Treatment is most effective when patient and clinician share the same vision. At Orenda, that vision extends to every aspect of mental and physical well-being and realizing it is a team of experts collaborating to optimize care in real time. Orenda’s high staff-to-patient ratio and collegial dynamic allow every care team member to identify and meet patient needs quickly.
Overseeing each patient’s comprehensive health is medical director, Dr. Gloria Dunkin, an experienced addiction psychiatrist who is a member of the Florida Psychiatric Society, the American Medical Association, the American Academy of Addiction Psychiatry, and the American Society of Addiction Medicine with more than 15 years of experience treating patients for addiction and mental health conditions. Dr. Dunkin and her team of medical professionals regularly monitor the health and clinical advancement of each patient and work to reduce discomfort safely.
Orenda’s twenty-four-hour on-site medical team works alongside Dr. Dunkin and in close tandem with patients to provide a wide range of services including medically-supervised detoxification, infusion therapy, psychotropic medication management and stabilization of chronic and acute conditions. Complete medical history, physical, psychiatric diagnostic surveys, and pharmacogenomic and neuropsychological testing inform patient care plans. Orenda partners with Florida’s premier hospital systems and specialized care providers if additional medical services are required.
Each member of the Orenda care team is a compassionate professional with years of hands-on patient experience and is attuned to the culture and purpose of the program’s values and mission.
Physical health conditions are often the gating factors preventing people from initiating, completing, and fully benefiting from behavioral healthcare. Orenda’s attending physician supports initial stability, safe detoxification and manages underlying and emergent conditions to enhance executive function, outlook, and feelings of well-being.
Dr. Karen Flannery, board-certified in addiction and internal medicine, is a hospitalist with more than two decades of experience treating acute, chronic conditions that co-occur with substance use disorders. A self-proclaimed “lifelong learner,” Flannery is open to expanding her skill set and finding constant inspiration from patients and colleagues. She regularly recommends non-medical therapies, including mindfulness, yoga, and acupuncture, to support recovery and counter the stress of the “fear-based-living” prevalent in today’s society.
The flexibility of Orenda treatment plans gives Flannery the time needed to work closely with patients, evaluate their needs, and address a range of issues including sleep hygiene, polypharmacy, and more to enhance the overall quality of life.
Nurses play a crucial role throughout addiction treatment — especially when medical detoxification is required. From the initial assessment to oversight and completion of medical detox, our highly skilled nurses closely and compassionately assist each patient. Orenda ensures constant access to nursing care.
Our nursing team partners closely with other members of our medical and therapy teams to monitor patient health and assist in all areas of treatment. Nurses may also communicate with existing or prior medical service providers to ensure continuity of care, and to avoid lapses in medications or other aspects of ongoing treatment.
Pharmacogenomic testing uses a patient’s genomic makeup to indicate which medications may be most effective. This testing may be used t optimize the types of medications prescribed, dosages, and it may be used to identify and avoid potential adverse reactions. Use of pharmacogenomic testing can reduce or eliminate prescription trial and error and make the road to recovery much smoother for those battling depression, anxiety, substance use disorders, and other mental health conditions.
IV Infusion Therapy
Orenda provides intravenous “IV” infusion services to treat dehydration and vitamin depletion caused by alcohol overconsumption, physical overexertion, extensive travel, stress, or illnesses. This minimally invasive procedure delivers vitamins, supplements, and medication into the bloodstream intravenously. This hydrates the body and fights against common ailments. This can enhance the body’s ability to perform athletically; promotes healthy aging and overall wellness, and boosts the immune system. IV infusion bypasses the gastrointestinal tract which increases the absorption and potency of the delivered formula. All treatments are administered by experienced, board-certified physicians and registered nurses, ensuring both safety and comfort.
Preventative, Primary Care & Health Maintenance
Preventative medical care can be difficult to prioritize amongst the demands and responsibilities of day to day life, especially for executive-level individuals. Our medical staff partners with trusted local medical experts to streamline supplemental health screenings and primary care processes as needed.
This all-encompassing approach offers a simpler way of promoting long-term wellness and preventing future health problems.
Quality sleep can dramatically impact both the mental and physical wellbeing of a patient in recovery. Our clinicians are trained in sleep coaching techniques to help patients learn strategies to get to sleep faster, stay asleep, and optimize the deep sleep stage, which aids in body recovery and tissue healing. Sleep data is tracked through the same wearable used for heart rate variability monitoring, and coaches provide recommendations based on outcome data.
One of the most important sleep hygiene practices is to spend an appropriate amount of time asleep in bed. Sleep hygiene comprises multiple practices and habits necessary to have good nighttime sleep quality and full daytime alertness. Lifestyle, health, and age affect sleep needs. Our team works with each patient to incorporate a sleep hygiene routine that meets their needs throughout the recovery treatment process. Sleep recommendations are based upon many factors, including dietary habits and intake, fluid consumption, activity level, and intensity, exposure to natural light, and sleep environment.
Eastern medicine practices are also incorporated into the Sleep Coaching module. Acupuncture addresses anxiety, stress, and emotional regulation, natural herbs can aid sleep and digestion, and breath work and meditation help normalize overstimulated and overworked nervous systems.
Living with substance use disorders can negatively impact nutritional health. People with a history of problematic alcohol or drug use often experience malnutrition and other metabolic deficiencies. Eating disorders or disordered eating often commonly co-occur with substance use disorders. Establishing healthy eating patterns and maintaining a nutritious diet can help to restore physical and mental health and improve overall wellbeing. At Orenda, a dietician can assess for nutritional health, educate patients about how to maintain good nutrition, and develop a personalized nutritional plan. The dietician collaborates with the Orenda culinary staff to develop an individualized meal plan to help each patient get the nutrition best suited to their conditions and needs.
The advent of genomic testing provides new insights into which medications work best for each person. Our genetic makeup plays a role in the ways that compounds affect our bodies. This information is especially meaningful to psychiatrists and psychopharmacologists responsible for prescribing psychotropic medications like SSRIs that are used to address the symptoms of depression and anxiety, and to regulate mood conditions. Insights from genomic testing allow doctors to more accurately identify the medications likely to be effective. Reducing trial-and-error approaches to prescribing can reduce the time it takes to find the most efficacious treatments and help patients feel better sooner.
Maintaining the right balance of vitamins, minerals, and amino acids is not only important to proper functioning but supports good body image and mental health. Micronutrient testing can identify opportunities to use diet, supplements, and IV infusion to restore a healthy balance of key nutritional components. Orenda patients that choose to take part in micronutrient testing receive a personalized recommendation and help developing an appropriate regimen of nutritional supports.