OVERVIEW OF ADDICTION TREATMENT

“But the worst enemy you can meet will always be yourself; you lie in wait for yourself in caverns and forests…

…You must be ready to burn yourself in your own flame: how could you become new, if you had not first become ashes?”
― Friedrich Nietzsche

This is an optimistic message. It’s optimistic for the realist who knows that we have self-sabotaging drives i.e. dark drives. Recovering from addiction and fear is about conquering one’s demons. It’s an unconscious battle one has with themselves. It takes a while to even see those unconscious patterns. You must have a good addiction psychiatrist who can help you master your demons so you can vanquish them and emerge reborn; a better version of yourself.

Supportive psychotherapy is great, but this is more than that. This is more intensive than just psychiatric medication management because sometime the patient is hooked on a substance. That substance can be a medical med, psych med or an illicit street drug. Dr. Datta is a tough coach who will only work with you if you work with him. If you need an empathic person who understands your plight, but a tough coach who will help you beat your addiction, then Dr. Datta is the right doctor for you. Dr. Datta is not the doctor who will continue to prescribe your controlled substance medications reflexively. Dr. Datta does not fill controlled substance medication before their due date, ever. This is why a phone screen is needed before one is accepted into the practice. We need to have a basic understanding of each other before one can get started with this type of recovery.

Dr. Datta is the medical director of Addiction Services at St. Joseph’s Medical Center in Yonkers, where he started a suboxone and vivitrol program to treat substance abuse as well as treat general psychiatric conditions. This website however, is my private practice in Manhattan which is independent of my work at St. Josephs.

Suboxone (sublingual) and its variations is prescribed to treat opiate use disorder and for relapse prevention.

Sublocade (subdermal) the monthly subcutaneous suboxone injection, is provided in office.

Vivitrol (intramuscular), a monthly anti-craving injection which helps in addiction recovery, is provided in office.

Outpatient detox regimens are tailor made to a patient’s exact specification (see below). Patients here have been detoxed from alcohol, xanax, opiates, cannabis, cocaine and crystal methamphetamine. Outpatient detox regimens are not easy. Most of these patients are must present to an inpatient detox hospital floor or clinic. Not every person is a candidate for this. A limited quantity of controlled substance medications are given because some patients can’t help themselves and take more than what is prescribed. The appointments are usually more frequent such as weekly or twice weekly. Patients have a screening process before they are seen for an outpatient detox schedule.

Dr. Datta can provide a second opinion. Dr. Datta can refine existing controlled substance medication regimens or taper a regimen down so that you can be on a healthier non-addictive regimen.

– Students as well as adults are evaluated and treated for ADHD and adult ADHD.  Affordable Psychological testing $50 for a 45 min computerized test covers 16 cognitive categories of thinking in comprehensive evaluation of ADHD. However, this is not sufficient for certain settings which require a full psychological evaluation.

Genetic testing is done to find the right regimen with precision. This is helpful for patients who have been on multiple medications in the past. Find out which medications work specifically for you.

Behavioral addictions are a top priority. Treatments include, but are not limited to: gambling addiction, video game addiction, pornography addiction and sex addiction.

Dr. Datta follows a harm reduction approach, not a zero tolerance one. Dr. Datta believes in 12 step and Smart Recovery programs are helpful.

OUTPATIENT DETOXIFICATION

Many of my patients are working and do not want to take time off for inpatient rehab. I provide custom tailored outpatient detox regimens for the following substances. The duration of each detox regimen is specific to your needs, ranging from one month to one year.

  • Alcohol (most classical form of outpatient detox)
  • Heroin (detox using suboxone)
  • Synthetic Opiates (oxycodone, oxymorphone, hydrocodone, hydromorphone, morphine derivatives and kratom).
  • I do not prescribe percocet or vicodin
  • Barbiturates (phenobarbital, pentobarbital)
  • Benzodiazepines (Xanax, Klonopin and Valium)
  • Cannabis and Cannabis derivatives
  • Stimulants (Adderall, Cocaine, Crystal methamphetamines)
  • Detox is followed by a maintenance period
  • “Comfort medications” are given to make the detox process more soothing
  • Patients can be referred to short term or long term rehabs

Combination detox regimens are also provided. If you or your loved one would like to hear more about a tailored regimen, please do call to inquire. I do not prescribe methadone, percocet or vicodin. These are prescribed by a pain management provider. I can refer you to one.

Outpatient detox regimens are not easy. Most of these patients are must present to an inpatient detox hospital floor or clinic. Not every person is a candidate for this. A limited quantity of controlled substance medications are given because some patients can’t help themselves and take more than what is prescribed. The appointments are usually more frequent such as weekly or twice weekly. Patients have a screening process before they are seen for an outpatient detox schedule.

SUBOXONE

Dr. Datta is a Suboxone specialist. If you desire a confidential, concierge suboxone treatment for opiate use disorder, then this is the practice for you. However, you still need to take the medication as prescribed. Dr. Datta does not over prescribe and does not prescribe before its due date. Dr. Datta can find the right medication assisted treatment for your Opiate use disorder using Suboxone, Subutex, Zubsolv and Bunavail.

Sublocade, a subcutaneous suboxone injection, is beneficial for relapse prevention. Dr. Datta provides these subcutaneous injections in office.

· Dr. Datta has a Drug Addiction Treatment Act waiver (DATA 2000) which is the license allowing a provider to prescribe buprenorphine or suboxone.
· Dr. Datta is a registered opioid treatment provider through the Substance Abuse and Mental Health Services Administration (SAMHSA)

VIVITROL AND NALTREXONE

Vivitrol injections in given in office. Vivitrol is a once a month anti-craving medication that can be applied to a variety of addictions, not just for alcohol and opiates. Naltrexone is the tablet version of Vivitrol which also features an anti-craving function.

  •  Vivitrol and Naltrexone are also prescribed for alcohol and opiate use disorder
  •  Acamprosate and Antabuse are provided for alcohol use disorder

BEHAVIORAL ADDICTIONS

Addiction is not just alcohol and drugs. Behavioral addictions follow the same additive pathways in the brain and can be disruptive lifestyles as well. It can impair one’s ability to hold a job or family, no matter how well they function. Behavioral addiction is often more abstract and nebulous than an illicit drug addiction. It often lies in the unconscious mind and it will draw you in without you noticing until you find yourself depleted, without energy and not yourself. People are prescribed medications, piled on medications rather. Some people have lost faith that they can improve. Here you can regain that confidence that you can change for the better. Dr. Datta is a tough coach you can yield results for you but only if you are dedicated toward your betterment.

Gambling Addiction – At what cost does one indulge themselves? Financial security can be compromised by the compulsion to gamble. One doubles or nothing, and falls into debt twice over. One can be in danger due to borrowed money that one can’t pay it back. One’s family’s financial needs are not met, drained by gambling. Reputation may be sacrificed. What have one has given up and what will continue to be lost if one continues on this path.
Video Game Addiction – This is a version of internet addiction. It is overindulgence in a virtual world so much so that one sacrifices their family, friends and responsibilities. There may be pressure, reputation and prestige when one gains prominence in role playing games as it is a virtual society. However, one may not be meeting the responsibilities of life due to their affinity to the virtual world. One may not be conscious of its detrimental effects.
Pornography Addiction – This is a silent opponent these days. Our diet is more than what we eat. Our diet is composed of the images and idea we cultivate in our mind. Nowadays, men and women find it difficult to have a relationship because they have fantasy images in their mind. They are no accepting of a real partner because they have brainwashed themselves with images of fantasy. It is easy to get lost in a fantasy world. The self-gratification may feel good while it lasts, but it can change one’s perception of real intimacy and relating to a real partner?
Sex/Love Addiction – How can you appreciate a real relationship? Do you go for the narcissistic bad boy who does not have the capacity to love another person? Does he only love you when it serves him? Do you put yourself in risky situations with people you don’t know. Does their touch make you feel loved or cared for? We will explore your attachment style. This psychotherapy is based on John Bowlby’s Attachment Theory. For some time, it was thought that one’s Attachment style was impossible to change. However, when the treatment is skilled enough and when your dedication is strong and consistent, you may be surprised how much you can really change. The mind is a mountain which can be moved. Learn the difference between impulsive risk taking and the physical and emotional intimacy you truly desire.

Dr. Datta does psychotherapy as well as prescribe Naltrexone to improve your will power to change your life. Naltrexone allows you to resist these habits more.  Naltrexone and psychotherapy has been shown to be effective against these behavioral addictions. Motivational Interviewing is based on the philosophy of clinical psychologists William R. Miller and Stephen Rollnick.

SMOKING CESSATION

Medication-based and behavioral therapies are applied together to aid with smoking cessation. Chantix, Wellbutrin and Nicotine patch, gum and lozenges can be used in combination. Psychotherapy and Motivational Interviewing Therapy are also effective.

COLLATERAL TREATMENTS

In order to make progress in substance or behavioral addiction recovery, four or five things need to be done simultaneously. Psychotherapy and medication may not be enough.

  • 12 step programs and Smart Recovery with a group + sponsor.
  • Sober companion who can accompany you at home. Ask for details.
  • Therapeutic communities as well as detox & rehab facilities
  • Family Therapy – support from friends and family has proven to be effective.
  • I have a network of therapists where groups are also conducted.
  • My style is harm reduction as opposed to zero tolerance.