Dr. Leeds is a concierge telemedicine physician specializing in benzodiazepine tapering, psychiatric medication deprescribing, and treatment for opioid and alcohol dependence. Serving Hollywood and all of Florida.
If you have been prescribed a benzodiazepine and are struggling to discontinue it, or if you are experiencing symptoms of benzodiazepine-induced neurological dysfunction (BIND), Dr. Leeds can help. He provides expert, individualized tapering protocols through his concierge telemedicine practice.
Many patients who attempt to stop a benzodiazepine discover that their doctor does not understand the complexity of withdrawal. Rapid tapers and cold-turkey discontinuation can trigger severe and prolonged symptoms, including depersonalization/derealization (DP/DR), histamine sensitivity, autonomic dysfunction, neuropathic pain, and cognitive impairment.
Dr. Leeds uses protocols grounded in the Ashton Manual, hyperbolic tapering principles, and the Maudsley Deprescribing Guidelines. He works with compound pharmacies to prepare custom liquid formulations that allow for precise, gradual dose reductions tailored to each patient.
Beyond benzodiazepines, Dr. Leeds also helps patients taper SSRIs, gabapentinoids (gabapentin, pregabalin), antipsychotics, and other psychiatric medications. He also provides treatment for opioid dependence using buprenorphine (Suboxone, ZubSolv) and for alcohol use disorder using the Sinclair Method.
Dr. Leeds serves on the medical advisory board of the Benzodiazepine Information Coalition (BIC), a leading nonprofit organization dedicated to raising awareness about the risks of benzodiazepine dependence and withdrawal.
Benzodiazepine tapering is a process that takes months, sometimes over a year. For Hollywood residents, the ability to work with a tapering specialist from home, without monthly drives to a distant office, makes a meaningful difference in staying on track.
Dr. Leeds provides weekly video visits where he reviews symptoms, adjusts the taper schedule, and responds to the unpredictable nature of benzodiazepine withdrawal. Between appointments, patients have 24/7 text access for urgent questions. This level of ongoing contact is essential for safe tapering, and it is the core of what concierge telemedicine offers.
Whether you live in Hollywood, Hallandale, Pembroke Pines, Dania Beach, or anywhere else in Florida, you have access to the same expert care. There is no waiting room, no clinic, and no disruption to your daily routine.
Dr. Leeds specializes in gradual benzodiazepine tapering, psychiatric medication deprescribing, and medical treatment for opioid and alcohol dependence. Each patient receives an individualized protocol based on their specific medication, dosage, symptom history, and goals.
Dr. Leeds is a physician who serves on the medical advisory board of the Benzodiazepine Information Coalition (BIC). He serves patients throughout Florida via telemedicine, including Hollywood, Hallandale, Pembroke Pines, Dania Beach, and all of Broward County. His concierge practice also reaches patients in Miami-Dade, Palm Beach County, and across the state. If you need expert help with benzodiazepine tapering, psychiatric medication deprescribing, or treatment for opioid or alcohol dependence, Dr. Leeds is available for a consultation.
Dr. Leeds provides the following specialized services to patients in Hollywood and throughout the State of Florida.
For Hollywood residents struggling with alcohol use disorder or gray area drinking, Dr. Leeds offers medical treatment through his concierge telemedicine practice. Rather than residential rehab or group-based programs, patients receive private, one-on-one physician care focused on proven pharmacological approaches.
The Sinclair Method uses naltrexone, taken one hour before drinking, to gradually reduce the brain’s reward response to alcohol through pharmacological extinction. For patients who prefer an abstinence-based approach, naltrexone can also be used as a daily medication. Dr. Leeds works with each patient to determine the best fit for their situation.
The Sinclair Method is one of the most effective evidence-based treatments for alcohol use disorder, and it does not require abstinence, rehab, or group meetings to begin. Patients take naltrexone before drinking, and over the course of several months, the medication gradually reduces cravings and consumption.
This approach works well for patients who have tried willpower-based methods or AA without lasting success, as well as for gray area drinkers who want to reduce their consumption without committing to full abstinence. Dr. Leeds provides Sinclair Method treatment to Hollywood residents through secure telemedicine visits, with the ongoing physician support that makes the protocol effective.
Benzodiazepine dependence, BIND (benzodiazepine-induced neurological dysfunction), and protracted withdrawal are complex conditions requiring expert medical supervision and individualized tapering protocols.
Safe discontinuation of SSRIs, SNRIs, gabapentinoids (gabapentin, pregabalin), antipsychotics, and other psychiatric medications using gradual, evidence-based tapering methods.
Opioid dependence treatment using buprenorphine (Suboxone, ZubSolv), providing relief from withdrawal and cravings while restoring normal daily functioning.
Expert benzodiazepine tapering using the Ashton Manual, hyperbolic tapering methods, Maudsley Deprescribing Guidelines, and custom compound pharmacy liquid formulations.
Benzodiazepine withdrawal is far more complex than most physicians realize. Patients who have taken benzodiazepines long-term often develop benzodiazepine-induced neurological dysfunction (BIND), a condition that can persist for months or years after discontinuation if the taper is not managed properly.
BIND can produce a wide range of symptoms that are frequently misdiagnosed as other conditions. Patients may experience depersonalization and derealization (DP/DR), heightened histamine sensitivity resembling mast cell activation syndrome (MCAS), postural orthostatic tachycardia syndrome (POTS), and autonomic nervous system dysregulation. Gastrointestinal symptoms that mimic irritable bowel syndrome (IBS), burning pain and tingling that resemble peripheral neuropathy, visual disturbances, tinnitus, and severe insomnia are also common.
These symptoms are not signs of a new illness. They are manifestations of a nervous system recalibrating after prolonged benzodiazepine exposure. The key to minimizing these symptoms is a slow, carefully managed taper under the guidance of a physician who understands BIND and protracted withdrawal.
Dr. Leeds has extensive experience helping patients navigate this process. He uses tapering protocols grounded in the Ashton Manual and hyperbolic tapering principles, working with compound pharmacies to create liquid formulations that allow reductions as small as fractions of a milligram. For Hollywood residents dealing with benzodiazepine dependence or BIND symptoms, Dr. Leeds provides the expertise and close monitoring that safe tapering requires.
Many patients come to Dr. Leeds after negative experiences with other physicians who either cut their benzodiazepine too quickly or refused to help them taper at all. The concierge telemedicine model is designed to avoid both of these problems.
At the initial consultation, Dr. Leeds reviews your full medication history, the duration and dosage of your benzodiazepine or psychiatric medication, any previous taper attempts, and your current symptoms. From this, he develops a customized taper plan. For many patients, this involves a crossover to a longer-acting benzodiazepine or the use of a compounded liquid formulation for precise dosing.
Each week, you meet with Dr. Leeds via secure video. He assesses your withdrawal symptoms, discusses how you are tolerating the current dose reduction, and decides whether to proceed with the next step, hold at the current dose, or slow down. This is not a rigid schedule — it adapts to how your body responds.
Between appointments, you have 24/7 text access for questions or concerns. If you experience a symptom flare or need reassurance, Dr. Leeds is available. This level of access is what makes concierge care fundamentally different from a once-a-month office visit.
The same model applies to patients tapering psychiatric medications like SSRIs, gabapentinoids, or antipsychotics, as well as patients receiving treatment for opioid dependence (buprenorphine) or alcohol use disorder (Sinclair Method).
For patients with opioid dependence, buprenorphine — available as Suboxone, ZubSolv, and other formulations — is the most effective treatment available. It eliminates withdrawal symptoms and cravings while allowing patients to think clearly and function in daily life.
Dr. Leeds prescribes buprenorphine as part of a concierge treatment model that includes extended appointments, direct physician communication, and individualized care planning. This is not a high-volume clinic — patients receive the attention and privacy they deserve. If you are dependent on opioids and live in the Hollywood area, contact our office to discuss treatment options.
Patients who begin Suboxone or ZubSolv treatment often describe the experience as transformative. The cravings, the constant mental preoccupation with opioids, and the fear of withdrawal all diminish, often within the first day of treatment. Patients are able to work, care for their families, and engage in life without the fog that opioid dependence creates.
Suboxone and ZubSolv are not trading one addiction for another. They are evidence-based medications that give the brain time to heal. Dr. Leeds provides these treatments through his concierge telemedicine practice with the individualized care that Hollywood residents deserve.
For patients dealing with benzodiazepine dependence, a 30-day residential program is not the answer. Benzo tapering takes months or longer and requires a physician who monitors progress weekly and adjusts the taper based on symptom response. No inpatient facility can provide this kind of extended, individualized care.
The same is true for psychiatric medication deprescribing. Tapering an SSRI, a gabapentinoid, or an antipsychotic requires patience, expertise, and close follow-up — not a short-term residential stay.
Dr. Leeds provides this level of care through concierge telemedicine, allowing Hollywood residents to stay home, maintain their routines, and work with a specialist who is available weekly by video and 24/7 by text.
Low dose naltrexone, prescribed at 0.5mg to 6mg, has shown promise for chronic pain syndromes related to autoimmune conditions. LDN is prepared by compound pharmacies and is distinct from the standard naltrexone dosing used for opioid or alcohol dependence treatment. For more information on whether LDN may help your condition, please call Dr. Leeds.
Methadone has been used for opioid dependence since the 1960s, but it requires daily clinic visits and carries a higher risk of sedation and respiratory depression compared to buprenorphine.
Most patients today prefer buprenorphine (Suboxone, ZubSolv) because it can be prescribed privately by a physician, picked up monthly at a pharmacy, and managed through telemedicine. Patients on buprenorphine report clearer thinking and fewer side effects than those on methadone. Dr. Leeds provides buprenorphine treatment through his concierge practice for patients in Hollywood and throughout Florida.
Physical dependence on opioids is a medical condition, not a character flaw. Patients who have taken prescribed opioids for chronic pain often develop dependence and experience debilitating withdrawal symptoms when trying to stop. This is distinct from addiction, though the two are frequently confused by healthcare providers.
Dr. Leeds helps opioid-dependent patients in Hollywood stabilize with buprenorphine treatment, which eliminates withdrawal symptoms and cravings. For patients who need short-term withdrawal management, medications like Lucemyra can help ease the transition. As a concierge physician, Dr. Leeds provides 24/7 availability for urgent issues — including advocacy during hospital stays where maintenance medication may be misunderstood by staff.
Oxycodone dependence — whether from prescribed use for pain or other circumstances — produces significant withdrawal symptoms that make discontinuation extremely difficult without medical support. Buprenorphine (Suboxone, ZubSolv) is the preferred treatment, providing immediate relief from withdrawal and cravings.
Dr. Leeds provides oxycodone dependence treatment through his concierge telemedicine practice, with weekly video visits and direct physician access for Hollywood residents and patients across Florida.
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The term “VIP rehab” is used liberally in South Florida marketing, but genuine VIP care is not about amenities — it is about direct, ongoing access to your physician. Dr. Leeds provides this through his concierge telemedicine practice: private appointments, individualized treatment protocols, and 24/7 availability.
Whether you need expert benzodiazepine tapering, help discontinuing an SSRI or gabapentinoid, buprenorphine treatment for opioid dependence, or the Sinclair Method for alcohol use, the care is built around your specific situation. No group sessions, no shared facilities, no one-size-fits-all plans.
Benzodiazepines are not the only psychiatric medications that cause dependence and difficult withdrawal. Millions of patients take SSRIs, SNRIs, gabapentinoids, and antipsychotics long-term, and many find that discontinuing these medications produces symptoms their prescribing physicians did not anticipate or do not know how to manage.
SSRI and SNRI withdrawal can include brain zaps, severe mood instability, dizziness, insomnia, and flu-like symptoms. Gabapentin and pregabalin withdrawal can produce anxiety, seizure risk, and pain sensitivity. Antipsychotic withdrawal may cause psychosis rebound, tardive dyskinesia, and severe insomnia. These withdrawal syndromes are real, physiologically mediated, and often dismissed by physicians unfamiliar with deprescribing.
Dr. Leeds applies the same careful, individualized approach to psychiatric medication tapering that he uses for benzodiazepines. The Maudsley Deprescribing Guidelines provide evidence-based protocols for tapering each class of psychiatric medication. Hyperbolic tapering principles apply here as well — dose reductions must become smaller as the total dose decreases, because the pharmacological impact of each reduction is proportionally larger at lower doses.
For medications that are not available in small enough dosages for a gradual taper, compound pharmacies can prepare custom liquid formulations or precisely dosed capsules. This allows patients to taper at whatever pace their body tolerates, without being forced into reductions that are too large simply because of available tablet sizes.
Dr. Leeds works with patients in Hollywood and throughout Florida who want to discontinue psychiatric medications they no longer need or that are causing intolerable side effects. The process requires patience and close medical supervision, but it is entirely possible with the right support. Contact our office to discuss a deprescribing plan.
BIND (benzodiazepine-induced neurological dysfunction) refers to the constellation of neurological symptoms that can occur during and after benzodiazepine tapering or discontinuation. Symptoms may include depersonalization/derealization, heightened histamine sensitivity, POTS-like autonomic dysfunction, neuropathic pain, gastrointestinal disturbances, and cognitive impairment. A slow, properly managed taper under expert supervision significantly reduces the risk and severity of BIND.
Yes. Dr. Leeds provides deprescribing services for SSRIs, SNRIs, gabapentinoids (gabapentin, pregabalin), antipsychotics, and other psychiatric medications. He uses the Maudsley Deprescribing Guidelines and hyperbolic tapering principles, and works with compound pharmacies to create custom formulations when commercially available dosages are too large for a safe, gradual taper.
Standard tapers reduce by a fixed amount at each step (e.g., reduce by 0.5mg each time). Hyperbolic tapering recognizes that the pharmacological impact of each reduction is proportionally larger at lower doses, so reductions become progressively smaller. This approach, supported by the Maudsley Deprescribing Guidelines, significantly reduces the risk of severe withdrawal symptoms during the final and most sensitive stages of a taper.
Yes. Dr. Leeds provides buprenorphine (Suboxone, ZubSolv) treatment for opioid dependence and the Sinclair Method using naltrexone for alcohol use disorder, all through secure telemedicine visits. Patients throughout Florida, including Hollywood, receive weekly video appointments and 24/7 text access to Dr. Leeds.
Family Practice Physician 3290 NE 33rd Street, Fort Lauderdale, FL 33308
info@drleeds.com
Monday – Friday
10 am – 2 pm
By Appointment
Opioid Detox Therapy
Concierge Medical Services
Family Medicine
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