21250 Califa St, Suite 114, Woodland Hills CA 91367
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naltrexone and vivitrol, naltrexone treatment, medication assisted treatment, opioid addiction medication, alcohol use disorder medication
Treatments

Naltrexone
and Vivitrol Treatments

Naltrexone and Vivitrol are FDA-approved medications that block opioid receptors and reduce cravings, helping people with opioid use disorder or alcohol use disorder achieve and maintain recovery. Elevated Healing Treatment Centers provides expert naltrexone and Vivitrol services as part of comprehensive medication assisted treatment, combining these effective opioid addiction medication and alcohol use disorder medication options with therapy and support for lasting recovery.

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Naltrexone and Vivitrol Treatment: Medication Assisted Recovery Support

Naltrexone and Vivitrol are FDA-approved medications that block opioid receptors and reduce cravings, helping people with opioid use disorder or alcohol use disorder achieve and maintain recovery. At Elevated Healing Treatment Centers in Woodland Hills, we understand that naltrexone and Vivitrol represent powerful tools—they require specialized, comprehensive care to use effectively. Our psychiatric providers utilize evidence-based naltrexone treatment approaches combining expert medication assisted treatment, proven opioid addiction medication and alcohol use disorder medication with therapy and support, significantly improving recovery outcomes, reducing relapse risk, and providing the strongest possible foundation for lasting sobriety and meaningful quality of life.

Why Medication Assisted Treatment Matters

Naltrexone and Vivitrol profoundly affect how the brain responds to alcohol and opioids, creating changes in multiple systems involved in reward, craving, and substance-seeking behavior. Understanding why medication assisted treatment produces superior outcomes requires examining specific ways these medications support recovery:

Addiction fundamentally changes the brain’s reward circuitry, making alcohol and opioids intensely reinforcing while natural rewards lose appeal. Naltrexone treatment blocks opioid receptors in the brain, preventing alcohol and opioids from producing their rewarding effects and disrupting the cycle at the neurobiological level. The medications affect brain regions responsible for pleasure and motivation, making it difficult for substances to produce euphoria, reducing the reinforcement that maintains addiction, and weakening cravings over time. Without blocking these receptors, the brain continues associating substances with pleasure, maintaining powerful cravings. Specialized naltrexone and Vivitrol services help properly address the neurobiological basis of addiction. According to research from the Substance Abuse and Mental Health Services Administration, medication assisted treatment combining medications with counseling produces significantly better outcomes than counseling alone for opioid and alcohol use disorders.

By identifying recovery needs through comprehensive assessment, our providers can determine whether oral naltrexone or monthly Vivitrol injections work optimally for your specific situation rather than applying generic protocols.

Comprehensive Assessment and Treatment Planning

Treatment at Elevated Healing Treatment Centers begins with thorough evaluation by our addiction medicine specialists. We carefully assess substance use history (alcohol, opioids, or both), evaluate current sobriety status (patients must be opioid-free 7-14 days before starting to avoid precipitated withdrawal), assess liver function (naltrexone is processed through the liver), examine co-occurring mental health conditions (depression, anxiety, trauma often accompany addiction), and understand recovery goals and support systems. Understanding the complete picture is crucial for effective medication assisted treatment.

Our providers carefully interpret assessment findings within the context of your complete situation—including previous treatment attempts, medical history, social circumstances, and personal strengths. This integration creates truly personalized treatment plans addressing the whole person.

Evidence-Based Naltrexone Treatment Options

Our naltrexone treatment program utilizes proven medication forms specifically designed for different recovery needs:

Oral Naltrexone taken daily provides effective opioid addiction medication and alcohol use disorder medication for individuals who can maintain daily medication adherence. The daily tablet blocks receptors consistently when taken as prescribed, reduces cravings for alcohol and opioids, prevents the rewarding effects if relapse occurs, and allows flexible dosing adjustments. Oral naltrexone works well for motivated individuals with strong support systems.

Vivitrol (Extended-Release Injectable Naltrexone) administered monthly provides all benefits of oral naltrexone without requiring daily compliance. The once-monthly injection ensures consistent medication levels and receptor blockade, eliminates concerns about forgetting doses, provides automatic protection against impulsive relapse decisions, and reduces burden of daily medication management. Vivitrol proves especially helpful for individuals struggling with medication adherence or wanting security of continuous protection as part of comprehensive medication assisted treatment.

How Naltrexone and Vivitrol Work

Naltrexone and Vivitrol are opioid antagonists that completely block opioid receptors rather than activating them. Unlike methadone or buprenorphine (which partially activate receptors in controlled ways), these medications shut receptors down entirely—removing the “high” that reinforces addictive behaviors.

For Opioid Use Disorder: Blocking receptors means opioids cannot produce euphoria, making relapse unrewarding and helping break the addiction cycle. Over time, the brain’s learned association between opioids and pleasure weakens.

For Alcohol Use Disorder: While alcohol doesn’t directly activate opioid receptors, the rewarding effects of alcohol involve endorphin release that acts on these receptors. Blocking them reduces alcohol’s pleasurable effects and decreases drinking.

Gradually weakening these associations reduces cravings and makes recovery more sustainable as effective opioid addiction medication and alcohol use disorder medication.

Integrated Behavioral Support

Medication assisted treatment combines medication with essential therapy and support. While naltrexone and Vivitrol reduce cravings and block rewarding effects, recovery requires addressing behavioral patterns, trauma, co-occurring conditions, and life circumstances. Our integrated approach includes:

Cognitive Behavioral Therapy (CBT) addresses thought patterns and behaviors maintaining addiction, develops coping strategies for triggers and high-risk situations, builds relapse prevention skills, and creates structure supporting sobriety.

Motivational Enhancement Therapy strengthens commitment to recovery, resolves ambivalence about treatment, develops concrete recovery plans, and builds intrinsic motivation for change.

Group Therapy reduces isolation through peer support, provides accountability and encouragement, shares recovery strategies, and builds community connections essential for sustained recovery.

Family Therapy educates loved ones about addiction and recovery, improves family communication and relationships, addresses enabling behaviors, and strengthens family support for recovery efforts.

With cravings reduced by medication, patients can focus fully on therapy, personal growth, and lifestyle changes supporting lasting sobriety.

Advantages of Naltrexone Treatment

Naltrexone and Vivitrol offer unique benefits: No risk of misuse or diversion (produces no euphoria), supports complete abstinence (no opioid agonist effects), allows normal daily functioning (work, drive, care for family without impairment), provides powerful relapse protection (knowing substances won’t provide expected reward deters use), and suitable for various professional situations where complete sobriety is essential or preferred.

Managing Side Effects and Safety

While generally well-tolerated, some patients experience mild side effects when starting naltrexone treatment including nausea, headache, fatigue, anxiety, or mood changes. Our providers offer close monitoring and strategies to manage any side effects, which typically diminish over time.

Critical Safety Consideration: After stopping naltrexone or between Vivitrol doses, patients may have reduced opioid tolerance. If relapse occurs, the same opioid amount previously used could cause overdose. We provide comprehensive education, relapse prevention planning, naloxone (overdose reversal medication), and medical alert information for emergency situations.

Addressing Co-Occurring Mental Health Conditions

Many individuals seeking medication assisted treatment also experience depression, anxiety, PTSD, or bipolar disorder. Often, these conditions contributed to substance use or worsened during active addiction. When mental health conditions accompany addiction, our integrated approach provides coordinated treatment addressing all concerns simultaneously, recognizing that untreated mental health conditions significantly increase relapse risk.

Long-Term Recovery and Treatment Duration

The value of naltrexone treatment extends throughout recovery. Duration varies—some individuals benefit from several months of treatment during early recovery, while others continue long-term or indefinitely. Research shows extended treatment often produces better outcomes, but decisions are personalized to individual needs.

Common approaches include using medication during high-risk periods (returning to work, social situations, stressful life events), continuing as long-term maintenance for added protection and peace of mind, or gradually discontinuing after establishing strong recovery foundation with robust support systems. As recovery progresses, the decision about continuing medication is regularly reassessed based on stability, support systems, confidence level, and personal preferences.

Building Lasting Recovery

Medication assisted treatment with naltrexone and Vivitrol provides unique advantages: patients practice recovery skills in real-world situations without substance reinforcement, build confidence in managing triggers and cravings, develop healthier coping mechanisms, and strengthen recovery without the fog of active addiction or the sedation of some other medications. This allows genuine healing and personal growth supporting long-term sobriety.

Compassionate Medication Assisted Treatment

Treatment represents more than blocking receptors—it establishes a foundation for breaking free from addiction’s grip and reclaiming your life. By providing specialized care from the very beginning, we offer treatment that is evidence-based, clinically excellent, and deeply compassionate.

At Elevated Healing Treatment Centers, we believe effective treatment for opioid and alcohol addiction requires combining proven medications with comprehensive support. Our commitment to expert naltrexone and Vivitrol services, evidence-based naltrexone treatment, comprehensive medication assisted treatment, effective opioid addiction medication and alcohol use disorder medication approaches reflects our dedication to providing the most effective addiction treatment available. When your treatment addresses addiction at the neurobiological level while providing therapy and support, your chances of achieving lasting recovery and reclaiming the life addiction has stolen increase dramatically.

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Meet Dr. Sebastian Vasilescu

Dr. Sebastian Vasilescu is a licensed marriage and family therapist and seasoned clinical leader with over a decade of experience spanning private practice, residential treatment, and community mental health. As Clinical Director at Elevated Healing Treatment Centers, he oversees all clinical programming and staff, bringing a strong blend of academic insight, lived experience, and evidence-based expertise to the heart of our care model.

Sebastian earned his Doctorate in Marriage and Family Therapy from Alliant International University, where he also serves as an adjunct professor, teaching and mentoring graduate-level clinicians. At Elevated Healing, he has led the development of a comprehensive, trauma-informed clinical curriculum—designed from the ground up using leading academic research and current best practices from the behavioral health field. This innovative curriculum supports a whole-person approach to care, integrating modalities that address the unique needs of our diverse client population. 

Clinically, Sebastian specializes in treating substance use disorders, trauma, PTSD, mood and anxiety disorders, and relational conflict. He also has extensive experience working with clients navigating eating disorders, body image issues, and identity development. His practice is informed by systemic and multicultural frameworks, with a special emphasis on working with first-generation immigrants, BIPOC communities, and couples in complex relational dynamics.

Dr. Vasilescu’s research explores the intersection of personal values, social justice, and the therapist’s role in creating lasting, meaningful change. At Elevated Healing, he brings this vision to life, cultivating a culture of clinical excellence, reflective practice, and compassionate care for both clients and staff alike.

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