909 Broad Street, Durham, NC 27701
+1 919-416-4800
+1 919-416-6103


James W. Finch, MD (Co-director)
Certified, American Society of Addiction Medicine; Board Certified, Family Medicine

Dr. Finch is certified by the American Society of Addiction Medicine and board certified in Family Medicine. He has 30 years of experience as a specialist in Addiction Medicine, but brings to his practice the generalist perspective of a Family Physician. Over the course of his career, Dr. Finch has served as co-founder and Assistant Director of the Duke Addictions Program; Medical Director for the Durham Center and the Southlight Wakeview Methadone Treatment Center; Assistant Professor in the Duke Family Practice Residency Program; and Education Director of the Governor’s Institute on Alcohol and Substance Abuse. He has published numerous professional articles and is a sought-after curriculum developer and trainer. He is now President of the North Carolina Society of Addiction Medicine. Dr. Finch began working with buprenorphine for the treatment of opiate addiction shortly after the medication was released and is one of the most experienced physicians in its use in North Carolina.

Jane B. Finch, MSSW, LCSW (Co-director)
Licensed Clinical Social Worker; EMDR Institute Trained Clinician

Jane received an AB from Dartmouth College and a Master of Science in Social Work from Columbia University. She remained at Columbia for two years, directing clinical research studies using motivational strategies with patients in hospital detoxification settings. Since moving to Durham in 1997, she served as clinical director of an outpatient substance abuse treatment program and as an Employee Assistance Program counselor before pursuing full-time private practice. Jane uses her training in Dialectical Behavior Therapy and Trauma Reprocessing Therapy (EMDR) to help clients manage stress and reduce disturbances associated with underlying traumas. She is certified in Critical Incident Stress Management and served on multiple disaster relief operations including Hurricane Katrina (2005) and the Moore Oklahoma tornadoes (2013). She accepts Cigna, BCBS, and Duke’s student insurance.

Cauveh Erami, MD

Daniel E. Mattingly, PA-C
Board Certified Physician Assistant; Addictions Specialist

Daniel graduated magna cum laude from the Duke Physician Assistant Program in 1981. Prior to becoming a physician assistant, Daniel served as a military corpsman in Vietnam, where he witnessed the devastating effects of heroin addiction on the lives of fellow soldiers. Daniel has devoted his career to caring for addicted and mentally ill patients, and to educating PAs, physicians, other health professionals and the public about addictive diseases. He was Medical Coordinator of Substance Abuse Services at The Durham Center for 18 years and has served in leadership roles with the American Academy of Physician Assistants, the North Carolina Medical Society, the North Carolina Physicians Health Program, the Society of Physician Assistants in Addiction Medicine, and the AIDS Clinical Trials Program at Duke University.

Maria L. Michalski, MS, LCAS
Master of Science in Counseling; Licensed Clinical Addictions Specialist

Maria has worked as a therapist for 20 years since completing her graduate work at Villanova University, where she received an MS in Counseling with a specialty in addictions. Originally from Pennsylvania, Maria has lived and practiced in North Carolina since 1998. She has counseled adolescents, adults, couples and families in a variety of settings and has been in private practice for over 10 years. Maria’s work philosophy is strongly cognitive-behavioral, though she believes in the importance of a solid relationship between therapist and client to facilitate change. She is also passionate about Dialectical Behavior Therapy as an effective treatment modality. Maria is currently in network with Cigna insurance.

Gene Mindel, MD
Office address: 911 Broad Street, Durham, NC 27705

Gene Mindel, M.D., a board certified psychiatrist and Distinguished Life Fellow of the American Psychiatric Association, has many years of experience working with patients with narcotic dependence and those with additional psychiatric diagnoses.

Along with direct clinical services, Dr. Mindel was responsible for establishing and overseeing an intensive outpatient program and a short-term inpatient program for chemical dependencies while chairman of a Chicago HMO. While in Minnesota, he was the medical director of the inpatient unit at United Hospital and consulted to a residential program for chemically dependent adolescents and a nationally-based program for chemically dependent deaf young adults, consistent with his work with deaf children and adults early in his career.

After moving to NC from Minnesota, Dr. Mindel worked for the community mental health center, CenterPoint Human Services, for eight years, then joined the full-time faculty of the Wake Forest School of Medicine where he served for eight years as an Assistant Professor of Psychiatry before retiring and moving to Durham. Beyond his work with patients with narcotic dependence, he has special interests in psychodynamic psychotherapy and working with couples.

Dr. Mindel is a member of the North Carolina Psychoanalytic Society, the American Academy of Psychoanalysis and Psychodynamic Psychotherapy and the American Psychiatric Association. You may learn more about Dr. Mindel at his website trustanddistrust.com.

Steven P. Rochkind, MSW, CSAC, P-LCSW
Certified Substance Abuse Counselor

Steve has had over 40 years of involvement with substance abuse/dependence treatment. He served as a Navy Drug Abuse Specialist; worked in detoxification centers, correctional facilities, and inpatient and outpatient treatment programs; and taught on the college/university level. His influences include Dr. Victor Frankl, Baba Ram Das and Thomas Moore. He believes in holistic medicine, existential psychoanalytic theory, reality-oriented treatment and in whatever works for the individual client. Steve also enjoys working with LGBT clients.

Bertie Finch

Bertie has been an unofficial therapy dog at Changes by Choice since 2013. He is nonjudgmental and always keeps one ear open for any troubles he can soothe.