products in an 8-day process, when that is appropriate for their situation. Although we speed up the withdrawal process and help make it more comfortable for patients, we do NOT perform anesthesia detox (or Ultra-Rapid Detox) due to concerns about its safety. #### Restoring Energy After Opioid Withdrawal I heard from Ken yesterday. Ken completed an Accelerated Opiate Detox with us about 5 weeks earlier. The burden lifted from his shoulders is immense. He told me he wakes up with the freedom of knowing he can be like a “normal” human. He can drink coffee, take a shower, snuggle his kids, or read his mail. He has absolutely no need to compromise his integrity or his wallet by buying pills. Ken was using high-dose opiates. He admitted to taking as much as 24mg-36mg of Dilaudid (hydromorphone) plus 25-50 mcg of fentanyl together on most days. It all depended on what his dealer could find. Ken could afford to purchase pretty much whatever he wanted. His opiate use a few years ago was very occasional. Until it wasn’t. He experienced opiate withdrawal on the days he didn’t have pills, he began to justify his daily use. “The energy it gives me is unparalleled,” Ken told me. “I could get twelve hours of work done in six. I ran circles around the younger and even more experienced employees.” Ken works in the financial industry. Ken woke up every day with three main fears. Losing his connection to his drug dealer. Someone at work finding out about his substance use disorder. Most important of all, his wife (and mother to his 2 children) discovering she was married to a lying junkie. Ken knew that if any of these fears became a reality, he could lose everything. He was sick of lying to himself and everyone in his world. Ken took the courageous step to contact us for information about addiction treatment and our detox methods. He successfully completed his rapid detox program, opting to receive a naltrexone implant. UNDERSTANDING ACCELERATED OPIOID DETOX The Truth: There Are No Shortcuts to Restoring Energy After Opioid Withdrawal Five weeks later, he continues to struggle in his recovery process with low energy and a little anxiety. Although he sees both conditions slowly improving. Powerful drugs like opioids can cause the brain to receive a lot of dopamine. After stopping these opioids, it takes time for the brain to recover its energy levels. The length of time needed for recovery varies depending on different factors. The time needed depends on different factors such as: quantity potency duration of opiate use general health co-morbidities It is important for those suffering from opioid addiction to understand that an accelerated or rapid detox is not a ‘magic wand’ that restores them immediately to life prior to using opiates. But healing happens! Tips For Restoring Energy After Opioid Withdrawal Patients who have stopped using opiates, undergone withdrawal symptoms, and gone through the process often wonder why their energy is so low and ask about ways they might boost it. Some of the most successful strategies our patients have found to help them through the first few weeks include: Sleeping. We provide our patients with medications to help with sleep after detox. Many others seek the same help from their own healthcare providers. Usually, within a month, sleep is back to normal. Many patients find success in working towards better sleep by limiting caffeine or keeping to a sleep schedule. Eat well. Eating well during recovery enables your body to better repair itself. Providing our bodies with high-quality foods that supply the amino acids our brains need to make neurotransmitters is common sense. And although the Coleman Institute does not promote any particular product, many patients express appreciation for amino acid supplements. Exercise. Exercise increases endorphins. Some people have told me they don’t have enough energy to exercise. Moving the body with walking or gentle yoga is an excellent beginning to self-care. As your body gets used to activity, you can consider progressing to exercise such as jogging, hiking, biking, or even swimming. Talk. Working with a counselor or recovery group can be powerfully positive for your mental health. It is all too easy to be trapped by the mind’s constant messages of fear and angst to justify a return to the quick ‘fix’ of an opiate high. Follow up with your healthcare provider. It is possible that low energy may be caused by other health conditions, compounding the post-detox recovery. Some doctors may supplement men’s testosterone, which can decline with extended opiate use. Patients with continued low energy may be checked for anemia or thyroid conditions. Despite Ken’s low energy, he is filled with gratitude to have his life back. Learning about the natural progression of the brain’s healing process after an opioid detox enables him to manage his expectations. Our staff warmly looks forward to his two-month follow-up visit. We fully expect that Ken’s energy trajectory —as well as his sleep, anxiety, depression, and focus— will continue to improve, based on our experience with hundreds of patients who have undergone rapid opioid detoxification at the Coleman Institute. Joan Shepherd, FNP SCHEDULE A CALLBACK #### Restoring Hope: The Gift of Detox It doesn’t happen like this all the time. But it did happen yesterday. Room to room, patient to patient, over and over---I heard one success story after another. Mack, off fentanyl since mid-April. Sleeping well, doing home renovation projects he’d put off for years. He now has the time, the energy and the money to do so. Setting Recovery Up for Success Sid, no alcohol since June when he was capsized by Corona—the virus, not the beer. When he had to work from home with the stress of young children and an anxious spouse, vodka really helped…until it really didn’t. He was at the point where vodka and OJ started around 10:00 a.m.—it settled his mild tremors. This habit was easily justified as he saw meme after meme about how others were using booze to cope with Covid. Jill, experiencing the pain of her dear, deceased husband’s birthday— sober for the first time on this date in six years. She has been off pills—which she thought were oxycodone--but were actually fentanyl—for eight months. She has a small community of sober people who understand why she took extra mind-numbing medication on this date in previous years. Bart is five months away from his last drink. He is a quiet introvert and told me yesterday he understands now why his wife couldn’t stay in their marriage. When his mind was controlled by the effects of alcohol, he was always playing the victim role. His job, his wife, his parents were always the reasons for his problems in the past. While he admits to still having cravings for alcohol from time to time, it doesn’t take long to reinforce his new, and growing, belief system that his life is so much better without the booze. He regularly attends the 12 Step We Agnostics meetings via Zoom. Will these people continue to stay sober? People use substances for so many reasons—to deal with emotional or physical pain and suffering or for some, a habit has turned into a physical dependence. Our brains have powerful memories when it comes to the dopamine released by these addictive substances. What Perfect Storm is Present When a Person Relapses? Down the hall in another exam room were Keith and his sister. From southern Maryland, Keith had detoxed at the Coleman Institute several years ago. He stayed off opioids for about five and a half years, enjoying the fruits of this decision, rebuilding a life. But although Covid and politics have saturated recent media platforms, the opioid epidemic rages on. In the last several months, Keith has lost five close people because of their addiction to opioids. The most startling thing about this (to me) is that while two overdosed, three of these five committed suicide. The desperation of being unable to stop, the despair of their life trajectories, the complete loss of hope drove these people to take their lives. And in a weak moment, slayed by the grief of these losses, Keith allowed himself to get sucked back into the maelstrom of his addiction. The farther away the drug, the better the chances of sobriety, but creating diligent practices to optimize success is of paramount importance. Situations that evoke strong emotion, triggering anxiety, fear, or sadness can catapult a sober person back to ground zero. It is incredibly important to understand the brain’s vulnerability when re-exposed to any dopamine stimulating substance. UNDERSTANDING ACCELERATED OPIOID DETOX Medical Detox for Substance Use Disorder and Alcohol Use Disorder The Coleman Institute for Addiction Medicine’s offices in Richmond, Virginia and near Boston, Massachusetts can help you get started in, or return to--a life of recovery. We specialize in safe and efficient outpatient detoxes off opiates/opioids such as heroin, morphine, fentanyl, hydromorphone, oxymorphone, oxycontin, roxicet, hydrocodone, poppy seed tea, kratom, methadone, and more. We also help people who need a medical detox off alcohol and benzodiazepines. The hallmark of our treatment for over 20 years is to use long acting naltrexone at the completion of the detox. Naltrexone is a pure opioid blocker, so it simply resides on the opioid receptors, preventing other opioids from taking up residence. One of the main reasons people choose naltrexone over buprenorphine products for Opioid Use Disorder is that it does not create physical dependence. Therefore, when a person is ready to stop taking this particular form of Medication-Assisted Treatment, no withdrawal occurs. With our long-acting naltrexone formulations, patients do not need to return to the clinic for daily, weekly, or biweekly urine screens. And let’s face it, during a pandemic, the fewer trips to a medical facility, the better. Is naltrexone as effective as buprenorphine? According to the National Institute on Drug Abuse, yes: “A NIDA study showed that once treatment is initiated, a buprenorphine/naloxone combination and an extended release naltrexone formulation are similarly effective in treating opioid use disorder. Because naltrexone requires full detoxification, initiating treatment among active opioid users was more difficult with this medication. However, once detoxification was complete, the naltrexone formulation had a similar effectiveness as the buprenorphine/naloxone combination.” Source Long-Acting Naltrexone for Recovery Part of the uniqueness of the Coleman Method for detoxing is that we are able to successfully detox the vast majority of our patients and transition them onto long-acting naltrexone. Our patients seeking treatment for Alcohol Use Disorder benefit from naltrexone as well, but differently. In this case, the naltrexone helps to cut down on the impulse to drink, and the pleasure associated with drinking. Although it won’t make a person ill if they drink alcohol while naltrexone is present in their system, they are simply able to release their attachment to drinking more easily. With enduring attention to their recovery, I know that all the patients I mentioned earlier can continue lives of sobriety. Perhaps the greatest contribution the Coleman Institute for Addiction Medicine can make in people’s lives through our accelerated detox programs is restoring hope. If you or your loved one wants to learn more about what we do, give us a call at 877-773-3869. In the meantime, stay safe and take care. Joan R. Shepherd, FNP SCHEDULE A CALLBACK #### Roxicodone Detox Treatment We have seen an increase in patients coming to the Coleman Institute for rapid detox from Roxicodone (also known as Roxycodone). Roxicodone is a strong prescription pain medicine that contains an opioid (narcotic) used to manage pain severe enough to require an opioid pain medicine, when other pain treatments such as non-opioid pain medicines do not treat pain well enough or a person cannot tolerate them. It is another pain medicine that can put a person at risk for overdose and death. Even if taken as prescribed a person is at risk for opioid addiction, abuse, and misuse that can lead to death. If someone is buying these pills on the street, they are commonly called Blues, Roxies, Roxys, or thirties--descriptors of the color and usual milligrams. Purchased “on the street”, roxies and other oxycodone-containing pills cost about a dollar per gram. Because heroin is so much cheaper, many people shift over to using it when they can no longer afford pills. At the Coleman Institute, we help people every day who have become addicted to Roxicodone. Like many other short acting opiates, it doesn’t take long for the brain to develop a physical dependence on and then a tolerance to these drugs. This means a person requires more and more of the medications to get high. Most of the time, when a person reaches out to us for help, they are only taking the medications to prevent the horrible sickness of withdrawal—they are way beyond ‘having fun’ with Roxicodone. Now it has simply become a noose around their neck. UNDERSTANDING ACCELERATED OPIOID DETOX While stopping Roxies abruptly is not necessarily dangerous for a healthy individual, the side effects of nausea, vomiting, diarrhea, chills, muscle cramps, and more can go on for days. This is a huge deterrent for people who truly want to stop. Our rapid opioid detox prevents—or at the very least, diminishes—most of these side effects. During the course of the 3-4 day detox, our patients’ support person is clearly guided in how to dose the several medications used to make the process tolerable and comfortable for their loved one. This allows people to stay in their own home or, if coming from out of town, in the comfort of a hotel, rather than bearing the expense of an in-hospital stay. On the final day of the detox process, after the Roxicodone is completely removed from the brain’s opiate receptors, we provide a long acting formulation of naltrexone--usually an implant--which will populate, and therefore, block opiate receptors from Roxicodone and other opioids for about 2 months. There are few things more professionally gratifying than seeing a patient on a follow up visit who has turned their life around and been able to stay off opiates and start over. I hope you will call us for more information if you are concerned that your own or a loved one’s opioid use has gone beyond the place where it can be managed without help. Joan Shepherd, FNP SCHEDULE A CALLBACK #### Season's Greetings Season’s Greetings! Just wanted to share one of the excellent bloggers that support people in recovery. Here Jean talks about Supportive Normies on her blog Unpickled, and how non-drinkers can help their alcoholic loved ones during the holidays. Be blessed and safe! https://unpickledblog.com/2014/12/24/top-ten-list-for-supportive-normies/ Joan Shepherd, FNP #### Self Care for Fast Times Oh my. The holidays. The responsibilities. The drama. The pressure. It can make a sane person crazy and a sober person relapse. There are so many things out there on social media about self-care, but as a Family Practice Nurse Practitioner with an additional specialty in Addiction medicine, I feel compelled to add my own thoughts. Also because I am getting old, and I don’t (usually) ask my patients to do things I am unwilling to do myself. Don’t compromise your hard-earned health habits now. This may not be the best time of year to ambitiously start a new exercise routine, but be aware how easy it is to allow the chatter in your head to lead you down the path of believing you must attend or respond to every invitation or message you receive, with the result of ditching your exercise regimen. Instead of Ditching It, Modify It If carving out two hours for the gym feels like too much, create an effective, efficient, modified regimen for the holidays. Walk. Incorporate walking into your daily regimen. No equipment, no need to shower or change when you’re done. I live close enough that I am walking to and from work on days that I can. On other mornings, I get up early and go before work. When I lived farther from my place of employment, I would often park walking distance away. Sometimes I listen to inspiring or informative podcasts and sometimes a riveting novel. On some walks, I simply amuse myself with the thoughts—or visitors, as Hafez would say--in my head on any given day. (Read his poem The Guest House.) Walking can’t be overrated. The beauty of the world in the early mornings as the sky does its daily magic act while the birds provide the acoustic accompaniment is an extravagant gift to us humans. What a way to start a day. Walk (or at least Hold) the Plank Another incredibly efficient and effective exercise is holding a plank pose. Plank not only strengthens core muscles, which protects your spine, but it also builds and stretches other muscles simultaneously. If you aren’t familiar with plank pose and its many variations, here is a link to a great article. Rest and Digest I always encourage patients to eat as mindfully and intentionally as possible. When a person is under stress and the sympathetic nervous system is wound up, digestion is compromised. Fight, Flight and Freeze reign under stressful conditions (can you say Holidays?) Rest and Digest rules when the parasympathetic nervous system is activated. I am finding it difficult myself these days to take much of a lunch break. It’s a trade-off; the work is there, and I can do it during lunch, or stay late in the office to finish it. (Like it’s ever done). But I encourage you to step away for a few quiet moments. I know several people who go to the quiet of their car during lunch or make time to simply walk around the block. Eat Fast Food, But the Good Kind We often have meals provided by pharmaceutical reps. Many of them are conscientious about bringing healthy-ish foods, but usually, the selections are calorie-rich, loaded with highly processed carbs, the worst kinds of fats, and tortured, overcooked vegetables, or the palest of green iceberg lettuce salads. (I shamelessly go for the few token black olives scattered on the surface of these insipid offerings). While I always express my thanks for bringing their food and their expertise to our office, I also never have the expectation that anyone else will prioritize my own healthy eating. That is my job. Be Prepared I keep a box of frozen Morning Star Chipotle Black Bean Burgers in the freezer of our office kitchen and a jar of good salsa in the fridge. Two minutes in a microwave provides me with a delicious 190 calorie (plus whatever the salsa is), 17 grams of protein, and 8 grams of fiber meal, that is satisfying and filling enough to last me the rest of the day. I also keep a jar of nuts on hand for ‘emergency’ protein fixes. I switch around from tamari almonds to salt and pepper pistachios to organic assorted nuts to Thai flavored cashews. I am old and experienced enough to know that if I succumb to a sweet or starchy snack, my energy will drop to the floor. I try to make sure my evening meal is full of vegetables (if I don’t just collapse with a bowl of Orville Redenbacher popped-in-avocado-oil popcorn.) A Little Prep Goes a Long Way Ever since my yoga instructor and Ayurvedic guru shared her bread recipe with me, I have made it almost weekly and passed the recipe on to dozens of friends and patients who now report to me they poop better than they ever have in their whole lives. One slice of this bread is my daily, quick, healthy and filling breakfast. As a Certified Health Coach from the acclaimed Institute for Integrative Nutrition, I continue to teach and incorporate practices to keep my beloved microbiome as happy as possible. The microbiome lives in our gut and is the factory for our vitamins, enzymes, and neurotransmitters. Essentially, the more diverse the microbiome, the better our physical, mental, and immune health will be. Our microbiome loves soluble fiber. Psyllium husk powder is a key ingredient in the bread recipe. Being a soluble fiber, psyllium is able to pass through the digestive system without being completely broken down or absorbed. Instead, it absorbs water and becomes a viscous compound that benefits constipation, diarrhea, blood sugar, blood pressure, cholesterol, and weight loss. Here is a link to the Life Changing Loaf of Bread recipe that is causing so much happiness and good pooping experiences./ Finally, consider making a big pot of something delicious and healthy on the weekend so you won’t be tempted to sabotage your hard-won conscientious eating habits when your to-do list compresses your time and amps your anxiety. One of my standards is Jane Brody’s Vegetable Chili. This is such an old, used, family favorite; my cookbook is actually split in two at this recipe. Breathe and Be Grateful We’re on this human ride for a brief blink of the eye. Be aware of all that is good. Find ways to express gratitude whether it’s a spontaneous letter of thanks, a hug, or a bouquet. Be sneaky with little surprises. Be anonymous. From our office to you, may you and your family be safe and feel peace this holiday season! Joan R. Shepherd, FNP SCHEDULE A CALLBACK #### Set Yourself Up for Sobriety Success Beatrice came in for a follow up visit. She is in her early 50’s and has wrestled with her addiction to alcohol for more than half of her lifetime. Except for a (pretty bad) one night slip last Thanksgiving, she now has two years of recovery under her belt. She holds her recovery gingerly, like a butterfly in cupped palms. Her recovery means everything to her, and she doesn’t want to take it for granted ever again. She did that once and lost six years of her life, including her relationship with her beloved daughter and grand-daughter. They are in the process of carefully rebuilding this relationship.   Dreaming of Long-Term Recovery Although I don’t doubt Beatrice’s sincere aspiration for long-term recovery, I believe one of the most important messages I can reinforce with my patients is the notion that relying on the dream of long-term recovery as a motivator for staying sober can be a dangerous approach. As BJ Fogg, founder of Stanford University’s Behavioral Health Lab and author of Tiny Habitspoints out, “Big spikes of motivations are awesome for doing really hard things — once. Rescuing your child. Quitting your job. Throwing away all the junk food in your house. Sprinting through the airport to catch a flight. Attending your first AA meeting…”   More Than Just Motivation is Needed Achieving the outcome of being in long-term recovery and having a good relationship with those you love, like Beatrice wants with her daughter and grand-daughter, takes more than relying on mere motivation. Don’t get me wrong, the motivation is not bad; in fact, it’s absolutely integral to any behavioral changes. It is simply, according to Fogg’s research, the least reliable of the three necessary components needed to change your behavior: motivation, prompt, and ability. Any actions or behaviors are much more likely to happen when motivation is high and they are easy to do. And actions require a prompt.   GET THE ALCOHOL DETOX GUIDE   Putting the Behavior Change Framework into Action In Fogg’s model, it is imperative to make doing behaviors which support the aspirations easy. Inherent in this approach also means creating relevant prompts. Using his model, behavior = motivation + ability + prompt, let’s look at some of the reasons contributing to Beatrice’s successful recovery. PROMPT: Beatrice’s sponsor, Sue, texts her a message each week that she will be picking her up for their Tuesday morning home-group meeting. ABILITY: Beatrice doesn’t have to find her keys, warm up (or cool down) her car, fill her tank with gas, or worry about parallel parking (which she says was a big reason she used to avoid going to her favorite meeting). MOTIVATION: Beatrice thoroughly enjoys her time with Sue and gets a lot of inspiration from the group. Breaking it down, we can see that the behavior (attending an AA meeting) happened due to the prompt, the high level of motivation, and the ease (or ability) of attending.   Take Action to Support Recovery While any substance use disorder is a complex bio-psycho-social issue, applying this kind of model to make a plan that supports long-term recovery can be incredibly helpful. I also like that it takes away some of the inevitable negative self-talk. If Beatrice didn’t go to an AA meeting because she was intimidated about parallel parking, it’s not because she doesn’t care about her recovery or sustaining a good relationship with her daughter…rather, it reveals an opportunity to focus on ways to make the desired behavior easier to accomplish. When Beatrice and I discussed how to break down and examine the components of her behavior to predict likely successes or failures, she immediately came up with other ways to remove obstacles getting in the way of desired outcomes. At our next appointment, she promises to bring me her plans for increasing vegetables in her diet! The Coleman Institute for Addiction Medicine has been working with people who desire long-term recovery for over twenty-five years. If you or a loved one is struggling to stop drinking alcohol or to get off opioid pain medication, heroin, methadone, fentanyl or buprenorphine products, let us help make it safe and streamlined for you. Joan R. Shepherd, FNP   SCHEDULE A CALLBACK #### Should I Date in Early Recovery? The short answer is no, but the concept of dating in early recovery is important and worth discussing. It is generally discouraged and for good reason. With recovery and sobriety comes vulnerability, especially in the early stages. The feelings and bad past experiences that you have been self-medicating away are coming to the surface. It can be very painful and it would be easy to focus on love rather than your difficult feelings. But that is the really worst thing you can do! A relationship gone badly can completely derail you. You have one main goal in early recovery-to remain sober. That’s it. While the Big Book of AA does not specifically address this matter, it’s commonly believed in the recovery community that dating in early recovery is not a good idea. A time frame of one year of not dating is often referenced. This is not a magic number but sometimes a mental time frame can be helpful. Recovery is about recovering. It is a path of self-discovery and enlightenment. It’s a time to focus on you and you alone. Of course, if you are already in a relationship I am not recommending breaking it off however your recovery will change things and can sometimes really upset the apple cart. Your partner may need help adjusting to a changing you. New relationships can be exciting but also can also be fraught with turmoil if they don’t go well. It is important to be aware that you may be substituting one obsession or addiction for another. Love addiction is a real phenomenon. So is codependency. Cross addiction is very common. If you attend 12 step meetings, be aware of “thirteenth stepping.” Unfortunately, sometimes people with “more time” in 12 step recovery will try to date a new person in the program. This is referred to as “13th stepping.” While they may be ready, you are not! And while this may be flattering, it is unwise. It is common to think that dating someone in recovery is a good idea. In the future and in the long run, it may be, it is not right now. ADDICTION RESOURCES This is the time to focus on self-care, reading, learning, making new sober friendships, repairing old relationships that may have suffered from your addiction. Dating and romance can be a distraction to the spiritual and well-being journey you are now on. How do you know when you are ready to date? This, of course, is a very personal decision. A decision that should be discussed with those in your recovery circle-friends, family, sponsors, coaches, etc. As long as you feel ready and have discussed dating again with those who know you well and have your best interests in mind, it may be time to test the waters. Don’t be surprised if what you looked for previously in a partner has changed dramatically. After your detox with us, our care team at The Coleman Institute for Addiction Medicine can help you put together a recovery plan that incorporates lots of feel-good activities that do not revolve around drugs, alcohol, or love. Other than self-love of course! Deborah Reich, MD SCHEDULE A CALLBACK #### Signs of Alcohol Addiction: When It's Time to Seek Help Alcohol is a widely accepted and often celebrated substance, but it can also be addictive and harmful. If you are struggling with alcohol use, it may be difficult to recognize when it's time to seek help. However, acknowledging the problem and seeking treatment is the first step towards recovery. This article will explore the signs that indicate it's time to seek help for alcohol addiction and answer some common questions about alcohol addiction treatment. Signs that it's time to seek treatment for Alcohol Use Disorder Inability to control or limit drinking One of the earliest signs of alcohol addiction is the inability to control or limit drinking. You may have tried to cut back on your drinking, but find yourself unable to do so. This could lead to drinking more than you intended, or drinking in situations where you previously would not have. If you find yourself drinking alone, hiding your drinking from others, or feeling guilty or ashamed about your drinking, these are all signs that it may be time to seek help. Increased tolerance and need for more alcohol to feel the effects As your body becomes more accustomed to alcohol, you may find that you need to drink more to feel the same effects. This increased tolerance can be dangerous as it can lead to excessive drinking, which can cause harm to your body. If you find yourself drinking more than usual, or needing to drink more to achieve the same effects, it's a sign that your body is becoming dependent on alcohol. This can lead to a variety of negative consequences, including physical and mental health problems. Withdrawal symptoms when not drinking If you experience withdrawal symptoms when you stop drinking, it's a clear sign that your body has become physically dependent on alcohol. Symptoms can include shaking, sweating, nausea, anxiety, and even seizures. Withdrawal symptoms can be very uncomfortable and even dangerous, so it's important to seek medical help if you experience them. This can include going to an urgent care or emergency room, or seeking help from a medical professional who specializes in addiction medicine. Neglecting responsibilities and obligations If you are prioritizing drinking over your responsibilities and obligations, it's time to seek help. Alcohol addiction can cause you to neglect important aspects of your life, such as work, family, and social life. If you find yourself missing work or social events due to drinking, or neglecting important responsibilities such as paying bills or caring for loved ones, it's a sign that your drinking is having a negative impact on your life. This can lead to feelings of guilt, shame, and hopelessness, which can make it even more difficult to seek help. Interpersonal problems with loved ones or friends Alcohol addiction can also lead to interpersonal problems with loved ones or friends. You may find yourself arguing more often, experiencing mood swings, or even isolating yourself from others. If you find that your relationships with loved ones or friends are suffering as a result of your drinking, it's a sign that it's time to seek help. This can include reaching out to a therapist, joining a support group, or seeking help from a medical professional who specializes in addiction medicine. Physical and mental health problems Alcohol addiction can cause a wide range of physical and mental health problems, including liver damage, cardiovascular disease, depression, and anxiety. If you are experiencing any physical or mental health problems as a result of your drinking, it's important to seek help. This can include seeking medical treatment, joining a support group, or working with a therapist who specializes in addiction medicine. Legal issues related to alcohol use If you find yourself facing legal issues related to your alcohol use, such as DUIs or public intoxication, it's time to seek help for alcohol addiction. Legal issues can have serious consequences, including fines, jail time, and a criminal record. It's important to seek help to address the underlying issues that may have led to the legal issues in the first place. This can include working with a therapist or joining a support group to address the root causes of your drinking. Financial problems due to spending on alcohol Alcohol addiction can also lead to financial problems. If you find yourself spending a significant amount of money on alcohol, or neglecting other financial obligations in order to continue drinking, it's a sign that it's time to seek help. Financial problems can cause significant stress and anxiety, which can exacerbate the problem of alcohol addiction. Seeking help can help you address these financial issues and create a plan for managing your finances in a healthy way. Common questions around alcohol addiction treatment What types of treatment options are available for alcohol addiction? There are a variety of treatment options available for alcohol addiction, including outpatient programs, individual therapy, group therapy, and medication-assisted treatment. Outpatient programs can provide structured support and education while allowing you to continue living at home. Individual therapy can provide personalized support and help you address the underlying issues that may have led to your addiction. Group therapy can provide a sense of community and support from others who are also struggling with addiction. Medication-assisted treatment can help alleviate withdrawal symptoms and reduce cravings. At the Coleman Institute for Addiction Medicine, we offer a 3-day outpatient alcohol detox supported by naltrexone therapy. Naltrexone is a non-addictive medicine that blocks the euphoric feeling of alcohol and opiates and so helps prevent relapse. Will I have to stop drinking completely or can I learn to drink in moderation? The goal of alcohol addiction treatment is ultimately to help you achieve sobriety, but the approach to achieving sobriety can vary depending on the individual. Some people may be able to learn to drink in moderation, while others may need to stop drinking completely. It's important to work with a medical professional to determine the best approach for your individual needs. They can help you create a personalized treatment plan that takes into account your medical history, level of addiction, and personal goals. What can I do to increase my chances of successful treatment? There are a number of things you can do to increase your chances of successful treatment. First, it's important to be honest with yourself and others about your struggles with alcohol addiction. This can help you access the resources and support you need to succeed. It's also important to create a support system, whether that's through therapy, support groups, or friends and family who understand and support your goals. Developing healthy coping mechanisms, such as exercise or mindfulness practices, can also help you manage the stress and anxiety that can come with recovery. Finally, it's important to be patient and kind to yourself. Recovery is a journey, and it's not always easy. But with the right support and resources, it is possible to achieve sobriety and create a healthier, happier life. Conclusion Alcohol addiction is a serious problem that can have a negative impact on every aspect of your life. If you're struggling with alcohol addiction, it's important to recognize the signs that it's time to seek help and take action to get the support and resources you need. By working with medical professionals, developing healthy coping mechanisms, and creating a support system, you can overcome addiction and create a healthier, happier life. Remember, it's never too late to seek help and start your journey towards recovery. #### Signs of Opioid Addiction: 10 Common Street Names for Heroin The opioid crisis continues to claim lives and disrupt communities globally, with heroin standing out as one of the main driving factors. Heroin, derived from morphine, is notorious for its high addictive potential and devastating impact. At the Coleman Institute, we offer a heroin-focused outpatient treatment program using our Accelerated Opiate Detox methodology that has helped 98% of patients successfully complete their detox. Understanding and recognizing the signs of heroin use is the first step to getting yourself or someone you know out from under the grip of opiate dependency or addiction and into long-term recovery. Understanding the Signs of Opiate Use Identifying heroin use early can be pivotal in helping an individual receive the necessary support and treatment. Here are some common signs that may indicate someone is using heroin: Physical Signs Needle Marks or Bruises: Presence of needle marks or unexplained bruises on arms, legs, or other parts of the body. Constricted Pupils: Very small pupils are a distinct sign of opiate use. Weight Loss: Rapid, unexplained weight loss. Changes in Appearance: Neglect of personal hygiene and appearance. Behavioral Changes Secrecy and Isolation: Withdrawal from friends, family, and usual activities. Mood Swings: Rapid and severe mood changes, irritability, or depression. Financial Strain: Sudden financial problems, borrowing money, or stealing. Poor Performance: Decline in performance at work or school and neglecting responsibilities. Psychological Signs Lack of Motivation: Apathy and lack of interest in future goals. Euphoria and Lethargy: Alternating between states of euphoria and lethargy. Impaired Judgment: Making poor decisions and exhibiting risky behavior. Anxiety and Paranoia: Displaying heightened levels of anxiety, nervousness, and paranoia. Recognizing Paraphernalia Heroin use is also associated with specific paraphernalia, including: Spoons and Foil: Items used for cooking heroin. Syringes: Used for injecting. Small Plastic Bags: Often used for packaging heroin. Pipes: Used for smoking heroin. UNDERSTANDING HEROIN DETOX 10 Common Street Names for Heroin In addition to the information above, educating yourself on the common street names for heroin can facilitate early detection and intervention. Whether overheard or noticed in casual conversation, someone using these terms could be struggling with a heroin dependency or heroin addiction. Below are 10 common street names for heroin you should know to help recognize the signs of opioid use. 1. Dope "Dope" is a ubiquitous street name for heroin, used in various settings to refer to the drug. Its usage spans across generations, rendering it a recognizable term for identifying potential heroin discussions or transactions. 2. Smack Smack is synonymous with heroin due to the drug's powerful and instant impact on users. This term is a significant indicator of heroin discussion, especially amongst younger populations, and reflects the pervasive nature of this opiate. 3. Horse The term "horse" symbolizes the potent and dominating characteristics of heroin. The name is derived from the strength and dynamism associated with horses and signifies the overwhelming influence of the drug. 4. Brown Sugar Heroin’s resemblance to granulated brown sugar has led to this colloquial term. It serves as a covert reference, often used to disguise conversations or transactions involving heroin. 5. Black Tar Black tar heroin is a specific, less refined form of the drug with a sticky, tar-like appearance. It is often cheaper, making it more accessible but is usually impure and can lead to severe health complications. 6. China White China white refers to a highly refined, potent, and usually white form of heroin, representing its high purity and potency, often laced with dangerous synthetic opioids like fentanyl. 7. Junk The term "junk" serves as an informal and inconspicuous reference to heroin, often used by those discussing or dealing with the substance clandestinely. 8. Skag "Skag" represents a variant of impure or low-quality heroin, often adulterated with various substances, posing heightened risks due to its unpredictability. 9. Dragon The dragon symbolizes the powerful allure and devastating impact of heroin. "Chasing the dragon" is a metaphor for the continual pursuit of the elusive euphoric high, illustrating the cycle of addiction. 10. H Simply using the letter "H" is a discreet way of referring to heroin, especially in textual conversations or in coded language. Heroin Intervention and Support Near You Recognizing the street names and understanding the signs of heroin use are crucial steps in identifying cases of heroin use. The journey to recovery from heroin addiction can be challenging but it is possible with timely intervention, proper treatment, and support. Contact the Coleman Institute today to take the first step toward recovery. SCHEDULE A CALLBACK #### Staying Comfortable During Alcohol Detox If you are daring to stop using drugs or alcohol, you are daring to believe there is something better out there for you. It is a huge leap of faith to give up something that has so consistently given what you’ve asked of it: ease of mind, release of tension, the illusion of no responsibilities, justification to escape from the troubles the world has unjustly stowed upon you. . . Of course, alcohol is consistent on the other end, as well: hangovers, neglected commitments, forgotten conversations, poor health, maiming motivation. . . To be open to the possibility that something better awaits can be a terrifying proposition. Many of the clients we serve at the Coleman Institute express fear about uncovering who they are without alcohol. The choice to have an alcohol detox and stop drinking opens the door to uncomfortable possibilities such as boredom, painful thoughts, difficult memories, and raw emotions. This is why at the Coleman Institute, when a person goes through an alcohol detox, we assist them to have a solid plan going forward. In our experience, there’s so much wisdom in finding a 12 step program, attending an intensive outpatient group or individual counseling. Each of these approaches helps the brain re-forge new pathways for living a life that serves what one values. GET THE ALCOHOL DETOX GUIDE At the Coleman Institute we offer a safe and confidential setting for our medically assisted alcohol detox for people who drink enough that it may be physically dangerous to simply stop. If you are unsure about how safe it is for you to stop drinking abruptly, it’s a good idea to discuss this with your doctor or call our office. A history of DTs or seizures after stopping drinking or drinking in the mornings to quiet down a tremor generally qualifies a person to have a medically supervised alcohol detox. During our detox, we provide medication throughout the day to keep our patients safe and comfortable. Our patients’ heart rate, blood pressure and respirations are continuously monitored. We check liver and kidney function through the office lab. We look after our patient’s support person, as well, providing lunch and opportunities to ask questions and discuss the next steps for treatment. Life’s problems don’t go away after this, but eliminating the alcohol creates the possibility for bringing clarity and effective coping and problem solving to the table. Now, finally, there is space for things that really matter. Joan R. Shepherd, FNP SCHEDULE A CALLBACK #### Staying Sober During The Holidays I always like to forward good tips about staying sober during the holidays. We see so many patients who talk about their ‘triggers’ during those times. I thought this article contained some great ideas. He clearly references things from The Recovery Book, so unless you read the book, some of the things may not be completely fleshed out. And just a reminder, at the Coleman Institute we see patients 365 days a year. Many people are able to schedule with us over the holidays so they don’t miss work. It keeps their detox discrete and convenient. Sober Holidays Tip #1: Remind yourself every single morning how good it feels to be sober (and how great it will feel come January). Plant that thought in your mind right now, and think about it every morning. Stick a note on your bathroom mirror to remind yourself to think about it every day. Sober Holidays Tip #2: Keep your expectations realistic, so you don’t set yourself up for an emotional letdown. Getting sober doesn’t mean life is instantly perfect. Other people in your life probably haven’t changed, and many of the conflicts that crop up at family reunions will doubtless crop up again. Accept it, roll with the punches, and rein in the urge to manipulate everything and everyone. It will be enough for you to take care of and control yourself. Sober Holidays Tip #3: Plan activities other than sitting around and gabbing. In many families, getting together for the holidays means sitting around and drinking. Investigate other options now. Movies, museums, holiday concerts, skating, walks, sledding, sports events can all help fill the time and limit stress. If weather keeps you inside, suggest activities that will keep everyone busy and focused, such as decorating holiday cookies, board games, or old movies. Sober Holidays Tip #4: Limit the amount of time you spend with relatives who make you crazy. If everyone is gathering for the holiday, including your brother who drinks like a fish, plan on an overlap of just a day or two. If he arrives on Christmas Day and stays a week, you can arrive a couple of days before Christmas, help your hosts prepare, enjoy a quiet Christmas Eve, and leave the next day. Sober Holidays Tip #5: If you’re traveling, go to meetings wherever you are. Find a meeting long before you get there. This will give you the booster support shot you’ll almost certainly need—the chance to say, “Sure, I love my family, but sometimes they drive me up the wall,” or to talk about whatever else it is that almost drives you to drink. Sober Holidays Tip #6: If the holidays mean visiting your old hometown, take time to see old friends you enjoy; avoid those you used to drink or use drugs with. Make plans now for how you’ll occupy your time while there, so you don’t find yourself with time to kill and fleeting thoughts of visiting the people who are still drinking or using. Sober Holidays Tip #7: Remember what Recovery Zone you’re in. If you’re following the Recovery Zone System, remember where you are in recovery. If you’re in early recovery, the Red Zone, you are bound to be a bit shaky. Don’t push yourself or leave yourself open to temptation. It’s okay to have a quiet holiday season. Sober Holidays Tip #8 Do a Recovery Zone ReCheck before the holidays get started. Think about the events coming up in the next few weeks. What situations could possibly set you on the road toward relapse? Seeing your ex-husband at a party? Having a fight with your mom? Having dinner with friends who drink? Make a plan now for how you will deal with these events; maybe you’ll go to some extra meetings before you travel, and plan to call your sponsor or a fellowship friend if anything does happen. Or maybe you’ll investigate online meetings now, before anything happens, so you can go to a meeting at a moment’s notice. Remember, it’s okay to retreat to an earlier Recovery Zone for a few weeks. Sober Holidays Tip #9: If you’re flying and feeling vulnerable, ask for help. Planes don’t have “no alcohol” sections, so the person right next to you might order something alcoholic. What do you do? Ideally, fly with someone you know, someone who knows you are in recovery and will avoid drinking during the trip. If you’re flying alone and feeling vulnerable, explain your situation to the flight attendant. Ask if he can help you change your seat if anyone next to you orders anything stronger than tomato juice. Swapping seats is almost always possible. If you do get stuck next to a drinker, close your eyes and meditate. Put your headphones on and zone out to music or a meditation recording, or watch the movie. If you have Wi-Fi on the plane, contact a friend in recovery for support. Another idea: If you worry you’ll be tempted to stop at a bar on the way to the airport or inside the terminal, have a friend or your sponsor drop you off at the airport and then stay in touch with you via phone, text or video chat until you get on your plane and the cabin door is shut. Sober Holidays Tip #10: Plan your own celebrations. If you aren’t going traveling for the holidays, plan to celebrate with local AA or NA friends. If you haven’t been invited, do the inviting yourself. Follow old family traditions or start some of your own. Sober Holidays Tip #11: Take it easy! Get plenty of rest, watch what you eat, get your usual exercise, and take time for meditation. Maintain your recovery routine as much as possible. Sober Holidays Tip #12 Don’t romance the drink or drug. If everyone starts talking about the “good old days,” leave the room. You don’t want to start thinking about your drinking or using days. That can lead to preoccupation and obsession, and then to cravings. Keep your focus on your life right now, your life in recovery. Sober Holidays Tip #13 Be very careful about what you eat and drink. Alcohol doesn’t come only in a glass or a bottle. It can come in bowls and plates, too. And what you don’t know can hurt you. One reason, of course, is that even a small amount of alcohol can trigger a relapse. How much does it take? A tiny drop? A small glass? There is no definitive answer, so it’s best to avoid all alcohol and keep your risk as low as possible. Another reason is the psychological risk: the taste plus the “thrill” of knowing that you’re consuming alcohol could turn on a compulsion to drink. Remember, the addiction is in the person, not the substance; it’s critical to stay away from that slippery slope of guessing what might be risky for you. Sober Holidays Tip #14 Bring recovery reading when you travel. Get ebook versions of The Big Book, and other recovery literature on your phone or ebook reader before you leave town. Download some inspirational recovery talks as well. Sober Holidays Tip #15 Practice TAMERS every day. Don’t let up on your brain healing activities. Practice TAMERS every day: Think about recovery, Talk about recovery Act on recovery, connect with others Meditate and Minimize stress Exercise and Eat well Relax Sleep Sober Holidays Tip #16 Make a plan for dealing with cravings. Write up a list of what works for you: calling someone, reading recovery books, a quick workout at the gym, prayer. Think about what has worked for you in the past, and be sure you are ready with some solutions. Can’t think of anything? Try to stay sober for just one minute. Then two minutes. Then start doing something (wash the dishes, read the news), and set your alarm for five minutes. When you’ve managed to get through five minutes, try for ten. Keep increasing the time. Tell yourself you only need to focus on not drinking right now, this minute, this hour, this day. Sober Holidays Tip #17 Remember that being in recovery doesn’t mean instant heaven or a perfect life. Coming to grips with the idea that sobriety is not instant heaven is an important step in recovery. Most people with addiction expect their upside-down world to immediately turn right side up. That rarely happens. If you’ve been misusing alcohol or drugs for a while, your brain may need several months or even longer to set itself right. Give yourself time to build a happy new life. Sober Holidays Tip #18 It’s okay to tell people you are now in recovery. There is a lot less stigma these days to being in recovery. Nearly everyone knows someone who is in recovery and very open about it. It’s your choice whether or not you want to tell people. One good reason to be open about it: If your friends don’t know you’ve given up alcohol, they may lead you into temptation without intending to. Another reason: When you let it be known that you don’t drink, you offer support and encouragement to others who are thinking about sobriety but are afraid to take the leap. You just might be the catalyst that gets someone else started on recovery. Sober Holidays Tip #19 Make a plan for staying sober at parties. Decide in advance that there’s no way in the world that you will drink or use drugs at the event. Ask for help from your Higher Power, because you may need it. Know and rehearse exactly what you will say if someone asks, “Would you like a drink?” or “Want to do a line?” Sober Holidays Tip #20 Stay sober at the party: Serve yourself. If you can, bring your own water bottle or glass full of soda, so you don’t even have to go near the bar. If you don’t bring your own, when you arrive head straight to the liquid refreshments and help yourself to a safe option. Keep your beverage in your hand for the rest of your time at the party (refill as needed). That way you won’t have to keep turning down offers of something to drink. People won’t be asking you and unknowingly tempting you. If you set your drink down while dancing or when you step into the bathroom, get a new one when you return. Don’t take a chance on anyone having accidentally switched drinks or good-naturedly topped yours off, or even worse, slipped a drug into it. Sober Holidays Tip #21 Bring your own beverage. If a holiday celebration includes the use of alcoholic beverages (such as wine at Passover), make sure in advance that there are substitutes (such as grape juice) for you and anyone else who doesn’t want to drink the harder stuff. Sober Holidays Tip #22 Stay sober at the party: Don’t go it alone. Bring along an AA buddy or a hired sober companion. Or take someone at the party into your confidence (the host, a friend, even a waiter); candor will serve you better than pride, embarrassment, or guilt. Tell them that you can’t drink, and enlist them as bodyguard. It will make the event easier for you, and will keep you from winding up in a relapse. If you can’t take someone with you, arrange to text with someone throughout the evening. Or make a plan to call your sponsor every hour on the hour. Build in some accountability, however you can. Sober Holidays Tip #23 Stay sober at the party: Curb resentment. You’re almost sure to run into someone who’ll say, “Do you mind if I have a drink?” Your automatic answer will most likely be “No, I don’t mind.” The truth is you probably do resent it. You’re as good as the other guy. If he can drink, why can’t you? If you feel resentment building, make your excuses and find your sober buddy, slip out to a meeting, or call or text your sponsor. Pull out your phone for a quick check-in with an online meeting or recovery forum. Or head home and immerse yourself in an online meeting. Sober Holidays Tip #24 Stay sober at the party: Be ready to leave. Keep your car keys or taxi fare in your pocket. Should you suddenly feel overwhelmed by temptation, leave immediately. Do not try to test yourself. Sober Holidays Tip #25 Stay sober at the party: Take inventory the next day. The day after you go to an event with alcohol you may well fall into self-pity mode. “Why can’t I have fun like those other people?” Don’t let those feelings and ideas simmer; they can push you right over the edge into a relapse. Plug right back into your recovery program. Call or text your sponsor, double up on meetings, and read recovery literature. Be honest about any feelings that arose from being around the drinking and using scene. Sober Holidays Tip #26 Try not to stress about holiday gifts and expenses. Try not to worry too much about giving the “right” gifts, or having enough money to buy gifts. For the people who matter, just your love (and your sobriety) will be enough. Really. Try not to get stressed out about spending lots of money on travel and other holiday expenses. Set a budget and stick to it. Sober Holidays Tips #27 Be ready to return to your regular routine. Schedule time to decompress after travel. Try not to feel let down by a return to the normal old routine. Remember that you have another brand new year to have a wonderful, sober life. Sober Holidays Tip #28 Stay in touch with sober friends. Make sure your phone is filled with the numbers of AA members and call them frequently to stay in touch. Sober Holidays Tip #29 Find a meeting! Okay, we’ve said it before. But it bears repeating. Because it works. Find a meeting. If holiday gatherings with family or friends become drinking parties, head for the nearest meeting. No one will miss you and the social drinkers will understand. Many AA clubhouses even have round-the-clock meetings on holidays. Sober Holiday Tip #30 Give thanks. Stop by a church or some quiet area like the beach, a lake or a park, and spend a few minutes thanking your Higher Power for your sobriety and your new way of life. Sober Holidays Tip #31 Wish others Happy Holidays. Even if you’re a bit shy, smile and wish those around you happy and healthy holidays. It will lift your own spirits and create a warm glow inside. Sober Holidays Tip #32 Reach out to newcomers. Take a newcomer to lunch or dinner and then to a meeting. If you’re a newcomer, take a newer newcomer. If you can’t afford lunch or dinner, how about just coffee? Sober Holidays Tip #33 Remember your last drink. If the thought of a drink occurs, first think it through. Remember your last drink. Then call your sponsor or AA friend. Sober Holidays Tip #34 Don’t get hungry, angry, lonely, or tired. Don’t let those feelings creep up, no matter how long you’ve been sober. Addiction is cunning, baffling, and powerful. Again, constant watchfulness will help. Sober Holidays Tip #35 Be sure there is plenty of light in your life. Keep the lights bright at home, try to get out when the sun is shining, light a cheery fire in the fireplace. Winter darkness and drabness can be psychologically (and physiologically) depressing. Sober Holidays Tip #36  Recite the Serenity Prayer. Often. Make sure you have copies of the Serenity Prayer in your pockets or purse and on your phone. Paste it on the mirrors in your home. Pause for a moment and read it. Repeat. Sober Holidays Tip #37 Go to a meeting. Yes, another one Joan R. Shepherd, FNP #### Still Drinking? Get Support This was one of the best takeaways from my interview with Casey McGuire Davidson, who became a Certified Life Coach and a Master Practitioner in Core Energy Leadership to “help other successful women who’ve gotten into the habit of drinking too much or too often, reevaluate their relationship with alcohol, get out of overwhelm, and create lives they love.” I became aware of Casey’s work listening to the Bubble Hour, a podcast hosted by Jean M. who interviews people about their recovery stories. What is Your Relationship With Alcohol? I love Casey’s story because of how she revolutionized her own relationship with alcohol and turned it into an opportunity to help other women struggling with similar issues. At the Coleman Institute for Addiction Medicine, we have over twenty-five years of experience helping people safely stop drinking alcohol, as well as detoxing off benzodiazepines and opioids. Many people achieve long-term sobriety, but I was particularly interested in hearing Casey’s opinions about strategies for people who relapse. Strategies for Relapse Davidson sees the need for assistance with choosing abstinence from alcohol on a spectrum. While some people make the decision to end an unhealthy relationship with alcohol by simply using willpower, other people find success by layering more and/or different help. For instance, if willpower doesn’t work, the next level of help may include education and motivation. There are any number of biographies, autobiographies, self-help, and informational books about how to stop drinking or drugging. Many of these are available in both written and audible format. A growing number of high quality podcasts and YouTube videos share stories of hope for recovery in interview and lecture format. Secret — that is — anonymous and closed, online groups are available for those who may not want or be able to attend a live meeting. Continuing along the spectrum are live recovery meetings such as AA, SMART Recovery, and Refuge Recovery, which offer the benefits of connection, education, and hope. Counseling, one on one or in a group setting, may be necessary for someone whose drinking has roots in trauma or needs professional therapy to help unpack. GET THE ALCOHOL DETOX GUIDE Accountability for Alcohol Consumption The layer and expertise that Casey brings to the table through her Recovery Coaching provides both connection and accountability. She makes it clear to clients that her expertise is neither medical nor psychiatric counseling; coaching offers its own distinct realm of support. Davidson engages women who desire to alter their relationship with alcohol and don’t necessarily label themselves as alcoholics, but have found that their habitual drinking behavior is becoming unsustainable. Many of her clients have tried unsuccessfully to moderate their drinking. She invites her clients to consider Where I Am Now, supporting a deep dive into the gap bridging Where I Want To Be in the context of exploring abstinence from alcohol. She does this through a twelve-week format that includes weekly calls with her for the first several weeks, and daily supportive texts and emails throughout. She uses the metaphor of laying the foundation, then daily building upon a brick wall, with each brick representing another skill to help keep one sober. Alcohol and Success are Not Mutually Exclusive Davidson herself stopped drinking several years ago. During the time of her heaviest drinking, she was an active wife, mother, friend, successful corporate climber, and an athlete. Clearly, drinking lots of alcohol is not mutually exclusive with being successful in many realms of life, and surely doesn’t mean hitting some vague notion of bottom. I see this with my own patients every day. But Davidson suggests the question a person considering abstinence should be asking is not, “Is this bad enough to stop?” but rather, “Is this good enough to keep going?” A Helpful Resource to Stop Drinking At the Coleman Institute for Addiction Medicine, we are all about providing resources for our patients. Casey has compiled her own 30 Tips to Get You Through the First 30 Days which she offers free on her website Hello Someday Coaching, along with many other resources. As I continue my own work with women who desire abstinence from alcohol, I am delighted to have Casey on my short list of recommendations. You can book a free 30 minute call with her yourself to see if her coaching is the ‘layer’ you need right now to stop drinking. In the meantime, if you or a loved one would like information about how to safely stop drinking or using opioids through one of our accelerated detox programs, please schedule a callback today. Joan R. Shepherd, FNP SCHEDULE A CALLBACK #### Stop Drinking Alcohol: 5 Questions to Ask Yourself I recently met with a patient who, after about 40 years of very regular drinking, made the decision to quit drinking. Her decision to stop drinking alcohol was not easy. She associated drinking wine with many aspects of her life: sharing a bottle of wine with her husband over dinner, sitting around by the pool sipping wine, curling up in the evening with a good book and a glass of chardonnay, drinking a glass of wine when she’s had a frustrating day at work. More like this: Who Am I Without Alcohol? The Most Common Questions About Quitting Drinking One of the things we ask when people come for a consultation is their history of negative consequences from their drinking. This is an important question because continuing to drink in the face of negative consequences helps to diagnose alcohol dependence. But sometimes I’ve noticed this question keeps people in denial. “Nope” they say, “I’ve never had a DUI, never lost a job because of drinking, never had delirium tremens (DTs) or seizures when I stopped. And—by the way—it’s ‘just’ wine.” More like this: The Myth of the ‘Functioning Alcoholic’ 5 Lost Opportunities When Drinking Alcohol Then it may be more helpful to ask about lost opportunities rather than negative consequences. 1. Would you have gone for a walk or done some kind of exercise if you hadn’t poured that first glass? 2. Would you have made that phone call you’ve been putting off if you hadn’t poured yourself a glass? 3. Would you have had a different kind of conversation with your partner or spouse if you hadn’t had a few glasses of wine? 4. Have you had the experience of not remembering the details of a conversation with your child because you were drinking? 5. Have you failed to keep health commitments to yourself because when you drink, it loses priority billing? You can find more questions to ask yourself in our series Alcoholic or Just A Bad Habit? Part 1. GET THE ALCOHOL DETOX GUIDE Help to Quit Drinking After years of creating associations in so many aspects of life with alcohol, it is a physical, emotional, and psychological challenge to start thinking about oneself as a person who lives without drinking. But it can be done. People do it every day. Once a person has made the decision they want to stop drinking alcohol, the available help to quit drinking is abundant. Alcohol Treatment An integral part of treatment at The Coleman Institute, whether a person is seeking help with opioid addiction, benzo addiction, or alcohol dependence, is to flank our patient with resources for recovery. We are big proponents of using a 12 Step Program; many people find the spiritual component coupled with nonjudgmental social support to be powerful. SMART Recovery SMART Recovery is an approach to helping people change habits with specific exercises geared to whatever stage a person is currently in. In-patient or Intensive outpatient programs and counseling with a trained addiction specialist are other venues. Suggested Read: Coleman Method for Outpatient Detox off Opioids and Alcohol Conclusion If you or a loved one are considering stopping drinking alcohol, using benzos or opiates, or simply want to learn more about our medically assisted detox programs, please give us a call at 877-773-3869. Joan R. Shepherd, NP What’s Next: The Single Most Important Thing to Know When Detoxing off Opioids, Alcohol, or Benzos SCHEDULE A CALLBACK #### Stopping Benzodiazepines: 4 Things To Consider Getting off benzos such as Ativan®, Xanax®, and Klonopin® is tough. We’ve provided four things to consider when stopping Benzodiazepines. Something to note is that these don’t guarantee a symptom-free withdrawal. Stopping Benzodiazepines: 4 Things To Consider 1. There Will Be Side Effects Go slow or go fast, either way, be prepared for inevitable side effects. Several of our Coleman Institute locations provide a medically assisted benzo detox to safely remove most benzos from the body in a week, and provide medications to deal with the usual side effects. 2. You May Still Experience Anxiety Understand you will still experience anxiety when the benzos are gone. Anxiety is a normal part of being human. It is only when the anxiety starts to interfere with a person's ability to live the kind of life they want to live, that it's a problem. Our brains are wired to look out for danger - it is what has kept us alive as a species. But if our brain has unknowingly been 'trained' to perceive danger when in reality we are safe, and it still responds as if we are being chased by a saber-toothed tiger. The whole cascade of neurotransmitters and hormones responds to 'save' us from the perceived danger. This is the familiar Fight, Flight, or Freeze response. When these unquestioned automatic responses rule their world, people withdraw from dreams and goals. There are many methods available to learn to live with and put anxiety in the proper perspective. Disregard this if a saber-tooth tiger is chasing you. UNDERSTANDING ACCELERATED OPIOID DETOX 3. Long-Term Use Is a Bad Plan Although you may have benefitted from benzos at one time, long-term use is a bad plan. Patients that come to the Coleman Institute for a benzo detox have often fallen through the cracks of well-meaning providers. They were going through a rough period in their life and were prescribed Xanax®; perhaps they were having trouble sleeping and received a prescription for Ativan®. They may have been struggling with balancing shift work and raising a family. As a younger person, they were tongue-tied at social gatherings or felt panicky when they were in public situations and Valium® smoothed things over. Somehow, the prescriptions kept being re-filled. Most people outgrow anxiety issues as they get older and have no need for long-term medications. Benzos become particularly worrisome as a person ages. Why You Shouldn’t Use Benzos Take a quick browse on the NCBI (National Center for Biotechnology Information) or NIMH (National Institute of Mental Health) for reasons not to stay on benzos: Long-term benzodiazepine users have an increased risk of dementia compared with never users. Risk of falls increases. Cognition and memory are impaired. Restorative sleep is affected. The list goes on and on. The risks of being on benzos outweigh the benefits in the long run. 4. Have a Plan in Place When you have decided once and for all that you no longer want to be on benzodiazepines, it's time to gather your resources. Educate yourself about the psychological and physical side effects that are likely to happen (although the response to withdrawal varies in everyone). Work with a responsible, reliable health care provider who understands the importance of partnering with you through this difficult time. Find a therapist to work with on cognitive behavioral skills to learn how to co-exist with anxiety. I steer people toward The Mindfulness and Acceptance Workbook for Anxiety by Forsyth and Eifert. Start now to cultivate some sort of mindfulness or meditative practice to become the Observer of your TEAMS (Thoughts, Emotions, Associations, Memories and Sensations); eventually you can learn to watch your thoughts without reacting to them. Conclusion We receive hundreds of calls from people desperate to for help with stopping benzodiazepines safely. It is possible to become free from them, and recover completely, but it will take determination. Having the best resources to support you through this is key. The Coleman Institute is available to be part of your team. Please call us to see if a Rapid Benzo Detox at one of our offices is a good fit for you. Joan R. Shepherd, FNP SCHEDULE A CALLBACK Last Updated: January 17, 2022 #### Suboxone Alternatives to Detox Off Opioid Pain Medication In the journey toward recovery from opioid pain medication addiction, deciding which opiate detox method to choose plays a pivotal role. While Suboxone has long been a cornerstone of therapy in addiction medicine, particularly for those seeking to overcome dependence opioid-based on pain medications, it's important to acknowledge that its efficacy and suitability can vary significantly among individuals. With the complexities of opiate dependency and addiction and the varied responses of individuals to treatment, exploring alternatives to Suboxone for pain medication detox is becoming increasingly important. These alternatives range from other pharmacological treatments to holistic and natural approaches, each offering unique advantages and considerations. Are you considering alternatives to Suboxone® to detox off of opiate-based pain medication? Learn how to detox safely off of Suboxone® at the Coleman Institute with the Coleman Method in Richmond, VA, or at one of our nationwide rapid detox clinics near you. Prescription Opioid Painkillers for Pain Management The CDC reports that starting in 2006, the total number of opioid prescriptions dispensed continued to rise until it peaked in 2012 at “more than 255 million and a prescribing rate of 81.3 prescriptions per 100 persons.” Since then, the opioid painkiller prescribing rate has declined, falling to the lowest in 13 years by 2018. However, that was still a large number of patients on opiate painkillers by any measure, coming in at more than 168 million total opioid prescriptions. The research consistently proved that the cons of prescribing potent and addictive pain medications containing opioids were much higher than the pros. As the reality and fallout from prescription opioid pain medications continue to be revealed, many family practices opt to cut down or completely stop treating chronic pain with opioid pain medication. More like this: When Pain Medication Becomes a Dependency CHRONIC PAIN MANAGEMENT FAQS Alternatives to Opioid Medications for Chronic Pain This has been tough for patients who relied on these types of opiate-based pain medications for years. In most cases, they have taken their medications precisely as prescribed. It is often equally difficult for many practitioners who believe this to be a good and helpful component of a comprehensive family or internal medicine practice. Some doctors will help their patients with a slow taper where the provider prescribes lower and lower doses of the opioids at each visit. Depending on the amount of opioid-based pain medication a patient is on, this may be a very protracted but safe solution for how long they've been on it. Some people have access to switching to a pain management practice. This, of course, depends on insurance, out-of-pocket costs, and the availability of this specialty in the patient's area. Often people are being switched from short-acting opiate pain medication to long-acting opioids such as Suboxone®. More like this: What If I'd Never Stopped Using Suboxone Long-Term Use of Suboxone® and Buprenorphine Products Other patients who are being transitioned off opiate-based pain medications are prescribed one of the several available buprenorphine products. Suboxone®, Subutex, and Zubsolv are just a few. These products are actually partial opioid agonists; they may cause some mild euphoria but much less than short-acting pain medications like oxycodone and hydrocodone and their "family," heroin, fentanyl, tramadol, etc. Buprenorphine products such as Suboxone® can also last at least 24 hours, again eliminating the need for dosing with a short-acting medication. Switching from short-acting opiate pain medication to a buprenorphine product is relatively simple. First, however, you must find a doctor who has acquired the prescribing credentials, as this is a highly controlled medication. Patients will often ask, "Well, isn't it substituting one addictive drug for another when you go from Percocet to Suboxone®?" More like this: Why is it So Hard to Detox Off of Suboxone and Other Forms of Buprenorphine? UNDERSTANDING ACCELERATED OPIOID DETOX Detoxing from Opioids: Suboxone® Withdrawal Symptoms Medications containing buprenorphine can result in physical dependence when used regularly for some time. In addition, if a person stops taking Suboxone®, they can experience opioid withdrawal symptoms, which may last for an extended period of time. These symptoms may vary in intensity and duration based on factors like the length of Suboxone use, dosage, and individual physiology. Symptoms of Suboxone withdrawal can include: Flu-like Symptoms: Many people experience symptoms similar to a severe flu. This includes fever, chills, sweating, and runny nose. Mood Changes: Mood swings, anxiety, irritability, and depression are common during Suboxone withdrawal. These can be particularly challenging as they affect mental and emotional well-being. Sleep Disturbances: Insomnia or disturbed sleep patterns are frequently reported. Some individuals may experience intense and vivid dreams. Body Aches and Pains: Muscle aches, joint pain, and general discomfort are typical. This can sometimes be accompanied by tremors or shakiness. Gastrointestinal Issues: Nausea, vomiting, diarrhea, and stomach cramps are common symptoms when withdrawing from Suboxone, reflecting the body's readjustment to the absence of opioids. Fatigue and Lethargy: A general feeling of tiredness or exhaustion is often experienced, even if one is getting enough sleep. Headaches: Suboxone withdrawal can trigger persistent or severe headaches. Cravings: The desire to use opioids or Suboxone itself can increase during the withdrawal process, as the body adjusts to the lack of the drug. Difficulty Concentrating: Cognitive effects like lack of concentration or focus, and memory issues can occur during withdrawal. Increased Sensitivity to Pain: Individuals may find they have a lower pain tolerance or heightened sensitivity to physical discomfort. What About Stopping Opioid-Based Pain Medications Altogether? Other people consider this an opportunity to see what life might be like without being on pain medication at all: The freedom of never worrying about losing a prescription or the medicine itself Of not having to plan vacations or travel (remember when we could travel?) around a doctor’s appointment for prescription opioids Enduring the judgmental looks from the new or substitute pharmacist Trying to get a shy bladder going in the clinic Finding out if one’s chronic pain is that much better being on these alternatives to opioid pain medication Suboxone® Alternatives to Detox Off Opiate-Based Pain Medication This growing recognition of the overuse and relative ineffectiveness of using opioid pain medications for chronic pain management has brought people from around the country to our clinic. At the Coleman Institute, we offer an Accelerated Opiate Detox (AOD), a safe and comfortable form of rapid detox. Our outpatient detox program helps people get off their pain meds by compressing and addressing their withdrawal symptoms. Depending on the amount of pain medication a person uses, our outpatient detox program will generally last from 3 to 5 days. A cornerstone of the Coleman Method is our use of long-acting naltrexone in the form of a two-month implant after the detox. Naltrexone occupies the opioid receptors, eliminating physical cravings for opioids and eliminating withdrawal symptoms. In addition, as naltrexone is a pure blocker or antagonist, it is non-addictive and does not produce dependence or tolerance. Therefore, there is no withdrawal when stopped or when the implant completely dissolves. You can find more information on our Naltrexone Therapy FAQ page. More like this: How to Detox off Suboxone® With Naltrexone Life Without Suboxone is Possible at the Coleman Institute Over the past 12 years working at the Coleman Institute, I’ve treated thousands of patients dependent on opioid pain medication. They are often quite nervous about how they will feel when they have no more prescription opioid medication—after all, their doctors put them on it for pain in the first place. Remarkably, when queried in the months following our rapid detox procedure using the Coleman Method, our patients almost invariably describe manageable pain levels by simply using over-the-counter (OTC) medications or mind-body techniques such as yoga and mindfulness-based programs. It is frightening for a person to consider stopping a prescription pain medication they've depended on for years. If you would like to learn more about the Coleman method, please call our office at 877-77-3389 or schedule a callback. Until then, stay safe! Joan Shepherd, FNP SCHEDULE A CALLBACK #### Suboxone Withdrawals - Understanding the Symptoms Suboxone (a combination of buprenorphine and naloxone) has helped many people manage opioid addiction and reduce the risk of relapse. But for those who are ready to stop taking Suboxone, the journey forward often begins with a critical question: What happens when I stop? Withdrawal from Suboxone is very real, and although generally less intense than other forms of opioid withdrawal (oxycodone, heroin, etc.), it can still be physically and emotionally taxing. If not done properly, it can lead to relapse or prolonged dependence. That's why understanding the withdrawal process and having a medically supervised detox plan is critical. At The Coleman Institute, we offer a safe, outpatient Suboxone detox program designed to help people stop using the medication safely and comfortably in as little as 8 days. What Is Suboxone & How Does It Work? Suboxone is prescribed as part of Medication-Assisted Treatment (MAT) for opioid use disorder. Suboxone contains two ingredients - Buprenorphine: A partial opioid agonist that activates opioid receptors to reduce cravings and withdrawal symptoms without producing the full euphoria of other opioids. Naloxone: An opioid antagonist added to deter misuse. It remains inactive when taken as directed, but can block opioid effects if the medication is misused intravenously. Suboxone has a long half-life (24 - 42 hours), meaning it stays in the body longer and provides a steady level of relief from cravings. While this extended duration is helpful in treatment, it can make detox more challenging. Why Does Suboxone Withdrawal Happen? Even though Suboxone is used to treat opioid dependence, it's still an opioid. Over time, the brain adjusts to its presence. When the medication is reduced too quickly or stopped abruptly, withdrawal symptoms occur as the body struggles to rebalance without it. Factors that can influence the severity of withdrawal include - Duration of Suboxone use Daily dosage Overall physical health Co-occurring mental health conditions History of opioid use Suboxone Withdrawal Symptoms - What to Expect Withdrawal symptoms are similar to those of other opioids but tend to come on more gradually and last longer due to Suboxone's extended-release properties. Physical Symptoms Muscle aches & body pain Nausea, vomiting, & diarrhea Headaches & abdominal cramps Excessive sweating or chills Fatigue & low energy Tremors or restlessness Sleep disturbances or insomnia Runny nose, watery eyes, or yawning Psychological Symptoms Anxiety or panic attacks Depression or emotional numbness Mood swings & irritability Intense cravings for opioids Difficulty concentrating or staying motivated Feeling disconnected or overwhelmed Although not typically life-threatening, these symptoms can be severe enough to cause emotional distress or lead to relapse without proper support. Suboxone Withdrawal Timeline The timeline for Suboxone withdrawal can vary based on how the medication is stopped. The following is a general overview of what to expect when stopping Suboxone abruptly (cold turkey), without medical tapering - 1 - 3 Days After Last Dose: Symptoms begin to emerge Anxiety, body aches, & insomnia are common 4 - 7 Days: Peak withdrawal symptoms Strong cravings, nausea, chills, & mood swings 2 - 4 Weeks: Physical symptoms begin to improve Mental health symptoms like depression & fatigue may persist 1+ Month: Some individuals experience Post-Acute Withdrawal Syndrome (PAWS) Ongoing psychological symptoms like low mood, poor sleep, & cravings may linger Because of the risk of PAWS, it's important to have a plan for ongoing support after detox. Is It Safe to Detox from Suboxone at Home? Tapering off Suboxone without medical supervision can be physically uncomfortable and emotionally overwhelming. Unfortunately, many people who attempt to quit cold turkey or without guidance end up relapsing or prolonging the process. Home detox attempts may lead to - Unmanaged withdrawal symptoms Risk of turning to other opioids Sleep deprivation and emotional instability Dangerously high relapse risk A structured, medically supervised detox gives your body and mind the best chance to recover safely and completely. Outpatient Suboxone Detox at The Coleman Institute The Coleman Institute offers an accelerated Suboxone detox program that can help most patients completely detox in as little as 8 days, all without the need for hospitalization. What Makes Our Program Different? Outpatient-based care: Receive treatment while staying in the comfort of your own home or nearby accommodations Non-addictive comfort medications: Minimize withdrawal symptoms without using other opioids Naltrexone therapy: Helps reduce cravings after detox and supports long-term recovery Personalized care: Each detox is personalized to the individual's unique medical and substance use history Aftercare coordination: We work with patients to plan next steps in therapy, support groups, and relapse prevention We have helped thousands of people safely and successfully detox from Suboxone and other opioids. What Happens After Suboxone Detox? Completing detox is a major milestone, but it's not the journey's end. Recovery is an ongoing process that requires continued support. After detox, individuals often benefit from - Outpatient counseling or therapy Peer support groups (like SMART Recovery or NA) Dual-diagnosis treatment if co-occurring conditions are present Recovery coaching or case management services Our goal is to set you up for long-term success and lasting sobriety, not just detox you and send you on your way. Take the First Step Toward Life After Suboxone Suboxone withdrawal can be extremely difficult, but we're here to help you get through it as comfortably and safely as possible. We offer a compassionate, medically supervised detox program that's fast, safe, and designed around your needs. If you're ready to stop Suboxone and move forward in your recovery, our experienced team is here to guide you toward lasting healing. Call The Coleman Institute at 703-991-0330 or schedule a callback to learn more about our safe, comfortable, and effective detox services. #### Success Story: Airport Encounter On Sunday morning Dr. Coleman and I were returning from a weekend in Boston. We were rolling our bags through the airport when a young man came up to us and excitedly said, "Um, excuse me. . . don't mean to interrupt you. . . but, do you remember me?' It was a patient who completed a 3 day Rapid Opiate Detox from the Coleman Institute six months earlier. He was so excited to let us know how well he was doing. He was traveling with his business, up and down the east coast. He is thriving! We didn't ask all the usual questions we would ask him if he were in the office (medical health, hours of sleep, anxiety/depression, relationships, counseling, etc. . . ) but it was clear from his beaming face and energy, that all was well. I've only been with the Coleman Institute for about 8 and a half years, but this kind of encounter happens to Dr. Coleman pretty frequently. In fact, this year he celebrates 32 years of recovery! It's pretty exciting to work with people who are ready to make a life change for the better. Even more fun to see them out of the office, enjoying the fruits of their commitment. If you or a loved one are interested in learning more about a medically assisted outpatient detox using naltrexone, please give us a call for more information. I'm looking forward to our next patient run-in! Joan Shepherd, FNP #### Supporting a Loved One Through Opioid Addiction and Recovery Many of us have been, or are continuing to be, affected by the opioid epidemic in some way. Whether you’ve gone through struggles with addiction yourself, or are dealing with the addiction of a family member or friend, you’re certainly not alone. The prevalence of the opioid crisis in the United States won’t be diminished without raising awareness and promoting understanding. Here are a few ways that you can help support a loved one dealing with opioid addiction. Understanding Opioid Addiction Opioid addiction can look different for whoever is struggling with it. Some people might be prescribed an opioid as a pain treatment, and simply fear the effects of withdrawal from their medication. Others may have a history of addiction, and with drugs like fentanyl becoming much more readily available, the number of overdoses has been rising. Even though the medical community is working to raise awareness about the dangers of opioid use and addiction, our loved ones are still at risk, especially if they: Have struggled with anxiety or depression Engage in risk-taking behavior or live/work in stressful or high-risk environments Have a family history of substance abuse While there are psychological and environmental factors that all play a role in addiction, anyone who takes opioids is at risk of becoming addicted – no matter their age or background. SCHEDULE A CALLBACK Why Are Opioids Addictive and How Did the Opioid Epidemic Begin? For most people, opioids stimulate the reward system in our brains and make us feel pleasure when we use them. When an addictive substance is taken long enough, a person can easily become physically dependent, and because opioids are designed to help ease pain, users can become reliant on them to avoid discomfort. So if we know the potential danger of opioids, then why are people still using them? It might help to understand how opioid use got to where it is today. The initial rise in opioid overdoses is most notably tied to the increase in opioid prescriptions for pain management in the 1990s. However, only in the last few years has the CDC published a guide for doctors about how they can safely provide treatment for chronic pain. The second wave of the opioid crisis began in 2010 according to the CDC, “with rapid increases in overdose deaths involving heroin.” Soon after this wave began, more synthetic opioids entered the market, and overdoses reached even higher numbers. Additionally, the illicitly-manufactured fentanyl (IMF) market has put opioid users at even more risk as fentanyl can now be found in a number of other drugs, including heroin and cocaine. Because these substances are so easily accessible, it makes stopping an addiction a serious challenge. ASK FOR HELP Offering Assistance During Opioid Detox Treatment Most often, the primary barrier to quitting is fear of the withdrawal symptoms from their drug of choice. People have to orchestrate daily routines, work schedules, even vacations around their drug habit and avoid the symptoms of withdrawal. Many of our patients at the Coleman Institute are simply tired of being “tied down” to using a substance, whether they’ve been prescribed the drug or otherwise. It’s no secret that withdrawal from opioids is far from easy. While there are many types of opioid detox treatment options, it’s important that patients understand which one will work best for them. The Coleman Method is designed specifically to be a faster and more comfortable detox experience, based on Dr. Coleman’s experience both as a physician and as a person in recovery himself for over 30 years. As a family member or friend, you can act as a support system during the withdrawal management process by lending a helping hand in researching treatment approaches, helping to find the facility that will best meet their needs and offer them the best chance at lasting recovery, as well as volunteering to assist with their needs during the detox process and beyond. In addition to wanting a fast, easy detox, most patients want their recovery process to be safe and free of judgment. At the Coleman Institute, we understand how much courage it takes to seek help and make the change, and we encourage all family and friends to be equally as empathic and do the same. Supporting Your Loved One on Their Road to Recovery The biggest problem with opioids is how well they work to numb any pain that your loved one might be going through, whether it’s physical or mental. One of the best ways to support a friend or loved one struggling with their addiction is to listen to them as a form of support. Providing emotional support while a person deal with their discomfort during withdrawal (and beyond) can be a helpful solution (or even a nice distraction), as opposed to wanting to escape any feelings by using. Post-detox, keeping good communication with your loved one can help them establish better methods for handling stress, loneliness, or boredom. Our emotions can teach us a great deal, and often provide feedback that something needs to change. Additionally, encouraging them to engage in activities or hobbies can be a great way to help with the ongoing recovery process. Attending group meetings is a great place to start and allows them to form connections with other people who understand what they are going through, which can make a huge difference in their recovery. How to Help End the Opioid Epidemic From medical professionals to mental health providers to the communities we live in, we can each help to address the opioid epidemic in some way: either by staying educated about the crisis or directly supporting someone in our life who is coping with the effects of drug dependency. As more of us become aware of the epidemic in our country, we must continue with the efforts being made to limit the number of overdoses. Physicians are prescribing fewer opiates, and there are community groups and programs being organized to inform people and promote long-term recovery. The Coleman Institute is a part of this movement and is committed to supporting people who need help recovering from their addiction. With clinics in 13 major U.S. cities and our accelerated opioid detox program using the Coleman Method, our patients and their families benefit from the convenience and safety that we offer. Want to learn more about how the Coleman Institute can help your loved one through their recovery journey? Learn more about our treatment programs, or ask for help by calling us at 877-773-3869 or a scheduling a callback from one of our team members. CONTACT US #### Taking the First Step in Your Recovery Journey Here’s a recap of Dr. Peter Coleman’s video on "Taking the first step in your recovery journey”." It’s Not Your Fault We know that addiction is a disease. It’s not your fault. It's devastating and affects people from all walks of life from every demographic. Since 2002, we have helped 6000 people through the recovery process. We can help, but you must first reach out to us. We Can Help If you are seeking substance abuse help for yourself or a loved one, please give one of our Care Advocates a call. They can direct you to one of our many helpful medical providers. SCHEDULE A CALLBACK  #### Thanksgiving Detox - The Coleman Way There are multiple suggestions for detoxing after indulging in the overabundance of food and drink that many people experience during the Thanksgiving holidays. Warm water plus lemon, drinking green juice, using a body brush, yoga, and meditation are a few. While all of these may be great idea for a post holiday detox, I just want to make you aware that if you or a loved one needs help detoxing off opioids, The Coleman Institute is available 365 days a year to help you. Because our Accelerated Opioid Detox does not require in-patient hospitalization, we are able to accommodate patients for brief clinic appointments through the holidays. This flexibility has allowed may people the ability to go through a rapid opioid detox, missing minimal time at work. You are still with your chosen loved ones during the holiday in a relaxed and laid back atmosphere. We use medications to keep our patients comfortable during the opioid withdrawal process, when we are removing the opiates from the body. Most patients find that they sleep through a great deal of the process, and the periods of discomfort are very manageable with the medications entrusted to their support person. While we do not complete the detox over the holiday weekend, we meet with our patients each day—including Thanksgiving, Christmas, Easter, Ramadan, Rosh Hashanah, etc. leading up to the final day. This outpatient medical detox process allows many patients to complete their detoxification on the Monday following the holiday weekend. They leave the Coleman Institute with a long-acting naltrexone implant, providing about eight weeks of pure opioid blockage. If you have any questions about our Accelerated Opiate Detox process, about holiday scheduling, or suggestions about where to stay (or eat!), please give us a call at 888.735.7702. Consider the amazing freedom you will feel when the next holiday rolls around and you are able to enjoy it! Joan R. Shepherd, FNP #### That Pesky Thought - I Must Get High There’s no pretty way to say it, Tia kicked my butt in yoga last week. She’s the owner of the studio I’ve belonged to for a long time, and I try to get to several classes a week. Hers is a core class, and she’s got a reputation for teaching beautifully choreographed classes that can be challenging. So while I was holding a Bird Dog pose (look it up), I had ample opportunity to observe my thoughts while simultaneously practicing deep ujjayi breathing. (Again, look it up). “I’m too old for this.” “Has she even tried to do this herself?” “Does she have any idea how hard this is?” “This can’t actually be good for a person.” And as these thoughts inevitably and invariably flowed in and out of my head, I continued to strengthen my core and completed the class. ACT and CBT for Recovery The following day as I listened to Dr. Tim PychyI interviewing Dr. Frederick Dionne about research into procrastination, I couldn’t help but draw parallels with people’s devotion to their work outs and people’s devotion to their recovery. Dr. Pychyl is an expert in the field of procrastination (not saying he is an expert at procrastinating, but at researching it ☺). Dr. Dionne is a psychologist who uses Acceptance and Commitment Therapy (ACT) with clients. ACT teaches clients to move forward with committed action in the service of what they value, despite the suffering thoughts or feelings that may be hitching a ride during the journey. GET THE ALCOHOL DETOX GUIDE   ACT is similar to Cognitive Behavioral Therapy (CBT), but one of the interesting ways in which the two differ is that ACT encourages people to experience and acknowledge the uncomfortable thoughts and feelings they are having, while CBT teaches people to develop strategies for lessening the impact of difficult thoughts or feelings. This is a subtle yet powerful distinction. Recognizing and Reducing Urging Thoughts This means if a person committed to his recovery has some ACT strategies under his belt, experiences an urge to use or drink, he learns to recognize when he is fusing with his thoughts. Then it is a matter of creating distance from the thought (or defusing), which can be as simple as moving from: “I have to get high!” to “I am having the thought, ‘I have to get high!’” In this small space of separating the man from his mind, the freedom to choose is revealed. Whereas with CBT, the focus might be on reducing discomfort and tension, attempting to diminish or control the intensity and frequency of thoughts with breathing or some kind of cognitive restructuring. While ACT wouldn’t label that approach as necessarily bad, it might suggest that it is a form of experiential avoidance. Because the truth is, uncomfortable urges and thoughts are simply never going to go completely away. Now, granted, cultivating the ability to notice a difficult thought or sensation, allowing it, then moving forward with committed action toward your values is a practice. The brain shackled by the effects of addictive drugs is going to need to have the drug removed from its system before any success with these strategies is possible. A Comfortable Outpatient Detox Program This is how the Coleman Institute for Addiction Medicine can play a large part in a successful recovery. For over 25 years, we have specialized in Accelerated Detox programs, helping people safely and comfortably get off opioids such as hydrocodone, Vicodin, Vicoprofen oxycodone, Percocet, Roxicet, Dilaudid, fentanyl, heroin, methadone and buprenorphine products. We also help people stop drinking alcohol and using benzodiazepines. If you or a friend or family member would like to put a little space between “I can’t stop using these drugs” and “I’m having the thought, ‘I can’t stop using these drugs,’” let us help create a new reality for you. Joan R. Shepherd, FNP SCHEDULE A CALLBACK #### That Street Pill Might Be Fentanyl We see it almost daily. A patient comes in for a detox with us stating that they are buying pills, like opiates or benzodiazepines, on the street. They say their dealer is “trustworthy” and that the pills are “legit.” When we test their urine for substances, more often than not, there is no oxycodone, there are no benzos, but what is present is Fentanyl. Street Drugs Are Not Always What They Claim They Are It can be quite jarring and frightening for a patient to realize that what they thought they were buying was in fact not that at all and that they were taking something that they easily could have overdosed and died from. We are familiar with the history of the opioid epidemic in the US. Among other reasons, Oxycontin® came on the market in the late 90s. It was very heavily promoted and prescribed as a safe, long acting, “non-addictive” opiate. Once it was discovered that this was not actually the case, the manufacturer reformulated it to make it harder to crush or melt and, ultimately, many doctors dialed back their prescribing of all types of opioids — but not before much damage had been done. Millions of patients were now addicted or physically dependent on opioids and could not stop due to terrible withdrawals. For many people, this was the beginning of a long and sad history of addiction to opiates. Once the prescription opioids were no longer available, or got too expensive, people began to turn to heroin as a cheaper alternative. Cartels then began to mix Fentanyl into other drugs, including heroin, to make them more potent and addictive. Why Fentanyl is So Prevalent in Street Drugs? Fentanyl is a synthetic opioid, manufactured at low cost. It has, for the most part, replaced heroin on the streets because it is so cheap. It is now “pressed” into pills that people are buying thinking they are getting oxycodone, Percocet® or benzos. It reportedly has also been found on some occasions in marijuana. UNDERSTANDING ACCELERATED OPIOID DETOX Fentanyl is a short-acting and very potent drug, which was intended for use in severe pain as well as for surgeries and other procedures and administered by trained professionals such as anesthesiologists. Because of its extreme potency, it is very easy to overdose on. That is the primary reason that the opioid death rate has skyrocketed over the past few years. Source Overdose Risk of Fentanyl People who are dependent on it can begin to feel effects of withdrawal very quickly and thus it needs to be used frequently throughout the day in order to stave off withdrawal symptoms (aka getting “dopesick”). Each time one uses Fentanyl, there is a high risk of overdose. Fentanyl also binds very tightly to the opiate or Mu receptors. It can make a detox more difficult. Despite this, the Coleman Institute for Addiction Medicine has a completion rate of 98% on our opiate detoxes, which includes getting patients started on long-acting naltrexone, a non-addictive opioid blocker that reduces craving and can block highs. The Coleman Method, which has been continually refined over the past 20 years, is just as effective and safe with Fentanyl than it is with other opiates because of the relative level of comfort experienced by our patients and the support that our clinicians and case managers provide. Getting through withdrawal is just the first step in a person’s recovery journey, but it is a foundational one. If you have any questions, please schedule a callback with one of our Care Advocates. We are here to help. Deborah Reich, MD SCHEDULE A CALLBACK #### The Connection Between Mental and Physical Pain My trauma occurred in February of 2011. As I stood in front of the podium and spoke at a state summit in Michigan, I recounted my trauma — my past — in front of a room filled with strangers. I shared my vulnerable story and my transition from victim to thriving survivor. As I spoke, my legs shook uncontrollably, my palms were sweaty, and my heart raced. My speech ended and I stepped down from the podium. The event finally ended. I decided that I must not let this trauma define me and that I must keep speaking. I began traveling and speaking at universities, replaying and recounting my nightmare that had become a reality. Mentally, my mind and body raced, physically my body and back ached. I had tension throughout my spine and episodes of severe constipation. Survival Mode and the Sympathetic Nervous System #### The Dangers of Alcohol Induced Psychosis When considering the various health hazards associated with excessive alcohol consumption, the potential for physical harm often comes to mind: liver damage, heart disease and other health complications. However, one often overlooked but equally perilous consequence is Alcohol Induced Psychosis. In fact, a recent study by the National Library of Medicine suggests that up to four percent of people with alcohol dependency may develop the condition, a much higher prevalence than previously reported. Understanding the symptoms associated with Alcohol Induced Psychosis and the dangers it poses can help those struggling with excessive alcohol use recognize the onset of symptoms, avoid negative impacts and seek help from trusted addiction specialists. What Is Alcohol Induced Psychosis? Alcohol Induced Psychosis is a severe and debilitating mental health condition that can occur during episodes of heavy drinking or during withdrawal from alcohol after a period of excessive use. It is a form of substance-induced psychotic disorder, where prolonged alcohol use leads to the temporary onset of psychotic symptoms. Typically, Alcohol Induced Psychosis is characterized by hallucinations, delusions, and disorganized thinking. These often disappear within weeks of stopping alcohol use. However, if not promptly addressed, it can lead to long-term psychiatric disorders, including schizophrenia. It is essential to understand that this condition is not just a mental health issue but also poses significant risks to an individual's overall well-being and quality of life, often leading to an increased risk of suicide, accidents and injuries due to erratic behavior, social isolation due to fear or embarrassment from hallucinations, and potential legal issues. Alcohol Induced Psychosis can also worsen the physical health problems associated with heavy drinking, including liver damage, heart conditions, and weakened immunity. What Are the Symptoms of Alcohol Induced Psychosis? Recognizing the symptoms of Alcohol Induced Psychosis is an important step toward getting help. These symptoms can be broadly categorized into three types: hallucinations, delusions and disorganized thinking. Hallucinations: The individual may see, hear, smell, taste, or feel something that doesn't exist when suffering from the condition. Auditory hallucinations (hearing voices) and visual hallucinations (seeing people or objects) are the most common in Alcohol Induced Psychosis. Delusions: Someone experiencing Alcohol Induced Psychosis may believe they're being persecuted, that they possess extraordinary powers, or that they're someone they're not. Disorganized Thinking: This is characterized by difficulty concentrating, following conversations, or remembering things. The person may speak in a way that is hard to understand, switching from one topic to another with no logical connection. These symptoms can be terrifying and lead to harm if not appropriately managed. In extreme cases, individuals may pose a danger to themselves or others. GET THE ALCOHOL DETOX GUIDE Additional Dangers of Alcohol Induced Psychosis Alcohol Induced Psychosis is not just a danger to mental health; it also poses severe threats to overall well-being and quality of life. Increased Risk of Suicide: Hallucinations and delusions associated with Alcohol Induced Psychosis can cause substantial psychological distress. The individual may feel tormented by their distorted perceptions and beliefs, leading to feelings of desperation and hopelessness, known triggers for suicidal thoughts. Excessive alcohol use is also associated with impaired judgment and lowered inhibitions. When coupled with the confusion and disorientation of psychosis, the risk for impulsive actions, including suicide attempts, significantly increases. Accidents and Injuries: The symptoms of Alcohol Induced Psychosis can lead to erratic behavior and poor decision-making, increasing the risk of accidents and injuries. Social Isolation: Alcohol Induced Psychosis can lead to social withdrawal due to fear, embarrassment, or paranoia resulting from hallucinations and delusions. This social isolation can exacerbate feelings of loneliness and depression, and can further increase the risk of suicidal thoughts. Legal Problems: Those with this condition may get into legal trouble due to behaviors stemming from their delusions or hallucinations. Physical Health Decline: Apart from the mental anguish, Alcohol Induced Psychosis can exacerbate other physical health problems associated with excessive alcohol use, including liver disease, heart problems, and a weakened immune system. Alcohol Detox and Recovery from Alcohol Induced Psychosis Knowing the dangers of Alcohol Induced Psychosis is important for anyone dealing with alcohol addiction. However, it is also essential to know that stopping alcohol suddenly can worsen psychotic symptoms and even lead to life-threatening withdrawal symptoms. As such, alcohol detox should always be done under expert medical supervision. Once you begin the detoxification process, you may experience a variety of withdrawal symptoms as your body adjusts to the absence of alcohol. These can range from mild to severe and may include anxiety, restlessness, irritability, insomnia, sweating, and a rapid heart rate. In more severe cases, symptoms can include hallucinations, seizures, or a condition known as delirium tremens, characterized by confusion, fever, and severe agitation. Alcohol Induced Psychosis is not a life sentence. With timely intervention and proper treatment, one can recover fully and lead a healthy, fulfilling life. Individual therapy is often useful in cases of Alcohol Induced Psychosis and can help patients understand their condition, manage cravings and develop strategies to prevent relapse. Mental health professionals, addiction counselors, and support groups can all provide essential help in this journey. Always remember that help is available, and recovery is possible. At the Coleman Institute, we use an innovative outpatient approach for alcohol detox, followed by Naltrexone therapy, to help patients detox safely and effectively in relative comfort. Naltrexone is a non-addictive medication that blocks the receptors in the brain that help create feelings of pleasure when drinking alcohol, providing support to patients following the alcohol detox and withdrawal process.  Learn more about how the Coleman Method has helped 98% of patients successfully complete detox, and contact our patient care advocates today to schedule a consultation. SCHEDULE A CALLBACK #### The Ecstasy of Detachment I received a rather desperate call from a patient who’d recently completed an Accelerated Opiate Detox with us at The Coleman Institute. Jean*is the mother of three young children. Prior to completing her detox, she had been taking opioids for several years; originally starting when she was prescribed Hydrocodone for tooth pain. As we hear frequently from our clients, her use went from being somewhat sporadic to more frequent, until one day she realized her low energy, sweats, irritability and upset stomach had everything to do with the fact she was out of the drug. She called me over a long holiday weekend. Although her naltrexone implant was only a week old, she said she was still having cravings when confronted by her ‘major trigger’. Her Major Trigger, it turns out, is being with her children and the chaos that is part of the package in normal, every-day, family life. She wondered, “Isn’t there another kind of pill, or maybe a stronger version of naltrexone?” It’s a great question, but the answer is pretty simply no. I happened to be reading The Tao of Sobriety by David Gregson and Jay Efran, and was struck by this line: “Part of the ecstasy of detachment comes from being relieved of the burden of believing that you must always do something special or immediate about upsets, losses, or cravings. Let them be, and they just might let you be.” The authors describe the progress of one of their clients who had stopped using heroin a few months earlier. After doing pretty well for a few months, she found herself in a funk, with negative thoughts and strong emotions taking up residence in her brain with gusto. UNDERSTANDING ACCELERATED OPIOID DETOX She had been practicing diligently the lesson: This Too Shall Pass. The assignment consists mainly in noticing her responses to uncomfortable thoughts and emotions, and choosing not to act on them. At first, this was difficult. Like most people, she was used to responding to every strong emotion or thought that entered her mind. But persistent awareness allowed her to know with startling clarity—she was NOT compelled to react. That’s an important message for all of us to realize, but particularly for a person in early recovery. Recovery meetings and counseling will continue to help reinforce the notion: you are a person who has thoughts, ….you are NOT your thoughts. Jean had not started therapy of any kind, so it’s easy to understand that all the demons she’d been running from by using opioids had grown to immense proportions. After we talked, she intellectually understood what I was saying. Her ecstasy will come when she puts it into practice. *details always changed enough to protect our patient’s privacy, unless they specifically ask for their story to be told. Joan R. Shepherd, FNP SCHEDULE A CALLBACK #### The Landmark X:BOT Study Has Now Been Published Last month, a long-awaited research study was published that will help patients and physicians make decisions on which treatment to use for opioid dependence. For quite some time, Suboxone, (Buprenorphine combined with Naloxone) has been the most recommended type of treatment for Opioid Use Disorder. Suboxone is a partial agonist, which means it turns on the opiate receptors, and so it is quite addictive. For many patients it works well to keep them off of heroin and other street drugs. But Suboxone has a number of problems. It is highly addictive and many people abuse it. Suboxone has a very prolonged and painful withdrawal period, so it is extremely hard for patients to detoxify off of it when they want to become completely abstinent. Many patients continue to use opioids even when they are taking their Suboxone, and other patients drop out of treatment and continue using their street drugs. Here at The Coleman Institute, we usually recommend Naltrexone implants or monthly Naltrexone Injections (Vivitrol) as an alternative to Suboxone. Naltrexone is a pure antagonist. It does not cause any high and it is not addictive. It blocks the endorphin receptors, so it dramatically reduces cravings and relapse rates. Even though we have seen great success with these products, there has not previously been much long-term research to determine just how well Naltrexone works and how it compares to Suboxone. The X:BOT study was designed to answer these questions and now the results have been published. X:BOT is an acronym for Extended-Release Naltrexone vs. Buprenorphine for Opioid Treatment. It was a large study of 570 patients that was funded by the National Institute of Drug Abuse (NIDA) and was conducted at 8 different sites in the US over a two and half year period. Patients who were looking for treatment for opioid dependence were randomly put on treatment with either Vivitrol or Suboxone. At the beginning of the study, they were kept in a hospital long enough for them to detoxify, so they could start their medicines. After induction onto their treatment, the patients were followed for 24 weeks. The study was designed to see how many people continued with their treatment, how many people relapsed, and how many resulted in overdoses and/or fatalities. The results were quite interesting. As expected, many patients were not able to start Vivitrol. In order to begin any Naltrexone therapy, whether Naltrexone implants or Vivitrol, the patient has to be completely detoxed beforehand. Even though the patients were kept in a hospital with medicines prescribed to help them, 28% of the patients could not complete their detox. Since they could not begin receiving Vivitrol, they quickly relapsed. Suboxone is much easier to begin because patients do not have to go through withdrawal first. Patients are merely switching from one opiate to another. As a result, 94% of the patients were able to begin their Suboxone treatment. However, for the 72% of patients who were able to start on Vivitrol, the results were very encouraging. More patients taking Vivitrol completed the study – 47% of the Vivitrol patients versus 43% of the patients who were taking Suboxone. Fewer patients who were taking Vivitrol relapsed – 52% versus 56%. The patients on Vivitrol reported many more days when they were opiate free – 123 days versus only 87 opiate-free days for the Suboxone patients. The authors of the study concluded that the two treatments were equally effective because some of these differences were too small to be statistically significant, but I think the study is very favorable for Vivitrol. Both medicines were equally safe. There were 5 fatal overdoses, 3 in the Suboxone group and 2 in the Vivitrol group. All of them occurred in people who had dropped out of the study. One of the main conclusions of the study was that Vivitrol is an effective treatment, but the main challenge with Vivitrol is getting people detoxed so they can begin the treatment. At the conclusion of the study, the authors say that for the patients who were able to start on either Vivitrol or Suboxone, the treatments are equally effective and safe. But this is not quite true, because one group is being treated with a very addictive drug and the other group is being treated with a blocking drug. At the end of the study, the Suboxone patients are still dependent on an opioid that is very difficult to detoxify off of. On the other hand, the patients who were treated with Vivitrol and stayed on it throughout the study, are drug free. Many of the patients taking Vivitrol had also been drug-free for 6 months and well on their way to long term recovery. Peter R. Coleman, MD #### The Lighthouse A podcast I often recommend to patients is The Bubble Hour (www.thebubblehour.com). On a recent episode the discussion was about relapse. Two women in long -term recovery discuss what it's like for them when friends relapse. One of them quoted Anne Lamott, who says, "Lighthouses don't go running all over an island looking for boats to save; they just stand there shining." I really appreciate that notion. At the Coleman Institute we recognize that addiction is a chronic illness. I often tell my opioid or alcohol dependent patients, when a person with diabetes gets his/her blood sugar under control, I don't say, "Great! Now eat whatever the hell you want, you've made it!" On the contrary, the "gift" of having diabetes, is the opportunity to intentionally look at what you are choosing to consume and how you are choosing to exercise to keep your precious body at its best. Likewise, with addiction. Each day a patient in recovery is given the choice to become closer and closer to the person he/she was meant to be. That means being present with urges and triggers, noticing and allowing them, and then choosing not to use alcohol or other drugs. People relapse. A lot. They deem the present moment unbearable and choose to change it with chemicals. It works nicely for a minute. Then the consequences begin to roll in: broken relationships, loss of trust, loss of job, disintegrating integrity, the shame cycle is back. At the Coleman Institute, we understand people in their disease. Sometimes they don't come back for follow up. Some patients return to the office for naltrexone therapy even after they have recently used. There is a part of them that longs to be clean, and another part of their brain that feels like life is being choked off if anything gets between them and their drug. Some fool us by using someone else's urine so they can get their naltrexone shot or implant and experience precipitated withdrawal. That's part of the insanity of this condition. But. . . that's why I like the lighthouse analogy. We get the craziness, but we are here for our patients. It can be discouraging for family and loved ones to see people fail and fall and lose ground. Sometimes it's hard for a relapsing patient not to lose hope, to know that they can turn things around. And even though we're in the business, it is not fun seeing a patient relapse. Sometimes people return for a 2nd or even 3rd detox. If they haven't committed to working on their recovery with counseling, rehab or 12 step groups, and if they stopped using Naltrexone, this helps provide the blueprint for creating a better plan for change this time. Patients begin to recognize that simply to stop using isn't the fix; it's a process. So at the Coleman Institute we are here for our patients, over on Hamilton Street in Richmond. Shining. Willing to offer advice on your recovery journey. Available to support you if there is a need to return. Joan Shepherd, FNP #### The Link Between COVID-19 and Relapse With many Americans working from home for the foreseeable future, it is easier than ever to hide addictions. Even when we go back to the workplace, there will be physical barriers and limited use of common areas that reduce direct personal contact. The Overlooked Impact of Isolation Social isolation and distancing is proving to be difficult, especially for those already in recovery. Studies and surveys are finding a significant increase in rates of depression and substance abuse. A study by Well Being Trust, a national public health group, estimates that there may be an additional 75,000 deaths due to suicide and substance use related to COVID-19 alone. Relapse Rates Are Going Up Sadly, in many methadone clinics, there has been an increase in the rate of relapse in patients who have not used street drugs in years. I can only imagine the suffering and shame that is going on behind closed doors. Without having to see co-workers, friends, and family face-to-face, hangovers and withdrawal symptoms are easier to hide. We have lost a certain safety net that comes with seeing other humans on a daily basis. If you are feeling isolated, you are not alone. If you feel a sense of relief that you are better able to hide the outward manifestations of your drinking or drugging, this is a sign that you are in a dangerous and precarious position. Please seek help. UNDERSTANDING ACCELERATED OPIOID DETOX Getting Treatment at Coleman Institute Many people are taking this time to address their addictions. We have treated dozens of patients during the pandemic who have made the choice to detox with us at the Coleman Institute for Addiction Medicine. We continue to remain open and fully-staffed during the pandemic. We are fully compliant with CDC guidelines and our private treatment rooms allow for extra precautions. Learn more about our COVID-19 Safe Care Protocols here. Again, if you feel that you are hiding, we welcome you without judgment and with open arms. Please contact us if you have questions about our unique treatments for opioid and alcohol dependence or schedule a callback below. Deborah Reich, MD SCHEDULE A CALLBACK #### The Millennial Addict: A Double Serving of Selfish At the Coleman Institute for Addiction Medicine, we work with people of all ages to safely get off addictive substances like alcohol, Oxycontin®, Percocet®, Roxicodone®, Dilaudid®, fentanyl, heroin, or methadone. Our patients tend to be highly motivated and ready to do the inner work required when the grip on a substance is loosened. What follows is an essay written by a young woman who is choosing a sober path. Her story is inspiring. I asked her to describe her last few months: “In the beginning, I understood sobriety as something that would take over my life and consume me. I imagined it would become my identity, that I’d have only the absence of drugs and alcohol in my life to focus on – a one-track mind. A 180 from doing drugs to not doing drugs. Black and white. I figured I would need to get an entirely new group of friends, that my sense of humor would change, that I would feel compelled to start attending church on Sunday. Basically, I was afraid I would turn into the idea of the person I had in my head who at the age of 29, doesn’t drink. But this has, thankfully, not been my experience with sobriety. Despite casually tracking the days every week or so on a 2019 contemporary art calendar my stepdad gave me last Christmas, I often forget how many days it’s been since my last drink. (Since I looked, it’s been 117.) Much to my delight, the fact that I’m sober has all but fallen into the backdrop of my life, being an important but not overwhelming detail of who I am today. It’s something I’m proud of but not obsessed over. Without much effort, sobriety is turning me into a more interesting person. A person who reads more, listens better, explores harder, and most importantly, a person who is more genuinely interested in other people. I think the saddest part about addiction, or at least the one I feel the most guilt over, is the selfishness aspect. Millennials and addicts are notorious for being selfish. VIEW PATIENT SUCCESS STORIES In the past, when I've centered my life around drugs and alcohol, I had both of these factors working against me. And it was true. For example, I was good at accepting birthday gifts and snail mail from friends and family and would feel inconvenienced by the pressure to respond back. This is a sort of addict entitlement issue that I was plagued with and that I definitely don’t miss. One of the greatest gifts of sobriety is the time – I have my mornings back. I used to think other people had more time in their day, that must be how they managed to be more productive members of society. And this was literally true. Sleeping until noon or later everyday limits what you can tackle in daylight hours. I’m making up for lost time these days, using my mornings to send the people I love snail mail, to exercise, to write, to read. The funny thing about sending snail mail is the natural high I get when I put a postage stamp on a letter and put it in the mailbox – it’s better than cocaine. I can live without the artificial highs of uppers and the glorified lows of alcohol, all things that in a combined effort have brought me to my knees with anxiety and depression. Now when I’m feeling down, I entirely own that sadness and I have the clarity to deal with what’s bothering me effectively. More good news, I’ve found a steady increase in my happiness as a result of sobriety. Navigating the world with a clear mind is a drug in and of itself. It just doesn’t make you pay a horrible price for enjoying it.” If you or a loved one is looking for some help to restore yourself safely and comfortably to the kind of life you have begun to think is no longer possible, please give our office a call. It is more than possible, it is waiting for you. We would love to be part of your journey. Joan R. Shepherd, NP SCHEDULE A CALLBACK #### The Most Compassionate Way to Get off Opioids Richard Rohr, author of Breathing Under Water, Spirituality and the Twelve Steps, writes in his newsletter about how it is so much easier for many people to have a relationship with a process or a substance than with a person. Unlike objects, people are so unpredictable! Turning to a drink, a purchase, a drug, or a device can quickly change our superficial mood. We don’t have to sit with our boredom, discomfort, or anger. This does, however, short-circuit our ability to grow up and move beyond whatever is in our way. In Denial and Justifying Opioid Use Maya sought help at the Coleman Institute for Addiction Medicine when she had had enough of justifying her opioid use to herself. She was quite good at being in denial about taking pills because she was a recovered alcoholic, abstinent for the last 22 years. She told herself how strong her recovery was as she continued to attend meetings, share with others, live in gratitude for her sobriety from alcohol, and consume approximately 160mg daily of various opioids — some prescribed and some bought from “friends.” Maya had suffered with severe sciatica pain down her left leg. This led to back surgery about 6 years ago. Prior to that, she was medicated by her primary care provider with a combination of Tramadol and a hydrocodone product. She took them exactly as prescribed, but was also aware of how much she loved the feeling in her mind and body as the opioids did their work. As her body developed a tolerance to these medications, her doctor dropped the Tramadol and switched her to a hydrocodone/oxycodone regimen. From Innocent Prescription to Substance Use Disorder After surgery she left the hospital with Dilaudid® and a feeling of deep relief that the shooting pain down her left leg was gone. But the opioids had their clutches deeply entrenched on her opioid receptors. Stopping was not going to be an easy option. "And to be perfectly honest, there was a part of me that really didn’t want to stop anyway," she told me. She liked the energy she got when she took the medication. For several months — and this was a surprise to Maya — it was fairly easy to get refills of the Dilaudid® from her surgeon’s office. She simply called and asked, then picked up the scripts from her pharmacy. Finally, he stopped refilling the scripts and then it became a real battle to have her primary care provider resume prescribing for her. She described her fear of withdrawal and the PCP reluctantly put her back on oxycodone with the forewarning that there would be an intentional and precise taper to get her off completely. She gratefully agreed to his terms, but any time the subject of the taper came up, Maya was able to persuade her providers (the practice was large enough that she saw physician’s assistants, nurse practitioners, and doctors) that this dose was reasonable and kept her functioning and pain free. The Physician’s Dilemma of Opioid Prescriptions Because of the opioid crisis and the trail of misery and destruction that overprescribing has produced, physicians and other medical providers have been re-educated about using narcotics for pain management. This has created a backlash and many providers have made the decision to stop including pain management as part of their practices at all. I cannot tell you the number of patients who have contacted the Coleman Institute in desperation because they have received a call or simply a recording from their opioid prescriber, abruptly announcing that these services are no longer being offered. Time and again I hear frustrated people tell me, “The people who abuse these medications are ruining it for those of us who truly need it, who are experiencing real pain.” Withdrawal Symptoms and Detoxing Off of Opioids Maya had been around enough people in recovery to have heard horror stories about withdrawal. She started quietly making inquiries and found other sources of pain medication. It was quite expensive, but she told herself she wasn’t hurting anybody, she had a good job, and she could use her money as she pleased. Maya continued living this fragmented lifestyle for several years, compartmentalizing her image of herself as a woman in recovery from alcohol, sponsoring others and attending meetings alongside the other Maya who, in her mind, deserved and needed pain medication and had to take the initiative to care for herself, which meant supplementing prescriptions with illegally purchased drugs. UNDERSTANDING ACCELERATED OPIOID DETOX Dr. Peter Coleman, our founder and National Medical Director, tells of a time when he was in treatment, still not quite convinced he truly had a problem with drugs. As a young doctor, he felt that much of his drug use was really a scientific inquiry into understanding the effects of these medications. He was challenged with a paragraph from the Big Book, Chapter Five: “Those who do not recover are people who cannot or will not completely give themselves to this simple program, usually men and women who are constitutionally incapable of being honest with themselves.” It got his attention. Notably, this same passage was being discussed at the meeting where Maya finally allowed her denial to dissolve. Safe and Effective Method for Accelerated Opioid Detox She knew about the Coleman Institute for Addiction Medicine in Richmond, Virginia; she had actually referred many people to us for safe, medical outpatient alcohol detoxes over the years. Now, she knew, she needed our help. Getting off opioid pain medications is difficult. When a physically dependent person is denied their medication, the body rages against it with nausea, vomiting, diarrhea, body aches, ‘kicks’, and more. These symptoms are even worse when a person has turned to street drugs such as the — sadly — extremely affordable and accessible, fentanyl. The Coleman Method for withdrawal management (also known as detox) provides a compassionate solution for those who find themselves in the grip of this situation. Our outpatient Accelerated Opioid Detox includes a minimum of five different comfort meds to mitigate the symptoms of withdrawal. Each patient brings the support person of their choice. Over a three-to-eight-day period, depending on what medication is being stopped (methadone and buprenorphine products require the longer timeframes for successful accelerated detoxing), the opioids residing on the receptors are replaced with naltrexone, a non-addictive opioid antagonist that will essentially block other drugs in this class. Naltrexone Gives the Best Chance for Lasting Success Using long-acting naltrexone at the completion of the detox affords the brain the opportunity to begin the healing process, producing its own dopamine stores again, and allowing the patient to begin building a drug-free life. Coupled with the medical aspect of our program is the support provided by our Case Management team, who work with every patient to find the most successful treatment regimen going forward. The treatment will look different from patient to patient, as we recognize how difficult it can sometimes be to navigate those waters without help. Maya checked in for her second naltrexone implant last week, opioid-free for two months. Humbled to her core, she talked about the relief she felt not having to live her double life. She opted to attend an IOP (Intensive Outpatient Program) which we helped her locate. Her energy and sleep have returned to normal, although the first two weeks were challenging. There are very few programs that help people get off opioids — whether pharmaceutical grade medications or street drugs — and onto long-acting forms of naltrexone. The FDA has provided guidelines to prescribers to help them taper patients off this type of medication, but in most cases, it is a lengthy and drawn-out process. For people who prefer an Accelerated Detox in an outpatient setting rather than months of tapering, the Coleman Method may be the right fit. Several insurance companies, including Blue Cross Blue Shield, Humana, Tufts, and Optima/Sentara, have recognized the importance of this option and cover the cost on an in-network basis. Schedule a callback below to speak with one of our Care Advocates and start your path to freedom from addiction. Joan Shepherd FNP SCHEDULE A CALLBACK #### The Most Important Qualities Your Opioid Detox Facility Should Provide Our Coleman Institute staff regularly meets to discuss the kinds of things medical offices must discuss. Occasionally at these meetings we look at our website and ask ourselves if it is communicating what we are truly about. It is interesting to note how many of the people who choose an opioid detox from Dilaudid®, Percocet® and other forms of oxycodone, Vicodin® and other forms of hydrocodone, fentanyl (prescribed or bought on the streets), heroin, methadone, or variations on buprenorphine—have been referred to us by their friends and family members. It’s not too surprising. Many folks who become our patients have been treated as criminals, not people with the disease of addiction…as if they had a choice about having this condition. From the moment a person becomes involved with the Coleman Institute, the camaraderie begins to develop. He or she experiences respect, warmth, humor, reassurance and—perhaps most importantly—real hope that once and for all- they can be released from the grip of opiate addiction. Our Accelerated Opioid Detox technique is based on science; our rapport is based on loving what we do. We love what we do because there is nothing quite so satisfying as being able to say with true conviction that we see people get better all the time. And because our staff knows this is a disease, we are free to love our patients and hate the illness. Admittedly, we are just a stepping stone in the process; the real work starts when our client leaves and re-enters their real world. Like the sculptor who ‘frees’ the carving trapped in stone, a person who embraces recovery must daily release what they no longer need, continually revealing the life they are meant to live. Our Clinical Case manager, Bridget Walsh works with each Richmond patient to put a plan in place.   ASK FOR HELP   So, thank you to everyone who has trusted us to send a beloved friend or family member. It is a great privilege to be a small part of their journey. Here is an excerpt from a testimonial we recently received. She says it better than I can. “I give the Coleman Institute a five in its professionalism, organization, caring, helpful, resourceful and unhurried staff. I don't know why all detox facilities don't use Dr. Coleman's method. Addiction runs in my family but as I have witnessed so does recovery. The Coleman Institute understands that people with addictions deserve respect and dignity. Something they don't often get. Mostly because it doesn't just affect the addict but all those that love them or work with them have a lesser quality of life because of the addiction. And it seems to us that it is a choice, and we just want them to make the choice for all of us to have a better life. So we give them less and less respect and dignity and what they really need is more. My granddaughter has been through other detox before and it is so degrading and painful. She said it was like they all felt that she deserved to suffer and maybe she would not go back to drugs. She left there feeling drained, humiliated and worthless. She left Coleman feeling proud of her accomplishment, encouraged and excited for what she felt she could do. At the Coleman Institute they strive to make us all feel deserving of dignity, respect and comfort. I think my granddaughter has a way to go but the Coleman Institute helped me to help her to take advantage of an "it's time to do this attitude" with speed and as pleasant an experience as possible. She says she is ready. The naltrexone implant will really help.” At The Coleman Institute, we specialize in helping people get clean and stay clean from alcohol and drugs. We offer a non-judgmental, safe, encouraging atmosphere to start your healing process from addiction. If you or someone you love is in need of detox from opiates, alcohol, benzos, methadone, or Suboxone, please do not hesitate to call us and learn more. Joan R. Shepherd FNP #### The Most Important Thing To Consider When You Relapse B. called to schedule an Outpatient Alcohol Detox with us earlier this week. It will be her second time coming to the Coleman Institute for Addiction Medicine for the same purpose. J. was in last month, repeating his Accelerated Opioid Detox for the third round. S. came back and completed his rapid detox off fentanyl two weeks ago. He was with us several months ago but didn’t complete it, admitting at that time that using the drug was just more compelling to him than getting clean. Relapsing is not an uncommon phenomenon for people with substance use disorder. That moment between a trigger or stimulus and one’s response is profound and powerful. This is the moment where the choice lies. How people manage that small moment—and the millions to follow—creates the trajectory, and ultimately one’s life story. Over my many years of working in the field of addiction and substance use disorder, I have come to believe that a person who chooses to stop using an addictive substance and face life on life’s terms, fares so much more successfully if they have skills to cope with the slings and arrows that life will inevitably fling their way. It is almost cruel to take away a coping mechanism (drugs, booze, pot) until a plan is established, support systems are in order, a mentor or sponsor is lined up. Not surprisingly, many people who come to us for a detox off alcohol or opioids (pain medications such as Dilaudid®, Oxycontin®, Percocet®, hydrocodone, methadone, buprenorphine, fentanyl or heroin for a few examples) simply want the detox. They have arrived, with great resolve. They are ready to stop and are relieved, and often elated, to have found our program which can safely, efficiently, confidentially, and fairly comfortably—get people off of addictive substances. How Our Program Works One of the most unique features of the Coleman Institute is that we are an outpatient program. This means our patients and their support person (or entourage) come to our office daily for treatment and return to the comfort of their own homes, a nearby hotel, or an Airbnb® as more and more of our patients are choosing to do. (If that’s your inclination and your coming to our Richmond office, consider looking in the Fan or Museum district for a place to stay. Not only is it close to our office, but it’s also in a very cool part of town). The normal time for an alcohol detox is 3 days; for opioids, it is a minimum of 3 days and up to 8 or 10 days if one is getting off higher doses of methadone or buprenorphine products). UNDERSTANDING ACCELERATED OPIOID DETOX The first day will consist of paperwork and a thorough review of the next few days, including the schedule of appointments and when and how to administer the comfort medications. The first day is also when our patients and their support people will meet with a counselor or case manager to start the all-important process of establishing an aftercare treatment program. The interim days are usually brief. The final day of the accelerated opioid detox will be several hours. Support people will be offered lunch of their choice from nearby eateries. A naltrexone implant will be inserted in the abdominal area, and discharge instructions are reviewed. Follow up appointments are set in place. Most people return to work in 48 hours. Why Detox Isn't Enough Many patients believe that this is their problem: it is too difficult or dangerous to stop on their own, and if they can just get past this part, life will be different. I am the first person to say there are many ways to skin this cat, and there are people who detox with us and enter a life of recovery with no further therapy, treatment, or counseling. I suspect these people already have well-developed coping skills under their respective belts. However, most patients and their families benefit greatly from connecting with others who can help them learn to live a life of recovery. After all, just because one gets sober doesn’t mean problems stop. Having the skills to respond intentionally to a trigger, an urge, an uncomfortable situation, from the perspective of a person choosing sobriety is the goal. Russell Brand, British comedian, activist, and author, writes about his journey to recovery in Recovery: Freedom from Our Addictions. He describes the moment of choosing not to indulge in addictive behavior: Now that I’m fourteen and a half years clean, one day at a time, I like to riff on this concept like I’m Charlie Parker or Foucault. When I feel like I want to act out sexually, I surrender it, I don’t act out. Then the next day, or even an hour later I think, "Imagine I had done that? It would be over now anyway and I'd detonated my family." Brand, like thousands in recovery from addictive substances and behaviors, has turned the presence of triggers into a practice of responding in a chosen manner. Although our patients who relapse may call us with some feelings of shame or embarrassment, there is no judgment on our end. We know it is a normal part of the process for many people, and I am gratified to see that patients felt so well-treated on round one (or two), that they are choosing to return to us. We are here to help you start your journey to a lifetime of making choices in the service of what you personally value. Please call us at 877-773-3869 for information on our programs. Joan R. Shepherd, FNP SCHEDULE A CALLBACK #### The Myth of the 'Functioning Alcoholic' Rebecca now realizes that this is no longer a joke. While she used to kid around calling herself a “functioning alcoholic,” that all changed when, after many attempts at cutting back, stopping drinking for a period of time, or setting limits, she suddenly lost her job of 10 years. She made an error that cost her company thousands of dollars and they fired her. This was not her first mistake at work. Although the mistake was not attributed to alcohol use, it was serous enough to result in termination. Deep down in her heart, she questioned whether her nightly alcohol use had contributed but she then remembered that she is functioning just fine in all other areas of her life so she discounted these thoughts. What is Alcohol Withdrawal Syndrome For many like Rebecca, alcohol consumption can start with a limit of one drink a day but quickly escalate to seven drinks per week. While alcohol consumption is generally lookout at to be the "norm" in our society, we often disregard the potential risks of alcohol consumption at specific levels. For example, consuming more than one drink daily can lead to liver disease, cardiovascular disease, and many other injuries - including Alcohol Withdrawal Syndrome (AWS) when one stops drinking abruptly. Alcohol Withdrawal Syndrome or "AWS" is commonly defined as a set of symptoms that occur when someone who is physically dependent upon alcohol suddenly stops drinking or drastically reduces their intake to prevent bodily injury. What happens is that the body suddenly goes through a state of shock and for a heavy, long-term drinker the brain will tend to adjust to its own chemistry to compensate for the effect of alcohol that is missing. Not only does this produce naturally stimulating chemicals but the adrenaline is typically felt in larger quantities than normal. Specific signs and symptoms of the states of AWS may include: Headaches Tremors Anxiety Fatigue Insomnia Gastrointestinal Disturbances Heart Palpitations Hyperthermia Hallucinations Seizures Mood Changes Signs of Alcohol Use Disorder For many like Rebecca, she is a 40-something wife, mother, and sister seemingly at the top of her game. She has a graduate degree. She and her husband have been married for 16 years. They own a modest home in a nice suburban community. Her kids, ages 9 and 14, are busy and seem to be thriving. They are doing well in school and are active in after school activities. Rebecca had been stable and secure in her job and had been doing it so long that she joked she could do it in her sleep. Her friends, family, and colleagues marvel at her ability to juggle fulltime work with managing a busy household. She is the family’s major breadwinner. She tries to attend her kids’ soccer and lacrosse games and participates in several carpools, although she prefers to avoid late-night pickups. Once Rebecca gets home, she begins dinner prep for the family. She pours herself a glass of wine in order to unwind after a long day, because who doesn’t? Work is stressful, juggling is stressful. She tells herself “I deserve it.” When the family sits down for dinner, she pours herself a second glass and her husband has one as well. She keeps topping her glass off until the entire bottle is empty. She and her husband clean up from dinner and it’s time for the evening rituals of homework, bathing and teeth brushing for the children. What Rebecca may not be noticing just yet, is that although one glass of wine may seem quite typical, her bottle being empty is only leading to more serious problems ahead. Alcohol Use Disorder or "AUD" is a medical condition that doctors diagnose when a patient's drinking causes distress or harm. This term ranges from mild to severe symptoms and is diagnosed when a patient confirms yes to two or more questions in the below criteria: In the past year, have you: Had more times when you ended up drinking more, or longer than you intended? More than once wanted to cut down or stop drinking, or tried to, but couldn't? Spent a lot of time drinking? Or being sick or getting over the alter effects? Experienced a craving - a strong need, or urge, to drink? Found that drinking - or being sick from drinking - often interfered with taking care of your home or family? Or caused job troubles? Or school problems? Continued to drink even though it was causing trouble with your family or friends? Given up or cut back on activities that were important or interesting to you, or gave you pleasure, in order to drink? More than once gotten into situations while or after drinking that increased your chances of getting hurt (such as driving, swimming, using machinery, walking in a dangerous area, or having unsafe sex?) Continued to drink even though it was making you feel depressed or anxious or adding to another health problem? Or after having had a memory blackout? Had to drink much more than you once did to get the effect you want? Or found that your usual number of drinks had much less effect than before? Found that when the effects of alcohol were wearing off, you had withdrawal symptoms, such as trouble sleeping, shakiness, irritability, anxiety, depression, restlessness, nausea, or sweating? For those that answered yes to two or more of the questions above, a person's risk for developing AUD may be higher. Other factors that do increase the risk of AUD can include drinking at an early age, genetics and family history of alcoholism, as well as mental health conditions or history of trauma. GET THE ALCOHOL DETOX GUIDE In Rebecca's case, her experience quickly turns for the worst and she sits down at her computer to check her emails, pay bills and do some online shopping. Without even thinking, Laura opens another bottle of wine for herself. By the end of the evening she is watching TV and without much thought, opens another bottle of wine in order to drink a glass from it. Again, before she knows it a second bottle is empty. But she justifies, rationalizing that her husband did have one glass. The following night she is scheduled to have dinner with a couple of girlfriends – other moms in the neighborhood. She has a quick glass of wine as she puts on her makeup, “pre-gaming” as they call it. At dinner, the three women each have a cocktail and share a bottle of wine. Rebecca returns home and sits in front of the TV. Without even thinking, she pours herself a glass of wine and before the glass is empty, tops it off one more time. She doesn’t want to think about it, but she has had about 4-5 glasses of wine and a cocktail throughout the evening. There is a nagging feeling in her gut and her mind: “Is this a problem?” She quickly dismisses these thoughts and remembers that she is functioning just fine. No need to do anything differently. Rebecca has a fitful night’s sleep and wakes up at 6am feeling groggy, with a headache and very dry mouth. She feels anxious. She looks in the mirror and notices that her skin is puffy under her eyes. She does the best she can with her makeup and figures her glasses will take care of the rest. She makes the kids lunches and gets them on the school bus before making her way to work. This scenario plays out in one form or another almost every day of the week. On the weekends, her husband lets her sleep in while he takes care of the kids. After a week of early mornings and poor sleep, she is exhausted. It wasn’t always like this for Rebecca. She hardly drank as a teenager or in college. She began having a glass of wine with her husband before the kids were born. During her maternity leaves, she would start drinking wine late in the afternoon before her husband came home as a way to unwind. Over the years, this progressed to where we find her now, drinking 2 bottles of wine a night and “barely feeling it.” She has considered herself to be “functioning alcoholic.” That all changed when she got fired. After she was laid off, she became depressed and started taking antidepressants and antianxiety meds for her now increased levels of anxiety. Her wine consumption remained at 1-2 bottles per night. She began therapy but when she discussed drinking with her therapist, she minimized the amount that she really drank. This is an all too common scenario. Does it sound like anyone that you know? Or do parts of the story apply? Alcohol Use Disorder (AUD) is now seen as a spectrum of usage patterns and amounts. LEARN ABOUT OUR ALCOHOL DETOX Types of Treatment for an Alcohol Use Disorder AUD can manifest in different forms: nightly drinking or binge drinking. But AUD in any form is progressive and gets worse over time. Abnormal pathways in the brain are established and there is little to no input through the prefrontal portion of the brain which helps regulate decision making. or this reason, more and more negative consequences occur including DUI’s, job loss, failed relationships and even incarceration. Because every patient is different when it comes to to a treatment approach, while one therapy can work for a specific individual it may not work for the other. Typical treatments can include medication, behavioral counseling, mutual-support groups, and more. At the Coleman Institute, we begin our treatments with a thorough replenishment of vitamins and minerals that your brain needs, paired with medication to keep you calm and careful monitoring prior to your leave. Within two-three days you can return to our office regularly and gain guidance with a comprehensive recovery program that could include Naltrexone Therapy If you or someone you know and love uses the term “functioning alcoholic” to describe themselves, I hope that this article will resonate with you and you will be able to determine if they need to make a change and guide them on where to do so. Change can happen at any time. One does not have to hit "rock bottom" as believed in the past. Withdrawal from alcohol can be dangerous. Let us help you develop a personalized plan that supports a sustained recovery and long-lasting care. Deborah Reich, MD READ MORE POSTS LIKE THIS #### The Opposite of Addiction is Connection This is a commonly quoted phrase within the recovery world. While we understand that addiction is a disease of the brain, we also recognize that there are both behavioral causes and manifestations. This is where the concept of connection ties into addiction. Journalist Johann Hari has a TED talk with over 14 million views to date on the topic. This TED talk is titled, “Everything you think you know about addiction is wrong.” It delves into this subject of addiction and connection--or lack thereof--further. It’s worth watching. Connection is defined in the Oxford dictionary as “a relationship in which a person, thing or idea is linked or associated with something else.” Addiction, on the other hand, is an isolating, lonely disease. One fraught with secrets and lies. It is hard to seek or maintain connections when you are obsessed with your next fix or hiding your use. Once you detox and find yourself in early recovery it is crucial to begin the process of making and redefining healthy connections. Healthy Connections can be found in many places. 1. Your recovery community; Sober people helping and understanding each other 2. Family 3. Nature 4. Passions/Hobbies 5. Religion 6. Animals/pets 7. Work It is important to also acknowledge that many of your old acquaintances and “friends” were not healthy connections. Identifying and letting go of these relationships is crucial. That can be a really hard thing to do, especially if you live in proximity or are involved in a co-dependent relationship with them. But maintaining contact with these unhealthy relationships can drag you right back into the cycle of addiction. You may need additional support in identifying and breaking ties with certain people, places or things. This is all part of the process of recovery. ADDICTION RESOURCES If you are in need of medical detoxification from opioids or alcohol, please check out our program. You can call us at 877-773-3869 to learn more. We understand the importance of connection and strive to build that with each and every one of our patients. We would love to help you discover and recover those connections that help you live a life of recovery and connection. Deborah Reich, MD SCHEDULE A CALLBACK #### The Painful Isolation of Addiction The theme of Connectedness is permeating much of what I am reading and listening to these days…and how disconnection and isolation is such a hallmark of the patients with addiction we treat every day at the Coleman Institute. This powerful isolation-belief can lead to hopelessness and despair. I’m thinking about a guy (I change details to protect privacy) who finished a five day Accelerated Opioid Detox (AOD) last week to get off a particularly difficult opioid, Opana®, which a branded formulation of oxymorphone. He also tested positive for heroin and fentanyl, but he preferred Opana® when he could find it. Only a few short months ago Jim had gone through a medically-supervised detox from the same combination of opioids. He did not return to the Coleman Institute for a second naltrexone implant, nor did he go to any follow-on counseling or treatment, despite our urgings. He was quite sure he could handle things on his own with the help of his family and fiancé, and a deep dive into work. Relapsing was not in his game plan. The shame and guilt that accompanied Jim to our facility was palpable. Having just turned thirty two months earlier, he could hardly bear his growing moments of sobriety as the continuous flood of memories, thoughts, and emotions assaulted him: how he’d disappointed people who loved and trusted him, how he’d shamed his family, how he’d wasted his education and professional opportunities, how much money he had wasted on drugs and now another detox, how he had embarrassed his girlfriend and compromised his integrity in a million different ways. Being in his own skin felt intolerable, and his anguished mood swings reflected his pain for the entire course of his detox, regardless of the heartfelt compassion showed by all our staff and his family. It is easy to understand how isolating and removing himself from the people and things he cared about in his life would seem like a logical move to Jim. I am currently listening to Russell Brand’s book, Recovery: Freedom From Our Addiction on Audible. I often listen to books on morning walks and I am grateful for the low pre-dawn light that hides my contorted face when I am moved by poignant sentiments. I also laugh out loud at much of Russell’s writing. He is kind of crude but very smart, sincere, and, in my opinion—hilarious. Here’s Russell as he describes an early interaction: “A counselor at the treatment centre where I got clean, herself a woman in recovery, surprised me when she said, ‘How clever of you to find drugs. Well done, you found a way to keep yourself alive.’ This made me feel quite tearful. I suppose because this woman, Jackie, didn’t judge me or tell me I was stupid or tub-thumpingly declare that ‘drugs kill’. No she told me I’d done well by finding something that made being me bearable.” I reiterated this notion to Jim. His return to drugs and isolation made so much sense, given the excruciating beliefs he held about himself. Our wonderful staff at the Coleman Institute safely, gently, carefully detoxed Jim off the opiates, and the next day he entered into one of the best residential treatment programs in the area. He has committed to two more naltrexone implants, which will provide him with a full six months of opiate receptor blockage. I believe that, as Jim receives the extensive gifts that a residential program can provide, he will learn to re-establish and understand the importance of connection, and will find the blueprint to first accept, and then, forgive himself. His family is already there, waiting with arms wide open. We welcome your inquiries and may be the right fit for you or a loved one seeking a way to safely and efficiently get off of opioids. Joan Shepherd, FNP #### The Power of Gratitude Gratitude is not just for Thanksgiving anymore. Gratitude practiced every day of the year—or most days anyway—is a way to conquer life’s challenges, including depression and recovery. There are endless ways in which we can do this, so stay tuned for another blog on this. I love finding gratitude quotes in my social media feeds. They help remind me to be grateful for that moment and day. The ability to appreciate and stay present in the moment is useful in recovery as you develop your coping skills. Sign up for some of these gratitude messages; they may help you in your recovery. I am happy to share some of my favorites. You can contact me at dreich@thecolemaninstitute.com. If you have general questions about our detox program, please call us at 877-773-3869. Here are some of my favorite thoughts regarding gratitude: 1. "Feeling gratitude and not expressing it is like wrapping a present and not giving it." — William A. 2. "Gratitude is a currency that we can mint for ourselves, and spend without fear of bankruptcy." — Fred De Witt Van Amburgh 3. "Be thankful for what you have; you'll end up having more. If you concentrate on what you don't have, you will never, ever have enough." — Oprah Winfrey 4. "Silent gratitude isn't very much to anyone." — Gertrude Stein 5. "It is impossible to feel grateful and depressed in the same moment." — Naomi Williams 6. "Things turn out best for people who make the best of the way things turn out." — John Wooden 7. "Piglet noticed that even though he had a Very Small Heart, it could hold a rather large amount of Gratitude." — A.A. Milne 8. "Forget yesterday--it has already forgotten you. Don't sweat tomorrow--you haven't even met. Instead, open your eyes and your heart to a truly precious gift—today." — Steve Marabo 9. "The only people with whom you should try to get even are those who have helped you." — John E. Southar 10. "Enjoy the little things, for one day you may look back and realize they were the big things." — Robert Brault Have a grateful day! Deborah Reich, MD SCHEDULE A CALLBACK #### The Role of a Support Person During Outpatient Detox Detoxification is the crucial first step in overcoming dependence or addiction to opioids and alcohol. But you don’t have to do it alone—having a support person you can rely on to help you through the detox and withdrawal process can significantly impact the outcome of your recovery from Substance Use Disorder. At the Coleman Institute, we specialize in outpatient detox for opioids and alcohol to help you complete the detoxification process and get your life back in as little as three days. But this success depends on having the right support system in place, including your designated support person, who plays a vital role during and after detox.   Why a Support Person Is Crucial for Your Detox Choosing the right support person can make a profound difference during detox. This individual provides emotional stability, practical assistance, and motivation, which are essential for a successful detox experience. Here are some reasons why a support person is crucial:   Emotional Support: Detox can be an emotional rollercoaster. The support person offers empathy, encouragement, and a sense of security, helping the individual cope with anxiety, fear, and emotional distress. Practical Assistance: From ensuring medication adherence to helping with daily activities, a support person provides the necessary practical assistance that can ease the detox process. Accountability and Motivation: A support person helps the individual stay committed to the detox process, offering motivation and reminding them of their goals and reasons for pursuing recovery. Safety: Detox, especially from opioids and alcohol, can sometimes lead to severe withdrawal symptoms. A support person ensures that the individual is safe and can seek medical help if needed. What Is the Role of a Support Person During Detox? The role of a support person is multifaceted, encompassing emotional, practical, and motivational support. Here's a detailed look at how a support person can assist during detox.   Emotional Support During detox, emotional support is crucial as it can be a time of intense turmoil. A support person plays a vital role by offering reassurance and comfort, helping the individual feel understood and less alone. They listen to concerns, validate feelings, and offer gentle encouragement, which can make a significant difference. Managing stress and anxiety is also important, and a support person can help by engaging in calming activities such as deep breathing exercises, meditation, or simply spending time together in a quiet, soothing environment. Encouraging positive thinking is another aspect of emotional support, as it can help shift the individual's mindset. Reminding them of their strengths and past successes fosters a sense of hope and determination.   Practical Assistance Practical assistance is also essential during detox. A support person can assist with daily activities such as preparing meals, ensuring proper hydration, and maintaining personal hygiene, as detox can leave individuals feeling physically weak and fatigued. This practical help allows the individual to focus on their recovery without worrying about everyday tasks. Additionally, the support person can help coordinate medical appointments, provide transportation, and ensure that the individual attends all necessary follow-up visits, which helps maintain continuity of care and addresses any arising medical concerns promptly.   Motivational Support Motivational support during detox involves helping the individual set realistic and achievable goals. This can provide a sense of purpose and direction. These goals can be as simple as attending all therapy sessions, taking medications on time, or engaging in specific self-care activities. Celebrating small milestones and achievements, no matter how minor they may seem, can boost the individual’s morale and motivation. Acknowledging their progress reinforces the positive changes they are making and encourages them to keep going. Providing continuous encouragement and affirmation is crucial. Reminding the individual of their worth, their reasons for seeking recovery, and the positive changes they are working towards can help them stay committed to the detox process.   Safety and Crisis Management Safety and crisis management are paramount during detox. Withdrawal symptoms can sometimes become severe, necessitating medical intervention. A support person monitors these symptoms closely and seeks medical help if they become unmanageable or dangerous. This vigilance ensures that the individual remains safe throughout the detox process. In the event of a crisis, such as severe anxiety attacks or intense cravings, the support person acts quickly to provide immediate support and seek professional help if necessary. Having someone who can intervene promptly reduces the risk of relapse and ensures the individual receives timely care. Creating a safe and substance-free environment is essential during detox. The support person ensures that the individual is in a supportive setting, free from triggers or temptations that could lead to relapse.   UNDERSTANDING ACCELERATED OPIOID DETOX     Qualities of an Effective Support Person Choosing the right person to be your pillar of support is a big decision that directly impacts your chances of recovery. Certain qualities can enhance the support provided and contribute to a successful detox experience. These qualities include:   Empathy and Compassion: Understanding and sharing the feelings of the individual going through detox is crucial. Empathy and compassion help build trust and provide emotional comfort. Patience and Resilience: Detox is a challenging process that can test patience. A support person needs to remain patient and resilient, providing consistent support even during difficult times. Good Communication Skills: Effective communication helps address concerns, provide reassurance, and offer encouragement. Being a good listener and communicator strengthens the support provided. Dependability: The individual going through detox needs to know they can rely on their support person. Dependability and reliability are essential for providing consistent and effective support. Non-Judgmental Attitude: Addiction is often accompanied by feelings of shame and guilt. A non-judgmental attitude helps create a safe and supportive environment where the individual feels accepted and understood. Preparing to Be a Support Person Being a support person during detox requires preparation and understanding. Here are some steps to help prepare for this important role:   Educate Yourself: Learn about the detox process, the specific substance the individual is detoxing from, and the withdrawal symptoms they may experience. Understanding what to expect helps you provide better support. Create a Supportive Environment: Ensure the environment is conducive to recovery. Remove any substances or triggers that could lead to relapse, and create a calm, safe space for the individual. Establish Boundaries: While providing support is crucial, it’s also important to establish boundaries to protect your own well-being. Determine what you can and cannot do, and communicate these boundaries clearly. Seek Professional Guidance: Don’t hesitate to seek guidance from healthcare professionals. They can provide valuable insights and advice on how to support the individual effectively. Take Care of Yourself: Supporting someone through detox can be emotionally and physically draining. Make sure to take care of your own health and well-being, seeking support for yourself if needed. Supporting Recovery Beyond Detox Detox marks the initial step in the recovery journey, but continued support is vital for maintaining sobriety and achieving long-term recovery. A support person can play a crucial role beyond the detox phase by encouraging the individual to pursue continued treatment, such as counseling, therapy, and support groups. These ongoing treatments address the underlying causes of addiction and establish a solid foundation for recovery. Additionally, supporting the individual in adopting healthy lifestyle changes, including a balanced diet, regular exercise, and a healthy sleep routine, can enhance overall well-being and support recovery. Fostering social connections is essential. Encouraging the individual to build and maintain healthy relationships provides emotional support and reduces the risk of isolation and relapse. Helping to develop coping strategies for managing stress, cravings, and triggers is also beneficial. These strategies may include mindfulness techniques, relaxation exercises, and engaging in healthy hobbies. Lastly, being patient and understanding is key. Recovery is a long-term process with its challenges, and offering continuous support and encouragement as the individual navigates their journey is invaluable.   Support for Those Struggling with Opioids and Alcohol The role of a support person during detox is vital for the success of the detoxification process and the individual’s long-term recovery. At the Coleman Institute, our outpatient detox program provides a structured and medically supervised environment for detox. However, the emotional, practical, and motivational support from a dedicated support person can significantly enhance the detox experience and contribute to sustained recovery. If you or a loved one is considering detox, reach out to the patient care team at one of our nationwide detox clinics near you to learn more about our programs and how we can support you through this transformative journey.   SCHEDULE A CALLBACK #### The Safest Way to Detox Off Fentanyl I’m a medical professional in the substance use/addiction field. When I started in this business about 13 years ago, the most common situations our patients presented with were their struggles to get off methadone, prescribed pain medication, or heroin. Nothing much has changed with our Accelerated Methadone Detox. This remains an eight-day outpatient process. Because of the long half-life of methadone, the Coleman Method requires the extra time to ‘nudge’ the methadone from the receptors with daily micro-doses of naltrexone. This is similar to a person who wants to get off Suboxone® or other buprenorphine products. How Long Does Fentanyl Detox Take? A person prescribed up to about 200 mg daily of short-acting pain medication such as oxycodone, Roxicet®, or members of the hydrocodone family can generally expect to successfully complete a three-day outpatient detox with us. The time is extended for people on higher doses or with certain medical comorbidities. The same was true for heroin. Many of our patients turned to heroin when they could no longer get pain medication from their doctors, or their tolerance to the prescribed medication had become so high, they needed more and stronger drugs. Heroin was easy to find and relatively cheap, especially when compared to buying pills on the street. We regularly provided a three-day detox for people who wanted to get off heroin, and for the great majority of our patients, this time frame was the sweet spot. Does Heroin Impact Fentanyl Detox? A few years ago things started to change. It started with reports of not just one person overdosing, but multiple people at the same time and place. People would come in for a detox off heroin, but their reactions to the micro-dose naltrexone was barely tolerable. The detoxes were becoming more and more difficult. We didn’t even know to test for fentanyl at that time, but that’s exactly what was going on. More and more, fentanyl was being cut into heroin, and our patients were suffering. UNDERSTANDING ACCELERATED OPIOID DETOX Fentanyl is a powerful synthetic opioid analgesic that is similar to morphine but is 50 to 100 times more potent. It was first used in the 1960’s as an intravenous anesthetic, and is still legally manufactured and distributed in the United States as a Schedule II prescription drug, used to treat patients with severe pain or to manage pain after surgery. It is also sometimes used to treat patients with chronic pain who are physically tolerant to other opioids. Customized Detox Process For Suspected Fentanyl Addiction Although we did not see many people on clandestinely produced fentanyl as early as 2011, the DEA reports that is when the deaths from fatal overdoses started increasing. According to the Centers for Disease Control and Prevention, fentanyl analogues were involved in roughly 2,600 drug overdose deaths in 2011 and 2012. The years following this saw dramatic increases in these numbers. In 2018, 31,335 deaths were attributed to synthetic opioid and illicit fentanyl overdoses! This is completely consistent with what we were seeing at the Coleman Institute for Addiction Medicine. As we became increasingly aware of the prevalence of fentanyl, our protocols evolved as well. Today we treat every patient with known or suspected fentanyl addiction with a bespoke regimen of multiple comfort medications and extended days to accomplish it. This keeps our patients both safe and as comfortable as possible. If you or a loved one would like to learn more about a fentanyl detox at the Coleman Institute in Richmond, Virginia, please give us a call at 877-773-3869. Joan R. Shepherd, NP SCHEDULE A CALLBACK Learn More About Fentanyl Detox With Joan R. Shepherd, NP #### The Single Most Important Thing to Know When Detoxing A body, left to its own devices, manages pretty well. Breathing, digestion, circulation, and metabolism are all nicely orchestrated with only the minimal input from the inhabitant of said body. A little food, a little water, a little oxygen, and the body is good to go. Physical or Mental Addictions As Byron Katie says in A Mind at Home with Itself: Bodies don’t crave, don’t want, don’t know, don’t care, don’t love, don’t hate, and don’t get hungry or thirsty. The body only reflects what the mind attaches to. There are no physical addictions, only mental ones. (Bold added by me.) Consider this when you are making the decision to stop using addictive substances such as alcohol, benzodiazepines, or opioids such as Dilaudid®, oxycodone (Percocent®, Oxycontin), hydrocodone (Vicodin®), fentanyl, poppy seed tea, methadone, heroin, or even the many iterations of buprenorphine (Suboxone, Zubsolv®, Bunavail®). ADDICTION AND DETOX FAQS Having worked with our patients at the Coleman Institute for over ten years, I can say that with rare exception the source of addiction is thoughts such as: My family doesn’t understand me My mother wasn’t there for me My wife (husband) doesn’t appreciate me I am worthless The world would be better off without me My boss is a jerk I’ve screwed it up beyond repair It’s not fair and variations on these themes. Using Opioids, Alcohol, or Benzos to Block Emotion See the thread that ties all these together? These are all thoughts that people are believing and then acting upon these thoughts by using substances to shut down the feelings and emotions generated by this kind of thinking. Addiction is Mental and Physical And although the body will obviously become physically dependent with continued opioid use, the real way to stay off these drugs for the rest of your graced time on the planet is to recognize that these addictions start in the mind. Learning how to live peacefully with the mind and its constant stream of thoughts is the difference between enjoying the amazing opportunity we have to be alive versus a white-knuckled kind of experience of gripping onto the rest of your life with fear and terror of what may come next. Emotional Numbness to Mental Awareness Living life without substances allows the body to experience natural endorphin responses. These responses come from eating good food, playing with our children, or enjoying nature. When substances are used to numb the body from physical or emotional pain, a person loses out on the pure joys of life as well. This can lead to isolation and a loss of community. These factors become harder and harder for someone to get back to the longer they don’t address their substance use disorder. Keep Your Life On Track With Out Outpatient Rapid Detox Outpatient detox allows someone to not spend any more time than necessary to get back to living life in the present and to the fullest. Many have been suffering from their substance use disorder for prolonged periods of time. When the motivation strikes to stop using, rapid detox can complement this energy well; It can aid in giving the confidence to stick to their recovery. The Coleman Method for Detox For over twenty years, the Coleman Institute has specialized in safely, comfortably, compassionately, and economically, getting people off substances such as every variety of opioid, benzodiazepine and alcohol. We have a unique outpatient detox, which allows family members to stay with their loved one, with daily visits to our facilities. We have offices all over the country, and Anthem Blue Cross Blue Shield of Virginia’s HMO and PPO insurance plans recently began covering treatment programs in our Richmond, Virginia office that include detoxification (aka withdrawal management) and six months of naltrexone therapy and case management. We are also actively working to expand coverage with other insurers. If you are ready to embrace physical and mental freedom, I encourage you to call and find out more about our detox programs. The very first step is to safely get off the substances. The exciting exploration of becoming at home with your own mind then becomes the adventure of your lifetime. Joan R. Shepherd, FNP SCHEDULE A CALLBACK #### The Single Most Terrifying Thing About Admitting You Are Addicted To Opioids As the Coleman Institute has evolved into treating addiction with a wider spectrum of Medication-Assisted Treatment (MAT) options, I see more people who haven't exactly hit rock bottom, but they don't want to find that place. Currently, we offer treatment using many different options for those with opioid use addiction and every patient's situation is unique. Whether you are struggling addiction problems - the wanting, the craving, the never-quite-getting enough, the lying, the spending, sickness of withdrawal - or fear of the sickness of withdrawal - treatment is available for you. What are Medically-Assisted Treatments (MAT)? Medication-Assisted Treatment otherwise referred to as "MAT" is the use of medication in combination with behavioral therapies or support groups. In order to provide a "whole-patient" approach to the treatment of substance use disorder (SUD) this method can be incredibly beneficial when one is confirmed with a diagnosis and needs treatment for misuse. In addition, medication assisted treatments often combine methadone, buprenorphine, or naltrexone medications in order to give the patient a successful treatment approach. Using a medication assisted treatment has also led to significant reduction in relapse and is able to address most needs entirely for patients. This treatment approach has also been shown to: Increase ability to gain and maintain employment Improve birth outcomes for women who have SUD and are pregnant Decrease criminal activity for those with SUD Increase retention in treatments Improve patient well-being GET THE OPIOID DETOX GUIDE For many, we understand that individuals at first may feel hesitant and trapped in the holes they have dug for themselves - making the future immobilizing. Visions of lost jobs, reputations, insurance, judgements, jail time, custody issues, humiliation, and financial ruin are swirling around in their minds like a pit full of poisonous vipers. Taking the first step to seek help can be terrifying. Below are a few important things to know that may mitigate the fear of initiating treatment for a Substance Use Disorder (SUD): 1. First of all, when you go through any of our treatment options in Richmond, Virginia, you will receive medications to help you: If it’s a Suboxone® (buprenorphine/naloxone), you will receive Suboxone® on the first day. If it’s a rapid opioid detox using the Coleman Method, you will get the first dose of comfort medications in the office and take home medicine that your support person will distribute throughout the treatment duration. So take the fear of physical discomfort off the table. 2. Second, your confidentiality is guarded like HIPAA on steroids. Many people are unaware of the heightened discretion in record keeping and sharing that comes along with substance use treatment. The layers of regulations that sheath the treatment of substance abuse are almost impenetrable. Good old 42 CFR Part 2, affectionately known as Part 2, covers almost any concern one might have about the confidentiality of seeking medical treatment for substance abuse treatment. 3. Without a special court order, treatment programs are prevented from releasing patients’ Substance Use Disorder info to law enforcement authorities. 4. There is good insurance coverage for both Suboxone® and Vivitrol®, and growing coverage for the actual Coleman Method for accelerated outpatient opioid detox. 5. Seeking help for a Substance Use Disorder does not necessarily mean giving up your ability to parent your child. Again, patient privacy and confidentiality are closely protected even in the parenting realm. Accelerated Opioid Detox If you know you are ready to stop letting opioids control your life, our Accelerated Opioid Detox can change your life for the better. For many of our patients that seek our assistance, they have stated how lucky they were to be able to keep employment, relationships, and put their health back on track. We know too well that opioids can cause dependency the first time anyone uses them and withdrawal can be a miserable thing. At our practice, we take pride in offering a method that is more comfortable, reliable, and has a 98% completion rate of treatment success. With minimal discomfort, assisted withdrawal process, and recovery support services. - you will get the quality care you deserve to get back on track. Please call us or request a callback to learn more about your choices. SCHEDULE A CALLBACK Joan R. Shepherd, FNP #### The Soul in Hiding “The human soul doesn't want to be fixed, it simply wants to be seen and heard. The soul is like a wild animal - tough, resilient and shy. When we go crashing through the woods shouting for it to come out so we can help it, the soul will stay in hiding. But if we are willing to sit quietly and wait for a while, the soul may show itself.” These are the words of Parker J. Palmer. I am reading this, thinking of the patients who come through our doors, desperate to be released from the grip of substances, and from the grip of agonizing thoughts. There is no way to access the soul, the true essential self, without first being able to sit quietly with oneself. This can be excruciating for our patients who, after coming off a substance—or substances—which effectively blocked discomfort, are now confronted with painful TEAMS: Thoughts, Emotions, Associations, Memories, and Sensations. In a sense, our medically-assisted withdrawal or rapid opioid detox actually rips a band-aide off; we help to create the conditions necessary for true healing to begin. We assist in the process of allowing our patients to have true, deep access to their own souls. UNDERSTANDING ACCELERATED OPIOID DETOX A patient who came for long-acting Naltrexone therapy last week, now four months off all substances and living in a half-way house tells me, “I am learning to be comfortable with discomfort. My previous default was to avoid discomfort at all costs.” The setting of this halfway house and being with other guys who are experiencing similar TEAMS has been remarkably helpful. He is beginning to generate compassion for others and for himself. It is an incredible privilege to perform our medically-assisted withdrawal treatment with finesse and science, and then be able to stand back and witness our patients’ “tough, resilient and shy” souls emerge. Joan R. Shepherd, FNP SCHEDULE A CALLBACK #### The Truth About Suboxone & How to Detox A couple weeks ago I attended the funeral of an amazing woman who died at the age of 67 from Lou Gehrig’s Disease, or ALS. She had decided early on to make her dying process a gift to her loved ones. Printed on her memorial card was the question, “What does love require of me today?” Ann completely embodied this notion as she lived her life to the absolute fullest extent. As her body diminished, her already robust spirit flourished even more. So this question was very present in my mind as I witnessed the concept personified while working with Elliot and his mother the same week as Ann’s funeral. What Are the Effects of Suboxone? Suboxone is a combination medication of buprenorphine/naloxone used to treat opioid use disorder. As a partial opioid agonist, Suboxone fills the opioid receptors the same way that opioids do. Using Suboxone gives similar euphoric sensations to opioids. However, those that have heavily used opioids will not experience the same kind of “high” feeling. This is due to the fact that Suboxone has a capped or a ceiling effect, meaning that taking more of it won’t increase the euphoric feelings that it offers. But for many, Suboxone is simply trading one addiction for another. Prescribed Suboxone® for Curbing Addiction Elliot, now 37, started playing around with drugs when he was in high school. He tried everything, but his true love was opioids. A smart guy, he killed it in college, even with an active addiction to pills that ultimately morphed into a heroin habit. Elliot met a girl and wanted to get straight and start a life with her. He went to a treatment program and was prescribed Suboxone® (a combination of buprenorphine and naloxone). At first he was on 8mg three times a day, which is not an unusual starting dose. Suboxone® and a Recovery Lifestyle Besides using a form of Medication-Assisted Treatment (MAT) for his Opioid Use Disorder, Elliot truly embraced a recovery lifestyle. He attended 12 step meetings and had a sponsor. He didn’t drink alcohol, smoke pot, or use cocaine. He maintained a daily meditation habit. He and the girl married and had a daughter. After eight years on Suboxone® and with their second child on the way, Elliot was ready to be off all medication. Self-Detoxing Off Suboxone® Elliot tried to work with the doctor at his treatment center, but was not really encouraged to stop taking the Suboxone®; in fact, the doctor actively discouraged him, basically telling him that his addiction was a life-long affliction, and he should probably continue to take this for the rest of his life, for his own good. Elliot, now a little frightened that he didn’t have his doctor’s support to stop this medication, began to do some research about stopping it himself. Worried about letting his doctor know how determined he was to stop using buprenorphine because he was afraid they might oust him from the clinic, he was put in an awkward position of lying to the providers at the treatment program, who continued to prescribe ninety 8mg films a month. Elliot was able to quickly taper himself down to 8mg daily. He was surprised at how easy it was to do this and told me he experienced no side effects. The Road to Outpatient Suboxone Detox If you’re looking to quit all opioids, you may be a good candidate for outpatient Suboxone Detox at the Coleman Institute. It is understandable to not want to replace one addiction with another. An outpatient Suboxone Detox would allow you to move forward with your life free from addiction. UNDERSTANDING ACCELERATED OPIOID DETOX   Trading One Drug for Another In one to two week increments, Elliot reduced his Suboxone®, eventually getting himself down to 3mg daily. This is when the side effects started. Regardless of how slowly he continued his taper, Elliot found himself in a perpetual state of withdrawal. This is one of the most common scenarios we encounter at the Coleman Institute for Addiction Medicine. Buprenorphine, the component of Suboxone® that occupies the opioid receptor, is a tenacious rascal. That’s why it is a powerful part of many people’s successful opioid use disorder treatment…but it’s also why it is so difficult to stop taking it. The Dangers of Long Term Suboxone Suboxone is composed of narcotics meaning it can prolong someone from clearing their opioid receptors entirely resulting in their treatment being drawn out months or even years. It can give a false sense of healing, as the withdrawal symptoms from Suboxone are yet to be faced. The Coleman Method Our program dislodges the buprenorphine from the opioid receptors in tiny increments over about a week, requiring brief daily visits from the patient and the support person. When the buprenorphine is off the receptors, the patient can then begin using naltrexone, which is a pure opioid blocker. We use long-acting naltrexone in the form of a small implant, which is placed under the skin in the abdominal area. Our implant lasts approximately two months and slowly dissolves, completely populating the opioid receptors, therefore, alleviating physical craving for the drug. Free From Suboxone® Elliot’s detox wasn’t easy. Even with our comfort medication, booting the buprenorphine off the receptors caused some withdrawal symptoms. But Elliot was determined to be free from this medication that, while providing escape from all the complications of being addicted to heroin, ultimately ensnared him in a completely different kind of cage. This detox asks a lot of the support person, and it was always gratifying to be with Elliot and his mom, who was ‘boots on the ground’ all the way. Elliot had timed his detox during his paternity leave, and his mother in law was back home helping with her new grandson and Elliot and his wife’s first child. It was truly a love story with multiple plots, with each participant fully responding to the mandate, “What does love require of me today?” If you or a loved one is ready to embrace a life free from opioids such as heroin, fentanyl, oxycodone, hydrocodone, or tramadol (or even kratom or loperamide), please request a callback today. Joan Shepherd, FNP SCHEDULE A CALLBACK #### Tianeptine Powder Explained - Safety Concerns, Addiction Risks, & Withdrawal Tianeptine powder has drawn attention in recent years, though not for positive reasons. Marketed under brand names like Stablon in other countries, tianeptine was originally developed as a prescription antidepressant. These pharmaceutical versions are typically produced as tablets, not powders. However, in the United States, tianeptine is often sold in unregulated forms, including powder and liquid, under street names like ‘zaza’ or ‘gas station heroin’. This growing misuse has raised serious concerns about safety, addiction potential, and withdrawal risks. What Is Tianeptine Powder? Tianeptine is a synthetic drug that was originally prescribed to treat major depressive disorder. Unlike traditional antidepressants, tianeptine works primarily by modulating glutamate activity and, more importantly, by acting as a mu-opioid receptor agonist. This opioid receptor activity is key to understanding why misuse can quickly spiral into dependence. Tianeptine is now available through unregulated markets in several forms, including powder, capsules, and liquids. However, tianeptine powder, particularly in the sodium form, poses unique risks because it is pure, highly potent, and difficult to measure dosages due to its consistency. Pharmaceutical versions such as Stablon, Tatinol, and Coaxil are provided by medical professionals in tablet form in other countries. In the United States, powdered versions are often bought online or at various retailers, including gas stations. How Tianeptine Powder Became a ‘Gas Station Heroin’ Sold under flashy names like ‘zaza’, tianeptine is often marketed as a supplement or nootropic. In reality, its opioid-like effects can lead to euphoria, sedation, as well as physical and psychological dependence, much like traditional opioids such as morphine. Because it acts directly on opioid receptors, users may initially feel mood elevation or pain relief, but with repeated use, tolerance builds rapidly, setting the stage for addiction. The nickname 'gas station heroin' illustrates how potent and dangerous tianeptine powder can be, while remaining accessible through shops. Is Tianeptine Powder Similar to Kratom? In some ways, yes. Both tianeptine and kratom affect the brain's mu-opioid receptors, producing effects like euphoria and sedation. However, while kratom is derived from a plant (Mitragyna speciosa) and contains multiple alkaloids, tianeptine is a synthetic compound. Many users seeking alternatives to prescription opioids may turn to substances like kratom or tianeptine, believing them to be safer options. Unfortunately, both can lead to dependence, withdrawal, and the need for professional detox services. Addiction & Withdrawal Risks Because tianeptine interacts so powerfully with opioid receptors, it carries a high risk of misuse, especially for those already struggling with addiction. Symptoms of tianeptine dependence and withdrawal can mirror those of traditional opioid withdrawal. Symptoms may include - Anxiety & panic attacks Muscle aches & cramps Insomnia Nausea & vomiting Depression & mood swings Withdrawal from tianeptine can be extremely uncomfortable and, in some cases, dangerous without medical support. Tianeptine carries the risk of tianeptine poisoning, which can be deadly. How The Coleman Institute Can Help At The Coleman Institute, we specialize in outpatient detox services designed for substances, including those that impact the brain's opioid receptors, such as tianeptine. Our Outpatient Opioid Detox program helps patients safely and comfortably manage withdrawal symptoms without the need for lengthy inpatient stays. We understand the unique challenges that come with tianeptine dependence, and we provide compassionate, medically supervised care to promote long-term recovery. If you or a loved one is struggling with tianeptine use, help is available. Call The Coleman Institute at 703-991-0330 or schedule a callback to learn more about our safe, comfortable, and effective detox services. #### Top Five Reasons Our Patients Choose Opioid Detox At The Coleman Institute Patients who are making the decision to stop using opioids have a few choices. They can go cold turkey. Difficult and painful, but doable. For some people this happens when they are in jail, for others it happens because their pain management doctor is no longer willing or able to continue to prescribe narcotic pain medication. Patients can also choose Medication Assisted Treatment (MAT). The top three medications used are some type of buprenorphine product such as Suboxone or Subutex®, methadone, or naltrexone. Both buprenorphine and methadone are highly controlled substances, which require special licensing by the prescribing providers. While they keep the cravings for opioids at bay, they also create profound physical dependence. If the person using buprenorphine or methadone decides some day to stop using this form of MAT, they must go through an extensive weaning period that can last for several uncomfortable months. Naltrexone is a completely different alternative for using medical treatment to get off opioids. Whereas the previous medications actually ‘turn on’ the opioid receptors, naltrexone simply occupies the receptors, effectively blocking them from any possible action from opioids. The Coleman Institute has been the leader in using naltrexone for over twenty years to help patients get off opioids. Following are the main reasons patients tell us they have chosen naltrexone therapy to detox from Vicodin®, Percocet®, morphine, heroin, Dilaudid®, and—yes—methadone and buprenorphine at our offices. 1. Release the Ball and Chain Our patients are tired of being physically dependent on a substance, whether it is prescribed legitimately by a health care provider or procured by less than legit means. Both buprenorphine products and methadone as mentioned earlier create physical dependence and are highly controlled. People tell me they have sacrificed going on vacations because of the hassle of finding a ‘guest clinic’ in another city and the fear of losing their medications while traveling. Many people have had to actually give up jobs because the distance they have to travel and the time they must spend at the clinic to receive their daily methadone makes holding down a job impossible. By the time a patient seeks our help, they are not having fun with their drug. They are simply trying not to be sick. 2. Fast and Effective Depending on the amount and type of substance a patient is using, we can detox him or her in 3 to 8 days. A person on relatively low doses of pain medications without significant medical problems can be completely detoxed in three days. A person getting off high doses of methadone or Suboxone can complete our detox in eight days, a process at the methadone clinic that would take several months. For our patients and their support people who do not have the luxury of limited time off from work, this feature is a godsend. 3. Convenient Dr. Coleman’s passion for helping free people from their addictions began with his own recovery beginning in 1986 and then blossomed within a small but busy practice in Richmond, Virginia. As people in the community grew to know Dr. Coleman’s commitment and compassion, his reputation grew. It wasn’t long before people sought his help from all around the country, and even from other countries.As his unique approach received more and more recognition, Dr. Coleman invited other doctors to come to Richmond for training. This growth has resulted in several clinics around the country with all the providers trained in the protocols of the Coleman Institute. Currently we have offices in 12 major cities across the United States. The convenience isn’t just about the multiple locations, however. The accelerated or rapid opioid detox program operates on an outpatient basis. This is one of the features our patients and their families appreciate most. The support people are able to work a quick visit into the clinic and are able to spend their day with their loved one. They can prepare their own meals, stay nearby in hotels or an Airbnb, or if local, in their own homes. I have seen many patients over the years turn the detox into an extended vacation of sorts, traveling to museums, beaches, and near-by historical sites. 4. Safe and (Relatively) Easy Unlike other rapid opioid detox programs, the Coleman Institute does not use general anesthesia to put a person ‘under’. The complications of anesthetizing a patient increase dramatically with such a procedure, and it goes without saying, the patient must be in the hospital for such treatment. With a program like this, the person is completely sedated and all opioids removed at once. Rather than bring immediate relief and comfort, the patient actually experiences all the wrath of precipitated withdrawal upon waking from the anesthesia.At the Coleman Institute, the patient’s support person is given medication and instructed in detail on how to keep their loved one comfortable. Many of our patients will sleep for several hours during the days of their detox; it’s not unusual that they come to us exhausted, and report finally being able to rest. We are careful to manage our patients’ expectations, however. The way naltrexone works is to replace the opioids. This means each day a patient will receive a very small, calculated dose of naltrexone to push the opioid off the receptor so the naltrexone can begin to populate it. We ask our patients to be prepared to experience a couple hours of discomfort, but about twenty-two hours of relative comfort on most days of their detox. As I mentioned in Number 1, our patients are highly motivated. 5. Aftercare We work with our patients to help create the right treatment program for them. We recognize that everyone has specific needs and situations, and our staff works to steer the patient into the most appropriate constellation of therapies available, keeping in mind financial and transportation constraints, familial and social obligations, and physical and mental health challenges.During the early part of recovery and for at least a year, we strongly urge our patients to continue with long-acting naltrexone therapy. Patients are more vulnerable to relapse during this tender time. Coupled with the best possible counseling from an addiction-proficient therapist and working to restore the body’s health physically by incorporating good self-care (see an earlier blog article on restoring energy after detox here.) helps to set the groundwork for long-term sobriety. At some point, patients will want to discuss the appropriateness of discontinuing their naltrexone. It is a conversation that warrants serious reflection on each patient’s level of commitment to their own recovery program, and our providers are well positioned to be an integral part of this decision process. The real beauty of naltrexone is that when a person is truly ready to stop, there are absolutely no physical withdrawal symptoms. To all our patients—past, present, and those yet to experience freedom from opioid addiction using naltrexone therapy-the staff of the Coleman Institute sincerely thanks you for choosing to work with us. We grow from each encounter with every one of you. Joan R. Shepherd, FNP #### Tough As Nails Podcast: Dealing With Addiction On The Job Part 1 The Coleman Institute's executive director, Amanda Pitts, and National Medical Director, Peter Coleman, join Cindy Stumpo on her podcast "Tough as Nails" on iHeart Radio to discuss addiction, treatment, and long-term recovery. After hearing about a patient's detox experience at the Coleman Institute for Addiction Medicine in Wellesley, MA, Stumpo and team reached out to him to learn more. This patient realized that people might not know that an outpatient detox treatment program is available to them. This podcast episode share’s the patient’s drive to ensure those suffering from Substance Use Disorder or Alcohol Use Disorder have the information they need to make an informed decision about what treatment program is best for them so that they can live a life free from addiction.   GET THE ALCOHOL DETOX GUIDE   Tough As Nails Podcast: Dealing With Addiction On The Job Part 1 Announcer: Cindy Stumpo's a general contractor. Look. Whatever happens between the roof and the foundation. For 25 years and counting, Stumpo's been building houses and shattering stereotypes. Building a home and building a life. This is my show and this is where we're going. Cindy Stumpo is Tough as Nails. Cindy Stumpo: Okay. Welcome up to Cindy Stumpo, Tough as Nails on WBZ NewsRadio 1030. And I'm in the studio tonight with my daughter Samantha and a very old friend of mine. And his name is... Rob Zaverucha: Rob Zaverucha. Cindy Stumpo: Rob, you've known Samantha since she's been in, I think, last year of high school going into her first year of college. Rob Zaverucha: Actually, I think a little earlier than that, but it's nice to see her again. Cindy Stumpo: All right, so let's start. You have to have a big personality when you're on the radio. So what I want you to do is pretend you're on one of your job sites right now, and you're literally flipping out on a couple of guys, because I know I've been there for many years watching that go down and that was not pretty. Rob Zaverucha: Well, it's not pretty. Sometimes it's a bad memory. But when you're working with construction workers, as you well know, sometimes these guys are working in the heat of the day in the middle of the summer, and cold is zero degrees in winter, and the elements are tough and they're like junkyard dogs. Cindy Stumpo: Junkyard dogs. Rob Zaverucha: Yep. Cindy Stumpo: Okay. Rob Zaverucha: You know how that goes. Cindy Stumpo: So tonight's topic, what we're dealing with, is we're dealing with addiction on the job, right, Rob? Rob Zaverucha: That's correct. Cindy Stumpo: Okay. So you have run some of the... From now owning your own company, you partnered up with me for a phase. You came out of a company, coming out of restoration masonry, union guy. You were running how many guys at one point for your old boss when we first met? Rob Zaverucha: Well, it was about 450 where we maxed out at any hour. And that was over three states: Connecticut, Massachusetts, and New Hampshire, Rhode Island, primarily. Cindy Stumpo: Are you nervous? Rob Zaverucha: No. Cindy Stumpo: You sure? Rob Zaverucha: No, I'm not nervous. Cindy Stumpo: I just want to make sure. All right. So he was 450 guys out there and it wasn't easy. Okay? You had all walks of life out there working, right? Rob Zaverucha: That's correct. Cindy Stumpo: Rob, here, let me make something very clear. Everybody thinks what we do out here is so glamor, especially me like she's the builder. And will you please explain to people, that we work 24/7, and what's the stress factor like out here for us? And how much of it do we take home? Rob Zaverucha: We take a lot. We take everything home. And when you take this business seriously, there's no other way to take... Take it home. You sleep with it. You eat it. You wake up in the morning, sometimes you feel like spitting blood. Cindy Stumpo: Oh, you do spit blood. But go ahead. Rob Zaverucha: You do, you do. And it's on your mind 24/7. You have guys calling in, you have- Cindy Stumpo: Guys calling out. Rob Zaverucha: Calling out. Excuses after excuses. Cindy Stumpo: Stories after stories, lies after lies, and problems after problems. Rob Zaverucha: And that's when Rob hits the wall because he sees right through it like a sheet of glass. But you have to be compassionate to it and you have to understand it because if you continue to bark and scream, then they bite back, and then it's not productive. Cindy Stumpo: Okay. So tell me something, Rob. And again, Rob and I have known each other, obviously, since Sammy's 18, 19 years old. We also collaborated for many years working together. My question to Rob, we had the hardest time in our relationship. It's kind of funny. I used to say to Rob, "Rob, we got to go easy on some of these guys. They got problems." And Rob would not tolerate drug addiction or alcohol. He didn't want to hear it. You came to work, you had a problem, he had no... And I'd always say to Rob, "Stop, because you never know. You never want to spit in the water you might have to drink." And he'd say, "You're too soft, Cindy. Okay? These guys, blah, blah, blah, we're paying them blah, blah blah an hour." Every three steps- Samantha: Might be the only person that's ever called her soft. Cindy Stumpo: Yeah. I know. The only one that's ever called me soft is Rob. And he'd say, "They take three steps backward. This is what it's costing us." And he would be really hardcore with me out there, really hardcore. And I'd be like, "All right, Rob, but there's still..." "Nope. You can't think residential. We're commercial. We're union. You can't be like this, blah, blah, blah." Okay. "So Rob, what do you want me to do?" I was going after guys, back in the day, they would be the stewards. What are they called? Labor stewards, whatever stewards. Rob Zaverucha: Labor steward, [crosstalk 00:05:13] steward. They just, yeah. Cindy Stumpo: Okay. So we had a job going on in Brookline, Cleveland Circle area, and- Rob Zaverucha: Waterworks. Cindy Stumpo: Yeah, near the Waterworks. And the labor steward said to me... I literally went to the job, Rob wasn't going to do it. I went, I said, "Listen, I hear you're selling my guys drugs over here. Not all of them, but quite a few." I said, "You do that again, you and I are going to have big problems." He goes "Really? Well, let me tell you something, Miss Stumpo. You see those guys over there?" And he points his finger, "I supply them with this, this, this. You see those guys over there? I supply them with this, this. Can't help it that your guys like the opioids, the other guys like Coke. The other guy..." Cindy Stumpo: I'm like, "You come to work and you're so proud to prey off the weak because that's what you're doing. You're taking their paychecks and you're preying off the weak and you're a labor steward?" And literally, he didn't know what was coming after him. And he went back, and he lived in the area of Johnny, and says, "Who's this crazy lady that came out? And you'd better straighten her out." No, no, you are going to get straightened out before I get straightened out. But what makes this very ironic is that I come to find out years later, go ahead, Rob, tell your story. Rob Zaverucha: Well, as years passed, I became- Cindy Stumpo: And look at me. Rob Zaverucha: Yeah. Cindy Stumpo: Okay. You're having a conversation with me. Talk to me. Go ahead. Rob Zaverucha: I had a problem and I hid it well. My problem is alcoholism. I never drank during the day or on the job or anything like that. But to answer your question and get right to the point, yes, you take it home with you. And when you grow up in this business from a young, young age, and the only thing you know is construction, you don't do anything else with your life, and you're responsible for so many lives and safety and everything like that, by the time you get home at night, at whatever time it is; 9:00, 10:00, 11:00, 12:00 at night, it was a relief. Rob Zaverucha: And then that became a bigger problem for me because it became more bad days than good days. And part of the problem is you try to keep your obligation and your performance up and you don't want your men to see the weakness that you have. And that became a problem. And I cleaned it up for a while, and then after a while, you resort- Cindy Stumpo: So the listeners can understand, let me do a setup scene. Rob gets out of a big F-350. He's a good size guy. He's a good-looking guy. He comes out and he ran that business with the steel bigger than what our buildings were made of. Right? Rob Zaverucha: Yeah. Steel. Cindy Stumpo: And I'd say, "Why do you have to be such a jerk at times?" He'd say to me, "Cindy, this is the way it's got to be." So yes, Rob had a big, big job out there. Prior to coming with me, he was huge at NER and he's running 450 guys. So I'm trying to give the setup scene. You have 450 union guys. If he is not behaving a certain way and acting a certain way, it's kind of like if you're watching Yellowstone, he was Rip out there. Was that his name? There's a character, Rip. That was Rob. Rob was Rip out there. He added like little league, just you know- Samantha: He had to keep everybody in line. Cindy Stumpo: Had to keep everybody in line, because it's a circus out here. So now I've set the scene up so people understand. Rob Zaverucha: Yeah. It's funny you say that because people since Yellowstone have nicknamed me Rip. Cindy Stumpo: And I'm Beth. Rob Zaverucha: Yeah. Cindy Stumpo: And I'm like, "Why am I, Beth? I don't drink like that." "It's the one-liners, Cindy, it's the one-liners." Samantha: It's just personalities. Cindy Stumpo: Personality. The first episode I watched, I'm like, why do people think I'm like that? She sleeps with every guy she meets. Samantha: No, it's how she sizes up every person she meets. Cindy Stumpo: She sizes up everybody. Yeah, I do that. Rob Zaverucha: Quickly. Cindy Stumpo: And quickly. Yes. So that's a setup scene. So now Rob, you're going home and now you're... What seems to be a fun time, party time, right? Rob Zaverucha: Well, not really party time. You're alone and that's the bad part of addiction, is when you- Cindy Stumpo: But you were married. You had Val in your life at that point. I was there. Rob Zaverucha: Yeah. And that's absolutely true. Cindy Stumpo: But you can be in a relationship and be alone. Rob Zaverucha: Yeah. Cindy Stumpo: In your own thoughts. Rob Zaverucha: Yeah. There you go. Cindy Stumpo: Okay. Rob Zaverucha: But my ex-wife also worked crazy hours because she was in mortgage financing. And then a lot of times you delay going home because you didn't want anybody to see you with that problem. And to go back to your question- Cindy Stumpo: Okay. Wait, hold that thought, we got to go to break. I'm Cindy Stumpo and you're listening to Tough as Nails on WBZ NewsRadio 1030. Be right back. Cindy Stumpo: And welcome back to Tough as Nails on WBZ NewsRadio 1030 and I'm Cindy Stumpo. And I'm here with Samantha, here with Rob Zaverucha. Okay, Rob, pick up where you left off. Do you remember? Because I'm in menopause now so you might have to help me out here. Rob Zaverucha: No, but just going back to- Cindy Stumpo: Having menopause. Rob Zaverucha: ... having to hold a tough edge and having to keep yourself up there and get the respect from the men. If I were to ever let the men know that I had a problem, I would not have been able to control 450 guys. Absolutely no way. Cindy Stumpo: So you're telling me when we were in business together you had this problem. Rob Zaverucha: No. It was previous, but when I was with you, it was one of those periods where I was cleaned up. Actually, you got to remember, Cin, I left that big company. And when I left NER and we worked together, it was like a breath of fresh air. So the pressure was off in many aspects. I look back at that and I think that I went from literally never going home, sleeping in my truck, downtown Boston, to actually, there were nights you'd kick me out of the office and say, go home, if you remember. Cindy Stumpo: Yeah, because you still had another hour-ride home. I only had to go five minutes to be home. Rob Zaverucha: So I took a break at that particular point. It came back in periods and I'd clean it up again. I did it on my own. I got back into cycling, my health became better. And then once you're an alcoholic, if you don't stay sober, and I'll keep telling you, it's not... People say it's 24 hours, it's not. It's minute by minute because everything can change in a minute. So [inaudible 00:11:57] these good periods, and then I'd fall into one of those bad periods where it'd be, uh-oh, that one drink. And even some of the people in AA will tell me that what's the worst thing that can happen to an alcoholic in a day? And the worst thing that can happen is you pick up. Because you pick up, it's not one, it's two, it's three, it's four until you've decided enough's enough. Cindy Stumpo: Okay. So when we go back on our relationship we talked about, when I said to you, "Rob, don't behave that way, because you never know if you're going to have to drink that water, you might spit. Don't spit in the water you might have to drink." Do you remember me saying that to you? Rob Zaverucha: Many, many, too many times. Cindy Stumpo: Okay. And you'd be just stern about this. For you to come forward now after all these years and say, "I'm an alcoholic," I got to tell you, I'm so proud of you. Number one, because I don't care who it is, and anybody that's listening to this show. I don't care. Everybody has some problem out here. The difference between people that have problems and the people that don't, that do, we admit that we have problems. I've been laughed at forever. "Oh, Cindy Stumpo's got panic attacks. She's a weak person." You know. How bad of my panic attacks, right? Rob Zaverucha: Terrible. Cindy Stumpo: Okay. They'd knock out [Eddie Vedder 00:13:08]. I'm still the same Cindy that's stuck, "Rob, I can't drive. Take me into Boston." Remember all that? Rob Zaverucha: Yeah, absolutely. Cindy Stumpo: Nothing's changed at all. And now you have shown your weakness. But there are more people that have a drug addiction, mental, a lot of the faults... It's all under the same umbrella, don't forget that. Drug addiction, alcoholism, mental, bipolar, depression, panic, anxiety. Now we've just seen through COVID how many people have become... Have a ton of anxiety, a ton of panic, drinking more than ever. The liquor store looked like New Year's Eve every day for two years. Now, how many people are sitting back right now, listening to this going, "I'm an alcoholic, but what do I do about it?" Do you know what I mean? So the hardest part is always admitting your faults, and what the problem is here. Rob Zaverucha: Yeah. Admitting your faults, and that's the first part of it. But getting help is the main part. Cindy Stumpo: But don't you have to admit you got a problem to go get the help? Rob Zaverucha: Absolutely. And you have to be able to talk about it, communicate about it. And that's what I ran into the people at Coleman's. Cindy Stumpo: Well, first tell me. Before you met Coleman's, what was your rock bottom? What finally brought you to your knees to finally say the big Rob is an alcoholic. The guy that's running. Go ahead. Rob Zaverucha: Yeah. No [crosstalk 00:14:25] The Rip, all right? So look, it just was a compilation of... I never was a blackout drinker. I'd get up in the morning and not feel well. And I finally got sick of it. And my current wife, Mary, stood right by me and when I told her I've got a problem, she said, "I know you do." Cindy Stumpo: Give me the scene. You hit your knees, how? Rob Zaverucha: Just getting up in the morning and having to get to the bathroom and vomiting. Cindy Stumpo: You had to have a day where you just went, "I'm done." Like you finally caved. There had to be that aha moment. Rob Zaverucha: Yes, it was when I finally admitted to my wife that I had a problem. Then it was like having a weight pulled off of my shoulders. And at that point, we came up with a plan and I said let's just do it. And the first time I went in, the rehab was out in California. I went there for seven weeks and was able to maintain the business while I was out there. I have good people. But at that point I didn't care, I just wanted to get sober. So that's when I hit rock bottom. And I'm still battling the disease every single day. Cindy Stumpo: Everybody is who has a disease. Rob Zaverucha: And the disease is rampant in the construction industry, as you well know. And I finally got to the point where I think it's important to let people know that it's okay to raise your hand and seek help, and you got to do it. Cindy Stumpo: Okay. So we had to go to the masonry show in Vegas. This goes back, I don't even know, 14 years ago, whatever it was. And it's kind of a fun story. So Rob and I had to do a job for the guy that... We won't use any names. Anyways, he owned one of the hotels in Vegas and we had to do a job for the family. And first I go to meet and then Rob, and next thing you know, this woman's talking to dead people and we're like, "Oh," I'm like, "Who's she talking to? I'm the only one standing here right now. Okay. What's going on here?" And she is going, "I'm not talking to you right now." I'm like, "Okay." "No, no, not you Cindy. That..." Okay. "Rob, you better get here right now, because I don't know what's going on here." Cindy Stumpo: Anyways, Rob comes, and he finally pulls up the truck. He's running 20 minutes behind me. She's doing the same thing. And Rob, I said, "She talks to dead people." He goes, "Okay, we'll just deal with this." I said, "Okay, you deal with her. I'm out of here. This is crazy," because I really believe she does. And she was so serious as she did it. And then he figured out they wanted a water fountain and I had to do the six-car garage. You took care of the masonry stuff. In the end, we got to go to Vegas for the masonry show. The guy says, "Cindy, you can have my suite." Right? Rob Zaverucha: Yeah. Cindy Stumpo: So I said, "Well I need a suite for me and I need like four more suites." And it was Ariel that needed one, you needed one so I think we needed two or three. I don't remember. So I'm up in the suite, Michael's with me, and there's like nine doors to the suite. I'm like, why am I up here alone? Long and short, we were supposed to be there. They came, and he and his ex-wife came with a little mini-bag that you take for an overnight trip. I have a massive suitcase, right? Like I'm going to, I don't know, a way for a month. And I go, "Guys, what do you have in that little thing? You look like my grandmother going away for the night. That's what she'd carry." "Oh, we have everything rolled up perfectly." What turned out to be a two-night, turned out to be almost two weeks. Rob Zaverucha: Two weeks. Cindy Stumpo: Okay? Every time we tried to fly home, we were stuck in a snowstorm. There was a snowstorm going here, or there, or somewhere. I wasn't seeing Rob drink. We're out every night together. We're all hanging out together. I don't see this happening. So as he's in here right now, I'm trying to remember. Vegas is party time, fun time, let it out, and let it go. And then at one point, I said, "Can you guys come to stay with me in my room? Because I'm really lonely up here." There are literally nine doors. It was a whole floor pretty much. There were kitchens and living rooms and more bedrooms than I knew to do with. To him, they came up and stayed with me. Cindy Stumpo: They had their own daughter there. So I would've seen something and said, oh, okay, there's a problem here. But I didn't see anything. And then finally, the long part of the story is Rob says, "I don't care how you get us home. Just get us somewhere on the East Coast. I can't stay here another night." So I did, I got us to Florida. We landed in Fort Lauderdale, we stayed at St. Regis, went on the beach, and I think we just slept like two days. And then finally got from Florida to Boston. And that was our long stay. But I don't remember Rob ever acting out of control or drinking too much. So as we're sitting here, that would've been the time that I would've been able to see it, but I didn't. Rob Zaverucha: No, that was a period in my life where it really wasn't out of control. I was drinking, I was not sober. We talk about fun times. I remember we were always getting a bottle of wine sent to the room, but it was something shared with all of us. But at that particular point, my drinking was not bad. The truth of the matter is my drinking probably got worse after we left, after you and I separated and I- Cindy Stumpo: See, you missed me that much that you turned to alcohol. See, that's what happened. You see, you needed me more than you thought you needed me. Rob Zaverucha: You would've thought- Cindy Stumpo: Hold that thought, wait a minute, hold that thought. We're going to break. I'm Cindy Stumpo, and you're listening to Tough as Nails on WBZ NewsRadio 1030. Be right back. Cindy Stumpo: And welcome back to Tough as Nails on WBZ NewsRadio 1030. I'm Cindy. I'm here with Sammy, and Sammy's here with who? Samantha: Rob. Cindy Stumpo: Thank you very much there, honey. Okay, go ahead, Rob. Rob Zaverucha: So yeah, no. Cindy Stumpo: Besides missing me. Go ahead. Rob Zaverucha: No, you would've thought that would've been the time that I really would've been drinking. Cindy Stumpo: Yeah, absolutely. Rob Zaverucha: Absolutely. No. So that- Cindy Stumpo: Because we had two strong personalities in this company. Too strong. Rob Zaverucha: And we butted heads, and looking back, it was all good. But no, it wasn't. It just so happened that that wasn't a time that I was out of control. As I got a little older, it progressed, it got worse and worse. And then the economic times put a little bit of a hurdle on it. Cindy Stumpo: Oh, so we hit the '08 market? Rob Zaverucha: Yeah. Cindy Stumpo: Okay. Rob Zaverucha: And that got tough on me. Everybody will say to me, when did it happen? How did it happen? And when you're in therapy, that's some of the questions that you try to figure out. I do have answers to part of it that I'd rather not say on air. Cindy Stumpo: You say whatever you're comfortable saying, Rob. Rob Zaverucha: No. Do you know what happened? Cindy Stumpo: Whatever you're comfortable with. Rob Zaverucha: What happened was that I became friends with one of the people that I counted on in my old company and he ended up going to work for me, and you. And we got along very, very well and we ended up free-time drinking [inaudible 00:21:58] it got out of control. Nobody's fault, we got along well, we were good friends and we ripped it up. And that's when it kind of went from okay, to not so okay, to bad. Cindy Stumpo: Okay. You've been in the construction business, mason business, since the age of 14 years old. Do you remember the first time you picked up a drink? Rob Zaverucha: Almost, yes. I can tell you what happened, was that my dad was a scotch drinker and one of my best friends, we couldn't drive, but my parents were gone one night. And the only thing he had in the cabinet was scotch. And nobody would've drank scotch at 16, 17 years old, but there was nothing else to drink. So me and my buddy, Jeff, I sucked down the scotch and wobbled down the street that night. Cindy Stumpo: And how sick were you the next day? Rob Zaverucha: Actually, I wasn't. We didn't get sick. And to be honest with you, just fortunate as it is, through my whole life I really never got that drunk where I got sick. What happened was from drinking too much over a period of a few days, you go into withdrawals. That's part of the disease that's awful. You go through withdrawals and- Cindy Stumpo: What do the withdrawals feel like? Rob Zaverucha: You get nauseous and in order to feel okay you need to take a drink. And if you don't, you- Cindy Stumpo: So how many days... What's the max before you got clean? What could be the max you would go without drinking? Two days, three days, 24 hours, 12 hours? Rob Zaverucha: Oh, no. It was even more than that. Sometimes it would be two weeks. Cindy Stumpo: What would happen? Stop right there. You don't have a drink. What's the first day feel like? Even though you're just going for two weeks, for whatever reason. Rob Zaverucha: Dry heaves were the worst thing. Cindy Stumpo: Really? Rob Zaverucha: Yeah. Dry heaves in the morning. And you never really throw up, but you'd have dry heaves. And just- Cindy Stumpo: This is after you stop drinking? Rob Zaverucha: Yeah. Cindy Stumpo: And then, this is all physical now. What's the second feeling you have? Rob Zaverucha: You start feeling a little bit better. Your appetite comes back a little bit. When you're drinking, you have no appetite, it's all alcohol. It's all calories. Cindy Stumpo: You would think you'd put weight on from the alcohol, then. Rob Zaverucha: You do. Cindy Stumpo: You do. You get bloated-looking. Rob Zaverucha: You get bloated. Yes. Cindy Stumpo: So would you notice if you didn't go two, three days without a drink, you get a headache you'd get... Rob Zaverucha: Not really. Cindy Stumpo: Lethargic or... Rob Zaverucha: No, not really. You just get, you don't- Cindy Stumpo: Shaky. Rob Zaverucha: Shaky, definitely. But you just don't feel good. And it's more nauseous. And then that's the case with alcohol. Every addiction is different. I can't speak of any other type of addiction. I can speak on alcohol. Cindy Stumpo: But is alcohol, most people have the same feelings if they don't have a drink in two to three days? Rob Zaverucha: Yeah. Absolutely, yeah. But now there are different people. There are blackout drinkers that they'll drink half a gallon of rum or vodka, whatever, and they'll just drink till they pass out. I was never that type of drinker. My drink of choice was Root Beer Smirnoff Nips and I'd drink enough of them until I just felt like, hey, I've had enough and I don't want any more. [crosstalk 00:25:17] Cindy Stumpo: You'd pass out, blackout drunk. Rob Zaverucha: Never, ever. I never passed out. Cindy Stumpo: Okay. So when I say to Samantha, she laughs at me. She'll, "Mom, you're a smoker." "I'm not really a smoker, because I don't really smoke, I don't smoke at all during the day." "Yeah, Mom, but you go home at night and you have a couple of cigarettes." I'm like, "Yeah, so I'm a part-time smoker." She goes, "There's no such thing. You're a smoker. That's it. You're a smoker, Mom." Samantha: [crosstalk 00:25:37] "I only smoke at night." And I was like, that doesn't mean you're not a smoker. Cindy Stumpo: But to me, because I don't smoke all day, like I can go from 11:00 or 10:00 at night, the last time I have a cigarette, till 8:00 the next night. If I was addicted to nicotine, I would need it the minute I woke up, or for lunch. Samantha: No, that's not necessarily true. He just basically told you he didn't drink all day. Cindy Stumpo: That's true. So I'm a part-time smoker. I'm going to rehab for that one. Rob Zaverucha: You know, Cindy, it's very... Cindy Stumpo: And you know I've never had a drink, right? So you know that. Rob Zaverucha: No, I can swear. At least I know that. But I think for every alcoholic or addict, it's different. And some people, I say it to my therapist right now, is that... And I've had conversations with the people at Coleman that I get up in the morning and the last thing I could think about is drinking. I'll get to a point about 4:00, and I think it's because, in the construction industry, that's when you always seem to get off of work. And that's the first thing that the guys will do. Right to the liquor store and they'll drink from 4:00 to whatever time. Cindy Stumpo: Do you actually think that it's any different in corporate America? Because it's not. It's not just us construction people, by the way. Corporate America ends out, in the financial district, you ever seen what goes on down there at 4:00? All those advisors and lawyers. They're sitting in the bars too, the only difference is you're all in construction clothes. [crosstalk 00:27:03]. Samantha: We used to joke and call them, we'd call them the blue shirt bars, because everybody would be out there wearing a blue shirt, like a blue button-down. Cindy Stumpo: Oh, those were the corporate guys. And they have just as many problems as the construction guys, except, again, there's like... A person once said to me, "You have as many drugs in Newton and Brookline as we do over the side of the bridge, you people just hide it behind your fancy clothes and your fancy cars. So over here, we're drug addicts. Over there, you're just rich people with drug problems." So everybody looks at construction people like... We're in our boots and our jeans and our t-shirts. But the suits are doing it just as much as the construction guys, by the way. Rob Zaverucha: No, but I'm only here to talk about the construction people because I'm exposed to it 24/7. So that's my experience and that's where I'm capable of talking about it. And I see it every day. I've seen it every day. Cindy Stumpo: Why do you think it's so rampant in our world? Rob Zaverucha: I just said it, these guys work, you got to remember- Cindy Stumpo: Forget the alcohol. What about the body pains these guys are in? Rob Zaverucha: But they go to work every day at 6:00 in the morning. And like I said, it's zero degrees and they work through the pain. And then the first thing they want, and this is not all of them, it's a majority, is right to the liquor store. So part of my job is calling these guys at night to talk about what we need to do the next day. And they can't function. I know they're drinking and I would end up getting into arguments with them because I'm saying, "Can't you drink long enough to tell me what happened on the jobs today?" And that's where it's very frustrating, that I can attest to. And I would get calls at night, even from wives and girlfriends and... Cindy Stumpo: With the craziness. Rob Zaverucha: About the craziness, is there anything that we can do. And that's why I'm here to speak about it. A lot of people would say they can't believe Rob Zaverucha has a problem because I hid it very well. And at this point in my life, I'm turning 63, I want to help. Cindy Stumpo: Yep. You want to give back now. Rob Zaverucha: Absolutely. Cindy Stumpo: Because he was a tough person out there. He had no heart out there sometimes. I'd be like, "Whoa." And there'd be guys bigger than Rob. But I remember one time I had to get between the guy who was in the hole. Samantha: In a sewer? Cindy Stumpo: No, he was in a hole, he was building something. He was building the block up. So he was way down. Rob was up top. I was up top with Rob. And Rob's going at him. This guy came out of the hole like a bear. I had to look up, literally. I'm looking at this guy going, holy moly. He's going to take Rob down in three seconds. This guy had to be twice Rob's height, size, everything. And I just stepped right between them, I go, "Buddy, not a good idea. You'll be thrown out of the union." Cindy Stumpo: And Rob's going, "Come on, get out of the hole." I'm like, oh my God, here we go. I'm going to get knocked out. It's the craziness. So there'd be a lot of people, if Cindy Stumpo went down, they'd be happy to hear. "Oh, Cindy Stumpo went down." Same thing with Rob. "Oh, good," you know what I mean? Because he's been that badass boss for so long in the union that people would love to hear. He's got what we call tsuris in our life. It's the Yiddish word. Hold that thought, we're going to break. I'm Cindy Stumpo, and you're listening to Tough as Nails on WBZ NewsRadio 1030. Cindy Stumpo: And welcome back to Tough as Nails on WBZ NewsRadio 1030. I'm Cindy. Samantha: I'm Sammy. Rob Zaverucha: Rob Zaverucha. Cindy Stumpo: So where I was going with that, Rob, is that sometimes people want to see people fall, especially when you've held the big position, your name's so well known out there in the union, in your local. And everybody knew who you were and everybody knows who you are. And for you to come out and say, listen, [inaudible 00:31:12] it's okay. You know what? Now it's time to point your finger at me. But it doesn't matter because that's a strong man. It takes a strong man to admit, it takes a strong person to admit [inaudible 00:31:24] help. It takes a stronger man to let people know I've been through this, this, this, and I'm here to pick up the phone if you need me. Because what you've realized now in life is that life is full circle and karma can be a real biatch. Cindy Stumpo: And now you want to give back and help people. Well, you were always a great boss, don't get me wrong. But you were tough out there. And you'd explain to me over and over again, "This is not residential. This is union. These guys are getting paid, ba papa, ba papa." Okay. Okay. But for you to come out like this and have this conversation with me, it's awesome and I'm proud of you. And I'm proud to say I've known you for two decades, because yeah, I remember there were nights I'd call you and we'd have fun conversations. And I knew he was a little tipsy, but I wasn't sizing up that he is like, ah, blah, blah, blah, blah. We're just having fun on the phone and whatever. Those were probably our nicest conversations, by the way. Maybe back then he needed to drink to tolerate me and I needed to tolerate him. I don't know. Rob Zaverucha: No, we'd talk for hours. I remember a few times you kept talking, I'd fall asleep while you were talking. And I think you even told me I snore too loud. But no, I'm happy to be able- Cindy Stumpo: I'd be like, "Rob, I'm here to bore you to sleep." [crosstalk 00:32:40] Samantha: But she's the best at saying, can you give me the Reader Digest version? But she doesn't know how to do that. Rob Zaverucha: No, absolutely not, Sammy. You know. Cindy Stumpo: But that comes down to because I'm a one-liner all day long. And then when I finally get on the phone with somebody I want to talk to, I want to do all talking. Because all day long, it just, can you just shush up? Just go back to work. Just get the job done. Just tell me what the problem is. Because you know, in our world, it's only 911 calls. It's never. "Hi, how are you? I love you, Cindy." It's never that. Call me right now. "Who died?" Rob Zaverucha: Yeah, no. I'm happy to be here to talk about this and it makes me feel better. But as far as people always wanting to take you down, I live that way and that's why when I'd say, "Cindy, you can't give them an inch," because the best definition or description is junkyard dogs. They live to eat meat. And if they don't get the meat, they want blood. And it's just the way it is. It's not because they're bad people, it's just the environment that they work in that causes people to be like that. The construction industry is very, very, very tough. Cindy Stumpo: Gee, really? Samantha: But everyone thinks it's so easy. Cindy Stumpo: Everyone thinks it's so easy. Rob Zaverucha: No, but when I started, when I was 18 years old or got into the union, it was a different class of people back then. Cindy Stumpo: Actually went to work, showed up for work, were responsible, reliable. That's the Reader's Digest. And they ate their lunch and their breakfast and they came right back to work. We have technical difficulties going on. Okay. And now today, the last 20 years, 15, 16 years, it's been harder and harder to get good guys. Rob Zaverucha: Absolutely. They just don't exist. I mean, there are still a lot of outstanding people. I wouldn't be- Cindy Stumpo: No, it's for worrying about what's going to happen the next 10 years out here. Rob Zaverucha: That's what I worry about. I just don't see the young kids coming up that want to work hard in the trades. It just doesn't exist. I can't tell you the last young person that I've actually seen that wants to learn this trade. Cindy Stumpo: And you went, wow, this kid's got what it takes, or this girl get what it takes. Rob Zaverucha: Yeah. And it's either in your heart and it's either in your blood. And when I was younger, I didn't leave a job until 4:15, 4:30 even before I was any kind of superintendent. I stayed there. This is a funny story, but the union agent used to catch me working on jobs after hours, which you weren't supposed to do. And it was one of those relationships that I can hear him to this day saying, "Robert, what are you doing?" It would be 4:30 in the afternoon and I would be working, doing work at a point where I wasn't supposed to be, that was one of the union rules. But I was doing it. But the passion is just not there. I wished it was, but it's not. Cindy Stumpo: Do you think the same outcome would've been for you being a union contractor or if you became a wealth advisor or a lawyer? Do you think it was in you to be an alcoholic? Rob Zaverucha: I think it's either in you or not. It's a disease. I'll let Dr. Coleman talk about it. Cindy Stumpo: Yeah. So let me let the listeners know. So we're going to have a two-parter. This was to get you comfortable with getting to know Rob Zaverucha, a guy I've known for a long time that I never knew had this problem. And then the second episode we'll be doing the following weekend will be... Rob, please explain because I don't know who those guests are. Please explain. Rob Zaverucha: The Coleman Institute. And Amanda is here to talk about that. And Dr. Coleman, who... Cindy Stumpo: Will be here. Rob Zaverucha: He'll be on air. And he's the founder. I don't know much about him personally. I do have a relationship with the people at the Coleman's Institute in Wellesley. Cindy Stumpo: Now, is this where you went after you came back from LA? Rob Zaverucha: Yes. Cindy Stumpo: Or California, wherever you went. Rob Zaverucha: Yes. I had a terrific experience. And to that point, what I'd like to say is why it's so important, and why I think for construction people. They're located in Wellesley and it's a three-day detox process where you actually go in for one full day. Then the next day you go back in because they want to make sure that you're healthy and you're detoxing properly. But you're actually at home, you come into the facility and then come on the third day. And they're there 24/7. So for guys in construction, it's right around the corner. Cindy Stumpo: I'm a little confused about something. There's been talk about closing down a lot of rehabs for opioids and certain drugs, that won't take you in for now because you can just lay on the floor and get sick and be fine in 24, 48 hours. But they'll never get rid of detoxes long-term for alcohol, Xanax, Valium, the benzos, the alcohol, because as I'm told, you can die coming off of alcohol, and you can die coming off the benzos. And I remember a guy saying to me in the union, "Hey, you have panic attacks, right?" I go, "Yeah, why?" "Do you have any Xanax on you?" "Yeah. I always have a Xanax on me. Why? I'm going to have a panic attack." "I need it. I'm going to go into rehab and I got to have Xanax in my blood or they'll throw me right out." I'm like, "What are you talking about?" And that's how I learned that, through the union, if they didn't have other things in their bodies... I'm like, "Well, what's one of my Xanax going to do for you?" "It'll make me show that I have a benzo problem because I don't have a benzo problem, I have an opioid problem." I'd be like, my head would be spinning. But don't alcoholics really have to go into a program, just the detox alone that's more than just one day? Or it's changed now. Rob Zaverucha: See, this is why I think Coleman's is so good is that they treat you on... What they do is, I call it, they reboot you. They get you sober, they get you detoxed safely. And it gives you the opportunity... Now, this disease doesn't stop after detox, it continues for the rest of your life. And you have to put very hard work into it. And it's just the beginning after you get out of Coleman's, but what they do is they give you the opportunity to say, okay, I feel really good now. You go home, and after the fifth day, you start feeling, like I said, your appetite comes back. You feel like your head's clean. And for the guys I'm trying to help, why it's good is it's quick, it's right around the corner, where the old school is going away for 30 days. They don't want to leave their families. They don't want to have to- Cindy Stumpo: So they don't want to go away for 30 days because? Rob Zaverucha: Because it's leaving their families away, and alone, and having to worry about what's going on at home. So if these people know that they can go away for one day and go back home that night and be treated professionally for five days and still be able to live at home, I think it makes a heck of a lot of sense to take advantage of that program. Cindy Stumpo: Okay. That's why this needs to be a two-parter, as you understand. We're going to pick this up with... What's the center? I'm so sorry. Help me out here. Samantha: The Coleman Institute. Cindy Stumpo: All right. Well, if they were in my studio, I'd understand that, but they're not in my studio. So let's go off to break. I'm Cindy Stumpo and you're listening to Tougher than Nails on WBZ NewsRadio 1030. We'll be right back. Cindy Stumpo: And welcome back to Tough as Nails on WBZ NewsRadio 1030. I'm Cindy and I'm here with Sammy and I'm here with Rob Zaverucha. Look, Rob, we know you're coming back next weekend. You're coming back with Amanda, you're coming back with Dr. Coleman. And this was an opening to let people know who you were and what was going on. And I don't even know what to say. It's great having you in my studio, buddy. I hate this whole story, but I'm proud of you that you've come in and you're getting yourself healthy and life's going down a good place right now, right? Rob Zaverucha: That's correct. Cindy Stumpo: And it's day by day. Rob Zaverucha: Day by day, minute by minute. Cindy Stumpo: Minute by minute. Rob Zaverucha: Got it. Cindy Stumpo: All right. So I will see you next Saturday night, and you'll be back in, and we'll take it from there. Part two. Right? Rob Zaverucha: Very good. Cindy Stumpo: All right, everybody. Have a great safe weekend. I'll see you on Breakout. This is Cindy Stumpo on WBZ NewsRadio, Tough as Nails. Conclusion Stay tuned for Part 2 of the Coleman Institutes appearance on the “Tough As Nails” podcast on the Coleman Institute’s Facebook and Twitter.   SCHEDULE A CALLBACK     About Cindy Stumpo and “Tough as Nails” On “Tough As Nails” radio, Cindy Stumpo talks about anything that happens between a roof and a foundation. Building a house, and building a life is what our show is about. In sum, we are a lifestyle show. What separates us from other lifestyle shows is Cindy’s raw, unvarnished view of the world, keeping the show, fun, fast, and interesting. Laughing and learning makes for a broadcast that educates while entertaining. That being said, sometimes we cry and we’re ok with that. Cindy was the only woman in the room when she took and passed the General Contractor’s exam about 30 years ago. She has been building homes and shattering stereotypes ever since. C. Stumpo Development primarily builds luxury homes in Newton and Brookline, MA. www.cstumpodevelopment.com FOLLOW Cindy on Facebook, Youtube and Instagram. Show Idea or want to call in to the show? Text our producer, Tricia Bradley (339) 222-6955‬ or email tricia@seriousfun.tv “Cindy Stumpo is Tough As Nails” airs on WBZ News Radio, Boston following the 8pm News, and is available on the podcast wall immediately after the show. https://wbznewsradio.iheart.com/featured/cindy-stumpo-is-tough-as-nails/ SOLD OUT SHOW: Our show is currently sold out. Contact Ross Dananberg for future opportunities. 617-787-7169 RossDananberg@iHeartMedia.com FAN ARMY: With a loyal social media following across multiple platforms, Cindy connects with listeners during and long after the show is over. Follow @toughasnailsradio on YouTube, @cindystumpobuilder on Instagram and @cstumpodevelopment on Facebook. #### Tough As Nails Podcast: Dealing With Addiction On The Job Part 2 In part 2 of a 3-part series,the Coleman Institute's executive director, Amanda Pitts, and National Medical Director, Peter Coleman, join Cindy Stumpo on her podcast "Tough as Nails" on iHeart Radio to discuss addiction, treatment, and long-term recovery. After hearing about a patient's detox experience at the Coleman Institute in Wellesley, MA, Stumpo and her team contacted them to hear more about his journey. Realizing that people might not be aware that an outpatient detox treatment program is available to help, the patient was on a mission to make sure people knew. This episode shares the patient's drive to ensure people can decide what treatment program if they are suffering from Alcohol Use Disorder or Substance Use Disorder. Have you missed part 1? You can catch up here.   GET THE ALCOHOL DETOX GUIDE   Tough As Nails Podcast: Dealing With Addiction On The Job Part 2 Announcer: Cindy Stumpo's a general contractor. Look. Whatever happens between the roof and the foundation. For 25 years and counting, Stumpo's been building houses and shattering stereotypes. Building a home and building a life. This is my show and this is where we're going. Cindy Stumpo is Tough as Nails. Cindy Stumpo: And welcome. It's Cindy Stumpo, Tough as Nails on WBZ NewsRadio 1030. And we are back, a following weekend, on a second parter of Rob Zavaruka, on dealing with addiction- Sammie: Parter? Cindy Stumpo: ... on the... Did I say parter or Zavaruka? Sammie: Second parter. Cindy Stumpo: Oh, second parter. Okay, there goes that Boston accent. What is it, Cindy, Sammie. Sammie: What is it Cindy? I don't know. Do you know my name? Cindy Stumpo: Who's call... No, it's called a late Saturday night where I'm exhausted from working all week. How's that one for you? Sammie: Part two would probably be the correct English- Cindy Stumpo: Okay, Rob can you say something? Help me. Bail me out here, buddy. Hey, say good evening. Rob Zavaruka: Good evening. Rob Zavaruka with Cindy Stumpo. Cindy Stumpo: Oh, that's really great. And who else is- Sammie: Does everyone forget who they are [inaudible 00:01:25] today? Cindy Stumpo: I think me- Rob Zavaruka: And we're- Sammie: And let me remind you- Rob Zavaruka: No, we're- Sammie: ... you are Cindy Stumpo, you are Rob Zavaruka. I don't know you. Who are you? Rob Zavaruka: We're with- Cindy Stumpo: Okay, can you introduce yourself, please? Amanda Pitts: Sure. My name is Amanda Pitts. Cindy Stumpo: Okay. Amanda Pitts: And I'm the executive director at the Coleman Institute. Cindy Stumpo: Okay. And we also have with us- Sammie: I'm glad she knows who she is. Cindy Stumpo: Okay. And on remote, we have Dr. Coleman? Am I got that right? Dr. Coleman? Dr. Coleman: Correct. Yeah. Cindy Stumpo: Okay, so we have a one-second delay here, I think. So, Dr. Coleman is from the Coleman Institute. You're the founder of the Coleman Institute, Doc? Am I right? Dr. Coleman: Yes. Cindy Stumpo: Okay. Good. Let's go. Start talking to me. Rob, last weekend we were talking about your addiction and everything that's gone on. There are so many questions I still wanted to ask you, but we got cut out, we got cut down to three seconds and we had to get out. Okay, pick up. Rob Zavaruka: We were talking about how I thought Coleman's benefits a lot of people that don't want to do 30, 45-day programs, that it's very comfortable, the people there are extraordinarily talented. They put a lot of effort into the short period of time that they are there. You're in there for one day to do the heavy detox. They send you home that night with your medication, and you go back the next morning- Cindy Stumpo: So not to cut you down or cut you out or cut you off, but you went in first to the 30-day program somewhere in the west coast, you said. Rob Zavaruka: Seven weeks. Cindy Stumpo: And you realized you didn't have to do that anymore. Rob Zavaruka: Correct. Cindy Stumpo: Those days are long gone? Rob Zavaruka: Correct. Cindy Stumpo: Okay. And now, there's a program that you found, Coleman, that, obviously, you go for aftercare or whatever you do. And I'm sure Amanda will explain that to me. Rob Zavaruka: Well, what happened, though, Cindy, is that I had a relapse and instead of going back for another seven weeks to California, it made perfect sense. My therapist introduced me to the people at Coleman's and I was explained that it's pretty much like a home detox, which is, was very important to me. As I said, I went in there for one day- Cindy Stumpo: Okay, so this is completely something. Let me, do you mind if I ask Amanda a question? Rob Zavaruka: No. Cindy Stumpo: Is this something new or something that's not, it's going down a different wave here now? That you don't have to go for 30 days, 45 days, for detox and alcohol? Sammie: Why don't you explain your program? Amanda Pitts: I'd love to. Cindy Stumpo: Yeah, that would really help. Amanda Pitts: No, absolutely. So, in Massachusetts, this is really a very unique program because it is outpatient services. So it's an outpatient, ambulatory detox for alcohol and opiates. It's very, very new. It's the first of its kind in the New England area. So- Cindy Stumpo: And Dr. Coleman is the founder of all this. Amanda Pitts: That's correct. Cindy Stumpo: Okay. Amanda Pitts: So this is new to Massachusetts, but Dr. Coleman has been doing this in the Virginia area for the last 25 years. Cindy Stumpo: Okay, so you have places in Virginia? Because listeners, we're in 32 states. So, Virginia, Massachusetts... Amanda Pitts: Cleveland, Ohio, and 11 other affiliate offices throughout. Cindy Stumpo: Okay. Amanda Pitts: And so, the uniqueness is that people are able to come into the office, receive treatment during the day, return back home to their own home or to a hotel or Airbnb, and then be able to come back the next day. So they're with somebody that they love, that they care about, that's supporting them, that brings them to and from the office each day for treatment. Cindy Stumpo: And how many days is the treatment? Amanda Pitts: Well, for an alcohol detox, we can complete it in as little as three days. Cindy Stumpo: How? Tell me how. How are you doing that? Amanda Pitts: So the first day is our long day. So, we really want to focus on the safety of the individuals that are coming in and that are having these withdrawal symptoms. We use a medication called phenobarbital, which is a, it's a sedative that will really help with the symptoms related to alcohol use disorder and withdrawal. Cindy Stumpo: Yeah, phenobarbital's been around forever. Amanda Pitts: It's like a dinosaur of medications. Cindy Stumpo: Okay. Amanda Pitts: Absolutely. But it's highly effective. It helps to prevent any types of seizures, it helps to really just calm. Many people feel very anxious, irritable, restless- Cindy Stumpo: Well, that's me without being on alcohol. Go ahead. I'm calm. Can't complain. No, it is me, but go ahead. Amanda Pitts: So we administer the phenobarbital through an IV, throughout the course of that first day. It can be anywhere between six and eight hours. In addition to that medication, we're also replenishing all of the vitamins and nutrients that have been lost due to alcohol use. So we're doing that through the IV as well. Our staff is all medically-trained professionals, so nurse practitioners. We have our medical director, who's been with us for the last three years, a medical assistant. So it's a highly-trained staff providing care. Cindy Stumpo: Okay, and then what's the second day look like? Amanda Pitts: So we do administer medications that evening that will help with those post-acute withdrawal symptoms, in addition to tapering than phenobarbital. So we do that through the oral taper. So, when individuals come back that next day, we're meeting with them to look at what their post-acute withdrawal symptoms look like, we're continuing to check vitals, making sure that, how did the medication go the night before? What do their symptoms like? So we continue the treatment through the next couple of days. Cindy Stumpo: And then the ending is what, for that one phase, the first phase of the program? Amanda Pitts: Well, what is very unique is that we use a medication called Vivitrol. Cindy Stumpo: I know Vivitrol. Amanda Pitts: Okay. And so- Cindy Stumpo: So, but that's for more opioid I thought, Vivitrol. Amanda Pitts: It's actually used for both alcohol and opiate. So, it's greatly beneficial in terms of helping people to cut down their desire to want to use alcohol. Cindy Stumpo: So do you keep alcoholics on Vivitrol for the rest, for a long period of time, like opioid addicts? Amanda Pitts: We see people do really well. We have a six-month program. So we look at six months, just like that first initial program. Most people do really well between six months and a year. Cindy Stumpo: And Vivitrol's supposed to stop the cravings, correct? Amanda Pitts: That's- Cindy Stumpo: The mental cravings- Amanda Pitts: ... That's correct. Cindy Stumpo: ... of, I know opioids, because we've done so many shows on opioids, right? So you've heard... Sammie: Mm-hmm (affirmative). Megan. Cindy Stumpo: Megan, thank you. Talk about Vivitrol in life. Sammie: Okay, you're turning into Aunt Eleanor. Cindy Stumpo: I know I am. Sammie: Okay. Cindy Stumpo: My mother, my grandmother. Okay. It kind of goes with the... Do you forget stuff now, Rob? Rob Zavaruka: All- Sammie: I'm waiting for the day you call me and say, "Joe, Ray, Jesse, Rosie, maybe Sam, I'm talking to?" Rob Zavaruka: I forget what my cat's names are sometimes. Cindy Stumpo: Listen, when we were working together, you didn't skip a beat up there. Now you're in the studio, you're like... Okay. That's not how you talk. So we'll put part of it into nervousness. Okay, so, Dr. Coleman, you're here, right? Dr. Coleman: Correct, yeah. Cindy Stumpo: We didn't lose you right, Doc? Dr. Coleman: No. Cindy Stumpo: Okay. Tell us, with Vivitrol, and is this a new way of dealing with getting... I understand it's been around for opioids for a long time, but is it new with alcohol? Dr. Coleman: Yes and no. People first started realizing that oral naltrexone actually helped with cravings way back about 1998, which was radical, because naltrexone's a blocking drug for opioids, as you pointed out. So why would it help alcoholic patients? Well, some people did studies on rats, lab rats, and alcoholic rats. Turns out you could breed rats to become alcoholics. And if you give them naltrexone, they drank half as much. And when they started giving it to humans, even when they weren't trying to stop, they drank half as much alcohol. So they thought there was something here. And so, it turns out that one of alcohol's effects in the brain, in this complex, beautiful organ that we have on top of our heads, is to actually work through the opiate receptors, through the endorphin receptors as well. So people started using oral naltrexone. When Vivitrol came out, we found that it was twice as effective as oral naltrexone, because there's something about giving somebody a shot for a whole month, where it's just in their system. It's almost like them emotionally, sort of psychologically getting on the bus, where it's like, "Okay, I've had my treatment for a month," and the cravings go down dramatically. It doesn't prevent them from drinking, like Antabuse, which is the drug that makes you sick as- More like this: How Long Does Naltrexone Last & How Can It Aid in My Recovery? Cindy Stumpo: Wait, Doc can you- Dr. Coleman: ... a dog if you drink on it. Sammie: ... can youse hold that thought for one minute? I just got to take us out to break. I'm sorry. I got to go to break always at the bad times. I'm Cindy Stumpo, and you're listening Tough as Nails on WBV NewsRadio 1030. Be right back. Cindy Stumpo: And welcome back to Tough as Nails on WBZ NewsRadio 1030, and I'm Cindy, and I'm here with... Sammie: Sammie. Cindy Stumpo: And I'm here with... Rob Zavaruka: Rob. Cindy Stumpo: And? Amanda Pitts: Amanda. Cindy Stumpo: And who's on the phone with us? Dr. Coleman: Dr. Coleman. Cindy Stumpo: Yeah, go ahead. Sammie: Dr. Coleman. Cindy Stumpo: Thank you very much. Dr. Coleman's on one-second delay here, okay? I feel like I'm on happy hour, okay? Without alcohol. Okay, so Dr. Coleman, you were talking, go ahead. Dr. Coleman: Yeah. So I was just explaining that Vivitrol is a one-month injection of naltrexone, and it seems to be about twice as effective as the oral tablets. And so, just our experience using it, really, for the last 16 years or so is that the patients report very few cravings and just feeling a lot easier for them to work a program and stay away from the alcohol. It's the most effective drug I've ever come across for alcohol use disorder. More like this: Accelerated Opioid Detox: Explained Using The Coleman Method Cindy Stumpo: Okay. Now, can I talk to you, not as a host, just, okay, I come to you with my husband, right? Dr. Coleman: Yeah. Cindy Stumpo: ... or if I was, had a wife or whatever, and I said, "Dr. Coleman, I have a question for you. We're going to get my husband off of alcohol or my wife off alcohol, and now we're going to put them on something else. And are they going to become addicted to Vivitrol, or is this going to be a problem? Because we're going from one to another." What's going to be your answer to me? Because I ask a lot of questions by the way. Dr. Coleman: I mean, that's first of all, a great question because the history of medicine has been often to substitute one drug for another. And when Valium first came out, or benzodiazepines, the sedatives, that actually happened quite a lot. People thought Valium was going to be a cure. But naltrexone is an opioid blocker, so it's not addictive in any way. There are no withdrawal symptoms, there's no high from it. It's just blocking those endorphin receptors, and so there's no way somebody can get physically addicted to it or emotionally or any kind of addicted to it. So, that's just not an issue at all. And truthfully, we're in the business of getting people off drugs and staying off drugs and alcohol. So, we're not about to give you a drug that you get addicted to. Cindy Stumpo: Right. So when they take, I mean there was, when... or kids, whatever, people coming off opioids and they put them on methadone, which that's just another, it's another opioid, just, what's the word I'm looking for? Dr. Coleman: Substitute. Yeah. Amanda Pitts: Medication-assisted treatment? More like this: Medication-Assisted Treatment (MAT): Higher Success for Recovery Cindy Stumpo: No. Yeah, but no- Sammie: Or medication-assisted treatment? Cindy Stumpo: Whatever. Sammie: MAT? Cindy Stumpo: Artificial whatever, [inaudible 00:12:41] whatever. Right, exactly. And from there, went to, what was the next blockage? Suboxone. More like this: The Truth About Suboxone® & How to Detox Dr. Coleman: Suboxone. Yeah. Yeah, I can explain- Cindy Stumpo: So, now, what's- Dr. Coleman: ... a little bit about that. Cindy Stumpo: ... the difference between Suboxone and Vivitrol? Dr. Coleman: Well, Suboxone is an agonist or what we call an opioid agonist. It's a partial agonist, so it does turn the switch on. So all of these drugs work through the endorphin receptor, and so heroin and fentanyl, and all these addictive drugs, turn the switch on a hundred percent. Suboxone turns it on about 70%. So it still is an addictive drug. Naltrexone blocks it, so it doesn't turn on the receptor at all, and so it's just not addictive. Does that make sense? More like this: 3 Important Differences Between Suboxone and Naltrexone Therapy for People Addicted to Opioids Cindy Stumpo: Yes, it does. So Vivitrol is not in, really, in the Suboxone family or the methadone family by- Dr. Coleman: It's the opposite- Cindy Stumpo: ... name. They're not [inaudible 00:13:32] probably. Dr. Coleman: ... Yeah, it's the opposite of the Suboxone family. It's a complete- Cindy Stumpo: Got it. Dr. Coleman: ... blocker. And Vivitrol is pure naltrexone. It's just mixed into a formulation that lasts a month. Cindy Stumpo: So do you find that a lot of people that when they take this Vivitrol, it really actually stops them from wanting the cravings of opioids or alcohol? Dr. Coleman: Well, stops completely is a strong statement. I would say that it dramatically reduces thoughts and cravings, and there have actually been studies of PET scans [crosstalk 00:14:06]- Cindy Stumpo: So if you had to give me a scale, of one to 10 on a scale, how much- Dr. Coleman: Yeah, I'd say- Cindy Stumpo: ... is the work of the patient and how much is the work of the Vivitrol? Dr. Coleman: I would say- Cindy Stumpo: Because it's got to be both working together. Dr. Coleman: ... I would say a good 7 out of 10. It cuts the cravings down seven out of 10. But cravings- Cindy Stumpo: So 70% and then 30- Dr. Coleman: ... have a lot to do with a lot to do... Yeah, cravings have a lot to do with a lot of different things. Like memories will trigger cravings really strong. It's one of the biggest reasons people relapse because they go visit old friends or they're around places where their memory circuits and their brain get triggered. And we know that when you see something or you smell something or you hear something, you just think about it, your brain starts releasing dopamine in the pleasure center, just like when you have a drink, and so the patient experiences cravings. So, there are PET scans and camera pictures of the brain that shows that naltrexone, Vivitrol, cuts that down dramatically. But it, depending on what activities the patient does, they could still get cravings if they're going to not use their common sense. You know what I'm saying? Cindy Stumpo: I do. Doc- Dr. Coleman: Yeah. Cindy Stumpo: ... I have a question. What makes one person that can go out and have just a glass of alcohol or a glass of wine- Dr. Coleman: Yeah. Cindy Stumpo: ... to the person that is set out to go out and they want to just get drunk. They, I know people that can socially have a scotch or a martini, and call it, that's it that's, it's over, right? They have the martini, their dinner comes, that's it, they're eating their food, and they don't want another one. Then you go and you sit with people that's one drink after another. What is the difference? What's in one person's brain against somebody else's? Dr. Coleman: That is a great question- Cindy Stumpo: Have you figured that out yet? Dr. Coleman: ... and it's a question... Yeah, and there's a lot an awful lot of research being done on this now, and I think we've got pretty clear answers. First, it's complicated. But, by far, the biggest factor seems to be genetics. It seems to be your family history. We almost never treat someone with an opioid or an alcohol problem that doesn't have a family history of some kind of chemical dependency. And the way the brain works, I can just give you a little lesson here, is that you have an area called the nucleus accumbens, which is also called the pleasure center, and it's full of a chemical called dopamine. And when you activate this... This dopamine is activated in order to keep our species alive, for survival. So we release dopamine when we eat food and have sex, and those cravings- Cindy Stumpo: Okay, I was going to ask you. That's why some people are sexaholics. Dr. Coleman: Well that's right. So I mean, so we all get a craving for sex and food. And without that, we wouldn't survive. And those cravings, those desires, are so strong that we've got 7 billion people on the planet and we've got a huge amount of obesity because we've got so much food around. Well, it turns out that alcohol and all drugs release about 5 times as much dopamine as the pleasure center was ever meant to get. So people really like it. It's why alcohol's probably a $200 billion-a-year industry. People like that feeling. So, that's all interesting. What's interesting, too, is that 90% of the population can get that dopamine experience, that spike, and they don't really go crazy for it. They like it, they say that's fun, maybe I'll have another glass of wine sometimes, next time I go out to dinner. But 10% seem to be born with a brain that's a little deficient in dopamine. And when they get that dopamine spike, they immediately start thinking, "Wow, that is the missing piece. I am doing that again, and I don't care if I have a hangover or I break the law or if I make my wife angry or whatever," they put it in the category, like it's worth it. And that's what causes alcoholism and addiction. It's this vulnerability that was there, really, from birth, because they were genetically like that. And then, once they experience that dopamine spike, the addiction takes off on its own. And so, we tell our patients- More like this: What Is Dopamine & How Does It Keep Me Using Opioids? Cindy Stumpo: Can I say something to you, Doc? Dr. Coleman: ... it's your fault. What's that? Cindy Stumpo: I just want to say, I want to bring you back for a minute. Dr. Coleman: Yeah. Cindy Stumpo: When I started with what they call panic disorder, panic attacks, at 26, and I asked the psychiatrist all these questions, could they be genetic? Could they be... Because my mother had them, my grandmother had them. And when she said no, panic attacks are from post-traumatic stress, I said, "What about alcohol, drugs? You don't think that is genetic, genes?" "Absolutely not." So I'm going to ask you this question, have we found a lot more in the last 30-plus years than we knew 30 years ago? Because you- Dr. Coleman: Oh, absolutely. Cindy Stumpo: ... just said a lot of this is genetic, right? Dr. Coleman: Yeah, absolutely. Cindy Stumpo: But 30 years ago they didn't believe that. Now, they do believe that on a lot of mental illnesses, right? Dr. Coleman: Yes. Cindy Stumpo: So I look at drug addiction, alcoholism, depression, anxiety, panic, sex addiction, shopping addiction, it's all coming from the same part of the brain. Am I right to say that? Or am I wrong? Dr. Coleman: Well, addiction comes from the same part of the brain. Things, like anxiety, panic attacks, OCD, and depression, come from slightly different parts. It's close, but it's more of the serotonin system rather than the dopamine system. Cindy Stumpo: And do you believe there's- Dr. Coleman: But again- Cindy Stumpo: ... any affiliation? We're on a second here. Do you believe that some people, there's an affiliation with some kids that are shy or have anxiety, that they self-medicate at a younger age with drugs and booze to get out of their own uncomfortable feelings in their body? And that starts, also, the future of what's going to hold for these kids, or not? Dr. Coleman: Yes. Well, yes and no. There's an awful lot of anxious, shy kids who try alcohol and it does relieve their symptoms, but they don't become alcoholics, because they weren't born with their genetic- Cindy Stumpo: Okay, Doc. Hold for one second. I just, hold that thought. I just got to go over a break. I'm so sorry, we'll be right back. I'm sorry. You're listening to Cindy Stumpo, Tough as Nails, WBZ NewsRadio 1030. Be right back. Cindy Stumpo: Welcome back to Tough as Nails on WBZ NewsRadio 1030, and I'm here with Sammie, I'm here with, your name is Rob. Rob Zavaruka: I am with Rob, but you took my microphone away. Cindy Stumpo: Because you were breathing into it. And you are? Amanda Pitts: Amanda. Cindy Stumpo: And we're here with Dr.- Dr. Coleman: Dr. Coleman. Cindy Stumpo: There you go. Okay, finish off what you were saying, Doc? Since my sponsors rudely interrupted you. Go ahead. Dr. Coleman: So, some... Yeah, the relationship between depression, anxiety, and other mental health disorders and addiction is really that they're two separate illnesses. So, we see an awful lot of people who are born with that genetic vulnerability become alcoholics just because they like partying. And we see some people who are anxious and they use alcohol, and it feels good to them. It relieves their symptoms, and they can become alcoholics if they're genetically vulnerable. But if they're not, they tend to just outgrow that and don't keep doing it more and more and more. So, we look at them as separate illnesses. They interact with each other, but one doesn't cause the other. Cindy Stumpo: Okay. So let's just play this, we do a hypothetical here. One of our kids is 15, he's using alcohol. He likes the feeling. He can't talk to girls, he can't socialize without feeling a little drunk or high or whatever. There's definitely no affiliation to that leading the way in the course if you're not genetically predisposed to being an alcoholic or a drug addict? Dr. Coleman: Well, that's a good question. And you're getting into the real gray areas. Because it's hard to be a hundred percent black and white. So, sometimes the switch that starts the disease going takes a lot of exposure. So, if somebody keeps drinking alcohol over and over, they may kick off the disease because of their shyness and because they've done it over and over. What you hope for with kids, is that as they grow up, they become more self-confident as they mature, as their brain matures, and they find other ways to deal with stress rather than just taking a pill or a drink for it. And remember that no one's found the gene for alcoholism or addiction yet. So, in fact, I was at a conference with a geneticist from the local medical college, and she said we've identified at least a hundred genes now that have some effect, but not one of them is the only effect or the main effect, it's a combination of all these things. So, we still have an awful lot more to learn, just like we've learned a lot in 30 years, there's an awful lot more to learn as well. Cindy Stumpo: Okay, Doc, what if we just say everybody just does one thing, just stop selling alcohol and stop drinking. Sammie: That's so easy. Cindy Stumpo: It is. Dr. Coleman: Well, we tried then. Sammie: Okay. Cindy Stumpo: And what happened? Oh, it was called Prohibition. Dr. Coleman: Yeah. Cindy Stumpo: But no, really? What if we just took alcohol away? Look, if you're a drug addict, you're not going to go to every restaurant and see drugs on the counter to buy, right? Dr. Coleman: Right. Cindy Stumpo: So, it's got to be even harder for an alcoholic. I can only imagine, because no matter where they go, there it is. So, their way of life has to change. Because, I'm asking you, Rob, this. Did all your friends change? Going for dinner, doing things that you love to do, did all that change? Did you have to turn things around for a while? Maybe not now, but at the beginning? Rob Zavaruka: No. It never affected me. I could go out to dinner with people and, for some reason, it didn't, looking at somebody have a drink, and if I was trying to not drink, it really didn't have an effect on me, to be honest with you. Cindy Stumpo: No. So, if you go into a restaurant, you see all that liquor lined up, you're not craving it. Rob Zavaruka: No. But I will tell you that the worst temptation for me is driving by a liquor store. Cindy Stumpo: So that's your trigger? Rob Zavaruka: That just works in my head. It's like a light going off. But sitting with somebody and watching them drink wine... And I was just down in Florida with my brother, he was drinking wine, didn't bother me a bit. Cindy Stumpo: So it's triggers. It's triggers. It's like me with cigarettes, right? I don't want a cigarette till I get on the phone and talk to somebody. Then that's a trigger- Rob Zavaruka: But- Cindy Stumpo: ... I need that cigarette while I'm on the phone, at night, for whatever reason. Rob Zavaruka: But I did want to add this, while the doctor's on the radio. Why is it that I have certain, triggers that start at 4:00 in the afternoon? And if I can get by from 4:00 to 7:00, Dr. Coleman, after 7:30, 8:00, my desire to drink completely dissipates. Cindy Stumpo: Okay. Dr. Coleman: Triggers, like what Cindy's talking about, with cigarettes are to do with anything that's created a memory circuit in your brain. So, when you drive past the ABC store, that's a strong memory. And so, it triggers a craving, and it's actually triggering a little release of dopamine in that pleasure center without you even knowing about it, subconscious. In fact, they've shown that the- Cindy Stumpo: But if you remember what he just said. Dr. Coleman: What's that? Cindy Stumpo: If you remember what he just said, Doc, his worst time is between four- Dr. Coleman: Yes. Cindy Stumpo: ... and 7:00, right? Dr. Coleman: Yeah. Cindy Stumpo: No, it's the delay, it's a delay. Dr. Coleman: So that's become a memory trigger for Rob. Cindy Stumpo: Because 4:00 to 7:00, Rob, was your time to get home and have a drink. And then once 8:00, 9:00- Rob Zavaruka: And started drinking. Cindy Stumpo: ... 10:00 comes, you're fine. Oh, put the mic. Give him back his mic. Hold on. Rob Zavaruka: They keep taking my mic away. But yes, that's exactly- Sammie: He's a heavy breather. Rob Zavaruka: That's exactly... Well, we were just talking about dopamine and... But- Dr. Coleman: So go have a lot of sex between 4:00 and 7:00. Rob Zavaruka: No. Cindy Stumpo: Can you go to the gym between four and seven? Sammie: Stay off the road between 4:00 and 7:00. Rob Zavaruka: No, it just starts at 4:00 to 7:00. I've had this discussion. I try to occupy myself, try to do it with some kind of, take my mind away from it, whether it be going to an AA class, whether it be playing my guitar or something like that. I try to find something to distract me during those hours. Cindy Stumpo: Now, is that every day or just trigger points? Rob Zavaruka: Every day- Cindy Stumpo: ... Maybe a Thursday, Friday. Rob Zavaruka: ... It's been every day for a long period of time. It's just something I've been trying to deal with. And I use the best skills that I can use in order to avoid getting that temptation. And just minute by minute, as I said, it's just, you got to get through that timeframe. At least that is the way it is for me. Sammie: In a way, he's lucky that it only happens during those times versus all day long. Cindy Stumpo: Doc, for the Coleman Institute, what right now, and Amanda, maybe you can answer this or Dr. Coleman can answer this, is that what's the success rate with people coming through, on alcohol? Do we have like...? Dr. Coleman: Yeah. Cindy Stumpo: It was always a small- Dr. Coleman: So this- Cindy Stumpo: ... percentage how people stay clean. Dr. Coleman: Yeah. There are two aspects- Cindy Stumpo: How long people stay clean. Dr. Coleman: ... to that, because when we're talking about treating alcoholism, there are always two phases, the detox and then the rehab or recovery. And you need to go through the detox first before you even get a chance to do the recovery. So, we have a hundred percent success getting people off the alcohol. About maybe one out of a hundred patients we have to send to the hospital because it's not quite safe, and we want them to be a hundred percent safe, but we're able to treat the others easily and safely. And then we've got case managers that follow people up for six months to make sure they get into rehab. So, we don't do the rehab ourselves, we send people out for that. And our job is to try to predict what level of rehab they need. Some people need another inpatient program as Rob did in the past, and some people do really well with an intensive outpatient program. And some people do well with just some individual therapy or just AA or some support groups. More like this: Addiction Resources Dr. Coleman: So, we lose all control of how people do after they finish with us because we can't make them go to treatment. We can give them the best advice and find the best things and hold their hands and make appointments and all that stuff, but at the end of the day, the patient has to be the one that works their program and puts the effort forth stuff like that. So, that's just the reality on the ground of what, of how this disease works. Cindy Stumpo: Well, I'll tell you this, I did my homework on the Coleman Institute and, obviously, before you came on and I think it's phenomenal what you guys are doing. And I'll tell you why. You know, I know, we all know in this room right now, I can't speak for people listening, but probably a lot do, this is a very flawed system. Okay? It's a flawed system, it's frustrating. Parents don't know what to do when their kids get into this situation, husbands, wives, and vice versa. And your success rate seems to be very, very good. But I got to hold my own thought now because I got to go to break. They're waving, "Go to break, go to break, go to break." I'll be right back. I'm Cindy Stumpo and you're listening to Tough as Nails on WBZ NewsRadio 1030. Cindy Stumpo: And welcome back to Tough as Nails on WBZ NewsRadio 1030. And I'm here with Sammie, I'm here with Rob, I'm here with Amanda, I'm here with Dr. Coleman. So, Dr. Coleman, your success rate there at the Coleman Institute is good. But like you said, that you guys, it's like leading the horse to water, right? You can lead the horse to water, but you can't make them drink. What is it, when they leave the Coleman Institute, what is it that you try to implement for your patients to still work the AA, NA meetings? Is that still a big push? Well, it is, but it's only a part of the overall treatment plan. We have case managers that meet with all of our patients on the first day, and then usually, each day, with the idea of doing a comprehensive evaluation, working with the medical practitioners, doctors, and nurse practitioners, to develop an individualized treatment plan for that person, to take into account all of the factors that help us determine what should be on that plan. And so, that's their past history, how much they were using, what success they've had in the past, how much do they understand about addiction? What's their living like their home life, their depression, anxiety, other diseases? And at the end of that, what we want is a treatment plan that the patient agrees to and is willing to do, and then we help them implement that. And then, we follow them for six months to make sure that they are implementing it. And when we first started working with the insurance company, Anthem Blue Cross down here in Virginia and told them we had the six-month program, they were just delighted. Because for a fraction of the price they were spending on an inpatient program, for 28 days, where the people, especially on opioids, would usually relapse as soon as they got back. We're able to get them on the right track and follow them for a six-month period. So, that's what we're doing, is we're doing everything we can to develop a good plan for them that's tailored and individualized to them, and then follow them up to make sure that they follow it. And if there are any bumps or hiccups on the way, we can overcome those together. Cindy Stumpo: Let me ask a question, Amanda. So I had asked earlier, is there a correlation between anxiety, depression, and alcohol and drug use? And I don't think we went down that road, but you just said, you just use those as an example. So I do believe, common sense, I'm not using anything. I'm not a doctor, but I'm pretty sharp, even though common sense isn't common anymore. In my brain, it still is. I still think there's an affiliation. Genetic, yes, a hundred percent. But anxiety, depression, I think fuels you into self-medicating, and alcohol is one of those drugs that's easy to get that you self-medicate with. And the other drugs, pot, opioids. Opioids are huge with doctors. Every doctor would take opioids if they could if there was no price to pay, they say, right? I've heard that from many doctors. But there is some type of correlation, too, between alcoholism, drug addiction, depression, and anxiety. Can we say that? Dr. Coleman: You can say there's a relationship. I don't even want to say a correlation because, in the addiction world, we look at them as two separate illnesses. We see lots of people with alcohol and drug problems who don't have any depression or anxiety. We see a lot of people with anxiety and depression who don't like drugs and alcohol. They can't stand them, they don't drink at all. And then, we see some people with both. So there's that kind of correlation. The statistic I said to a patient yesterday is that when someone goes into inpatient rehab for alcoholism, about 75% of them meet the criteria for depression, right? So you'd think there's a correlation. Well, 28 days later, when they come out, they haven't had any antidepressants, they've just stopped drinking, and they've now started getting some counseling. Only 25% still meet the criteria for depression. So, most of the depression, and anxiety that we see is related to their substance use. And if they just get some counseling, get their support groups going, and don't put chemicals, and addictive drugs in their brain, they don't have anxiety and depression. Our job in the addiction world is to figure out who's in that 25% that does have what we call a dual diagnosis. So that's the way we look at it. Cindy Stumpo: Right. And that's why it's called dual. Dr. Coleman: Exactly. It's two diagnoses that both need to be treated. Now, the good news is, working a program, going to meetings, getting a sponsor, seeing a therapist, doing an IOP or inpatient, that's actually a really good treatment for anxiety and depression as well. Because now, you've developed a new philosophy in life. You've found new friends, and you've got a fellowship in the 12-step programs. Your wife's happy again with you, and you're being a good dad and you're feeling good about how you're conducting your life, rather than always feeling guilty and angry with yourself. That's one of the best ways to treat anxiety and depression anyway. It's all good. More like this: Bipolar Disorder and Substance Use Disorder: How to Get Help Cindy Stumpo: So, in your opinion, and Amanda maybe can answer this question, or anybody, when an alcoholic, and let's not use a drug addict right now, let's use the word alcoholic, okay? Because there are people that, are lawyers, doctors, everything, that are alcoholics and drug addicts, too. But we tend to, I don't know, it's okay if you're an alcoholic, but it's not okay if you're a drug addict. There's still that taboo, well, he's only an alcoholic. He's not shooting heroin in his arm, right? But the disease is a disease, no matter which one it is, right? It's still the same. But for whatever reason, the alcoholic gets more of a pass, because he, maybe he's a lawyer or a doctor or whatever, holds a big title. But that being said, how hard do you think people get on themselves when they know they have a problem and they haven't come forward with this problem? How much are they mentally abusing themselves before they come out of the closet with this problem? Dr. Coleman: Well, it's a good question. And you're right, there is a lot more stigma using the word drug addict than alcoholic. And in society, there has been for a long time, and they're still is. Because if you just conjure up in your mind an image of what an alcoholic looks like or what a drug addict looked like, it's quite often quite different. And if so, we really look at it as one disease. It's the disease of chemical dependency. And so, we find people that if they try to get off alcohol, they can very easily get addicted to cocaine or to benzos or to even opioids, if they get put on it for a prescription. And if someone tries to get off heroin, but they keep drinking, then they just become an alcoholic. So it's really one illness, actually. And now I've forgotten what your question was. Cindy Stumpo: That's okay. We all... Does anybody remember my question? Amanda Pitts: Well, I think that with the thousands of patients that I have spoken with, once they're able to really be able to break down those walls and be able to share with someone, their loved ones, or be able to just even say, "I'm an alcoholic," or "I'm struggling with substance use disorder." A big part of that is a huge relief, right? So there's so much shame and guilt, and there's so much that's being carried when you don't have anybody else that's involved in that circle. So I think that once somebody gets to that place, that's that motivation to change. They're an action pace. Cindy Stumpo: Okay. And my question was, how long and how much pain does somebody have to bear before they finally break down, they say, "I'm an alcoholic," "I am a sex addict," "I am a gambling addict," "I am a food addict," "I am a drug addict." How long does it take? What does that person go through mentally, every day, knowing that they feel this inside? They don't want to go cheat on their wife, they don't want to go cheat on their husband, but it's an addiction. They don't want to get drunk and come home and act like a jerk-off, but it's an addiction, right? Anything that can alter the personalities even worse. The sex addict is not altering their personality, they're just doing something they shouldn't be doing. The drug addict, the alcoholic, is altering their personality. And then it can become, the environment can become toxic. It can become very painful for the other person. But all these addictions still flow together. Right? Am I correct on that? Sex, gambling, whatever- Amanda Pitts: You're correct- Cindy Stumpo: ... It seems like all the bad things are an addiction, by the way. Some of these things are fun to really do, but they're an addiction. But how much pain is that person living with before they have to really say, "This is my problem and I got to go get help." Because a lot of people don't want to cave to that and they make excuses. Dr. Coleman: Yeah, yeah. Cindy Stumpo: "I'm not really a gambler," "I don't really shop too much," "I don't drink too much." Dr. Coleman: Well, Cindy- Cindy Stumpo: But you do, buddy? Dr. Coleman: ... you're exactly right. Because the number one symptom of addiction is denial, which is that people don't actually see reality for what it is. So classically, the alcoholic is the last person to really admit that they have it, even though, by then, their wife and their kids and their boss, and everybody else knows they're drinking way too much. So, there's always some of that. So, there are little messages that the person's getting, "I shouldn't be doing this," but then the rationalizing part of the brain is like, "Well, it's not that bad. I'm not hurting anybody. I can stop anytime," et cetera. So, it varies completely from person to person as to- Cindy Stumpo: Wait a minute, Doc, hold that thought. We just got to go out to break. I got to go out to break. I'm sorry, just give me one second, one second. I'm Cindy Stumpo and you're listening to Tough as Nails on WBZ NewsRadio 1030. Be right back. Cindy Stumpo: And welcome back to Tough as Nails on WBZ NewsRadio 1030, and I'm Cindy Stumpo. And I can't leave this because we have too much on, more... so, I'm going to end this episode, but we're going to pick up the third week. We have to. There are people out there that need to understand this. There's too much information to get out in two weeks, obviously. We've done last week, we've done this week, ... do next week. Are we all good? Can you all come back one more weekend? Amanda Pitts: Absolutely. Cindy Stumpo: You sure? Amanda Pitts: Yep. Cindy Stumpo: We good, Sammie? Sammie: Yes, but how can you reach the Coleman Institute? Cindy Stumpo: How do you, we're going to reach the Institute? How do people today, right now, listening? How can they reach the Institute? Amanda, fast. Amanda Pitts: If you want to look us up on www.thecolemaninstitute.com, we have all of our numbers and information on there. Cindy Stumpo: Boom. Okay. Dr. Coleman, I'll see you next Saturday. Thank you very much. Thank you everybody for coming in. I'm Cindy Stumpo and you're listening to Tough as Nails on WBZ NewsRadio 1030. Conclusion Stay tuned for Part 3 of the Coleman Institutes appearance on the “Tough As Nails” podcast on the Coleman Institute’s Facebook and Twitter.   SCHEDULE A CALLBACK Looking for the rest of the series? Check out part 1 below: Tough As Nails Podcast: Dealing With Addiction On The Job Part 1     About Cindy Stumpo and “Tough as Nails” On “Tough As Nails” radio, Cindy Stumpo talks about anything that happens between a roof and a foundation. Building a house, and building a life is what our show is about. In sum, we are a lifestyle show. What separates us from other lifestyle shows is Cindy’s raw, unvarnished view of the world, keeping the show, fun, fast, and interesting. Laughing and learning makes for a broadcast that educates while entertaining. That being said, sometimes we cry and we’re ok with that. Cindy was the only woman in the room when she took and passed the General Contractor’s exam about 30 years ago. She has been building homes and shattering stereotypes ever since. C. Stumpo Development primarily builds luxury homes in Newton and Brookline, MA. www.cstumpodevelopment.com FOLLOW Cindy on Facebook, Youtube and Instagram. Show Idea or want to call in to the show? Text our producer, Tricia Bradley (339) 222-6955‬ or email tricia@seriousfun.tv “Cindy Stumpo is Tough As Nails” airs on WBZ News Radio, Boston following the 8pm News, and is available on the podcast wall immediately after the show. https://wbznewsradio.iheart.com/featured/cindy-stumpo-is-tough-as-nails/ SOLD OUT SHOW: Our show is currently sold out. Contact Ross Dananberg for future opportunities. 617-787-7169 RossDananberg@iHeartMedia.com FAN ARMY: With a loyal social media following across multiple platforms, Cindy connects with listeners during and long after the show is over. Follow @toughasnailsradio on YouTube, @cindystumpobuilder on Instagram and @cstumpodevelopment on Facebook. #### Tough As Nails Podcast: Dealing With Addiction On The Job Part 3 In part 3 of a 3-part series,the Coleman Institute's executive director, Amanda Pitts, and National Medical Director, Peter Coleman, join Cindy Stumpo on her podcast "Tough as Nails" on iHeart Radio to discuss addiction, treatment, and long-term recovery. Stumpo and her team contacted the Coleman Institute after hearing about a patient's Alcohol Detox experience at Wellesley, MA, location to hear more about his journey. This patient realized that people might not know that an outpatient detox treatment program is available to them. This podcast episode share's the patient's drive to ensure those suffering from Substance Use Disorder or Alcohol Use Disorder have the information they need to make an informed decision about what treatment program is best for them to live a life free from addiction. Have you missed part 2? You can catch up here.   GET THE ALCOHOL DETOX GUIDE   Tough As Nails Podcast: Dealing With Addiction On The Job Part 3 Announcer: Cindy Stumpo's a general contractor. Look. Whatever happens between the roof and the foundation. For 25 years and counting, Stumpo's been building houses and shattering stereotypes. Building a home and building a life. This is my show and this is where we're going. Cindy Stumpo is Tough as Nails. Cindy Stumpo: And welcome to Cindy Stumpo, Tough As Nails, on WBZ NewsRadio 1030. And we are going down a third evening, a third Saturday night of talking about dealing with addiction on the job, dealing with addiction in life, just dealing with addiction. I'm happy that Rob Zavaruka could come back again. My daughter Samantha, is always here, my right arm, Amanda Pitts and Dr. Coleman. And we need to end this because we did one episode, we didn't get to a final, the second episode, we didn't get to the final, and we probably won't get to a final tonight, either, but at least we'll give more information to more people. I left this off with you, Doc, last Saturday night that I felt the system of drug, alcoholism, and all these that we have is a flawed system. And right up our backyard here in Boston, there's the Coleman Institute, right? Tell me this, why is the system so flawed? What is the problem that people don't want to put money behind this? I know when I'm out raising money for battered women and children and drug addiction, for 35 years I've been doing that. It's been the hardest way to raise money. Now it's not, but it was for so long. It was like a taboo, no one wanted to give to those, but they'll give to breast cancer, they'll give to this, the politicians, but no one wanted to help this. Tell me why the system's so flawed. Dr. Coleman: The main reason, I think, and I don't even know that the system is as flawed as you're saying, but all I know is that the main problem with drug addiction and alcoholism is we're dealing with the most primitive part of the brain that wants to get dopamine. So our natural brain wants to get dopamine when we eat food and have sex. That's for survival, that's for the survival of the person and the survival of the species. Those are so deeply ingrained, it's like breathing. It's like keeping your heart beating. It's automatic. Drugs overpower that. They are so strong, they're five times as strong as the brain was ever meant to get. More like this: What Is Dopamine & How Does It Keep Me Using Opioids? And so, when a person who's genetically vulnerable gets that dopamine spike, they will pretty much do anything to keep it going. And so, we're battling against that. And when you look at the problem of people battling obesity, you see how difficult that is, even though they want to stop eating. Cigarette smoking is the same way. So, it's really hard to help people get off drugs and stay off drugs. Patients need to put a hundred percent commitment into their recovery. If they don't put a hundred percent commitment, they usually fail. That might be this week, it might be next month, it might be a year or two, but it's really hard. And part of the problem we were talking about, the other addiction, sex addiction, and gambling and stuff, those things don't actually poison your brain with chemicals. When we're talking about drug addiction and alcoholism, you've got the very chemicals that your brain is craving and can't stand not having are also poisoning your brain to damage brain circuits, damage memory circuits, damage stress levels, damage your ability to deal with emotions and stress. It's really complicated. And, in some ways, it's a miracle anybody stops drinking and taking drugs. So that's part of the problem. And up against that, we put all of our treatment programs. And treatment programs can do a lot, they can educate, they can motivate. As you said, they can lead horses to water, but they can't make them stay drinking the water, so it's a very difficult nut to crack. More like this: Detoxing off Opioids: 5 Things That Could Stop You Cindy Stumpo: Well, I love that delivery, because that was about as honest and as authentic as it gets, right? It really is. And most doctors don't talk that way. They would be saying, "Oh, come to the Coleman Institute. We're going to get you clean, and we're going to pump you up. It's time to pump you up," and make you believe like this is never going to, it's going to go away. So, your honesty and your transparency are really awesome. You made a remark and I'm just trying to educate myself, a dopamine spike, what does that actually mean? Like just something spike- Dr. Coleman: That means is that- Cindy Stumpo: ... spikes in the brain that says... Dr. Coleman: Yes. Yes, yes. When people satisfy those basic needs for food and sex, their brain in this, what's called the ventral tegmental area, the nucleus accumbens, but I just call it the pleasure center. Your brain actually releases dopamine and that feels amazing. I mean, frankly, that's what an orgasm is. That's what it's like when you've been on a diet and you eat a Ben and Jerry's ice cream. I mean, it feels amazingly good. And drugs, all addictive drugs, release dopamine in the pleasure center. That's why they're addictive. That's how we know they're addictive. If a new drug's coming out, the FDA will do tests to see, does it release dopamine in the pleasure center? And if it does, it's an addictive drug. If it doesn't, like antidepressants, Prozac, stuff like that, it's not an addictive drug. So all addictive drugs give you that dopamine spike. That's what we like about them. They feel amazing. You talk to someone who's used IV heroin or fentanyl or cocaine, they will tell you that it's the most amazing experience they've ever had in their life. There's nothing that will compare to it. And so, that then immediately sends messages to the thinking part of the brain, to the memory circuits, to all the other parts, that says, "I value this. I want to keep doing this. I don't want to be stupid, I don't want to go to jail, I don't want to overdose, but I sure want keep doing it." And that's what addiction is. It's that a vulnerable brain that was born with a little deficiency of the dopamine gets that dopamine spike, and then the brain, the thinking part, the decision-making part says, this has a lot of what we call salience is the word that we use, meaning we value it a lot. Cindy Stumpo: Okay, Doc, so you explained what a dopamine spike is. So my next question is, so look, we can go back to 1978, 1980, where they said cocaine was not an addictive drug, right? Dr. Coleman: Right. Cindy Stumpo: It was a mental stimulator. You're never going to become addicted to it. Well, that turned out to be wrong, right? Because cocaine is another drug that is addicting. But when does the brain say, when does a person say to themselves, "I could die now in 2022 snorting a line of cocaine," were in 1979 or '78, that was probably next to impossible to do, unless you already had an underlying problem. Right? When does the brain say, "If I have these drinks, I get drunk and I get behind the wheel of a car and I kill myself, my children will be left without a father or a mother." Where's that part of the brain kick in? Or, as you said, the gambler is not physically addicted to something that's going to cause them long-term effects, but they'll go broke and they'll lose everything they have. And I once read an article that people that play slot machines is like doing cocaine. Now, I don't know if that's true or not, but it's something I read. It's the same feeling. But I'm asking, where's the part of the brain that triggers up and says, "Okay, this isn't good." Does that part of the brain just go away for addicts? I mean, explain that to me. There's a right and a wrong, there's a moral compass, right? More like this: Fentanyl in Cocaine: The Deadly Pairing Dr. Coleman: Right. The brain gets damaged by the chemical use that you're, that the person's using. And we know their creativity starts going down, their options start going down. They start seeing the world with a more of a singular focus, like, "I want to keep drinking because it feels so good." And then withdrawal starts kicking in, so I start feeling horrible if I don't have it. And so, when little thoughts come in, like, "Oh, this is hurting my wife, or this is, I'm drinking on the job," yes, it's there, but it's pushed to the back because it's like, "I can't stop. I don't want to stop. I like this too much." So, little voices can come in. And one of your earlier questions was how does that eventually get through to your brain that this is horrible. And it's really hard. There was a book called, I'll Quit Tomorrow, because people were always just saying, "Well, yes, it's bad, " but it's what we call minimizing. It's like, "It's bad, but it's not that bad and I'll stop tomorrow," or whatever they tell themselves. So the human brain has an amazing capacity for rationalizing stuff and explaining away things, and it's often not till they stop and look back and they go, "Oh my gosh, I can't believe I used to think like- Cindy Stumpo: All right, hold that thought for minute. We're just going to break, break, break, break, break, break. I'm Cindy Stumpo. You're listening to Tough As Nails on WBZ News Radio 1030. Be right back. Cindy Stumpo: And welcome back to Tough As Nails on WBZ NewsRadio 1030. And I'm Cindy. I'm here with Sammie, I'm here with Rob, I'm here with Amanda, I'm here with Dr. Coleman. Dr. Coleman finish what you were saying. I'm sorry. Dr. Coleman: Yeah. So the process of somebody coming to terms with the fact that they've got a problem and that it's totally serious, and they've got to deal with it, it's almost one of surrender. It's an interesting process. It's almost like someone, maybe an abused wife, has got a very abusive husband, and it's horrible and she gets beaten, but she always forgives him and goes back. But at some point, she takes the courage that it's going to be less painful in the future than... I mean, she's got to put up with the pain of leaving and the loneliness and the potential of how, all that sort of stuff. And for everybody, that's a different process. One of my favorite stories is a friend of mine who's a surgeon, and he was drinking too much and it was really horrible. And his wife was upset and he was starting to affect his job. And he got pulled over for driving drunk. And he said, while the cop was walking to his car, the only thought he had was, "Thank God. Now I've got to stop." He was so happy to get that DUI because he knew he would have to stop. And he couldn't have done that on his own. And that was just really instructive to me. On a personal note, I've been in recovery and 1984. I had a drug overdose and went to rehab, and because I was a doctor, I had to stay there for four months. I had never once thought to myself, "I drink too much," or, "I do drugs too much." I just thought I was a party animal and I was totally in control. When I was in rehab and got the education, I had to look honestly at my life and my brain started cleaning out a little bit, I could look back and see all this evidence that was crystal clear that I'd been messing up for years. I was 28 and I'd been over-doing it since I was 18, but I'd always got away with it. I always had reasons or all sorts of excuses. Fortunately, I had to stay in rehab for long enough and I had a clean enough brain at that point to see reality, where I could realize not only was I incredibly unhappy and that drugs were never going to make me happy, but I could also see the other side, which is, that if I just gave up one thing, getting high, that I could have a fabulous, happy life. And here I am 37 years later just having, it's been fun. You know? So, what allows people to get to that point, I don't know. That's one of our big jobs that Amanda and I try to help our patients is, how can we help them see that reality that life is going to be so good if you don't drink and drug, and it ain't going nowhere if you do. Cindy Stumpo: And for kids, young kids, out there, parents that are listening, it's for me, as a mom, has been the scariest thing, worrying about if my kids are going to get into drugs and alcohol. Sammie, do you ever think you're an alcoholic? More like this: 5 Things To Remember If Your Kid Is Using Heroin and The Myth of the ‘Functioning Alcoholic’ Samantha: No. Cindy Stumpo: No. You here with us? Samantha: Yeah. Cindy Stumpo: But you'll drink. Samantha: I've maybe been drunk once in the past four months. Cindy Stumpo: Okay. So, what's drunk to you? Samantha: When, I mean, I don't drink a lot, so more than three and I'm drunk. Cindy Stumpo: And do you like that feeling? Samantha: No. Cindy Stumpo: So, why do you do it? Samantha: It's an in-the-moment situation? Cindy Stumpo: It's an in-the-moment situation, Doc. Is that a normal answer? Because I've never had a drink in my life, I don't know. I'm being sincere. Dr. Coleman: It is for the 90%- Cindy Stumpo: I'll let you know when I'm not being sincere and being very cocky. Dr. Coleman: Yeah. That's- Cindy Stumpo: So- Samantha: [crosstalk] population. Dr. Coleman: ... a very normal reaction for people who don't have the genetic vulnerability. They just don't like it that much. Cindy Stumpo: Okay. And my attitude is, if you don't try it, you'll never know. So I've lived my life like that. I'm 57 years old and I've never had a glass of alcohol. And I worked the nightlife. My father owned nightclubs, I worked the nightlife and I just watched how people behaved, and I said, "Well, that's not going to work for me." So, I always said to my kids, "If you don't try it, then you won't know if you like it or don't like it." But I guess they don't listen. They're going to do what they want to do. But for parents that are listening, does the Coleman Institute work with teenagers or just adults? Amanda Pitts: Just adults. Cindy Stumpo: So it's just adults. And when they call about their... Well, what's an adult by the way? Amanda Pitts: 18. Cindy Stumpo: Okay, so 18 is an adult, right? 14, 15, 16, we can still punish them and do, "You're locked in your room. You can't come out, whatever. You're punished," whatever. But 18, you do take them. Is it harder to get somebody at 18, 19, 20, in their early 20s, mid-20s, to get them clean over somebody that's in their 50s or 60s? Or it doesn't matter at that point? Because- Dr. Coleman: No, it's a lot more difficult. Cindy Stumpo: ... I would be in the 50s and 60s, you're getting tired of being tired. Which way is more difficult? Dr. Coleman: Yeah. It's a lot more difficult when people are young. In fact, the sweet spot is late 20s. Because- Cindy Stumpo: Oh, thank you. Dr. Coleman: ... when you're dealing with a teenager or early adult, they're young enough, they haven't accumulated enough negative consequences where they can really look and say, "Wow, this is an obvious problem," and their brain hasn't fully matured- Cindy Stumpo: Don't have a lot to lose, if anything either. Dr. Coleman: ... yet, which tends to happen around age 25. But in the late-20s and 30s- Cindy Stumpo: What happens at [inaudible]? Dr. Coleman: Yep. Cindy Stumpo: I lost you. What happens at 25? Dr. Coleman: There's a lot of evidence now that the frontal lobes, decision-making, and other parts of the brain aren't fully formed until age 25. And so, someone said it the other day, when you're a teenager, you've got all the accelerator to, and the drive to want to go fast, but you don't have the brakes too, and the wisdom to not to. Cindy Stumpo: And then what happens 28, 29 30, do they start looking at their lives like it's time to grow up? Dr. Coleman: Yes, yes, exactly. At that age, you can see the pattern pretty clearly and it's time to grow up. And you also know that if you get this right, if you do this one, give up this one thing, which is getting high, alcohol or drugs, then you're going to be able to figure out pretty much everything else. And everything else is going to go pretty well, a good job, good relationships, everything. Cindy Stumpo: And that the adult, they're just so tired of being. They get to an age in their 50s and 60s that they're just tired of being tired. Dr. Coleman: Yes. There are good success rates all the way. Maybe, eventually, people in their 70s and stuff like that, maybe start giving up because what's the point? I've certainly seen that a few times. But with some good rehab and good treatment, most people can still, even if they're getting older and their life expectancy isn't that high, they still would much rather live it sober than be drunk. And you're also hoping, of course, that there isn't enough accumulated brain damage from that, those years and years and years of drinking where it's really hard for them to get into recovery. More like this: Over 60? 3 Great Reasons to Stop Drinking Now and Over Sixty, Finally Sober: An Interview With An Alcohol Detox Patient Cindy Stumpo: Doc, before I let you go, I'll finish up with Amanda and Rob, and I know you got to take a phone call. My last question to you is this, how much damage to the brain does alcohol do? Long-term effect? Alzheimer's, any of that? Slows down the brain or just destroys the liver? I mean, what does it do? I know it does the body physically, what does it do to the body mentally? More like this: Alcohol Use Disorder: Easy to Meet Criteria Dr. Coleman: Yeah, alcohol is a very toxic substance. It's the sort of thing that cowboys would dip their knives and alcohol to kill all the bugs, and we use it to wipe down and get rid of viruses and bacteria. And in high doses, it damages liver cells, pancreas cells, brain cells, nerve cells, and everything. And so, the amount that someone drinks and the length predicts how much brain damage there is. Most people tolerate it incredibly well. I always heard growing up that you kill a hundred brain cells every time you drink. And that's probably not too far from the truth. Most people are born with overcapacity of their brain, so if they lose 10% of their brain, they don't even notice because the brain's an amazing organ. But over time, that starts getting worse and worse. And so, when people are in those later decades, then we will see a form of Alzheimer's, called alcohol dementia, and that's really hard to come back from because- Cindy Stumpo: So there is alcohol dementia? That was my question. Dr. Coleman: Yeah. Cindy Stumpo: So it does, it does. It can cause dementia, just like any other drug out there. Dr. Coleman: Yes. Yes. Cindy Stumpo: And especially if that runs in your family, that can fast pace it. All right, Doc, I want to finish up with Amanda and Rob. I'm going to let you go. I know you got to get up to your meeting. Thank you so much for everything. And we're going to finish off with, like I said, Amanda and Rob. And we're going to go off to break. I'm Cindy Stumpo and you're listening to Tough As Nails on WBZ NewsRadio 1030. Cindy Stumpo: And welcome back to Tough As Nails on WBZ NewsRadio 1030. And I'm Cindy, and I'm here with Sammie, I'm here with Rob, here with Amanda. And Dr. Coleman, I'm sorry, had to take a call where? Amanda Pitts: Oh, he's somewhere in Asia. Cindy Stumpo: Oh, okay. Okay. Because I'm like, well, five hours ahead, that'll bring us to 2:00 in the morning, but people have meetings all the time. Okay, anyways, Amanda, let's take off. Let's go where we left with Rob, okay? Let's go back to Rob. Rob? After all this talk three, we're going on a third Saturday night, do you want to leave and go drink or do you want to stay clean? When you last told us. Rob Zavaruka: Of course, I want to leave and stay clean, but I wanted to reiterate and piggyback what Dr. Coleman said that the work really begins after you got clean. Coleman's does a great job getting you there and they do a great job staying with you. But unless you put the effort in to stay clean and you make that a priority, you're not going to ever do it. And- More like this: Taking the First Step in Your Recovery Journey Cindy Stumpo: Well, how do you do it? Rob Zavaruka: I go to my AA classes. Cindy Stumpo: And how many times a week? Rob Zavaruka: I go three times. I do three at night, and three in the morning. Cindy Stumpo: So, wow. Hold on, you're doing six classes a day, I mean, a week. Rob Zavaruka: A week, correct. Cindy Stumpo: Still? Rob Zavaruka: And that's still not enough, to be honest with you. If I wasn't in business, I should be doing it more. Cindy Stumpo: Really? Rob Zavaruka: Really. And it's the only way that... I mean, you can go, you can take all the medicine in the world, it doesn't work. It helps you, but the effort is in making it your number one priority. And for me, it's so hard for me to go out the door at 5:30 to go to my AA class when I got a pile of customers that are looking for me to make phone calls back. What I wanted to say, too- More like this: Addiction Resources Cindy Stumpo: Well, I want to ask you that question, how do you sit in that meeting at 5:30 in the morning, 6:00 in the morning, knowing you got a- Rob Zavaruka: No- Cindy Stumpo: ... a bunch of guys out there working, hold on, and you got billing to do, and you got to talk to, and you got a wreck, and it's a 45 and collects money. I know everything you got to do, Rob. And you actually go in that meeting and turn all that off and just listen to the speakers or speak? Rob Zavaruka: You pick and choose what you want to listen to, and that's one thing you learn at AA. Not everything works for you and not everything, you don't understand everything. Cindy Stumpo: No. My question was this, you're an owner of a company, right? Rob Zavaruka: Do I shut it off? Cindy Stumpo: How do you, especially. I know construction at 6:00 in the morning, and our brains are already ticking at 300 miles an hour. We got to place guys, the snow, call a day, rain, move, go inside, go outside. You're moving around guys like chess, like if you're playing chess. How do you go into a meeting that early in the morning and just shut it down? Rob Zavaruka: I don't. I have to keep... My mind works the same as yours. I'm thinking, but I'm trying to get what I can get out of that particular moment. If somebody says something interesting, I have to listen to it. And I know I can go back to my work. But you know- Cindy Stumpo: So my question is when you walk in that meeting- Rob Zavaruka: Yeah. Cindy Stumpo: ... does Rob Zavaruka, the union guy, the guy that owns a union company, the guy that's in the union since I don't know, 18 years old, the guy that's running crews out there, the guy that's doing it all out there, when he walks into that meeting, does he shut the world off behind him to be able to stay clean from alcohols? Rob Zavaruka: Not completely, and that's the struggle I have. Cindy Stumpo: Okay. Rob Zavaruka: Okay? But one thing I wanted to also say is, on one of the previous segments was that if you... Status has a lot to do with sobriety, too, and in admitting your disease. For me, it was status. Rob Zavaruka, never be the guy that drank or never the guy with a problem. Well, Rob Zavaruka finally had to come out of the closet, and that was the very hardest thing I think I've ever done in my life. And once I did that, even though I've had a few relapses, it's enabled me to put up my hand and said, "I'm not giving up. I'm going back. I'm going to make myself healthy." Had I not ever come to that point where I admitted it, God knows where I'd be today. So it is all about effort. It just never, ever goes away. From all the people that I deal with 30 years sober and everything, they tell you it gets better. I haven't got to that point, obviously, nor will I ever. Cindy Stumpo: Why do you say that? Rob Zavaruka: Maybe I will maybe I'll make it to a hundred. But the point is that it's, I had to learn the hard way, and the hard way is until you are ready to make a complete conviction to making yourself healthy, you will never get there, and that's just a fact. It's a hard fact, but it's a true fact. And you have, you can use everything. You can use the professionals, like the Coleman people, you can use AA and all that stuff, but you have to have the will to survive. Cindy Stumpo: It's like going and eating right and working out. And if you don't, you can talk about it all day long, "I want to lose 10 pounds, I want to go to the gym," but if you'll and implement it and don't make it part of your everyday life, it's never going to happen, right? Rob Zavaruka: Right. And what Dr. Coleman said about that book, I'll Do It Tomorrow? Cindy Stumpo: Yeah. Rob Zavaruka: It's always, that's so true. Cindy Stumpo: But here's the problem I have. You and I are so built so much alike. There's no tomorrow with you and me. We don't even like the word tomorrow. We've always been getting it done today out here. Let's get it done today. I don't want to hear about tomorrow. Tomorrow, we're going to have another laundry list of problems. Get it done today. But you don't take that advice. You don't run your personal life the way you run your business life. Rob Zavaruka: I tried- Cindy Stumpo: And I run mine either, by the way. Rob Zavaruka: No, I try to, Cin, but the problem is work- Cindy Stumpo: That's how you know he's known me for a long time, he calls me Cin. Rob Zavaruka: Yeah. Cindy Stumpo: Okay, go ahead. Rob Zavaruka: But work is, even though it's an addiction, it's not the same type of addiction. Cindy Stumpo: Oh, am I addicted to work? Rob Zavaruka: You absolutely are. Cindy Stumpo: Are you addicted to work? Rob Zavaruka: Absolutely am. I'm addicted to work and I think part of my addiction is work and has caused my alcoholism to continue because I think it, at the end of the day, when everything is really built up, the pressure, uncompleted things, customers not paying me, chasing money. Easiest thing to do is go after that dopamine and that's the alcohol. Cindy Stumpo: Okay. But when that pressure gets too much on you, you tell me maybe an antidepressant when... Amanda, that doesn't help people that are under so much stress the way he is under a lot of stress? He's not the guy that goes to work from 9:00 to 5:00 and comes home and, "Hey, the day's over." Doesn't work that way. I know, I'm in the same industry, just a different field. Right? And I was in the industry with him. We could go till 10:00, 11:00 at night and keep going. And we'd want to go until our desks were cleared off, after being in the field all day. So, our boots are on the ground, then they're in the office doing paperwork. And trust me, Rob can go seven days a week, seven nights a week and the work still never catches up. You're never going to get caught up. And I think that part of knowing Rob the way I know Rob and me is that we're both also control freaks, so that doesn't help the situation either, right? So now, you have a person that's a control freak. No one does anything... like Rob. Rob's going to be there to do everything and then take care of Rob. So don't antidepressants help with a guy like Rob, or not? Amanda Pitts: Well, to back up, I mean, I think it's about retraining of the brain, right? So, Rob- Cindy Stumpo: No, it's actually hard to retrain brains at our age. Amanda Pitts: I mean, Rob has used alcohol at that at the end of the day, after a really high-pressure job, the alcohol use for him is like that relief, right? It's numbing the feelings, the anxiety, whatever's going on for him. We really try to help people to come up with different coping strategies, and healthier coping strategies so that you can still find that sense of relief by doing it in a different way. Cindy Stumpo: Give me an example. Amanda Pitts: Well, some people like to take walks, they like to go to the gym, and they like to practice mindfulness. Cindy Stumpo: He's always used to go to the gym. I don't know now, but he was always a workout nut. Now? Rob Zavaruka: No, not so much. Cindy Stumpo: Okay. How many- Rob Zavaruka: Not because I don't want to. COVID played a lot on this, too. You get away from the gym, but I'm slowly getting myself back on my bike and refocusing and using that, retraining my brain, so to speak. So, I'm getting back into it, because I'm working on the program and understanding that if I get back into top shape like I used to be, it's going to make my recovery a lot easier going forward. So, there are so many little tricks and deviations. I'm still flying my plane a lot. So, if I want to give up, if I want to continue to drink- Cindy Stumpo: Thank God I have never gotten that plane with you. I didn't even know you were drinking back then. So that was good. I'm afraid of planes. I'm glad I didn't get on that plane with you. Rob Zavaruka: No, I really wasn't at that point. But so what- Cindy Stumpo: No, it seems like the best days of your life, when you were hanging with me, okay? I'm not taking any credit here, but like, let's call it what it was. Rob Zavaruka: Sure. But no- Cindy Stumpo: I'm playing. Rob Zavaruka: ... so, if I want to give up on flying, I cannot be drinking, obviously. So I'm using every tool in my bag that is like Dr. Coleman said, sobriety is a much better life. And when I have been sober, my life is 10 times better and I'm happier, healthier, and sleeping better. It all, it's just, it's a trade. What do you want? Do you want to be successful and healthy or do you want to be living miserably? It's just a trade-off and you have to cross that line and say, "It's time. I got to do it, and if I do relapse, I got to get back on my horse and do it again." Cindy Stumpo: Okay. All right, hold that thought, everybody. I'm Cindy Stumpo and you're listening to Tough As Nails on WBZ NewsRadio 1030. Be right back. Cindy Stumpo: And welcome back to Tough As Nails on WBZ NewsRadio 1030. And I'm here with Sammie, I'm here with Rob, and I'm here with Amanda. Amanda, I have a good question for you. Is there any correlation between alcoholics that we have found and drug users? Is there some personality besides the lack of dopamine that we talked about? Do you ever see a correlation after talking to certain people? Let me set you an example. I have panic attacks. I meet people with panic attacks. There's nothing, I have nothing in common with them. They're not outgoing, they're not... I can't find somebody that I can say, "Wow, that's me," or read a book and go, "Wow, that's me." I'm waiting for that moment to happen, but it hasn't happened yet. But I do see that people that have them, when I read these books and I listen to their stories, I can see the common areas of their personalities, what they're like. And some are very introverted, it seems like, a lot don't know how to express themselves, they don't know how to release and tell how they're feeling. Is there anything that you guys have found besides the dopamine aspect of alcoholism and drug addiction? Is there a personality trait? Amanda Pitts: I mean, outside of the genetic piece? Cindy Stumpo: Right. Amanda Pitts: I think that you see all different personality types. Cindy Stumpo: Doesn't matter. Amanda Pitts: No, it doesn't discriminate. Cindy Stumpo: There's no puzzle. Amanda Pitts: Not that I'm aware of. Cindy Stumpo: That you're aware. Okay. And Rob, how long has it been since, the length of time that you've stayed clean, what's been your longest length? Rob Zavaruka: Completely clean, little over nine months. Cindy Stumpo: Okay. Now, if Rob decided to smoke pot now and not drink, would the Coleman Institute say, "Well, that's bad to do, because you're going from one to another." Amanda Pitts: We would provide education on any type of a substance that people are using, especially if they're using it to numb feelings or they're using it in a maladaptive type of way. So, would absolutely look at that as education. Would we say we would no longer continue to see Rob? Absolutely not. Cindy Stumpo: No, but what I'm saying, they say, they're doing a lot of studies now with mushrooms and psychedelic drugs, right? I've had some guests on that, doctors that are saying it's the gateway, these psychedelic drugs, the gateway out of alcohol and drug abuse. Again, I don't know. I don't want to walk around on mushrooms myself, but also great for depression, and panic anxiety. But I guess you got to be given this at certain levels. I don't know if you follow that one or not. But Rob, you said you've gone how long in between? Your long- Rob Zavaruka: Little over nine months. Cindy Stumpo: Nine months has been your longest time being clean. In those nine months that you stayed clean, is your life better? In all honesty, is it really better? Rob Zavaruka: Absolutely. Cindy Stumpo: So what makes you fall off the wagon if your life is better for nine months? Rob Zavaruka: That's the question that remains unanswered. You just, something just pops in your head. That's why all these 30-year-old, these sober alcoholics will tell you, and I just started the show the other day, telling you that it's like what some of these guys will say, "What's the worst thing that can happen to an alcoholic in a day? Pick up." It just happens. Cindy Stumpo: Okay. I have a personal question. When you look back on the years that you and I were together running a business, I would have so much compassion for drug addicts, right? You saw that, you knew that. Terribly. Rob Zavaruka: Absolutely. Cindy Stumpo: And you were bumping me along the way on that one. We were always banging heads on that one. Were you... You would say things like, "Never going to get straight, blah, blah, blah, blah, blah, blah, whatever." When you look back now, do you regret some of that, the way you looked at that world? Rob Zavaruka: Oh, of course. I wouldn't be here if I didn't look back. But you got to remember, too. I'm a lot more mature, 63 years old. I've been through a lot more, and I look back and see what's happened to me and how vulnerable anybody can be. It doesn't matter what level you're at, but of course, I'm compassionate and I feel awfully bad and I wouldn't be here speaking and admitting my addiction. If I didn't feel bad, I'd just keep saying what I said before, but I have to, and I feel like I have to come out and talk about this. Cindy Stumpo: I mean, you know that just in those few years we were together, we lost a lot of guys in a short period, in that period of time to now, that we both knew, to drugs, right? Did you ever, in all your years of running guys, and now that you're sober and clean, and I'm sure you have a lot of their phone numbers, some have come and gone. Have you ever wanted to call any of them and say, "Hey, listen, I might've been really tough out there and I apologize, and I didn't really understand addiction?" Have you ever taken that? Rob Zavaruka: Well, yeah- Cindy Stumpo: That leap? Rob Zavaruka: I have. Part of recovery is to look back and make amends to people. And I continue to do that just in regular life. I mean, look-it, that's a tough world that I came from and it's hard to not be tough. You know- Cindy Stumpo: For Rob to call, make a phone call and say, "Hey, I'm sorry that I..." Rob Zavaruka: I have run into old friends that have problems. And most of them still have problems, and I've reached out. As a matter of fact, I have pamphlets from Coleman's that I go out, if I know a guy's struggling, I say, "Hey, just read this, and if you need to, make a call. Any questions, call me." Is Rob going to pick up the phone to everybody that I irritated or treated tough? I don't think that way. I, just trying to do the best I can now and make amends by being here with you and Dr. Coleman and Amanda, and just to tell you my story, and hopefully, it hits home with people out there. And the only advice I can tell people is you have to just do it. And there's no in between, there's no, yeah, tomorrow, no tomorrow. And if you do screw up, just raise your hand again, because there are millions of people out there that are willing to help, and getting it off your back is the best medicine you can, it's the best cure you can make. Cindy Stumpo: I want people to understand, that this man that's in my studio right now has had levels of success in my industry that most will never get to half the ladder that he's climbed up. And I always say this, getting to the top is the easy part, but can you sustain, right? Because there are a lot of things that can knock you down. Sustaining a business, and somehow, you still manage to sustain and you make a great living, obviously. And this comes in all shapes, sizes, forms, and colors, doesn't matter, right? Alcohol is alcohol, drugs are drugs. But like you said, you just got to keep getting back on the horse that throws you off. But isn't that what we all do in business every day that want the best for our families and go out there and push that rock up the mountain every day? Rob Zavaruka: Every day, I mean, we continue. The only thing I will say is addiction is that rules, that rules, Cindy, and it has to be a priority. In order for me to continue to be successful at this point in my life- Cindy Stumpo: I just want people to understand the levels of success you have achieved in your career. Rob Zavaruka: Well- Cindy Stumpo: Okay? Rob Zavaruka: It's hard work, and that's a personality trait, too. Everybody's not built the same, and we take things to a different level. Cindy Stumpo: Now he's lecturing me. I used to do this 20 years ago to him. What the hell happened here? The tables have turned on us. My God, okay, go ahead. He's empathetic now, and I'm like, "Hey, come on. Let's go, let's move it." Go ahead. Rob Zavaruka: No, I mean, believe me, I'm still Rob, and I still get into it with my men, every day, but there's a respect factor there now. And I know when I shouldn't be crossing the line. So, at my age and with my experience, I know now that, hey, this guy's suffering and I can tell. And I'll pull him aside and say, "Look, if you need time off, take the time. I want you to be healthy and want you to be happy." Cindy Stumpo: Wow, that's a different Rob than I knew. That would be, you getting a layoff check if you did that, okay, Rob, be like, "Send out layoffs checks, okay? Let the guy go." And I'd be like, "Rob, do we have to let the guy go? He might be dealing with personal issues." "Cindy, go run your residential business." All right, literally, like... And now, it's a whole different Rob sitting here 15 years later, because now you get it. Now we understand it. That's why, if you're listening out there, please stop spitting in the water you may have to drink one day. It could be any of us. It could be any of our children. It could be your mother, your father, your sons, your daughters, whatever, your future grandchildren, help people that need help. Don't knock them. No one decides that they're going to wake up one day and become a drug addict. No one decides they're going to, they want to grow up to be an alcoholic. It's just something that happens, okay? And genetically, we've learned, we know it's in the genes, we know it's in the gene pool. If you have a problem, it's a good chance one of your children might have a problem. You got to jump in front of the problem before the problem happens. And yes, depression, anxiety, and panic do play a role in substance, and I really believe that. No one will ever spin my head on that one, and it's getting us the help we need. And the only way to get the help we need is to help each other, so reach out to where Amanda? Amanda Pitts: Well, you can call 804-294-2212, or visit us at www.thecolemaninstitute.com. Cindy Stumpo: And we'll be back. This is Cindy Stumpo and you're listening to Tough As Nails on WBZ NewsRadio 1030. And welcome back to Tough As Nails on WBZ NewsRadio 1030. I'm Cindy. I'm here with Sammie, here with Rob, I'm here with Amanda. First of all, I like to thank you, Rob. I love you. Okay? Have a long history together, and for you to come out on my radio show, that's awesome. Can I have a fist bump, please? Thank you, buddy. I'm proud of you. Okay? Rob Zavaruka: Thank you. Cindy Stumpo: If it means anything or not, I'm very proud of you. Amanda, thank you so much for coming in. Thank you for explaining to us about the Coleman Institute, right? And Dr. Coleman being on here. Did I say right, the Coleman Institute? Amanda Pitts: That's right. The Coleman Institute for Addiction Medicine. Cindy Stumpo: Go ahead. Amanda Pitts: And we're in Massachusetts. And if you want to learn more about us, we're at www.thecolemaninstitute.com, and the telephone number, is 804-294-2212. And again, if you or a loved one is looking for outpatient detox for alcohol or opiates, that's where you can find us. Cindy Stumpo: Have a great safe weekend. This is Cindy Stumpo, and we'll see you next weekend. Conclusion Looking for the rest of the series? Check out part 1 below: Tough As Nails Podcast: Dealing With Addiction On The Job Part 1 Tough As Nails Podcast: Dealing With Addiction On The Job Part 2   SCHEDULE A CALLBACK     About Cindy Stumpo and “Tough as Nails” On “Tough As Nails” radio, Cindy Stumpo talks about anything that happens between a roof and a foundation. Building a house, and building a life is what our show is about. In sum, we are a lifestyle show. What separates us from other lifestyle shows is Cindy’s raw, unvarnished view of the world, keeping the show, fun, fast, and interesting. Laughing and learning makes for a broadcast that educates while entertaining. That being said, sometimes we cry and we’re ok with that. Cindy was the only woman in the room when she took and passed the General Contractor’s exam about 30 years ago. She has been building homes and shattering stereotypes ever since. C. Stumpo Development primarily builds luxury homes in Newton and Brookline, MA. www.cstumpodevelopment.com FOLLOW Cindy on Facebook, Youtube and Instagram. Show Idea or want to call in to the show? Text our producer, Tricia Bradley (339) 222-6955‬ or email tricia@seriousfun.tv “Cindy Stumpo is Tough As Nails” airs on WBZ News Radio, Boston following the 8pm News, and is available on the podcast wall immediately after the show. https://wbznewsradio.iheart.com/featured/cindy-stumpo-is-tough-as-nails/ SOLD OUT SHOW: Our show is currently sold out. Contact Ross Dananberg for future opportunities. 617-787-7169 RossDananberg@iHeartMedia.com FAN ARMY: With a loyal social media following across multiple platforms, Cindy connects with listeners during and long after the show is over. Follow @toughasnailsradio on YouTube, @cindystumpobuilder on Instagram and @cstumpodevelopment on Facebook. #### Towing and Recovery I was riding my bike when a huge flatbed roared past me. Stenciled onto the back of the cab were big red letters: TOWING and RECOVERY. I thought, “Now that would be an interesting way to tout our own services at the Coleman Institute…” I looked up a couple definitions of Towing: “The act of hauling something (as a vehicle) by means of a hitch or rope” and another, “assisting a vessel unable to maneuver by pulling, pushing or towing alongside”. Either of these makes a nice metaphor. While most of the clients we work with come of their own free will, there is still a bit of reluctance to leave the familiar, albeit miserable, life of opioid, alcohol, or benzodiazepine addiction. Ambivalence is a very normal part of the process to commit to making a huge life change. After all, these substances are doing their job of alleviating anxiety, depression, reality and the perception of pain…if only for a brief time. We are delighted to do our part to ‘tow’ you along as you navigate one of the more formidable parts of entering Recovery: the withdrawal process (aka detoxification). We make an uncomfortable process decidedly more tolerable, and there is a sense of release and relief for the person who has reached out for help and put himself in our hands. Consider our program at the Coleman Institute if you need a Tow job, whether you need pulling, pushing, or towing alongside. We call our Tow Job an Accelerated Outpatient Detox. Once you go through a screening process to be sure we are the best choice for your medically-supervised detox, we get you into our office very quickly. Your support person will be instructed on how to safely give you medication throughout your time with us to minimize discomfort. Generally our opioid detox takes three to four days for people who are using up to 2mg of heroin—even if much of the heroin is laced with—or turns out to be completely—fentanyl, which we are seeing more and more. We assess your progress daily, adjusting medications as needed and providing whatever assistance your support person may need. On the final day of the detox we insert the Naltrexone implant, and the body’s opioid receptors are blocked for about two months. The Tow Job is done. The door to begin the Recovery phase is open. Our Recovery Support team will meet with you throughout your visit in Richmond and work with you to have a plan in place once you leave us. Your recovery plan will look different from anyone else’s because of your unique situation, but it’s important to know that high quality treatment exists in many variations. I hope you will consider our Tow and Recovery services. Our reputation as leaders in using Naltrexone as a Medication-Assisted Treatment (MAT) for Opioid Use Disorder continues to grow, as it has been the bedrock of the Coleman Institute’s program for close to twenty years. Unlike the other forms of MAT, buprenorphine and methadone, Naltrexone is a non-addictive opiate blocker. Please give us a call to learn more. Joan R. Shepherd, NP #### Triggers as Reminders Recovery is a lifelong process, fraught with many twists and turns. A friend who has been sober from alcohol for two and a half years told me a story yesterday that brought this point home. She had just renewed her Costco membership and went there for the first time since she became sober. In addition to their famous rotisserie chicken, Costco is where she used to try to buy her alcohol since it was cheap and they carry her favorite type of wine. She would buy a case or two at a time. She told me yesterday that the minute she approached the parking lot, she noticed she immediately thought about buying those cases of wine at Costco. It was a trigger for her. She hadn’t even pulled into the lot or entered the store yet. Your Mindset During Triggers Thankfully she is far enough into her recovery to recognize that it was a trigger and to have the presence of mind to not allow it turn into the action of buying any alcohol. However, she did tell me that it shook her up and served as a reminder that a slip is just around the corner if she does not remain vigilant. GET THE ALCOHOL DETOX GUIDE Triggers can be disarming, scary, and dangerous but I think that we can also look at triggers as reminders of how far we have come. When my friend was deep into her addiction, there is no way she would have made it out of that Costco without buying her wine. And now the trigger —the thought— was only that, a thought that came in to and out of her brain. Identifying a Trigger So what is a trigger? A trigger is an internal or external stimulus that causes someone with an addiction to want to use a substance or carry out an addictive behavior. Notice that it causes a desire, BUT it does not have to result in an action. However, triggers are very sneaky and can undermine all efforts in your recovery journey if you do not define them and have a plan to deal with them. It is crucial to identify your individual triggers. They are different for everyone and can vary based on the substance, your genetics, your environment and a multitude other things. Here is only a partial list of potential triggers: HALT- the acronym for Hungry, Angry, Lonely, Tired Emotions-both positive and negative Stress Illness-mental or physical Social Isolation Relationships/Dating Celebrations/Sad events Certain people Certain Locations Senses-smells, tastes, sounds etc. What is the best strategy to manage triggers? Have a relapse prevention plan which includes identifying triggers Have a trigger action plan. What are you going to do when you get triggered? Call someone, take a deep breath, change your location, etc. Find Strength During Recovery An essential part of our program at the Coleman Institute for Addiction Medicine is our case management services. We will work with you to find the right fit for aftercare. This is where those potential triggers will begin to be identified and a plan put in place to help guide your recovery. If you want to learn more about our program, also referred to as the Coleman Method, please schedule a callback below. Recovery is a safe place where triggers do not have to lead you back into your addiction. Deborah Reich, MD SCHEDULE A CALLBACK #### We Often Get Asked: Does Naltrexone Really Help With Cravings? This blog answers the question, “does naltrexone help block cravings?” and details how it can help patients struggling with opioid addiction detox. Watch Dr. Coleman's recap on Facebook, "We often get asked if naltrexone really can help with cravings. Dr. Coleman explains how it works." or read the summary below. Does Naltrexone Really Help With Cravings? Good afternoon. I often get asked whether long-acting naltrexone really does eliminate cravings for opioids. And that has been pretty much our experience, where, of course, eliminates a strong word where there's no cravings at all. But almost all of our patients are amazed at how low their cravings are when they're taking either Vivitrol, the one-month injection, or the implants that we use, the naltrexone implants that last two months. And I get asked that question a lot because, obviously, people who are trying to recover from opioid dependence do a lot better when they aren't craving it really strongly. And there's a belief, I think, in the main medical community that have never used long-acting naltrexone that oral naltrexone, the one-day pill, actually doesn't decrease cravings at all. And I have to say; I found that true. So it's not really the naltrexone itself as the molecule that seems to be decreasing the cravings. It's the fact that we've put it into a long-acting form. And when you think about it, that makes sense because when we give somebody a 2-month naltrexone implant, they know up here that they just can't get high at all. More like this: Curbing the Cravings: Naltrexone and Addiction UNDERSTANDING ACCELERATED OPIOID DETOX More like this: Medication-Assisted Treatment (MAT): Higher Success for Recovery How Does Naltrexone Work? Even if they go buy some street drugs, and we've had lots of people try it, they come back and say, "Well, it just did nothing." It couldn't get through to the receptors. You understand that the naltrexone blocks the opioid receptor. So then the heroin and the drugs that they're taking can't get into the receptor. And so they have no effect at all. It's like taking a sugar pill. And so they know that. And so then they stop thinking about it. When you think about cravings for anything, the access to it, the ability to get it is the important thing. We've all had the experience where we were on a diet or not trying to eat too much. And then somebody brings along some donuts, or some cakes, or some Doritos chips or something that we know are going to taste down delicious. And all of a sudden, we have what are essentially cravings. Why? Because they're sitting right there. They've reminded you that they're there, that they're there, and you have access to it. You could take them if you want to. So it sets up this internal debate where I could have it, but I shouldn't, but I don't want to, but yes, I do. So that's what cravings are all about. More like this: 5 Things You Must Know Before Starting Naltrexone Therapy How Long Does Naltrexone Last? As soon as we put people on the implant 2 months, they just don't think about it. Their cravings start coming back on about week seven because then there's only one more week to go before they could get high if they don't come back and get their next one. So we work hard to make sure people come back and get their next treatment. The oral tablets almost seem to make the cravings worse because it's only one day because they take the pill, and then, within 24 hours, it's worn off. And everybody can wait one day to eat that chocolate cake or that ice cream that's certainly in the fridge, or whatever it is. And so, people with the drug addiction, they can easily wait one day to get high. So it almost reminds them when they take the pill that they could get high tomorrow. And that drives people a little bit nuts. So most people stop taking the pill very quickly, but the long-acting naltrexone very dramatic craving reduction. More like this: How Long Does Naltrexone Last & How Can It Aid in My Recovery? Conclusion So, if you do need help with your opioid dependence or anybody that does, please get them on treatment soon. Please schedule a callback with the Coleman Institute now if you are ready to detox off opioids. Together we can help you start your path to recovery. SCHEDULE A CALLBACK #### What Are "Roxies"? 5 Facts About Roxicodone In recent years, the conversation surrounding prescription drugs, specifically opioids, has taken center stage in medical, social, and political arenas. With the mounting opioid epidemic and the tragic tales of dependency, addiction, and overdose, there's a growing need for awareness and understanding about the medications that play a role in this crisis. One such medication that often comes up in these discussions, sometimes referred to as "roxies," is Roxicodone. But what are roxies, and why have they become a focal point in the conversation about opioids? The term "roxies" might, at first glance, seem innocuous. It might even sound like the name of a trendy new band or perhaps a stylish brand of clothing. However, within addiction medicine, this term is laden with much more gravity. "Roxies" is one of the common terms for Roxicodone, a prescription opioid medication. With the backdrop of the devastating opioid crisis that has swept across nations, understanding the ins and outs of drugs like Roxicodone is of paramount importance not just for medical professionals, but for patients, families, and the broader community. Fact #1: Roxicodone is a Prescription Opioid Roxicodone is a brand name for oxycodone hydrochloride, an opioid analgesic. Opioids are a class of drugs that includes the illegal drug heroin as well as legally prescribed pain relievers like oxycodone, hydrocodone, codeine, morphine, and many others. Roxicodone pills are prescribed to treat moderate to severe pain when around-the-clock pain relief is required for an extended period. Roxicodone works by changing the way the brain and nervous system respond to pain. It does this by binding to opioid receptors in the brain, spinal cord, and other areas of the body, reducing the perception of pain and emotional response to pain. However, when misused or taken differently than prescribed, Roxicodone can produce a euphoric high, making it a target for misuse. Fact #2: Roxicodone Can Cause Addiction and Overdose Due to its potent effects and the euphoria it can produce, Roxicodone has a high potential for excessive use, dependency, and addiction. Tolerance: Over time, one might need to take more of the drug to achieve the same pain relief. This is known as developing a tolerance. As the dosage increases, so does the risk of side effects and overdose. Dependence: With regular use, even as prescribed, one can become dependent on Roxicodone. This means that the body has become accustomed to the drug and may not function normally without it. Overdose: Taking too much Roxicodone or mixing it with other substances, especially alcohol, can lead to a potentially fatal overdose. Symptoms of overdose include slow or stopped breathing, pinpoint pupils, unconsciousness, and death. Abruptly discontinuing Roxicodone can pose significant risks, particularly if used for an extended period. One of the immediate concerns of sudden cessation is the onset of withdrawal symptoms, which can resemble a severe flu-like illness. Individuals might experience muscle aches, nausea, vomiting, diarrhea, excessive sweating, anxiety, rapid heartbeat, and disturbances in sleep. Beyond the physical discomfort, there's also a psychological aspect. Chronic users of Roxicodone may develop a psychological dependence, leading them to rely on the drug to feel normal or manage daily stresses. Suddenly stopping can intensify feelings of depression or anxiety, creating a challenging mental and emotional landscape. Perhaps one of the most acute dangers is the increased risk of overdose. After stopping, if someone decides to resume taking Roxicodone, their previously tolerated dosage might now be lethal due to a reduced tolerance. Abruptly stopping its intake without an effective detox program can have severe and potentially life-threatening consequences. UNDERSTANDING ACCELERATED OPIOID DETOX Fact #3: Roxicodone Has Many Different Street Names "Roxies" is just one of many street names for Roxicodone. Others include "blues," "30s," “blueberries,” and "little blues." The drug's popularity on the streets is due to its potential for producing euphoria when crushed, snorted, or injected. This method of consumption bypasses the time-release mechanism of the pill, leading to a rapid and intense high. Misusing Roxicodone by altering its form and taking it in ways not prescribed is dangerous and increases the risk of addiction, overdose, and death. It's essential to be aware of these street names and methods of misuse to better identify and address potential issues in loved ones or the community. Fact #4: Roxicodone Is Part of the Opioid Epidemic The United States is in the midst of an opioid epidemic. According to the Centers for Disease Control and Prevention, nearly 450,000 people died from an overdose involving any opioid, including prescription and illicit opioids, from 1999 to 2018. Roxicodone, among other prescription opioids, played a significant role in the initial phases of the epidemic. The widespread prescription of opioids led to a vast segment of the population being exposed to these potent drugs. Over time, it became evident that opioids, including Roxicodone, had a high potential for misuse and addiction. Many patients who were initially prescribed Roxicodone for valid medical reasons found themselves becoming dependent on the drug. Additionally, the immediate-release formulations of Roxicodone became particularly prevalent in misuse, as they could be easily crushed and then snorted or injected, delivering a rapid and intense high. While measures have been taken to reduce prescription opioid use, including tighter regulations and better prescribing practices, illicitly produced opioids have filled the void, leading to a continuous problem. Fact #5: Recovery from Roxies is Possible If someone is struggling with Roxicodone addiction or any form of opioid misuse, it's crucial to seek help immediately. At the Coleman Institute, we use a highly effective rapid detox methodology that utilizes Naltrexone Therapy to help mitigate withdrawal symptoms and curb cravings to help reduce the risk of relapse. In fact, the Coleman Method has helped 98% of our patients successfully complete detox over the past two decades. Understanding "roxies'' or Roxicodone is essential, especially in today's environment where the opioid epidemic continues to claim lives. Whether you're a concerned family member or someone seeking help from Roxicodone dependence, being informed can make a difference. By recognizing the risks, signs of misuse, and available treatments, we can collectively take steps toward a safer and healthier society. Are you ready to start your recovery story? Schedule a callback to learn more about the Coleman Institute and how we help patients reclaim their lives from opioids like Roxicodone. SCHEDULE A CALLBACK #### What Does It Mean To Hit Rock Bottom? I came across this quote on my Instagram feed the other day. I thought it was so profoundly true that I wanted to share it with you. “I don’t believe in rock bottom. I’ve had a lot of what I thought were rock bottoms, only to discover another, rockier bottom underneath. Eventually, I decided to stop waiting for something to change me. I had to make the change myself.” — BoJack Horseman We have been led to believe that someone can only change their substance use patterns when they hit “rock bottom.” My thinking is that maybe this black and white thinking was helpful back in the day when 12 Step recovery programs were relatively new. It provided context to know when enough was enough. I would like to think that we have evolved our thinking to understand that there is no such thing. Honestly, if you think things are bad now and are continuing with the same behaviors, they can only get worse, so why wait to seek help? What is your definition of rock bottom? How do you know you have hit your rock bottom? Why do you have to wait until you have hit your rock bottom to seek help? What can you do NOW to improve your situation? I’ll tell you what you can do now. Don’t wait until you hit this imaginary “rock bottom.” If you are reading this, you or a family member is already in dire straits. Why wait for things to just get worse, as they inevitably will? Salvage what you can NOW. Don’t wait. UNDERSTANDING ACCELERATED OPIOID DETOX At the Coleman Institute for Addiction Medicine, we specialize in outpatient medical detoxification. Out protocols are unique and most importantly successful. Approximately 98% of our opioid patients complete their detoxification process and begin Medication-Assisted Treatment (MAT) using naltrexone, a non-addictive, opioid blocker that also reduces cravings for alcohol. We also help people safely detox from alcohol. Call us at 877-773-3869 to see whether our programs might be a good option for you, as you contemplate paths to avoid the imaginary bottomless pit. Best wishes. SCHEDULE A CALLBACK #### What If I’d Never Stopped Suboxone? Fred, a former patient at the Coleman Institute, was prescribed opioids for roughly 14 years. When a specialist treated this with Suboxone, he found himself needing treatment to detox off of Buprenorphine. Find out how the Coleman Institute helped Fred detox comfortably and quickly. Many individuals are prescribed opioid pain medication for their pain conditions. When their specialist stops prescribing their medication, they might need additional treatment for their physical dependence on these medications. In many cases, addiction specialists will treat this with Suboxone. However, this medication (along with other Buprenorphine medications) can lead to an entirely new dependency. Pain Patient Asks Himself: What If I’d Never Stopped? Fred, age 68, is a financial advisor in a neighboring state who had a follow up appointment with me to refill his oral naltrexone. Several years ago, in the midst of the US Opioid Crisis — but before anyone was truly connecting the dots and recognizing the alarming patterns of physical dependence and Substance Use Disorder that were emerging — Fred was being treated by his primary care provider (PCP) for multiple areas of pain in his body, especially low back and shoulders. He had always been active and connected some of his back issues to football injuries sustained when he played in high school and two years of college. As an adult he became enamored with golf and took private lessons to improve his game and minimize back and shoulder problems. He had used a variety of different non-steroidal anti-inflammatories over the years, and there was some concern about the side effects of these medications. Eventually at a routine physical his PCP started him on Oxycontin, assuring him that as long as the pain was real, he could not become "addicted." The Doctor Stops Prescribing Pain Medication For almost 14 years Fred was prescribed oxycodone. As his body built a tolerance to the medication, the dose continued to increase. At some point, short-acting ‘breakthrough’ pain medications were added. At his highest dosing, Fred was taking about 400mg daily of combined long and short-acting oxycodone products. One day Fred received a recorded message from his doctor’s office stating that all further appointments would have to be canceled and that patients needed to seek alternative providers. Fred was outraged and terrified. Although he had never run out of or lost his medications (he guarded them like a hawk), he knew how he felt physically when he experimented with cutting his dose down or waiting a little longer than scheduled to take his medication. Not good. His frantic search to find another prescriber ultimately led him to the office of an addiction psychiatrist not too far from his home. This doctor introduced Fred to the concept of Suboxone; a medication that would allow Fred to reduce his medication to only once or twice daily while even helping with Fred’s back pain. Fred transitioned to Suboxone (buprenorphine/naloxone) and was impressed with how well it worked. It didn’t make him as sleepy as the other medication. He felt good about this decision. Treatment Can Become A New Dependence Like many people who have switched to Suboxone or other buprenorphine products, he didn’t quite understand that it might be difficult to stop taking it. As time went on, Fred began to recognize the complications associated with being on this medication. Although he could stretch doses out longer, he still experienced withdrawal if he missed a dose. He felt trapped. Even though he still had pain issues, he no longer wanted to be tied down by medication. His wife was also very concerned about his seeming obsession with his meds. UNDERSTANDING ACCELERATED OPIOID DETOX Fred found the Coleman Institute for Addiction Medicine in Richmond, Virginia and signed up for a detox off of buprenorphine. He only did this after multiple attempts at stopping the medication himself and not being able to tolerate the symptoms of withdrawal: stomach cramping, muscle aches, sleeplessness, and other disturbing flu-like symptoms. Safe, Comfortable Detox with Naltrexone Therapy The procedure to detox off Suboxone at the Coleman Institute is very straightforward. On Day One the patient and his support person come to the office and receive instructions for the next several days. These include when and how much comfort medication to take. The comfort meds are provided as well. The patient will meet with their assigned case manager to determine what other types of services will be most beneficial to their continued recovery after the medical detox is completed. Different people require different levels of aftercare, and our skilled staff collaborate with each patient to meet their unique needs. Before leaving the office, a micro-dose of naltrexone will be administered to our patient. This will begin the process of removing the buprenorphine from the opioid receptors. Buprenorphine is very ‘clingy’ on opioid receptors and rather than a several weeks cold-turkey detox, the Accelerated Opioid Detox process reduces the time to about 8-10 days. The micro-dosing of naltrexone continues on each of the following days until the final day when some form of long- acting naltrexone is given. A naltrexone implant, which is available at the Richmond office, will typically last about eight weeks. Other offices utilize an injectable form of naltrexone, which lasts for about a month. Because naltrexone occupies the same receptors that buprenorphine and other opioids (such as heroin, fentanyl, Percocet, morphine, hydrocodone, tramadol, Dilaudid, etc.) occupy, patients no longer experience cravings for the opioid they had been using. Increased Quality of Life and Ongoing Treatment Fred completed his detox about two years ago. The period after a detox is generally associated with some Post-Acute Withdrawal Symptoms or PAWS, and for Fred the worst of it was getting his sleep back to normal along with his energy levels. By about two months, he was astonished at how good he felt. He returned to our clinic for naltrexone implants every two months for a year, then switched to monthly Vivitrol injections for about six months before--after much discussion--we began to prescribe oral naltrexone, which he now takes daily. (This is not recommended for people early on in their recovery; long-acting forms of naltrexone are associated with much higher levels of success. As Fred and I talked, he expressed how profound the decision to get off pain medication has been in his life. Not everyone is as articulate as Fred, and I grabbed a pen while he spoke and asked if I could quote him in a blog. He said, “Time is precious; we don’t own it, but we can spend it…and I often wonder, what if I hadn’t done this? My work, my marriage, my relationship with my children….would all look so different now. I don’t want to have regrets; I want to be awake to experience all life has to give me.” I can’t say it better than that. If you or a loved one is wrestling with the idea of getting off pain medication or illicit opioids, you are so not alone. It is not necessarily an easy process, but it is simple. The conviction to change is the most important attribute you need. Especially now since many insurance companies are recognizing the value of helping to pay for an opioid detox. If you have further questions, our experienced and kind staff are available to talk. Schedule a callback below. Joan Shepherd FNP SCHEDULE A CALLBACK #### What Is Black Tar Heroin? Heroin, an opioid drug derived from morphine, has long been a major player in the opioid crisis, as its powerful addictive properties lead countless individuals into a destructive cycle of dependency and addiction. Among the various forms of heroin, Black Tar Heroin is particularly notorious for its potency and not only fuels addiction more aggressively but also exacerbates the health challenges posed by Heroin Use Disorder. At the Coleman Institute, we know that understanding the nature and impact of Black Tar Heroin is crucial to effectively treating our patients. But what exactly is Black Tar Heroin? Understanding Black Tar Heroin Black Tar Heroin primarily comes from Mexico and is a less refined form of heroin compared to its white powder counterpart, which is more commonly produced in Southeast Asia. The dark color and sticky consistency of Black Tar Heroin are due to the crude processing methods used during its production. While white powder heroin undergoes a more extensive purification process, Black Tar Heroin retains many of the impurities from the initial morphine extraction process. The substance's composition includes not only heroin but also various adulterants and impurities. These can include leftover plant material, other opioids, and substances used to cut the drug, making it more profitable for dealers but significantly more dangerous for those taking it. Black Tar Heroin is typically dark brown or black and can range in texture from a gooey, sticky substance to a hard, rock-like form. This form of heroin is usually sold in small, individually wrapped packages or as chunks. It is often heated and dissolved for injection, though some users may smoke or snort it. How Black Tar Heroin Differs from Other Heroin Forms The primary differences between Black Tar Heroin and other forms of heroin lie in their appearance, potency, and production processes. Appearance: While Black Tar Heroin is dark and sticky, other forms of heroin, such as white powder or brown powder heroin, are usually more refined and appear as fine, off-white or brownish powders. Potency and Purity: Black Tar Heroin tends to be less pure than white powder heroin, as it contains more impurities and adulterants. However, its potency can still be quite high, making it just as addictive and dangerous. Production: Black Tar Heroin is produced using less sophisticated methods, resulting in a product that is less refined but cheaper and easier to produce in large quantities. UNDERSTANDING ACCELERATED HEROIN DETOX The Effects of Black Tar Heroin When Black Tar Heroin is consumed, it rapidly enters the brain, where it is converted back into morphine. This process produces an intense rush of euphoria, known as a "high," which can last several hours. The immediate effects of Black Tar Heroin use include: Euphoria Warm, flushed skin Dry mouth Heaviness in the extremities Clouded mental functioning Alternating wakeful and drowsy states The euphoria and relaxation experienced can be highly addictive, leading individuals to seek repeated use despite the harmful consequences. Long-term use of Black Tar Heroin can lead to a host of severe health issues, including: Physical Dependence and Tolerance: Over time, the body becomes accustomed to the presence of heroin, leading to physical dependence. Those taking it require increasing amounts of the drug to achieve the same effects, leading to tolerance and escalating usage. Addiction: The compulsive need to use heroin despite negative consequences defines addiction. This condition often leads to significant impairments in personal, professional, and social aspects of life. Respiratory Issues: Chronic heroin use can severely depress respiratory function, leading to slow and shallow breathing, hypoxia, and potentially fatal respiratory failure. Infections and Diseases: The use of unsterilized needles and sharing of paraphernalia increases the risk of contracting blood-borne diseases like HIV and hepatitis C. Skin infections, abscesses, and other injection-related complications are also common. Organ Damage: Long-term heroin use can damage vital organs, including the liver, kidneys, and lungs. Mental Health Disorders: Chronic use is associated with a range of mental health issues, including depression, anxiety, and other mood disorders. What Are The Dangers of Black Tar Heroin? One of the significant dangers of Black Tar Heroin is the presence of contaminants and adulterants. The crude production methods leave behind various impurities that can cause severe health complications. Those using it may be exposed to toxic substances, as harmful chemicals used in the processing or cutting of the drug can cause damage to tissues and organs. Improper handling and storage can introduce bacteria and fungi, leading to infections and abscesses. Additionally, the variability in purity and potency increases the risk of overdose. Using Black Tar Heroin can result in numerous health risks, including a high risk of overdose due to the unpredictable potency and the body's developing tolerance. An overdose can cause severe respiratory depression, unconsciousness, and death if not treated promptly. Chronic injection use leads to infections at the injection site, abscesses, and systemic infections such as endocarditis. Repeated injections can damage veins, leading to collapsed veins and vascular complications. Moreover, heroin can affect brain function, leading to cognitive impairments and neurological disorders. The impact of Black Tar Heroin extends beyond physical health. Those taking it often face significant social and legal consequences. Addiction can strain relationships with family, friends, and colleagues, leading to isolation and social withdrawal. The possession, distribution, and use of heroin are illegal, leading to potential legal consequences, including arrest, incarceration, and a criminal record. Additionally, the cost of heroin dependence or addiction can lead to financial instability, job loss, and economic hardship. Getting Help with Black Tar Heroin Dependence or Addiction Treating Black Tar Heroin addiction requires a comprehensive approach that addresses both the physical and psychological aspects of addiction. At the Coleman Institute, our outpatient detox program offers specialized care to help individuals overcome Heroin Use Disorder safely and effectively in as little as 5 days. In fact, more than 98% of patients successfully complete their detox with the Coleman Method. The key to that success is Naltrexone Therapy, which utilizes the non-opioid, non-addictive medication Naltrexone to provide continued support with cravings and urges throughout the recovery process. If you or a loved one is struggling with Black Tar Heroin dependence or addiction, contact our Richmond, VA, office today or one of our outpatient detox clinics around the country to learn more about the Coleman Method and take the first step to a better life. SCHEDULE A CALLBACK #### What Is Dopamine & How Does It Keep Me Using Opioids? What is dopamine? Dopamine is known as a pleasure molecule that is released in the nucleus accumbens area of the brain when we do pleasurable things — like eat food, have sex, or even take prescription opioids (drugs). When dopamine releases in the brain, we experience a strong sensation of pleasure and, of course, we will want to repeat that experience. Drugs and Dopamine Studies show that addictive drugs release high levels of dopamine in the nucleus accumbens. This is way more dopamine than we humans were ever meant to experience. This heightened pleasure sensation is the biggest reason why people use addictive drugs. Dopamine Molecule Today, more light is being shed on how complex our brains are and how different parts of the brain interact. Scientists are now naming dopamine as “the anticipation molecule” because it’s shown that dopamine is also released in large amounts when we anticipate a pleasurable experience. Where is Dopamine Released? We release dopamine in the nucleus accumbens and get a sensation of pleasure by thinking about having one of these experiences. Actually, just thinking about having a pleasurable experience is not quite enough to release a lot of dopamine. What Gives the Biggest Dopamine Release? Large amounts of dopamine are released when two things happen: We think about the pleasurable experience There is a realistic opportunity that we will be able to have the pleasurable experience or true anticipation.   UNDERSTANDING ACCELERATED OPIOID DETOX   How Is Dopamine Released in the Brain? Let’s explain this with cookies. You’re hungry and someone brings out a warm plate of homemade chocolate chip cookies. These cookies are one of your favorite comfort foods. In this situation, your brain will start to release a small amount of dopamine. You’ll think, “maybe, I should have one cookie?!” You start to process this situation and think about the different possibilities. 1. You could refuse the temptation and not have the cookie, 2. or, maybe you think that you could have just one. Your thoughts about the cookies begin to become a little more like a desire. You analyze the pros and the cons. Now, your thoughts are becoming more like a craving. Your mind starts to swing towards making the decision that one cookie wouldn’t be so bad. You start to rationalize with yourself, “what the heck - I deserve it,” or “why not? I can go to the gym later.” As you allow these thoughts to build, you start to imagine what the cookie will taste like and how it will be delicious. Your memories kick in. At this point, your pleasure center is releasing so much dopamine and you’re getting so excited and can’t wait to eat that cookie. You know how good it is going to taste and you feel great! And then, you bite into the warm, gooey, cookie, and something happens to your mouth. The cookie wasn’t that good. It was an okay cookie, but it was not nearly as good as you had imagined. Thoughts enter your brain. “The cookie lied to me!” and, “now I am going to get fat, and for what? A lousy cookie that didn’t even taste that good!” It is amazing to know you actually got more dopamine from anticipating the cookie than you received from the cookie itself. Conclusion Drug addiction works the same way. Even patients who are physically addicted to opiates have to go through all sorts of mind games each time they decide whether to use them or not. They subconsciously know using opioids is bad, horrible, and they should stop. But, once they have the opportunity to use, high levels of dopamine are released, and not using becomes almost impossible. For most, the experience is like an unsatisfying cookie. It wasn’t satisfying. SCHEDULE A CALLBACK Last Edited: January 14th, 2022 #### What Is Lean? 5 Things to Know About “Purple Drank” An opioid-based drink called "lean" has skyrocketed in popularity among teens and young adults in recent years, with one study suggesting that nearly seven percent of college-aged students have tried the concoction. Also known as "purple drank," "sizzurp," or "dirty Sprite," lean has raised concerns among parents, doctors, and lawmakers due to its potential risks and the negative impact it can have on a person’s health. Here are five important things you need to know about lean and the dangerous effects it can cause. 1. What Is Lean? Lean is a recreational drug that originated in the southern United States by way of Houston, Texas, and has gradually spread to other regions. Typically made in large batches for illicit parties, lean gets its name from its effect on a person’s ability to stand upright and obtains its purple color from prescription cough syrup or the addition of hard candy. Lean is often glorified by popular culture and glamorized by musical artists and celebrities, some of whom have overdosed or died due to the harmful side effects of lean’s ingredients. Its use has sparked debates about the influence of popular culture on substance abuse trends, highlighting the need for awareness and education surrounding its potential risks. 2. What Is In Lean? Lean is a mixture of prescription-strength cough syrup, typically containing codeine and promethazine, along with other ingredients. Codeine is an opiate analgesic commonly used for its pain-relieving properties, while promethazine is an antihistamine with sedative effects. When consumed together, these substances produce a sedating and euphoric effect. In addition to codeine and promethazine, lean can also include various other ingredients such as carbonated beverages (commonly soda), hard candies and even alcohol. These additional components may enhance the flavor, but they can also add to the potential risks and side effects of the drug. 3. Is Lean Addictive? Yes, lean is addictive. The codeine component of lean interacts with the opioid receptors in the brain and central nervous system. Opioids have a powerful effect on the reward and pleasure centers of the brain, leading to feelings of euphoria and relaxation. However, this pleasurable experience can also create a strong psychological and physical dependence on the drug. When lean is consumed regularly or in large doses, the brain becomes accustomed to the presence of opioids. Over time, the brain's natural production of certain chemicals that regulate mood and pain perception, such as endorphins, may decrease. This can result in the individual feeling a diminished sense of pleasure and an increased need for lean to achieve the desired effects. The physical dependence can lead to withdrawal symptoms similar to heroin or fentanyl when attempting to quit or reduce its use. Lean withdrawal symptoms may include restlessness, anxiety, insomnia, muscle aches, sweating, nausea, vomiting, and intense drug cravings. These symptoms can be extremely uncomfortable and challenging to manage without proper support and medical assistance. The cycle of addiction can be perpetuated by the social and environmental factors associated with lean use, as well. Peer pressure, cultural influences, and the normalization of lean within certain communities can contribute to continued use and difficulty in quitting. Additionally, co-occurring mental health issues, such as depression or anxiety, may further complicate the addiction and make it harder to break free from lean's grip. UNDERSTANDING ACCELERATED OPIOID DETOX 4. What Are the Dangers of Drinking Lean? Consuming lean poses several dangers to an individual's health and well-being. Some of the potential risks associated with lean use include: Respiratory depression: Codeine can suppress the central nervous system, including the respiratory system. High doses of lean or mixing it with other sedatives, such as alcohol, can lead to dangerous levels of respiratory depression, potentially resulting in slowed breathing, oxygen deprivation, and even fatal overdoses. Addiction and dependence: Prolonged or frequent lean use can lead to physical and psychological dependence, making it difficult to quit without experiencing withdrawal symptoms. Dependency on lean can disrupt daily life, relationships, and overall mental and physical health, and could lead to a debilitating opioid addiction. Risky behavior: The intoxicating effects of lean can impair judgment and coordination, leading to risky behaviors such as driving under the influence or making poor decisions that can have long-lasting consequences. Polydrug use: Lean is often used in conjunction with other substances, such as alcohol or benzodiazepines, which further increases the risk of dangerous interactions and overdose. 5. How Do You Detox from Lean? Lean detoxification requires a comprehensive and individualized approach. It is crucial to seek professional medical assistance when detoxing from any substance, including lean. The Coleman Institute has a 98% completion rate for our Accelerated Opioid Detox methodology using Naltrexone, a non-addictive opioid-blocking medication that can significantly reduce cravings.  Recognizing the dangers of lean and seeking professional help are critical steps in overcoming addiction and promoting a healthier lifestyle. If you or someone you know is struggling with an addiction or dependence on lean, schedule a callback below to learn about the outpatient detox options near you. SCHEDULE A CALLBACK #### What Is MGM-15? - Accelerated Outpatient Detox For Kratom Kratom products today are far more potent and complex than they were only a few years ago. What had begun as regular Mitragyna speciosa has transformed into concentrated extracts, enhanced formulas, and synthetic compounds created to intensify effects and extend duration. One of these concerning, newer substances is MGM-15, which is a semi-synthetic derivative of 7-hydroxymitragynine; 7-hydroxy is a powerful naturally occurring alkaloid found in kratom. While often advertised as a stronger or more effective alternative, what isn’t as well known is that MGM-15 carries opioid-like risks that can lead to physical dependence and challenging withdrawal symptoms. What Is MGM-15? MGM-15 is a chemically modified form of 7-hydroxymitragynine (7-OH). 7-OH occurs naturally in small amounts in kratom leaves, but it is significantly more potent than mitragynine, the primary alkaloid in kratom. MGM-15 is lab-formulated to increase potency, prolong effects, and intensify opioid receptor binding. MGM-15 does not occur naturally in kratom, and it's typically sold as tablets and liquid extract forms. How MGM-15 Affects The Brain MGM-15 acts primarily on the mu-opioid receptors, the same receptors involved in prescription opioid pain medications, heroin, and fentanyl. Repeated activation of these receptors causes the brain to adapt by reducing its own natural opioid production. Over time, using MGM-15 can lead to: Needing higher doses for the same effect Physical & psychological dependence Withdrawal symptoms when use stops Cravings driven by a neurochemical imbalance What determines withdrawal severity is not whether a substance is labeled natural, but how it activates the brain’s opioid receptors. This receptor-driven process explains why kratom and its derivatives can produce withdrawal symptoms that closely resemble opioid withdrawal. MGM-15 & The Evolution of Kratom Products MGM-15 represents the latest in the evolution of kratom products. Over time, manufacturers have moved away from raw leaf toward formulations designed to give a more intense high, including nano kratom, which is engineered for faster absorption, and pseudoindoxyl kratom compounds, a rearrangement of 7-OH to give stronger effects. Why MGM-15 Use Is So Dangerous While kratom already carries dependence risks, MGM-15 introduces additional concerns, including: Increased Potency By enhancing 7-hydroxy, MGM-15 has stronger and longer-lasting opioid receptor activation, increasing the risk of addiction. Unpredictable Dosing Because MGM-15 products are unregulated, their potency can vary widely, labeling may be inaccurate or misleading, and users may unknowingly consume excessive doses. Accelerated Dependence With high-potency kratom derivatives like MGM-15, physical dependence can develop very fast. What once could take months with traditional kratom may occur in only a few weeks, even in individuals with no prior history of substance misuse. Opioid-Like Withdrawals Stopping MGM-15 can result in withdrawal symptoms similar to those seen with opioid dependence, including but not limited to cravings, body pain, gastrointestinal distress, anxiety, and insomnia. The Withdrawal Symptoms of MGM-15 Withdrawal from MGM-15 often includes significant mental and emotional symptoms in addition to physical discomfort. These effects are tied to opioid receptor disruption and can be just as distressing. Common symptoms may include: Depressive symptoms Mood swings or panic Emotional numbness Brain fog & difficulty concentrating Reduced ability to experience pleasure These symptoms are consistent with what is observed during 7-hydroxymitragynine withdrawal, reinforcing that kratom derivatives impact the same neurochemical systems involved in opioid dependence. Can MGM-15 Lead to Addiction? Yes. Because MGM-15 directly stimulates opioid receptors, it can lead to: Physical & psychological dependence Loss of control over use Continued use despite negative consequences Repeated failed attempts to stop Many individuals attempt to taper kratom or kratom derivatives on their own, only to find that withdrawal symptoms intensify or persist. This is not a lack of willpower; it is a sign of sustained opioid receptor dependence. Why Stopping MGM-15 Feels So Difficult Detoxing from high-potency kratom derivatives can be particularly difficult due to: Prolonged withdrawal timelines Severe physical & psychological symptoms High relapse risk during self-taper attempts Traditional tapering strategies, such as going ‘cold turkey’, often fail because they do not adequately address opioid receptor dysregulation. As a result, many individuals continue using simply to avoid withdrawal. Outpatient Detox for Kratom & MGM-15 Effective kratom detox requires addressing the underlying opioid receptor activity, not replacing one substance with another, like Suboxone, which is an opioid. Our abstinence-based medically supervised outpatient detox focuses on: Quickly stabilizing the brain’s opioid receptors Minimizing withdrawals with non-addictive comfort medications Supporting long-term sobriety rather than substitution This approach is especially impactful for individuals struggling with potent kratom derivatives like MGM-15. The Bottom Line of MGM-15 Products MGM-15 is a semi-synthetic, opioid-acting compound. It's dangerous because of its potency, unpredictability, and impact on opioid receptors, making it especially difficult for individuals attempting to stop on their own. If using kratom products has become difficult to control, or stopping leads to severe withdrawals, medical detox may be necessary. Get Medical Help for Kratom or MGM-15 Use The Coleman Institute for Addiction Medicine provides physician-led, outpatient detox care for individuals struggling with kratom and other opioid-acting substances. We’ve been performing kratom detoxes since 2018 with a 95% completion rate. The Coleman Institute provides Accelerated Outpatient Detox programs at convenient locations across the United States, including: Richmond, Virginia - Insurance Accepted Atlanta, Georgia Tampa, Florida Denver, Colorado Orange County, California Free, confidential consultations are available for those seeking a safe and effective recovery! Call 888-705-9615 to connect with a compassionate staff member to learn more. #### What is Nano Kratom? - Accelerated Outpatient Detox for Kratom Nano kratom has emerged as one of the latest forms of kratom on the market. This reformulated powder is promoted as a ‘more advanced’ version of traditional kratom, created using nanotechnology to increase absorption and deliver a faster onset of more intense effects. Faster absorption means nano kratom can feel stronger and act more quickly than traditional kratom, but wears off sooner. Over time, its intensity can heighten the risk of opioid-like physical withdrawal or Kratom Use Disorder (KUD). At The Coleman Institute for Addiction Medicine, we’ve seen a growing number of our patients struggling with dependence and withdrawal from concentrated kratom formulations, including nano kratom. Understanding how these reformulated products affect your or your loved one's brain is key to finding the best path to recovery. How Does Nano Kratom Work? Nano kratom is not a new strain or chemical compound; it’s a reformulated version of standard kratom powder that’s been processed into extremely small particles, often less than 100 nanometers in diameter. This increased absorption via nanotechnology enhances how the body absorbs kratom’s active alkaloids, mitragynine and 7-hydroxymitragynine. While this process doesn’t change kratom’s chemistry, it alters how quickly the body responds. Faster absorption can make the effects feel stronger, increasing the likelihood of tolerance and dependence. Kratom’s alkaloids, especially 7-hydroxymitragynine (7-OH), bind to opioid receptors in the brain, explaining the physical withdrawal symptoms many people experience after regular use. Why Nano & Other Enhanced Kratom Products Are Riskier These ‘ultra-enhanced’ nano kratom formulations deliver higher concentrations of kratom alkaloids than natural leaf powder. Because these forms are absorbed more efficiently, they act more strongly on the brain’s mu-opioid receptors, increasing the risk of dependence and withdrawal. Other emerging derivatives, such as pseudoindoxyl (pseudo), may be even more potent due to their altered chemical structure. These synthetic variants can be especially difficult to stop using because of their strong opioid-like effects and prolonged activity in the body. Although some manufacturers market nano kratom as a ‘cleaner high’ or ‘more effective’, what they’re really describing is its increased potency, and that also means increased risk. Because long-term safety data on nano-processed kratom is extremely limited, medically monitored detox remains the safest and most reliable option for stopping use. Common Nano Kratom Withdrawal Symptoms Withdrawal from nano kratom can vary depending on dose, frequency, and individual factors, but commonly includes: Intense cravings Anxiety & restlessness Muscle aches & body pain Fatigue or insomnia Irritability or mood swings Sweating & chills Nausea, vomiting, or diarrhea Runny nose & watery eyes Because of its enhanced absorption and shorter high, nano kratom may cause stronger or faster-onset withdrawal than other standard kratom products. Our Abstinence-Based Approach to Treatment At The Coleman Institute, we use an abstinence-based approach to help people safely stop using kratom, including nano kratom, without relying on replacement medications like methadone or Suboxone. The Coleman Institute’s Outpatient Kratom Detox program makes detox quicker, safer, more comfortable, and effective through the use of non-addictive comfort medications that ease withdrawal symptoms. Using our Accelerated Opioid Detox protocols, patients can complete detox in as few as five days, without the need for inpatient hospitalization. This approach allows patients to begin recovery completely free from kratom and opioid-replacement therapies, establishing a solid foundation for long-term recovery. Nano Kratom Myths versus Facts Myth Fact “Nano kratom is not addictive.” Just like regular kratom, nano kratom is addictive. Kratom’s alkaloids activate the same brain receptors as opioids, which can cause physical dependence and withdrawal. “Kratom products help people detox from opioids naturally.” While some use kratom to manage opioid withdrawal, it usually leads to cross-dependence that requires medical detox. “You don’t need medical help to stop using kratom products.” Withdrawal can be extremely uncomfortable and destabilizing; professional medical detox services ensure safety and comfort. The Dangers of Detoxing Cold Turkey Even though kratom is legal in many states, that doesn’t mean it’s safe to quit without help. Sudden discontinuation, especially from more potent forms like nano kratom, can cause significant withdrawal symptoms that increase the risk of relapse. A supervised medical detox program provides structure, comfort, and accountability, helping patients begin recovery with professional clinical support. Nationwide Outpatient Kratom Detox Locations The Coleman Institute provides Accelerated Outpatient Detox programs at convenient locations across the United States, including: Richmond, Virginia Atlanta, Georgia Tampa, Florida Denver, Colorado Orange County, California Our experienced team of professionals has helped thousands of patients across the country safely detox from kratom and other addictive substances through compassionate, evidence-based care. Break Free From Kratom Withdrawal Today If you or someone you love is struggling with kratom products, you don’t have to face this alone. Call 888-705-9615 or schedule a callback to start your recovery journey from kratom today. #### What is the Difference Between Addiction and Dependence? Dr Craig Swainey, who specializes in Addiction Medicine and is also in long-term recovery himself, responds to a question that we are often asked here at the Coleman Institute: What is the difference between drug addiction and dependence?   The Difference Between Addiction & Dependence We get this question a lot: Is dependence the same as addiction? Does someone have to have dependence in order to have an addiction? It can be confusing, so I'm going to try to make it pretty simple here. When you hear people in the press or on the internet talk about addiction, a lot of folks use it in the context of dependence. Let me use some examples to illustrate.   Patients Concerned About Addiction I was a practicing medical oncologist for a while, and when I would start folks on pain medicine for whatever cancer they had, they would say, "Wait, wait. I don't want to take this, because I don't want to become addicted." I got that question all the time when people would start an opiate prescription, and I had to do a little bit of education there: "No, I think what you're saying is you don't want to become dependent, meaning that you don't want to take them so much that you have to have them, where you go through a withdrawal period." They would respond, "Yeah, that's exactly what I'm talking about." So there's a misunderstanding between what is addiction and what's dependence.   UNDERSTANDING ACCELERATED OPIOID DETOX   Addiction, Dependency, and Substance Use Disorder You don't have to have dependence to have an addiction. You don't have to have dependence to have a Substance Use Disorder (SUD). From here on, I’m going to say “Substance Use Disorder" instead of addiction. Most people who have substance use disorder, the majority, do have dependence as part of their substance use disorder. We do see people who don't have dependence who still have raging substance use disorders. An example of that would be the person who is a binge drinker. Once they start drinking, they drink, black out, and they do it every weekend, or something like that. Another example would be a person who only uses crystal meth a couple of times a month, but when they do, they just blast it--go to the wall. So that would be people who don't have a dependence but who do have substance use disorders.   Addiction Vs. Dependence: A Real Life Analogy People can be dependent without having a substance use disorder, so I'm going to make an analogy using caffeine as an example. A lot of us drink caffeine. A lot of us drink a lot of caffeine. A lot of us drink caffeine so much that if we don't drink caffeine, we go through a little bit of a withdrawal. We get a little bit of a headache and kind of cranky, if we don't get our caffeine in the morning. That is dependence, so there are a lot of us out there who are dependent on caffeine. If we don't get it, we go through that withdrawal period. Let's think about Diet Coke. All right, so I drink three Diet Cokes a day, and if I don't drink them, I get a headache. That's dependence. "Well, when do you drink your Diet Coke?" "Well, I drink one for breakfast, one for lunch, and then I have one in the afternoon." "Okay--every day?" "Yep." "Why do you drink it?" "Well, I like the taste of it, and when I'm thirsty and need a drink, I drink it." "Okay, that's fine." And the person still has dependence. There's nothing wrong, so to speak, with why they're drinking Diet Coke or how often they're drinking Diet Coke. Now, you have another person who comes in and says, "Yeah, I love Diet Coke. I drink a case of it a day. Every hour, I'll knock it down." "Okay, that's a lot of Diet Coke. Why are you drinking so much of it?" "Well, it just relaxes me, and if I don't have one in my hand, I just don't feel right. It helps me with my anxiety, helps with this, that, and the other." "Okay, well, drinking that much Diet Coke, is that bothering you, sir?" "Actually, my wife doesn't like it because I'm spending a lot of money, but I like this specific type of Diet Coke, and I have to get this from the store. I'm stocking up on it, and money's been an issue, but we get through it." Clearly, those are two different examples. The first example is person who's drinking Diet Coke three times a day, has a dependence, but it's not causing any problems. They are drinking it for normal reasons, so to speak. They're thirsty; they like the taste of it. Then you have this other person who's knocking down a case of it every day--and that's an extreme example--don't get me wrong. I used it to illustrate that it's not about dependence. It's about: How are you taking it? Why are you taking it? Is it causing problems? All that mixes in to make up a substance use disorder.   Dependence Can Lead to Substance Use Disorder Dependence is just dependence. Dependence doesn't mean anything other than if you don't take whatever it is, you go through a withdrawal period. That's all it means. It doesn't mean there's a problem. It means that there could be a problem, that's for sure, but it's not required to have a substance use disorder. So I know that's confusing. I hope that example helped a little. If it didn't, write us back. Let us know. I'll do everything I can to answer your questions. Craig Swainey, MD Medical Director Coleman Institute for Addiction Medicine   SCHEDULE A CALLBACK #### What Makes Detox with the Coleman Institute Different? I just spent some time reading Google reviews for the Coleman Institute. Many patients reference their recent experiences, while other narratives go back years. For myself, I’ll never forget my first inkling of what it meant to be a patient here. In 2007 I was interviewing for a Family Nurse Practitioner position in the Richmond, Virginia area. I’d been working for five years, and my current employer was planning to retire. I answered an ad in the newspaper and met with Dr. Coleman soon after. It seemed like a good fit: he was a genuinely nice, laid-back Kiwi (he is from New Zealand), the office was within biking distance, the staff very pleasant, and the family practice patients were diverse. As our conversation was coming to a close, Dr. Coleman informed me that he also practiced Addiction Medicine. Although I didn’t really know what that entailed, it wasn’t the kind of statement that made me want to sign an employment contract. I politely thanked him and told him I was going to continue with some other interviews but agreed to return and shadow him for a couple of hours to learn about this part of his practice. I think I’d already made up my mind that this wasn’t the gig I was looking for. A few days later, I returned to follow Dr. Coleman around as he introduced me to ‘Addiction Medicine’. Gaining Perspective to Addiction Medicine There is a Rule of 3’s for writers; you build up the drama a bit by talking about the first thing, then the second thing, and the 3rd thing is supposed to be the crescendo. I could embellish this story by making up two unmemorable patients we saw first, but the truth is, the very first exam room we entered delivered a pinnacle moment. A mother and father were in the room with their twenty-something son. Before Dr. Coleman could introduce me, the mother ran over to him, embraced him, and cried, “We have our son back! Thank you… thank you,” with tears streaming down her face. Since becoming a patient of the Coleman Institute, their son had been off opioids for 6 months, utilizing long-acting Naltrexone—a non-addictive opioid blocker—to help him in his journey. He had been prescribed pain medication for two years after a surgery, became physically dependent, and then turned to heroin when the medication was discontinued—an oft-told story in our country. I didn’t need to see more. I signed on. Lives Reclaimed with the Coleman Method As I read through the Google reviews and watched the patient testimonial videos this morning, I couldn’t help but think how gratifying it has been to have joined this treatment program more than fifteen years ago and been allowed to be a part of helping people reclaim their lives from the destructive power of addictive substances. I believe that—beyond stellar medical service—what we have always offered (and continue to offer), is a vehicle for hope. I’m uncertain precisely how many patients have been able to stay sober over the long-term; I know some have returned to us over the years after relapsing. Many more have sent friends and family members. Occasionally we will hear from a grateful patient who was treated over 25 years ago when Dr. Coleman was pioneering his treatment for people with Substance Use Disorder as one of the first practitioners utilizing long-acting Naltrexone. In Maya Angelou’s words: “I've learned that people will forget what you said, people will forget what you did, but people will never forget how you made them feel.” This is why I think people write the kind of reviews we (mostly) have on Google and other platforms. This is why they return after relapse. This is why they send their family members and friends. This is why they send cards and emails and update us on their progress. A True Understanding of Addiction Gives Hope From the very beginning, Dr. Coleman understood the disease of addiction. He himself has been in recovery for almost forty years. His belief that each and every patient we serve can also experience recovery has provided hope for thousands of people. He remains passionate not only that our team deliver the highest standards of patient care, and that treatment is based on current research in the growing field of addiction medicine, but also he has laid the foundation for a setting where a person with Substance Use Disorder feels welcomed and not judged. Our patients are our VIPs; they are treated with compassion, respect, and warmth. Over the years he has taught staff and patients formally and informally, bringing employees to recovery meetings and recovery residences to deepen our knowledge on the disease of addiction. He hosts meetings with others in similar fields in the local community so our office can smoothly make referrals as appropriate, and he is part of a group of ‘like-minded doctors’ from around the world who discuss the nuances of substance use disorders and confer with colleagues. UNDERSTANDING ACCELERATED OPIOID DETOX A Team of Experts Caring with Kindness Recently, the Coleman Institute has been fortunate to bring on Dr. Craig Swainey as a Medical Director on the team with extensive experience treating people with Substance Use Disorders; he is also a person in long-term recovery. When I or one of my colleagues are screening patients who are so nervous to sign on for an opioid, fentanyl, or alcohol detox (taking this important step for the first—or maybe forty-first—time), it is so gratifying to be able to answer questions and address their specific concerns. We are happy to share as much as potential patients request in order to convey a realistic idea of what they and their support person should expect. I have to mention the first round of people who are at the call center and interact with our patients. Over and over again I get feedback about their helpfulness in answering questions and providing important information. Even in the midst of as serious a medical procedure as any alcohol, Fentanyl, or opioid detox, I often hear our front desk team members sharing a laugh with new patients, immediately putting them at ease. Our medical assistants, counselors, and case managers consistently are mentioned in our reviews as kind, caring, compassionate and competent. Although staffing inevitably changes at any place of business, the consistent threads of kindness, respect, competence, and compassion have persisted, and for most of our patients, continues to provide a truly profound experience on their individual recovery journey. The Coleman Institute Family is Here for You Obviously this isn't a blog with a lot of facts or data, but it is a heartfelt tribute to my colleagues and the 'DNA' of the Coleman Institute. There are really not many places in this country that provide an outpatient opioid or alcohol detox, coupled with long-acting naltrexone on the final day. Perhaps even fewer that share the camaraderie and dedication you will find here. We invite you to schedule a callback with us if you have any questions for our team. Joan Shepherd FNP SCHEDULE A CALLBACK #### What to Avoid When Taking Naltrexone After Opioid Detox Naltrexone, an opioid antagonist and critical component of the Coleman Method for opiate and alcohol detox, is an invaluable resource in the fight against opioid addiction. Its mechanism, which involves binding to and blocking opioid receptors in the brain, ensures that individuals do not experience the typical effects of opioid drugs. Administered after an opioid detox, Naltrexone can significantly reduce cravings and prevent relapse. At the Coleman Institute, we offer two kinds of Naltrexone therapy to our patients: A Naltrexone implant, which is the size of a small vitamin capsule implanted is inserted into the abdomen and lasting for up to 8 weeks; and Injections of Vivitrol, a formulation of Naltrexone, which are administered monthly. However, while Naltrexone is extremely beneficial, there are several essential precautions to consider and things to avoid while taking Naltrexone post-detox. Avoid Opioid Use While Taking Naltrexone The number one rule, and perhaps the most evident, is the strict avoidance of opioids. Naltrexone's blocking ability means consuming opioids will not produce the desired euphoria. This might tempt some into consuming higher opioid doses in an attempt to bypass Naltrexone's blockade. This can lead to a dangerous overdose. The importance of this cannot be overstressed: while on Naltrexone, opioids must be entirely off the table. Naltrexone and Pain Management Complications Pain management becomes a nuanced issue for those undergoing Naltrexone Therapy. In cases of acute pain, such as post-surgical pain or after an injury, the usual opioid-based painkillers are ineffective due to the presence of Naltrexone. Thus, if you're on Naltrexone, it's crucial to make all healthcare providers aware so they can devise alternative pain management strategies. Non-opioid analgesics or other methods might be the recommended course of action in such scenarios. Interestingly, while Naltrexone has also been used in treating alcohol dependence, it's crucial to exercise caution when consuming alcohol. Using Naltrexone and alcohol simultaneously, especially in large amounts, can put undue stress on the liver. For those on Naltrexone, frequent monitoring of liver function is preferred, and eliminating alcohol use is recommended. Over-The-Counter Medications and Naltrexone The world of over-the-counter (OTC) medications and herbal supplements is vast and varied. What many might not realize is that some of these products may contain opioid or opioid-like compounds. These can interact adversely with Naltrexone, negating its effects or leading to unexpected side effects. It's always a wise practice to thoroughly vet any OTC medication or supplement with a healthcare professional before consumption. GUIDE TO UNDERSTANDING NALTREXONE THERAPY When to Stop Taking Naltrexone Discontinuing Naltrexone should only be done under the supervision of your physician or addiction specialist. When you complete our Accelerated Opiate Detox and start Naltrexone Therapy at the Coleman Institute, our team of addiction experts will guide you on the best way to get off Naltrexone. Abrupt cessation can lead to an immediate resurgence of cravings, placing individuals at a heightened risk of relapse. Get The Support You Need with Naltrexone Therapy Engaging with one's environment and social circles while on Naltrexone demands a certain level of mindfulness. Previous triggers, such as certain places, people, or situations that were associated with drug use, should be approached with caution or avoided entirely. While the medication helps reduce physical cravings, the psychological pull towards opioids can still exist. It's crucial to cultivate a supportive environment that understands and respects the recovery journey. Integrating a comprehensive recovery program with Naltrexone Therapy is essential, as it combines the medication's power to reduce cravings and block the effects of opioids with the psychological and social support necessary to rebuild a life free from dependency and addiction. This dual approach fosters resilience and equips individuals with the coping strategies and community connections critical for sustaining long-term recovery and improving their overall quality of life. When used appropriately post-opioid detox, Naltrexone can be your lifeline. By being aware of potential pitfalls and arming oneself with knowledge, individuals can maximize the benefits of Naltrexone while ensuring their safety and setting the stage for a successful, long-term recovery. Are you ready to take the next step and learn more about the Coleman Method for opioid addiction using Naltrexone Therapy? Schedule a callback to get more information, get an appointment, and get into recovery for opioid use. SCHEDULE A CALLBACK #### What To Do If You Relapse Back Onto Fentanyl Fred came for an implant yesterday. He detoxed off of street fentanyl 10 weeks ago. He was about a week late for his scheduled naltrexone implant and as the time drew closer to his return visit, he was getting antsy. An argument with his wife, who is rightfully having trouble trusting Fred, caused him to get — in his own words — “a f__k-it attitude”. He found his old contacts easily, bought heroin and crack and, for the first time in weeks, ingested drugs into his body. Using Naltrexone Therapy To Avoid Relapse The naltrexone was still blocking his opiate receptors. This was a mixed blessing in Fred’s mind. The whole time he was fighting with his wife, he knew he was setting himself up to use. He said he was actually watching the whole thing play out, as if he were in the theater, stoking the argument so he could blame her for feeling so misunderstood, storming out of the house, calling a guy he only called when he wanted to get high — a guy who agreed with every complaint he made about his wife. Fred said it was like being on a circuit he told himself he couldn’t get out of…even though he knew he could. By then, he didn’t want to. He was not surprised when he didn’t get high. The long-acting naltrexone implant was still blocking most of his opioid receptors. He could have continued to use and perhaps displace enough naltrexone to get high and possibly overdose, but by then, he was feeling pretty stupid and pretty disgusted with his choice. He went back home. So when Fred showed up for his implant, his urine was positive for fentanyl, cocaine, and THC. Because he had only used once and it was obvious the naltrexone was still blocking opioids, we were able to give Fred his second implant without the danger of putting him into precipitated withdrawal. Reminder: Relapsing Is Not Failing I was so grateful that Fred came back. Our whole staff enjoyed his sense of humor and swagger during his detox. His wife, Deb, was clearly devoted to this man, even though she rolled her eyes more than once at his jokes. Fred had used heroin for a few years when he was young, then had a clean period of close to eleven years. Three years ago he was prescribed pain medication for a back injury, and it didn’t take long for him to slide into daily use and buying drugs on the street. He hid it for a while, but when Deb and his daughter became aware and convinced him of their support, he signed on for a detox. (by the way, we were able to get him in three days after he called). Slipping up after the detox and the first implant, it would have been so easy for Fred to get stuck in a shame, fear, and failure story, and be lured by the siren call of the opioids. Our outpatient opioid detox at the Coleman Institute for Addiction Medicine helps determined people to not only get off street drugs such as heroin, pressed pills, and fentanyl, but also prescription pain pills such as oxycodone, Percocet®, Dilaudid®, Opana®, Ultram®, hydrocodone, and methadone. We know it’s hard. Our outpatient detox program allows our patients to safely, quickly, and pretty comfortably, get off addictive substances and switch to naltrexone. UNDERSTANDING ACCELERATED OPIOID DETOX Reduce Withdrawal Symtoms When Stopping Naltrexone Unlike methadone or Suboxone®, naltrexone is merely a blocker. Although the other two medications are accepted treatments for Opioid Use Disorder, naltrexone is the only one that will not cause physical dependence. When a person is ready to stop using naltrexone, there is simply no withdrawal. The Coleman Institute has specialized in the use of long-acting naltrexone treatment for over 20 years. Among the many reasons to use long-acting naltrexone, and even more compelling as the world adjusts itself to life during a pandemic, is the elimination of daily clinic visits for methadone and weekly or bi-weekly clinic visits for buprenorphine products. Staying Committed to Recovery Fred got his implant and promised to return in two months. He also decided that he would take advantage of our social worker, Judi’s offer to help him find a therapist to work with. I couldn’t help but think about a blurb I had just read describing Kintsugi, the Japanese art of putting broken pottery pieces back together with gold — built on the idea that in embracing flaws and imperfections, you can create an even stronger, more beautiful piece of art. In the words of Andrea Montovani... The kintsugi approach makes the most of what already is, highlights the beauty of what we do have, flaws and all, rather than leaving us eternally grasping for more, different, other, better. In other words, the experiences you have, and the person you already are, suffice. You may occasionally chip and break and need repairs. And that’s fine. But reality is the best and most abundant material on the planet, available to anyone, comes for free, and we can all use what we already have — including our flaws — to be even more beautiful.” Please schedule a call below if you’d like to learn more about our Accelerated Opioid Detox process. Joan Shepherd, FNP SCHEDULE A CALLBACK #### What to Do if Your Doctor is Refusing to Prescribe (Opioids) Pain Medications Is your doctor refusing to prescribe you pain medication? Keep reading to find out what you can do if your doctor is refusing to prescribe you pain medications and how the Coleman Institute can help you on the road to recovery. Doctors Prescribing Pain Medications Although pain medication is still appropriately prescribed for post-surgical procedures, prescribing habits have changed dramatically. Doctors and other providers have realized, too little too late in many cases, that people do not need to be on extended narcotic pain medication for months after surgery. More like this: Avoiding Dependency and Addiction if Opiate Painkillers are Prescribed Ester’s Story Esther is a mother of 3 children who has mostly been homeschooling since Covid roared into the scene. At first, homeschooling was reactionary and battle-driven. Now she and her children have settled into a quiet—at least as quiet as homeschooling children ages 3, 6, and 12 can be—schedule. Over the years, Esther suffered from a multitude of gastro-intestinal and gynecologic issues. As a result, she had multiple surgeries to fix things and correct the original surgeries that didn’t quite work. Unfortunately, Esther was a victim of being over-prescribed pain medication and came to the point where she didn’t know where the pain stopped, and the physical dependence began. She knew that she got sick when she didn’t have 30mg oxycodone, 3-4 at a time, at least three times a day. More like this: Relapse After Surgery: When It Collides w/ Substance Use Disorder Ester Was Prescribed Roxicodone At first, Esther was prescribed her 30mg Roxicodone, 90 pills a month, by her primary care provider. She never abused her medication or took it incorrectly. Her urine never showed illegal substances, and even when cannabis use was becoming much more accepted and commonplace, she never touched it. She and her husband were raising three children; drugs like cocaine or other party drugs were just not a part of their lifestyle. Esther said sometimes she thought it was odd that her provider didn’t bring up the subject of weaning her down off her medication; it was a conversation she dreaded but also figured at some point would have to be addressed. But instead, what happened turned out to be a nightmare that Esther never saw coming. More like this: Help Me, Please! My Doctor Won’t Stop Prescribing Pain Medication Ester’s Doctor Stopped Practicing About two weeks before her next refill was due, Esther got a recorded call from her doctor’s office stating he was no longer practicing, and “We apologize for any inconvenience this may cause you. The receptionist will mail a list of providers in the area to you.” Only once before had Esther experienced being without her pain medication in the six years she’d been taking it. The family had booked a beach house on the Jersey shore. Three hours into their trip, about an hour past the time Esther would typically take her 2nd dose of the day, she realized she’d left it behind. When they turned around and got back home to retrieve it, she was having stomach cramps, sweats, and body aches. She was astonished at the ferocity of her body’s response to having no medication and vowed never to let it happen again. More like this: I’m Addicted But I’m Not An Addict Searching for a Doctor for Pain Medication Frantically, Esther drove to her doctor’s office. She could get one more month’s worth of medication prescribed, and she immediately began to search for another provider. She had no idea how difficult it would be to find someone willing to prescribe her pain medication. The first physician that she went to immediately cut her down to a level that kept Esther constantly in a state of withdrawal. She found a pain management doctor, but the doctor’s license was revoked for mismanagement before she had the first appointment. In what seemed to be a miracle at the time, Esther’s husband knew a co-worker in his HVAC company who said he could help them out; he told his wife was prescribed medication she didn’t need anymore. He knew so many people struggling to find a medical practitioner like Esther was, and he was happy to help.   UNDERSTANDING ACCELERATED OPIOID DETOX   Her Pain Medication Became Too Expensive Both Esther and her husband Tom knew this wasn’t right. But her fear of withdrawal and frustration with the medical system that was failing to help her gave them all the justification they needed. Of course, their insurance was not covering the pills, so the arrangement became quite expensive. Ester Wanted to Stop Taking Oxycodone Esther desperately wanted to stop taking the oxycodone. She had researched methods to stop and had tried herbs from a vape store that promised to help with her withdrawal. Instead, Ester bought Suboxone® from another source and put herself into precipitated withdrawal. She tried to get admitted through the ER but was told that because of Covid, the hospital could no longer treat patients in person. So instead, the ER wrote her a prescription for clonidine and some medication for nausea. More like this: The Truth About Suboxone® Ester Finding the Coleman Institute During her research, Esther found the Coleman Institute. It honestly sounded too good to be accurate, but it sounded exactly like what she was looking for. But could those testimonials be genuine? It checked off everything on her wishlist: Outpatient detox Cheaper and safer than a hospital stay Immediate availability Her husband could be with her the whole time Able to spend nights at home with her family She was guaranteed not to be put on another drug which caused physical dependence when she was finished She would miraculously be done with her detox in less than a week She would receive case management and medication for a full six months Her insurance might even cover the cost More like this: Accelerated Opiate Detox (AOD) FAQs Accelerated Opioid Detox Esther completed an Accelerated Opioid Detox with us several months ago and did incredibly well. However, she was shocked to learn that the pills she was purchasing had not one bit of oxycodone but pure fentanyl. Esther looked serene as she came in for her third naltrexone implant. When I asked her what was the best part of life now, she smiled and said, “making breakfast for my kids—taking a shower. Knowing I don’t have to do something illegal every day not to get sick. Knowing I can focus on my family. it’s just all the small things.” More like this: Taking the First Step in Your Recovery Journey At the Coleman Institute our focus is bridging the gap between getting people off substances that cause physical dependence such as oxycodone, Oxycontin®, hydrocodone, Vicodin®, Roxicodone®, Dilaudid®, tramadol, methadone, Suboxone®, heroin, fentanyl, kratom, and other medications in this category, and then getting them on long-acting naltrexone. Naltrexone Naltrexone is a medication that rests on the opioid receptors, creating a blockage to prevent any other opioid from taking up residence. Because the opioid receptors are covered with naltrexone, our patients will not experience physical cravings. There is no withdrawal when the naltrexone wears off in about eight weeks. Our program provides three naltrexone implants, which means about six months of opioid blockage. Many of our patients opt to continue taking naltrexone for even longer. More like this: 3 Important Differences Between Suboxone and Naltrexone Therapy for People Addicted to Opioids Conclusion Esther’s story is not uncommon. Many of our patients have found themselves in a position they never thought they would be in in a million years: buying pain medication from someone rather than their local pharmacy and medical provider. And, like Esther, most of our patients who can finally stop taking their (opioid) pain medication find they do not experience the pain they initially were being treated for. This is likely due to Opioid-Induced Hyperalgesia (OIH), the paradoxically increased sensitivity to pain from prolonged use of opiates to treat pain. The original injury has healed, but the opioids are masking that reality. It isn’t true for everyone, but we see it in many patients. It is a confounding and frightening situation to find oneself in. Unfortunately, far too often, people are put on buprenorphine products like Suboxone® to address this problem quickly. While this can be an utterly appropriate option, many people don’t get the full story that it is equally difficult to stop taking this category of medication. I had met so many patients over the years that really would not choose to be on any medication that would cause sickness when they stopped taking it! If you have researched the three types of Medication-Assisted Treatments (MAT) for Opioid Use Disorder (OUD) and still have questions, please give us a call. It is a lot to digest, and our staff can help you understand the pros and cons of the different treatments. In the meantime, stay safe and take care. Joan Shepherd, FNP   SCHEDULE A CALLBACK   #### What to Expect When Detoxing from Opioids The growing prevalence of opioid addiction has made seeking treatment especially important for people and their loved ones. But knowing what to expect from withdrawal and your detox program can clarify what the experience is like so that you’re in control of your own recovery and sobriety. You don’t have to go through opioid detox on your own, and finding the right program for your recovery is the best first step you can take. Here we’ll answer any questions you might have about opioid withdrawal, addiction treatment, and finding the right program for you. What Is Withdrawal Like? Experiencing any sort of withdrawal is uncomfortable – to say the very least. Drug addiction affects our mental and physical health because we become dependent on that substance. Someone using opioids – which can include opiates, heroin, methadone, Suboxone or other painkillers – will eventually develop a tolerance, making withdrawal from the substance painful. Many people fear (and avoid) the discomfort that comes from a detox, especially if they’ve tried quitting before on their own and know how taxing withdrawal can be. Symptoms of withdrawal can range from mild to severe and look different for everyone depending on the opioid used, dosage, and length of use. The most common symptoms of opioid withdrawal include: Fatigue, low energy Insomnia Mood changes, irritability, anxiety, agitation Hot and cold sweats Muscle aches and pains Abdominal cramping, nausea, vomiting, diarrhea Detoxing in an environment with professionals who understand and regularly treat addiction, however, is a good option if you’re looking to alleviate withdrawal symptoms since they have specialized knowledge and access to comfort medications not available over-the-counter. Choosing the Right Opioid Detox Approach There are a few different ways to go through detoxification. Depending on the substance and amount being used, patients should consider their options and find a method that best suits their needs and lifestyle. Self-Detox or Going Cold Turkey People may choose to self-detox and stop using an opioid on their own. Often the discomfort and pain of withdrawal are too much to tolerate without the support of a program or professional help, and most patients end up using again. Inpatient Detoxification Inpatient detox methods can be effective but are often costly, uncomfortable, and require patients to stay in a facility, such as a hospital or clinic, during their treatment. Most insurance companies won’t cover this care for the entirety of the treatment, and often patients aren’t able to fully detox without paying the costs. SCHEDULE A CALLBACK Ultra Rapid Detox (URD), Ultra Rapid Opioid Detoxification (UROD), or Anesthesia Detox During this procedure, patients are put under anesthesia during their hospital stay and given Naltrexone to quickly flush the drugs out of their system (sometimes in just five minutes). While URD has a high completion rate, it’s a considerable shock to the patient’s system and comes with many physical risks. Accelerated Opioid Detoxification Using sedatives to make detox as comfortable as possible, the Accelerated Opioid Detox at the Coleman Institute can take as few as three days of outpatient treatment, meaning you are not required to stay overnight at our office locations. With a 98% success rate for getting patients through the detox, our patients often can complete their detox over a long weekend or holiday break, without having to completely rearrange their personal lives or schedule. Additionally, we highly encourage our patients to begin Naltrexone therapy with us immediately the following detox in order to reduce the risk of relapse. Naltrexone is a non-addictive opioid blocker that reduces cravings and helps to reduce the risk of relapse. ASK FOR HELP What Happens During my Accelerated Opioid Detox Using the Coleman Method? Before new patients begin our Accelerated Opioid Detox program, there are a few things to consider: For short-acting opioids, patients are required to abstain for 12 - 16 hours before they begin detox. If using Methadone or Suboxone®, the patient would need to abstain for about 36 hours. All patients will be medically screened prior to their arrival. Each patient must have a support person (family member or friend) with them during and after their detox (for 48 hours). Patients are monitored at all times and are not allowed to drive during this time. During the first stage of detox, patients are given medicine to help with withdrawal symptoms and to keep them comfortable. Throughout the withdrawal management process, our patients typically sleep a lot. On the final day of the Accelerated Opioid Detox, patients are taken to their own room for the day and given an IV line. Over a 6- to 8-hour period, we use small doses of “opiate antagonists” which gently flush the opiates out of the patient’s system. Sedatives are available to help with any discomfort. Following this treatment, patients begin Naltrexone therapy. Most patients opt for the Naltrexone implant which dissolves under the skin over two months. This non-addictive medication will minimize cravings and block opioids to reduce the risk of relapse. After detox, the patient’s brain receptors will start to heal and endorphin levels will begin to normalize. Patients can experience Post-Acute Withdrawal Symptoms (PAWS) after detox; this is typical for all types of detox treatments. Symptoms can vary between individuals, but our staff can prescribe medication to help with discomfort. Seeking Treatment for Opioid Addiction at the Coleman Institute for Addiction Medicine Addiction medicine is a highly specialized field, and you want to find the right program for your recovery. The program that you choose to support your detox should meet your own personal needs. We encourage anyone looking for information on treatment to reach out with any specific questions; we’re committed to supporting your recovery and health. Whether you’re struggling through withdrawal symptoms or need support for a loved one, our Care Advocates are here to answer any questions you have. Give us a call at 877-773-3869 or schedule a callback from one of our team members. SCHEDULE A CALLBACK #### What To Know About Boosting Energy After Stopping Opioid Medication It happened again. The office phones had just transitioned to the answering service for the evening when a call came through from a patient who had completed an accelerated opioid detox (not to be confused with ultra-rapid (anesthesia-using), hospital-based detox) three days earlier. Jimmy (not his real name) is a 40-something, big, strong, smart man in the construction business. He works on high-end projects in the Richmond area and he was not feeling good. “I’ve got no energy. I’m dragging myself to work, but I don’t remember ever feeling this tired. Is there anything you can prescribe or anything I can take over the counter?” He was almost pleading. Low Energy After Opioid Detox One of the calls we field the most and one of the topics we address during the detox is how a person will feel after they complete their own rapid detox off opioids. Whether the opioid is heroin, fentanyl, oxycodone, hydromorphone, oxymorphone, hydrocodone, tramadol, (increasingly) kratom, methadone, or buprenorphine (to name a few), it is simply going to take some time before the brain’s dopamine is restored and the energy returns. Low energy is a transient phase. Knowing that you’re working through a phase of PAWS can help to keep you motivated during recovery. Opioid Detox Timeline Using the Coleman Method Detoxing from opioids with the Coleman Method has a 98% success rate and can be completed in as few as 3 days. The exact number of detox days are dependent upon the substance you are detoxing from, your medical history, and your specific situation. Following a detox, some may experience Post-Acute Withdrawal Syndrome or PAWS. Although I can’t be specific about each particular person’s recovery time, a patient can usually count on the toughest phase to last from 2 weeks to 2 months. During this time, lack of energy, appetite, and sleep are the norm. I base this statement on my almost 15 years of working with people recovering from opioid dependence and addiction. High anxiety, low energy, and being irritable can feel overwhelming as the brain and body work hard to reach a healthy balance. Certain memories can trigger these feelings. Many report this phase feels like being on a roller coaster of emotions. It may not feel like it, but these feelings are actually a healthy indicator that the body is returning to its natural state before it was overcome with disease of addiction. UNDERSTANDING ACCELERATED OPIOID DETOX Patients who continue to follow up with us and stay on naltrexone, one of the three evidence-based options for Medication-Assisted Treatment (MAT) for Opioid Use Disorder, continue to feel better and better, with improvements in energy, sleep, appetite, and anxiety. Boosting Low Energy IS Physical and Emotional I spent a few minutes reminding Jimmy about the image we had looked at together of how the brain’s dopamine is depleted when opioids are stopped after extensive use. I suggested he stay incredibly well hydrated and use medication we provided to help him sleep in the short term. I also suggested—with a little hesitation—because I guess I have some stereotypes about big strong construction workers journaling, that Jimmy keep written track of a few markers of his progress, both physically and emotionally. Things like: Creating good sleep hygiene habits: Sticking to a sleep routine that allows you to get extra rest is extremely helpful in recovering from a substance use disorder. Healthy Food: Eating something good for the body and not overly processed, high fat and carb food. The body has to work hard to process foods with high fat content, which can lead to even lower energy levels. Replenishing the body with crucial vitamins will help with a smoother recovery. Drink water: Chronic dehydration is a common occurrence amongst those with use disorders as they have been neglecting their body’s needs. Drinking enough water helps to keep the body functioning at optimal levels especially as the kidney’s work harder to remove extra toxins from the body. Doing one thing specifically for recovery: Attend a meeting, read some inspiring recovery literature, connect with a sponsor, listen to a podcast to reinforce the decision to get off opioids. Old thinking patterns become reinforced with the media one surrounds themselves with. It can help to inspire confidence in the choice to stick with recovery by hearing regular messages and stories from sources you respect and wish to be like. No Cravings After Opioid Detox at the Coleman Institute The other stereotype Jimmy kind of crushed for me happened when his voice wavered and he told me that we had ‘saved his life’. That ever since he became dependent on opioids, he had been trying to stop using them and nothing else had worked for him. He said he had absolutely no cravings. He couldn’t believe it. This is the power of one's will backed with the medicinal help of Naltrexone. Making the decision to go opioid free is the biggest step. No bravado, no ego, no machismo…just gratitude and humility. Perhaps this is why I have never worked in another setting for as long as I have practiced at the Coleman Institute for Addiction Medicine. I am truly touched by my patients every day. Joan Shepherd, FNP SCHEDULE A CALLBACK #### What's the Difference Between Using Naltrexone and Buprenorphine (Suboxone) for Opioid Detox? I started a new patient, Jimmy, for his Accelerated Opioid Detox today. He thought he was coming off heroin, but his urine also revealed fentanyl—almost a daily occurrence now at the Coleman Institute. He was here with his father, Bob, who didn't really understand about finding fentanyl in the urine. A lot of heroin is being mixed with fentanyl, which makes an overdose more likely since it’s so much stronger than heroin. In fact, a neighboring county no longer posts their local opioid overdoses in the newspaper. Turns out when an overdose has happened, people think that’s where to find ‘the good stuff’. Medication-Assisted Treatment Options for Opiate Detox We continued to discuss the outpatient detox program, which was extended from 4 to 5 days due to the presence of the fentanyl. Throughout the instructions about the detox process and what to expect over the next few days and weeks, Bob had many questions. One of the more confusing aspects of figuring out how to help your loved one get off heroin (or Percocet®, Oxycontin, Dilaudid®, Vicodin®, etc.), is understanding the differences in the various forms of Medication Assisted Treatment (MAT) for Opioid Use Disorder. Maintenance therapy includes methadone and buprenorphine products such as Subutex®, Zubsolv®, and Suboxone, all of which are long-acting opioids. Suboxone and Zubsolv® also include naloxone to help prevent misuse. These medications can create physical dependence or addiction. If a person takes them for an extended period of time, severe opiate withdrawal symptoms occur when a person tries to stop. Bewildered parents, including Bob, ask incredulously, “Why do they put people on another addictive medicine? Aren’t they trading one drug habit for another?” FREE GUIDE TO DETXOXING OFF SUBOXONE Naltrexone: An Alternative to Traditional Opioid Detox Not surprisingly, our patients usually know a lot more about the facts and nuances of the different MATs than their parents (or many medical providers). Jimmy told his dad that he had used Suboxone himself while attempting to detox from heroin, but it didn't work; when he had the opportunity to use heroin, he simply traded off the Suboxone. Products containing buprenorphine have high street value, as it can stop a person from going into opioid withdrawal. Suboxone prescribers are numerous and, with recent legislation, doctors can now have up to 250 patients on buprenorphine—previously they were limited to having 30 in their first year of prescribing, and in subsequent years, 100. Additionally, now both nurse practitioners and physician's assistants may qualify to be buprenorphine prescribers. It is so much more available to people, and it can be as easy as collecting payment and writing a prescription. Some addiction medicine practices require their patients on Suboxone (or other forms of Buprenorphine) and methadone to attend counseling, and some insurance companies make this a qualification of covering the cost of the medication. But for the patient who prefers to not be on another addictive medication, Naltrexone Therapy is an option. As opposed to a maintenance medication, we think of Naltrexone as an abstinence medication, since it is not mood-altering and non-addictive, so the person taking this medication does not become physically dependent. But before a patient can get on Naltrexone—a pure opioid blocker, all the opiates must be out of the system. How Does Naltrexone Therapy for Opioids Work? The opiate receptors are like locks that very specific keys fit into. The keys are any form of long or short acting opioids: Oxycontin, oxycodone, Vicodin®, Opana®, Dilaudid®, fentanyl, heroin, methadone, buprenorphine, etc. Remarkably, Naltrexone also fits into this lock. However unlike the opioids, Naltrexone doesn’t ‘turn on the switch’. It creates no euphoria and no dependence. It is simply a pure opioid blocker. In order to populate the receptors with Naltrexone, the opioids need to be removed from the body. This is why people come to the Coleman Institute. When I say the opioids need to be removed from the receptors, what that really means is opioid withdrawal. Anyone who has experienced a "cold-turkey" withdrawal symptoms can tell you what it is like and why they do anything possible to avoid going through it. Many of the patients we see are hesitant to go through any process that involves removing opioids from their system. Start Your Rapid Detox with the Coleman Institute Dr. Coleman has trained doctors across the country to provide an Accelerated Opioid Detox. By giving minute doses of Naltrexone to patients daily, we gradually remove opiates from the receptors. We provide the support person with specific instructions for several medications to help with the withdrawal symptoms, thereby shortening a miserable ten-day to one-month experience down to 3 to 8 days, depending on what opioids our patient has been using. I generally tell my patients they will experience a couple hours of relative discomfort, and 22 hours of feeling tolerably good during a rapid detox at the Coleman Institute. Please call our team of patient advocates in our Richmond, VA, office or one of our nationwide clinics near you if you have any questions about any of this. It can be so confusing to figure out what is the right choice at any given time. Options for people with Substance Use Disorder abound, and we will be happy to answer your questions. Joan R. Shepherd, FNP SCHEDULE A CALLBACK #### When Does Energy Come Back After Opioid (Pain Medication) Withdrawal? Brenda is a 54-year-old woman who told me, “I am so sick and tired of being dependent on pain medication, I could scream.” She tried several times to stop taking her medication. She would get so far before the withdrawal became intolerable. One of her biggest problems is that she kept experiencing low energy levels after stopping. She needed answers to “when and how does my energy come back after opiate withdrawal?” Pain Medication After Surgery Brenda was first put on medication when she had various abdominal surgeries. At first, she was able to stop taking the pain medication between surgeries, even though she had bottles of pain medication left over. “The doctors didn’t think twice about prescribing pain medication, even though I really didn’t need so much.” But on the last surgery to repair an abdominal hernia, something happened, and Brenda never stopped taking the pills. Finally, her surgeon told her she needed to get the medication from her primary care doctor. He prescribed them for about three years until he turned her over to a pain management doctor. How Do I Stop Taking Pain Meds? “No one really talked to me about how to stop—I really didn’t even know if I was still having pain or what…I just knew if I missed a dose of medication, I felt like a flu was coming on. I did a little research and realized I was physically dependent.” Although Brenda no longer wanted or needed to be on her oxycodone (she was taking between 50-60mg/day), she was terrified to stop. She was nervous to bring it up to the doctor because she was fearful of being cut off. Brenda had heard far too many horror stories of people being dropped from their prescriber and getting medication ‘on the street’. If you find yourself in the situation where your doctor is refusing to prescribe you pain medication, learn what you can do here. “I wouldn’t have even known how to start looking for a dealer”, she laughed. “I am kind of sheltered and naïve.” Ironically, although the doctor who prescribed her medication was not able to offer her a solution for stopping, Brenda felt like he was very judgmental of her for still taking them. She was really stuck between a rock and a hard place. More like this: How Can I Get Off These Bloody Pain Medications? Pain Medication Dependence Brenda searched on the internet for “how to get off pain medication”,“how to avoid withdrawal from oxycodone”, and “signs and symptoms of oxycodone addiction”. She knew she wasn’t an addict, but she knew she was absolutely physically dependent. Finally one of her searches turned up the Coleman Institute for Addiction Medicine. The Coleman Institute has been the leader in helping people get off addictive substances for over twenty-five years. Specifically, we help people get off pain medications such as oxycodone, Percocet, Roxicet, Oxycontin, morphine, codeine, Tramadol, Dilaudid, hydrocodone, Vicodin, methadone, and Suboxone. We help people who use street drugs such as fentanyl, heroin, and kratom. We also work with people to safely detox off alcohol and benzodiazepines. Opioid Effects and Withdrawal Symptoms Our brains adapt to whatever drug is put into our bodies. For every effect a drug has, the body creates a ‘counter effect’. Therefore, when an addictive drug is stopped, the response of the body (withdrawal) is the opposite of the drug effect. Judith Grisel Ph.D, author of Never Enough, articulately describes the effects of opiates and the partnering withdrawal symptoms: Opioid Effects Withdrawal Symptoms Analgesia Respiratory depression Euphoria Relaxation and sleep Tranquilization Decreased blood pressure Constipation Pupil constriction Decreased core temperature Dried secretions Flushed and warm skin Pain Panting and yawning Irritability and dysphoria Restlessness and insomnia Fearfulness and hostility Increased blood pressure Diarrhea Pupil dilation Increased core temperature Tearing and runny nose Chilliness and goosebumps Brenda no longer experienced euphoria or pain relief from her medication; she would have had to raise the dose regularly because of the tolerance her body had developed. Now she simply took the medication so she wouldn’t experience withdrawal. UNDERSTANDING ACCELERATED OPIOID DETOX Pain Medication Detox Besides describing how Brenda’s detox program would look (in her case, a four-day-outpatient procedure), I emphasized that if she had post-acute withdrawal symptoms, she’d likely be over those within a couple weeks. Low energy levels and insomnia can persist for longer as the brain begins to adjust to its ‘new normal’ of no opioids and the body’s natural level of endorphins gets its sea legs again. Natural Sleeping Tips Developing impeccable sleep hygiene habits such as: Having a completely darkened room Avoiding heavy meals and alcohol two hours prior to sleeping Minimizing screen time at bedtime because even the low light from these gadgets can make the brain think it’s wake-up, rather than shut-down time Exercising earlier in the day, not too close to bedtime Looking for more expert tips? Check out the Center for Disease Control’s website for more natural sleeping tips. These sleeping tips will help the body regain its Circadian rhythm again, our natural, internal process that regulates the sleep-wake cycle and repeats roughly every 24 hours. We are also able to help with short-term sleeping medication if needed. Low Energy After Opioid Withdrawal Many people express frustration with the lack of energy that ensues following an opioid detox. Working with our counselors, support groups, and other reliable resources can help people get through this tough period. This is a time when patients are particularly vulnerable to cravings and triggers and why working with experts trained in helping people with Substance Use Disorders is so valuable. Naltrexone Use It is also why The Coleman Institute includes long-acting naltrexone at the completion of every accelerated opioid (and alcohol) detox program. Suggested Read: Naltrexone: Medication-Assisted Treatment For Opioid Use Disorder Naltrexone, a non-addictive opioid blocker, will occupy the opioid receptors and our long-acting naltrexone implants will effectively block physical cravings for about eight weeks. Almost invariably, by the time we see our patients in a follow up appointment for their next naltrexone implant, they report their energy levels have returned close to their baseline. Paid Medication Addiction Unfortunately, for years the medical profession over-prescribed narcotic pain medication, thus initiating many people’s addiction problems, and in 2012 “259 million prescriptions were written for opioids, which was more than enough to give every American adult his or her own bottle of pills.” (Grisel, J. Never Enough, p.64) When pills become too expensive or are no longer available through legitimate means, many people turn to “street drugs.” Luckily, Brenda was not one of those folks. Conclusion She is an excellent candidate for an Accelerated Opioid Detox and extended-release naltrexone therapy, and I predict great success for her to resume a normal life, free from the clutches of opioid medication. Should you or a loved one like to discuss your own situation with us or learn more about what we do and how our program works, please give us a call at 877-773-3869. Joan Shepherd, FNP SCHEDULE A CALLBACK #### When Pain Medication Becomes a Dependency Eve, age 46, is a long-time nurse. When she was younger and working in the hospital, she was helping an obese patient from bed to their wheelchair. The patient became unsteady, and when Eve reached to steady the patient, the patient fell, pulling and twisting Eve’s back as they tumbled to the floor together. The patient was fine. Eve acquired a slipped disc and horrific pain, leading her to seek treatment for her pain and injuries. From Simple Treatment to Debilitating Dependence She diligently performed her physical therapy exercises and was prescribed nonsteroidal pain medication which barely touched the discomfort she felt on a daily basis. She needed to return to work and, at the time, she was prescribed Percocet, which was a godsend. She was able to work full-time, but not without the Percocet. Eventually she developed a tolerance to the medication, and even though her doctor increased the dose from time to time, she often used more than was prescribed. She began to find ways to take pain medications from her patients, either shorting them from their full dose, or using leftovers from vials. When she remembers back to this time, she can hardly believe it was really her. Eventually, she was caught and was required to go through the Health Providers Monitoring Program for five years. After this, her recovery was solid. She was grateful to be able to practice as a nurse, her beloved career. Life Stress Leading to Relapse Six years into recovery, Eve’s 9-year-old son was diagnosed with a seizure disorder that came out of nowhere. Three months after that, her husband was diagnosed with a rare gallbladder cancer. Continuing to work full time, parent three children, and now deal with devastating family health issues, Eve no longer took time to attend recovery meetings or in her words, do any self-care at all. Eventually she turned back to opioids in the stress of the situation. She did not allow herself much time to get too mired in this downward spiral. She chose to act quickly, remembering how quickly this can get out of control. After several months of buying narcotic pills, she “cried uncle” and contacted the Coleman Institute for Addiction Medicine. Four years ago, she completed an Accelerated Opioid Detox and has been coming for long acting naltrexone monthly ever since. UNDERSTANDING ACCELERATED OPIOID DETOX A Family on the Path to Recovery Her husband’s cancer has progressed, and he is on experimental treatment regimens with a poor prognosis. She recently took him for a weekend in NYC, which he was able to enjoy beyond his wildest dreams. Her son is carefully monitored with his puzzling neurological condition and has started college at the same university as his sister. She has one child still in high school. Eve has recommitted herself to her recovery. Not only does she have a home group and a sponsor, but she now is also a devoted sponsor herself, working mostly with nurses who have experienced their own struggles with opioids. “I can’t think of myself as a victim, regardless of what is going on in my life. Being in recovery and going to meetings has shown me there are always people who have it worse than me. If I can be a support for one person and help them to stay sober one more day, I feel like I’m achieving my purpose on earth.” She also emphasized that she has learned to put her recovery and self-care before everything else. These are the stories and the patients that make me so grateful to have the career I have. It is humbling to be in the presence of people who have turned their lives over in such profound ways. Please know there are so many resources if you or a family member is struggling with an opioid or alcohol use disorder. Getting off the substance safely is the first step. That’s been our specialty at the Coleman Institute for about 30 years. Many insurances are paying for these types of services, so please give us a call if we can be of help. Accelerated Opioid Detox with the Coleman Institute As one can see from Eve’s story, opioids, even when prescribed as a pain medication, can cause a dependency. With an increasing tolerance, and higher dosages as a result. This can spin out of control quickly without help. Although the actions an individual takes when suffering from the disease of the addiction impact themselves, they also impact families, loved ones, employment, and even their daily lives. If you or a loved one are suffering from an opioid dependency, please reach out to the Coleman Institute. You deserve a life free from addiction. Schedule a callback with us today to find out more information. Take care. Joan Shepherd, FNP SCHEDULE A CALLBACK #### Whitney's Recovery from Opioid Abuse at The Coleman Institute Meet Whitney. Whitney suffered a tragic and sudden loss that, through grief, led her down a path of opioid abuse. Learn how she chose her family over opioids by undergoing an accelerated opioid detox at the Coleman Institute. Explore the recap of Whitney's YouTube video, "Whitney's Recovery from Opioid Addiction at The Coleman Institute," here. More like this: Grief and the Genetic Component of Addiction Whitney’s Journey to Opioid Abuse I was 12 or 13 when I started drinking alcohol and smoking weed; I started getting heavy into drugs when I was 16 because my house burned down and my brother died. So I kind of just, at that point, flew off the handle and never reeled it back in. I never was utterly dependent on one drug until I was about 20. And I decided that opioids were what made me feel normal. And I spent many years dependent on pills even as I had kids. And then, finally, that became much too expensive, and I switched to heroin. That only lasted about a year because even though it seemed less expensive, it was costly. And also, even though my life had become unmanageable before that point, after that point, it became incredibly undisciplined. And I left my job. I was letting my kids down. I let my kids stay home from school because I couldn't get up and help them. I was keeping my husband home from work because I was sick. I was going through any money that I had and more. So once I started heroin, everything went out of control and tanked quickly. More like this: How to Detox Off Heroin: What It Takes & Getting Help Whitney Trying to Self-Detox I've always been a self-detoxer and had this little regimen to detox off opioids, which involved other drugs. And then I would just white-knuckle for months at a time until I messed up again. So I got to the point where I was sick of being sick. And then also loved the feeling, but I was never "happy me." So I finally went to my mom, and I was like, I need help. I can't do this. And by the way, I need money to pay my bills. So she got on the internet, and this was the place that she found. More like this: Detoxing off Opioids: 5 Things That Could Stop You   UNDERSTANDING ACCELERATED OPIOID DETOX   Whitney Detoxing with the Coleman Institute And I held out for weeks because I wasn't comfortable getting something that would completely block opioids. Of course, I had reservations, but finally, it got to a point where there was no other choice. So at that point, I gave in, and we went to the Coleman Institute. The Coleman Institute staff is fantastic. Everything about the process I would recommend. And on the first day, I was here, one of the nurses said to me, which I'll never forget. She said, "I know you're an addict, and you think you deserve how you feel, but you don't, and you have to tell us everything wrong so we can try and fix it." So the fact that it was 5 days and I knew what the end date was of me feeling like this and the fact that any time that I had a problem when I came and checked in, in the morning and got my naltrexone shot, they would ask what was wrong. They would fix as best they could anything wrong. And if you call the detox line, they'll answer immediately and address the problem directly. If you call after hours, they call right back. All of the nurse practitioners are incredibly nice. After a few visits, everybody knows you by name. When you come for your follow-up appointments, they know you by name. They remember everything that you've told them. They ask you about something you told them the last time and how you're doing. And they act like, and I think they really feel like they're proud of where you've gotten to. So everything's different because my approach is different besides the opioid detox, which I don't think would've been the case if it wasn't for the aftercare at the Coleman Institute. More like this: Accelerated Opioid Detox: Explained Using The Coleman Method Whitney’s Experience With the Coleman Institutes’ Staff So now I'm figuring out how to be a mom, be a wife, have a normal life and make commitments and be happy. So I would recommend this place over anywhere else. First, it's okay to be scared of the whole process because if you decide to go to detox or rehab or give up what you know and love, it's hard to do. Still, at some point, unless you want to go to jail or die, you will have to do it. And this couldn't have been a better experience because there's so much personalized attention. I know the whole staff by their first names, and they know me too. And they know who my husband is. They know how many kids I have. It's very personalized. They call, and they're not, "This is somebody from the Coleman Institute," and blah, blah, blah, blah, blah. They're like, "Hey, Whitney. Call on to either check on you, see if something's right, or ask you a question, and nobody judges you." And I would've come a long time ago had I known that this place existed because I've always done it on my own and never wanted to tell anybody. I always had to smile and act like I had the flu all the time. So, on the one hand, it's nice even to let people know, so you don't have to hide, but they treat you with so much respect that you don't even feel like a drug addict when you're here. Conclusion If you are ready to change your relationship with opioids and have questions, please call the Coleman Institute now, and we will gladly answer them. More like this: Taking the First Step in Your Recovery Journey   SCHEDULE A CALLBACK   #### Who Am I Without Alcohol? Yesterday afternoon I screened Arthur, a young man who will be coming in for an alcohol detox this morning. He is very successful, surrounded by supportive family and friends, and — aside from the fifth of liquor he drinks every day, starting with a few snorts each morning to stop the shaking — a healthy specimen. He has been drinking regularly since age 15, which culturally-speaking, is the norm in his world. He has never had a problem with the law. Astonishingly, he has never had a DUI (but I wouldn’t be surprised if he had some ‘friends in high places’ who could have helped with that if it ever did arise). Signs of a Drinking Problem It’s the early morning shaking, the racing heart, the weird sensations of numbness in his limbs that start about six hours after his last drink that finally convinced Art he might have a drinking problem. Even with all the physical evidence confronting him, the idea of never drinking again is terrifying for him. It is so much a part of his life, his very identity. Mark Nepo says, “When facing what’s ours to face, we’re surprised to learn, time and again, that under what seems unbearable is the rest of life waiting to be lived.” You Must Make the Decision to Stop Drinking How I wanted to pour out success stories to this guy of all the amazing people that have come and gone through the Coleman Institute over the years and have found the bliss that comes from relieving themselves of the burden of their dependence on alcohol! The freedom of finding emotional sobriety, peace of mind, and physical wellness is profound. But giving up alcohol is a process, and Dr. Coleman taught me years ago that I can’t work harder than my patient on their sobriety. First the decision must be made, the drinking must stop, and then slowly the new reality unfolds. “Art, there are so many doors that are going to open for you,” was the simple message I gave him during our call. “Come tomorrow and take the first step.” GET THE ALCOHOL DETOX GUIDE When to Seek Medication-Assisted Treatment Not everyone needs a medical detox off alcohol, and it is important that you check with your doctor before attempting to stop on your own. This fellow absolutely needs to be in a safe environment. When asked if he had ever had Delirium Tremens (DTs) or a seizure when he stopped drinking, he replied that he didn’t know, because he had never gone more than a few hours — especially in the last several years — without a drink. But the fact that he now needs a drink to stop the shakes in the morning is indicative of needing medical assistance. Outpatient Detox Programs to Fit Your Life At the Coleman Institute for Addiction Medicine, our patients spend the first day of their outpatient alcohol detox in a private room with the support person of their choice. We check labs and do an EKG, and throughout the day our patients receive medication through an IV to prevent seizures and other complications of abrupt alcohol cessation. Needless to say, we are on heightened precautions due to COVID-19, and protocols for patient and staff safety are woven throughout the visit. Medications used for the rest of the program are delivered to our office during the detox, and the patient’s support person is given explicit instructions on how to administer them. A very nice lunch is provided from a selection of local restaurants. Our office specializes in using long acting naltrexone for people desiring to stop drinking alcohol. It will cut down on the cravings, pleasure, and impulse to drink for most people. We also prescribe disulfiram as a deterrent to drinking alcohol. Custom Alcohol Detox The Coleman Institute staff will work with Arthur to create a plan for continued sobriety. This will take into account his availability and preferences, and the level of support he needs now with the idea of continued reassessment. Eric Zimmer, host of the podcast The One You Feed says, “Being sober is amazing. Getting sober sucks.” As Arthur’s body begins its physical healing process from the alcohol onslaught, his needs will turn more and more towards finding what life holds for him, unaccompanied by alcohol. Being in a place of acceptance to the myriad of resources available to anyone who wants to be sober is very fertile ground. I believe Arthur is well positioned to begin to explore and open these treasures. If you or a loved one is concerned about stopping drinking on your own, please schedule a callback today. Joan R. Shepherd, FNP SCHEDULE A CALLBACK #### Who Should You Surround Yourself With in Recovery? If only life could be like it was in Mr. Rogers’ neighborhood. If you are too young to remember Mr. Rogers, it’s worth a look on YouTube. Mr. Rogers’ neighborhood was a beautiful, idyllic, albeit imagined place. Unfortunately. If the world ran as an episode of Mr. Rogers’ neighborhood, we would all be happier, healthier and content. His show was a great lesson for children in how to treat others but—as we know—life can be far different than its portrayal on TV. Bad things happen, bad people happen, addiction happens. Once you have entered into recovery it is crucial to do ANYTHING to protect that sobriety. That almost always means changing the people that you hang around with. It’s a very difficult thing to do. It may be family, friends, coworkers--anyone that is still carrying out the behaviors you are changing, using any substances that you need to avoid, or causing triggers that create anxiety, thoughts, memories or cravings for your substance of choice. The first order of business is identifying who these problematic people may be. Realize that they may have helped you in the past, you may love them, you may love being with them, and you are afraid of losing their love and support. They may even be your parent, child or significant other. You may live under the same roof as them. Although not having contact with these people seems impossible, anything is possible if you put your sobriety first. You may need help identifying these people or knowing how to handle a break from them. That help is available. People in recovery from drug or alcohol addiction need to take steps to protect their sobriety every single day. This often involves severing ties with people who drink or use drugs—even if they're longtime friends. Staying friends with active substance users could put you in difficult situations that trigger cravings and lead to relapse. How important is your recovery and sobriety? I would hope that the answer would be “it’s the most important thing in my life.” And if it’s not, please think about it and speak with someone about why that is the case. Without recovery and sobriety, you will never be the parent, spouse, coworker or friend that you want to be. You need to give yourself the oxygen first on the airplane in order to help anyone else. It may sound cliché, but it is true. Deborah Reich, M.D. SCHEDULE A CALLBACK #### Why Addiction Is a Disease & How You Can Get Clean for Good Today we will look at why addiction is a disease and how we can be the carriers of this information to others. So that individuals suffering from it may come closer to the nonjudgmental help they need to recover. Why Addiction Is a Disease In 1956, the American Medical Association declared that alcoholism was a disease. Then, in 1960, the American Psychiatric Association said addiction was a disease. Scientific data was collected to draw these conclusions and tested to confirm that people met the criteria. Yet, many individuals—including medical providers—struggle with this disease concept today. Addiction became recognized as a disease by meeting multiple criteria. 1. It Is a Chronic Condition It does not go away, but it can go into remission if treated by not using alcohol or other drugs. 2. It Progresses It is a predictable condition in the fact that it progresses. 3. From Use to Dependence The progression moves from use (e.g., drinking with family and friends) to abuse (passing out, throwing up) to dependence (negative consequences begin to occur). More like this: Alcohol Habit vs Addiction – How It Forms 4. It Has a Set of Symptoms Isolation (so you don't know what I am doing) Preoccupation (cannot stop thinking about, using, or going to use my drug of choice) Negative consequences (loss of jobs, marriages, homes, children, money, lives) More like this: The Painful Isolation of Addiction 5. Fatality The last symptom is that the disease of addiction is fatal if not treated. This final symptom is the one that usually gets the attention of the loved ones of persons with the disease. However, they also struggle with the impacts of the earlier negative consequences. How can anyone help their family understand after they lost another job for going in drunk or high, or after they cleaned out the bank account to buy cocaine or pills? More like this: One Pill Can Kill UNDERSTANDING ACCELERATED OPIOID DETOX College Assignment: Having Students Give Something up for 30 Days I was blessed to be able to teach a Master's level class at a university several years ago. When the class discovered I worked in the field of addiction, they asked me, "Why can't your people stop using?" I decided that leading by example was better than telling stories, so I assigned each student (23 in the class) to give up something they regularly did for 30 days. They could choose what to give up but not change this once the assignment began. Each one said, "No problem." They were told they had to write about each time they "relapsed." After the first week, about 8 of the students asked if they could change their decision, and I, of course, said no since my people could not change theirs. Students Noted Similar Behaviors to Addiction Disorders At the end of the 30 days, no one in the class of 23 had made it without relapsing at least 3 times, and most had stopped trying. They had tried to give up soda, chocolate, coffee, and Facebook—among others. Several noted similar behaviors to those with addiction disorders when they tried to stop. "I could not stop thinking about chocolate." "I got mad when my workmate ate cookies, and I couldn't stop watching her." "I had trouble sleeping." "I was angry and said that since I already messed up, I might as well stop trying." Amazingly, they were all surprised that this could be so hard. Surely, they were not addicted to their things! I taught this course for 3 semesters, and this exercise produced the same results each time. More like this: The Single Most Important Thing to Know When Detoxing My College Students Changing Their Minds About Addiction Disorders We, humans, perceive that we are different from others in our behaviors, but there are distinct similarities. After this experience, my classes were more open to working with individuals with addiction disorders. You see, it is not just about the alcohol or the drugs. Sure, they want to stop, and the people who love them want them to stop, but once they pass the line from abuse to dependence, things have changed and the 'off' switch is broken. More like this: Loving Someone to Death: Supporting Recovery Without Enabling Getting Help for Addiction at the Coleman Institute for Addiction Medicine The same thing happens to others with their repetitive behaviors, and we are often unaware of it. So if you happen to find yourself or someone you love in this dilemma, please work to learn all you can about the DISEASE of ADDICTION, so you get help if needed or give it to the person who needs it. This disease is fraught with the stigma of shame. However, your love and/or acceptance may be the thing that can help someone back into the world again and allow them to be able to hold up their head. We are each the change agent in our lives, and if we can be the ally as well, then there is no end to the possibilities of recovery. Judi Schmidt, LCSW More like this: Taking the First Step in Your Recovery Journey SCHEDULE A CALLBACK #### Why Do I Need To Change? I am NOT the problem! Our family is NOT the problem, it’s he/she who is actively bringing addiction into this family! They Are the Active Substance User. It’s Not My Problem, Right? One of the most significant challenges families encounter is that they do not believe they need to change and that the problem rests exclusively with their addicted loved one. They invest heavily in the belief that if he/she (who has the “problem”) just gets “back to normal,” then everything will be fine. The problem with this belief system is that this is usually not the case and the problem continues to worsen. Now you may be saying, “What this is all about? I am the one to blame for my loved one’s problem?” Understandably so. You did not cause your loved one’s addiction and you can’t take full control over the problem, but there are ways in which family can unknowingly contribute to the dysfunction. Your Role When You Are Not the Active Substance User When the disease of addiction takes possession of someone you love, it causes many different feelings and emotions to arise. As a family, you have needed to allocate certain roles and responsibilities, and collectively make decisions on how to respond to your loved one and “their” disease to keep the system intact. For example, if the parent is the active substance user, the oldest child may take more responsibility and control over family decision-making, leaving the younger siblings to feel less responsible and potentially inadequate. Change involving one member of the family system leads to change in the system as a whole. UNDERSTANDING ACCELERATED OPIOID DETOX Understand How Addiction Impacts the Whole Family While the ultimate goal is that your loved one seeks treatment and begins their path to recovery, it can also be a good time for the family to seek consultation and treatment to understand how addiction impacts the family as a whole, and what steps can be taken to begin healing in the family system. I like to compare addiction and recovery to the stages of grief: denial, anger, bargaining, depression, and acceptance. Recovery involves learning, growth, and healing. It is a process by which a person learns and practices new patterns of living — developing the awareness and building the skills to live a whole, healthy, and healed life. Being in recovery means that a person is participating in life activities that are healthy, meaningful, and fulfilling for them. Amanda Pitts, LADC1, Executive Director Amanda Pitts is the Executive Director of the Coleman Institute for Addiction Medicine in Wellesley, Massachusetts. Amanda is an experienced Licensed Alcohol Drug Counselor (LADC1) with a demonstrated 16-year history in Behavioral Health and Addiction Treatment. Amanda holds a Master’s Degree from the University of Massachusetts Boston in Applied Sociology with a concentration in Forensic Services. She has a National Certification in Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) and is a trained facilitator in Nurturing Recovery Programs. SCHEDULE A CALLBACK #### Why is it So Hard to Detox Off of Suboxone and Other Forms of Buprenorphine? Watch Dr. Coleman's Facebook Live post where he answers the question, Why is it So Hard to Detox Off of Suboxone and Other Forms of Buprenorphine? Here's a recap. Why It’s Hard To Stop Detoxing off of Suboxone can be quite difficult. Suboxone can be a great option for use disorders as it binds to the same opiate receptors in the brain and turns on the same “switch” an opioid would. Suboxone is slow acting and doesn’t cause the patient to feel high. Because of this, there are low cravings and it’s relatively safe. Interestingly, the more Suboxone in the body the more it becomes an even bigger blocker to the opioid receptors in the brain. This prevents overdose as receptors are kept extremely full, but it’s also why it’s so hard to detox off of. UNDERSTANDING ACCELERATED OPIOID DETOX Creating Your Own Endorphins When coming off of Suboxone, a provider may drop the dosage to a certain extent. However, even in smaller doses, the powerful binding effects can take an extended amount of time to dissipate. A common detox period is 30 days or more. The post-treatment can last months more before becoming fully regulated again. The good news is, The Coleman Institute offers small doses of Naltrexone in their treatment to help push the Suboxone out. This means your body will start creating its own endorphins a lot sooner. Coming Off of Suboxone Faster With an 8 to 10 day Suboxone Detox plan, The Coleman Institute can help make the healing process as fast and comfortable as possible. Suboxone is a very powerful option in some cases, but it can be hard to come off of. It’s important to continue the use of Suboxone if it is part of a prescribed treatment plan. Contact The Coleman Institute to learn about your detox options today. SCHEDULE A CALLBACK #### Why Is Naltrexone Therapy So Important for Opioid Detox and Recovery? The opioid crisis is one of the most severe public health challenges in recent history. Fueled by a dramatic increase in the misuse of both prescription and non-prescription opioids, it has led to a significant rise in opiate dependency, addiction, and overdose. The far-reaching consequences of this epidemic extend beyond the individuals directly affected, impacting families, communities, and healthcare systems around the globe. Thankfully, treatment options like Naltrexone Therapy can aid in the detox and recovery process and play a crucial role in offering hope and support to those battling opioid dependency or addiction. In this blog, I will talk about why Naltrexone Therapy is essential for those struggling with opioid use to stay in recovery for the long-term and block their cravings. Watch Dr. Coleman's recap on YouTube: "Why Is Naltrexone Therapy So Important for Opioid Addiction?" More like this: How Long Does Naltrexone Last & How Can It Aid in My Recovery? What is Naltrexone Therapy and How Does It Work? Naltrexone Therapy serves as an integral component of the Coleman Method. Its primary function as an opioid antagonist is to block opioid receptors in the brain, which play a key role in the addictive process. By doing so, Naltrexone can reduce cravings for alcohol and opioids. This mechanism is in crucial helping patients succeed in their long-term recovery. At the Coleman Institute, we often use a Naltrexone implant to aid in detox and recovery. This small pellet-sized implant is inserted under the skin in the lower abdominal area and functions by slowly releasing Naltrexone into the body over several months. The procedure to insert the implant is relatively minor and performed under local anesthesia. The extended-release formulation of the implant ensures a constant and steady dose of the medication, which is key in maintaining therapeutic effects without the need for daily pill intake. This is particularly advantageous for individuals who may have difficulties remembering daily medications or who might be tempted to stop taking medication during a craving episode. In some cases, Vivitrol is an option for Naltrexone Therapy with the Coleman Method. Vivitrol is an extended-release formulation of Naltrexone administered as an intramuscular injection. This mode of administration also ensures consistent medication levels in the body, aiding in compliance with the treatment regimen. For the best chance for lifelong recovery, we recommend patients continue with Naltrexone Therapy for at least a year after completing detox to give them enough time to develop new, healthy habits and strong support systems. Medication-Assisted Treatment with Naltrexone Therapy Naltrexone is really important for opioid dependence and addiction for the main reason that it works. Because without naltrexone, people just don't do very well. Patients really need some form of medication-assisted treatment (MAT); and the options, of course, are buprenorphine or methadone. But for 20 years, we've been specializing in naltrexone because it's a long-acting version of the drug, and it's completely non-addictive. So there's no withdrawal when you finish it, and it doesn't have any kind of getting people high or anything like that. But without medication-assisted treatment, some people struggle. If you think of people who go into jail, and maybe they've been in jail for 3 months or 6 months or sometimes even 5 years, and almost all of them relapse as soon as they get out of jail and they have access to opioids again. It's just such a powerful addiction. We're not really quite sure why it's worse than other addictions, like alcohol or even other drugs like cocaine. But opioid addiction has a very high relapse rate. More like this: Medication-Assisted Treatment (MAT): Higher Success for Recovery UNDERSTANDING ACCELERATED OPIOID DETOX   Naltrexone Studies and Outcomes In fact, I saw a #### Why Neglecting Your Own Care May Be The Worst Thing You Can Do For Your Addicted Child When a child is caught up in all the problems that go along with a substance use disorder (heroin, fentanyl, Percocet®, Roxicet®, Vicodin®, hydrocodone, Vicoprofen®, or alcohol, just to name a few), many parents put their own well being on hold. This is a natural reaction for sure, but it’s important to recognize that having your health and outlook on life be dependent on the choices your child makes is likely more than your child can handle. As much as any other time in the life of your family, they need you now. The familiar injunction on airplanes to affix your own oxygen mask before helping a child applies in this situation as well. Before you can be of any help to your child and the rest of the family, you need your ‘oxygen’ in full supply: rest, nutrition, exercise, socializing, and fun. Parents of children abusing drugs or alcohol may argue that this is impossible. “How can I be expected to have dinner with friends and enjoy myself if I’m constantly worried I’ll get a call that something horrible has happened to my son?” But without attention to their own needs, parents risk collapsing before they can truly help their family. Parents who remain resilient, healthy, and optimistic are much more able to navigate the difficult waters that are inherent when a child is addicted to substances. Domains of life where self-care may be lacking include physical health, emotional, spiritual, or intellectual wellbeing. It can also be useful for parents to look at their own substance use patterns—not to imply they have a problem, but to understand the impact their use may have on their child. The child sees how the use of substances helps a parent relax, forget, or deal with situations. It’s important to question whether changing this behavior may be beneficial for the child. As one looks at each of these domains and what may be lacking or could use some bolstering, the Center for Motivation and Change (CMC) suggests a process for coming up with some tangible ways to implement self-care as regular parts of a parent’s routine. Picking an area mentioned earlier--physical health, emotional, intellectual, spiritual, or substance use habits--brainstorm possible solutions: what do you want to accomplish related to your own self-care because of how it might help you build the resiliency you need to help your child? List all ideas, even if they seem far-fetched. Next, select two of the solutions you’ve come up with that are particularly appealing to you. Can you convert these into brief, simple, positive, specific, and measurable goals? The experts at CMC recommend at least one of them to be something that’s entirely enjoyable to you. Finally, identify obstacles that could interfere with your “goals of the week." Their common sense publication The Parent’s 20 Minute Guide includes an extensive list of self-care ideas. I will include just a few to help gig you to come up with your own list: Visit with a friend (face-to-face, on the phone, by email, etc.) Go out to eat your favorite meal or eat comfort food that you find soothing Get a manicure, pedicure, or massage Go for a hike (even in the city). Walk somewhere you have never been before. Take in the “newness” of your surroundings. Take your dog for a walk. Get a haircut. Go to services not at your usual place of worship. Listen to a podcast. Buy your favorite flowers, don’t forget to smell them. Taking care of yourself to help your family during this challenging time is every bit as important as helping your loved one find the right treatment for their substance use disorder. The Coleman Institute for Addiction Medicine has locations around the country specializing in safe, affordable, outpatient detox programs. Knowing that your family member is getting the best possible care can allow you to ‘exhale’ a bit and focus on the long term plan for success. Please give us a call if you’d like to discuss our treatment options. Joan Shepherd, FNP SCHEDULE A CALLBACK #### Why Playing The Victim Card Will Destroy Your Chances For Recovery “When you believe that your problem I caused by someone or something else, you become your own victim.” Byron Katie The more I work with successful patients at the Coleman Institute for Addiction Medicine, the more I recognize consistent qualities: resilience, gratitude, and ownership of their problem, to name a few. The patients with the least chance of successfully recovering from a Substance Use Disorder (SUD) have other traits in common, and I think the most debilitating one is perceiving themselves to be victims…of birth, of circumstances, of their parenting or lack thereof, the culture, or of life in general. Things always happen to them. Although Steven Covey is famous for his many books on helping people succeed in the business world, I think his Circles of Concern and Circles of Influence models are highly relevant to the people we work with. As Mr. Covey says, we all have our own Circles of Concern: our health, our families, global warning, our jobs, etc. Within the Circle of Concern, it is clear that there are some things over which we have no control and other things we can do something about. The Circle of Influence, embedded in the Circle of Concern, contains those things that fall into the category of things we can do something about. Patients who are proactively working on their recovery continue to expand their Circle of Influence. They own and work on their issues through the hard work needed in therapy, recovery meetings, adherence to medically assisted, and/or other treatment modalities. “Reactive people, on the other hand, focus their efforts in the Circle of Concern. They focus on the weakness of other people, the problems in the environment, and circumstances over which they have no control. Their focus results in blaming and accusing attitudes, reactive language, and increased feelings of victimization. The negative energy generated by that focus, combined with neglect in areas they could do something about, causes their Circle of Influence to shrink.” — pg. 83 The 7 Habits of Highly Effective People (2004). Detoxing off opioids such as Percocet®, Vicodin®, Dilaudid®, Oxycontin®, heroin, fentanyl—or even methadone or buprenorphine—is a powerful declaration for our patients who have chosen to expand their Circle of Influence rather than wallow in the murky world of blaming everyone and everything else for the situation in which they find themselves. Byron Katie, a master at deconstructing victimhood, says: “As long as you think that anyone or anything else is responsible for your suffering, the situation is hopeless. It means that you are forever in the role of the victim, that you’re suffering in paradise.” “If you think the cause of your problem is “out there,” you’ll try to solve it from the outside. Take the shortcut. Solve it from within.” The success of our Accelerated Opioid Detox and Alcohol Detox programs is largely due to the partnerships we establish with our patients and their support persons. Our patients tend to be highly motivated, deeply in the Action Phase* of their commitment to change an un-workable behavior. This is no place for a victim mentality. But if you or a loved one is prepared to own your Substance Use Disorder, we are very prepared to help you through it. Please give us a call and let us answer any questions you might have. Joan R. Shepherd, FNP *Based on Prochaska and DiClimente’s Transtheoretical Model of Change SCHEDULE A CALLBACK #### Why Should I Use Naltrexone After I Get Off Suboxone®? Not long ago we successfully detoxed a patient off Suboxone®. Sally (not her real name) started with oxycodone after surgery and when she developed a tolerance to these opioids, she turned to heroin. She used heroin for five years until she became pregnant and was put on Subutex®. After the pregnancy, she was switched back to Suboxone®. Her treatment never included counseling or therapy. She came to us to help her get off 16mg of daily Suboxone®. The accelerated or rapid opioid detox program at the Coleman Institute for Addiction Medicine (not to be confused with an ultra-rapid detox which includes being under general anesthesia) involves small daily intra-muscular injections of naltrexone to slowly displace the existing opioids from the mu-opioid receptors. Basically, we are inducing a low-level, controlled withdrawal. Depending on the amount of time a person has been dependent, and the amount and type of substance(s) they have been using, we will determine the appropriate length of their detox. This usually falls between 3 and 10 days. In certain circumstances, we will extend for a couple more days. (By the way, another feature patients love about our detox is that it is done on an outpatient basis. This allows our patients to have their support person at their side 24/7. They can stay in their homes, a hotel or a local Airbnb.) Our program detoxes people off pain medications such as Oxycontin®, Vicodin®, Percocet®, Dilaudid®, and fentanyl. We also detox people off long-acting agonists such as methadone and buprenorphine products, when people are ready to move to Medication Assisted Treatment (MAT) using naltrexone, a non-addictive opioid antagonist. Of course, we also detox people off heroin. At the end of our detox process, we place a 1.4gram naltrexone tablet under the subcutaneous tissue in the abdominal area. Most people have enough of a fat layer (even the thin ones) for the implant to sit comfortably. It will immediately begin to dissolve and release about 12.5 mg per day of naltrexone to the opioid receptors, relieving a person of physical cravings. Most naltrexone implants will last at least eight weeks. To be honest, the detox with us, and the placement of the naltrexone implant is the easiest part of our patients’ decision to stop using opioids. With physical cravings and the fear of withdrawal off the table, it is time to begin the process of unpacking the psychological aspects of the substance use disorder. Sally came for a follow-up visit a few days after her detox. She had been experiencing quite a lot of nausea and restlessness. She was fearful she was having a reaction to the implant and was not sure she wanted to continue with long-acting naltrexone as her treatment. Her husband, delighted that finally, finally, his wife was off drugs, concurred. “She’s doing great! It was her idea to get off drugs in the first place; why do we need to bother to keep getting naltrexone?” It’s a really, really good question. We know that the brain can have physical changes with repeated heroin use. The National Institute on Drug Abuse has studied this extensively. “Repeated heroin use changes the physical structure13 and physiology of the brain, creating long-term imbalances in neuronal and hormonal systems that are not easily reversed.14,15 Studies have shown some deterioration of the brain’s white matter due to heroin use, which may affect decision-making abilities, the ability to regulate behavior, and responses to stressful situations.” ASK FOR HELP Suboxone® is a combination of buprenorphine and naloxone and is classified as a partial agonist. This simply means that one component is an opioid and occupies the opioid receptor, mildly ‘turning it on’, while another component stands by to push opioids off the receptors (provokes withdrawal) if a person is taking the Suboxone® in a way it was not intended to be taken (i.e. snorted, injected, etc.). We don’t really know the long term effects of buprenorphine on the brain. Assuming that Sally’s brain has been occupied by some type of opioid for the last eight years, even though the buprenorphine has modulated the spiking dopamine levels caused by heroin, it’s likely her decision-making abilities and response to stress will be somewhat affected. Furthermore, Sally’s previous MAT treatment program did not include therapy to help her develop coping skills. What will happen when the baby has a crying meltdown in the grocery store, financial stressors compound, her husband plucks her nerves…and she happens to run into an old ‘friend’ who previously supplied her with pills? We know that Sally is motivated. We know her husband is a solid resource. She expressed commitment to attending recovery meetings and counseling, but at the time I saw her, she hadn’t started either. Caring for a young child, managing a household, and working part-time consumes most of her free time. Using long-acting naltrexone may be the perfect bridge for Sally right now. While I have had several patients describe the side effects of nausea in the first few days of being on naltrexone, most people say that it goes away quickly. The freedom they feel of knowing they can’t use an opioid is well worth the tradeoff of a few days of feeling nauseated. We will work with Sally, whatever she decides to do. My hope is that her nausea will clear up shortly (it is an awful feeling, I know), but to this day—twelve years in — I have not had a patient with a true allergic reaction to naltrexone. Weighing the pros and cons, it may make more sense for Sally to continue with long-acting naltrexone as she creates her recovery program, including counseling and/or recovery meetings. If you have any questions about getting off buprenorphine or other addictive substances, please give us a call. Joan R. Shepherd, FNP SCHEDULE A CALLBACK #### You Can End Your Fentanyl Addiction Over This 4th of July Holiday! Choosing nursing or medicine as a profession usually means that sometime in your career, you’ll be working weekends and holidays. So when my children were young, I had to take my turns doing shifts on Thanksgiving, Christmas, Memorial Day, or the 4th of July for many years. As much as I loved being home during a holiday, from the beginning I was always grateful to be the one "wearing the uniform" rather than being the patient when I did have to work. Being in the position to help someone who has to be stuck in a hospital over the holidays was actually pretty gratifying. Over 30 years into my medical profession, I’m still covering holidays – for the past eleven years as a Nurse Practitioner at the Coleman Institute for Addiction Medicine. We have patients scheduled for opioid or alcohol detoxes this 4th of July holiday. Clearly, they would rather be elsewhere – at the beach, on a boat, eating burgers or barbeque – and not having this illness of addiction take over their life, let alone their holiday time. For these people, coming in over the holiday is the best way to make it work into their schedules, missing a minimum of time from work. For many, the opioid addiction has robbed them of their freedom of choice, which I just heard someone describe as the opposite of addiction. These are people experiencing the very flip side of freedom; shackled by opioid dependence, they are losing their dreams, their families, their professions—their very lives. I believe it is perhaps more relevant to consider a detox off substances such as fentanyl, Oxycontin®, Percocet®, Roxicet, Roxicodone®, Dilaudid®, hydromorphone, hydrocodone, or heroin during this holiday than any others. After all, as the Declaration of Independence states: "We hold these truths to be self-evident, that all Men are created equal, that they are endowed by their Creator with certain unalienable Rights, that among these are Life, Liberty, and the Pursuit of Happiness." With compassion and competence that comes from years of experience, our staff is here to help you. Because we have an outpatient detox program, you and your support person can stay together in a nearby hotel or Airbnb, as many out of state patients choose. Although we provide medications to keep you comfortable and a bit drowsy, you may muster up a little energy to check out some of the cool things happening in Richmond over the holiday weekend. Please call us at 877-773-3869 if you’d like to learn more about our opioid or alcohol detox programs which include the use of long-acting naltrexone to eliminate cravings. We may be the right fit for each other. Joan R. Shepherd, FNP SCHEDULE A CALLBACK #### You Have The Choice To Continue Using Heroin Is the Opioid Crisis responsible for helping to mobilize some of the greatest new approaches to help people change? Or have these great techniques been brewing under the surface, being applied to different problems and issues, highlighted now because of the vast numbers affected by opioid addiction? I’m not sure about this chicken and egg story, but I do know that the very numbers of people affected have helped to motivate people from parents to medical and counseling professionals to volunteers, to understand what is the best way to help their loved ones, friends, or patients stay alive, number one, and flourish in their life, number two. How Does Someone Help a Heroin Addict Detox? Being able to treat heroin addiction involves many forms of therapy and most importantly, a medical detox. However, for those individuals who do not perceive their addiction as a problem, the road can be a slippery slope. Fundamentally, the choice to use drugs is theirs. One specific approach that we see time and time again in rehabilitation facilities, is something called Motivational Interviewing (MI). This approach is essentially defined as a counseling method which involves inhaling a patient's motivation to change by means of four specific guiding principles. The acronym for these principles is RULE: Resisting the righting reflex Understanding the patient's own motivations Listening with empathy Empowering the patient In the end, if adhered to properly, you will know what the patient wants to do with their life and be able to determine if they themselves are willing to put the first step forward towards recovery. Often the best approach is to have them consider what they most value. A relationship, a job, a pet, a position, their health, etc., and consider how drug use is affecting this important aspect of their life. In the Contemplative or Preparation stage of change, MI can help reveal patients’ confidence at being able to make even the smallest changes in the service of what they value. Here one cannot underrate the importance of the patient to be working with someone who can guide them to the best resources for helping them where they are at the moment. The Action phase of behavioral change is where the patient is actually implementing their plan. Additional methodology around using motivational interviewing to help aid a heroin addict includes: Collaboration vs. Confrontation Evocation (Drawing out, rather than imposing ideas) Autonomy vs. Authority Expressing Empathy Supporting Self-Efficacy Your overall dialogue can really flow from there, and in the hand of a skilled and compassionate therapist, the patient is then respectfully guided towards looking inside and answering specific empathetic and supportive questions. In addition, it is important to recognize and understand that aside from the right methodology, many patients may also be experiencing physical heroin dependence which can lead an addict to believe he or she cannot function without heroin. While this may make sense to some on many levels, it can also be a new concept for many individuals to realize. UNDERSTANDING ACCELERATED OPIOID DETOX Understanding Heroin Learning about heroin and addiction is always a good start to gaining further insight to how the drug can be abused and how it affects a patient. Because heroin addiction is characterized by changes in the brain and uncontrollable behaviors; the feeling while on the high is usually described as "euphoric". Because the drug can leave a patient with such strong feelings of pleasure, well-being, and joy - these strong indicators will also leave a patient wanting more and essentially lead to dependence, tolerance, and addiction. Heroin also enters the brain and converts back to a morphine which binds the opioid receptors that are located throughout the body and brain. These opioid receptors are primarily involved in pain perception and "reward". Hence, why using this dangerous drug increases pleasurable feelings and blurs any physical or emotional "pain". The upside to the devastating need for use of heroin, is that there are treatment methods available that can address heroin dependence in the right setting and with the right plan. Heroin Detox Treatment At the Coleman Institute, we believe in creating a comfortable way to detox quickly. And, our practice has been helping motivated patents for every twenty-five years achieve their sobriety goals. With the Coleman Method we focus on using non-addictive drugs and sedatives in order to completely remove the opiates attached to the brain receptors in the fastest means. Additionally, our Accelerated Opioid Detox takes as little as three days, which requires no hospital stay and avoids the horrible experiences of self-detox which can last for weeks and is much more dangerous on our your own. Additionally, because this treatment only takes a few days, there is little room for disruption to a patient's day-to-day life and their road to long-term recovery is more manageable. At the Coleman Institute, we also recognize that heroin addiction can happen to anyone and just one dose can cause dependency. That being said, our treatment also incorporates naltrexone, which can help give a patient confidence in maintaining their opioid abstinence. This also helps patients get off all opioid medications. This includes, but is not limited to: oxycodone, hydromorpone, hydrocodone, Vicodin®, Vicoprofen®, Roxicontin®, Roxicet®, Roxicodone®, Dilaudid®, heroin, fentanyl, buprenorphine, and more. Our head doctor, Dr. Coleman has trained doctors around the country to use his protocols for helping patients reclaim what they value most in their lives; those people and things that have been neglected and forsaken because of their Substance Use Disorder (SUD). Also, as the nation's most experienced leader in naltrexone therapy, we are well positioned to be part of your loved one's long term strategy to remain off opioids for good. When motivation is strong, be prepared to enhance confidence with a rapid opioid detox and long acting naltrexone therapy. Give us a call to see if we are a good fit for each other. Joan R. Shepherd, FNP SCHEDULE A CALLBACK