- Online alcohol use disorder treatment
Drink less. Or stop. Either way, we can help.
Online treatment for alcohol use disorder, built around your goals, not someone else’s. Naltrexone or acamprosate, plus recovery groups, member forums, and ongoing care. All from your phone.
- 4.7 on the App Store
- In-network with major plans
- No 12-step requirement
- Support for co-occurring disorders
48 hours
95% of members start care within 2 days of signing up.
70%
average drinking reduction with The Sinclair Method
~1 min
median time for Care Team response (during business hours)
$25–$35
typical monthly out-of-pocket with insurance
Goal-flexible care
Whichever path fits your life
There’s no single “right” way to recover from alcohol use disorder. Our providers help you choose between two evidence-based paths (and both count as real treatment).
Path 1: Drink less
Naltrexone can reduce the reward your brain gets from alcohol and ease cravings. Over time, you retrain your brain to percieve drinking as less exciting. Drinks go down without forcing abstinence.
- Naltrexone (oral)
- Recovery groups
- No need to stop drinking before starting
- Take medication daily or 1 hour before you drink
- Reduce heavy drinking days
Path 2: Stop entirely
Daily naltrexone plus recovery groups to support full sobriety. Evidence-based, with no 12-step required. Your recovery, your way.
- Naltrexone (oral)
- Recovery groups
- Reduces cravings to make abstinence more sustainable
- Guided, online groups for coping tools and peer connection
- Co-occurring care for anxiety, depression, insomnia
Is this you?
Signs alcohol's become a problem
- You're drinking more than you intend to, or for longer than you planned
- You've tried to cut back and couldn't make it stick
- You spend a lot of time drinking—or recovering from drinking
- Cravings crop up even when you planned not to drink that day
- Alcohol is getting in the way of work, sleep, or your relationships
- Your tolerance keeps creeping up
- You drink to manage anxiety, stress, or sleep issues
- Hangovers hit harder, or you get shaky/anxious without a drink
"Alcoholic" doesn't have to be your label.
Alcohol use disorder is a clinical diagnosis with a wide spectrum—mild, moderate, or severe. You don’t need to identify with “rock bottom” or an AA story to get evidence-based treatment.
If you’re drinking more than you want and are tired of trying to fix it alone, that’s enough reason to talk to a provider.
MODERATION MATTERS
Drink less by re-training your brain
Take naltrexone daily or an hour before drinking, and the medication reduces the reward your brain gets from alcohol. Over weeks and months, the urge to drink quietly fades.
70%
average drinking reduction in 6–12 months among targeted naltrexone users found one survey by the C Three Foundation.
Moderating your drinking is harm reduction. It is a valid and positive path forward.
How it works at Workit
Your first 30 days
Most members start noticing changes in their drinking patterns within the first few weeks. Here’s what to expect.
1. Sign up & insurance check
Download the app and answer a few questions about your drinking and goals. We verify your insurance and match you with a licensed provider in your state.
- Day 1 · ~5 minutes
2. Video visit with your provider
Have an honest conversation about your drinking, your goals, and any anxiety, depression, or sleep concerns going on alongside it. Your provider helps you choose between cutting back and full abstinence.
- Day 1–2
3. Naltrexone prescribed
If appropriate, naltrexone is sent to your pharmacy. You take one tablet daily or 1 hour before drinking—every time. If you take it in. a targeted manner before drinking, the Targeted Selective Extinction effect is what does the work over time.
- Day 2–3
4. Recovery groups (optional but encouraged)
Naltrexone reduces cravings, but it doesn't change the rituals around drinking. Guided online groups give you somewhere to talk through the harder stuff and connect with people doing the same work.
- Week 2+
Medication comparison
Naltrexone vs. Acamprosate vs. Antabuse
Three FDA-approved medications for alcohol use disorder. They work differently, and your goals matter when picking the right one. Here’s how they compare.
- Naltrexone (oral)
- Acamprosate
Antabuse
How it works
- Blocks the reward from alcohol, reduces cravings, & reinforces drinking less
Relieves cravings and reduces post-acute withdrawal symptoms (anxiety, sleep)
Causes a strong sick reaction if you drink alcohol
How you take it
- Daily tablet (or 1 hour before drinking)
2 tablets, 3x daily
Daily tablet
Need to be sober first?
- No, it works for both reduction & abstinence
No, but it's designed to maintain sobriety after stopping
Yes! It works as a deterrent only after you stop
Best fit for
- Anyone. Drink less or stop. The most prescribed medication for alcohol at Workit
People already abstinent, dealing with lingering withdrawal. Also those who must take opioid medication and therefore cannot take naltrexone.
People committed to abstinence who want a hard guardrail
Available through Workit?
- Yes. This is the primary medication our providers prescribe for alcohol
Yes, our providers prescribe it when clinically appropriate
Because the experience with it is often negative, our providers usually prescribe it only when the member directly requests it
Beyond medication
Therapy, groups, and care for what comes with it
Medication does a lot of the heavy lifting on cravings. The rest of recovery—habits, anxiety, depression, sleep, and the social side of drinking—needs people. We’ve built that in, too.
Guided online groups
Small-group sessions led by experienced facilitators—not random support chats. Connect with people working on the same things you are.
Direct messaging with your Care Team
~1 minute median response time during business hours. Real people, not bots. You also have access to a members-only Forum. When a craving hits at 8pm, someone's there.
Co-occurring mental health support
Many people who drink heavily are also dealing with anxiety, depression, or insomnia. Our providers can prescribe and treat all of them together.
No 12-step requirement. No abstinence requirement. No shame.
If AA isn’t your thing, that’s fine. If sobriety is your goal, that’s fine. If reducing your drinking is your goal, that’s also fine. The only requirement is showing up for the version of recovery that fits your life.
- Harm reduction first
- Goal-flexible
- LGBTQ+ affirming
- Preganacy-informed treatment
- No 12-step required
Let's be real
What people get wrong about alcohol treatment
There’s a lot of cultural baggage around drinking, and it keeps people from getting care that actually works.
- MYTH
“I have to admit I’m an alcoholic before I can get help.”
- FACT
You don’t. Alcohol use disorder is a medical condition, not an identity. Most of our members would never call themselves “alcoholics.” They just want to drink less and feel better. That’s enough.
- MYTH
“If I’m not ready to stop drinking, I can’t get treatment.”
- FACT
Moderation is a legitimate recovery goal. You don’t stop first, you take naltrexone before drinking and let the medication retrain your brain. One study reported that participants reduced drinking 70% in 6–12 months without a single white-knuckle abstinence attempt.
- MYTH
“Naltrexone is just a placebo.”
- FACT
Naltrexone is FDA-approved to treat alcohol use disorder and backed by decades of clinical research. It’s an opioid antagonist that blocks the reinforcing reward your brain gets from alcohol. It’s not a placebo; it’s just underprescribed. It is an evidence-based medication.
- MYTH
“Real recovery means AA and 12-steps.”
- FACT
AA helps a lot of people, and that’s great. But it’s one path, not the only one. Medication-assisted treatment (with naltrexone or acamprosate) and skills-based recovery groups work for many of the people AA doesn’t fit.
(If you do love AA, we have no objection to you working the 12 steps. But we don’t offer them.)
Your care team
Real clinicians with real experience with addiction care
Workit Health isn’t a vibes-based program trying to fake clinical depth. Our team has spent years in addiction clinics, detox, residential programs, and community health—and brought that experience into a program that actually fits your life.
70%+
of clinicians have 5+ years in addiction treatment
60%
have 5+ years prescribing MAT specifically
67%
have worked in in-person addiction settings
85%
have personally supported a loved one with substance use
Member stories
Real people, real recovery
We’ve helped tens of thousands of members find their way back. Here are a few in their own words.
“If someone is struggling, I would tell them to give this a shot. I’ve been with Workit a little over a year now. I can’t say enough about how much it’s changed my life. For the first time in 25 years—however long I’d been trying—I feel okay. I feel okay.”
“I would say that if you are looking for help with an addiction—whether it be to 7-OH, opiates, or alcohol—you are in the right place. This community is welcoming, understanding, and supportive. You matter, and you are worth fighting for!”
“I own a business, so I knew I couldn’t just up and leave for rehab. I could have never done any of this without Workit Health—they literally saved my life. I would highly recommend anyone who is struggling to reach out. If I can do it, anyone can.”
Frequently asked
Alcohol & naltrexone questions, answered plainly
The questions people ask before they sign up. If yours isn’t here, your Workit provider can answer it on your first visit.
What is alcohol use disorder (AUD)?
Alcohol use disorder is a medical diagnosis on a spectrum—mild, moderate, or severe—defined by problematic drinking patterns: drinking more than intended, unsuccessful attempts to cut back, cravings, tolerance, withdrawal, and continued drinking despite negative effects on work, family, or health. It’s not a moral failure or willpower problem.
You don’t have to identify as an “alcoholic” to have AUD or to benefit from treatment.
What is The Sinclair Method (TSM)?
The Sinclair Method is an approach to alcohol use disorder where you take naltrexone an hour before drinking. Naltrexone blocks the reward your brain gets from alcohol, so over weeks and months your urge to drink fades. Members in a C Three Foundation survey reported an average ~70% reduction in drinking over 6–12 months.
TSM is one of the medication paths Workit Health offers. It does not require you to stop drinking before starting treatment.
Can I get naltrexone prescribed online through Workit Health?
Yes. Workit Health is a fully online clinic for alcohol use disorder treatment. Download the app, complete a 5-minute sign-up, and a licensed provider will meet you by video—usually within 2 days. If naltrexone is appropriate, your prescription is sent directly to your local or delivery pharmacy.
Do I have to stop drinking before I start treatment?
No. Naltrexone is designed to work while you’re still drinking, with the goal of reducing how much you drink over time as well as to support abstinence. Acamprosate is designed to support abstinence, but will not hurt you if you take it while still drinking.
How long does it take naltrexone to work?
Naltrexone reaches peak blood levels about an hour after you take it. Most members notice changes in their drinking patterns and cravings within the first 2–4 weeks. The full retraining effect of TSM typically plays out over 6–12 months.
If you use naltrexone daily to support abstinence, it will start reducing your cravings from the first dose.
What's the difference between naltrexone and Vivitrol?
They contain the same medication. Oral naltrexone is a daily tablet you take by mouth. Vivitrol is a once-monthly intramuscular injection given by a healthcare provider.
Vivitrol can be a good fit if you want to remove daily decisions about taking medication. As a telehealth provider, we are not able to administer shots, so our providers prescribe naltrexone but not Vivitrol.
Are there side effects to naltrexone?
As with all medications, there is a chance of side effects. For most people, the side effects of naltrexone are mild and short-lived: nausea, headache, fatigue, or sleep changes (including vivid dreams) during the first weeks. Naltrexone has a strong safety profile and is generally well-tolerated. Your provider will monitor and adjust your plan if anything comes up.
Will my insurance cover alcohol treatment with Workit Health?
We’re in-network with most major commercial plans (Aetna, BCBS, Cigna, UnitedHealth, Humana, Anthem, and more.) and many Medicare and Medicaid plans across the states we serve. Most insured members pay $25–$35 per month out of pocket. We check coverage for you during sign-up, and you’ll know if you’re covered before attending an appointment.
The best way to find out what your insurance plan covers is to look at the back of your insurance card. Go to the website or call the phone number listed there to find out about your coverage, deductible, and co-pays.
Do I have to go to AA or 12-step meetings?
No. Workit doesn’t require AA or 12-step participation. We offer guided online recovery groups as part of the program, and we encourage you to take part in whatever other recovery community works for you—including AA if you want it. Our clinical care doesn’t depend on or require 12-step participation.
Can I get treatment for anxiety or depression alongside alcohol care?
Yes. Many people with alcohol use disorder also have anxiety, depression, or sleep issues. They tend to feed into each other. Our providers can treat all of these as part of one integrated plan, including prescribing for mental health when appropriate.
Will my employer find out I'm in alcohol treatment?
No. Insurance claims are protected health information under HIPAA. Your employer doesn’t see your diagnosis or treatment. We’ll explain how the Explanation of Benefits (EOB) shows up so you know what to expect.
If you’re still concerned about leaving a paper trail through your insurance, we offer a self-pay option for additional discretion.
Take the next step—at your own pace
Ready to start
Start treatment in the app
Sign up takes 5 minutes. You’ll create an account, check your insurance, and schedule your first video visit — usually within two days.
not sure yet?
Get info by email or text
We’ll send you what to expect, member stories, and insurance details — no pressure, unsubscribe anytime. You’ll go into the same updates as new members.