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Difference Between Detox and Withdrawal

If you’re researching addiction treatment, you’ve probably come across two terms that seem interchangeable: detox and withdrawal. But while they’re closely connected, they are not the same thing.

Understanding the difference between detox and withdrawal can help you or your loved one make informed choices about how to start recovery safely and effectively.

Colorado Medication Assisted Recovery (CMAR) provides medical oversight and therapeutic care to guide people through both phases without hospitalization. Your comfort and safety are our top priorities.

Difference Between Detox and Withdrawal

What Is Withdrawal?

Withdrawal refers to the physical and psychological symptoms that occur when a person reduces or stops using a substance they’ve become dependent on, such as alcohol, opioids, or benzodiazepines.

Common withdrawal symptoms include:

  • Nausea, vomiting, or diarrhea
  • Sweating and chills
  • Shakes or tremors
  • Headaches or fatigue
  • Anxiety, depression, or irritability
  • Insomnia or vivid nightmares
  • Seizures (in severe alcohol or benzodiazepine cases)
  • Hallucinations or delirium tremens (DTs)

Withdrawal can range from mildly uncomfortable to life-threatening depending on the substance, usage history, and the person’s physical and mental health.

What Is Detox?

Detox is the clinical process of managing withdrawal symptoms while the body clears drugs or alcohol from its system. Detox is typically the first step in treatment, designed to help patients reach physical stability so they can move forward into therapy and long-term recovery.

At CMAR, we offer outpatient medical detox that includes:

  • Clinical assessments
  • Daily check-ins and monitoring
  • FDA-approved medications to ease withdrawal
  • Access to mental health support
  • A personalized transition plan into IOP, PHP, or MAT

So, What’s the Difference Between Detox and Withdrawal?

Here’s a clear breakdown:

AspectWithdrawalDetox
DefinitionThe symptoms caused by stopping substance useThe medical process of managing those symptoms
TimeframeBegins within hours to days after last useTypically starts at the same time as withdrawal
FocusWhat your body experiencesWhat clinicians do to support and stabilize you
Includes Medications?Not by defaultBegins within hours to days after the last use
Requires Professional Care?No, but strongly recommended for some substancesYes — especially for alcohol, benzos, or severe opioid use
GoalGetting through the symptomsHelping you do so safely and comfortably

In short, withdrawal is what happens to the body. Detox is how we help you through it.

Why Medical Detox Is the Safer Choice

Why Medical Detox Is the Safer Choice

Trying to “tough it out” at home can be dangerous, especially with substances like alcohol or benzodiazepines, where seizures and cardiac risks are real concerns. Even opioid withdrawal, while less deadly, can be intensely painful and lead to relapse within days or hours.

At CMAR, our outpatient medical detox gives you:

  • A safe, clinical environment without the need for inpatient rehab
  • Medication-assisted treatment (MAT) to reduce cravings and symptoms
  • Daily support from doctors and therapists
  • Flexible scheduling so you can still maintain work or family responsibilities

You don’t have to face withdrawal alone, and you shouldn’t.

What Happens After Detox?

Detox is just the beginning. Once you’re medically stable, long-term recovery requires emotional, behavioral, and lifestyle changes. That’s why CMAR offers a full continuum of outpatient services, including:

Our goal is not just to help you detox; it’s to help you heal, grow, and stay sober long-term.

What Happens After Detox

Detox and Withdrawal Are Connected – But Not the Same

Understanding the difference between detox and withdrawal is about more than just semantics. It’s about recognizing that recovery isn’t just about suffering through symptoms; it’s about getting help that works.

At CMAR in Thornton, Colorado, we provide personalized outpatient detox services to help you manage withdrawal safely and move forward with confidence.

Ready to Take the First Step?

Benefits of Medical Detox

Starting recovery is never easy, but starting the right way can make all the difference. For many, the idea of quitting cold turkey or managing withdrawal alone feels overwhelming. That’s where medical detox comes in, not just as a clinical option, but as a strategic investment in your future sobriety.

At Colorado Medication Assisted Recovery (CMAR), we help people across Denver and beyond safely begin their recovery journey through outpatient medical detox designed around comfort, flexibility, and results.

If you’re weighing your next step, here’s what makes the benefits of medical detox impossible to ignore, and why it might be the most intelligent decision you’ll ever make.

Benefits of Medical Detox

Top Benefits of Medical Detox

Medical detox isn’t just about removing substances from the body; it’s about doing it with the proper support, the right tools, and the right mindset.

For individuals who have tried to quit on their own or are nervous about what withdrawal might feel like, the benefits of medical detox are rooted in safety, comfort, and setting the stage for long-term success.

Below are some of the most important reasons why choosing medical detox, especially in an outpatient setting like CMAR’s, can make all the difference in your recovery journey.

1. Personalized Planning from Day One

Unlike one-size-fits-all detox approaches, medical detox begins with a complete medical and psychological assessment. This allows care teams to:

  • Understand your substance use history
  • Identify physical or mental health concerns
  • Create a tailored medication and therapy plan

At CMAR, this initial planning sets the tone for everything that follows. We don’t guess, we listen, evaluate, and respond to your unique needs.

2. A Controlled Way to Reduce Risk

Unsupervised detox can lead to serious complications like seizures, dehydration, or cardiac distress, especially for people detoxing from alcohol, opioids, or benzodiazepines.

Medical detox ensures safety through daily clinical oversight. At CMAR, patients undergo:

  • Regular vital monitoring
  • Medication adjustments based on progress
  • Direct access to licensed clinicians

Even in an outpatient setting, this high-touch care reduces risk and supports a smooth withdrawal process.

3. Immediate Relief from Cravings and Symptoms

Withdrawal doesn’t just test your willpower; it hijacks your body. From cold sweats and stomach cramps to panic attacks and insomnia, symptoms can feel unbearable.

One of the most significant benefits of medical detox is that it doesn’t require you to suffer.

At CMAR, we use FDA-approved medications to:

  • Lessen or prevent withdrawal symptoms
  • Ease mental distress
  • Reduce cravings during the most vulnerable phase

This relief can make the difference between completing detox and giving up before it’s over.

Medical detox

4. Staying Present for Work and Family

Not everyone can disappear for 30 days. One significant advantage of outpatient medical detox, like the one offered at CMAR, is the ability to stay engaged in life while getting the care you need.

  • No overnight stays required
  • Early morning, daytime, and evening appointments available
  • Discretion and privacy are preserved

Our program is ideal for people who want to stay home, continue working, or maintain parenting responsibilities while safely beginning recovery.

5. A Judgment-Free Space to Start Over

Medical detox isn’t about punishment, it’s about healing. At CMAR, we offer a compassionate, nonjudgmental environment where patients can be honest about their struggles and start fresh without fear.

We often hear from clients that simply walking through our door, knowing they’d be met with respect, was the turning point.

6. Setting the Stage for Real, Lasting Change

Here’s something people don’t talk about enough: Detox alone isn’t enough.

Detox clears your system, but real recovery requires addressing:

  • Why you used
  • How to avoid future triggers
  • What coping skills do you need next

That’s why our medical detox program is just the beginning of what CMAR offers. Patients who complete detox have immediate access to our therapy-based outpatient programs, including:

We help you step into the next phase of healing without losing momentum.

7. A More Affordable, Accessible Option

Inpatient detox can cost thousands of dollars and isn’t always necessary. Our outpatient model offers:

You don’t have to choose between safety and affordability. CMAR delivers both.

Final Thoughts Why It’s Outpatient Rehab Worth It

Final Thoughts: Why It’s Worth It

The benefits of medical detox go far beyond physical comfort; they include safety, flexibility, emotional support, and a clear path into recovery that fits your real life if you’re ready to take the first step but aren’t sure how, our team is here to guide you with compassion and care.

What Is Medical Detox?

For many individuals beginning their journey to sobriety, the first question they face is: “What is medical detox?” Medical detox is a supervised process that helps individuals safely withdraw from drugs or alcohol under the care of healthcare professionals.

Colorado Medication Assisted Recovery (CMAR) provides outpatient medical detox services designed to prioritize comfort, safety, and long-term success, without requiring an overnight stay in a hospital or rehab center.

Understanding the Medical Detox Process

Medical detoxification (medical detox) is the process of clearing substances like alcohol, opioids, or benzodiazepines from the body, with medical supervision to manage withdrawal symptoms and reduce potential risks.

The goal is to:

  • Stabilize the individual during withdrawal
  • Minimize discomfort
  • Prevent complications
  • Prepare for ongoing addiction treatment

Medical detox often includes the use of FDA-approved medications, clinical monitoring, and therapeutic support to make withdrawal safer and more manageable.

Understanding the Medical Detox Process

Why Medical Detox Is Necessary

Substance use changes brain chemistry and body function. When you suddenly stop using, your body can go into shock, especially with substances like alcohol, opioids, or benzos. Withdrawal can be painful and, in some cases, life-threatening.

Symptoms of withdrawal may include:

  • Nausea and vomiting
  • Sweating and chills
  • Seizures
  • Anxiety or depression
  • Insomnia
  • Hallucinations
  • Delirium tremens (DTs)

Medical detox helps you avoid these risks by providing round-the-clock care and the proper medications to stabilize your system.

What Happens During Medical Detox?

Step 1: Initial Assessment

At CMAR, every detox process begins with a comprehensive medical and psychological assessment. This helps us determine your:

  • Substance use history
  • Physical health
  • Mental health conditions
  • Risk of complications

We then design a personalized detox plan tailored to your specific needs.

Step 2: Medication-Assisted Withdrawal

We use evidence-based medications to manage symptoms and cravings, including:

  • Suboxone or Sublocade (for opioid detox)
  • Vivitrol (for alcohol or opioid cravings)
  • Antabuse (for alcohol recovery)
  • Comfort medications for anxiety, sleep, or nausea

These medications help ease the detox process and prevent relapse.

Step 3: Ongoing Monitoring & Support

Our licensed professionals provide daily check-ins, monitor vitals, and adjust medications as needed. We also offer individual counseling to help patients cope with emotional triggers during detox.

CMAR’s Outpatient Detox Program in Colorado

CMAR’s Outpatient Detox Program in Colorado

Unlike inpatient rehabs, CMAR offers medical detox on an outpatient basis, meaning you can detox safely while living at home or in a supportive environment.

Our outpatient program is ideal for individuals who:

  • Have mild to moderate withdrawal symptoms
  • Need flexible scheduling
  • Want to maintain work, school, or family obligations
  • Are you looking for a cost-effective alternative to inpatient rehab

We are Colorado’s only licensed outpatient detox provider that integrates medical, clinical, and therapeutic care in one location.

What Substances Require Medical Detox?

Not every drug withdrawal is the same. Some substances require medical detox due to the severity of symptoms and the potential for complications.

Substances Commonly Treated at CMAR:

  • Alcohol: Risk of seizures and delirium tremens
  • Opioids (heroin, fentanyl, prescription painkillers): Severe cravings, flu-like symptoms, anxiety
  • Benzodiazepines (Xanax, Ativan, Valium): Risk of seizures, panic attacks, insomnia
  • Polysubstance Use: Combined drug withdrawals need specialized care

If you’re unsure whether you need detox, our team can help assess your condition confidentially.

Is Medical Detox Enough?

While detox is an essential first step, it’s not a cure for addiction. Proper recovery begins after detox, when the physical dependence ends and psychological healing begins.

That’s why CMAR offers a full continuum of care after medical detox, including:

  • Partial Hospitalization Program (PHP): Daytime, structured support
  • Intensive Outpatient Program (IOP): Flexible scheduling for working adults
  • Mental Health & Dual Diagnosis Treatment
  • Individual & Group Therapy
  • Family Support & Case Management
How Long Does Medical Detox Last

How Long Does Medical Detox Last?

Most medical detox programs last 5 to 10 days, but the exact duration depends on:

  • The substances used
  • How long and how heavily they were used
  • Your overall health and co-occurring conditions

CMAR designs each detox timeline around your unique recovery needs.

Frequently Asked Questions

Is detox painful?

With medical detox, discomfort is minimized through the use of medications and clinical care. Although you may still feel symptoms, we manage them closely.

Can I detox at home?

We strongly advise against unsupervised detox, primarily from alcohol, opioids, or benzos. Home detox can be dangerous and unpredictable.

Does insurance cover medical detox?

Yes! CMAR accepts most major insurance plans, including Medicaid, and offers affordable self-pay options.

Why Choose CMAR for Medical Detox?

  • Colorado’s only licensed outpatient detox provider
  • Full MAT services on-site
  • Dual diagnosis and trauma-informed care
  • Flexible appointment options, morning, evening, and telehealth
  • Caring, nonjudgmental staff with decades of experience

Start Medical Detox in Denver Today

If you or a loved one is asking, “What is medical detox?”, chances are you’re already considering a path to recovery. At CMAR, we make starting that journey easier, safer, and more flexible than ever.

How to Go to Rehab Without Losing Your Job?

Many professionals and working adults delay or avoid getting help for addiction because of one major fear: losing their job. The truth is, you can go to rehab without losing your job, and there are legal protections and flexible treatment options designed specifically for people in your situation.

At Colorado Medication Assisted Recovery (CMAR), we understand how important it is to balance treatment with work responsibilities. Whether you’re considering detox, outpatient rehab, or dual diagnosis care, we can help you take the first step, confidentially and without jeopardizing your employment.

How to Go to Rehab Without Losing Your Job

Legal Protections for Employees Seeking Rehab

The Americans with Disabilities Act (ADA) and the Family and Medical Leave Act (FMLA) provide federal protections that can help you attend rehab without being fired or disciplined.

1. FMLA: Job-Protected Leave

FMLA allows eligible employees to take up to 12 weeks of unpaid, job-protected leave for severe health conditions, including substance use disorders.

Key points:

  • Your employer cannot fire you for seeking treatment
  • Your health benefits remain active during leave
  • You don’t have to disclose details of your condition, only that you need medical leave

To qualify:

  • You must work for a covered employer (most employers with 50+ employees)
  • You must have worked at least 1,250 hours in the past 12 months

2. The ADA: Protection Against Discrimination

The ADA protects individuals with substance use disorders from being fired because of their condition, as long as they are actively seeking treatment.

This law:

  • Prevents employers from firing you due to your medical diagnosis
  • Encourages reasonable accommodations (e.g., adjusted schedule for treatment)

Should You Tell Your Employer?

This decision is personal, but often necessary if you plan to take time off.

You do not need to disclose your addiction history. Under FMLA or ADA protections, you are only required to notify HR or a supervisor that you need medical leave for a serious health condition.

At CMAR, we work with many Colorado professionals who need help navigating these conversations and ensuring their privacy is respected.

Outpatient Rehab Options That Let You Keep Working

Outpatient Rehab Options That Let You Keep Working

Not everyone needs to take weeks off for inpatient rehab. In fact, most people can attend treatment without leaving their jobs, primarily through CMAR’s outpatient and telehealth programs.

Intensive Outpatient Program (IOP)

Our IOP offers flexible scheduling options (morning, afternoon, and evening sessions) to fit around your work schedule. You’ll receive:

  • 3–5 days per week of therapy
  • Group and individual counseling
  • Medication-assisted treatment (MAT)
  • Dual diagnosis care for mental health support

Many of our clients in Denver attend IOP before or after work, allowing them to stay on top of both their recovery and career.

Partial Hospitalization Program (PHP)

If you need more structure, our PHP provides 5–6 hours of treatment daily, but without requiring overnight stays. This option works well for people who can take short-term leave or work part-time while receiving care.

Will Your Employer Find Out?

Your treatment is confidential under HIPAA laws. CMAR never shares your health information with employers unless you provide written consent.

Even when using FMLA, you’re only required to provide documentation stating that you need medical leave. No details about the nature of your treatment must be disclosed.

Common Myths About Rehab and Employment

“If I go to rehab, I’ll get fired.”

Most people are legally protected under the FMLA and the ADA. Your employer cannot terminate you for seeking treatment.

“I can’t afford to miss work.”

Many of CMAR’s clients keep working while in treatment through IOP and telehealth. We design our programs around your schedule.

“My job won’t support me.”

You might be surprised. Many HR departments are trained to handle medical leave professionally and discreetly.

How CMAR Supports Working Professionals

At CMAR, we specialize in helping people maintain their lives while recovering from substance use disorders. Here’s how we support working clients across Colorado:

  • Flexible schedules (evening, morning, remote)
  • Insurance verification & FMLA documentation support
  • Medication-assisted detox in an outpatient setting
  • Ongoing therapy, case management, and peer support

We’ve helped countless Coloradans begin recovery without risking their jobs, reputations, or privacy.

Taking the First Step What to Do If You’re Ready

Taking the First Step: What to Do If You’re Ready

Here’s how to safely start your recovery journey without jeopardizing your job:

Step 1: Confidential Assessment

Call (855) 454-4003 or submit a form to schedule your private consultation.

Step 2: Insurance Verification & Leave Options

We’ll walk you through insurance, FMLA paperwork, and your treatment options.

Step 3: Begin a Flexible Treatment Plan

Start with outpatient detox, IOP, or PHP, depending on your needs.

Final Thoughts: You Can Get Help Without Sacrificing Your Career

It’s never easy to admit you need help. But choosing treatment doesn’t mean losing everything you’ve worked for.

At Colorado Medication Assisted Recovery, we make sure you can heal without pausing your life. From flexible outpatient programs to legal protections and compassionate care, we’re here to help you build a better future.

How Long Does It Take for Your Body to Detox from Alcohol?

Alcohol detox is the first, and often most difficult, step in the recovery journey. For many, the question arises: How long does it take for your body to detox from alcohol?

While the general detox process lasts anywhere from a few days to over a week, the honest answer is far more personal. Your unique history, biology, and support system all play a role in the timeline and effectiveness of detox.

Colorado Medication Assisted Recovery (CMAR) in Denver provides a safe, structured, outpatient detox program that blends medical supervision, FDA-approved medications, and compassionate therapeutic support. Whether detoxing for the first time or returning to recovery after a relapse, we’re here to help you safely take the first step.

How Long Does It Take for Your Body to Detox from Alcohol

What Is Alcohol Detox?

Alcohol detoxification is the process of removing alcohol from your system and allowing your body to return to a stable chemical balance. For individuals who drink heavily or regularly, this process can trigger withdrawal symptoms ranging from mild to life-threatening.

Withdrawal occurs because alcohol is a central nervous system depressant. Over time, the body becomes dependent on it. When alcohol use stops suddenly, the brain struggles to regulate itself, causing the symptoms associated with detox.

Detoxing without medical supervision can be dangerous, especially for those with a long history of alcohol use. That’s why CMAR offers a medically supported, outpatient detox program in Colorado, tailored to each person’s health, lifestyle, and treatment goals.

General Timeline: How Long Does It Take to Detox from Alcohol?

There is no one-size-fits-all answer, but here’s a typical timeline based on clinical experience:

6–12 Hours After the Last Drink

  • Mild symptoms appear: anxiety, headache, nausea, insomnia, tremors
  • Cravings begin to build
  • Blood alcohol levels drop

12–48 Hours

  • Moderate withdrawal sets in: sweating, irritability, increased heart rate
  • The risk of seizures begins, especially for long-term or heavy drinkers
  • Some may experience alcohol hallucinosis (auditory or visual hallucinations)

48–72 Hours

  • The highest risk period for severe symptoms such as Delirium Tremens (DTs):
    • Confusion
    • Disorientation
    • Fever
    • High blood pressure
    • Seizures

DTs occur in about 5% of individuals withdrawing from alcohol, but they require immediate medical attention and can be fatal without treatment.

4–7 Days

  • Symptoms gradually subside
  • Mood, appetite, and sleep begin to stabilize
  • Emotional challenges, depression, anxiety, and restlessness may persist longer

Pro Tip from CMAR: Many patients feel tempted to leave treatment once physical symptoms improve. But this is when emotional healing and relapse prevention work becomes critical.

General Timeline How Long Does It Take to Detox from Alcohol

What Affects the Duration of Alcohol Detox?

Several personal and medical factors influence how long detox takes:

1. Amount and Duration of Alcohol Use

Heavy drinkers or those with a long history of alcohol use typically have more intense withdrawal symptoms that last longer.

2. Age, Weight, and Gender

Younger individuals often detox faster. Metabolism, liver health, and hormone levels also affect the speed of alcohol elimination.

3. Co-Occurring Disorders

People with mental health conditions like anxiety, depression, or PTSD may experience prolonged symptoms and require dual-diagnosis treatment.

4. Polysubstance Use

If alcohol was used alongside opioids, benzos, or stimulants, the detox process becomes more complex and often requires integrated care.

5. Liver Function and General Health

Since the liver plays a central role in metabolizing alcohol, those with liver disease or chronic conditions may experience slower detox.

Why Medically Supervised Detox Matters

Alcohol detox isn’t just uncomfortable; it can be deadly if done improperly. That’s why CMAR provides a structured outpatient withdrawal management (OWM) program for safety, flexibility, and long-term success.

Benefits of Our Program Include:

  • Daily medical monitoring
  • Medication-assisted treatment (MAT) using Suboxone, Vivitrol, and comfort meds
  • Access to therapists and counselors
  • A seamless transition to IOP or PHP for continued care

Unlike inpatient facilities, CMAR’s outpatient model allows you to live at home or in sober housing while receiving professional support each day.

Alcohol Detox Medications We Use

Medication-Assisted Treatment (MAT) can significantly improve your comfort and reduce the risk of complications during detox. At CMAR, our licensed clinicians may recommend:

  • Vivitrol (Naltrexone): Reduces cravings and blocks euphoric effects of alcohol
  • Antabuse (Disulfiram): Creates unpleasant side effects if alcohol is consumed
  • Comfort Medications: Non-addictive meds for nausea, anxiety, insomnia, etc.

These medications are administered as part of a comprehensive treatment plan, never as a stand-alone solution.

What Comes After Detox

Many assume that detox is the end of the recovery process, but it’s only the beginning.

After your body is alcohol-free, the real work of healing and preventing relapse begins. CMAR offers a full continuum of care in Colorado, including:

Partial Hospitalization Program (PHP)

  • 5–6 hours/day, 5 days a week
  • Intensive therapy, dual diagnosis care, and structured routines

Intensive Outpatient Program (IOP)

  • 3–5 days/week, morning and evening options
  • Ideal for balancing recovery with life responsibilities

Mental Health Treatment

  • Integrated support for anxiety, depression, trauma, and more
  • CBT, DBT, and trauma-informed therapy approaches
What Comes After Detox

Who Is a Good Candidate for Outpatient Alcohol Detox?

CMAR’s outpatient detox program is ideal for individuals who:

  • Are medically stable and don’t require 24/7 inpatient monitoring
  • Have mild to moderate withdrawal symptoms
  • Want to maintain work, school, or family responsibilities during treatment
  • Are you ready to transition into long-term outpatient support

If you’re unsure whether you or a loved one is a candidate, our intake team will conduct a personalized assessment to determine the safest, most effective path forward.

Frequently Asked Questions

How long does it take for alcohol to leave your body completely?

Alcohol is metabolized at a rate of about one standard drink per hour, but full detox and recovery of brain and organ function may take weeks or months, depending on the severity of use.

Can I detox from alcohol at home?

Home detox can be dangerous. Without medical oversight, the risk of seizures, dehydration, and delirium tremens increases. Always consult a professional like CMAR before attempting detox.

Does insurance cover alcohol detox?

Yes, CMAR accepts most major insurance providers and Medicaid, and we offer affordable cash-pay options for those without coverage.

Ready to Begin? CMAR Is Here to Help

If you’re searching for answers about how long it takes to detox from alcohol, chances are you’re ready to take action. At CMAR, we make it easy to get started!

Health Benefits of Sobriety

Choosing sobriety is one of the most powerful steps a person can take toward reclaiming their health, happiness, and future.

While recovery is a journey filled with challenges, the rewards of a substance-free life are undeniable. From improved mental clarity to better physical health, the health benefits of sobriety are transformative and long-lasting.

At Colorado Medication Assisted Recovery (CMAR), we see these benefits unfold every day in the lives of our patients. Here’s what you can expect when you commit to a life free from drugs and alcohol.

Physical Health Benefits of Sobriety

Substance use takes a heavy toll on the body. Sobriety allows the body to heal, regenerate, and rebuild strength over time. Some of the key physical health benefits of sobriety include:

  • Improved Heart Health: Substance abuse often strains the heart. Sobriety reduces blood pressure, improves circulation, and lowers the risk of heart disease.
  • Better Liver Function: Alcohol and certain drugs can damage the liver. Sobriety allows the liver to repair itself, often reversing early-stage damage.
  • Stronger Immune System: Without the weakening effects of substances, the immune system can function properly again, making it easier to fight off illnesses.
  • Higher Energy Levels: As the body detoxifies, energy and stamina increase, helping individuals feel more vibrant and active.
  • Better Sleep Quality: Substance-free sleep restores natural sleep patterns, leading to deeper, more restful nights.
Health Benefits of Sobriety

Mental and Emotional Health Benefits of Sobriety

Beyond the body, the mind experiences profound healing in sobriety. Some of the mental and emotional health benefits of sobriety include:

  • Reduced Anxiety and Depression: Substance use can mask or worsen mental health conditions. Sobriety, coupled with proper therapy, leads to real emotional healing.
  • Improved Cognitive Function: Memory, focus, and decision-making skills return as the brain’s chemistry balances out over time.
  • Greater Emotional Stability: Sobriety provides the clarity and tools needed to manage emotions healthily without relying on substances.
  • Boosted Self-Esteem: Meeting personal goals, rebuilding relationships, and improving health naturally lead to greater self-confidence.

Lifestyle Benefits of Sobriety

The health benefits of sobriety ripple into every aspect of life:

  • Stronger Relationships: Sobriety helps rebuild trust with family, friends, and coworkers.
  • Financial Stability: Without the cost of substances and related consequences, individuals often experience improved economic security.
  • Personal Growth: Sobriety creates space for pursuing education, career advancement, hobbies, and other passions.
  • Sense of Purpose: Many individuals in recovery find deeper meaning in life, whether through helping others, pursuing new goals, or embracing a spiritual path.

How CMAR Supports Your Sobriety Journey

At Colorado Medication-Assisted Recovery, we know that achieving sobriety is just the beginning. Maintaining it requires comprehensive support—medically, emotionally, and socially.

Our outpatient programs provide:

  • Medication-Assisted Treatment (MAT): Helps manage cravings and withdrawal symptoms with FDA-approved medications like Suboxone and Vivitrol.
  • Individual and Group Therapy: Evidence-based therapies like Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT) to build coping skills.
  • Mental Health Support: Integrated treatment for dual diagnoses, including anxiety, depression, PTSD, and trauma.
  • Flexible Scheduling: Morning, day, and evening sessions, both in-person and via telehealth, to fit your lifestyle.
  • Family Education and Involvement: Helping loved ones understand addiction and supporting healing at home.

Whether you’re seeking outpatient detox, intensive outpatient care, or ongoing mental health support, CMAR offers the tools you need to experience the full health benefits of sobriety and live a vibrant, fulfilling life.

How CMAR Supports Your Sobriety Journey

Start Your Recovery Today

The health benefits of sobriety are life-changing, but you don’t have to achieve them alone. At CMAR, we’re here to walk with you every step of the way—with expert care, personalized treatment plans, and compassionate support.

Contact us today to verify your insurance, complete a confidential assessment, and begin your journey to lasting recovery.

Colorado Controlled Substances: Understanding Drug Schedules and Laws

Controlled substances are drugs regulated by the government due to their potential for abuse or dependence. In Colorado, these substances are classified into specific schedules, each with its own set of rules and restrictions.

Understanding Colorado controlled substances is essential for healthcare providers, patients, and anyone navigating the state’s drug laws. This guide provides a comprehensive overview of Colorado’s controlled substances schedules, regulations, and their implications for individuals and communities.

What are Controlled Substances?

Controlled substances are drugs or chemicals whose manufacture, possession, and use are regulated by the government. These substances are categorized based on their potential for abuse, medical value, and safety.

The federal Controlled Substances Act (CSA) establishes the framework for drug regulation, but states like Colorado also enforce their own laws to address local needs.

Colorado Controlled Substances Understanding Drug Schedules and Laws

Colorado Controlled Substances Act

Colorado’s Controlled Substances Act aligns with federal guidelines but includes state-specific provisions to address local challenges. The act aims to:

  • Prevent the abuse of prescription and illicit drugs.
  • Ensure the safe use of medications for legitimate medical purposes.
  • Regulate the distribution and dispensing of controlled substances.

By categorizing drugs into schedules, Colorado’s law provides a clear framework for enforcement and compliance.

Colorado Drug Schedules

Colorado classifies controlled substances into five schedules based on their potential for abuse and accepted medical use. Here’s a breakdown of each schedule:

Schedule I:

  • Characteristics: High potential for abuse, no accepted medical use.
  • Examples: Heroin, LSD, ecstasy, and marijuana (under federal law; Colorado has separate regulations for marijuana).

Schedule II:

  • Characteristics: High potential for abuse, accepted medical use with severe restrictions.
  • Examples: Oxycodone, fentanyl, Adderall, and methamphetamine.

Schedule III:

  • Characteristics: Moderate potential for abuse, accepted medical use.
  • Examples: Anabolic steroids, ketamine, and certain painkillers like codeine with aspirin.

Schedule IV:

  • Characteristics: Low potential for abuse, accepted medical use.
  • Examples: Xanax, Valium, Ambien, and Tramadol.

Schedule V:

  • Characteristics: Lowest potential for abuse, accepted medical use.
  • Examples: Cough syrups with codeine and certain antidiarrheal medications.

Prescription Drug Regulations in Colorado

Colorado has specific rules for prescribing and dispensing controlled substances to prevent misuse and ensure patient safety. Key regulations include:

  1. Prescription Monitoring Program (PMP):
    • Healthcare providers must check the PMP before prescribing opioids or other controlled substances to identify potential misuse.
  2. Opioid Prescription Limits:
    • Colorado limits the duration and dosage of opioid prescriptions for acute pain to reduce the risk of addiction.
  3. Healthcare Provider Requirements:
    • Providers must follow strict guidelines when prescribing controlled substances, including documenting medical necessity and monitoring patient use.
  4. Pharmacist Responsibilities:
    • Pharmacists are required to verify prescriptions and report suspicious activity to authorities.

Penalties for Violating Colorado Controlled Substance Laws

Violating Colorado’s controlled substance laws can result in serious legal consequences.

Penalties vary depending on the type and quantity of the substance, as well as the nature of the offense (e.g., possession, distribution, or manufacturing).

  • Possession:
    • Possessing a controlled substance without a valid prescription can lead to misdemeanor or felony charges, depending on the drug’s schedule and quantity.
  • Distribution or Trafficking:
    • Selling or distributing controlled substances is a felony offense, with penalties ranging from fines to lengthy prison sentences.
  • Manufacturing:
    • Producing controlled substances, such as methamphetamine or synthetic drugs, is a serious felony with severe penalties.
How CMAR Supports Compliance and Recovery in Colorado

How CMAR Supports Compliance and Recovery in Colorado

While CMAR does not enforce laws, we provide education and support for individuals navigating Colorado controlled substances regulations.

Our outpatient detox and recovery programs help individuals struggling with substance use disorders, including those involving controlled substances. By offering resources and personalized care, we aim to support recovery and promote compliance with state laws.

FAQs About Colorado Controlled Substances

What is the difference between federal and Colorado drug schedules?

Colorado’s drug schedules align with federal guidelines but may include additional state-specific regulations.

Can I legally possess medical marijuana in Colorado?

Yes, Colorado allows the use of medical marijuana for qualifying patients, but it remains a Schedule I substance under federal law.

What are the penalties for possessing a controlled substance without a prescription?

Penalties vary based on the drug’s schedule and quantity but can include fines, probation, or imprisonment.

How does Colorado regulate opioid prescriptions?

Colorado limits opioid prescriptions for acute pain and requires healthcare providers to use the Prescription Monitoring Program (PMP).

Where can I find a list of Colorado controlled substances?

The Colorado Department of Regulatory Agencies (DORA) provides a comprehensive list of controlled substances under state law.

Conclusion: Staying Informed About Colorado Controlled Substances

Understanding Colorado controlled substances is essential for compliance, safety, and recovery. Whether you’re a healthcare provider, patient, or concerned individual, staying informed about drug schedules and regulations can help prevent misuse and support recovery.

At CMAR in Denver, Colorado, we’re committed to providing resources and support for individuals navigating these complex laws.

Nutrition in Rehab: How Healthy Eating Supports Addiction Recovery

Addiction takes a toll on both the mind and body, often leading to malnutrition, vitamin deficiencies, and poor overall health. That’s why nutrition in rehab is a critical component of recovery.

A balanced diet not only helps repair the physical damage caused by substance abuse but also supports mental health, reduces cravings, and boosts energy levels.

Whether you’re in outpatient detox or a rehab program, understanding the role of nutrition can empower you to take control of your recovery journey.

Why is Nutrition Important in Rehab?

Nutrition plays a vital role in addiction recovery for several reasons:

  1. Repairing the Body:
    • Substance abuse often leads to malnutrition, organ damage, and weakened immune systems. Proper nutrition helps repair these issues by providing essential vitamins, minerals, and nutrients.
  2. Stabilizing Mood:
  3. Boosting Energy:
    • Recovery requires physical and emotional energy. Nutrient-rich foods like lean proteins, whole grains, and fresh fruits and vegetables provide the fuel needed for healing.
  4. Reducing Cravings:
    • Certain foods can help reduce cravings for drugs or alcohol by balancing neurotransmitters like dopamine and serotonin. For example, protein-rich foods can stabilize blood sugar levels, preventing energy crashes that may trigger cravings.
Nutrition in Rehab

Common Nutritional Challenges in Recovery

Individuals in recovery often face specific nutritional challenges, including:

  • Poor Eating Habits: Many people struggling with addiction have a history of irregular or unhealthy eating patterns.
  • Vitamin Deficiencies: Substance abuse can deplete essential vitamins like B12, D, and magnesium, which are crucial for physical and mental health.
  • Digestive Issues: Alcohol and drug use can damage the digestive system, making it harder to absorb nutrients.
  • Emotional Eating: Stress and anxiety during recovery may lead to overeating or unhealthy food choices.

Addressing these challenges is a key part of the recovery process, especially in outpatient detox, where individuals are managing their daily lives while undergoing treatment.

Tips for Healthy Eating in Rehab and Outpatient Detox

Here are some practical tips for maintaining a healthy diet during rehab and outpatient detox:

  1. Focus on Whole Foods:
    • Incorporate fruits, vegetables, lean proteins, whole grains, and healthy fats into your diet. These foods provide essential nutrients and support overall health.
  2. Stay Hydrated:
    • Drink plenty of water to support detoxification and overall health. Dehydration can worsen withdrawal symptoms and sap energy.
  3. Balanced Macronutrients:
    • Ensure each meal includes a mix of protein, carbohydrates, and fats to maintain energy levels and stabilize mood.
  4. Address Cravings with Nutrition:
    • Foods high in protein and fiber can help stabilize blood sugar and reduce cravings. Nuts, seeds, and legumes are excellent options.
  5. Avoid Processed Foods:
    • Limit sugar, caffeine, and processed foods, which can negatively impact mood and energy levels.
  6. Plan Meals Ahead of Time:
    • Preparing meals in advance can help you stay on track with your nutrition goals, especially during busy or stressful times.
The Role of Nutrition in Outpatient Detox

The Role of Nutrition in Outpatient Detox

In outpatient detox, individuals often balance treatment with their daily responsibilities, making nutrition even more important. Here’s how healthy eating can support outpatient detox:

  1. Managing Withdrawal Symptoms:
    • Proper nutrition can help alleviate some withdrawal symptoms, such as fatigue, irritability, and digestive issues.
  2. Supporting Mental Health:
    • A balanced diet can improve mood and reduce anxiety, which are common challenges during detox.
  3. Building a Foundation for Recovery:
    • Establishing healthy eating habits during outpatient detox sets the stage for long-term recovery and overall well-being.

FAQs About Nutrition in Rehab and Outpatient Detox

Why is nutrition important in addiction recovery?

Nutrition helps repair the body, stabilize mood, boost energy, and reduce cravings, making it a critical component of recovery.

What foods should I avoid during rehab or outpatient detox?

Limit sugar, caffeine, and processed foods, which can negatively impact mood and energy levels.

How can nutrition help reduce cravings?

Foods high in protein and fiber can stabilize blood sugar levels, preventing energy crashes that may trigger cravings.

What vitamins are most important during recovery?

Vitamins like B12, D, and magnesium are crucial for repairing the body and supporting mental health.

How can I maintain a healthy diet during outpatient detox?

Plan meals ahead of time, focus on whole foods, and stay hydrated to support your recovery journey.

Fuel Your Recovery with Proper Nutrition

Nutrition is a powerful tool in addiction recovery, helping repair the body, stabilize mood, and reduce cravings. Whether you’re in rehab or outpatient detox, focusing on a balanced diet can support your physical and emotional healing.

By making healthy eating a priority, you can take an active role in your recovery journey and build a foundation for long-term sobriety.

At CMAR (Colorado Medication Assisted Recovery) in Denver, we understand the importance of a holistic approach to recovery. While we don’t offer specific nutrition programs, we encourage individuals to prioritize healthy eating as part of their recovery journey. By making healthy eating a priority, you can take an active role in your recovery and build a foundation for long-term sobriety.

Vivitrol Long-Term Side Effects: What You Need to Know

Vivitrol is a proven medication used to treat alcohol and opioid addiction by blocking cravings and preventing relapse. While it’s an effective tool for recovery, understanding its potential long-term side effects is crucial for making informed decisions about your treatment.

This comprehensive guide explores the risks, safety considerations, and how CMAR in Denver can help you navigate your recovery journey with confidence.

Potential Long-Term Side Effects of Vivitrol

While Vivitrol is generally safe for long-term use, some individuals may experience more serious side effects over time.

Here’s a detailed look at the potential long-term side effects of Vivitrol:

1. Liver Health

  • Risk: Long-term use of Vivitrol may affect liver function, though this is rare. Naltrexone is metabolized in the liver, and high doses over time could potentially lead to liver damage.
  • Prevention: Regular liver function tests are recommended to monitor for any issues. If you have a history of liver disease, discuss this with your healthcare provider before starting Vivitrol.

2. Depression and Mood Changes

  • Risk: Some individuals report mood changes, including depression, anxiety, or irritability, while on Vivitrol. This is more common in those with a history of mental health conditions.
  • Prevention: If you experience mood changes, inform your healthcare provider immediately. They may adjust your treatment plan or recommend additional support, such as therapy or counseling.

3. Injection Site Reactions

  • Risk: Repeated injections can sometimes cause tissue damage, scarring, or infections at the injection site.
  • Prevention: Rotating injection sites and ensuring proper administration techniques can help minimize this risk. Always have Vivitrol injections administered by a qualified healthcare professional.

4. Hormonal Changes

  • Risk: In rare cases, Vivitrol may impact hormone levels, leading to changes in menstrual cycles, libido, or energy levels.
  • Prevention: If you notice unusual hormonal changes, discuss them with your healthcare provider. They may recommend further testing or adjustments to your treatment plan.

5. Allergic Reactions

  • Risk: Although uncommon, severe allergic reactions to Vivitrol can occur. Symptoms may include rash, swelling, difficulty breathing, or anaphylaxis.
  • Prevention: If you have a history of allergies, inform your healthcare provider before starting Vivitrol. Seek immediate medical attention if you experience signs of an allergic reaction.
Potential Long-Term Side Effects of Vivitrol

Who is at Risk for Long-Term Side Effects?

Certain factors may increase the risk of experiencing long-term side effects of Vivitrol, including:

  • Pre-existing liver conditions: Individuals with liver disease or impaired liver function may be at higher risk for liver-related side effects.
  • Mental health history: Those with a history of depression, anxiety, or other mental health conditions may be more susceptible to mood changes.
  • Allergies: Individuals with allergies to naltrexone or other medications should use Vivitrol with caution.
  • Poor adherence to monitoring: Skipping regular check-ups or liver function tests can increase the risk of undetected side effects.

If you have any of these risk factors, discuss them with your healthcare provider before starting Vivitrol.

What is Vivitrol?

Vivitrol is an injectable form of naltrexone, a medication approved by the FDA to treat alcohol and opioid dependence. It works by blocking opioid receptors in the brain, reducing cravings, and preventing the euphoric effects of opioids and alcohol.

Administered as a monthly injection, Vivitrol is often used as part of a medication-assisted treatment (MAT) program. Unlike some other MAT medications, Vivitrol is non-addictive and does not require daily dosing, making it a convenient option for many individuals.

Common Side Effects of Vivitrol

Like any medication, Vivitrol can cause side effects. Most are mild and temporary, including:

  • Nausea
  • Headache
  • Fatigue
  • Dizziness
  • Injection site reactions (e.g., pain, swelling, or redness)

These side effects typically subside as your body adjusts to the medication. However, it’s important to discuss any persistent or severe symptoms with your healthcare provider.

How to Minimize Risks While Using Vivitrol

How to Minimize Risks While Using Vivitrol

To ensure safe and effective treatment, follow these guidelines:

  1. Regular Monitoring:
    • Schedule routine liver function tests and medical check-ups to catch any potential issues early.
  2. Open Communication:
    • Report any side effects to your healthcare provider immediately. They can adjust your treatment plan if needed.
  3. Healthy Lifestyle:
    • Maintain a balanced diet, exercise regularly, and avoid alcohol or opioids to support your overall health.
  4. Follow Dosage Guidelines:
    • Adhere to your prescribed treatment plan and attend all scheduled injections.
  5. Work with a Trusted Provider:
    • Choose a reputable treatment center like CMAR in Denver, Colorado, to ensure you receive high-quality care and monitoring.

Why Choose CMAR for Vivitrol Treatment in Denver, Colorado?

At CMAR (Colorado Medication Assisted Recovery), we prioritize your safety and well-being.

Our team specializes in medication-assisted treatment, including Vivitrol, and provides personalized care to help you achieve lasting recovery. Here’s why we stand out:

  • Expertise: We have extensive experience in MAT and are committed to using evidence-based practices.
  • Compassionate Care: We take a personalized approach to treatment, ensuring you receive the support you need.
  • Safety First: We monitor for side effects and provide regular check-ups to ensure your treatment is safe and effective.
  • Local Focus: As a Denver-based provider, we’re dedicated to serving our community with high-quality, affordable care.

FAQs About Vivitrol Long-Term Side Effects

Is Vivitrol safe for long-term use?

Yes, Vivitrol is generally safe for long-term use when monitored by a healthcare provider.

Can Vivitrol cause liver damage?

While rare, long-term use of Vivitrol may affect liver function. Regular monitoring is recommended.

What should I do if I experience side effects?

Contact your healthcare provider immediately to discuss your symptoms and adjust your treatment plan if necessary.

How often should I be monitored while on Vivitrol?

Regular check-ups, including liver function tests, are typically recommended every few months.

Are there alternatives to Vivitrol for addiction treatment?

Yes, other MAT options include Suboxone and methadone. Your healthcare provider can help you choose the best treatment for your needs.

Make an Informed Decision About Vivitrol

Understanding the potential long-term side effects of Vivitrol is an important part of your recovery journey. While Vivitrol is a safe and effective treatment for many, it’s essential to work with a trusted healthcare provider to monitor for any risks.

At CMAR in Denver, Colorado, we’re here to support you every step of the way.

What Happens During Detox from Alcohol? Timeline, Symptoms & Treatment

Alcohol detox is the first crucial step in overcoming alcohol dependence. When a person stops drinking, their body undergoes withdrawal as it eliminates alcohol from the system.

This process can range from mild discomfort to severe, life-threatening symptoms. Understanding what happens during detox from alcohol can help individuals prepare for the journey ahead and seek the safest approach to recovery.

At CMAR, we offer medically supervised outpatient detox to ensure a safe and effective withdrawal process. This guide will walk you through the detox timeline, symptoms, and treatment options to help you or a loved one take the first step toward sobriety.

What Happens During Alcohol Detox

What Happens During Alcohol Detox?

Detox from alcohol involves the body metabolizing and eliminating alcohol while adjusting to its absence.

During this time, the nervous system, which has adapted to alcohol’s depressant effects, reacts to the sudden change, leading to withdrawal symptoms.

Alcohol Withdrawal Timeline

The timeline for alcohol withdrawal varies based on drinking history, frequency, and individual health. Below is a general breakdown:

  • 6-12 Hours After Last Drink: Mild symptoms appear, such as anxiety, sweating, nausea, headaches, and insomnia.
  • 24-72 Hours After Last Drink: This is the most intense withdrawal period, where severe symptoms like tremors, confusion, hallucinations, and seizures may occur.
  • 3-7 Days After Last Drink: Symptoms begin to subside, but some individuals experience lingering withdrawal effects.
  • Beyond 7 Days: Psychological symptoms such as anxiety, depression, and cravings may persist for weeks or months.

Common Alcohol Withdrawal Symptoms

Withdrawal symptoms vary in severity and can be categorized as:

  • Mild Symptoms: Headache, nausea, sweating, irritability, trouble sleeping, and rapid heartbeat.
  • Moderate Symptoms: Increased blood pressure, confusion, mood swings, hallucinations.
  • Severe Symptoms (Delirium Tremens – DTs): Seizures, extreme confusion, rapid heartbeat, high fever, severe agitation, and life-threatening complications.

Seeking medical supervision during detox helps prevent dangerous withdrawal complications and ensures proper management of symptoms.

What Happens to Your Body When You Stop Drinking?

When you stop drinking, your body begins to repair itself from the toxic effects of alcohol. Here’s what happens during detox:

  • Brain Recovery: Alcohol alters brain chemistry; detox allows neurotransmitters to rebalance, improving cognitive function and mood.
  • Liver Regeneration: The liver starts to repair itself, reducing inflammation and fat buildup.
  • Cardiovascular Benefits: Blood pressure stabilizes, reducing the risk of heart disease.
  • Digestive Improvements: The stomach lining heals, improving digestion and nutrient absorption.

While physical improvements begin within days, long-term recovery requires continued care and support.

What Happens to Your Body When You Stop Drinking

What Happens If an Alcoholic Suddenly Stops Drinking?

For individuals with severe alcohol dependence, suddenly stopping alcohol use can be dangerous. This abrupt cessation can lead to Alcohol Withdrawal Syndrome (AWS), which includes:

  • Seizures (risk highest within 24-48 hours)
  • Hallucinations (auditory, visual, or tactile sensations not based in reality)
  • Delirium Tremens (DTs) (a severe condition that includes confusion, agitation, fever, and cardiovascular instability)

Medical supervision is essential for individuals with a history of heavy drinking to ensure a safe and controlled detox process.

What to Eat When Detoxing from Alcohol?

Proper nutrition plays a crucial role in supporting recovery during detox. Here’s what to include in your diet:

Best Foods for Alcohol Detox

  • Hydrating Foods: Cucumbers, watermelon, and broth-based soups replenish lost fluids.
  • Lean Proteins: Chicken, fish, eggs, and tofu help rebuild muscle and energy levels.
  • Complex Carbohydrates: Whole grains, brown rice, and oats stabilize blood sugar levels.
  • Electrolyte-Rich Foods: Bananas, oranges, and avocados restore potassium and magnesium levels.
  • Vitamin B1 (Thiamine) Sources: Nuts, beans, and fortified cereals support brain function.

Foods to Avoid

  • Sugary Snacks & Processed Foods: They can cause blood sugar spikes and crashes.
  • Caffeinated Drinks: Can increase anxiety and disrupt sleep.
  • Salty & Fatty Foods: May lead to dehydration and digestive issues.

The Role of Medically Supervised Detox

The safest way to detox from alcohol is through a medically supervised detox program, which offers:

  • Medical Monitoring: Healthcare professionals track vital signs and symptom progression.
  • Medication-Assisted Treatment (MAT): Medications like benzodiazepines help manage withdrawal symptoms.
  • Emotional & Psychological Support: Therapy and counseling provide guidance and encouragement.
  • Flexible Outpatient Options: CMAR’s outpatient detox program allows patients to detox safely while maintaining daily responsibilities.
Medically Supervised Detox

Take the First Step Toward Recovery with CMAR

At Colorado Medication Assisted Recovery (CMAR), we provide comprehensive, patient-centered addiction treatment, ensuring that each individual receives the support, care, and resources they need for long-term success.

Why Choose CMAR for Alcohol Detox & Recovery?

Medically Supervised Outpatient Detox: Safe, structured detox with expert medical oversight to manage withdrawal symptoms.
Intensive Outpatient Program (IOP): Up to 90 days of treatment with flexible scheduling, group therapy, case management, and one-on-one counseling to support ongoing recovery.
Medication-Assisted Treatment (MAT): FDA-approved medications, such as Naltrexone and Antabuse, to reduce cravings and prevent relapse.
Trauma-Informed Care: A therapeutic approach that recognizes and treats the underlying trauma that may contribute to addiction.
Family Therapy Program: Rebuild relationships and establish healthy communication with loved ones affected by addiction.
Peer Support & Recovery Groups: Community-based support that fosters accountability, shared experiences, and ongoing encouragement.

A Personalized Approach to Your Recovery

At CMAR, we understand that addiction is unique to each individual, so our approach is tailored to your needs.

Whether you’re beginning outpatient detox, seeking long-term recovery support, or need trauma-informed therapy, we’re here to guide you every step of the way.

VERIFY INSURANCE

Cortland Mathers-Suter

MSSA
Managing Partner

Cortland Mathers-Suter entered the treatment space after his own battle with addiction. He first worked as a peer mentor, before starting clinical work while completing his Masters of Science in social administration from Case Western Reserve University where he focused on policy and direct practice. Cortland moved to Colorado in 2015 to start his first addiction treatment program, AspenRidge Recovery. Under his tenure, AspenRidge Recovery became a two-location, nationally accredited organization. He has since spent the last two years researching and developing what is now Colorado Medication Assisted Recovery (CMAR).

According to Cortland, “Colorado Medication Assisted Recovery is the most important organization I have had the honor to help build. We’re offering a service that seeks to not only improve the lives of our patients but also evolve how we look at medication-assisted treatment in Colorado entirely. Most individuals receiving medication-assisted care only receive medication and urinalysis. Sure you can call that ‘treatment,’ but you can’t call that ‘recovery.’ Our model is about adding the missing recovery component, and thus affords an opportunity to achieve lasting change for each patient and the industry.”

Cortland and his treatment programs have received numerous honors. These include Colorado Business Magazine’s “GenXYZ” award, the 2020 “Titan 100” award, and his program AspenRidge Recovery was both a finalist for “Best Healthcare Company” and named in the “Company’s to Watch” by Colorado Business Magazine as well. He has been interviewed and quoted by numerous publications for his “addiction expertise”, including News Week, 5280 Magazine, the Denver Post, Elephant Journal, Colorado Biz Mag, and TheRecoverySource.org.

Tyler Whitman

Compliance/HR Administrator

Tyler is originally from Omaha, Nebraska. He worked in manufacturing administration for 18 years until he chose to pursue recovery from alcohol addiction, which led him to Chicago, Illinois. Since then, Tyler gained experience in retail, retail pharmacy, and healthcare as a vaccine coordinator for a local Colorado clinic. At the clinic, Tyler discovered that healthcare was the career change he had been looking for. His newfound passion for healthcare, combined with his lived experience with addiction, brought him to Colorado Medication Assisted Recovery as an Office Administrator.

In his free time, Tyler enjoys cooking, hiking, and skiing. He is currently pursuing a master’s degree in Health Services Administration from Regis University.

Simmeren Boanvala

BA
Outreach and Admissions Representative

Simmeren comes to CMAR after several years working admissions in inpatient psychiatry and addiction. A first-generation Colorado Native, Simmeren attended CU Boulder, where she earned a BA in psychology. Simmeren is currently completing her CAC III while working toward her master’s degree in marriage and family therapy.

According to Simmeren, “I joined CMAR because I believe in the quality and importance of the program whole-heartedly. My goal at CMAR is to guide each prospect who calls CMAR to find the best possible pathway to their recovery”. Simmeren currently lives in her hometown with her dog and cat.

Tyler Hale

Tyler Hale

Community Partnership Lead

Tyler Hale began his career in addiction treatment following a decades-long fight with his own substance abuse issues. Since achieving long-term recovery, Tyler has held various positions in direct care, client services, admissions and outreach departments at various addiction treatment organizations. From sober living program director to outreach director to admissions director at a drug and alcohol treatment program, Tyler consistently finds himself in leadership roles within the addiction treatment space.

Tyler is originally from Chicago, IL, where he graduated from Loyola University Chicago with a Bachelor of Arts in Sociology and Bioethics. Thereafter, Tyler built a successful career in the tech industry, before finding sobriety and a subsequent calling to help others. Tyler joined the team at CMAR because he believes in the efficacy of comprehensive and patient-centered outpatient treatment. In his free time Tyler enjoys camping, hiking and spending time with his newborn son.

Kirstin O’Carroll

MSW
Engagement and Relations Director

Kirstin O’Carroll started her career in addiction and mental health services 23 years ago after graduating with an MSW from The Oho State University. Hired directly from an internship program, she served as a case manager and vocational specialist on a community treatment team in Columbus, OH, working to help severely mentally ill adults remain at home and in a community setting. Within the same organization, she later transitioned to clinical assessment and crisis intervention services with children, adolescents, and adults. Through these experiences, she learned the importance of providing empathetic, high-quality care and the need to “start wherever the patient is” with regard to finding the best treatment & solutions for her patients.

After seven years, Kirstin made a career change to diagnostic sales and worked for several Fortune 500 companies as an acute care sales specialist. She is delighted to return “home” to her passion for helping others and believes her new role as community engagement coordinator for CMAR is the perfect alignment of both her clinical and sales skills. When not promoting CMAR, she can be found reading, running, hiking, watching movies, and spending time with her husband Dennis and senior canine son Reggie.

Thomas Mazzarella

LAC
Primary Therapist

Thomas is a Licensed Addiction Counselor (LAC) in the State of Colorado and a Licensed Addictions Specialist (LCAS) in the State of North Carolina with particular expertise in the treatment of chronic Substance Abuse Addiction and Dependency.

Thomas is dedicated to Individual, Couples, Family, and Group Counseling and Therapy for individuals with Substance Use and Mental Health issues and concerns.

James Jackman

CAS
Primary Therapist

James Jackman is a Certified Addiction Specialist and has been practicing addiction treatment in Colorado since 2015. James is pursuing his bachelor’s degree in psychology from Metropolitan State University Denver. James is a traditional CBT therapist specializing in childhood events that lead to adult addictions.

James has received special training in Family Systems, Inner Child, Maladaptive Schemas, and Adverse Childhood Experiences. James has worked in many treatment settings throughout his career and uses a client-centered treatment approach to help one recover from destructive patterns that facilitate addiction. In addition, James enjoys working with rescue animals and advocates for several local rescue organizations outside of work.

Outside of the office, Megan enjoys spending time with her two German Shepherds and her cat. She is passionate about fostering animals through various local rescues to find adoptive homes for dogs and cats in need.

Megan Hanekom

LPC, LAC, NCC
Therapist & Clinical Compliance Officer

Megan is a licensed counselor who has worked in various mental health and addiction treatment environments. She practices cognitive behavioral therapy and motivational interviewing and believes in pulling from various therapeutic approaches to best support each individual. Megan received her bachelor’s in psychology and Spanish from Concordia College. She relocated from North Dakota to Colorado where she earned a master’s in counseling psychology from the University of Denver.

Outside of the office, Megan enjoys spending time with her two German Shepherds and her cat. She is passionate about fostering animals through various local rescues to find adoptive homes for dogs and cats in need.

Maggie Coyle

MA, LPC
Primary Therapist

Maggie Coyle, MS, MA, LPP, LPCC has worked in the mental health and addictions counseling field for the past six years. She has extensive experience in working in the varying levels of mental health and addictions treatment as well as with diverse populations.

She practices cognitive-behavioral therapy and dialectical behavior therapy as primary intervention methods. She has earned a bachelor’s degree in sociology as well as a master’s degree in clinical mental health counseling both from Northern State University in Aberdeen, SD. She has also earned a master’s degree in addictions counseling from the University of South Dakota in Vermillion, SD. Maggie moved from South Dakota to Colorado in June 2020 and is excited to be a part of the CMAR team.

Michael Damioli

LCSW, CSAT
Clinical Director

Michael Damioli has been passionately working in the fields of addiction treatment and mental health since 2012. He has held a variety of different roles within the addiction recovery space, ranging from peer support to direct clinical practice. Notably, Michael was part of a leadership group that developed a small therapy practice into a nationally branded addiction treatment program, which offers multiple levels of care to recovering professionals. Michael is a strong believer in the family disease model of addiction and has focused much of his clinical work and training on supporting families impacted by addiction. He also specializes in treating individuals suffering from co-occurring chemical and process addictions.

Michael is honored to be leading the clinical care team at CMAR and believes that excellent clinical care begins by simply treating a patient with dignity and respect. Michael is a strong advocate for ethical reform within the addiction treatment field and is excited to promote CMAR as an ethical and thought leader throughout the treatment & recovery industry. Michael earned his master’s degree in social work from the University of Denver and is independently licensed as a clinical social worker with the state of Colorado. He holds an advanced post-graduate certificate in marriage and family therapy from the Denver Family Institute as well as an advanced certificate in sexual addiction counseling from the International Institute of Trauma and Addiction Professionals.

Dwight-Duncan

Dwight Duncan

Psy.D
Psychologist

Dr. Duncan was born and spent most of his early life in California. He received his doctorate in clinical psychology from the University of Denver in 1987. He is a licensed psychologist as well as a licensed addiction counselor. He has had extensive training and experience throughout his professional career in medical psychology, mindfulness, integrated behavioral healthcare, and substance abuse.

Dr. Duncan is married and has one daughter, a neurologic physical therapist in Los Angeles.

Susan-Miget

Susan Miget

NP
Medical Provider

Susan has been in healthcare for more than 20 years. She was an ICU nurse for nine years, then returned to school and completed her master of nursing and family nurse practitioner degree at the University of Missouri-St. Louis in 2007. She practiced pain management for many years before developing her current passion for addiction treatment.

Susan has transitioned her practice to focus entirely on addiction treatment. She has worked in residential treatment, partial hospitalization (PHP), and intensive outpatient (IOP) programs. Susan most enjoys working with patients one-on-one in a private office to protect their confidentiality and ensure top-rate care. Knowing that addiction can affect anyone, anywhere, and at any time, Susan continues to strive to make treatment more accessible and confidential.

Whitney-Grant

Whitney Grant

MSN, FNP-BC, ARNP, RN, CPN
Medical Provider

Whitney Grant is an experienced family nurse practitioner with experience and expertise in medication-assisted treatment. Whitney earned her BSN at the University of Miami before moving on to achieve a master of science in nursing degree there as well, becoming a nurse practitioner immediately thereafter.

Whitney has since achieved board certification from the ANCC as a family nurse practitioner. After spending her entire formative and educational years in South Florida, Whitney moved to Denver in 2018 to pursue a career as a provider in family practice, sub-specializing in addictions medicine. Whitney has worked under the guidance of Dr. Nathaniel Moore, CMAR’s medical director, since moving to Denver.

Nathaniel Moore

MD
Medical Director

Dr. Nathan Moore is 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. Dr. Moore then came to Colorado and completed his residency in family medicine at the University of Colorado’s Family Medicine Program at Rose Medical Center.

Dr. Moore practices primarily at our Aurora location. He provides comprehensive family medicine services and has a special interest in addiction medicine, treating patients with opioid use disorder as well as alcohol addiction.

Dr. Moore is married with three children. He enjoys mountain biking, running, and golf.