Substance Use Support

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Compassionate, Personalized Care for Substance Use Concerns

At Integrative Psychiatry & Wellness, we provide comprehensive, evidence-based support for adults navigating substance use concerns through secure telehealth services across California, Oregon, Washington, and Colorado.

Our approach combines modern psychiatric medicine with integrative mental health strategies. We evaluate neurobiology, co-occurring mental health conditions, hormones, sleep, stress physiology, medical contributors, and lifestyle factors to develop a treatment plan that addresses root contributors—not just surface symptoms. Care focuses on harm reduction, craving management, co-occurring conditions, and sustainable recovery support in an outpatient setting.

Who This Is For

  • Individuals experiencing problematic alcohol or substance use that affects daily functioning, mood, or relationships
  • Patients with co-occurring conditions such as anxiety, depression, ADHD, trauma, or sleep issues
  • Professionals seeking discreet, confidential telehealth care
  • Individuals who have not fully responded to prior treatment or prefer an integrative psychiatry approach
  • Those seeking structured medication management, craving support, and ongoing follow-up
  • People ready to address substance use in the context of overall mental and physical wellness

(Note: We provide outpatient psychiatric support. We do not offer medical detoxification, residential treatment, or emergency services. Patients requiring higher levels of care will be referred appropriately.)

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Comprehensive Evaluation Process

Your initial psychiatric evaluation lasts 60–90 minutes and includes:

  • Full psychiatric and substance use history
  • Medical history review
  • Medication and substance review
  • Risk, safety, and withdrawal assessment
  • Diagnostic clarification (including co-occurring conditions)
  • Collaborative treatment planning focused on your goals and readiness for change

We ensure accurate understanding of your needs before recommending any interventions.

How Treatment Works

Treatment may include:

  • Medication management when clinically indicated (e.g., for alcohol use disorder, craving reduction, or co-occurring mental health conditions)
  • Lab evaluation when appropriate
  • Hormonal and metabolic screening if relevant
  • Sleep and circadian rhythm optimization
  • Lifestyle, stress, and coping assessment
  • Structured follow-up every 3–4 weeks initially
  • Ongoing symptom, craving, and functional tracking
  • Coordination with therapists, support groups, or higher levels of care as needed

All treatment decisions are collaborative, evidence-based, and tailored to your individual situation and safety.

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What To Expect In Follow-Ups

Follow-up appointments are 20–30 minutes and focus on:

Medication adjustments

Craving and side-effect monitoring

Symptom and functional tracking

Safety and risk assessment

Progress toward recovery goals

Long-term optimization and relapse prevention support

Insurance & Pricing

We accept select insurance panels depending on state. Self-pay options are available for flexibility and privacy. Transparent pricing is reviewed prior to your first visit.

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Why Choose Integrative Psychiatry & Wellness?

  • Dual board-certified PMHNP-BC & FNP-C providers
  • Integrative psychiatry model that addresses mind, body, and lifestyle
  • Telehealth convenience across CA, OR, WA, and CO
  • Evidence-based medication management when appropriate
  • Whole-body approach to mental health and substance use support
  • Focus on long-term outcomes and sustainable change, not short-term fixes

Frequently Asked Questions

Yes. Telehealth has been shown to be an effective way to evaluate and manage many substance use concerns and co-occurring mental health conditions for appropriate patients. Through secure virtual appointments, you receive personalized care, ongoing support, and medication management when clinically indicated.

Yes, when clinically appropriate and after a comprehensive evaluation. Options may include medications that reduce cravings or support recovery (for example, for alcohol use disorder) as well as treatment for co-occurring conditions. Your provider will discuss risks, benefits, and monitoring needs with you.

No. We offer outpatient psychiatric support only. If medical detoxification, intensive outpatient, partial hospitalization, or residential care is needed, we will help guide you to appropriate resources and higher levels of care.

Everyone’s path is different. Many patients begin noticing improvements in mood, sleep, cravings, or daily functioning within weeks when treatment is consistent. Progress is monitored closely and the plan is adjusted as needed.

Yes. With your permission, we can collaborate with your therapist, recovery coach, or other providers to support coordinated care.

Most patients are seen every 3–4 weeks at the beginning of treatment. Frequency is adjusted based on stability, progress, and individual needs.

Yes, when clinically indicated (for example, to check safety with certain medications or assess related health factors). Results are reviewed with you and incorporated into your plan.