James W. Finch, MD

Medication and Behavioral Assisted Treatment for Compulsive and Addictive Behaviors
Home Page
Dr. James Finch provides confidential, evidence- based treatment in a private office setting for individuals struggling with addictive or other compulsive behaviors. Dr. Finch has over 25 years of experience as a specialist in Addiction Medicine, but he brings to his practice the generalist perspective of a Family Physician. 

The consequences of drug abuse or dependence can be devastating. Fortunately, research and knowledge in this area have dramatically increased in the last two decades. Clinicians now have better scientific, evidence-based clinical tools at their disposal, including a much greater range of medication and behavioral assisted treatments.

One dramatic example is the development of Suboxone (buprenorphine/naloxone) for the treatment of dependence on drugs in the opiate class, such as Percocet, Oxycontin, heroin, or methadone. Dr. Finch began working with this medication shortly after it was released and is one of the most experienced physicians in its use in North Carolina.

A range of complementary behavioral interventions are available through the group practice spearheaded by Dr. Finch and Jane B. Finch, LCSW, called Changes by Choice: Broad-Based Options for Recovery. 

Fees:  Payment is due at the time of each visit but appropriate documentation of visits can be provided for out-of-network medical reimbursement. Most medications used in medication-assisted therapy are included on insurance plan formularies and therefore covered. Dr. Finch is not associated with any managed care panels.


Certified by the American Society of Addiction Medicine

Board Certified in Family Medicine

President, North Carolina Society of Addiction Medicine

Dr. Finch is located in a private office near the Duke East campus, just off the Durham Freeway (SR 147) and convenient to I-85:

                          909 Broad Street
                         Durham NC 27705

                         Tel: 919-416-4800
                         Fax: 919-416-6103