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Do I Need Rehab for Alcohol? How to Know

You might need rehab for alcohol if you have tried to cut back and could not, if drinking is causing problems you keep having to manage, or if you have started drinking in the morning to steady yourself. 

The clearest signal is not how much you drink. It is whether you can reliably stop, and what it costs you when you try.

The fact that you are asking the question at all is worth paying attention to. People who genuinely do not have a problem with alcohol rarely spend an evening searching whether they need rehab.

The Fastest Way to Tell

Forget the amount for a second. The question that cuts through most of the confusion is simpler.

Can you stop when you decide to, and does it stay stopped?

Most people who end up needing help have already run the cutting-back experiment, repeatedly, with rules. Only on weekends. Only beer. Nothing before six. When someone needs a rulebook to manage a substance, the substance is usually already managing them.

The other half of the test is what happens once you start. If the plan is two drinks and it is never two, that is loss of control, and willpower was never the missing ingredient.

The 11 Questions Clinicians Actually Use

There is a real diagnostic tool behind this. The NIAAA uses 11 criteria to identify alcohol use disorder. In the past year, have you:

  • Ended up drinking more, or longer, than you meant to
  • Wanted to cut down or stop, and could not
  • Spent a lot of time drinking or recovering from it
  • Experienced cravings, a strong urge to drink
  • Found drinking interfered with work, home, or school
  • Kept drinking despite it causing relationship problems
  • Given up activities you used to care about in order to drink
  • Gotten into risky situations while or after drinking
  • Kept drinking even though it was worsening a physical or mental health issue
  • Needed more alcohol to get the same effect (tolerance)
  • Had withdrawal symptoms: shakes, sweating, nausea, trouble sleeping

What your number means

  • 2 to 3 yes answers: mild alcohol use disorder
  • 4 to 5: moderate
  • 6 or more: severe

You do not need all 11. Two is enough to meet the clinical threshold, and it is enough to be worth a conversation.

“But I’m Still Functioning”

This objection keeps people out of treatment the longest, and it does not hold up.

Holding down a job is one slice of functioning, usually the last slice to go. Physical health, sleep, relationships, and goals outside work often erode for years while attendance stays perfect. Functioning is not the same as fine.

There is also no rule that you have to lose everything before you deserve help. The earlier you come in, the more of your life is intact, and everything intact- the job, the marriage, the routine- is an asset in getting well rather than wreckage to rebuild.

The One Sign You Should Not Ignore

Some of this is about whether treatment would help. This part is about safety.

If you have started drinking in the morning to stop the shakes or settle how last night left you, that is not a moderation question anymore. That is physical dependence, and it changes everything, because stopping alcohol abruptly when you are physically dependent can be dangerous.

The same applies if you have ever had a withdrawal seizure, or you drink heavily every day. For anyone in that category, the answer is not just “yes, get help.” It is “do not try to stop on your own.” We break down why and how long alcohol detox takes.

If any of that describes you, calling first is the safe move. CMAR is at (833) 448-0127, and an assessment tells you whether stopping needs medical support.

Does Needing Help Mean Inpatient?

No, and this is where a lot of people talk themselves out of getting help.

The image of rehab as a month away from your life keeps people stuck, because that version feels impossible with a job and a family. Most people never need it.

If your situation isThe likely fit
Mild to moderate, stable home, medically safeOutpatient or IOP, often around a work schedule
Moderate to severe, needs daily structure earlyPHP, stepping down over time
Physically dependent, high withdrawal riskMedically supervised detox first, then step down

An assessment matches the level of care to where you actually are, not where you fear you might be. Many people are relieved to learn how much less disruptive it is than they pictured, which is part of what treatment actually involves.

How do I know if I need alcohol rehab

Why Cutting Back Keeps Failing

If you have tried moderating and it keeps not working, that is not a character flaw. It is information.

Alcohol becomes a coping skill. A bad long-term one, but it works in the moment, which is why people lean on it for stress, boredom, sleep, and anxiety. Moderation fails because it only addresses the amount, not the job the drinking is doing.

That is also why treatment works when willpower does not. It replaces the coping skill instead of just removing it, and where a medication like naltrexone fits, it can quiet the cravings enough that the new skills have room to take hold.

Getting an Honest Answer in Denver

The truthful answer to “do I need rehab” does not come from an article. It comes from an assessment, and CMAR’s is free and takes about ten minutes.

  • A real conversation about your drinking, your history, and your goals
  • A clear read on whether you need medical support to stop safely
  • A level-of-care recommendation matched to your life, not a sales pitch
  • Insurance checked in the same call

As a CARF-accredited provider of alcohol rehab in Denver, CMAR is in network with most major commercial plans and accepts Colorado Medicaid. You can verify coverage before deciding anything.

Whatever the answer turns out to be, knowing it beats wondering at 2 a.m.

Frequently Asked Questions

How do I know if I need alcohol rehab?

If you have repeatedly tried to cut back and could not, if drinking is causing problems you keep managing, or if you drink in the morning to feel normal, those are strong signs. Clinically, meeting 2 or more of the 11 DSM-5 criteria for alcohol use disorder indicates treatment would help.

Can I be an alcoholic and still function?

Yes. Many people with alcohol use disorder hold jobs and maintain appearances for years. Work is usually the last area to break down, while health, sleep, and relationships erode quietly beforehand. Functioning does not mean the drinking is not a problem, or that help would not help.

Do I need to go to inpatient rehab for alcohol?

Often no. Many people are treated successfully in outpatient or intensive outpatient programs while living at home and working. Inpatient is reserved for severe cases, high withdrawal risk, or unstable home environments. An assessment determines the right level of care for your situation.

Is it safe to just stop drinking on my own?

Not always. If you drink heavily every day, drink in the morning, or have had withdrawal symptoms like shakes or seizures, stopping suddenly can be dangerous. Those situations need medical supervision. A brief assessment tells you which category you are in.

What tells you someone can’t just cut back on their own?

The number of times they have already tried. Almost everyone who needs help has run the cutting-back experiment repeatedly, with rules like only weekends or only beer. When someone needs a rulebook to manage a substance, the substance is already running things, and willpower is not the missing piece.

What Happens in Alcohol Rehab?

Alcohol rehab starts with an assessment, moves through withdrawal if you need medical support for it, then settles into a routine of group sessions, individual therapy, and regular check-ins with a medical provider. At an outpatient program you go home every night, and many people keep working the whole time.

What happens in alcohol rehab is a lot less dramatic than most people picture. 

There is no shouting, no confiscated belongings, no stranger reading your diary aloud. Mostly, it is the conversation, the structure, and the people who have heard your version of this before.

Here is what the process actually looks like, step by step.

Step 1: The First Phone Call

This is an assessment, not an interrogation.

Someone asks what you drink, how much, how often, when you started drinking each day, whether you have tried stopping before, what happened when you did, and what your home life looks like. It takes about ten to fifteen minutes.

What they are actually figuring out

Two things: whether it is medically safe for you to stop, and which level of care fits.

That first one is not a formality. Alcohol is one of the few substances where stopping abruptly can be dangerous, so the timing question matters more than the quantity question. Somebody who drinks in the morning to steady themselves is in a different category from somebody who drinks heavily on weekends.

You can start that conversation without committing to anything. Insurance is checked on the same call, so you are not guessing about the cost while you decide.

Step 2: Withdrawal, If You Need Support For It

Not everyone does. But if you do, this is the part people fear most and understand least.

At CMAR, outpatient detox means you sleep at home while a medical team manages the withdrawal. You come in for monitoring, get comfort medications to handle symptoms, and the frequency of those visits depends on your risk.

How long it takes

Symptoms usually start within 6 to 24 hours of your last drink, peak somewhere between 24 and 72 hours, and ease over roughly a week.

Ten years of daily heavy drinking is a longer taper than eight hard months. Benzodiazepines in the mix stretch it. Age and liver function matter. This is exactly why nobody should quote you a number before an assessment.

If the withdrawal escalates beyond what outpatient can safely handle, you get moved to a higher level of care and the program arranges it. That is the system working, not a failure.

Step 3: The Actual Treatment

Detox is not rehab. Detox is what makes rehab possible.

Getting the alcohol out of your system takes days. Changing the reasons you drink takes considerably longer, and that is where the real work lies.

A typical week

Most people start in one of two levels:

Level What it looks like Who it fits
PHP Several hours a day, most days of the week Coming out of detox, or needing serious structure early on
IOP Three-hour sessions, three days a week Working around a job and family, or stepping down from PHP

Inside those hours: group sessions, individual therapy, and check-ins with your medical provider if medication is part of your plan.

What group is actually like

This is the part people dread most and end up valuing most.

Group is not confession. It is a room of people at various stages of the same problem, talking about what happened this week and what they did about it. Some days, it is practical, like figuring out how to get through a wedding. Some days somebody has a hard week, and the room holds it.

What surprises people is how ordinary it feels after the third or fourth session.

Step 4: Treating What Is Underneath

Alcohol is a coping skill. A bad long-term one, but it works, which is why people lean on it.

Take it away, and you are left facing stress, grief, boredom, and anxiety with nothing in your hands. That is why individual therapy runs alongside the groups, and why any co-occurring depression or anxiety gets treated at the same time rather than after.

Waiting to see whether the depression lifts on its own leaves people sober and miserable, and that is not a state anyone holds for long.

Where medication fits

For some people, a medication like naltrexone quiets cravings enough that they can actually practice the new skills instead of white-knuckling through every evening.

It is not required, and it is not for everyone. The medications used and who they suit is a conversation with a medical provider, not a decision you make in advance.

Step 5: Stepping Down, Not Dropping Off

Programs end. The risk is what happens the week after.

Good programs step you down gradually: PHP into IOP, IOP into weekly outpatient, and then into whatever community you have built. CMAR calls this transition to continued care, and it is worth asking any program you call how they handle it.

A detox with nothing behind it is where a lot of people lose the progress they just made.

What Michael Damioli Says Surprises People Most

“Nobody yells at them. I’m being half serious. People show up braced for something punitive, some version of what they’ve seen on television, and instead it’s an assessment, a plan, and a room where nobody is judging them.”

The second surprise is logistical. Most people assume they are about to vanish from their life for a month. Then they go home that evening, and most of them are still working.

What Alcohol Rehab Looks Like at CMAR in Denver

CMAR is outpatient, which means the whole model is built around treatment fitting into a life rather than replacing one.

  • Assessment and insurance check on the first call
  • Medically supervised withdrawal with monitoring matched to your risk
  • PHP and IOP with therapy, groups, and medical support
  • Mental health treated alongside the drinking
  • A structured step-down rather than a hard stop

If you are comparing options for alcohol rehab in Denver, the questions worth asking are what the handoff after detox looks like, whether mental health is treated in the same plan, and how the step-down is structured.

CMAR is CARF accredited, in-network with most major commercial plans, and accepts Colorado Medicaid. You can verify coverage before making any decisions, or call (833) 448-0127 to ask what your situation would actually involve.

For the full picture of the program, start with alcohol rehab in Denver.

Frequently Asked Questions

How long does alcohol rehab last?

It depends on the level of care. Detox is usually days. PHP often runs a few weeks, IOP commonly around 8 to 12 weeks, and outpatient continues after that. Most clinicians ask for at least 90 days of engagement, because that is roughly how long the brain needs to stabilize.

Do you have to detox before rehab?

Only if you are physically dependent. Many people go straight into treatment without needing medical withdrawal support. An assessment determines which applies to you, based on how much you drink, how often, and whether you have symptoms in the morning.

Can you work during alcohol rehab?

Often yes, particularly in IOP, which is designed around work and family schedules. PHP is harder to combine with full-time work because of the hours. Many people start in PHP briefly, then step down to IOP and return to their normal schedule.

What do you do all day in rehab?

Group sessions, individual therapy, and medical check-ins if medication is part of your plan. Groups cover coping skills, triggers, relapse prevention, and processing what came up that week. Outpatient programs run in blocks of hours rather than filling the entire day.

What actually surprises people most about rehab? 

How ordinary it feels. People arrive expecting something punitive and find an assessment, a plan, and a room where nobody is judging them. The other surprise is that they go home each evening and most keep working, rather than disappearing from their lives for a month.

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?

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.

Supplements to Ease Alcohol Withdrawal

Alcohol withdrawal can be one of the most physically and emotionally complex parts of beginning recovery. Symptoms like anxiety, insomnia, irritability, nausea, and even dangerous complications can make it hard to stop drinking without support.

While professional medical detox is the safest and most effective way to manage withdrawal, some individuals also seek natural aids to ease their symptoms.
In this article, we’ll explore some of the most commonly recommended supplements to ease alcohol withdrawal, how they may help, and why professional supervision through Colorado Medication Assisted Recovery (CMAR) is essential for safe, successful detox.

Why Supplements Are Sometimes Used During Alcohol Withdrawal

During prolonged alcohol use, the body becomes depleted of key vitamins and minerals. Alcohol impacts nutrient absorption, damages organs, and disrupts normal brain function.
When a person stops drinking, restoring these depleted nutrients can help support the body’s natural healing process.

Supplements to ease alcohol withdrawal are not a cure or replacement for professional medical treatment, but they may assist with:

  • Reducing symptom severity
  • Supporting brain and nervous system health
  • Improving sleep and energy levels
  • Promoting overall physical recovery

It’s essential to consult with a medical professional before starting any supplement regimen, especially during detox.

Supplements to Ease Alcohol Withdrawal

Common Supplements to Ease Alcohol Withdrawal

Here are some of the most recommended supplements to ease alcohol withdrawal symptoms:

1. B Vitamins (especially B1, B6, B12)

Alcohol severely depletes B vitamins, which are essential for brain function, nerve health, and energy levels.

  • Thiamine (Vitamin B1): Prevents Wernicke-Korsakoff Syndrome (alcohol-related brain damage)
  • Vitamin B6: Supports mood regulation
  • Vitamin B12: Aids in nerve function and energy production

Many professional detox programs, including those at CMAR, include B-vitamin therapy as part of comprehensive care.

2. Magnesium

Magnesium levels often drop during heavy alcohol use, leading to muscle cramps, anxiety, and sleep disturbances.

  • Supports muscle relaxation
  • Reduces anxiety and irritability
  • Improves sleep quality

3. L-Glutamine

L-Glutamine is an amino acid that can help stabilize blood sugar and reduce cravings.

  • It may help reduce alcohol cravings
  • Supports gut and immune health

4. Omega-3 Fatty Acids

Chronic alcohol use damages brain cells and increases inflammation. Omega-3s help repair and protect brain function.

  • Reduces inflammation
  • Supports mood stabilization and brain healing

5. Vitamin C

Vitamin C boosts the immune system, helps repair tissues, and combats oxidative stress caused by alcohol.

  • Strengthens immune defenses
  • Promotes tissue and liver healing

6. Zinc

Zinc is another mineral commonly depleted in individuals with alcohol use disorder.

  • Supports immune function
  • Aids in wound healing and digestive health

Important Warning: Supplements Are Not a Substitute for Medical Detox

While these supplements to ease alcohol withdrawal can support physical recovery, alcohol withdrawal itself can be dangerous, even life-threatening.
In some cases, withdrawal can lead to seizures, severe dehydration, heart complications, or delirium tremens (DTs), a potentially fatal condition.

Only a licensed medical team can provide:

  • Safe management of severe withdrawal symptoms
  • Medications to prevent seizures and severe complications
  • 24/7 monitoring (outpatient or inpatient as needed)
  • Structured transition into ongoing addiction treatment

At CMAR, our outpatient detox program combines medical expertise, Medication-Assisted Treatment (MAT), therapy, and holistic support to safely guide individuals through alcohol withdrawal—much more effectively than supplements alone.

How CMAR Supports Safe Alcohol Detox

How CMAR Supports Safe Alcohol Detox

At Colorado Medication Assisted Recovery, we provide comprehensive outpatient withdrawal management programs, including:

  • Medication-Assisted Treatment (MAT): To minimize cravings and withdrawal symptoms using FDA-approved medications like Vivitrol and Antabuse.
  • Nutritional Support: Professional guidance on restoring vitamins and minerals critical for healing.
  • Therapy and Counseling: Emotional support to address anxiety, depression, and trauma often triggered during withdrawal.
  • Medical Monitoring: Regular check-ins and adjustments to your recovery plan as your body heals.

We understand that every recovery journey is unique, and we tailor treatment to fit your physical, emotional, and lifestyle needs.

Start Your Safe, Supported Recovery Today

If you or a loved one is considering alcohol detox, remember: while supplements to ease alcohol withdrawal can support recovery, they are not a replacement for professional care.

At CMAR, our experienced clinical team provides outpatient detox programs designed to help you recover safely, comfortably, and successfully.
Don’t risk your health by trying to detox alone. Get the compassionate, expert care you deserve.

Contact Colorado Medication Assisted Recovery today to verify your insurance, schedule a confidential assessment, and take the first step toward a healthier, alcohol-free life.

What Are the Side Effects of Detoxing?

Detox is a critical first step on the path to recovery, but it can also be one of the most physically and emotionally challenging phases. Whether detoxing from alcohol, opioids, benzodiazepines, or other substances, it’s essential to understand that withdrawal symptoms are common and can range from mild to severe.

In this guide, we’ll explore the side effects of detoxing, why they occur, and how professional outpatient detox programs like Colorado Medication Assisted Recovery (CMAR) can make the process safer, more comfortable, and more successful.

Why Detoxing Causes Side Effects

Substance use changes how the brain and body function. Over time, the body becomes dependent on the presence of drugs or alcohol to maintain chemical balance. When substance use suddenly stops, the body struggles to reestablish that balance, triggering a range of withdrawal symptoms, which we commonly refer to as the side effects of detoxing.

What Are the Side Effects of Detoxing

The severity of these side effects depends on several factors, including:

  • Type of substance(s) used
  • Length and intensity of use
  • Individual health conditions
  • Co-occurring mental health disorders
  • Whether medical support is provided during detox

Without professional help, detox can be not only uncomfortable but potentially dangerous, especially for substances like alcohol, opioids, and benzodiazepines.

Common Side Effects of Detoxing

The side effects of detoxing can vary widely depending on the substance and the individual, but some of the most common symptoms include:

Physical Side Effects

  • Nausea and vomiting
  • Sweating and chills
  • Muscle aches and pains
  • Fatigue and weakness
  • Tremors or shaking
  • Rapid heart rate
  • Changes in blood pressure
  • Seizures (especially during alcohol or benzo detox)
  • Cravings for the substance

Psychological and Emotional Side Effects

  • Anxiety or panic attacks
  • Depression
  • Irritability or mood swings
  • Insomnia or disrupted sleep
  • Difficulty concentrating
  • Intense emotional distress

In some cases, withdrawal can also lead to more severe symptoms like delirium tremens (DTs) during alcohol detox, or life-threatening complications without medical oversight.

How CMAR Helps Manage the Side Effects of Detoxing

How CMAR Helps Manage the Side Effects of Detoxing

At Colorado Medication Assisted Recovery (CMAR), we specialize in outpatient detox programs that combine clinical expertise, medication-assisted treatment (MAT), and therapeutic support to make the detox process as safe and manageable as possible.

Our outpatient detox program is designed to:

  • Ease physical withdrawal symptoms: Using FDA-approved medications such as Suboxone, Sublocade, and Vivitrol to minimize discomfort and reduce cravings.
  • Support mental health: Integrating therapy sessions to address anxiety, depression, trauma, and other emotional challenges during detox.
  • Provide daily medical monitoring: Our experienced team closely supervises patients, adjusting medications and providing care based on real-time needs.
  • Offer flexible, accessible care: morning, afternoon, and evening appointments, plus telehealth options, help clients stay connected to support while balancing work and family responsibilities.
  • Ensure a seamless transition: After detox, clients can easily move into our IOP or PHP programs for ongoing care and relapse prevention.

Professional support can make a world of difference, helping you avoid the most severe side effects of detoxing and providing the best possible foundation for lasting recovery.

When Are the Side Effects of Detoxing Dangerous?

While many withdrawal symptoms are uncomfortable but manageable, certain warning signs during detox require immediate medical attention, including:

  • Severe confusion or hallucinations
  • High fever
  • Rapid or irregular heartbeat
  • Seizures
  • Intense vomiting or diarrhea leading to dehydration
  • Loss of consciousness

This is why medically supervised detox is crucial, especially for individuals withdrawing from alcohol, opioids, benzodiazepines, or multiple substances.

At CMAR, our outpatient detox team is trained to recognize and respond to these complications quickly, ensuring your safety every step of the way.

Why Professional Outpatient Detox Matters

Why Professional Outpatient Detox Matters

Attempting detox alone, or “going cold turkey,” can increase your risk of relapse, severe withdrawal symptoms, and even life-threatening events. Professional outpatient detox at CMAR offers:

  • A safer, medically monitored environment
  • Access to medications that ease withdrawal
  • Emotional support to navigate the psychological side effects
  • A personalized treatment plan that adapts to your needs
  • A smoother transition into ongoing therapy and recovery services

Your recovery journey deserves the right start. Choosing a supportive, expert-led detox program makes all the difference in achieving long-term success.

Start Your Recovery Journey Today

Understanding the side effects of detoxing is a crucial step in making informed, healthy decisions about recovery. At Colorado Medication Assisted Recovery, we’re here to help you detox safely, comfortably, and successfully—with the support and compassion you deserve.

Local Outpatient Alcohol Detox: A Safe and Effective Option in Denver

Alcohol addiction can feel overwhelming, but recovery is possible with the right support. For many, local outpatient alcohol detox offers a safe, flexible, and effective way to begin the journey to sobriety.

In Denver, CMAR (Colorado Medication Assisted Recovery) provides compassionate, professional outpatient detox programs designed to help you reclaim your life.

What is Outpatient Alcohol Detox?

Outpatient alcohol detox is a treatment option that allows individuals to detox from alcohol while continuing to live at home.

Unlike inpatient programs, which require staying at a facility, outpatient detox provides flexibility for those who need to balance treatment with work, family, or other commitments.

This approach involves regular visits to a treatment center, where medical professionals monitor your progress, manage withdrawal symptoms, and provide therapy and counseling.

Outpatient detox is ideal for individuals with mild to moderate withdrawal symptoms and a stable home environment.

Local Outpatient Alcohol Detox A Safe and Effective Option in Denver

Benefits of Local Outpatient Alcohol Detox

Choosing a local outpatient alcohol detox program in Denver offers several advantages:

  1. Accessibility: Receive treatment close to home, reducing travel time and stress.
  2. Flexibility: Continue working, attending school, or caring for family while in treatment.
  3. Cost-Effectiveness: Outpatient programs are often more affordable than inpatient options.
  4. Support System: Stay connected to your local community and support network during recovery.
  5. Personalized Care: Tailored treatment plans address your unique needs and goals.

Who is a Good Candidate for Outpatient Alcohol Detox?

Outpatient detox is not for everyone. It’s best suited for individuals who:

  • Have mild to moderate alcohol withdrawal symptoms.
  • Have a stable, supportive home environment.
  • Are motivated to follow a structured treatment plan.
  • Do not have a history of severe withdrawal symptoms (e.g., seizures or delirium tremens).

A medical evaluation is essential to determine if outpatient detox is the right choice for you. At CMAR, our team conducts thorough assessments to ensure your safety and success.

The Outpatient Alcohol Detox Process at CMAR

The Outpatient Alcohol Detox Process at CMAR

At CMAR in Denver, Colorado, our local outpatient alcohol detox program is designed to provide comprehensive care in a supportive environment. Here’s what you can expect:

  1. Initial Assessment:
    • A detailed evaluation to understand your medical history, addiction severity, and goals.
    • Creation of a personalized detox plan tailored to your needs.
  2. Medical Supervision:
    • 24/7 access to medical professionals who monitor your progress and manage withdrawal symptoms.
    • Use evidence-based practices to ensure your safety and comfort.
  3. Medication-Assisted Treatment (MAT):
    • Medications like Suboxone or Vivitrol may be used to ease withdrawal symptoms and reduce cravings.
    • MAT is combined with therapy for a holistic approach to recovery.
  4. Therapy and Counseling:
    • Individual and group therapy sessions to address the root causes of addiction.
    • Counseling helps you develop coping strategies and build a foundation for long-term sobriety.
  5. Aftercare Planning:
    • Ongoing support to help you transition back to daily life.
    • Connections to local resources, support groups, and continued therapy.
Why Choose CMAR for Outpatient Alcohol Detox in Denver, Colorado

Why Choose CMAR for Outpatient Alcohol Detox in Denver, Colorado?

When looking for outpatient alcohol detox treatment, it’s important to choose a trusted provider. Here’s why CMAR stands out:

  • Expertise: Specializing in outpatient detox and medication-assisted treatment, CMAR has helped countless individuals achieve lasting recovery.
  • Compassionate Care: Our team takes a personalized, non-judgmental approach to treatment.
  • Local Focus: As a Denver-based provider, we understand the unique needs of our community.
  • Proven Results: Our programs are designed to deliver safe, effective, and sustainable outcomes.

FAQs About Outpatient Alcohol Detox

What is the difference between inpatient and outpatient detox?

Inpatient detox requires staying at a facility 24/7, while outpatient detox allows you to live at home and attend treatment sessions during the day.

How long does outpatient alcohol detox take?

The duration varies, but most programs last 7-14 days, depending on your needs and progress.

Is outpatient detox safe for severe alcohol addiction?

Outpatient detox is generally recommended for mild to moderate cases. Severe addiction may require inpatient care for safety.

What medications are used in outpatient detox?

Medications like Suboxone and Vivitrol are commonly used to manage withdrawal symptoms and cravings.

How do I know if outpatient detox is right for me?

A medical evaluation at CMAR can help determine if outpatient detox is the best option for your situation.

Take the First Step Toward Recovery with CMAR

If you’re ready to break free from alcohol addiction, local outpatient alcohol detox in Denver, Colorado, can provide the support you need. At CMAR, we’re committed to helping you achieve lasting recovery through safe, effective, and compassionate care.

Don’t wait to start your journey to sobriety. Contact CMAR today to learn more about our outpatient detox programs and take the first step toward a healthier, happier life.

Tips for Detoxing From Alcohol

Detoxing from alcohol is a critical first step toward recovery, but it can also be dangerous if not done correctly. Whether you’re considering detox at home or seeking professional help, these tips for detoxing from alcohol will guide you through the process safely and effectively.

At CMAR (Colorado Medication Assisted Recovery) in Denver, we specialize in outpatient detox, intensive outpatient programs, and medication-assisted treatment to support your journey to sobriety.

Why Alcohol Detox Requires Professional Guidance

Alcohol withdrawal can lead to severe symptoms like seizures, delirium tremens, and dehydration. Without proper medical supervision, these symptoms can be life-threatening.

That’s why seeking professional help is the most important of all tips for detoxing from alcohol.

Tips for Detoxing From Alcohol

Tip 1: Seek Medical Supervision for Alcohol Detox

Attempting to detox at home can be risky. Professional detox programs provide a safe and structured environment with medical professionals monitoring your progress.

This is the first and most crucial step in these tips for detoxing from alcohol.

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Tip 2: Stay Hydrated and Nourished

Alcohol withdrawal can dehydrate your body and deplete essential nutrients. Drinking plenty of water and eating balanced meals are simple yet effective for detoxing from alcohol. Proper hydration and nutrition can help ease withdrawal symptoms and support your recovery.

Tip 3: Create a Supportive Environment

A calm and supportive environment can make a significant difference during detox. Surround yourself with understanding family and friends, or join a local support group. Having a strong support system is key to staying on track during recovery.

Tip 4: Understand the Stages of Alcohol Withdrawal

Alcohol withdrawal typically involves three stages: anxiety and tremors, hallucinations, and seizures. Understanding these stages is one of the most important tips for detoxing from alcohol. Knowing what to expect can help you prepare mentally and physically for the process.

Tip 5: Consider Medication-Assisted Treatment (MAT)

Medication-assisted treatment (MAT) can ease withdrawal symptoms and reduce cravings. Medications like Suboxone and Vivitrol are proven to support long-term recovery.

Medication-Assisted Treatment (MAT)

Tip 6: Avoid Triggers and Temptations

Identifying and avoiding triggers is a critical part of detox. Remove alcohol from your home and steer clear of social situations involving drinking.

Developing coping strategies can help you stay on track during recovery.

Tip 7: Prioritize Rest and Sleep

Rest is essential during detox. Withdrawal can disrupt sleep, so create a calming bedtime routine. Prioritizing rest can improve your recovery experience and help your body heal.

Tip 8: Join a Support Group or Therapy Program

Peer support and therapy are invaluable during recovery. Connecting with others who understand your journey can provide encouragement and accountability.

Many people find that support groups or therapy programs make a significant difference in their recovery.

Tip 9: Monitor Your Mental Health

Alcohol withdrawal can exacerbate mental health issues like depression and anxiety. It’s important to seek professional help if you’re struggling with your mental health during detox. Addressing these challenges is a vital part of recovery.

Tip 10: Plan for Long-Term Recovery

Detox is just the first step. Planning for long-term recovery involves ongoing support, whether through therapy, support groups, or medication-assisted treatment.

Why Choose CMAR for Alcohol Detox in Denver, Colorado

Why Choose CMAR for Alcohol Detox in Denver?

At CMAR, we specialize in outpatient detox, intensive outpatient programs, and medication-assisted treatment to support your recovery journey.

Our compassionate, personalized approach ensures you receive the care you need to achieve long-term sobriety.

Take the first step toward recovery. Contact CMAR today to learn more about our programs.

FAQs About Alcohol Detox

What are the symptoms of alcohol withdrawal?

Symptoms include anxiety, tremors, hallucinations, and seizures. Medical supervision is crucial.

How long does alcohol detox take?

Detox typically lasts 5-7 days, but the timeline varies depending on the individual.

Is it safe to detox from alcohol at home?

No, unsupervised detox can be life-threatening. Professional detox programs provide safe, medical supervision.

What is medication-assisted treatment (MAT) for alcohol detox?

MAT uses medications like Suboxone and Vivitrol to ease withdrawal symptoms and reduce cravings.

Where can I find alcohol detox programs in Denver, Colorado?

CMAR offers outpatient detox, intensive outpatient programs, and medication-assisted treatment to support your recovery.

Take the First Step Toward Recovery

Detoxing from alcohol is a challenging but necessary step toward recovery. These tips for detoxing from alcohol are designed to help you navigate the process safely and effectively.

If you’re ready to take the first step, CMAR in Denver, Colorado, is here to support you.

What are The Risks of Taking Vivitrol?

Vivitrol (naltrexone) is a prescription medication used for treating opioid and alcohol dependence. As an extended-release injectable, it offers a non-addictive alternative to support long-term recovery.

However, like any medication, the risks of taking Vivitrol should be carefully considered. Understanding these risks is essential for individuals considering this treatment as part of their recovery plan.

Common Side Effects of Vivitrol

While Vivitrol is generally well-tolerated, some users experience mild to moderate side effects, including:

  • Nausea: Common after the first injection but typically subsides over time.
  • Headache: Can be persistent but usually decreases in severity.
  • Dizziness or Fainting: Some individuals experience lightheadedness, particularly in the initial stages.
  • Insomnia: Difficulty sleeping has been reported in some patients.
  • Injection Site Reactions: Pain, swelling, redness, or bruising at the injection site.
  • Decreased Appetite: Loss of appetite can occur but is usually temporary.

Most of these side effects are mild and improve as the body adjusts to the medication. However, if they persist or worsen, patients should consult their healthcare provider.

What are The Risks of Taking Vivitrol

Serious Risks of Taking Vivitrol

Although uncommon, the risks of taking Vivitrol include serious complications that should be carefully considered before beginning treatment.

1. Risk of Opioid Overdose

One of the most significant risks of taking Vivitrol is the potential for opioid overdose. Since Vivitrol blocks opioid receptors, individuals may attempt to override this effect by taking high doses of opioids. This can lead to:

  • Respiratory depression (slowed or stopped breathing)
  • Coma
  • Fatal overdose

Additionally, if a patient discontinues Vivitrol treatment, their opioid tolerance is significantly reduced, making them more vulnerable to overdose if they relapse.

2. Severe Injection Site Reactions

Some individuals experience severe reactions at the injection site, including:

  • Hardening of the skin
  • Tissue damage (necrosis)
  • Infection requiring medical intervention

In rare cases, surgery may be necessary to treat the affected area. Any unusual pain, swelling, or skin changes should be reported to a healthcare provider immediately.

3. Precipitated Opioid Withdrawal

Patients must be opioid-free for at least 7–14 days before starting Vivitrol. If opioids are still in the system, Vivitrol can cause sudden and severe withdrawal symptoms, including:

  • Vomiting and diarrhea
  • Sweating and chills
  • Severe muscle pain
  • Anxiety and restlessness

This can be dangerous and may require hospitalization. Therefore, a thorough detoxification process is essential before starting Vivitrol.

4. Liver Damage and Hepatitis

Vivitrol is processed through the liver, and in rare cases, it can cause liver toxicity or hepatitis. Symptoms of liver damage include:

  • Yellowing of the skin or eyes (jaundice)
  • Dark urine
  • Persistent stomach pain
  • Unexplained fatigue

Individuals with pre-existing liver conditions should discuss the risks of taking Vivitrol with their healthcare provider before starting treatment.

5. Depression and Suicidal Thoughts

Some individuals taking Vivitrol have reported symptoms of depression, including:

  • Loss of interest in activities
  • Persistent sadness or hopelessness
  • Thoughts of self-harm or suicide

Patients should be closely monitored for mood changes, particularly those with a history of mental health disorders.

Precautions When Using Vivitrol

Precautions When Using Vivitrol

To minimize the risks of taking Vivitrol, patients should take the following precautions:

  • Complete Detox First: Ensure all opioids are cleared from the system before receiving the first injection.
  • Inform Healthcare Providers: Disclose any medical conditions, including liver disease, kidney problems, or mental health history.
  • Avoid Opioid Use: Do not attempt to overcome Vivitrol’s blocking effects by taking large doses of opioids.
  • Monitor for Side Effects: Report any unusual symptoms, especially signs of depression or severe injection site reactions.
  • Use in a Comprehensive Treatment Plan: Vivitrol is most effective when combined with counseling, therapy, and peer support.

Is Vivitrol Right for You?

While Vivitrol can be a powerful tool in addiction recovery, it is not suitable for everyone. Those with a history of severe opioid dependence, liver disease, or mental health conditions should weigh the risks of taking Vivitrol carefully with their healthcare provider.

Understanding these risks and taking the necessary precautions can help ensure a safe and effective recovery journey.

If you or a loved one is considering Vivitrol for addiction treatment, consult with the professionals at Colorado Medication Assisted Recovery (CMAR) to determine if it is the right choice for your recovery plan.

Our team provides individualized treatment approaches that integrate medication-assisted treatment with therapy and support to help you achieve long-term sobriety.

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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.

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.