Our Services

Addiction Psychiatry

Outpatient, evidence-based and compassionate care for substance use disorders, including medications for addiction treatment, delivered with the privacy and continuity that recovery requires.

A Path to Recovery

Substance use disorder (SUD) is a chronic, treatable medical condition—not a moral failing. According to the National Institute on Drug Abuse (NIDA), addiction changes how the brain works, which is why evidence-based treatment matters for recovery.

At Concierge Psychiatry of Main Line, Dr. Aqsa Malik, who is board-certified in Addiction Psychiatry, provides outpatient, office-based addiction psychiatry with the discretion and privacy our patients need. This includes evaluation, medication treatment for opioid and alcohol use disorders, care for co-occurring mental health conditions, and coordination with treatment programs. We understand that seeking help takes courage, and we're committed to nonjudgmental, evidence-based care.

For patients who need medically supervised withdrawal management, residential care or intensive outpatient treatment, we coordinate referral to licensed programs. A licensed CPOML treatment program is planned for the future; it is not yet available.

Prescribing of controlled medications by telehealth follows DEA rules. Current federal telemedicine flexibilities run through December 31, 2026, and some prescriptions may require an in-person visit. We also check the Pennsylvania Prescription Drug Monitoring Program as state law requires.

Withdrawal safety: Withdrawal from alcohol or benzodiazepines can be life-threatening, with risks that include seizures and delirium. Never stop suddenly without medical supervision. Severe withdrawal may need care in a hospital or another medically supervised setting. If you or someone else has a seizure, confusion, hallucinations or signs of overdose, call 911.

Medications for Opioid Use Disorder (MOUD)

Medications for opioid use disorder reduce opioid use, overdose deaths and infectious disease transmission, and help people stay in treatment. The FDA has approved buprenorphine, naltrexone and methadone for opioid use disorder. Methadone for opioid use disorder is provided through licensed opioid treatment programs; we coordinate with them when it is the best option.

Conditions We Treat

  • Opioid Use Disorder
    Prescription opioids, heroin, fentanyl. Buprenorphine (for example, Suboxone) or naltrexone, including extended-release options, can often be started promptly, in person or by telehealth where federal rules allow.
  • Alcohol Use Disorder
    Medications including naltrexone, acamprosate and disulfiram can support recovery. Alcohol withdrawal can be dangerous; we assess withdrawal risk carefully and arrange a medically supervised setting when needed.
  • Stimulant Use Disorder
    Cocaine, methamphetamine and prescription stimulants. Contingency management and other behavioral treatments have the strongest evidence; certain medications may help some patients, although none are yet FDA-approved for this purpose.
  • Benzodiazepine Dependence and Use Disorder
    Gradual, supervised tapering following the 2025 Joint Clinical Practice Guideline on Benzodiazepine Tapering, with referral to a higher level of care when withdrawal risk is high.

Our Evidence-Based Approach

Medications for Addiction Treatment

FDA-approved medications that reduce cravings and withdrawal symptoms and help people stay in treatment.

Dual Diagnosis Treatment

Integrated treatment for co-occurring mental health conditions (depression, anxiety, PTSD, bipolar disorder) that often accompany substance use disorders.

Harm Reduction

Meeting you where you are with strategies to reduce risks associated with substance use, even if you're not ready for abstinence. We provide naloxone and overdose-prevention education to every patient at risk.

Relapse Prevention

Identifying triggers, developing coping strategies, and building skills to maintain long-term recovery.

Family Support

Education and support for family members, who play a crucial role in the recovery process.

What the Research Shows

Research on medications for opioid use disorder:

  • 40-60% lower risk of opioid overdose death with buprenorphine or methadone in one large study (Larochelle 2018)
  • Less illicit opioid use with buprenorphine compared with placebo (Mattick 2014)
  • Higher treatment retention with buprenorphine compared with placebo

Privacy and Confidentiality

Substance use treatment records receive additional federal privacy protection under 42 CFR Part 2, as well as protection under Pennsylvania law and HIPAA. We do not share your information without your written consent except in the limited circumstances the law allows or requires, such as medical emergencies, certain court orders, and required reporting of suspected child abuse. We explain these at your first visit.

At CPOML, we understand the importance of privacy. Our concierge model adds discretion: private scheduling and direct access to your psychiatrist.

References & Further Reading

  1. National Institute on Drug Abuse. (2020). Drugs, brains, and behavior: The science of addiction. National Institutes of Health.
  2. Substance Abuse and Mental Health Services Administration. (2021 update). Medications for opioid use disorder. Treatment Improvement Protocol (TIP) Series 63.
  3. Larochelle, M. R., et al. (2018). Annals of Internal Medicine, 169(3), 137-145.
  4. Brunner, E., et al. (2025). Joint Clinical Practice Guideline on Benzodiazepine Tapering. Journal of General Internal Medicine, 40(12), 2814-2859. https://doi.org/10.1007/s11606-025-09499-2
  5. Drug Enforcement Administration & Department of Health and Human Services. (2025, December 31). Fourth temporary extension of COVID-19 telemedicine flexibilities for prescribing controlled medications (FR Doc. 2025-24123). Federal Register. https://www.federalregister.gov/documents/2025/12/31/2025-24123/fourth-temporary-extension-of-covid-19-telemedicine-flexibilities-for-prescription-of-controlled
  6. Mattick, R. P., Breen, C., Kimber, J., & Davoli, M. (2014). Buprenorphine maintenance versus placebo or methadone maintenance for opioid dependence. Cochrane Database of Systematic Reviews, (2).
  7. National Academies of Sciences, Engineering, and Medicine. (2019). Medications for opioid use disorder save lives. The National Academies Press.
  8. 42 CFR Part 2 - Confidentiality of substance use disorder patient records. Code of Federal Regulations.
Important Notice: Substance use disorder is a medical condition that requires professional treatment. The information provided on this page is for educational purposes only. If you or someone you know is struggling with substance use, please seek help from a qualified healthcare provider. In case of overdose, call 911 immediately.

Recovery Starts Here

Take the first step toward recovery. Request a private consultation with Dr. Malik.

Call (610) 632-7781 Request a Confidential Consultation

Email is not monitored 24/7. Please do not send medical details by email. In a crisis, call or text 988, call 911, or go to the nearest emergency room.