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Office-Based Alcohol Misuse Treatment

Alcohol use disorder (AUD) is a medical condition characterized by an impaired ability to stop or control alcohol use despite adverse social, occupational, or health consequences. It encompasses the conditions that some people refer to as alcohol abuse, alcohol dependence, alcohol addiction, and the colloquial term, alcoholism. 

Withdrawal symptoms can include:

  • Anxiety
  • Tremors
  • Nausea
  • Insomnia

In severe cases, withdrawal can progress to seizures and delirium tremens, which is characterized by:

  • visual hallucinations
  • profound confusion
  • Agitation
  • Hyperthermia
  • cardiovascular collapse

Delirium tremens has a mortality rate of up to 37% without appropriate treatment. All individuals suffering from AUD deserve treatment and can recover, no matter the severity of the disorder. In general, treatment goals of AUD are to reduce and manage symptoms and improve health and functioning

Our Road to Recovery for AUD treatment include:

  • New Patient Intake
  • Completion of the Tobacco, Alcohol, Prescription medication, and other Substance use Tool (TAPS)
  • Initial appointment where we will conduct a psychiatric diagnostic evaluation, discuss the findings of the TAPS used to determine alcohol misuse, and issue you a prescription for oral naltrexone for 7 days as a tolerance test and a prescription for Vivitrol to bring to the office for stabilization
  • A stabilization visits where we will meet at the office for the initial Vivitrol (naltrexone) injection
  • Maintenance visits where we will meet in person once every 28 days for continuation of Vivitrol Injection
  • Post injection visits are required 7 days after each injection to discuss clinical findings and behavioral modifications


VIVITROL is a once-monthly extended-release injectable formulation of naltrexone for alcohol dependence. VIVITROL is an extended-release, microsphere formulation of naltrexone designed to be administered by deep intramuscular (IM) gluteal injection every 4 weeks or once a month

How does it work?

it works by binding to opioid receptors in the brain to prevent them from being activated by drugs or alcohol. This can help to reduce cravings for these substances and make it easier for people to abstain from using them.

Often, Vivitrol is used as part of a treatment plan for alcohol or opioid dependence. It can be combined with therapy and other support measures to give people the best chance of success in their recovery.

Clinic Staff

Family Psychiatric Nurse Practitioner: Danielle Scott, MSN PMHNP-BC


We accept Medical Assistance Plans, Medicare, Aetna, Cigna, United Health Care, CareFirst (BlueCross-Blue Shield)

To Request an Appointment, Click Here

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Clinic Location:

1 N Charles Street Suite 2425 Baltimore, MD 21205