Changes by Choice Durham

About Changes by Choice Durham

Changes By Choice is a Durham, North Carolina outpatient practice offering evidence based recovery care for substance use, compulsive behaviors and cooccurring mental health concerns.

This collaborative of independent physicians and therapists treats opioid, cocaine, benzodiazepine, amphetamine and cannabis use disorders using medication assisted treatment, counseling and trauma therapy.

Guided by a “many roads, one journey” philosophy, the practice puts client choice at the center of every individualized recovery plan.

Medication Assisted Treatment and Outpatient Recovery in Durham

Changes By Choice specializes in comprehensive outpatient care for opioid and other substance use disorders, combining addiction medicine with personalized counseling.

Buprenorphine based options such as Suboxone, Zubsolv and Sublocade are offered, along with naltrexone and Vivitrol for opioid blocking therapy.

Care blends medication support with individual, family and group counseling to reduce relapse and address root causes.

Sessions may draw on Cognitive Behavioral Therapy, mindfulness meditation, stress reduction techniques and 12 step facilitation.

A notable option is monitored in home detoxification designed to help clients avoid inpatient stays.

A Private, Cottage Based Approach to Healing

Privacy is a defining feature of Changes By Choice, delivered in a quiet cottage setting with minimal administrative friction.

The independent practitioner model, along with limited insurance involvement, supports a discreet, low pressure experience.

Cooccurring emotional and mental health difficulties are treated alongside substance use for adults and young adults.

Access, Insurance and Next Steps

Changes By Choice provides in person care at its office on Broad Street in Durham, serving clients across North Carolina.

The practice accepts private pay and works with insurers including Cigna, Blue Cross Blue Shield and Duke student insurance, with staff able to help with out of network claims.

Reach out today to learn how Changes By Choice can support your recovery journey.

Edited by: Amy Greene

Addiction Treatment Programs

Alcohol Rehab
The best way to achieve recovery from alcohol use disorder is by completing a high-quality alcohol rehab in North Carolina and applying the tools you learn to stay in sobriety. In an alcohol program you’ll not only receive treatment, but you’ll participate in activities, receive peer support, and learn how to have fun without alcohol.
Dual Diagnosis
For many people in North Carolina, dual diagnosis treatment that addresses mental health and substance use is essential to their recovery. In dual diagnosis programs, the activities, peer support, and counseling are tailored to the unique needs of those with mental health concerns. This may include additional therapy, medication, or peer support.
Opioid Addiction
Facilities that offer substance use treatment in North Carolina can give you the skills and tools you need to break free from opioid addiction. Common services include counseling and classes on coping skills, emotional management, communication, and other key life skills. Opioid rehab programs can provide inpatient or outpatient treatment.
Young Adult Rehab
A young adult rehab in North Carolina addresses the recovery needs of clients in this life stage and gives them the tools they need to succeed. In a young adult program, the activities, peer support, and counseling are tailored to the unique needs of this age group. This may include talking about how to start a career, have a family, and live independently.
Adult Program
Adult program programs in North Carolina address the specific needs of this stage of life. In an adult program, the activities, peer support, and counseling are tailored to the unique needs of this age group. This may include talking about how to build a career, raise a family, and handle the many responsibilities of independent living.
Men's Rehab
A men’s rehab in North Carolina can provide every level of care while addressing the unique needs of men. In a men’s program, the activities, peer support, and counseling are tailored to the unique needs of men. This may include talking about career development, fatherhood, communication strategies, and more.
Women's Rehab
Choosing a women’s rehab in North Carolina can be a great way to manage gender-specific issues while also addressing substance use. In a women’s program, the activities, peer support, and counseling are tailored to the unique needs women have. This may include talking about building a career, motherhood, relationship safety, and more.

Insurance Coverage

Self-pay options
In North Carolina, one option to pay for substance use treatment is self-pay, also known as private pay. You can use a medical loan, write a check, or send money to the center electronically. Check on the fee structure, which can vary depending on the type of care.
Private insurance
If you’re looking for ways to pay for rehab in North Carolina, consider using private insurance. Insurance plans can pay some or all of the costs of rehab. Each plan has different coverage details, and you’ll pay less if you choose a treatment center in the plan’s network. Contact the insurer to find out more information.

Levels of Care

1
Detox Treatment
If you’re ready to break free from addiction in North Carolina, the first step is detox. Detox gets you ready to start building new habits, creating healthy relationships, and learn healthy coping strategies and other essential life skills.
2
Outpatient Rehab
If you struggle with addiction in North Carolina, outpatient care is one option for rehab. You’ll live at home or in sober living outside of sessions. During outpatient treatment, clients have independence outside of sessions, allowing them to work, attend school, and practice their new habits in real-world situations.
3
Aftercare Support
Aftercare in North Carolina will help you connect with resources and support from others so you can encourage each other over the long term. A strong aftercare program can include ongoing counseling, education and employment support, housing services, and connections to community resources.

Therapies

Cognitive Behavior Therapy
Receiving cognitive behavioral therapy in North Carolina helps you identify your automatic interpretations of situations and how that impacts your behavior. CBT can help you identify and challenge maladaptive thoughts, calm your mind, and face your fears rationally.
Family Therapy
If you struggle with addiction in North Carolina, it’s common to have broken and dysfunctional family relationships. Family therapy can help you address those issues and find support from your loved ones. Family therapy is a common part of both inpatient and outpatient substance use treatment and may be used to help address trauma, build better relationships, and help loved ones become part of your support network.
Group Therapy
If you struggle with addiction in North Carolina, it’s common to feel like no one understands you. Group therapy can help you find common perspectives and support. In rehab, group therapy is only one of the elements of treatment, along with activities, peer support, individual counseling, relapse prevention, and more. Together, all these methods support you in establishing long-term recovery.
Individual Therapy
In North Carolina, individual therapy allows you to work one-on-one with a professional to address your past experiences and substance use triggers. This support and accountability help you establish recovery. Substance use treatment includes detox, inpatient treatment, and outpatient care, and individual therapy may be a part of each of these stages. The goal is to help clients address the roots of addiction, develop motivation to change, and create new habits for a substance-free life.
Trauma Therapy
When you’ve experienced trauma, it’s natural to try to protect yourself from further harm. Trauma-informed therapy in North Carolina can help you see how substance use is connected to your past experiences and how you can learn to care for yourself in healthier ways. Substance use and trauma are interrelated, and trauma-informed therapy involves working with the therapist and your support network to create healthy coping skills, become empowered, and improve resilience.