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How Buprenorphine Is Used to Treat Opioid Use Disorder

Addiction is an ongoing epidemic across the world. From illegal drugs and alcohol to food and even prescription drugs, it is possible to become addicted to many things. Whether a person is using with the intent to get high or becomes dependent on a prescription drug, addiction is real, and help is often needed to recover and lead a healthy life. Opioids are among the most widely abused drugs in America, causing over half of the overdose deaths. But recovery is possible. Buprenorphine treatment can be helpful for those who are struggling with opioid use disorder when used in tandem with therapy and counseling.

What Is Opioid Use Disorder?

If an individual uses opioids after surgery and becomes dependent on them, they can become addicted easily. While these medications help reduce pain and are often necessary, they are highly addictive even after a short period. Some people are also aware of the high opioids provide and turn to the drugs for this purpose, eventually becoming addicted.

Common opioids include:

Using Medication to Treat Opioid Addiction

While there are many approaches to treating opioid use disorder, such as counseling, this alone is not enough. Medicated OUD treatment is usually necessary. With some medications, clients can overcome their dependence on the drugs by reducing the withdrawal symptoms that often make it impossible to quit in the first place. Buprenorphine is one medication that can be used to manage chronic pain and help those addicted to opioids on their journey to long-term recovery.

Buprenorphine Treatment

Buprenorphine is a partially synthetic drug made in labs. It is used to treat severe, often chronic, pain. It is also effective at helping those with opioid use disorder avoid withdrawal symptoms. It is considered an opioid still because it has components derived from opium poppies.

When a client goes through buprenorphine treatment, they may take sublingual tablets, use patches, or get injections. It is often used to treat pain in those with known histories of opioid addiction because it is considered therapeutic. This is because it delays withdrawal symptoms while addressing cravings for more potent opioids.

Using buprenorphine is helpful because it can reduce the risk of overdose and other health issues related to drug use. It is more readily available and is the first medication to treat OUD that can be prescribed and given in physicians’ offices, which helps increase access to treatment.

Buprenorphine has been used for over two decades and is considered safe and effective. It is quickly replacing the more common methadone to treat OUD, so much so that it is also commonly used to treat babies born with opiates in their systems.

Buprenorphine Treatment Risks

Buprenorphine use must still be monitored because it can cause overdoses. Watching for these signs is important:

  • Dizziness
  • Feeling faint
  • Sedation
  • Respiratory distress

While addiction liability is low, it can become habit-forming. Signs of abuse include:

  • Compulsive thoughts regarding buprenorphine
  • Craving more when doses are lowered
  • Loss of control of use
  • Continuing use despite negative consequences

In addition, clients younger than 60 that have no other medical conditions and take no other medications are more likely to experience side effects. However, seniors, children, and those with pre-existing conditions will experience a broader range of side effects. Side effects include:

  • Difficulty breathing
  • Sleepiness, dizziness, and the inability to drive
  • Severe interactions with alcohol
  • Vertigo, nausea, or headache
  • Lowered blood pressure
  • Liver function issues

Buprenorphine Treatment at Colorado Medication Assisted Recovery

Effective treatment for opioid addiction can be found at Colorado Medication Assisted Recovery. Our clients can benefit from therapists who vary their treatment approach based on both proven techniques and medical intervention. Understanding the different ways to treat opioid addiction and how medication can help manage withdrawal symptoms means providing a complete recovery to clients. Contact us at 833.448.0127 or reach out online for more information.

Dangers of Percocet

Percocet is a type of opiate drug used to treat moderate to severe pain. The drug contains oxycodone hydrochloride along with acetaminophen, and improper use may lead to dependence and addiction. When this happens, it becomes difficult for a person to stop using on their own. A treatment program can help those who are struggling with Percocet abuse overcome maintain sobriety long-term.

What Makes Percocet Dangerous?

Percocet, or more precisely, the oxycodone within it, causes significant changes in the function of the brain. It is prescribed as a way to change the way the brain feels pain. This can provide a person recovering from injury or surgery to manage pain better. In this way, it can be a helpful, necessary drug.

When used outside of a prescription, Percocet can cause additional changes. This includes changing the brain’s chemistry. Percocet triggers the area of the brain related to pleasure and the reward system. As a result, the brain encourages the use of the drug on a consistent basis, needing to have it present to function properly. This is what causes dependence, a condition that leaves a person until to stop using the drug without professional treatment.

Overdose Risks for Percocet and Oxycodone

Another of the dangers of using Percocet is the risk of overdose. As dependence develops, a person’s body may become used to the drug. This is called tolerance. As tolerance builds, the body needs more of the drug or needs it more frequently to feel the effects. However, too much can lead to toxicity, leading to the brain, heart, and other organs shutting down. This can cause overdose, a life-threatening condition that requires immediate medical help.

Addiction is a bit different than dependence, though the two often occur at the same time. A person who is addicted recognizes the dangers of continued use. Even so, they continue to use, often compulsively.

Long-term use of Percocet can be dangerous based on the changes and damage it can cause to the body. This includes:

  • Hypotension or hypertension
  • Slowed heartbeat and breathing
  • Seizures
  • Depression
  • Hallucinations

Over time, continued use can cause liver and kidney failure. It can also cause suppression of the immune system. Cognitive function can also be a concern.

Withdrawal from Percocet

A person with a dependence on Percocet is likely to go through withdrawal as they try to stop using it. Withdrawal creates intense cravings, as well as both psychological and physical symptoms. That makes it hard to stop using.

Because of how complex Percocet abuse can be, withdrawal from it can be challenging for many people. While certain medications can ease the detox process, some people may experience cold sweats, upset stomach, depression, anxiety, and agitation during this process. It can also make it hard to concentrate and lead to mood swings, joint pain, and tremors. Much of this can be eliminated through a proper treatment program for Percocet addiction.

How We Can Help with Addiction and Dependence

For those using Percocet or any type of oxycodone, our team can provide exceptional support and guidance through a complete treatment program. This program aims to eliminate addiction and dependence and encourage full-body healing. It is possible to manage pain, if present, in an effective manner without the use of opiates.

Our treatment programs are here to help. This includes:

Those struggling with addiction to oxycodone or Percocet can trust Colorado Medication Assisted Recovery for help. Our team of expert clinicians and trusted providers can provide you with the tools you need to overcome your dependence and reclaim your future. To learn more, call 833.448.0127 or connect with us online today.

What Is a Harm-Reduction Approach to Recovery?

The harm-reduction approach to therapy is a set of eight principles that center around meeting people where they are and slowly bringing them along to recovery. Treatment specialists recognize that not everyone is ready or capable of ending their addiction at a given time. Instead of assuming where an individual should be in their addiction recovery, therapists use evidence-based methods to treat the addiction symptoms.

Harm-reduction treatment programs can prevent addiction-related harm instead of helping the individual end their addiction. Programs offer education, resources, disease prevention, and medical care to those suffering from addiction and need help right away. A person who receives medical care for addiction may decide that it is time to enter a drug or alcohol rehab program. To learn more about our addiction treatment center approach, contact Colorado Medication Assisted Recovery today at 833.448.0127.

What Are the 8 Principles of the Harm Reduction-Approach?

The harm-reduction approach to treatment includes a variety of strategies that involve safer drug or alcohol use, managed use, full abstinence, and addressing medical conditions or mental health issues for drug or alcohol users. Programs operate on eight main principles.

Principle 1: Acceptance

Treatment professionals involved in mental health and behavioral treatment must first accept that prescription and illicit drug use is a part of their reality. Their primary goal is to minimize the harmful effects of drugs instead of ignoring or condemning them.

Principle 2: Understanding

Healthcare and mental health treatment professionals must understand that drug addiction is a complicated problem that involves various behaviors that range from severe use to abstinence. They must acknowledge that some ways of using substances are safer than others.

Principle 3: Wellness

Treatment professionals and facilities must first establish a treatment that enhances a person’s quality of life, not just addresses their addiction. Improving the quality of life needs to be the criteria used to assess and identify successful intervention and treatment.

Principle 4: Non-Coercive Services

Non-coercive and non-judgmental services must be offered to those who are struggling with addiction. This treatment may include services, such as:

  • Medical treatment
  • Clinical treatment
  • Case management services
  • Educational resources

Services must be designed to reduce any harm that may come to those who receive treatment. Recipients must not feel judged or pressured into receiving addiction treatment.

Principle 5: Empowerment

Those who are struggling with addiction or mental health issues must be allowed to contribute to the creation of addiction treatment therapies designed to help them recover. Those with addictions may have some ideas on how best to help them get clean and stay clean for life.

Principle 6: Affirmation

The harm-reduction approach affirms that people who use drugs are the primary people who reduce the harm drugs cause. Harm-reduction treatment empowers drug users to share information and support other users with strategies that meet their needs.

Principle 7: Recognition

Treatment professionals recognize that factors such as social inequality, sex-based discrimination, past trauma, social isolation, racism, class, and poverty all contribute to the vulnerabilities of those addicted to drugs. They also affect a person’s ability to deal with drug-related harm.

Principle 8: Acknowledgment

This type of treatment fully acknowledges the danger and harm that is associated with illicit drug use. In no way or form does it try to ignore or minimize the physical and mental impact of drugs.

Learn More at Colorado Medication Assisted Recovery

If you are struggling with addiction, you can get help for the harmful effects of drugs without feeling like we’re judging or alienating you. Contact Colorado Medication Assisted Recovery at 833.448.0127 today. We will discuss your condition, get answers to your questions about the harm-reduction approach, and explore your treatment options. We are here to help you get on the road to recovery.

Do You Need an Oxycontin Treatment Program?

Oxycontin is a common gateway drug to heroin. Whether you buy the medication legally or illegally, if dependency develops, seek professional help from an Oxycontin addiction treatment program. Skilled experts, such as the Colorado Medication Assisted Recovery, can use innovative treatment methods to help you overcome the pandemic. To learn more about our programs, contact Colorado Medication Assisted Recovery today at 833.448.0127.

The Significance of Oxycontin Treatment Programs

Individuals experiencing chronic pain can use Oxycontin to eliminate the burden and to find the pain relief they’re seeking. However, users must understand the dangers of Oxycontin addiction in CO and take immediate action if they cannot quit.

If you develop a dependency, accepting the problem and checking into rehab will help you avoid severe long-term consequences. The condition starts with enhanced tolerance, whereby you have to increase your dose to achieve the desired effects. Drug dependency can change the way of thinking and put you in trouble. For example, some people can do anything, including stealing, to get money for the drug.

Drug dependency can cause you to lack interest in vital day-to-day activities. In most cases, individuals ignore their responsibilities to look for more drugs. Such issues impact many areas of life, including finances, relationships, and health, leading to legal problems.

Some people think they can use their willpower to deal with the problem, but they often relapse. If you try quitting without following a personalized oxycontin addiction treatment program, you may find yourself suffering from uncomfortable withdrawal symptoms. The experience can be life-threatening.

What to Expect During Oxycontin Treatment

Drugs have chemicals that alter your brain and body functions. Such changes make it challenging for the user to quit despite understanding the potential harm. Fortunately, rehab centers can use personalized treatment programs and evidence-based therapies for a successful recovery process. Every person is unique and requires an individualized approach. At rehab, you can benefit from many treatment programs, including:

If you’re struggling with Oxycontin addiction in CO, you’ll find that this is a common problem, so you should not battle it alone. The journey to recovery requires guidance and support from professionals who understand your situation. Besides, rehab treatment offers an opportunity to meet peers and share experiences. Therapists focus on helping their clients to recover and achieve their goals.

Oxycontin Addiction Diagnosis and Symptoms

When can you seek help for oxycontin abuse? If you use the drug without a prescription or take a more considerable amount than instructed, this is misuse. Some people may consume it in different ways than what is recommended by their physicians. For example, long-term users try to increase potency by crushing and inhaling the powder form.

Intense craving for the drug when it is not available is a sign of dependency. If you have these issues, consult a rehab professional for an oxycontin treatment program. The most common signs and symptoms of addiction include:

  • Lack of motivation
  • Anxiety and depression
  • Slurred speech
  • Altered sleep habits
  • Poor coordination
  • Enhanced euphoria
  • Shallow and slow breathing

Oxycontin addiction can lead to a fatal overdose. In such a situation, the person needs emergency medical attention to reverse the effects. Act immediately and call for help if the person shows signs like vomiting, constricted pupils, unresponsiveness, and slow breathing.

Contact Colorado Medication Assisted Recovery for Addiction Treatment

Are you struggling with oxycontin dependency? If left untreated, the condition can cause severe health problems, some of which can be fatal. Do not let an avoidable situation ruin your life. Seek help from an oxycontin treatment program where addiction treatment professionals will ensure you achieve permanent recovery. Contact Colorado Medication Assisted Recovery today at 833.448.0127 for a customized treatment program.

Why Peer-Support Is Necessary In Sustaining Recovery From Opioid-Addiction

Recovery is not something that can be done alone. In fact, every major treatment-outcome study shows a clear link between peer-support & long-term addiction recovery. Opioid dependence is no exception. Yet unfortunately, over 90% of those receiving treatment for opioid-dependence are granted no access to a supportive peer group. 90% of Clinics (Methadone & Suboxone), addiction psychiatry practices, and addiction medicine practices in Colorado fail to provide even a single peer-support group during an addict’s treatment. At Colorado Medication Assisted Recovery, we offer peer support to help you recover from opioid addiction.

Evidence-Based Alternatives

Clinics and “suboxone doctors” prescribe, dispense, and sometimes provide some case management or counseling, but little more. Why? Because these providers are only trying to help, patients achieve one single outcome: survival. At Colorado Medication Assisted Recovery, on the other hand, we designed a more evidence-based alternative, which seeks to empower each patient to not just survive, but thrive. We want our patients to live happy, productive, socially healthy lives. We want them to use the gift of recovery to live, love, laugh, feel, connect, and so on.

Recovery From Opioid Dependence

Though CMAR certainly integrates first-rate addiction medicine, integrated & comprehensive group therapy programs & individual therapy programs, family therapy programs, and case management, CMAR also provides peer-led support groups. This group creates a community for our patients, all of whom share the common bond of being in recovery from opioid dependence. This group helps create lasting connections, peer-support systems, and accountability. Yet another reason why CMAR is Colorado’s most comprehensive, evidence-based opioid program. Learn more at CMAR or call us at 833.448.0127.

Signs of Addiction

Addiction is a chronic disease that causes physical and psychological dependence on a drug. A person may lack control over their behavior despite the risks associated with drug use. Identifying the signs of addiction can help one seek treatment for problematic drug use. This step may also help one learn how to avoid using drugs after completing treatment at CMAR. If you are wondering if you’re showing the signs of addiction, contact our Colorado addiction treatment center at 833.448.0127 today.

Physical and Psychological Signs of Addiction

A drug addict may show physical symptoms of addiction when they overdose or withdraw substance use. However, some physical signs may be difficult to identify, particularly if they use drugs in isolation. Some of the most common physical signs of drug addiction are changes in weight and dilated or enlarged pupils. A user may also neglect personal hygiene measures such as combing hair and bathing.  

Drug addiction can influence one to use a significant amount of a substance, leading to an overdose. Depending on the drug used, one may show signs of an overdose, such as hallucinations, trouble walking, and agitation. Prolonged drug usage can also cause alterations in the structure of the brain. Hence, a person will show psychological symptoms of addiction, like anxiousness and mood swings. Moreover, one can experience personality changes and lack the motivation to engage in various activities. If you are showing signs of addiction, contact CMAR to learn more about our addiction treatment therapies.

Behavioral and Social Signs of Drug Addiction

Behavioral signs of addiction refer to the pattern of conduct that a person shows after prolonged drug use. These symptoms are mainly an indicator of the side effects of the drug they are using. For instance, a user may think about using and obtaining a drug obsessively. The drugs become a priority in their life, in that they neglect other obligations. As such, a person may choose to buy drugs over meeting basic needs, like housing. One can also lose control over their usage even when they want to reduce usage or quit drugs.

Addiction can affect a person’s ability to reason, making them engage in irrational behavior. Such behaviors may include starting unnecessary arguments, which may lead to fights. Drug abuse can also influence how a person interacts and socializes with other people. For example, prolonged drug use will affect a user’s health and make it hard for them to participate in sporting activities. Hence, one will come up with excuses to avoid exercising and engaging in sports. One may also seclude themselves to prevent other people from noticing that they use drugs.

Treating Drug Addiction

 Seeking addiction treatment can help a person in the recovery process. Most addiction treatment centers have various programs one can join, depending on the nature of addiction. Moreover, other factors, such as multiple substance use and mental health conditions, determine the program one joins at a mental health treatment center. It is recommendable for people with chronic addiction to join a medication-assisted treatment program. This type of plan allows one to receive medication that will help minimize withdrawal effects. A person can also enroll in a nearby outpatient treatment center. Such establishments offer programs that will allow them to carry out other activities, such as working while receiving treatment.

Therapy and counseling are also a crucial component of addiction recovery. This step helps one learn more about the effects of their drug usage. Moreover, the specialists will educate you or a loved one on how to avoid the triggers of drug abuse. Some of the therapies used in treating addiction are:

  • Cognitive-behavioral therapy
  • Dialectical behavior therapy
  • Family therapy
  • Group therapy
  • Individual therapy

Recovering From Addiction at CMAR

Showing signs of addiction is an indicator that a person needs professional help. At CMAR, we can help you recover from addiction to opioids such as heroin. We test our patients’ mental condition to treat co-occurring conditions. This measure helps to ensure that you have a better and life-long recovery. Call CMAR today at 833.448.0127 to enroll for an effective addiction treatment program.

VERIFY INSURANCE

Cortland Mathers-Suter

MSSA
Managing Partner

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

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 Hanekom

LPC, LAC, NCC
Therapist & Clinical Compliance Officer

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

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

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

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.