Why people look for something else
Alcoholics Anonymous has helped an enormous number of people and continues to. But it does not suit everyone, and the reasons are usually specific rather than dismissive: the spiritual framing does not fit, the requirement of total abstinence does not match the goal, the public nature of meetings is a problem professionally, or the model of powerlessness does not describe how someone understands their own situation.
Where that becomes costly is when people conclude that if AA is not for them, nothing is. That is simply not accurate.
Medication as a distinct approach
Medication for alcohol use disorder addresses a different mechanism entirely. Rather than relying on peer accountability and a behavioural framework, it acts on the reward system that drives craving. Naltrexone has been FDA-approved for this since 1994.
The two are not in competition — plenty of people do both, and medication does not stop you attending meetings if you find them useful. But medication does not require them.
Practical differences
- Private. A video visit with a provider, not a group setting.
- No abstinence requirement. Drinking less is a valid goal here.
- No belief framework. A medical evaluation and a prescription.
- Not lifelong. Many people take naltrexone for six to twelve months.
- Compatible with peer support. If meetings help you, keep going.
What it costs
Cash-pay — $149/month
- Initial 45–60 minute evaluation
- Naltrexone prescription, if appropriate for you
- Monthly follow-up visits
- Direct messaging with your provider
Medication is billed separately — generic naltrexone runs roughly $15–60/month at most pharmacies.
Insurance
- Aetna, BCBS, Cigna, UnitedHealthcare, Humana, Oscar, Ambetter, Medicare, Tricare, VA CCN, Carelon
- Typical copay $0–$40 per visit
Benefit verification is required before your first visit — we confirm your coverage at no charge.
Ready when you are.
A 45–60 minute video evaluation with a board-certified psychiatric provider. Same-week appointments are typical.