James W. Finch MD

Medication and Behavioral Assisted Treatment for Compulsive and Addictive Behaviors



Dr. James Finch provides confidential treatment in a private office setting for individuals struggling with addictive or other compulsive behaviors. Dr. Finch has 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. Dr. Finch employs scientific, evidence-based clinical tools, including a range of medication- and behavioral-assisted treatments.  


Shortly after it was released, Dr Finch began working with Suboxone (buprenorphine/naloxone) for the treatment of dependence on drugs in the opiate class (such as Percocet, Oxycontin, heroin, or methadone). He is one of the most experienced physicians in its use in North Carolina. Naltrexone is another effective medication for both opioid and alcohol abuse (ReVia, Vivitrol).


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: Evidence-Based Options for Recovery. 


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 at least partially covered. Dr. Finch is not in-network with any insurance panels. 

Feel free to call the office at the number below if you have any questions or want to schedule an appointment!

Get in touch

909 Broad Street, Durham, NC 27705

(919) 416-4800 (919) 416-6103 Fax

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