How we support you

Respectful, supportive recovery treatment

We offer a unique, individualized approach to recovery that is respectful and hopeful. We believe in you and your ability to succeed.

Addiction can be alienating, exhausting and demoralizing, even as it seems to made sense from the inside, as the best or only option. What starts as simple fun, or an attempt to feel better, becomes a compelling cycle that perpetuates symptoms and drives it’s own use. Our team of experts is here to help you through every step of the process. We’ll provide you with all the information and support you need to get back on your feet.

We’ll help you plan a healthy direction, support any detoxes, manage the underlying symptoms of anxiety, insomnia or distress and stabilise your support system. 


Unambiguously profound impact on my life

You’ve had an immeasurable, yet unambiguously profound impact on my life and I will never forget the way you have made me feel and the lessons I have learned. I know I am not alone in that regard.


Exceptional professionals

The office environment that you provided and the exceptional professionals that gathered under that roof are top notch. I am so grateful to have you as my psychiatrist and to have worked with Kate in a group setting. I know for sure my life would not be as manageable and joyful as it is right now, without the help of Psych Garden. 


The greatest integrity and skill

You and Psych Garden have the greatest integrity and skill that is rare in our line of work. You are an exceptional clinician and a good human!


I couldn’t imagine going inpatient or detox

Stopping use was a scary prospect but I couldn’t imagine going inpatient or detox. You took your time and we felt very taken care of. We appreciated that you were so straight-forward with us and explained what I’d feel… It wasn’t easy but it got me off to the right start.


The progress I've made since I started here is remarkable

What you've created here is really special and unique. I've been in therapies for 16 years but the progress I've made since I started here [a few months ago] is remarkable… the combination of your therapy - which goes so much deeper than any other I've had - with the meditation group, the case management and the medication changes - they've all come together... I cannot say how fortunate I feel to have found you all.


Clear and reassuring

I was nervous about medication, but you respected that, and made me very comfortable with the options. Throughout my treatment, you were clear and reassuring and were always attentive to what I wanted to do. That made all the difference.


My family and I are extremely grateful to you

I just want to say my family and I are extremely grateful to you. My wife always says if we’d just moved to Boston for you, it would be worth it. I agree. Keep up your great work.


Something new is beginning

I’m still a bit wrung out from today, but feeling deep and strong, like something new is beginning. Thank you!


You honored each of us

When no one else could, you gained Mike’s trust and respect. When no one else would, you invited me – as Mike’s mother – to be a part of the wellness process. You honored each of us and recognized the separate struggles we were each experiencing; in doing so, you gave each of us hope and the strength necessary to address our challenges.

Addictions treatment that's respectful and flexible

Everyone’s journey into problematic use is different. Everyone’s journey out is unique.

What starts as simple fun, or an attempt to feel better can become a compelling cycle that drives itself. It can feel so alienating and exhausting for all and the same old advice can miss the point entirely. Our team of experts will help you every step of the way, whether you want to control your use, stop completely or help someone else.

We’ll work on your plan, stabilize, detox, manage the underlying emotional drivers of the use, and coach your support system.

Healing the suffering & aloneness beneath the compulsion

Addiction causes so much pain and stress, estrangement and aloneness. Yet it emerges as an attempt to cope with this pain too. So many people with addictions suffered trauma in their childhood – neglect, abuse, aloneness. The use helped at one time. It soothed the pain, dulled the memories, restored sleep, permitted intimacy – until it stopped working, or piled on other stressors. Later in life, stress cues trigger the same escape mechanisms, resulting in repeated relapses.  That’s one reason why it can be easy to be sober in residential but so easy to relapse on reintroduction to the day-to-day world.


To change deeply, people need to unwrap the emotions and thoughts that lie deep within automatic behaviors, to face what has been avoided, to discover the stifled or frightened parts of themselves that have something to say,  that need to be heard. This is the hard work, the work that will change your life, open paths to connection, meaning and empowerment. That’s where we’ll go  with you.

Addiction and stress

Unfortunately, addiction changes the way our body perceives and manages stress via our stress hormone circuits. It changes the very way we feel about the dangers in the world and how we decide how to manage them. While never the intention, we end up more anxious, more miserable, more reactive and more trapped.

Addiction is also a learned habit, tugging on our thinking, changing our values, and taking effort to resist. It’s really hard to unlearn a habit like this. It takes concerted practice, a willing and supportive community and, importantly, a better alternative. Why quit something if it still kind of works? To change, we need to respond to triggers differently… and then stay away from triggers altogether. It has to to feel worthwhile, reinforcing and sustainable.

It’s not about tough love. It’s about expressing feelings clearly and kindly, setting boundaries based on self care and values, inviting collaboration instead of allowing anxiety to lead some desperate charge.

Types of addiction our team treats

Addictions take many forms and may look different for different people. Addictions to substances add a biological component to the psychological impact, so different approaches need to be implemented depending on the nature of the addiction. Among the types of addictions we treat at Psych Garden, these are some of the most common:

  • Opiate addiction, kratom, fentanyl and others

  • Alcohol addiction

  • Tobacco addiction and smoking

  • Marijuana addiction (yes, it does happen)

  • Prescription medication addiction, including benzodiazepines

  • Gambling

  • Sexual behaviors

Using the scientific evidence to guide us

Good treatment isn’t mysterious. We know how the brain processes reinforcers, makes judgment, justifies our decisions, and reacts to stress. And we know what makes people turn to compulsive use, devalue connections and toss and turn through the night. Research has established better ways to diagnose, form a successful therapy alliance, motivate, and treat. Yet addictions treatment has been stuck in the dark ages of 12-step adherence, abstinence orientation, residential care models, and hunch. It’s not good enough. You deserve better.

Our specialists help

Engaging the family effectively

When no one else could, you gained Mike’s trust and respect. When no one else would, you invited me – as Mike’s mother – to be a part of the wellness process. You honored each of us and recognized the separate struggles we were each experiencing; in doing so, you gave each of us hope and the strength necessary to address our challenges.
– Client from Boston for Family Therapy


In many cases, family work turns out to be the missing piece of addictions treatment. This critical aspect of recovery needs to be done right. Relationships can drive an addictive escape or be the motivator for positive change. Sometimes, people have a hard time making changes or even sustaining improvements. This is because it’s not just about them. Families can be burned out by conflict, psychiatric symptoms, and addictions. Their sense of connection with others may feel frayed and lost, characterised by cycles of beseeching, withdrawal and rage. Shifting to adaptive cycles can be hard. However, when families get the training and support they need,  they can slow down, set healthy limits with love, empathize and encourage. Then, true healing and connection is possible.

Using medications to assist recovery: buprenorphine, naltrexone & more

Medications can address withdrawal and cravings, and block effects, like buprenorphine pr naltrexone (available in either tablet or monthly injection form). They can also help symptomatically (sleep, anxiety, attention) or target underlying drivers of use, like depression, mania, obsessions or insomnia.

We are expert psychopharmacologists, deeply trained and respected, and can talk with you about your wants and fears. We know medications can be daunting and many want to be ‘clean’. Others want to stay away from the myriad of side effects. We respect that, and merely offer a menu of options that might help you. We will discuss the risks, and often help get rid of medications that are useless or harmful.

We offer:


  • Home detox from opiates, alcohol, and benzodiazepines without an expensive and distressing hospitalization
  • Specialist pharmacological treatment of addiction
  • Naltrexone /Vivitrol – The Facts About Naltrexone
  • Suboxone and other buprenorphine treatments – Vivitrol vs Suboxone
  • Drug testing and monitoring
  • Harm reduction and moderation management approaches, like the “Sinclair Method”

Ketamine & psychedelic treatments in addictions

Believe it or not, these medications can substantially improve outcomes in alcoholism, cocaine use, and probably other addictive disorders. Most studied are ketamine, MDMA, psilocybin and ibogaine, though we can only offer ketamine at this time, until the DEA changes the schedule for these medications. We firmly believe that these medications work best within a therapy that maximizes the opportunities for new learning.

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