What alcohol use disorder is
Alcohol use disorder is a medical diagnosis, defined by a pattern of drinking that continues despite causing problems — difficulty cutting down, cravings, needing more for the same effect, and drinking interfering with work, health, or relationships. It exists on a spectrum from mild to severe, and most people with it are not what the stereotype suggests.
Framing it as a medical condition is not a way of removing responsibility. It is what makes it treatable in the ordinary way medical conditions are treated: assessment, medication where it helps, follow-up, adjustment.
How it is treated here
- Evaluation. A 45–60 minute video visit covering your drinking pattern, health history, prior attempts, and your goal.
- Medication where appropriate. Most commonly naltrexone — FDA-approved for AUD since 1994, non-addictive, not a controlled substance.
- Follow-up. Monthly video visits and direct messaging between them, continuing as long as it is useful.
When telehealth is not the right level of care
Outpatient telehealth suits a large share of people with alcohol use disorder, but not everyone. Medically supervised withdrawal, inpatient care, or a higher level of monitoring is sometimes necessary — particularly with a history of withdrawal seizures or significant medical complications. If that is your situation, your provider will say so and help you find appropriate care rather than treating around it.
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.