Judgment-Free, Evidence-Based Care
Medication Assisted Treatment (MAT) in Manchester, NH
Most patients who come to us for treatment have already been judged enough. What they need is not another lecture. They need a provider who treats them with the same dignity given to any other patient walking through the door with a medical condition, because that is exactly what addiction is. That belief sits at the center of how we deliver Medication Assisted Treatment (MAT).
Your Care Team
Medication Assisted Treatment (MAT) at Serene Behavioral Healthcare is led by Shivani Pereira, NP, who has dedicated her career to addiction medicine since earning her Master of Science in Nursing in 2017. Her clinical background spans both inpatient and outpatient settings, and her approach is evidence-based, highly personalized, and built on a simple belief: compassionate, stigma-free addiction care should be the standard, not the exception. No lectures, no conditions attached to your care, just honest, expert treatment from a provider genuinely invested in your recovery. Meet our full team for complete provider bios and credentials.
Meet our full team for complete provider bios and credentials.
What We Treat
- Alcohol Use Disorder
- Opioid Use Disorder
- Stimulant and Other Substance Use Disorders
- Adolescent Substance Use
- Substance Use Co-Occurring with Anxiety, Depression, or Trauma
- Support for Patients in Early Recovery or Considering Treatment for the First Time
How We Approach Medication Assisted Treatment (MAT)
Every patient’s relationship with substance use is different, and treatment starts with an honest, judgment-free evaluation rather than a fixed protocol applied to everyone the same way.
Our approach typically includes:
Signs That May Prompt an Evaluation
Substance use presents differently depending on age and circumstances, and it does not always look like what people expect.
In adolescents, families sometimes notice:
- A sudden change in friend group, mood, or academic performance
- Secretive behavior, missing curfews, or unexplained absences
- Physical signs such as changes in sleep, appetite, or hygiene
- Defensiveness or anger when substance use is brought up
In adults, this often looks like:
- Using more of a substance, or using more often, than originally intended
- Difficulty cutting back despite wanting to
- Substance use interfering with work, relationships, or responsibilities
- Continuing use despite knowing it is causing problems
- Withdrawal symptoms when attempting to stop, which can be a sign that medical support is needed
If any of this sounds familiar, whether for yourself or someone you care about, reaching out for an evaluation is not an admission of failure. It is a reasonable next step.
Why Patients Choose Serene Behavioral Healthcare
Patients come to us because they want treatment, not judgment, and because they want a provider who has actually spent years in the room with people at their hardest moments.
Here is what sets our care apart:
- Addiction medicine expertise from a provider who built her career specifically around this population
- A stigma-free approach with no lectures and no conditions attached to receiving care
- Evidence-based treatment, including medication-assisted treatment when appropriate
- Attention to co-occurring mental health conditions, not just the substance use itself
- Both in-person and telehealth options, so care fits your schedule and location
Schedule an Evaluation
Whatever your story is and wherever you are in it, you deserve to be treated with empathy, dignity, and the highest quality of medical care.
Book an Appointment or Contact Our Office to get started.
Serene Behavioral Healthcare, 1045 Elm St, Suite 204, Manchester, NH 03101