Evidence-Based Treatment
Alcohol Use Disorder Treatment
Alcohol use disorder is a medical condition—not a moral failing. Our approach combines the latest pharmacological advances with structured psychotherapy to help you regain control, on your terms.
Understanding
Alcohol Use Disorder
Alcohol use disorder (AUD) is recognized by the medical community as a chronic brain condition—not a character flaw. It develops from a combination of genetic predisposition, environmental factors, and the physiological effects of regular alcohol use on brain chemistry.
This is not about willpower. Chronic alcohol use changes the brain's reward and stress systems, making it extremely difficult to stop or control drinking without proper medical and psychological support.
We approach AUD as we would any other chronic medical condition: with evidence-based treatment, careful monitoring, and a long-term management plan.
Brain Changes
Alcohol alters dopamine and GABA pathways, creating physical dependence.
Withdrawal Risk
Severe withdrawal can be life-threatening and requires medical supervision.
Effective Medications
FDA-approved and off-label medications can significantly improve outcomes.
Recovery is Possible
With proper treatment, many patients achieve lasting sobriety.
Three Pillars of Treatment
Effective treatment for alcohol use disorder requires addressing the condition from multiple angles simultaneously.
Medication-Assisted Treatment
We use the latest evidence-based medications to reduce cravings, block alcohol's rewarding effects, and support your brain's recovery.
- • Naltrexone
- • Baclofen
- • Acamprosate
- • Topiramate
Psychotherapy
Our specialized addiction therapists work with you to understand triggers, develop coping strategies, and address underlying issues.
- • Individual Therapy
- • Couples/Family Work
- • Motivational Interviewing
- • CBT Techniques
Accountability & Monitoring
Structure and accountability are essential in early recovery. We use technology and frequent check-ins to support your goals.
- • Soberlink / SobrSafe
- • Regular Lab Monitoring
- • Frequent Check-ins
- • Family Involvement
Baclofen for Alcohol Use Disorder
We were among the first practices in the Bay Area to use baclofen for alcohol use disorder, based on emerging research from France showing its potential to reduce cravings and anxiety in patients with AUD.
Baclofen works on GABA-B receptors and may be particularly helpful for patients who experience significant anxiety when they stop drinking—a common trigger for relapse.
While not FDA-approved for this indication, baclofen has been used successfully in many of our patients when other medications haven't worked or aren't appropriate.
Our Medication Options
Blocks opioid receptors, reducing alcohol's rewarding effects
GABA-B agonist that may reduce cravings and anxiety
Restores glutamate balance disrupted by chronic alcohol use
Creates aversion to alcohol through unpleasant reaction
May reduce heavy drinking days and cravings
Safe Detoxification
Alcohol withdrawal can be medically dangerous. Depending on your drinking history and current consumption, stopping abruptly can cause seizures or other serious complications.
We provide medically supervised detoxification when necessary, carefully managing withdrawal with appropriate medications and monitoring. For very heavy drinkers, this may require coordination with an inpatient facility for the initial days.
Ready to Take the Next Step?
If alcohol is causing problems in your life or health, contact us for a confidential consultation. We can help you understand your options and create a treatment plan.