Expert Addiction Medicine.
No Judgment. Just Care.

Alcohol use disorder is one of the most common — and most undertreated — conditions in medicine. Whether you're drinking daily and can't stop, worried about withdrawal, or just know your relationship with alcohol has gotten out of hand, this is a safe place to start. Dr. Rivkin provides medically supervised detox when needed, along with FDA-approved medications and ongoing support to help you move forward without shame.

Benzodiazepines — Xanax, Klonopin, Valium, Ativan — are among the most commonly prescribed medications in the country, and physical dependence can develop even when taken exactly as prescribed. If you've been on benzos for a long time, feel like you can't function without them, or have tried to cut back and couldn't, that's not a personal failing — it's pharmacology.

Dr. Rivkin provides safe, gradual tapering plans and medical support to help you reduce or discontinue benzodiazepines at a pace that works for you.

Kratom is often marketed as a natural, safe alternative to opioids — but regular use can lead to real physical dependence, and stopping abruptly can cause significant withdrawal symptoms including anxiety, insomnia, muscle aches, and intense cravings. Many people start using kratom to manage pain or self-treat opioid withdrawal, and find themselves dependent before they realize it.

Dr. Rivkin has specific experience managing kratom dependence and withdrawal, and can help you taper safely and comfortably.

Stopping certain substances — especially alcohol, opioids, and benzodiazepines — can be physically dangerous without proper medical supervision. Dr. Rivkin provides closely monitored outpatient withdrawal management to keep you safe and as comfortable as possible through the process. You don't have to go to an inpatient facility to detox safely.

Many patients have been on prescription opioids for months or years for legitimate pain conditions — and over time, find that their medication doesn't work as well as it once did, that they need higher doses to get the same relief, or that they feel physically dependent and aren't sure what that means for them.

If any of that sounds familiar, you're not alone — and it doesn't mean something is wrong with you. These are recognized physiological responses to long-term opioid therapy. Dr. Rivkin offers a compassionate, non-judgmental evaluation to help you understand what's happening and whether buprenorphine — a medication that can manage both pain and opioid dependence — might be a better path forward for you.

Cocaine and methamphetamine use disorders are serious — and they're on the rise. While there's no FDA-approved medication specifically for stimulant use disorder, Dr. Rivkin provides comprehensive evaluation, evidence-based behavioral strategies, and close medical follow-up to help you reduce use and rebuild stability. You don't need to hit rock bottom to ask for help.

Cannabis is legal in Michigan and widely used — but for some people, use becomes daily, difficult to control, or starts getting in the way of work, relationships, or mental health. Cannabis use disorder is real and more common than most people think, particularly with today's high-potency products. There's no judgment here. Dr. Rivkin offers evaluation and support for patients who feel like cannabis has more control over them than they'd like.

Nicotine is one of the most addictive substances there is — and quitting on willpower alone has a very low success rate. The good news is that evidence-based treatments work well. Dr. Rivkin offers comprehensive tobacco cessation support including FDA-approved medications like varenicline (Chantix) and bupropion, along with nicotine replacement strategies tailored to your habits and history.

Anxiety, depression, trauma, and PTSD frequently travel alongside substance use — and treating one without addressing the other rarely works. Dr. Rivkin takes a whole-person approach, recognizing that what looks like a substance problem often has roots that go deeper. Care is integrated, trauma-informed, and built around you as a complete person — not just a diagnosis.

The Michigan Health Professional Recovery Program (HPRP) supports healthcare professionals — physicians, nurses, pharmacists, and others — who are dealing with substance use or mental health concerns that may affect their practice. Participation in HPRP is confidential and allows health professionals to receive treatment while protecting their license.

Dr. Rivkin performs comprehensive substance use evaluations for health professionals entering or being monitored through HPRP, as well as for licensing board matters. Available in-person in Allen Park and via telemedicine statewide.

If your Michigan driver's license has been revoked due to multiple DUI/OWI offenses or substance-related driving convictions, you must complete a Substance Use Evaluation (Form SOS-258) as part of your license restoration appeal to the Michigan Secretary of State's Office of Hearings and Administrative Oversight (OHAO).

Dr. Rivkin performs comprehensive SOS-258 evaluations throughout Michigan — in-person in Allen Park and via telemedicine statewide. Virtual SOS-258 evaluations are available for patients anywhere in Michigan, making it easier to complete this critical step in your restoration process without traveling.

The evaluation includes a full substance use history, standardized screening, clinical diagnosis, prognosis, and sobriety documentation — all required for a successful Michigan license restoration appeal.