DDream Big Buffalo

Proof, not promises

Tried. True. Evidence-based.

We don't push crystals, juice cleanses, or "trust the journey." We connect you to care that has decades of clinical data behind it — and we keep going until every need is covered, right down to your teeth.

Where we stand

Not holistic-for-the-sake-of-holistic. Holistic only when the evidence holds up.

Yoga, breathwork, nutrition, exercise, peer support — yes, when they back up real treatment. But they don't replace MAT, detox, therapy, or psychiatry. Anyone who tells you they do is selling you something.

Priority care

The core six — what we lead with.

These are the services with the strongest outcomes data. Every facility we refer to is licensed, accredited, and verified by us before you ever see their name.

Gold standard · 50+ years of data

Medication-Assisted Treatment (MAT)

Buprenorphine, methadone, naltrexone — for opioid and alcohol use disorder.

Cuts overdose deaths by ~50% (NIH, SAMHSA). Endorsed by ASAM, WHO, CDC.

Standard of care

Medical Detox

24/7 supervised withdrawal management for alcohol, opioids, benzos, stimulants.

ASAM-criteria placement. Safer than cold-turkey at home — and required for some substances.

Proven for moderate–severe SUD

Inpatient & Residential Rehab

30/60/90-day structured programs with medical, clinical, and peer support.

Joint Commission / CARF accredited facilities only. We verify before we refer.

Evidence-based modalities

Trauma & PTSD Therapy

EMDR, CPT, Prolonged Exposure, somatic experiencing, IFS.

VA/DoD clinical practice guideline recommended. Decades of RCT data.

Where the evidence is — not the hype

Psychedelic-Assisted Therapy

Ketamine (FDA-approved for TRD), psilocybin (Breakthrough Therapy status), MDMA-assisted therapy (Phase 3 complete), and ibogaine programs in legal jurisdictions.

Only programs with licensed therapists, screening, dosing protocol, and integration. No drive-thru clinics.

Continuing care that works

Outpatient & IOP

Individual therapy, group, IOP/PHP, peer recovery support, sober living referrals.

Aftercare cuts relapse risk substantially — the data is unambiguous.

All care of all kinds

Sobriety isn't enough if your body is falling apart.

Recovery doesn't stop at the last drink or the last shot. We help you stand up the rest of your health — primary care, dental, vision, hearing, chronic illness, psychiatry — through community clinics, Medicaid, sliding-scale, and nonprofit partners.

Primary care

Establish a PCP — most people in recovery don't have one.

Dental care

Years of use destroy teeth. We help you find low-cost, sliding-scale, and Medicaid dental.

Vision

Eye exams and glasses through community clinics and Medicaid.

Hearing

Screening and aids through Lions Club, state vocational rehab, and Medicaid.

Cardio / chronic illness

Hep C, HIV, diabetes, heart — connected to specialists who don't judge.

Ortho & pain

Non-opioid pain management, PT, and surgical consults when needed.

OB/GYN & prenatal

Mother-friendly programs for pregnant and postpartum recovery.

Psychiatry

Dual-diagnosis prescribers — depression, anxiety, bipolar, ADHD, PTSD.

Don't see what you need? Ask. If a real service exists, we'll find a way to connect you to it.

Ready when you are

One intake. The right care. All of it.

Start your intake