909 Broad Street * Durham NC 27705

Our Services Are:



We are a collaborative of physicians and therapists with years of experience treating addictive and other mental health disorders. Our methods are research-based and grounded in a respectful and therapeutic relationship with each client.



"Many roads, one journey." We honor the right of each client to choose their goals and methods. Medication-assisted treatment, individual/family/group counseling, trauma therapy, 12-step facilitation... your choice, your change process.



Each of our providers is a private practitioner, and while we share space and administrative services, otherwise we are separate. No electronic records, minimal involvement with insurance, a quiet, cottage environment... all ensure a uniquely private experience.

Treatment Components

Mental health and substance use disorders usually don't come in neat packages and they often overlap with physical conditions like chronic pain. Changes By Choice provides a range of therapeutic services that can focus on one problem or give attention to this challenging overlap.

For drug use disorders (opiates, cocaine, benzodiazepines, amphetamines, cannabis):

  • Monitored in-home detoxification to avoid costly and disruptive inpatient stays.
  • Craving and relapse reduction through medication and counseling assisted treatment

For opioid use disorders, including transition from high-dose opiate analgesics:

  • Substitution therapies with various forms of buprenorphine (Suboxone, Zubsolv), including monthly injections (Sublocade)
  • Opioid blocking therapies, including monthly naltrexone injections (Vivitrol)

For emotional difficulties, alone or co-occurring with substance use problems:

  • Mindfulness meditation and other stress reduction techniques
  • Cognitive-Behavioral Therapy
  • Trauma Reprocessing Therapy (EMDR)
  • 12-Step (or other mutual self-help group) facilitation