Changes by Choice: Broad-Based Options for Recovery is a collaborative effort by a multidisciplinary group of medical and mental health practitioners to provide comprehensive, evidence-based outpatient treatment for substance abuse, addiction, and other compulsive behaviors.

Our approach is grounded in motivational enhancement theory, which sees motivation for change as an internal state that can be positively influenced by a respectful and supportive therapeutic relationship.

Treatment goals and components are negotiated and individually tailored. Clients can choose from a range of options according to their preferences, the nature of their difficulties and their stage of change.

Pharmacologic adjuncts such as Suboxone (buprenorphine) for the treatment of opiate dependence; Campral (acamprosate), ReVia (naltrexone) and Antabuse (disulfiram) for alcohol dependence; and Chantrix (varenicline tartrate) for nicotine dependence may be combined with counseling to facilitate detoxification, reduce craving, and ease withdrawal, enabling clients to better manage stress and make the life changes needed to support recovery.

Counseling is provided in individual, couples/family, or group formats. 

Problems treated include:

Abuse or dependence on alcohol or other drugs such as heroin, cocaine and marijuana
Prescription drug addiction including abuse of Xanax or Klonopin
Overuse of medications used for chronic pain management
Opiates/narcotics such as Oxycontin, Percocet, Vicodin, oxycodone, hydrocodone and methadone
Internet addiction
Sex addiction
Compulsive spending
Compulsive eating
Gambling

Changes By Choice, LLC

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