Tackling Alcohol Addiction with Direct Primary Care (DPC)

Alcohol Addiction and Direct Primary Care (DPC): Compassionate, Comprehensive Recovery

Affecting millions, alcohol use disorder (AUD) is a chronic illness characterized by an inability to control drinking despite physical, emotional, or social harm. Many times, traditional healthcare falls short in offering the consistent, stigma-free help required for recovery. With reasonably priced, individualized treatment that fosters trust, addresses underlying causes, and enables patients to take back their lives, Direct Primary Care (DPC) redefines AUD management.


Understanding Alcohol Addiction

  • Root causes:
    • Genetic predisposition, trauma, mental health issues (e.g., anxiety, depression).
    • Environmental stresses.
  • Symptoms:
    • Cravings, withdrawal (tremors, nausea).
    • Neglect of responsibilities, failed quit attempts.
  • Health risks:
    • Cognitive decline, heart disease, liver cirrhosis, worsened mental health.
  • Barriers to care:
    • Stigma, expensive rehab costs, inconsistent follow-up in traditional systems.

How DPC Transforms AUD Treatment

Under the DPC membership model (USD 50–150/month), patients gain unlimited access to a primary care physician. For AUD patients, this means:

  • Same-day visits/telehealth for immediate help during cravings or withdrawal.
  • Transparent pricing for labs, medications, and specialist coordination.
  • Judgment-free care focused on trust and long-term recovery.
  1. SBIRT Early Intervention
    DPC uses the U.S. Preventive Services Task Force-endorsed SBIRT framework:

    • Screenings: AUDIT-C questionnaires to identify risky drinking patterns.
    • Brief intervention: Motivational interviewing to explore ambivalence and encourage change.
    • Referrals: Seamless coordination with support groups, addiction counselors, or therapists.
  2. Evidence-Based, Customized Therapy
    Aligned with APA and SAMHSA standards:

    • Medication-Assisted Treatment (MAT):
      • Naltrexone (USD 30/month) to reduce cravings.
      • Acamprosate to restore brain chemistry.
      • Disulfiram to deter drinking via adverse effects.
    • Behavioral therapies:
      • Cognitive Behavioral Therapy (CBT) for trigger management.
      • Motivational Enhancement Therapy (MET) to strengthen sobriety commitment.
    • Holistic strategies: Nutritional support, stress management, sleep hygiene.
  3. Constant, Adaptive Support

    • Relapse prevention: Crisis plans, family education, trigger management.
    • Health monitoring: Regular labs/FibroScans for liver damage, malnutrition, or hypertension.
    • Community integration: Links to vocational training or peer groups (e.g., AA).

DPC Benefits for AUD Patients

  • Accessibility Saves Lives:
    • Avoid ER visits with at-home detox monitoring for mild-moderate cases.
    • Weekly check-ins early in recovery, tapering as stability improves.
  • Integrated, Patient-Centered Care:
    • MAT + behavioral therapy reduces heavy drinking by 40% (per studies).
    • Person-first language reduces stigma, promotes honesty.
  • Affordable Recovery:
    • DPC covers MAT, counseling, and labs for ~USD 150/month (vs. USD 5,000+ rehab).
    • Discounted specialist referrals (e.g., hepatologists) at negotiated cash rates.

Personalized AUD Management in DPC

  • Early Recovery (0–3 Months):
    • Thiamine/folate supplements, hydration plans.
    • MAT initiation (naltrexone).
    • Behavioral referrals (CBT/MET) for underlying trauma.
  • Long-Term Wellness (3+ Months):
    • Relapse prevention through trigger identification.
    • Health monitoring: Mental health screenings, annual liver ultrasounds.
    • Community ties: Vocational rehab, sober social networks.

Personal Success Stories from Real Life

  • Laura, 38: Reduced drinking by 75% in 6 months using DPC’s SBIRT program (naltrexone + biweekly MET).
  • James, 50: Achieved sobriety in 1 year with DPC-coordinated FibroScans, acamprosate, and AA referrals.

Why DPC Is a Game-Changer for AUD

  • SBIRT Framework: Early screening/intervention cuts heavy drinking by 40%.
  • Task Force Alignment: Follows U.S. Preventive Services guidelines for AUD screening/counseling.
  • Relapse Prevention: Regular follow-ups address co-occurring conditions (e.g., depression).

Control Your Recovery with DPC

Alcohol addiction doesn’t have to be fought alone. DPC provides a partner offering affordable, compassionate care tailored to your journey—empowering physical, psychological, and social healing.

Published on: July 19, 2023
Doctors that manage addiction (alcohol)
  • Daniel Silvershein, Concierge Internal Medicine in New York
    Daniel Silvershein, MD
    Concierge Internal Medicine
    New York, New York
    Monthly Subscription Fee: Info Unavailable
    Max Patient In Panel: Info Unavailable
    Telehealth - Pending
    Home Visit - Pending
    Holistic/Lifestyle Med - Pending
    A wonderful internist who brings a skill set to the patient often not seen in doctors these days. Dr. Silvershein is exceptional because he is sensitive and has excellent listening skills. He stands out!!
  • Shanna Levine, Concierge Internal Medicine in New York
    Shanna Levine, MD
    Concierge Internal Medicine
    New York, New York
    Monthly Subscription Fee: Info Unavailable
    Max Patient In Panel: Info Unavailable
    Telehealth - Pending
    Home Visit - Pending
    Holistic/Lifestyle Med - Pending
    I was able to get direct answers to all of my questions. She was extremely patient with me. She gave me all the time I needed with her and was always available to address all my concerns.
  • Ellen Wexler, Concierge Internal Medicine in New York
    Ellen Wexler, MD
    Concierge Internal Medicine
    New York, New York
    Monthly Subscription Fee: Info Unavailable
    Max Patient In Panel: Info Unavailable
    Telehealth - Pending
    Home Visit - Pending
    Holistic/Lifestyle Med - Pending
    I'm the best version of myself, both physically and mentally. She takes the time to learn about your condition and explain how to overcome it.
  • Michele Martinho, Concierge Internal Medicine in New York
    Michele Martinho, MD
    Concierge Internal Medicine
    New York, New York
    Monthly Subscription Fee: Info Unavailable
    Max Patient In Panel: Info Unavailable
    Telehealth - Pending
    Home Visit - Pending
    Holistic/Lifestyle Med - Pending
    She's brilliant, empathetic and forward thinking.
  • Raymond Zakhari, Concierge Psychiatry in New York
    Raymond Zakhari, NP
    Concierge Psychiatry
    New York, New York
    Monthly Subscription Fee: Info Unavailable
    Max Patient In Panel: Info Unavailable
    Telehealth - Pending
    Home Visit - Pending
    Holistic/Lifestyle Med - Pending
    Enlightened me about my condition.
  • Flavia A. Golden, Concierge Internal Medicine in New York
    Flavia A. Golden, MD
    Concierge Internal Medicine
    New York, New York
    Monthly Subscription Fee: Info Unavailable
    Max Patient In Panel: Info Unavailable
    Telehealth - Pending
    Home Visit - Pending
    Holistic/Lifestyle Med - Pending
    No review currently!
  • Marc H. Epstein, Concierge Psychiatry in New York
    Marc H. Epstein, DO
    Concierge Psychiatry
    New York, New York
    Monthly Subscription Fee: Info Unavailable
    Max Patient In Panel: Info Unavailable
    Telehealth - Pending
    Home Visit - Pending
    Holistic/Lifestyle Med - Pending
    Enlightened me about my condition.
  • Peter J. Zeale, Concierge Internal Medicine in New York
    Peter J. Zeale, MD
    Concierge Internal Medicine
    New York, New York
    Monthly Subscription Fee: Info Unavailable
    Max Patient In Panel: Info Unavailable
    Telehealth - Pending
    Home Visit - Pending
    Holistic/Lifestyle Med - Pending
    No review currently!