Direct2Recovery specializes in treatment options for substance use disorder and drug addiction. We treat addictions to alcohol, opiates, heroin, prescription medicines, and many other substances. Our licensed therapists provide counseling, therapy, and medication from our office in Phoenix, AZ and we offer Telemedicine visits for qualified patients.
• Outpatient Withdrawal Management (detoxification)
• Continuing Recovery Care Program
• Licensed Therapists
• CAGE Test
• Offering MAT (medication assisted treatment) for Alcoholism: Including Naltrexone, Vivitrol, and Acamprosate.
OUR FOUNDER: DR. PAUL FATLEY
In addition to my Direct2MD online medical office visit company, here at Direct2Recovery I provide buprenorphine treatment for opiate dependence. Prior to starting my Direct2Recovery practice, I was an emergency room doctor for eighteen years. I saw the opioid epidemic at its worse, treating drug overdose patients daily, and witnessing lives lost to this addiction. My focus with Direct2Recovery is to passionately help as many patient’s as I can overcome their addition and begin to live life to its fullest once again.
With Telehealth Works in Arizona you get access to a health care provider — online, with no insurance forms, hassle or paperwork. Your virtual doctor is in Phoenix too and can write e-prescriptions, request imaging and request lab work just like a traditional doctor.
THE ASSESSMENT PROCESS
• Patient, family or medical staff—call Direct2Recovery to schedule clinical assessment.
• Concerns are discussed with intake department.
• Assessment appointment is made or appropriate referral is given.
• Patient meets with certified provider for assessment to determine treatment plan.
• They will meets with patient financial counselor to discuss insurance benefits and cost of treatment.
• Patient decides to seek treatment or other options are presented and discussed
At Direct2Recovery our mission is to passionately help as many patients as we can to overcome their addiction and begin to live life at its fullest once again. We strive to make every patient that walks into our office feel comfortable and genuinely welcome. Prior to starting his Direct2Recovery practice, Dr. Flatley was an emergency room doctor for eighteen years. While seeing the opioid epidemic at its worst, Dr. Flatley treated patients daily in the ER that were seeking help for withdrawal symptoms, enduring drug overdoses, and all to often he saw lives lost to this addiction. At Direct2Recovery we use a medication assisted option of Buprenophine/Naltrexone (Suboxone) to treat opioid addiction. We will also express the importance of addiction counseling therapy and recommend this to be part of every patients treatment.
An initial intake appointment is required to go over your entire medical & substance abuse history. If you are not already stable on Suboxone, we will discuss plans to end your current opioid use and begin Buprenorphine (this is called “induction”).
On the day we choose for induction, after your visit with the provider, you will pick up your prescription and you will need to be in moderate opiate withdrawal prior to starting your first dose. During initial doses we suggest 8 mg strips and we recommend taking 4 mg (1/2 a strip) for your first dose. Repeating this may be every 3 to 4 hours for control of your withdrawal symptoms and cravings. We will meet weekly for the first four weeks and fine-tune the dosing. During the second month, provided there are no relapses we will meet every other week. Beginning the third month, we intend to go to monthly visits however that is patient dependent and dictated by the presence or absence of relapses.
Addiction is a learned behavior that changes the brain to become conditioned to continually want the substance. Through counseling and other behavior health modifications it has been known that the brain can actually change physically. By changing our environment, starting a new job, new hobbies and friends, all will alter our brain in some way. It is possible to undo some of the changes that occurred while addicted. Therapy will recondition the brain closer to pre-addiction status. This will better prepare the patient for a time when they may no longer require medication.
Medication alone can reduce cravings and withdrawal, but recovering from an addictive disorder requires a rewiring of the brain and medication alone is not enough. Attention to eliminating things in life that cause stress or depression will help minimize the chance of relapse. Disassociating with friends who are in active addiction can be difficult but very necessary, An experienced counselor/therapist will be able to teach other techniques that will further help undo some of the brain changes and conditioned learning that occurred while becoming and once addicted.
Buprenorphine / Suboxone
Buprenorphine is a medication with partial opiate effects, designed to assist people who have made the decision to stop using opiates, or to switch over from methadone maintenance. It works by helping to prevent the withdrawal and craving experiences that often lead to relapse, without providing a “high” that reinforces use. It is much safer than continued use of illicit drugs and can assist a person in regaining normal functioning. Buprenorphine is also safer than Methadone, LLAM, and other earlier maintenance treatments. Suboxone, the commercial version of the medication, also contains a small amount of naltrexone, an opiate “antidote.” Using buprenorphine can be a stepping-stone to become free of opiate use altogether, or as an indefinite “maintenance” therapy. This decision will be addressed with each client as treatment progresses. In general, tapering to very low dose or complete discontinuation will be the goal of treatment.
Treatment fees will consist of three separate expenses.
We are currently contracted with: Blue Cross Blue Shield, United Healthcare, Cigna and Aetna. (Coming Soon – AHCCCS Plans). Payments will be expected at the time of service. We at Direct2Recovery strive to make care affordable and accessible to all. You may be able to submit your treatment receipts to insurance for partial out-of-network reimbursement. If you plan to do this, please contact your insurance company first to find out how much they will reimburse you and whether this will work for you.
Patients can anticipate that a urine drug screen will be preformed during each of their clinic visits. In most cases our insurance will cover these expenses. We do not expect you to have any additional out-of-pocket expense for this service.
Most insurances provide coverage for the medications being prescribed at Direct2Recovery. For patients that must pay for the medications out-of-pocket, there are different strategies and medications that can be used to make this affordable.
- 5656 E. Orange Blossom Lane, Suite 5
Phoenix, AZ 85018
- Monday – Thursday: 9am – 5pm