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Alcohol use

When drinking is no longer working for you.

A virtual program for adults who want to stop or cut back without disrupting their job, their family, or their privacy. Evidence-based, evening cohorts, medication available when clinically appropriate. Most PPO plans verified before you commit.

Where we stand

You do not have to call yourself anything to start.

You do not have to be at rock bottom. If drinking is taking more from you than it gives back, that is a clinical reason to be here. We meet you where you are. Goal of total abstinence, goal of cutting back, somewhere in the middle: we do an assessment, we recommend the right level of care, and you decide what you want to work toward.

What the program covers

Real clinical care, not a coaching app.

Evidence-based therapy

CBT, motivational interviewing, DBT skills, relapse prevention, contingency management. Modalities with peer-reviewed literature behind them, delivered by licensed clinicians, not facilitators reading from a script.

Medication when appropriate

Naltrexone, acamprosate, and disulfiram are FDA-approved medications for alcohol use disorder. Our medical team prescribes when clinically indicated. We do not push medication and we do not withhold it.

Co-occurring mental health

Most adults dealing with alcohol use are also dealing with anxiety, depression, sleep, or trauma. We treat both at the same time. Psychiatry is on the team.

Family and partner support

Family sessions every two weeks if you want them. Optional, not required, never disclosed to someone you have not signed a release for.

Questions adults ask first

The honest answers.

Do I have to quit completely?

No, not as a precondition. Most patients work toward abstinence over the course of the program because abstinence is the most reliable outcome. Some patients work toward moderation, supported by medication. The clinical team works with the goal you bring, and revises it with you over time.

What is alcohol use disorder?

The clinical diagnosis. It is a spectrum, scored mild, moderate, or severe based on specific criteria. The assessment is part of the intake and the result is a clinical fact, not a label we pin on you.

Do you offer medication for alcohol use?

Yes. Naltrexone (oral or monthly injection), acamprosate, and disulfiram are FDA-approved medications for alcohol use disorder. We prescribe based on clinical fit and patient preference. Many patients use naltrexone with strong results.

Is the program 12-step?

No, not by default. We respect the 12-step community and many of our patients attend AA on their own. The program itself is evidence-based and clinically structured. If 12-step is what you want, we coordinate with that. If you want nothing to do with it, that is fine too.

Is it CBT?

Yes, among other modalities. CBT (cognitive behavioral therapy), motivational interviewing, DBT skills (dialectical behavior therapy), relapse prevention, and trauma-informed approaches are all part of the program. Different patients need different combinations.

What if I have anxiety or depression too?

That is the norm, not the exception. The program treats co-occurring anxiety, depression, and trauma alongside the substance use. Psychiatry is part of the clinical team.

Can I stay on my current antidepressant?

Usually yes. Our psychiatrist reviews your current medications and works with whoever prescribed them. We do not abruptly stop medications that are working.

Will I have to detox first?

That depends on how much you are drinking and for how long. If withdrawal would be medically dangerous, we coordinate ambulatory detox before the intensive outpatient portion begins. If withdrawal is manageable outpatient, we proceed directly into the program. The assessment determines which path fits.

The next step

A two-minute benefit check. No commitment.