Lotus Addiction and Recovery Center
- 814 Elm St Suite #204, Manchester, NH 03101
Recovery Looks Different for Everyone.
Opioid use disorder is not a willpower problem. It is not a personality flaw or a sign that you are beyond help. It is a medical condition, and like most medical conditions, it responds to treatment. The question has never been whether treatment works. The question is whether you can access it without feeling like you have to earn it first.
My name is Shivani Pereira. I’m a Nurse Practitioner based in New Hampshire. I provide Medication Assisted Treatment for people dealing with opioid use disorder, and I do it without the conditions, the lectures, or the waiting lists that make so many people give up before they start. Whether MAT is something you’ve considered for a long time or something you’re just now looking into, this is a good place to begin.
The medications used in MAT are carefully studied, carefully dosed, and used within a clinical framework designed to support long-term recovery.
What I also know is that MAT is not the right fit for everyone, and that recovery takes many shapes. My job is not to push a particular path. It’s to give you accurate information, listen to what you actually want, and help you build something that holds.
I will not count your relapses against you. I will not make you feel like a lost cause. I will show up to every appointment the same way: ready to help, without an agenda about how your recovery is supposed to look.
What Is Medication Assisted Treatment?
Medication Assisted Treatment combines FDA-approved medications with clinical support to treat opioid use disorder. The word “assisted” matters here. The medication isn’t doing the work for you; it’s removing enough of the physical noise, the cravings, the withdrawal, the constant preoccupation, that you have the space to actually engage with your recovery.
Depending on your history, your goals, and what your body responds to, treatment may involve Suboxone (buprenorphine/naloxone), Vivitrol (naltrexone injection), or oral naltrexone. Each works differently. None of them is a shortcut, and none of them is a substitute for real recovery. They are medical tools, the same way any prescription for a chronic condition is a medical tool.
The research on MAT is not ambiguous. It reduces overdose deaths. It increases treatment retention. It gives people their lives back. That’s why I use it.
Who I Work With
I work with adults across New Hampshire who are dealing with opioid use disorder. Some of my patients have never tried treatment before. Others have been through programs that didn’t stick. Both of those experiences are valid starting points.
You may be a good fit for my program if you:
- Are struggling with opioid dependence and want a structured path forward
- Have tried to stop before and found withdrawal or cravings impossible to manage on your own
- Have been through MAT before and want to try again with a different kind of support
- Need care that works around your schedule, your family, and your life
- Want a provider who will be honest with you, not just tell you what you want to hear
- Live anywhere in New Hampshire and prefer telehealth over an in-person clinic
You do not need to arrive with a plan, a timeline, or a clear picture of what recovery looks like for you. That’s something we figure out together.
Why Telehealth Changes Everything for MAT
Stigma is real. I’ve had patients tell me they drove past the clinic three times before they could make themselves go in.
Others who skipped appointments because someone they knew worked nearby. The fear of being seen seeking addiction treatment keeps a lot of people from ever starting.
Telehealth removes that entirely. Your appointment happens in your home, on your schedule, with nobody in the waiting room and nobody at the front desk who knows your family.
Beyond privacy, it also means:
- No transportation barriers, no missed work, no childcare scrambles
- Appointments that fit into your life instead of pulling you out of it
- Care available to you anywhere in New Hampshire, rural or urban
- The same clinical quality you’d receive sitting across a desk from me
Frequently Asked Questions
Isn't MAT just replacing one drug with another?
It’s one of the most common things people ask me, and I understand why. The short answer is no. The medications used in MAT are prescribed at controlled doses, monitored clinically, and used specifically to stabilize brain chemistry that opioid use disorder has disrupted. The goal is function, not intoxication. The evidence behind this is decades deep.
What if I've tried MAT before and it didn't work?
Then something about that experience wasn’t right for you at that time. Maybe the medication, maybe the dose, maybe the support around it, maybe just the timing. A previous attempt that didn’t stick is not a verdict on whether treatment can work for you. I’d want to understand what happened and think through what might be different this time.
How long will I be on medication?
There is no universal answer to that. Some people taper off after months. Others stay on maintenance for years and that is a completely legitimate choice. We will revisit it regularly and the timeline will be yours to shape, not mine to impose.
Will anyone find out I'm in treatment?
No. What happens in our appointments stays there. Your privacy is protected under federal confidentiality law, and I take that seriously on a personal level too. You can be honest with me about everything. That’s the only way I can actually help you.
When You're Done Waiting, I'll Be Here.
A lot of people spend a long time thinking about getting help before they actually do it. I know that. There’s no judgment in that. But I also know that every day spent in active opioid use disorder carries real risk, and treatment is available right now.
You don’t have to show up with anything figured out. You don’t have to be at rock bottom. You don’t have to have failed enough times to deserve help. You just have to make one appointment.
Book a confidential telehealth consultation today.
Whatever recovery looks like for you, we can start building it from here.