Online addiction & substance use treatment

Therapy and relapse prevention

Therapy does much of the work in recovery. We use evidence-based approaches like CBT to identify triggers, manage cravings, and build skills you can use between sessions, alongside relapse-prevention planning and support for the stress, depression, or emptiness that using was covering. A lapse is something we learn from, not a reason to start over.

Medication management

When medication helps, we use evidence-based, non-controlled options — for alcohol use disorder that can mean naltrexone, acamprosate, or disulfiram, none of which are habit-forming. We don't prescribe controlled substances like benzodiazepines (e.g., Xanax) as routine care; when a medication-assisted treatment such as buprenorphine for opioid use disorder is the right fit, we coordinate a referral to a provider who can manage it. Because opioid use carries overdose risk, we can also talk with you about keeping naloxone (Narcan) on hand.

A coordinated plan

Addiction usually comes with something else, so we treat co-occurring depression, anxiety, or trauma at the same time. Your prescriber and therapist work from the same plan, so medication and therapy reinforce each other rather than running on separate tracks.

From first visit to steady recovery

Intake & evaluation

A confidential, judgment-free first visit to understand your use — what you're using, how much, what it's costing you, and what started it — along with your medical history and any depression, anxiety, or trauma behind it. We also screen for withdrawal risk and verify your insurance before you start.

Your plan, together

Your clinician walks you through a clear plan — therapy, relapse prevention, and medication when it helps — with the reasoning behind each choice and what to expect in the first few weeks. If a higher level of care like medical detox or an intensive outpatient program is safer, we say so and help you get there.

Follow-up & adjustment

Recovery isn't linear. Regular check-ins and secure messaging let us track cravings and mood, fine-tune the plan, and adjust after a setback rather than start over — spacing visits out as you stabilize.

We take a thorough substance use history — what you use, how it affects your health, work, relationships, and any legal or treatment history — because an accurate picture is the foundation of a plan that works.

Sometimes the first step is detox or a higher level of care before outpatient treatment can help. We assess timing honestly, including whether ongoing alcohol use is limiting how well medications can work, and refer to trusted detox, residential, or IOP/PHP programs when needed.

For alcohol and opioid use disorders we use evidence-based medications — such as naltrexone, buprenorphine, acamprosate, and disulfiram — alongside therapy and recovery support, matched to your goals.

Substance use and mental-health conditions usually travel together. We treat them side by side rather than making you choose which to address first.

Both bring low mood, anxiety, poor sleep, and trouble functioning, and they overlap so often that it's hard to say which came first. What we sort out is sequence and independence: did the drinking or drug use start as a way to cope with depression or anxiety that was already there, or did the mood and anxiety symptoms follow the use? A substantial share of adults with a substance use disorder also have ADHD, and depression, anxiety, and trauma are common companions — so we treat both together, because addressing one and ignoring the other tends to fail.

Both can look identical — intoxication and withdrawal can mimic depression, anxiety, panic, or even mania almost exactly. The distinguishing feature is what happens over time away from the substance: symptoms that lift within days to weeks of stopping point to a substance-induced picture, whereas symptoms that persist well into abstinence point to a primary disorder that needs its own treatment. That's why we take a careful history and, when possible, watch how things change with sobriety before finalizing a diagnosis.

Online treatment is a strong fit for most outpatient recovery, but not for every stage. The tell is safety and severity: heavy daily alcohol or benzodiazepine use can produce a withdrawal that is dangerous to stop without medical supervision, and acute, high-risk situations need the structure of medically supervised detox or inpatient care. Others do well stepping into an intensive outpatient program (IOP). Part of our intake is judging which level of care you actually need — and if it's more than telehealth can safely provide, we say so and help you get there.

Insurance & cost

Coverage and cost

We're in-network with major commercial plans — including Aetna, Cigna, UnitedHealthcare/Optum, Anthem/Blue Cross Blue Shield, and Humana — and Medicare where our clinicians are licensed. We verify your benefits before your first appointment, so you know your cost up front. Prefer not to use insurance? Transparent self-pay rates are available.