Changes By Choice, LLC

Changes By Choice, LLC is a Durham, North Carolina-based provider of evidence-based options for recovery, specializing in comprehensive outpatient treatment for substance abuse, addiction, and compulsive behaviors.

We offer a collaborative approach, combining medication-assisted treatment with individual, family, and group counseling, all tailored to each client’s unique needs and preferences. Our team of experienced physicians and therapists utilizes motivational enhancement theory to foster a respectful and supportive therapeutic relationship, empowering clients to make lasting life changes.

Changes By Choice prioritizes privacy and flexibility, offering private, cottage-style environments and minimizing involvement with insurance, allowing clients to focus on their journey to recovery. We provide a range of services including monitored in-home detoxification, craving and relapse reduction, and support for opioid and alcohol use disorders, as well as treatment for co-occurring mental health conditions.

Our founder, James Finch MD, brings over 25 years of experience in addiction medicine, having served as a Distinguished Fellow of the American Society of Addiction Medicine and Education Director of the Governor’s Institute on Substance Abuse.