Personalized, evidence-based care

Your health, your voice. We collaborate with you to create a personalized care plan that fits your life and goals, equipping you with the knowledge and tools to take an active role in your mental health.

Our clinicians provide thoughtful, ongoing medication management to ensure prescribed medications are safe, effective, and tailored to your needs. We review previous treatments, monitor progress, and adjust care as needed.

When appropriate, GeneSight psychotropic testing can help personalize treatment by analyzing how your DNA may affect your response to depression medications.

Medication Assisted Treatment is critical to a strong recovery plan.

At TMC, we embrace harm reduction and recognize that not everyone is ready or able to stop substance use entirely. FDA-approved medications, counseling, and lifestyle support can reduce cravings, manage withdrawal, and support your current version of recovery.

Options may support opioid use disorder, alcohol use disorder, smoking cessation, and emerging GLP-1 medications used for substance use disorders.

GLP-1 medications such as semaglutide and tirzepatide are being studied as emerging tools for reducing cravings for alcohol and other substances.

Medication choice, dose, and follow-up are personalized around your medical history, goals, and response over time.

With close to 20 years of experience in medication management and detoxification from opiates, alcohol, benzodiazepines, or kratom, Dr. Aviva has developed treatment plans to safely help you stop substance use while managing withdrawal symptoms with carefully managed medication protocols.

Evaluation consists of an initial online intake followed by an in-person consultation with our medical providers to determine eligibility for outpatient care. Eligibility is based on severity of use and varies case by case.

Outpatient detox does not replace traditional inpatient care, which may be necessary for some individuals. This program is suitable for individuals whose substance use is stable and who need discretion and privacy.

We offer a therapeutic space grounded in warmth, collaboration, and clinical expertise. Our work together focuses on helping you explore your inner world, understand emotional patterns, and develop tools for navigating life’s challenges with greater clarity and resilience. Therapy provides a supportive environment where insight can emerge, healing can unfold, and meaningful transformation becomes possible.

We work with adults experiencing depression, anxiety, mood disorders, and a wide range of emotional and relational difficulties. Through evidence-informed approaches and individualized treatment plans, we help you manage symptoms, deepen self-understanding, and build a more balanced, connected, and fulfilling life.

Accountability is a cornerstone of recovery, and structured monitoring can make all the difference.

Our drug and alcohol monitoring services provide supportive, collaborative tools for your recovery process. They serve as a consistent check-in point with your clinical team and are not a punitive measure.

Services may include Soberlink remote breathalyzer technology, real-time urine drug screens, recovery coach coordination, transportation support, and integration into comprehensive care plans.

Ketamine-Assisted Psychotherapy combines careful medical oversight, personalized dosing, and supportive integration therapy before and after each session.

Treatment plans are tailored to your needs and may include intramuscular injections or lozenge-based ketamine.

Crises don't keep business hours, and neither do we. Our outpatient crisis intervention and sober coaching services are designed to meet you in the moments you need it most.

Whether you're struggling with a recent relapse, facing a high-risk situation, or feeling overwhelmed, our team offers immediate compassionate support and stabilization.

We coordinate with existing providers and build custom support plans that may include transportation, appointment accompaniment, home visits, or virtual coaching.