Care without judgment
A confidential, respectful space. We treat addiction as the medical condition it is.
Recovery is medical, not moral.
Alcohol and opioid use disorders are medical conditions, and they respond to treatment. We treat them with the same respect, evidence, and confidentiality as anything else we do, including medication-assisted treatment (MAT) when it's the right fit.
Medication-assisted treatment, or MAT, combines FDA-approved medication with clinical support to reduce cravings, ease withdrawal, and lower the risk of relapse and overdose. It's one of the most effective tools in addiction medicine, and it works best alongside the rest of your care.
Alcohol use
For alcohol use, treatment may include medications such as naltrexone or acamprosate to reduce cravings and support sobriety, paired with a plan that fits your goals, whether that's cutting back or stopping.
Opioid use
For opioid use, treatment may include medications such as buprenorphine or naltrexone, where clinically appropriate and permitted, to stabilize cravings and protect against overdose. We'll explain the options, the requirements, and what telehealth can and can't safely do for your situation.
How we work with you
Care is individualized, confidential, and free of judgment. We meet you where you are, set goals together, and coordinate with any therapy or other support you have. If you need detox or a higher level of care than telehealth can safely provide, we'll tell you honestly and help you find it.
What to expect
Treatment that respects you
MAT that fits
Evidence-based medication for alcohol or opioid use when it's right for you, explained honestly.
Coordinated support
We work alongside therapy and other support, and connect you to a higher level of care if you need it.
Safety first. If you may be experiencing an overdose or a medical emergency, call 911 immediately. For a mental health crisis, call or text 988. Sigma Psychiatry is not an emergency service and is not available 24/7.
Some addiction medications, such as buprenorphine, are controlled and carry specific telehealth and prescribing requirements that depend on your situation and the state where you receive care. Others, such as naltrexone and acamprosate, are not controlled. We will review exactly which options apply to you on your intake call before anything is prescribed, and we will never promise care we cannot safely provide.
Addiction Questions
Common questions
Is what I share confidential?
Yes. Your care is private and handled with the same confidentiality as any other medical treatment. We approach substance use without judgment.
Which medications do you use for MAT?
For alcohol, options include naltrexone and acamprosate. For opioids, options include naltrexone and, where clinically appropriate and permitted, buprenorphine. Some are controlled and carry specific telehealth rules; others aren't. We review what fits your situation and your state before prescribing.
Do I have to be completely abstinent to start?
No. We meet you where you are. Stabilizing and reducing harm come first, and the plan is built around your goals.
What if I need more than telehealth can provide?
If you ever need detox, inpatient care, or a higher level of support than telehealth can safely provide, we'll tell you honestly and help you find it.
From the Journal
Further reading
Recovery
MAT, Explained Without the Stigma
What medication-assisted treatment (MAT) for alcohol and opioid use really is, the medications involved, and why it isn't 'replacing one drug with another.' A quick, evidence-based read.
Read TreatmentTherapy, Medication, or Both? How to Actually Decide
How clinicians weigh therapy vs medication vs combined care for anxiety, depression, and more, what the evidence says, and how the choice gets made with you, not for you.
Read TreatmentDoes Telehealth Psychiatry Actually Work?
What the research says about video psychiatry versus in-person care, why it works well for psychiatry specifically, and when in-person still matters. A quick, evidence-based read.
ReadStart Here
Reaching out is a sign of strength.
Confidential, judgment-free. Book a consultation or ask us anything on a free 15-minute intro call.