Alcohol detox usually takes 5 to 10 days. Symptoms typically start within 6 to 24 hours of your last drink, peak between 24 and 72 hours, and taper off over the following week.
That is the average. How long alcohol detox takes for you depends on how much you drank, for how long, how often, and what else is in your system. A decade of daily heavy drinking is a longer process than eight hard months.
The peak window is the part that matters medically, and it is the reason detoxing under supervision is safer than doing it alone.
The peak. Symptoms at their strongest. Highest risk of seizures, and where delirium tremens can appear
Days 3 to 5
Things start easing. Sleep still poor, mood still rough, but the medical risk drops
Days 5 to 10
Most physical symptoms resolve. Energy begins returning
Weeks 2 to 8
Post-acute symptoms. Sleep disruption, mood swings, and cravings that come and go in waves
That last row catches people off guard. The detox itself is over in about a week, but feeling like yourself again takes longer, because the brain is still rebalancing.
Why the peak window matters
Between 24 and 72 hours is when withdrawal seizures are most likely, and when delirium tremens can develop in people with severe dependence. DTs involve confusion, hallucinations, fever, and dangerous swings in heart rate and blood pressure.
It is not common, but it is serious enough to affect how the whole process is managed.
What Makes Detox Shorter or Longer
Five things move the timeline more than anything else:
How much you drink. Heavier daily intake means a longer taper
How long you have been drinking. Years of dependence take more time to unwind than months
Whether other substances are involved. Benzodiazepines in particular stretch detox considerably
Your age and liver function. Both affect how quickly your body clears alcohol and stabilizes
Previous withdrawals. Each time someone goes through withdrawal, the next one can be more severe
That last point is called kindling, and it is the reason repeated attempts at quitting cold turkey are not neutral. They can raise the stakes.
Why nobody should quote you a number over the phone
Michael Damioli, LCSW, CSAT, Clinical Director at CMAR, is blunt about this:
“People build their week around whatever number they’re told. If we haven’t assessed somebody, that number is a guess.”
The assessment takes about ten to fifteen minutes, and it is free. You can start it here or call (833) 448-0127 and get an actual answer instead of a range from a website.
Detoxing at Home vs With Medical Support
Some people can taper safely at home. Many cannot, and alcohol is one of the few substances where getting that wrong has real consequences.
Signs you should not detox alone
You drink in the morning to steady yourself or stop the shakes
You have had a withdrawal seizure or DTs before
You drink heavily every day and have for a long stretch
You are also using benzodiazepines
You have significant medical conditions, particularly heart or liver
Any of those means medical supervision, not willpower.
What supervised detox actually involves
At CMAR, outpatient alcohol detox means you sleep at home while a medical team manages the process. You come in for monitoring, and comfort medications handle symptoms while your nervous system settles.
How often you come in depends on your risk. Higher risk means daily. Steady vitals and a stable home mean less frequent visits. Which medications are used and why is decided by a medical provider after the assessment.
If symptoms escalate past what outpatient can safely handle, you get moved to a higher level of care and the program arranges it.
What Happens After Detox
Detox is not treatment. It is what makes treatment possible.
Five to ten days clears the alcohol. It does nothing about the reasons the drinking started, which is why the week after detox is where a lot of people lose ground.
Anyone comparing alcohol rehab in Denver should ask what that handoff looks like before they commit. A detox with nothing behind it rarely holds.
Getting Through Detox in Denver
CMAR runs medically supervised outpatient detox, which means you are monitored properly without leaving your life for a week.
Free assessment that tells you your actual timeline, not an average
Comfort medications during the peak window, tapered on a plan
Monitoring frequency matched to your real risk
A direct step into therapy and groups when detox ends
CMAR is CARF-accredited, in-network with most major commercial plans, and accepts Colorado Medicaid. You can check your coverage before making any decisions.
Physical symptoms usually resolve within 5 to 10 days, with peak symptoms occurring between 24 and 72 hours. Post-acute symptoms such as poor sleep, mood swings, and cravings can continue in waves for several weeks afterward as the brain rebalances.
What is the worst day of alcohol detox?
Usually day 2 or day 3. That is when symptoms peak and when seizure and delirium tremens risk is highest. It is also when people are most likely to drink again to make it stop, which is why supervision matters most during that specific window.
Can you die from alcohol withdrawal?
Yes, though it is uncommon. Delirium tremens carries a meaningful mortality risk without treatment, and withdrawal seizures can be dangerous. Anyone with heavy daily drinking, morning drinking, or a history of severe withdrawal should not stop without medical supervision.
How long until you feel normal after detox?
Physical symptoms clear in about a week, but most people need one to three months before mood, sleep, and energy stabilize. That gap is normal and is not a sign treatment is failing. It reflects how long the brain takes to recover.
What determines whether detox is three days or ten?
How much, how long, how often, and what else is in your system. Ten years of daily heavy drinking is a different taper than eight hard months. Benzodiazepines stretch it considerably, and age and liver function both matter, which is why an assessment comes before any timeline.
Vivitrol is a once-monthly injection of naltrexone that reduces alcohol cravings and blocks much of the reward drinking produces. It is not addictive; it does not make you sick if you drink, and it is one of the most evidence-backed medications for alcohol use disorder.
It is also widely misunderstood, which is why so many people spend months researching it without ever making a call.
In this article, Michael Damioli, MSW, CSAT, Chief Clinical Officer at Colorado Medication Assisted Recovery, walks through what he wants every patient to know before the first appointment: who Vivitrol is for, what the first injection involves, and what the first 30 days feel like.
If you are comparing treatment options for drinking right now, this is the conversation you would have if you called us.
What Is Vivitrol and How Does It Work for Alcohol?
Vivitrol is the extended-release, injectable form of naltrexone. One shot from a medical provider lasts about four weeks, which removes the daily decision of whether to take a pill.
Naltrexone is an opioid blocker. That sounds strange for an alcohol medication until you know how drinking works in the brain: alcohol triggers a release of natural endorphins, and those endorphins land on opioid receptors to produce the warm, rewarding part of being buzzed. Vivitrol sits on those receptors and blocks them. According to SAMHSA, the result is reduced craving and reduced reward, which is exactly the combination that helps people stop.
What Vivitrol does
What Vivitrol does not do
Reduces alcohol cravings
Does not make you sick if you drink (that is Antabuse)
Blocks most of the euphoric reward of drinking
Does not prevent intoxication or impairment
If a relapse happens, tends to shorten it and reduce how much is drunk
Does not create dependence, a high, or abuse potential
One shot covers about four weeks
Does not work as a standalone cure without counseling
That third row on the left is the part Damioli highlights most with patients. In his words, if somebody does relapse on Vivitrol, the drinking tends to be shorter and lighter, because the payoff is not there, and people come back to treatment sooner. The medication does not just help prevent the slip. It shrinks the slip.
The evidence backs the approach: in the clinical trial behind Vivitrol’s FDA approval, patients receiving Vivitrol with counseling had 25 percent fewer heavy drinking days per month than patients receiving placebo with counseling.
Who Is a Good Candidate for Vivitrol?
In our assessments, the patients who tend to do well share a few things:
They have decided they want to stop or seriously reduce drinking, and cravings are the thing sabotaging that decision
They can get through a short alcohol-free window before the first shot
They prefer a monthly appointment over remembering a daily pill, or they know from experience that they stop taking daily medications
They are willing to pair the medication with counseling, because the shot handles cravings, not the reasons behind the drinking
There are two hard medical requirements. First, you need to stop drinking before starting: the FDA approved Vivitrol for people who are alcohol-free at the start of treatment, typically about a week.
If you are still drinking daily, that window can feel impossible, and this is where CMAR is different from a standalone Vivitrol clinic: our outpatient detox program can manage alcohol withdrawal medically, with daily monitoring and comfort medications tapered over several days, so the path from drinking to first injection is supervised rather than white-knuckled. If you are wondering what that gap looks like, we break down the timeline in how long does alcohol withdrawal last.
Second, you must be fully opioid-free, usually 7 to 14 days, including painkillers. Because Vivitrol blocks opioid receptors, starting it with opioids in your system triggers immediate, severe withdrawal. This is screened carefully at intake.
One more caution from the transcript of our clinical conversations: anyone with existing liver damage needs clearance from their liver specialist first, since naltrexone is processed by the liver. Outside of that, Damioli is direct: most people tolerate Vivitrol very well, and we encourage most patients with alcohol use disorder to at least consider it, following an assessment with our medical provider.
Wondering whether you would clear those requirements? That is a ten-minute phone conversation, not a research project. Call CMAR at (833) 448-0127 and ask. No commitment comes with the question.
Is Vivitrol Just Trading One Drug for Another?
This is the concern Damioli hears most, and his answer starts with a distinction: dependence is not addiction.
“A diabetic is dependent on insulin, but nobody says they’re addicted to it. There’s a difference between a drug that’s causing issues in your life and a medication that’s helping you be more functional in your life.” Michael Damioli, MSW, CSAT
With Vivitrol the concern dissolves even further, because there is nothing to trade to. Naltrexone is a blocker, not an activator. It produces no high, no euphoria, no withdrawal when you stop, and no street value. It is not a controlled substance. You cannot become addicted to a medication whose entire job is to keep receptors quiet.
You can become a person whose cravings no longer run the schedule. That is the trade.
What Happens the Day of the First Injection?
Patients are often surprised by how ordinary the first day is. At CMAR, it looks like this:
Intake and assessment. You meet our medical provider for a full assessment and physical workup, including your drinking history, medications, and liver health. Labs are drawn if needed.
Opioid screening. We confirm you are opioid-free before the shot is cleared, because safety here is non-negotiable.
The injection itself. Vivitrol is a single intramuscular shot in the upper buttock, given by our medical team. It takes a few minutes.
The plan for the month. Before you leave, your counseling and group schedule is set, because the medication is one half of the treatment, not the whole of it.
Soreness at the injection site for a few days is the most common complaint. Some people have nausea or stomach upset in the first days, which typically settles. You come back in about four weeks for the next shot, and our team checks in well before then.
What Do the First 30 Days Feel Like?
For most people: quieter. The background noise of craving turns down, sometimes dramatically, and the evening hours stop being a negotiation.
Some patients describe the first few weeks as flat, like nothing is quite as enjoyable. Damioli takes that seriously rather than waving it off. Part of it can be the medication settling in, and part of it is early recovery itself: a brain that has leaned on alcohol for reward needs time to remember how to generate its own. Either way, it is usually temporary; it is worth telling your provider about, and it is exactly the stretch where group support carries people, because everyone in the room has felt some version of it.
The first 30 days are also where counseling stops being a formality. Vivitrol handles the chemistry of craving. It does nothing about the stress, the habits, the 6 p.m. trigger, or the relationships around the drinking. That is what the therapy is for, and it is why the manufacturer itself states the medication must be paired with a recovery program to work.
If the flat stretch, the trigger hours, or the first month in general is what worries you, that is a good sign you are taking this seriously. Talk it through with our team before you decide anything: (833) 448-0127, or start with our Vivitrol program page.
What Does Success Look Like at 90 Days?
Not just a sobriety streak. Abstinence, or a major reduction in drinking, is the first indicator we look for, but Damioli calls it the simple one. The markers that tell us Vivitrol and treatment are actually working are broader:
Fewer and weaker cravings, and less mental energy spent fighting them
Better sleep, better physical health, more energy
Relationships at home improving
Showing up more consistently at work
Engagement with the recovery community, in whatever form fits
There is a moment Damioli describes seeing over and over, where the lights come on for somebody: they walk in one day and you can tell something changed in how they meet the world. Recovery takes time, the brain takes time to heal, and new habits take time to form.
But when the cravings are chemically quieted while that healing happens, people get to that moment more often, and sooner.
How CMAR Builds Treatment Around Vivitrol in Denver
Colorado Medication Assisted Recovery is built on a simple position: medication and therapy are two sides of the same coin, and using both increases your odds. As a dedicated provider of medication-assisted treatment in Denver, we combine:
Medical care: assessment, the monthly Vivitrol injection, and outpatient detox when you need medical support to get alcohol-free before starting
Therapy and groups: structure, accountability, and support, the core of how we treat, with individual counseling addressing what drives the drinking
Practical help: insurance verification on the first call, and case management for the real-life barriers that derail treatment
Most people researching Vivitrol have already decided something needs to change. The medication question is really a fit question, and fit is determined in an assessment, not a search bar.
Ask a Clinician: Michael Damioli on Vivitrol for Alcohol
When someone comes in interested in Vivitrol, what do you want them to know before they walk in the door?
“That it’s appropriate for most people. Most people tolerate it very well and have minimal side effects, such as some GI distress in the first few days. The main exceptions are anybody currently on opioids, and anybody with existing liver damage, who needs to work with their hepatologist first. Outside of those situations, we really encourage most people to consider it, following an assessment with our medical provider.”
How do you answer someone who says Vivitrol is just replacing one addiction with another?
“I explain the difference between dependence and addiction. A diabetic is dependent on insulin, but that doesn’t mean they’re addicted to it. There’s a difference between a drug that’s causing issues with your family and your life, and a medication that’s helping you be more functional in your life. And with Vivitrol specifically, there’s no high in it at all. There’s nothing there to be addicted to.”
What actually makes it work for alcohol?
“It reduces cravings, and if somebody does have a relapse, it reduces the amount they drink and how long they drink, because it blocks a lot of the euphoric experience they’re looking for. So people come back to treatment and back to recovery sooner. It takes the power out of the slip.”
What does the treatment around the shot look like at CMAR?
“The medication is one pathway, and we want people using as many pathways as possible, because that’s what increases the odds. So at CMAR, Vivitrol sits inside the full program: our medical provider handles the injection and monitoring, outpatient detox gets someone safely alcohol-free first if they need it, and our counseling and groups do the work the medication can’t, the coping skills, the triggers, the life around the drinking. Medication and treatment are two sides of the same coin. We don’t hand out one side.”
Frequently Asked Questions
What happens if you drink on Vivitrol?
You will not get sick, and you can still become impaired, but most of the pleasurable reward of drinking is blocked. Many people find drinking simply feels pointless. Continued heavy drinking on Vivitrol is a signal to adjust the treatment plan, and it adds strain on the liver, so tell your provider.
How long do you have to be sober before the Vivitrol shot?
For alcohol, you should be alcohol-free when treatment starts, typically about a week. You must also be fully opioid-free, usually 7 to 14 days, or the shot can trigger severe withdrawal. CMAR’s outpatient detox can bridge that window with medical supervision instead of willpower.
How long does one Vivitrol shot last?
About four weeks. The extended-release injection maintains a steady level of naltrexone throughout the month, and then you return for the next shot. That monthly rhythm is the main advantage over daily naltrexone pills, which only work on the days you remember and choose to take them.
Is Vivitrol addictive?
No. Naltrexone is an opioid blocker, not an activator. It produces no euphoria, no high, and no withdrawal when stopped, and it is not a controlled substance. It carries none of the trade-offs people worry about with other medications used in addiction treatment.
Does Vivitrol make everything feel flat?
Some patients describe the first weeks as emotionally muted. Part of that can be the medication, and part is early recovery itself, as the brain relearns to produce reward without alcohol. It is usually temporary and worth reporting to your provider; it is also one reason group support matters most in the first month.
When you’re ready to break free from addiction, beginning the journey can feel daunting, especially if inpatient treatment isn’t an option due to work, family, or financial commitments. Fortunately, recovery can start right from the comfort of home with at-home drug detox services like the Outpatient Detox Program at Colorado Medication Assisted Recovery (CMAR).
At-home drug detox refers to a structured, medically monitored withdrawal process that takes place outside of a residential treatment center.
Through our outpatient withdrawal management services, individuals can safely detox from alcohol, opioids, benzodiazepines, kratom, fentanyl, and other substances, all while maintaining personal and professional responsibilities.
Unlike attempting self-detox, which can be dangerous and ineffective, CMAR’s at-home drug detox offers the protection of clinical oversight combined with the flexibility of outpatient care.
Our team uses evidence-based practices, FDA-approved medications, and compassionate therapeutic support to ease withdrawal symptoms, reduce cravings, and prepare patients for lasting recovery.
How CMAR’s Outpatient Detox Program Works
Our outpatient detox program is specifically built to meet the needs of individuals requiring safe withdrawal management without the disruption of inpatient rehab. Here’s how our process ensures the highest standards of safety, comfort, and success:
1. Comprehensive Clinical Assessment
Before beginning detox, every client undergoes a thorough medical and psychological evaluation to develop a personalized withdrawal management plan tailored to their substance use history, physical health, mental health, and life circumstances.
2. Medical Supervision and Daily Check-Ins
Throughout detox, clients benefit from daily medical monitoring. Our expert team carefully tracks withdrawal symptoms, vital signs, and medication responses to ensure each individual’s safety.
3. Medication-Assisted Treatment (MAT)
We offer MAT options, including Suboxone, Sublocade, Vivitrol, and comfort medications, to help stabilize brain chemistry, minimize withdrawal symptoms, and prevent cravings. MAT plays a critical role in making detox safer, more tolerable, and more successful.
4. Therapy and Emotional Support
Detox isn’t just physical—it’s emotional too. CMAR integrates individual counseling, group therapy, and peer support into the detox process to address the psychological challenges that can arise during early recovery.
5. Seamless Transition to Ongoing Treatment
Once detox is complete, patients have the opportunity to continue treatment within CMAR’s Intensive Outpatient Program (IOP) or Partial Hospitalization Program (PHP), ensuring continuity of care and a strong foundation for long-term sobriety.
Why Choose CMAR for At-Home Drug Detox?
Choosing CMAR’s Outpatient Detox Program means you’re not facing recovery alone.
Our approach to at-home drug detox is built around maximizing patient comfort, safety, and success. Here’s why individuals and families across Colorado trust CMAR:
Experienced Addiction Specialists: Our licensed clinicians, psychiatrists, and medical team specialize in outpatient detox and addiction recovery.
Medication Expertise: We provide on-site access to all necessary FDA-approved medications for withdrawal management and long-term maintenance.
Flexible Scheduling: Morning, daytime, and evening appointments, plus hybrid telehealth options, allow detox to fit your life, not the other way around.
Mental Health Integration: We address co-occurring disorders like depression, anxiety, PTSD, and trauma alongside substance use for a holistic recovery plan.
Insurance-Friendly: CMAR accepts most major insurance providers and offers affordable cash pay options to make treatment accessible.
Trauma-Informed Care: We recognize that addiction and trauma often go hand-in-hand and provide compassionate care that fosters trust, empowerment, and healing.
High Patient Satisfaction: 95% of our clients would recommend CMAR to others—a testament to our exceptional care, clinical excellence, and supportive environment.
Patient Benefits of Outpatient Detox at CMAR
Choosing CMAR’s Outpatient Detox Program gives patients significant advantages:
Detox in a Private, Comfortable Setting: Stay close to home, family, and support systems while receiving expert-level care.
Minimized Withdrawal Discomfort: Medications and therapies reduce the severity of withdrawal symptoms and cravings.
Flexible Care Model: Maintain work, school, or caregiving responsibilities without sacrificing quality care.
Personalized Recovery Plan: Every client receives a plan tailored to their needs, substance use history, mental health, and long-term goals.
Ongoing Emotional Support: Integrated therapy services ensure patients build coping skills, resilience, and readiness for lifelong recovery.
Step-Down Continuity: After detox, patients can easily transition to CMAR’s IOP or PHP programs for continued structure and support.
Reduced Risk of Relapse: Supervised detox, paired with therapy and MAT, significantly lowers the risk of early relapse compared to self-detox or unmanaged withdrawal.
Who Is At-Home Drug Detox Best Suited For?
Our at-home drug detox services are ideal for individuals who:
Are you experiencing mild to moderate withdrawal symptoms
Have a stable and supportive home environment
Are motivated to recover and engage in treatment
Require professional medical supervision but do not need 24/7 inpatient care
Are you detoxing from alcohol, opioids, benzodiazepines (benzos), kratom, or fentanyl
If you or a loved one is unsure if outpatient detox is the right fit, our team will conduct a comprehensive assessment to recommend the safest and most effective path forward.
Start Your Recovery with CMAR Today
At Colorado Medication Assisted Recovery, we believe recovery should be accessible, compassionate, and effective. Our at-home drug detox program allows you to take back control of your life with the support of a dedicated clinical team every step of the way.
Don’t wait to start your journey to health and freedom. Contact CMAR today to verify your insurance, schedule a personalized assessment, and begin your outpatient detox program with confidence.
Controlled substances are drugs regulated by the government due to their potential for abuse or dependence. In Colorado, these substances are classified into specific schedules, each with its own set of rules and restrictions.
Understanding Colorado controlled substances is essential for healthcare providers, patients, and anyone navigating the state’s drug laws. This guide provides a comprehensive overview of Colorado’s controlled substances schedules, regulations, and their implications for individuals and communities.
What are Controlled Substances?
Controlled substances are drugs or chemicals whose manufacture, possession, and use are regulated by the government. These substances are categorized based on their potential for abuse, medical value, and safety.
The federal Controlled Substances Act (CSA) establishes the framework for drug regulation, but states like Colorado also enforce their own laws to address local needs.
Colorado Controlled Substances Act
Colorado’s Controlled Substances Act aligns with federal guidelines but includes state-specific provisions to address local challenges. The act aims to:
Prevent the abuse of prescription and illicit drugs.
Ensure the safe use of medications for legitimate medical purposes.
Regulate the distribution and dispensing of controlled substances.
By categorizing drugs into schedules, Colorado’s law provides a clear framework for enforcement and compliance.
Characteristics: High potential for abuse, no accepted medical use.
Examples: Heroin, LSD, ecstasy, and marijuana (under federal law; Colorado has separate regulations for marijuana).
Schedule II:
Characteristics: High potential for abuse, accepted medical use with severe restrictions.
Examples: Oxycodone, fentanyl, Adderall, and methamphetamine.
Schedule III:
Characteristics: Moderate potential for abuse, accepted medical use.
Examples: Anabolic steroids, ketamine, and certain painkillers like codeine with aspirin.
Schedule IV:
Characteristics: Low potential for abuse, accepted medical use.
Examples: Xanax, Valium, Ambien, and Tramadol.
Schedule V:
Characteristics: Lowest potential for abuse, accepted medical use.
Examples: Cough syrups with codeine and certain antidiarrheal medications.
Prescription Drug Regulations in Colorado
Colorado has specific rules for prescribing and dispensing controlled substances to prevent misuse and ensure patient safety. Key regulations include:
Prescription Monitoring Program (PMP):
Healthcare providers must check the PMP before prescribing opioids or other controlled substances to identify potential misuse.
Opioid Prescription Limits:
Colorado limits the duration and dosage of opioid prescriptions for acute pain to reduce the risk of addiction.
Healthcare Provider Requirements:
Providers must follow strict guidelines when prescribing controlled substances, including documenting medical necessity and monitoring patient use.
Pharmacist Responsibilities:
Pharmacists are required to verify prescriptions and report suspicious activity to authorities.
Penalties for Violating Colorado Controlled Substance Laws
Violating Colorado’s controlled substance laws can result in serious legal consequences.
Penalties vary depending on the type and quantity of the substance, as well as the nature of the offense (e.g., possession, distribution, or manufacturing).
Possession:
Possessing a controlled substance without a valid prescription can lead to misdemeanor or felony charges, depending on the drug’s schedule and quantity.
Distribution or Trafficking:
Selling or distributing controlled substances is a felony offense, with penalties ranging from fines to lengthy prison sentences.
Manufacturing:
Producing controlled substances, such as methamphetamine or synthetic drugs, is a serious felony with severe penalties.
How CMAR Supports Compliance and Recovery in Colorado
While CMAR does not enforce laws, we provide education and support for individuals navigating Colorado controlled substances regulations.
Our outpatient detox and recovery programs help individuals struggling with substance use disorders, including those involving controlled substances. By offering resources and personalized care, we aim to support recovery and promote compliance with state laws.
FAQs About Colorado Controlled Substances
What is the difference between federal and Colorado drug schedules?
Colorado’s drug schedules align with federal guidelines but may include additional state-specific regulations.
Can I legally possess medical marijuana in Colorado?
Yes, Colorado allows the use of medical marijuana for qualifying patients, but it remains a Schedule I substance under federal law.
What are the penalties for possessing a controlled substance without a prescription?
Penalties vary based on the drug’s schedule and quantity but can include fines, probation, or imprisonment.
How does Colorado regulate opioid prescriptions?
Colorado limits opioid prescriptions for acute pain and requires healthcare providers to use the Prescription Monitoring Program (PMP).
Where can I find a list of Colorado controlled substances?
Conclusion: Staying Informed About Colorado Controlled Substances
Understanding Colorado controlled substances is essential for compliance, safety, and recovery. Whether you’re a healthcare provider, patient, or concerned individual, staying informed about drug schedules and regulations can help prevent misuse and support recovery.
At CMAR in Denver, Colorado, we’re committed to providing resources and support for individuals navigating these complex laws.
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.
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.
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.
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.
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?
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.
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.
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.
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.
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
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.
Detox is the critical first step toward overcoming substance use disorders. Outpatient detox offers an effective solution for individuals seeking flexibility without compromising on quality care.
This comprehensive guide explores how outpatient detox works, its benefits, and how Colorado Medication Assisted Recovery (CMAR) provides specialized medication-assisted treatment (MAT) programs in Colorado.
This approach enables patients to maintain their daily responsibilities, such as work, school, and family commitments while receiving the care they need.
At Colorado Medication Assisted Recovery, we’re dedicated to helping you overcome addiction through compassionate, evidence-based care. Our outpatient detox programs offer the support you need without disrupting your life.
At CMAR, we believe in providing the most comprehensive care to support your journey to recovery. Reach out to us today and discover how our outpatient detox programs can make a difference in your life.
Medication-assisted treatment (MAT) has emerged as one of the most effective approaches for treating substance use disorders, particularly those related to opioids and alcohol. By integrating FDA-approved medications with behavioral therapies, MAT not only helps reduce cravings and withdrawal symptoms but also supports sustained recovery.
In this article, we’ll explore various medication-assisted treatment examples, highlight the phases of MAT, and delve into how it improves overall well-being. Whether you’re seeking more information for yourself or a loved one, this guide provides a comprehensive look at the benefits and components of MAT, helping you understand why it’s often considered the gold standard in addiction recovery.
Examples of Medications Used in MAT
Medication-assisted treatment examples include several FDA-approved medications designed to manage withdrawal symptoms, reduce cravings, and support long-term recovery from substance use disorders.
Medications for Opioid Use Disorder (OUD)
Methadone: This long-acting, full opioid agonist attaches to the same brain receptors as opioids like heroin but without the intense highs and lows. Methadone helps manage cravings, diminishes euphoric effects, and stabilizes individuals in recovery.
Buprenorphine (e.g., Suboxone, Subutex, Sublocade): As a partial opioid agonist, buprenorphine reduces cravings and withdrawal symptoms. It offers a safer option with a lower potential for misuse compared to full agonists, making it an effective part of medication-assisted treatment.
Acamprosate: This medication stabilizes brain chemistry and helps individuals maintain abstinence. While it doesn’t relieve withdrawal symptoms, it reduces the risk of relapse for those in recovery.
Disulfiram (Antabuse): Disulfiram deters alcohol use by causing unpleasant reactions like nausea and headache if alcohol is consumed, making it one of the more aversive medication-assisted treatment examples.
Patients undergo an initial medical evaluation to determine the most suitable medication, dosing, and accompanying therapies. This personalized approach helps align treatment with individual needs.
Phase 2 – Medical Detoxification
The detox phase helps manage withdrawal symptoms using MAT medications. This phase stabilizes patients physically, preparing them for the next step in recovery.
Phase 3 – Maintenance and Rehabilitation
In this phase, medication is combined with behavioral therapies to support long-term sobriety. The focus shifts to relapse prevention, coping strategies, and addressing underlying issues that contribute to addiction.
Phase 4 – Continued Recovery and Relapse Prevention
The final phase emphasizes ongoing support and medication maintenance as needed. Patients transition into community life with strategies to manage triggers and reduce the risk of relapse.
Medication-assisted treatment examples in this phase include sustained medication use alongside outpatient support, ensuring a balanced recovery.
Behavioral Therapies Combined with MAT
Medication-assisted treatment is most effective when combined with behavioral therapies, which address the psychological aspects of addiction:
Cognitive-Behavioral Therapy (CBT): This therapy helps patients recognize and change negative thought patterns that contribute to substance use.
Contingency Management (CM): CM uses rewards to encourage positive behaviors, like maintaining sobriety or attending therapy sessions.
Motivational Enhancement (ME): ME works to enhance a patient’s motivation to engage in and adhere to the treatment plan.
Group Therapy: Peer support through group sessions fosters community and accountability, reinforcing the benefits of MAT.
Reduced Cravings and Withdrawal Symptoms: MAT medications help stabilize the brain’s chemistry, making it easier to focus on recovery.
Improved Treatment Retention: Patients on MAT tend to stay engaged in treatment longer, increasing their chances of sustained recovery.
Enhanced Social Functioning and Employment Stability: MAT improves social interactions and makes it easier for patients to maintain employment, providing a more stable foundation for life after treatment.
Lower Risk of Overdose: By blocking or reducing the euphoric effects of substances, MAT decreases the risk of overdose, making it one of the safest approaches in addiction treatment.
Who is a Good Candidate for MAT?
Medication-assisted treatment can benefit a wide range of individuals with substance use disorders, particularly those dealing with opioid or alcohol addiction. Ideal candidates often include:
Individuals who have tried other treatments without success: MAT offers an alternative path for those who haven’t found lasting recovery through other methods.
Patients with severe withdrawal symptoms: MAT medications help manage withdrawal, making it easier for patients to transition to sobriety.
Those committed to a comprehensive treatment plan: Medication-assisted treatment examples work best when patients are willing to engage in both medication management and regular behavioral therapy sessions.
Addressing Common Concerns About MAT
Many people have misconceptions about medication-assisted treatment, such as the belief that it substitutes one addiction for another. In reality, MAT aims to stabilize individuals so they can focus on recovery without intense cravings or withdrawal symptoms.
Is MAT Safe for Long-Term Use?
Yes, MAT is safe for long-term use when managed by healthcare providers. Many patients benefit from extended maintenance, especially when combined with therapy and support services.
Is MAT Effective as a Standalone Treatment?
No, MAT works best as part of a holistic approach, incorporating counseling, peer support, and lifestyle changes. The goal is to address the physical, psychological, and social aspects of addiction.
Colorado Medication-Assisted Recovery Center
Medication-assisted treatment examples demonstrate the effectiveness of this approach in managing both opioid and alcohol use disorders. By combining FDA-approved medications with therapy, MAT provides a comprehensive path to long-term sobriety. For those considering MAT, consulting a healthcare provider is crucial to determine the best medication and therapy combination for individual needs.
At Colorado Medication Assisted Recovery, we’re dedicated to helping you or your loved ones achieve lasting recovery. Our holistic approach, which highlights the benefits of Medication-Assisted Treatment (MAT), integrates MAT with counseling and behavioral therapies, ensuring that each person receives the care and support they need.
If you’re looking for a comprehensive, integrated approach to opioid addiction treatment, Colorado Medication Assisted Treatment (CMAR) is the place to start. At CMAR, we specialize in providing an array of evidence-based treatments and therapies that are tailored to the unique needs of each patient. We understand that addiction is complex and that recovery requires a holistic approach that takes into consideration all aspects of an individual’s life. That’s why our approach is centered around integrated care for opioid addiction—a combination of multiple services designed to treat a single condition.
Opioid addiction treatment can help you or your loved one achieve lasting recovery, and our integrated approach provides a way to do just that. Reach out to our team at 833.448.0127 today to learn more about opioid addiction treatment and to get started on your journey to recovery.
What Is Integrated Care for Opioid Addiction?
Integrated care is the practice of combining multiple services—including but not limited to medication management, behavioral health counseling, social services, spiritual guidance, and creative therapies—to treat a single condition. In terms of opioid addiction treatment specifically, this means treating:
Co-occurring mental health conditions such as depression or anxiety
Family dysfunction
Relational issues with friends or romantic partners
Social problems such as housing instability or economic hardship
Legal assistance for those who need help navigating the criminal justice system
Professional support for individuals looking to get back into the workforce
Educational resources for those seeking job training or higher education opportunities
Whether you’re looking for opioid addiction treatment for yourself or a loved one, integrated care offers a comprehensive solution.
The Benefits of Integrated Opioid Addiction Treatment
Integrated care has been proven effective in treating opioid addiction because it offers a comprehensive approach that addresses all aspects of an individual’s life, not just their drug use.
Seven of the major benefits of opioid addiction treatment through integrated care include:
Addressing the underlying causes of addiction – If opioid addiction is a symptom of an underlying mental health or social issue, integrated care can provide the necessary support to address those issues.
Better continuity of care – By combining services, integrated opioid addiction treatment ensures seamless transition from one form of care to the next.
Reduces stigma – By addressing opioid addiction in a comprehensive and compassionate manner, integrated care helps to reduce the stigma surrounding this condition.
Improved patient outcomes – Patients who receive integrated opioid addiction treatment have better outcomes than those who don’t.
Integrated opioid addiction treatment is the most effective way to help patients achieve lasting recovery, and accessing that care is easier than ever before. To get started, reach out to our team at Colorado Medication Assisted Treatment today.
Get Started on the Journey to Recovery at CMAR
At Colorado Medication Assisted Treatment, our goal is simple: provide our patients with expertly-crafted integrated care plans tailored specifically to meet their needs. Opioid addiction may have taken a lot from you, but it doesn’t have to take everything. With the help of our dedicated professionals and supportive community, opioid addiction treatment can help you or your loved one reclaim the joy and hope of life.
Our team consists of highly trained medical professionals who specialize in treating opioid use disorder through evidence-based treatments such as medication management and counseling sessions. We go above and beyond traditional treatment approaches by offering case management services and additional resources all designed to help foster long-term recovery from opioid addiction while improving overall well-being. If you’re ready to take control over your life again, contact with the CMAR team today by calling 833.448.0127 or connect with us online.
The advances in medical science over the years have benefited men and women struggling with addiction by reducing painful withdrawal symptoms and cravings. We now use opioids to reduce the physical and mental side effects of opioid addiction, but there are options for pain management that do not involve opioids. Addiction and pain management is different for each patient, and finding the right combination of medications is crucial for helping with your addiction recovery.
At Colorado Medication Assisted Recovery, our medication-assisted treatment plans include opioid and non-opioid options for pain management. Your physical and mental health will determine the best medications to treat your addiction. If you do not want to use opioid-based medications, we will work with you to find the best treatment options for your symptoms. To learn more about the different options for pain management during addiction withdrawal, call 833.448.0127 today to speak with our caring support staff about our various options for pain management during opioid addiction treatment.
The Risks of Pain Medication Abuse
Opioids became popular for their pain-reducing abilities and the euphoric side effect that it produces. What many people did not know when first taking opioid pain medication is its effect on your brain chemistry. Opioids bind with the opioid receptors on cells throughout your body and signal a massive release of pain-relieving chemicals called endorphins. It also releases dopamine, which is what gives you that euphoric feeling.
When patients follow their prescription precisely, there is less risk of forming an addiction. Unfortunately, as tolerance levels rise, many people will simply take more medication instead of talking with their doctor. The more you take, the more your body relies solely on the pain medication. Your body stops the natural production of endorphins and dopamine, creating painful withdrawal symptoms that interfere with your recovery.
At Colorado Medication Assisted Recovery, we understand how addiction to pain medication can grow and turn into a powerful addiction. We can use non-opioid medication to help reduce your pain during treatment and allow you to focus more on your recovery.
Using Non-Opioids for Opioid Addiction Treatment
Non-opioid medications can be just as effective as opioid pain medication without the risk of addiction. Whether they will work for you depends on your individual symptoms, such as pain level, the severity of addiction, and physical and mental health.
Non-opioid options for pain management is available in several types:
Acetaminophen – This is one of the safest non-opioid analgesics and helps reduce fever, and treats minor aches and pains.
Non-steroidal anti-inflammatory drugs (NSAID) – NSAIDs can help reduce pain, fever, and inflammation.
Antidepressants – Recent studies show that tricyclic antidepressants and serotonin-norepinephrine reuptake inhibitors (SNRI) can help with pain management through their analgesic effects on the pain inhibitor pathways.
Anticonvulsants – The analgesic properties of some anticonvulsants affect neurotransmitters by reducing the number of pain-inducing messages that it sends to the body.
Topicals – Topical medication that contains lidocaine and capsaicin can help reduce pain by blocking nerve endings to wherever the ointment is applied.
For patients with severe pain, low-dose opioid medication can help better reduce your pain so you can focus on your recovery.
Colorado Medication Assisted Recovery: Discover Your Options for Pain Management
At Colorado Medication Assisted Recovery, we use medication-assisted treatment coinciding with behavioral therapy to give you the greatest chance at recovery. We will discuss all options for pain management with you during your first appointment with us, where we will create a custom treatment plan that can help with addiction to several substances:
Opioids and opiates
Alcohol
Meth
Heroin
Percocet
OxyContin
If you or a loved one is struggling with addiction and does not want more opioid medication, call 833.448.0127 today to discuss non-opioid options for pain management.
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
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 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
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
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
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.
