Services

Services Provided by Mark Leeds, D.O.

Dr. Leeds provides concierge telemedicine services throughout Florida, specializing in medication tapering and deprescribing. Every patient works directly with Dr. Leeds at every appointment, with no handoffs to coaches, nurse practitioners, or other staff. Tapering patients are seen weekly, often for up to an hour, with 24/7 text access between visits.

Benzodiazepine & Z-Drug Tapering

Benzodiazepine tapering is the primary focus of Dr. Leeds’ practice. Using the Ashton Manual crossover protocol, hyperbolic tapering, the Maudsley Deprescribing Guidelines, and compound pharmacy liquid formulations, Dr. Leeds provides safe, individualized tapering for patients with physical dependence on prescribed benzodiazepines and z-drugs.

Physical dependence on a prescribed medication is not addiction. Patients who took benzodiazepines as directed by their physicians deserve proper medical tapering, not addiction recovery programming.

Psychiatric Medication Deprescribing

Selective serotonin reuptake inhibitors (SSRIs), serotonin and norepinephrine reuptake inhibitors (SNRIs), and gabapentinoids come off on the same principles: hyperbolic tapering, the Maudsley Deprescribing Guidelines, and compound pharmacy formulations for precise dosing. Antipsychotics such as quetiapine (Seroquel) are tapered gradually in a similar way, for patients who want to come off of them.

Opioid Dependence Treatment

Dr. Leeds treats opioid dependence with buprenorphine films and tablets, known as medication-assisted treatment (MAT), by telemedicine for patients in Florida. Induction is done at home, with phone support. Physical dependence on opioids is a medical condition, not a moral failing. Many patients develop dependence through prescribed opioid use for chronic pain.

Alcohol Use Disorder Treatment

For alcohol use disorder, the Sinclair Method (TSM) uses naltrexone taken about an hour before drinking, so that cravings and consumption fade gradually, and abstinence is not required to begin treatment. Naltrexone can also be used as a daily medication for abstinence-based approaches. Dr. Leeds also treats other forms of addiction, and whether he can help in a particular case is decided at a consultation.

Additional Services

Educational Resources

Dr. Leeds is a member of the medical advisory board of the Benzodiazepine Information Coalition (BIC) and host of The Rehab Podcast on the Mental Health News Radio Network. Care is available to patients residing in Florida.

To schedule an initial consultation, please use the contact form.