Photo of RoGo Health Services, Psychiatric Nurse Practitioner in Washington
RoGo Health Services
Psychiatric Nurse Practitioner
Verified Verified
Spokane, WA 99205  (Online Only)
Are you or someone you know struggling with depression, anxiety, bipolar, ADHD, PTSD, schizophrenia, eating and sleep disorders?
Are you or someone you know struggling with depression, anxiety, bipolar, ADHD, PTSD, schizophrenia, eating and sleep disorders?
(509) 732-9427 View (509) 732-9427
Photo of Sana Goldberg, Psychiatric Nurse Practitioner in Washington
Sana Goldberg
Psychiatric Nurse Practitioner, MSN, APRN
Verified Verified
Vancouver, WA 98662
I practice with warmth and curiosity, accepting others where they are in the present and respecting the many experiences they arrive to it with. I am devoted to helping those I work with develop a new understanding of their patterns, desires, inner conflicts, and pain carried in the body from overwhelming life conditions and experiences. I meet others where they are, embrace their stories, and offer a therapeutic relationship that is nurturing, collaborative, and growth oriented.
I practice with warmth and curiosity, accepting others where they are in the present and respecting the many experiences they arrive to it with. I am devoted to helping those I work with develop a new understanding of their patterns, desires, inner conflicts, and pain carried in the body from overwhelming life conditions and experiences. I meet others where they are, embrace their stories, and offer a therapeutic relationship that is nurturing, collaborative, and growth oriented.
(503) 386-0729 View (503) 386-0729

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Substance Use Psychiatrists

How do substance and drug recovery or rehabilitation programs work?

In inpatient programs, individuals live in a facility with other clients in recovery; in outpatient programs, individuals reside at home. These facilities are staffed with healthcare professionals including physicians, nurses, psychologists, counselors, and psychotherapists. Staff often also includes people who have recovered themselves, serving as mentors and guides. These programs may use abstinence, harm reduction, detoxification, psychotherapy, and other methods.

How do 12-step programs combined with psychotherapy work?

Members of 12-step programs help each other reach abstinence and work to maintain it. These programs promote complete change in the individual’s emotional, mental, physical, and even spiritual perspectives. Some programs require that new members attend 90 meetings in 90 days. Many people do attend these programs in conjunction with their work in psychotherapy; the combination of therapy along with 12-step can be extremely effective.

How does harm reduction combined with psychotherapy work?

According to the Substance Abuse and Mental Health Services Administration, harm reduction prevents death, injury, disease, overdose, and substance misuse. People who choose harm reduction for substance use reduce the amount of drugs they consume. It is not abstinence-based like a 12-step program, but combining harm reduction with psychotherapy proves to be effective for many people.

Are there specific medications for substance and drug use?

There are medications approved to treat substance use disorder—such as buprenorphine, methadone, naltrexone, and acamprosate. These medications do help people cope with substance use as well as avoid the problem of relapse. Naltrexone can help reduce cravings, methadone is an opioid medication used to treat severe pain, and acamprosate may help ease symptoms like poor sleep and anxious feelings.