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One goal of our medical practice is to reduce treatment barriers for specific populations of patients. For patients with anxiety, depression, agoraphobia, substance/alcohol and behavioral disorders we offer treatment in the home to increase desire to seek treatment and increase treatment retention. Because these patient populations may have concerns with confidentiality and/or difficulty leaving their home for treatment, we offer medical services in the home including counseling and other integrative services. As a result we are seeing patients who have been able to reduce symptomatology and even go grocery shopping for the first time in years of being confined to their home. We are also receiving anecdotal evidence of reduced relapse rate in our substance use patients during early phase of treatment.