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What To Expect at Your First MAT Appointment

Understanding exactly what to expect at a MAT program during your first visit helps eliminate uncertainty and reduces the anxiety of the unknown. Your initial appointment is designed to be an informational conversation rather than an immediate, binding commitment. 

During this session, a specialized medical team walks you through clinical intake paperwork, performs a routine medical screening, completes basic labs, and outlines potential prescription paths. 

This transparent process at CMAR ensures you are fully in control of your recovery timeline before any clinical treatment begins.

Denver outpatient clinic medical intake process

Breaking Down the First Visit: A Step-by-Step Look

The initial appointment follows a predictable, highly structured format to ensure your physical safety and comfort. Rather than facing unexpected medical hurdles, you will progress through four distinct phases designed to map your care as follows.

Process PhaseClinical Actions and ExpectationsTimeframe and Structure
1. Initial AppointmentClinicians evaluate medical requirements, identify appropriate medications, and resolve all patient queries.Completed during the introductory diagnostic visit.
2. Medical InductionPatients complete a necessary urinalysis and receive their initial stabilization dose in a private room.Lasts anywhere from 90 minutes to four hours.
3. Comprehensive TherapyIntegration into regular medical care check-ins, case management, and group therapy sessions.Scheduled dynamically around your daily routine.
4. Care ProgressionWeekly required treatment hours gradually decrease as physiological and behavioral benchmarks are fulfilled.Determined collaboratively by you and your provider.

Understanding Your Medication and Stabilization Options

The primary goal of a comprehensive medication-assisted treatment in Denver is to stabilize brain chemistry quickly. By introducing target prescriptions under strict medical supervision, clinicians can safely neutralize intense physical cravings and manage protracted withdrawal distress.

During the consultation phase, your provider will explain the science behind specific medical options available for alcohol and opioid recovery:

  • Customized Matching: Medications are selected entirely based on your substance use history, physical health, and personal recovery goals.
  • Informed Choice: Clinicians outline how specific options, such as utilizing vivitrol for alcohol use disorder, block target receptors in the brain to prevent relapse.
  • Dosing Safety: Providers explain exact induction timelines and clarify how medications are safely introduced to prevent adverse interactions.
  • Symptom Alleviation: The focus remains on keeping you physically comfortable so that you can actively engage in long-term behavioral therapies.
outpatient MAT program in Denver

An Informational Conversation, Not a Binding Commitment

A major barrier that prevents individuals from taking that next step from what to expect at a MAT program and the following intake appointment is the fear of being forced into a rigid treatment track. It is vital to recognize that your first visit is fundamentally a diagnostic evaluation and a collaborative discussion.

  • Maintained Autonomy: You retain complete control over your healthcare choices throughout the entire session.
  • No Forced Decisions: Reviewing a professional medication-assisted treatment plan does not obligate you to sign long-term care contracts on day one.
  • Honest Communication: The clinical team serves as an educational resource, openly answering technical questions about side effects, costs, and programmatic schedules.
  • Removing Pressure: If you decide the program layout does not fit your current lifestyle, the data gathered remains a private medical record to use whenever you feel ready.
Denver medication assisted treatment facility

Lowering the Barriers to Sustainable Recovery

Taking the initiative to learn about clinical stabilization options is a major milestone in reclaiming your long-term health. The medical hurdles of early sobriety become much easier to manage when you have a dedicated clinical team handling your physical comfort and safety. 

Accessing specialized, evidence-based care through Colorado Medication Assisted Recovery provides the clear direction and compassionate expertise required to transition smoothly into a stable, healthy routine.

Frequently Asked Questions

Do I have to start medication on the exact same day as my first appointment?

No, you do not have to begin taking prescriptions immediately during your intake visit. The initial appointment focuses heavily on evaluating your baseline health, reviewing your history, and discussing medical options. While some stabilization plans can begin quickly if clinically appropriate, the final decision to start is always a coordinated choice between you and your provider.

What kind of lab work is required during the MAT intake?

Standard intake lab work generally includes routine blood panels and a standard toxicology screening. These diagnostic tests are used solely to ensure your organs are functioning properly before introducing any new medications. The data allow physicians to accurately customize prescription types and dosages, avoiding potential liver or cardiovascular complications.

Will my insurance cover the initial MAT assessment appointment?

Most commercial insurance plans offer comprehensive coverage for professional addiction screenings and medical assessments. Because medical stabilization is recognized as essential healthcare, major providers routinely cover intake appointments, laboratory tests, and subsequent physician consultations. Checking your benefits with our team ahead of time clears up specific coverage parameters.

How long does the first appointment typically take?

The first comprehensive intake and medical evaluation typically lasts between sixty and ninety minutes. This window provides ample time to complete essential history forms, undergo routine physical screenings, and discuss medication strategies without feeling rushed. The clinical team structures this time carefully to ensure all your questions are answered.

Can You Detox From Alcohol at Home?

Detoxing from alcohol completely alone at home is rarely safe due to the unpredictable risk of severe medical complications like seizures or delirium tremens. Safe detoxification requires a formal professional screening to accurately evaluate your physiological risk level. 

While mild withdrawal can occasionally be managed remotely under strict medical supervision, moderate to severe cases require immediate professional intervention, such as from Colorado Medication Assisted Recovery

A brief ten-minute phone assessment with a clinician is the only reliable way to determine if a home-based outpatient approach is safe for your situation.

The Clinical Risks of Unsupervised Withdrawal

When evaluating whether you can detox from alcohol at home, you must look at the underlying medical science rather than unverified internet advice. Abruptly stopping alcohol causes immediate central nervous system hyperexcitability, which can lead to severe physical complications.

  • Sudden Escalation: Mild symptoms like anxiety and insomnia can rapidly transform into full-body seizures within hours.
  • Severe Physical Strain: Unmanaged withdrawal causes dangerous spikes in blood pressure and heart rate, increasing acute cardiac risks.
  • Delirium Tremens: This critical condition causes profound confusion, vivid hallucinations, and dangerous body temperature fluctuations.
  • Unpredictable Timelines: Knowing how long alcohol withdrawal lasts helps map the general window, but tracking days from home cannot prevent acute neurological stress.
medication assisted treatment denver

CMAR Treatment Programs

Choosing the appropriate level of clinical care is vital to maintaining physical safety. Rather than attempting a hazardous cold-turkey detox, individuals can access structured professional programs tailored to their specific medical risks and schedules.

CMAR ProgramStructure and Clinical FocusIdeal Candidate Baseline
Outpatient Detox ProgramDaily clinic visits for vital tracking and medical stabilization while living at home.Dual diagnosis care manages psychiatric conditions alongside addiction recovery.
Partial Hospitalization (PHP)Intensive daily therapy hours during the daytime as an alternative to residential stay.Individuals leaving acute detox who require structured daytime stabilization.
Intensive Outpatient (IOP)Flexible weekly therapy hours, group sessions, and relapse prevention strategies.Working professionals or students maintaining full-time daily obligations.
Medication-Assisted Treatment (MAT)Medical appointments for anti-craving prescriptions to stabilize brain chemistry.Individuals seeking ongoing protection against alcohol or opioid relapse.
Mental Health TreatmentDual diagnosis care managing psychiatric conditions alongside addiction recovery.Individuals experiencing co-occurring mental health disorders like anxiety or depression.

Safe and Accessible Outpatient Medical Supervision

Modern medical protocols remove the primary barriers to professional addiction care, providing a secure clinical alternative to inpatient hospitalization.

  • The Clinical Middle Ground: Using a professional outpatient detox framework allows you to maintain medical accountability during the day while sleeping in your own bed.
  • Neurological Stabilization: These programs systematically utilize professional medication-assisted treatment denver models to counter the chemical imbalances caused by dependency.
  • Financial Accessibility: Outpatient care is significantly more affordable because you do not pay for overnight residential facility boarding, hospitality staffing, or institutional meals.
  • Immediate Risk Assessment: A simple 10-minute phone consultation with an intake specialist clears away confusion, giving you an evidence-based answer about whether a home-based medical plan is safe for your body.

Balancing Personal Autonomy with Clinical Safety

Making the decision to stop drinking is a significant step toward recovery, but physical safety must always remain your top priority. Unsupervised withdrawal presents serious, unpredictable medical risks that are entirely preventable with structured professional support. 

Choosing a personalized outpatient program or a specialized medication-assisted framework allows you to stabilize safely while maintaining your daily life. Comprehensive, individualized guidance is available through Colorado Medication-Assisted Recovery to help you determine the safest possible next step for your health.

Frequently Asked Questions About Alcohol Detoxification

Can you stop drinking alcohol cold turkey without medical help?

Stopping alcohol cold turkey without professional oversight introduces severe medical vulnerabilities. Abrupt cessation forces immediate central nervous system hyperexcitability, which frequently leads to dangerously high blood pressure, extreme cardiac strain, or life-threatening grand mal seizures.

What medications are used during outpatient alcohol detox?

Outpatient medical detox protocols utilize specific, evidence-based prescription medications to control uncomfortable withdrawal symptoms and neutralize severe health risks. Medical directors frequently prescribe long-acting benzodiazepines to control neurological tremors and eliminate seizure activities, while simultaneously implementing specialized medications to reduce ongoing psychological cravings and stabilize vital signs during early sobriety.

How do I know if my alcohol withdrawal symptoms are severe?

Severe alcohol withdrawal is distinguished by profound cognitive confusion, visual or auditory hallucinations, extreme physical agitation, and sudden generalized seizures.

Is outpatient detox more affordable than inpatient rehab?

Outpatient detoxification models significantly reduce the financial barriers to professional addiction care by eliminating the substantial costs associated with overnight hospital beds, residential facility boarding fees, and round-the-clock non-medical staffing.

What Is Rehab Like?

Drug and alcohol abuse can make individuals and families feel overwhelmed and helpless. Addiction impacts all areas of life, from job performance and mental function to relationship health and emotional wellness. If you or a loved one is feeling out of control because of addiction, know that there are resources available to help. If you’re wondering what rehab is like or seeking a women’s or men’s rehab center near you, call Colorado Medication Assisted Recovery (CMAR) today. We’re standing by at 833.448.0127 or online to answer your questions and get you started on the path toward mental and physical healing.

How Do I Know if Drug or Alcohol Rehab Is Necessary?

There are many possible indications that a rehab program could be the right choice for you or your loved one. Here are a few common signs this may be the case:

  • You experience trembling, nausea, body aches, mood disturbance, or other withdrawal symptoms if you stop drinking or using drugs.
  • You have a mental illness such as major depression or bipolar disorder and self-medicate with drugs or alcohol to manage your symptoms.
  • Your medical doctor has advised you to seek addiction treatment.
  • It feels necessary to hide or lie about drug or alcohol use to friends or family.
  • You drink or use drugs alone, not just in social contexts.
  • Social events and hobbies that used to interest you no longer do, or you select social engagements largely based on whether drugs or alcohol will be available.
  • Your partner, spouse, friends, or family have let you know your drug or alcohol use is concerning or staged an intervention.
  • You’re prone to angry or even violent outbursts.
  • You feel emotionally distant or numb much of the time.
  • Blackouts are common when you use, meaning there are periods of time that you cannot clearly remember.
  • You’ve gotten involved in risky behavior like driving under the influence or having unsafe sex.
  • Any attempts you’ve made to stop drinking or using without assistance have been unsuccessful long term.
  • You suffer from a disease that’s either brought on by or worsening due to your drug or alcohol use. Examples include cirrhosis of the liver, high blood pressure, seizures, gout, depression, and cardiovascular disease.

What to Expect from Drug and Alcohol Rehab

In the case of serious addictions, it may be necessary to start with medication-assisted detox. This means that patients receive personalized care from doctors who can help them through the first days of getting free from physical substance dependence. Medications may be prescribed at this step to help with pain management or other withdrawal symptoms such as nausea. Depending on the substance, the physical symptoms of withdrawal may be painful or even dangerous, so medically monitored and assisted detox may be a literal lifesaver for some people working toward sobriety.

Next, patients in rehab engage in individual therapy. This offering is generally available within a variety of treatment levels, including inpatient, outpatient, and even telehealth, making it great for people with less intense treatment needs and a desire for flexible scheduling. Evidence-based approaches like cognitive-behavioral therapy, dialectical-behavioral therapy, motivational interviewing, and trauma-informed care may all be applied to help patients develop the skills they need for sobriety.

Examples of topics addressed include identifying and managing one’s triggers to drink or use and cultivating mindfulness to manage emotions more effectively. Individual therapy can also address the root causes for drinking or drug use, identifying and treating past trauma as well as any underlying mental illness that may form a dual diagnosis with substance abuse.

Group offerings such as family therapy or peer support groups round out many rehab programs. These create a sense of community, accountability, and shame-free empathy for those in recovery. Working with families and loved ones is especially important for healing any relationship damage created by a loved one’s addiction. This, in turn, lays the foundation for a functional home and lasting sobriety.

Learn More About Drug and Alcohol Rehab at Colorado Medication Assisted Recovery Today

You and your loved one’s recovery and thriving are our top priority at Colorado Medication Assisted Recovery. Call us at 833.448.0127 or reach out online to get your questions answered or begin the intake process. We’re committed to getting you the best care, so don’t hesitate to reach out no matter what step of the journey you’re at.

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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.