---
type: Service
title: Executive Detox
description: Private, self-pay outpatient withdrawal-management program for professionals, led by David Walsh, PMHNP-BC, in Austin, TX.
resource: https://carmahealth.com/services/executive-detox
tags: [carmahealth, service, executive-detox, outpatient-detox, withdrawal-management]
timestamp: 2026-07-08T20:00:00Z
---

# Executive Detox

## Overview

Executive detox at [CARMAhealth](../carmahealth.md) is a private, outpatient, medically supervised withdrawal-management program aimed at working professionals who want structured medical supervision without a residential stay. Care is led specifically by [David Walsh, PMHNP-BC](../team/david-walsh.md) — the site states the program "is offered through David, not with every practitioner" — supported by CARMAhealth's broader psychiatric team for co-occurring conditions. The program manages withdrawal from alcohol, opioids, and other substances using FDA-approved medications, and is framed as a first step toward broader treatment of [substance use disorder](../conditions/substance-use-disorder.md), potentially transitioning into [medication management](./medication-management.md), [medication-assisted treatment](./medication-assisted-treatment.md), or advanced therapies such as [TMS](./tms-therapy.md) or [ketamine therapy](./ketamine-therapy.md) for co-occurring depression or anxiety.

## How it works (as described by the provider)

1. **Confidential assessment** — David Walsh evaluates substance use history, withdrawal risk factors, medical conditions, and goals; this determines whether outpatient detox is appropriate. If a higher level of care is needed, the practitioner recommends the appropriate setting.
2. **Personalized medication protocol** — FDA-approved medications are selected for the substance involved and severity of dependence; a monitoring schedule is established. For opioid dependence, options named include buprenorphine (Suboxone) and naltrexone (Vivitrol).
3. **Active withdrawal management** — regular visits for symptom monitoring and medication adjustment while the patient maintains work and personal schedules. The site states alcohol withdrawal typically requires close monitoring for five to seven days; opioid timelines vary by protocol.
4. **Transition to ongoing care** — continued medication management, MAT, psychiatric care for co-occurring conditions, or referral to counseling and support resources.

## Conditions addressed

- [Substance use disorder](../conditions/substance-use-disorder.md) — specifically withdrawal from alcohol, opioids, and other substances.
- Co-occurring [depression](../conditions/depression.md) and [anxiety](../conditions/anxiety.md) are addressed via the broader psychiatric team.

## Availability & locations

The page is framed as an Austin, TX program ([Austin](../locations/austin-tx.md)). Availability at other locations: unable to verify from the source pages.

## Insurance & payment

Self-pay only. The site states the program is not billed to insurance, framing this as preserving confidentiality and flexibility; pricing is discussed by phone at (512) 212-4670.

## Claims noted

- The site cites ASAM clinical practice guidelines as supporting outpatient management of mild to moderate alcohol withdrawal when appropriate medical supervision is in place.
- The site cites research published by the American Academy of Family Physicians that ambulatory detoxification is as safe and effective as inpatient detoxification for mild to moderate withdrawal, while less costly and less disruptive.
- The site cites a National Library of Medicine overview that properly supervised outpatient detoxification is a viable and effective pathway to recovery.

## Sources

- Canonical page: https://carmahealth.com/services/executive-detox
- Machine-readable mirror: https://mr.carmahealth.com/services/executive-detox
- Retrieved 2026-07-08.