What this looks like in practice
What we do and what we don't.
These aren't just policies — they're commitments we make to every patient from day one.
We do
Individualize dose decisions for each patient — there is no one-size-fits-all approach
Continue medication management for as long as it is clinically appropriate
Increase accountability measures without stopping medication if treatment is disrupted
Make space in every visit for the conversation — about where you are, what matters, what's getting in the way
Meet you where you are — through online visits, from wherever you are
We don't
Push rapid taper protocols aimed at stopping medication
Set arbitrary time limits on treatment
Discharge a patient for a positive drug test result
Require separate counseling sessions as a condition of medication
Condition medication on compliance milestones — medication is the treatment
(888) 835-9995 · Call or text to get started
Call or textFor a detailed look at how treatment is structured, documented, and monitored — see our clinical standards for telehealth buprenorphine treatment →
What recovery means here
Recovery is self-directed, not program-directed.
Once stable on medication, many patients choose to re-engage in normal life — work, family, relationships — rather than invest hours each week in structured programming. That is a valid and meaningful choice. Recovery looks different for everyone.
How the visit works
Built into every visit, not an extra step.
Every appointment includes time to talk — not as a separate process, not as a referral, but as part of the conversation with your physician. About where you are. What matters to you. What's getting in the way.
That conversation follows a specific, evidence-based approach called Motivational Interviewing. You don't opt into it. It's just how we talk with you.
About Motivational Interviewing →Why this model works
Seeing the same physician matters.
In one buprenorphine clinic study, physician continuity predicted retention and longer time in treatment. In other words, seeing the same doctor was associated with staying in care longer.
That's why every visit here is with the same doctor.
Counseling can help. It should never be mandatory.
Some patients want counseling and benefit from it. But in primary-care and office-based randomized trials, adding more structured counseling on top of buprenorphine plus physician management did not improve average opioid-use outcomes versus physician management alone.
Current FDA/SAMHSA and ASAM guidance is aligned: psychosocial treatment should be offered, but medication should not be delayed or withheld if a patient declines counseling or it is unavailable.
Sources: Justesen et al., 2020 — family medicine retention · Fiellin et al., 2006 (NEJM) · Weiss et al., 2011 (JAMA)
Words matter here
Language reflects what we believe.
Opioid use disorder is a neurobiological condition — one that can be treated and managed. It is not a moral failing, a character flaw, or a lack of willpower.
Words matter in this space. We use language that reflects the science — and we expect that of everyone in our practice. You will not be judged here.
Why telehealth
Care that comes to you.
Telehealth removes barriers — no travel, no waiting rooms, care from wherever you are.
No transportation needed
Telehealth from wherever you are — home, work, anywhere private.
No time off work
Visits fit around your schedule, not the other way around.
No waiting rooms
Private, discreet care without public clinic environments.
Consistent care
Same physician every visit. Fewer barriers means fewer gaps in treatment.
