Substance Use Disorder Treatment in Palm Beach
Outpatient detox, MAT, and psychiatric care — from home, on your schedule
What Is Substance Use Disorders?
Substance Use Disorder (SUD) is a medical condition in which an individual's use of a substance (alcohol, opioids, stimulants, benzodiazepines, or others) leads to significant impairment or distress. It exists on a spectrum from mild to severe and is highly treatable — particularly when combined with psychiatric care addressing co-occurring mental health conditions.
Signs & Symptoms
- Using more of the substance or for longer than intended
- Persistent desire to cut down or control use
- Spending significant time obtaining, using, or recovering from the substance
- Craving or strong urge to use
- Continued use despite social or interpersonal problems
- Tolerance: needing more for the same effect
- Withdrawal: physical symptoms when stopping
- Use despite physical or psychological harm
Treatment Approaches
Dr. Agresti offers comprehensive outpatient SUD treatment: medically supervised detox (from home), medication-assisted treatment (Suboxone, Sublocade, Vivitrol), and psychiatric management of co-occurring conditions. The concierge model's direct cell access is particularly valuable for patients in early recovery who may need urgent support.
Why Concierge Psychiatry?
With Dr. Agresti's concierge model, you get his direct cell number, same-day prescription refills, and 24-hour appointment availability — with no membership fee. Experience the difference that direct-access care makes.
Learn About Concierge CareFrequently Asked Questions
The DSM-5 replaced both terms with a single diagnosis, Substance Use Disorder, classified as mild, moderate, or severe. Broadly, what was previously called abuse involved harmful use patterns without physical dependence, while dependence included tolerance and withdrawal symptoms. The severity spectrum matters because it determines whether outpatient treatment is appropriate or inpatient care is needed.
Key warning signs include using more than intended, unsuccessful attempts to cut down, spending increasing time obtaining or recovering from the substance, neglecting responsibilities, and continuing use despite relationship or health problems. If you recognize three or more of these patterns, a professional evaluation is warranted.
Outpatient treatment is appropriate for patients who are medically stable, have a supportive home environment, are motivated to engage in treatment, and have no history of withdrawal seizures or delirium tremens. Dr. Agresti evaluates each patient individually and will recommend inpatient care when clinically necessary. His outpatient detox model provides direct physician access throughout the process.
Co-occurring psychiatric conditions and substance use disorders are the rule rather than the exception. Approximately 50% of people with a substance use disorder also have a co-occurring mental health condition. Many patients are self-medicating undiagnosed depression, anxiety, PTSD, or ADHD. Treating the underlying psychiatric condition is essential for sustained recovery.
Yes. Dr. Agresti provides medication-assisted treatment including Suboxone (buprenorphine/naloxone), Sublocade (monthly injectable buprenorphine), and Vivitrol (monthly injectable naltrexone) for opioid and alcohol use disorders. MAT is the gold-standard treatment for opioid dependence and significantly reduces relapse and overdose risk.