Consultation
Dr. Miller reviews your drinking history, health background, and goals during a private 60-minute visit.

Medication and Counseling Support
From white-knuckling to steady ground
Alcohol dependence rarely looks dramatic from the outside. It looks like a glass that turned into a bottle, a morning headache that never quite clears, promises to cut back that slide past another weekend. You may feel anxious when the bottle runs low, shaky in the morning, or foggy at work. Sleep is broken, arguments at home stack up, and the doctor's visits about blood pressure, liver numbers, or depression keep circling the same root cause. Many patients in Venice and Sarasota County have tried to stop on willpower alone, sometimes several times, and felt the shame of relapse settle in hard.
Alcohol addiction treatment interrupts that cycle. FDA-approved medications like naltrexone, acamprosate, and disulfiram reduce cravings, quiet the reward the brain has learned to expect, and make abstinence or controlled drinking possible. At Paradise Family Healthcare, Dr. Miller pairs these medications with honest counseling, lab monitoring, and coordinated Addiction Medicine support, all inside a calm family-doctor office where your recovery is simply part of your health record. Most patients describe it as finally getting their mornings, their energy, and their relationships back.
Medication-Assisted Treatment and Counseling
Alcohol addiction treatment is an outpatient medical approach that combines FDA-approved medication with behavioral counseling to help adults with alcohol use disorder reduce or stop drinking safely. Guidance from the Substance Abuse and Mental Health Services Administration (SAMHSA) and the American Society of Addiction Medicine recognize medication-assisted treatment as a first-line option for moderate to severe alcohol dependence, alongside counseling and peer support.
The three most-studied medications target the brain circuits that drive compulsive drinking. Naltrexone blocks opioid receptors that release the pleasurable feeling alcohol triggers, which lowers the reward and reduces cravings. Acamprosate helps restore the balance between excitatory and inhibitory brain chemistry that chronic drinking disrupts, easing post-acute withdrawal symptoms like anxiety, insomnia, and restlessness. Disulfiram creates an unpleasant reaction if you drink, acting as a deterrent for highly motivated patients. SAMHSA data shows patients receiving medication-assisted treatment for alcohol use disorder are significantly more likely to maintain abstinence or reduce heavy drinking than those relying on counseling alone.
Your care begins with a longer consult visit where Dr. Miller reviews your drinking history, screens for withdrawal risk and co-occurring conditions like depression, orders baseline labs, and chooses the medication that fits your goals and medical profile. Follow-up visits confirm the medication is working, cravings are controlled, and your health is trending the right way. Patients who also need opioid-related support can be coordinated with our Suboxone Treatment, opioid addiction care team in the same office.
Many patients feel noticeable craving relief within the first one to two weeks on naltrexone or acamprosate. Treatment typically continues for 6-12 months, because alcohol use disorder is a chronic condition and longer treatment is strongly linked to lower relapse rates.
Reclaim your mornings and your health
FDA-approved medication quiets the pull toward another drink
Stay at home and at work while you receive care in a primary care office
Discreet treatment folded into your regular health record, not a rehab file
Liver, blood pressure, and mood are monitored alongside your recovery
Behavioral counseling referrals complement your medication plan
Medication plus counseling is proven to reduce heavy drinking long term
Compare Your Options
| Treatment | Mechanism | Time | Results | Duration | Downtime | Best For |
|---|---|---|---|---|---|---|
| PFH Outpatient MAT | Medication plus counseling | Monthly visits | Reduced cravings and drinking | 6-12 months | None | Mild to severe alcohol dependence |
| AA or Peer Support Only | Group accountability, no medication | Weekly meetings | Variable, motivation dependent | Ongoing | None | Patients seeking community-only support |
| Residential Rehab | Inpatient detox and therapy | Around the clock | Intensive stabilization | 28-90 days | Full time away from work | Severe dependence or failed outpatient care |
Finding your best path to recovery
Alcohol addiction treatment benefits adults who are ready for honest change, whether that means cutting back on heavy drinking or stopping entirely. Guidance from SAMHSA supports medication-assisted treatment for most patients with mild, moderate, or severe alcohol use disorder.
If you are unsure whether outpatient care is safe for you, Dr. Miller will assess your withdrawal risk first and refer to higher-level care when clinically needed. Safety always comes before preference.
Dr. Miller reviews your drinking history, health background, and goals during a private 60-minute visit.
Dr. Miller orders liver panel, metabolic labs, and screens for co-occurring conditions before starting medication.
For most patients, Dr. Miller begins oral naltrexone to reduce cravings and the reward of drinking.
Dr. Miller may add or switch to acamprosate to ease post-acute withdrawal, anxiety, and sleep issues.
When a strong deterrent fits your goals, Dr. Miller discusses disulfiram and its reaction-based approach.
What to know
Naltrexone can cause nausea, headache, fatigue, or mild stomach upset during the first one to two weeks, which typically resolve as the body adjusts. Acamprosate is most associated with loose stools, bloating, or mild anxiety, usually easing within the first month. Disulfiram is well tolerated when patients avoid alcohol, but produces a deliberate flushing, nausea, and heart-racing reaction if any alcohol is consumed.
Naltrexone carries a rare risk of liver enzyme elevation, which is why baseline and follow-up liver labs are part of care. Disulfiram reactions can rarely be severe, especially with hidden alcohol in mouthwash, cough syrup, or sauces, so patient education is essential. Serious allergic reactions to any of these medications are uncommon but warrant immediate medical attention.
Naltrexone, acamprosate, and disulfiram are FDA approved for alcohol use disorder. Dr. Miller's 24+ years of internal and family medicine training guides careful medication selection, dose adjustment, and lab monitoring, with SAMHSA-aligned protocols built into every visit.
Alcohol addiction treatment at Paradise Family Healthcare is billed as routine medical care, not as a separate rehab program. The consultation visit is billed like a standard new or established office visit, and ongoing monthly follow-ups are billed as brief medical visits. Medication costs vary by pharmacy: oral naltrexone and acamprosate are typically affordable generics, often under $50 per month with insurance, while long-acting injectable naltrexone and disulfiram may have different pricing structures. Exact costs are discussed during your consultation based on your insurance, medication choice, and follow-up frequency.
Most commercial insurance plans, Florida Medicaid, and Medicare cover office visits for alcohol use disorder treatment, along with FDA-approved medications. Coverage rules, copays, and prior authorization requirements vary by plan, so our front desk will verify benefits before your visit and explain any out-of-pocket expectations.
For patients without insurance or with high deductibles, Paradise Family Healthcare offers transparent self-pay pricing and will work with you on a plan that keeps care accessible. Recovery should not be blocked by a bill, and we will always tell you the cost before you commit.
Venice's trusted family medicine team
Over 24 years of family and internal medicine with an osteopathic, whole-person approach
Confidential, respectful care where honest conversations are welcomed
Medication, labs, and chronic disease care all coordinated in one office
Serving Venice, Sarasota, Nokomis, Osprey, North Port, Englewood, and Port Charlotte
Your questions answered
The three FDA-approved medications are naltrexone, acamprosate, and disulfiram. Dr. Miller selects the best option based on your drinking pattern, goals, liver health, and any co-occurring conditions like depression or anxiety.
Most patients stay on medication for 6-12 months, with monthly office visits. Longer treatment is common and is associated with lower relapse rates, especially when paired with counseling and steady primary care follow-up.
Yes. Most commercial insurance plans, Florida Medicaid, and Medicare cover office visits and FDA-approved alcohol addiction medications. Our front desk verifies benefits and explains any copay or deductible before your first appointment.
Yes. Medication works best paired with counseling. Dr. Miller provides supportive check-ins at every visit and coordinates with local licensed counselors, therapists, and peer support groups so your plan fits your life.