Office-Based Opioid Treatment (OBOT)?
Office-Based Opioid Treatment (OBOT) is a unique program model that uses two of the most powerful tools for recovery:
Small group therapy
Patients participate in biweekly, physician-led group therapy and become a part of an accountable, supportive community that enables them to undertake the most difficult work- learning to handle stress, pursuing education and/or work, and repairing bonds with family and friends while physically and mentally separating themselves from the addictive properties of opiates.
Patients at different stages of recovery learn from each other and build collective wisdom.
Addiction is a disease that is best addressed with simultaneous pharmacotherapy and counseling. It is not a battle won overnight. A successful strategy requires mental readiness, personal commitment and honesty, and help from others.
The road to recovery is hardly every a straight line- and includes bends, bumps, and dead ends. These obstacles can be overcome with patience and perseverance, both from the individual in treatment and those doing the treating.
A successful recovery means more than reaching a state of sobriety. It is measured by positive changes that add value to a person's life. These personal gains, both big and small, lead to a new and improved sense of self, while empowering the individual against relapse.
How does buprenorphine-naloxone work?
Buprenorphine-naloxone (Suboxone) effectively blocks other opioid drugs (oxycodone, heroin, hydromorphone, hydrocodone, fentanyl, morphine) from attaching to opioid receptors in the brain, thereby decreasing the reinforcing effects of drug abuse. It suppresses withdrawal symptoms, decreases drug cravings, and helps prevent relapse.
When starting buprenorphine-naloxone, you should already be in moderate withdrawal (nausea/vomiting, cravings, anxiety, restlessness, gastrointestinal distress). If you start buprenorphine-naloxone when you are not in withdrawal, it can cause a very sudden and unpleasant withdrawal, called precipitated withdrawal.
What can I expect from the medication?
Some patients feel relief with their first dose. Others find that it takes several days for their bodies to acclimate. During the transition period, the use of other opiates may worsen or prolong the symptoms of detox. However, once stabilized on buprenorphine-naloxone, taking other opiates will no longer produce a "high". Within weeks, you will feel a renewed sense of self, as cravings are significantly diminished, if not altogether eliminated. Within months, you will have more energy; your eating habits and sleep-wake cycle will be well regulated. You will start to care more about yourself and others. Step by step, you will find your life getting back on track- so long as you adhere to treatment.
Small Group Sessions
Small Group Sessions are held at the office in York for 45-minutes every other week and are an essential element to managing your recovery from opioids. This is a time to check-in with Dr. Sacchetti to ensure that your medication dose is adequate or to indicate when you feel you are ready to taper.
It is a time to listen to and be heard by others who are similarly committed to turning their lives around. The group provides a safe and supportive environment where you may speak openly without fear of being judged.
These sessions are designed to address the psychology of addiction. You will learn techniques to keep you from using now- and in the future.
You must attend your assigned session in order to receive your prescription for the upcoming two-week period. Mandatory urine drug screens are performed at least once a month and any unexpected results are discussed in private.