MEDICAL SERVICES

What medication therapies do you provide for narcotic addiction?

For narcotic addiction we offer buprenorphine containing products the most common being suboxone. There is also an implantable version of buprenorphine called probuphine which is appropriate for some patients. For patients able to titrate off of narcotics completely but wish assistance in maintaining sobriety we offer both oral naltrexone as well as a once monthly injectable formulation, Vivitrol, which can be given in the office. We offer telemedicine services so you do not have to see the doctor in the office for each appointment other than the first. These appointments can be schedules throughout the day and evening for your convenience. Your medication can then be called into the pharmacy. Suboxone doctors in Alexandria in Fairfax. Buprenorphine in Alexandria in Fairfax

What medical therapies do you provide for alcohol addiction?

For patients wishing assistance in abstaining from alcohol we offer both daily oral naltrexone and once monthly injectable naltrexone (Vivitrol). Other options include Acamprosate and Disulfiram therapies. We also offer off-label therapies such as Topiramate, Baclofen, Gabapentin, Carbamezapine, and several others, as these have proven efficacious in multiple trials.

Isn't one of the medications in suboxone a narcotic?

Yes but it does not work like a typical narcotic.  Buprenorphine  (Suboxone) does not produce the typical high of narcotics but does work to decrease or prevent withdrawal symptoms and cravings.  Buprenorphine (Suboxone)  also works to block other narcotics from providing any effect in the body. Numerous studies have shown that patients treated for opioid use disorder have much better recoveries and are less likely to overdose when treated with Suboxone.

Do you provide methadone treatments?

We do not provide methadone therapy. Studies have shown suboxone to be as effective as methadone in preventing withdrawal symptoms associated with narcotic dependency but with a better safety profile.

Do you treat chronic pain?

We are focused on Addiction treatment, but Dr. Sendi also treats chronic pain with multiple interventions which include CBT, relaxation techniques, referrals to physical therapies, wellness plans, local injections for trigger points and joints, and pain management with opioids as needed.

Do you provide psychological counseling or group therapy?

We do not provide psychological counseling or group therapy.  We provide medical management of narcotic and alcohol addiction.  All patient's of NAS to agree to  simultaneously be actively participating in pscyhological treatment as well.  If a patient does not already have psychological care in place upon becoming a patient of NAS we will provide resources.

Links for finding other help include Alcoholics Anonymous:

AA in West Virginia/  West Virginia AA

AA in DC  << Washington D.C. AA

AA Virginia   < Virginia AA

AA links - Alcohol Anonomyous  < AA general links and alanon

Maryland AA meetings near me

Psychologists near me  < Find a therapist near you

Psychiatrist Near me << Find a psychiatrist near you

Will I have to be on medication forever?

Every patient is different.  Some patients do best with long term low dose therapy taken daily much like medication for blood pressure or diabetes.  Some patients can be titrated off maintanence medication. We work with each individual patient to individualize their goals and treatment plans.

I am leaving an inpatient detoxification facility and need to transition to an outpatient physician what should I do?

We recommend contacting NAS before you leave inpatient detox so a plan can be put into place.

I am addicted to multiple drugs. Will you treat me?

Our focus is on alcohol and narcotic addiction.  Many other "street drugs" do not have approved treatment regimens. We would be willing to work with patients with multi-substance abuse issues but you would need to expect an involved treatment plan and frequent follow up visits.

Do you drug test patients?

Federal law requires drug testing for suboxone and other similiar medication.  We follow current federal law.

PATIENT PRIVACY

I am a high profile individual and am concerned about my privacy.  What are my options?

NAS takes patient privacy very seriously.  Only the physicians managing your case will have any access to your medical records.  We have a discreet office location as well.  If even greater privacy requires exist please contact us via phone.  Your offical name is not required until your initial consultation and we have multiple options to ensure increased privacy though some do come with an additional cost.

Can my insurance company or employer get access to my medical records?

We will not release your medical records or even confirm you are a patient to anyone without your written consent unless we are obligated to do so by court order.

How are my medical records secured?

We use a HIPAA compliant electronic medical record system. All paper forms are scanned into the medical record system and subsequently the paper forms are destroyed.

FINANCIAL CONCERNS

What is the cost of your services and what type of payments do you accept?

We are actively working on insurance coverage for our patients. We are on several provider lists and will certainly add yours if we are not on that provider panel. In the meantime, we can Superbill your visit to provide for your carrier. Usually the physician visits will be reimbursed by your carrier after you submit a superbill that we provide you with.

As far as costs per visit, it may depend on the severity of the case.

 

Do you use Telemedicine?

Yes, we provide telemedicine consultation. We have 24/7 availability, so you can have all follow up appointments through telemedicine so that you can stay at home or even be in your car when you see the physician. All you need is internet or phone access with camera capability. The physician can call in your prescriptions to the pharmacy. Telemedicine is only available in Virginia, Maryland, and North Carolina.The cost is the same as a regular visit.