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Medical Director · Board-Certified Psychiatrist

Sergey Litvinov, MD.
Clinical leadership, deeply hands-on.

Dr. Sergey Litvinov is the Medical Director at Pines Recovery Life — a board-certified psychiatrist with dual focus on addiction medicine and psychiatric care for people with co-occurring disorders. He sets the clinical standard for every detox admission, every psychiatric evaluation, every medication regimen, and every treatment plan at our Pembroke Pines campus.

MD · Board-Certified Psychiatrist Addiction Medicine Co-Occurring Disorders
Accredited & Certified
Joint CommissionGold Seal of Approval LegitScriptCertified
SAMHSAListed
Florida DCFLicensed Provider
HIPAACompliant
DEARegistered
Biography

A physician who believes the chart follows the person.

Dr. Litvinov came to addiction medicine through psychiatry. Early in his clinical career, he observed what most psychiatrists eventually conclude: that substance use disorder and psychiatric illness are so thoroughly interwoven in most patients that treating one without the other is rarely sustainable. He sought additional training specifically in addiction medicine so he could hold both threads at once.

At Pines Recovery Life, he oversees all medical care during detox — the medications, the withdrawal-scale protocols, the transition from acute stabilization to the psychiatric evaluation phase — and provides direct psychiatric care during residential. His approach is consistent: listen longer than you think you need to, start with the lowest effective dose, and never prescribe around a conversation that should be had.

He is particularly experienced with complex co-occurring presentations: alcohol use disorder with severe anxiety; opioid use disorder with unrecognized PTSD; stimulant use disorder with bipolar spectrum illness; benzodiazepine dependence layered onto depression or panic disorder. These patients need a medical director who can hold both sides of the diagnosis and sequence treatment accordingly.

MD
Doctor of MedicineMedical school training followed by psychiatric residency.
Board
Board-Certified PsychiatristBoard certification in psychiatry — the specialty exam ABPN standard.
Addiction
Addiction Medicine FocusPost-residency clinical focus on substance use disorders and co-occurring conditions.
MAT
DEA-Registered PrescriberAuthorized to prescribe buprenorphine and other controlled medications used in medical detox.
Languages
Clinical LanguagesPatient interviews conducted in English; additional language capacity available through clinical team.
Clinical Philosophy

Three clinical commitments Dr. Litvinov holds his team to.

Stated in his own words during clinical rounds — the operating instructions for the medical and nursing teams.

Stabilize first

Never therapize an unstable nervous system.

Before anyone is asked to do trauma work, cognitive restructuring, or group vulnerability, their physiology must be stable. That means controlled withdrawal, restored sleep, adequate nutrition, and psychiatric symptoms that aren’t drowning out every other signal. Therapy doesn’t work on a dysregulated brain — so we fix that first.

Lowest effective dose

Medicate the indication, not the anxiety.

We use medications that have evidence — MOUDs for opioid use disorder, naltrexone/acamprosate/disulfiram for alcohol use disorder, SSRIs for documented mood and anxiety disorders. We do not use benzodiazepines long-term in residential. Every prescription is a conversation; every conversation is documented.

Chart the whole person

The diagnosis is the start, not the end.

Two patients with the same DSM-5 label are rarely the same person. We chart sleep, appetite, trauma history, family structure, work context, spiritual orientation, prior treatment response. The medication list exists to support a human being — not the other way around.

Areas of Expertise

Where Dr. Litvinov’s clinical experience runs deepest.

  • Alcohol use disorder
  • Opioid use disorder
  • Benzodiazepine dependence
  • Stimulant use disorder
  • Polysubstance use
  • Major depressive disorder
  • Anxiety & panic disorders
  • PTSD & complex trauma
  • Bipolar spectrum illness
  • Medication-assisted treatment
Private patient room at Pines Recovery Life
Clinical Consultation

Speak with our medical team. Today if needed.

If you or a loved one is in active withdrawal, or if you have a complex psychiatric history, our admissions team will coordinate a medical consultation before admission. We never admit anyone without a clinical plan.

Call (855) 981-8935
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About Dr. Litvinov & Medical Care

Questions we hear about our medical director.

Will I see Dr. Litvinov during my stay?+
Yes. Every patient has a psychiatric evaluation early in their stay — typically within 72 hours of admission. Dr. Litvinov and the medical team review medication regimens, co-occurring diagnoses, and treatment plans throughout the stay. Medical rounds occur regularly on the detox wing.
Is Pines equipped to handle complex psychiatric cases?+
Yes — within the scope of residential inpatient addiction treatment. Patients with documented psychiatric comorbidities (depression, anxiety, PTSD, bipolar II, etc.) are routinely treated alongside their substance use disorder. Patients with active psychosis, severe eating disorders, or acute suicidality requiring inpatient psychiatric hospitalization may need a different level of care before admission; our admissions team will tell you honestly if we’re the right fit.
Does Pines use medication-assisted treatment (MAT)?+
Yes, when clinically indicated. For opioid use disorder we use FDA-approved medications such as buprenorphine/naloxone and naltrexone (oral or extended-release). For alcohol use disorder: naltrexone, acamprosate, or disulfiram. All MAT decisions are made by Dr. Litvinov in consultation with the patient — MAT is evidence-based and not optional to offer, though specific medications are matched to the patient.
How are medications managed during detox?+
Withdrawal protocols follow established scales — CIWA-Ar for alcohol withdrawal, COWS for opioid withdrawal. Medications are administered by the licensed nursing team on a protocol titrated to the patient’s symptoms. A physician is on-call 24/7 and reviews every medication regimen.
Can my home psychiatrist coordinate with your team?+
Yes — with your written consent, our team will coordinate with your home psychiatrist, therapist, and primary care provider both on admission and at discharge. Continuity of your psychiatric care is a priority; we don’t want to disrupt a working outpatient relationship.

Reviewed by Sergey Litvinov, MD — Medical Director and board-certified psychiatrist at Pines Recovery Life. Updated April 2026.

Professional affiliations & references: American Psychiatric Association · American Society of Addiction Medicine · ABPN · Florida DOH License Search