Addiction psychiatry · Connecticut telehealth

Addiction psychiatry in Connecticut, without judgment.

Evidence-based care for adults dealing with alcohol, opioid, cocaine, cannabis, and other substance-use concerns, and the mental-health conditions that often come with them.

Addiction care works best when it recognizes the whole person, not a moral failing or a single diagnosis. Our team provides outpatient addiction psychiatry by telehealth across Connecticut, with nursing support between visits.

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Specialist training

Led by a double board-certified addiction psychiatrist.

Our founder, Hamilton Gaiani, MD, is board-certified by the American Board of Psychiatry and Neurology in both psychiatry and addiction psychiatry. He completed his psychiatry residency and his addiction psychiatry fellowship at Yale School of Medicine, and has taught Yale addiction psychiatry fellows and presented grand rounds on the treatment of substance use disorders.

Eric O’Connor, DNP, APRN also provides care for substance use disorders and co-occurring mental-health concerns, bringing a broad medical background to evaluation and follow-up.

Meet our founder →

What we treat

Care for specific substance use disorders.

Opioid use disorder and Suboxone

For opioid use disorder, medication treatment may include buprenorphine/naloxone (Suboxone) when clinically appropriate. Evaluation considers your substance use, physical health, other medications, prior treatment, and recovery goals.

Alcohol use disorder and naltrexone

For alcohol use disorder, options may include naltrexone alongside a personalized plan and coordination with counseling or other recovery supports. Medication choices follow an individual clinical assessment.

Cocaine and cannabis use disorders

Cocaine use disorder and cannabis use disorder deserve the same careful, nonjudgmental attention. We assess their effects on mood, anxiety, sleep, thinking, and daily life, and develop a plan that may include care for co-occurring conditions and coordination with behavioral treatment.

Dual diagnosis

Substance use and mental health, treated together.

Depression, anxiety, trauma, ADHD, sleep problems, and other psychiatric conditions often travel with substance use. We evaluate and treat them in the same plan, so recommendations fit together rather than pulling in different directions.

  • A comprehensive evaluation of substance use, psychiatric symptoms, physical health, and medications
  • Plain-language discussion of benefits, risks, and alternatives
  • Recovery planning grounded in your own goals
  • Coordination with therapists, counselors, and other clinicians when you authorize it

An evaluation is required; no diagnosis, prescription, or medication is guaranteed.

What to expect from an evaluation →

For healthcare professionals

Support for clinicians, too.

We also provide mental-health and substance-use evaluations for physicians and other healthcare professionals, including coordination with physician-health programs when appropriate.

Urgent support

This practice is not an emergency service.

If you are in immediate danger, call 911 or go to the nearest emergency department. Call or text 988 for the Suicide & Crisis Lifeline.

A connected next step

Bring your questions.
We’ll start with a conversation.

A brief chat about the care you’re seeking, how the practice works, and what might come next.

Request a 15-minute chatExplore our care

A first conversation

Your free telehealth introduction

Complete our short inquiry. When online booking is available for you, choose a time for your free 15-minute chat right here. Otherwise, we’ll show you how to connect with the practice.

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Existing patients

Your care, within reach.

Book a follow-up, send a secure message, or reach your care team.