[vc_row][vc_column][vc_column_text]Think about a moment in your life that you wanted to bask in. You found a sense of peace, joy, or harmony that you wanted to fully take in and appreciate. Perhaps it was catching up and laughing with an old friend, perhaps it was feeling the warm sun shining down on your skin as you sat on a tropical beach, or perhaps it was the excitement you felt in your team winning the big game. When we encounter these moments, there is a natural tendency to want them to last. We want to appreciate what is happening for us here and now, while also doing what we can to hold onto these wonderful feelings. However, what happens when unpleasant feelings arise?
When feelings of anxiety, sadness, loneliness, and stress show up, we have a natural tendency in the opposite direction. We want to make them go away as they may feel unpredictable, uncontrollable, and unbearable. We want more of the “good” feelings and less of the “bad” ones. Makes sense, right? I mean, who in their right mind wants to feel anxious?
While there are a variety of things we can do to avoid these unpleasant feelings, a particularly common one resides in alcohol and drug use. The use of alcohol and other drugs triggers chemical reactions in our brains that numb unpleasant feelings and boost the pleasurable ones, thus, producing a sense of relief. However, this sense of relief is only temporary. Like all things, it does not last.
The substance wears off, the chemical reaction subsides, and those unpleasant feelings reappear. Well, what happens when these feelings come back? When that sense of helplessness or powerlessness sets in again? You might think about how drinking alcohol or using drugs had previously made those feelings go away and think, ‘Hey, that worked last time! Why not do it again?’ This makes sense. Humans are excellent learners. When we encounter challenges, we look for solutions. In this case, alcohol and drug use seems like an effective solution to this discomfort. When we regularly rely on use to navigate these feelings, we cross into addiction.
With time and repeated use, our brain chemistry changes such that our drug of choice may feel like the only escape from unpleasant feelings. However, as I had mentioned before, the unpleasant feelings will always return. They are unavoidable. However, as we continue using to avoid said feelings, we wander further away from our ambitions, integrity, and sense of purpose. As we do this, the feelings of anxiety, sadness, loneliness, and stress grow. What initially seemed like a sound solution, turns out to have been a misplaced solution.
By Jonathan Fricke, MA[/vc_column_text][/vc_column][/vc_row]
Detox is the critical first step in the journey toward recovery from addiction. For individuals struggling with substance use, understanding what to expect during the detox process can ease fears, clarify expectations, and provide the confidence needed to seek help. Colorado Medication Assisted Recovery (CMAR) offers a compassionate, evidence-based approach to detox that prioritizes safety, comfort, and long-term healing.
Understanding the Purpose of Detox
The purpose of detox is to safely and effectively remove harmful substances from the body, allowing individuals to begin healing both physically and mentally. It serves as a vital first step in the recovery journey, paving the way for further treatment and long-term sobriety by addressing the immediate challenges of withdrawal.
What Is Detox?
Detoxification, or “detox,” is the process of clearing drugs or alcohol from the body. It allows the brain and body to begin adjusting to life without substances while managing the symptoms of withdrawal. Detox is not a cure for addiction but a necessary foundation for long-term recovery.
The Role of Detox in Addiction Treatment
Detox is the first clinical step in a comprehensive addiction treatment plan. Without detox, lingering physical dependency can interfere with behavioral therapy and counseling. By medically managing withdrawal, individuals are more likely to remain in treatment and succeed in recovery.
Common Substances That Require Detoxification
Different substances affect the brain and body in unique ways, and each requires a tailored detox approach. At CMAR, we offer specialized detox services for:
Alcohol: The risk of seizures, tremors, and hallucinations makes medical supervision critical.
Opioids: Withdrawal can include intense cravings, nausea, muscle pain, and anxiety.
Benzodiazepines: Abrupt discontinuation can cause dangerous symptoms such as seizures and panic attacks.
Stimulants (e.g., cocaine, methamphetamine): Detox may include emotional instability, fatigue, and sleep disturbances.
The Phases of the Detox Process
Detox isn’t a one-size-fits-all process. At CMAR, we follow a structured and supportive path through three key phases:
Evaluation
During the evaluation phase, medical professionals assess substance use history, physical health, and any co-occurring mental health conditions. This helps create a personalized detox plan, including recommendations for medication-assisted treatment (MAT).
Stabilization
This is the core of the detox process. Patients receive clinical supervision, medications (if needed), and emotional support to manage withdrawal symptoms safely. CMAR uses FDA-approved medications like Suboxone® when appropriate to minimize discomfort and prevent complications.
Preparation for Ongoing Treatment
Detox is just the beginning. Before completing detox, our team helps patients transition into the next level of care—such as outpatient therapy, intensive outpatient programs (IOP), or other services—ensuring continued support.
What to Expect Physically and Emotionally
Going into detox, it’s important to expect a mix of physical and emotional challenges as your body begins to adjust to life without substances. Patients often experience withdrawal symptoms that can vary in intensity, but rest assured, you will be under medical supervision to help manage any discomfort and provide necessary support throughout the process. Remember that this is a crucial step toward reclaiming your health and well-being.
Physical Symptoms
Withdrawal symptoms vary by substance but may include:
Sweating, nausea, and vomiting
Muscle aches and tremors
Sleep disturbances
Headaches and fatigue
These symptoms can be uncomfortable but are manageable with medical support.
Emotional and Psychological Effects
Detox often triggers emotional fluctuations, including:
Depression and anxiety
Mood swings
Intense cravings
Feelings of fear or hopelessness
At CMAR, our clinicians are trained to provide physical and emotional support throughout the detox experience.
Access to licensed medical and behavioral health professionals
Trauma-informed care in a supportive outpatient setting
We aim to reduce the risks of complications while enhancing comfort and dignity during detox.
How Long Does Detox Take?
The length of detox varies based on:
Type of substance
Duration and frequency of use
Individual health status
Co-occurring mental health conditions
Most detox processes last 3 to 10 days, though some individuals may require more time. At CMAR, we tailor every detox plan to the individual for optimal safety and success.
Preparing for Detox: What You Should Know
Before beginning detox, it’s helpful to be prepared:
What to Bring: Valid ID, comfortable clothing, and essential personal items
Mental Preparation: Expect discomfort, but remember it is temporary
Communication with Loved Ones: Support from family can be a critical part of the process
Understanding Aftercare: Know that detox is just the beginning of your recovery journey
Next Steps After Detox
Detox alone is not enough to sustain long-term sobriety. CMAR ensures a smooth transition to continued care, including:
Intensive Outpatient Programs (IOP)
Medication-Assisted Treatment (MAT)
Trauma-informed therapy and counseling
Peer support and recovery coaching
Our goal is to provide a full continuum of care that empowers each patient beyond detox.
Holistic, personalized care tailored to your needs
Integrated MAT and mental health support
Licensed, compassionate professionals
Convenient outpatient services in a supportive and discreet setting
We help individuals detox with dignity—and prepare them for long-term recovery with the right tools and treatment.
Get Help Today
At CMAR, we understand how challenging the journey to recovery can be for you or your loved ones. If you’re facing struggles with addiction, remember that detox is the crucial first step towards healing. We’re committed to supporting you every step of the way. Contact us for a confidential consultation today—your path to a healthier future starts here. Call us today or contact us now to get started!
[vc_row][vc_column][vc_column_text]Hi there,
My name is Jonathan Fricke. I am a 4th year doctoral student studying clinical psychology at the University of Denver. Over the last several years, I have trained at community mental health clinics, a university counseling center, a hospital emergency department, and private practice settings, among others. Although I am relatively early on in my career, I began to notice some common themes come up in my clinical work across these varied settings. Those being: 1) clients experiencing challenges in relating to others (i.e. social anxiety, loneliness) and 2) the prevalence of both prescription and non-prescription substance use. Given these observations, I sought additional training in substance use treatment through didactic coursework in my graduate program and through clinical training at Colorado Medication Assisted Recovery (an intensive outpatient (IOP) and outpatient (OP) treatment facility in Thornton, Colorado). In this series of blog posts, I will be sharing what I have come to learn about both the etiology and treatment of addiction, as well as current events related to addiction and recovery.
Well, it seems like a reasonable place to start is with the question…
WHAT IS ADDICTION, TECHNICALLY SPEAKING?
The term addiction seems to be thrown around rather casually in much of our day-to-day lives. You might overhear a friend talking about their addiction to scrolling through TikTok, or perhaps a colleague that makes a comment about their addiction to the chocolate donuts at the bakery down the block. Are these seemingly flippant comments related to actual addictions?
Typically, addiction is associated with drugs and alcohol but may also include problematic behaviors related to food, exercise, sex, video games, and gambling, among others. Thus, scrolling TikTok or eating those chocolate donuts may qualify as addictions. However, we must first get a better understanding of what your friend’s and colleague’s relationships to TikTok and chocolate donuts, respectively, looks like. To get a better understanding, it is helpful to consult the Diagnostical and Statistical Manual of Mental Disorders, 5th Edition (DSM-V). Note: the DSM-V is the gold standard when it comes to diagnosing addiction and use disorders.
The DSM-V criteria for addiction falls into four overarching categories.
Impaired Control
Social Problems
Risky Use
Physical Dependence
Within these four categories, the symptoms of addiction include:
Using more of a substance or more often than intended
Wanting to cut down or stop using but not being able to
Devoting significant time to obtaining, using, and recovering from use
Strong desire to use
Use resulting in neglected responsibilities at work, school, or home
Use resulting in social and interpersonal issues
Giving up activities they used to care about because of their substance use
Using in risky settings
Continued use despite known problems
Needing more of the substance to get the same effect
Having withdrawal symptoms when a substance isn’t used
According to the DSM-V, the presence of between two and five of these symptoms qualifies as a mild to moderate substance use disorder, whereas the presence of six or more of these symptoms qualifies as a severe substance use disorder (i.e. addiction).
So, does your friend have an addiction to scrolling TikTok? Does your colleague have an addiction to the chocolate donuts down the block? Do you wonder if you may have an addiction to something? Whether it meets full criteria or not, my hope is that by reflecting on the aforementioned DSM-V criteria, we may become more aware of some of our own addictive tendencies.
By Jonathan Fricke, MA[/vc_column_text][dt_fancy_separator][vc_empty_space height=”15″][vc_column_text]References
American Psychiatric Association. (2013). Substance-Related and Addictive Disorders. In Diagnostic and statistical manual of mental disorders (5th ed.).[/vc_column_text][/vc_column][/vc_row]
Cortland Mathers-Suter entered the treatment space after his own battle with addiction. He first worked as a peer mentor, before starting clinical work while completing his Masters of Science in social administration from Case Western Reserve University where he focused on policy and direct practice. Cortland moved to Colorado in 2015 to start his first addiction treatment program, AspenRidge Recovery. Under his tenure, AspenRidge Recovery became a two-location, nationally accredited organization. He has since spent the last two years researching and developing what is now Colorado Medication Assisted Recovery (CMAR).
According to Cortland, “Colorado Medication Assisted Recovery is the most important organization I have had the honor to help build. We’re offering a service that seeks to not only improve the lives of our patients but also evolve how we look at medication-assisted treatment in Colorado entirely. Most individuals receiving medication-assisted care only receive medication and urinalysis. Sure you can call that ‘treatment,’ but you can’t call that ‘recovery.’ Our model is about adding the missing recovery component, and thus affords an opportunity to achieve lasting change for each patient and the industry.”
Cortland and his treatment programs have received numerous honors. These include Colorado Business Magazine’s “GenXYZ” award, the 2020 “Titan 100” award, and his program AspenRidge Recovery was both a finalist for “Best Healthcare Company” and named in the “Company’s to Watch” by Colorado Business Magazine as well. He has been interviewed and quoted by numerous publications for his “addiction expertise”, including News Week, 5280 Magazine, the Denver Post, Elephant Journal, Colorado Biz Mag, and TheRecoverySource.org.
Tyler Whitman
Compliance/HR Administrator
Tyler is originally from Omaha, Nebraska. He worked in manufacturing administration for 18 years until he chose to pursue recovery from alcohol addiction, which led him to Chicago, Illinois. Since then, Tyler gained experience in retail, retail pharmacy, and healthcare as a vaccine coordinator for a local Colorado clinic. At the clinic, Tyler discovered that healthcare was the career change he had been looking for. His newfound passion for healthcare, combined with his lived experience with addiction, brought him to Colorado Medication Assisted Recovery as an Office Administrator.
In his free time, Tyler enjoys cooking, hiking, and skiing. He is currently pursuing a master’s degree in Health Services Administration from Regis University.
Simmeren Boanvala
BA Outreach and Admissions Representative
Simmeren comes to CMAR after several years working admissions in inpatient psychiatry and addiction. A first-generation Colorado Native, Simmeren attended CU Boulder, where she earned a BA in psychology. Simmeren is currently completing her CAC III while working toward her master’s degree in marriage and family therapy.
According to Simmeren, “I joined CMAR because I believe in the quality and importance of the program whole-heartedly. My goal at CMAR is to guide each prospect who calls CMAR to find the best possible pathway to their recovery”. Simmeren currently lives in her hometown with her dog and cat.
Tyler Hale
Community Partnership Lead
Tyler Hale began his career in addiction treatment following a decades-long fight with his own substance abuse issues. Since achieving long-term recovery, Tyler has held various positions in direct care, client services, admissions and outreach departments at various addiction treatment organizations. From sober living program director to outreach director to admissions director at a drug and alcohol treatment program, Tyler consistently finds himself in leadership roles within the addiction treatment space.
Tyler is originally from Chicago, IL, where he graduated from Loyola University Chicago with a Bachelor of Arts in Sociology and Bioethics. Thereafter, Tyler built a successful career in the tech industry, before finding sobriety and a subsequent calling to help others. Tyler joined the team at CMAR because he believes in the efficacy of comprehensive and patient-centered outpatient treatment. In his free time Tyler enjoys camping, hiking and spending time with his newborn son.
Kirstin O’Carroll
MSW Engagement and Relations Director
Kirstin O’Carroll started her career in addiction and mental health services 23 years ago after graduating with an MSW from The Oho State University. Hired directly from an internship program, she served as a case manager and vocational specialist on a community treatment team in Columbus, OH, working to help severely mentally ill adults remain at home and in a community setting. Within the same organization, she later transitioned to clinical assessment and crisis intervention services with children, adolescents, and adults. Through these experiences, she learned the importance of providing empathetic, high-quality care and the need to “start wherever the patient is” with regard to finding the best treatment & solutions for her patients.
After seven years, Kirstin made a career change to diagnostic sales and worked for several Fortune 500 companies as an acute care sales specialist. She is delighted to return “home” to her passion for helping others and believes her new role as community engagement coordinator for CMAR is the perfect alignment of both her clinical and sales skills. When not promoting CMAR, she can be found reading, running, hiking, watching movies, and spending time with her husband Dennis and senior canine son Reggie.
Thomas Mazzarella
LAC Primary Therapist
Thomas is a Licensed Addiction Counselor (LAC) in the State of Colorado and a Licensed Addictions Specialist (LCAS) in the State of North Carolina with particular expertise in the treatment of chronic Substance Abuse Addiction and Dependency.
Thomas is dedicated to Individual, Couples, Family, and Group Counseling and Therapy for individuals with Substance Use and Mental Health issues and concerns.
James Jackman
CAS Primary Therapist
James Jackman is a Certified Addiction Specialist and has been practicing addiction treatment in Colorado since 2015. James is pursuing his bachelor’s degree in psychology from Metropolitan State University Denver. James is a traditional CBT therapist specializing in childhood events that lead to adult addictions.
James has received special training in Family Systems, Inner Child, Maladaptive Schemas, and Adverse Childhood Experiences. James has worked in many treatment settings throughout his career and uses a client-centered treatment approach to help one recover from destructive patterns that facilitate addiction. In addition, James enjoys working with rescue animals and advocates for several local rescue organizations outside of work.
Outside of the office, Megan enjoys spending time with her two German Shepherds and her cat. She is passionate about fostering animals through various local rescues to find adoptive homes for dogs and cats in need.
Megan is a licensed counselor who has worked in various mental health and addiction treatment environments. She practices cognitive behavioral therapy and motivational interviewing and believes in pulling from various therapeutic approaches to best support each individual. Megan received her bachelor’s in psychology and Spanish from Concordia College. She relocated from North Dakota to Colorado where she earned a master’s in counseling psychology from the University of Denver.
Outside of the office, Megan enjoys spending time with her two German Shepherds and her cat. She is passionate about fostering animals through various local rescues to find adoptive homes for dogs and cats in need.
Maggie Coyle
MA, LPC Primary Therapist
Maggie Coyle, MS, MA, LPP, LPCC has worked in the mental health and addictions counseling field for the past six years. She has extensive experience in working in the varying levels of mental health and addictions treatment as well as with diverse populations.
She practices cognitive-behavioral therapy and dialectical behavior therapy as primary intervention methods. She has earned a bachelor’s degree in sociology as well as a master’s degree in clinical mental health counseling both from Northern State University in Aberdeen, SD. She has also earned a master’s degree in addictions counseling from the University of South Dakota in Vermillion, SD. Maggie moved from South Dakota to Colorado in June 2020 and is excited to be a part of the CMAR team.
Michael Damioli
LCSW, CSAT Clinical Director
Michael Damioli has been passionately working in the fields of addiction treatment and mental health since 2012. He has held a variety of different roles within the addiction recovery space, ranging from peer support to direct clinical practice. Notably, Michael was part of a leadership group that developed a small therapy practice into a nationally branded addiction treatment program, which offers multiple levels of care to recovering professionals. Michael is a strong believer in the family disease model of addiction and has focused much of his clinical work and training on supporting families impacted by addiction. He also specializes in treating individuals suffering from co-occurring chemical and process addictions.
Michael is honored to be leading the clinical care team at CMAR and believes that excellent clinical care begins by simply treating a patient with dignity and respect. Michael is a strong advocate for ethical reform within the addiction treatment field and is excited to promote CMAR as an ethical and thought leader throughout the treatment & recovery industry. Michael earned his master’s degree in social work from the University of Denver and is independently licensed as a clinical social worker with the state of Colorado. He holds an advanced post-graduate certificate in marriage and family therapy from the Denver Family Institute as well as an advanced certificate in sexual addiction counseling from the International Institute of Trauma and Addiction Professionals.
Dwight Duncan
Psy.D Psychologist
Dr. Duncan was born and spent most of his early life in California. He received his doctorate in clinical psychology from the University of Denver in 1987. He is a licensed psychologist as well as a licensed addiction counselor. He has had extensive training and experience throughout his professional career in medical psychology, mindfulness, integrated behavioral healthcare, and substance abuse.
Dr. Duncan is married and has one daughter, a neurologic physical therapist in Los Angeles.
Susan Miget
NP Medical Provider
Susan has been in healthcare for more than 20 years. She was an ICU nurse for nine years, then returned to school and completed her master of nursing and family nurse practitioner degree at the University of Missouri-St. Louis in 2007. She practiced pain management for many years before developing her current passion for addiction treatment.
Susan has transitioned her practice to focus entirely on addiction treatment. She has worked in residential treatment, partial hospitalization (PHP), and intensive outpatient (IOP) programs. Susan most enjoys working with patients one-on-one in a private office to protect their confidentiality and ensure top-rate care. Knowing that addiction can affect anyone, anywhere, and at any time, Susan continues to strive to make treatment more accessible and confidential.
Whitney Grant
MSN, FNP-BC, ARNP, RN, CPN Medical Provider
Whitney Grant is an experienced family nurse practitioner with experience and expertise in medication-assisted treatment. Whitney earned her BSN at the University of Miami before moving on to achieve a master of science in nursing degree there as well, becoming a nurse practitioner immediately thereafter.
Whitney has since achieved board certification from the ANCC as a family nurse practitioner. After spending her entire formative and educational years in South Florida, Whitney moved to Denver in 2018 to pursue a career as a provider in family practice, sub-specializing in addictions medicine. Whitney has worked under the guidance of Dr. Nathaniel Moore, CMAR’s medical director, since moving to Denver.
Nathaniel Moore
MD Medical Director
Dr. Nathan Moore is board-certified by the American Board of Family Medicine. Dr. Moore attended Stanford University in Palo Alto, CA for his undergraduate work and then attended Duke University School of Medicine and obtained his M.D. in 1995. Dr. Moore then came to Colorado and completed his residency in family medicine at the University of Colorado’s Family Medicine Program at Rose Medical Center.
Dr. Moore practices primarily at our Aurora location. He provides comprehensive family medicine services and has a special interest in addiction medicine, treating patients with opioid use disorder as well as alcohol addiction.
Dr. Moore is married with three children. He enjoys mountain biking, running, and golf.
