Now accepting our first cohort. Places in the Texas intensive outpatient program are limited, and the private assessment takes about two minutes. Check your place
See if I qualify
A woman at her kitchen table joining a session from home
Intensive support, without putting your life on hold

Get serious about your drinking.Without disappearing from your life.

A 10-week intensive outpatient program for alcohol use disorder that fits into real life: structured group treatment, weekly individual counseling and clinician-managed medication support, so you can do the work while you keep showing up.

Takes about 2 minutesPrivateNo commitment
Trustpilot 4.5300+ reviews
AccreditedThe Joint Commission
LegitScriptCertified telehealth
10 weeksStructured program
9 hours a weekSmall-group treatment
1:1 every weekIndividual counseling
Evenings & weekendsSo your working day stays yours
PrivateConfidential by design
Virtual programmingNo clinic commute
Evening & weekend sessionsTreatment after work, not instead of it
Enrolling in TexasMore states coming
What it actually is

More than therapy. Less than putting life on hold.

An Intensive Outpatient Program is real clinical treatment you attend from home, evenings and weekends. Here is what that looks like in practice.

A small facilitated group session on a laptop

A room that already gets it

You join a small, facilitated group of people working on the same thing, so you can say the hard part out loud without explaining yourself first.

A member completing a daily check-in

Progress you can actually see

Short standardized check-ins track cravings, mood and drinking week to week, so your clinician adjusts treatment on evidence instead of guesswork.

A member finishing an evening session at home

Evenings, so the rest stays yours

Sessions run in the evening and at weekends, after the working day. You keep the job, the school run and the life you are doing this for, and still get nine hours of care a week.

Coverage

Most people are already covered.

We are in network with major insurers for Texas members. Start the assessment and we will verify your benefits before anything begins, so you know what care costs before you commit to it.

Participation varies by plan; verification is required per patient.

UnitedHealthcare
Cigna
Aetna
Blue Cross and Blue Shield of Texas

… and more. We’ll check your benefits for you.

Where IOP sits

More support. A better life.

IOP is a step up from weekly therapy and a step down from residential treatment. You get the structure you need while continuing to live at home, work, and care for your family.

Other levels of care
Weekly therapy

Lower-intensity support

An hour a week with a therapist. Genuinely useful, but often not enough structure on its own once drinking has become a real problem.

This is us
Choose Your Horizon IOP

Structured treatment while you keep living at home

Nine hours of small-group treatment a week, plus weekly 1:1 counseling and clinical care, in evening and weekend blocks, so work and family carry on.

Other levels of care
Residential treatment

24/7 care away from home

Living on site with clinical support available around the clock. It suits people who need to step away from daily life for a while.

Your clinical assessment determines whether outpatient treatment is appropriate for you.

What you work on

Treatment built around the life you’re trying to get back.

Quiet the cravings

Understand your triggers and build practical tools for handling cravings before they turn into drinking.

Get your mind back

Work on the thoughts, emotions, anxiety and patterns that keep pulling you back toward alcohol.

Sleep and feel better

Rebuild sleep, stress management, physical health and the daily routines that hold recovery up.

Repair what drinking affected

Work on relationships, boundaries, communication, and rebuilding trust with the people who matter.

Navigate work and social life

Build strategies for business dinners, travel, happy hours and every setting where drinking is simply expected.

Build something that lasts

Leave with a personalized relapse-prevention plan and a continuing-care plan built around your life.

The arc of the program

10 weeks. Built for real life.

Each week builds on the last, from understanding what is happening to leaving with a plan you can actually keep.

  1. Week 1FoundationsUnderstanding alcohol and medication
  2. Week 2CravingsTriggers and coping tools
  3. Week 3ThinkingCBT and changing patterns
  4. Week 4EmotionsAnxiety and distress tolerance
  5. Week 5WellbeingSleep, stress and self-care
  6. Week 6RelationshipsBoundaries and rebuilding trust
  7. Week 7Real lifeWork, travel and drinking culture
  8. Week 8IdentityShame and self-compassion
  9. Week 9Staying on trackRelapse-prevention plan
  10. Week 10What’s nextContinuing care and support
How a week works

Learn it, practice it, talk it through.

A woman taking notes during an online session at home

Learn

Understand what is happening in your brain and body, and why changing your relationship with alcohol is genuinely hard.

A man working through a recovery workbook at home

Practice

Learn practical skills and rehearse them: craving management, CBT, mindfulness, boundaries and relapse prevention.

A small facilitated group session on a laptop screen

Talk

Small facilitated groups give you somewhere to work through what is actually happening in your life, with people who get it.

A one-to-one counseling session on a tablet at home
Plus

Your own 1:1 counselor

Meet individually every week to personalize what you’re learning, work through the things that aren’t right for a group setting, and review your progress together.

Medication and therapy working together

The next generation of care.
Why our IOP program is different.

Unlike programs that treat medication and behavioral support as separate paths, Choose Your Horizon integrates both.

Your care may include clinician-managed medication support such as naltrexone and, where clinically appropriate, adjunctive medication options, alongside counseling and behavioral treatment.

Medication is another tool.
You’re the most important one.

  • Evidence-based group treatment
  • Weekly 1:1 counseling
  • Non-addictive medication support when appropriate
  • Measurable progress

Progress you and your care team can actually see.

You’ll complete standardized assessments throughout the program, so we can track what’s working and adjust your care.

  • Cravings
  • Anxiety
  • Alcohol and recovery progress
  • Attendance and engagement
  • Mood
  • Treatment-plan progress

Results are reviewed throughout treatment and used to help inform your care.

Safe, non-addictive medication that quiets the cravings.

Naltrexone is FDA-approved for alcohol use disorder. It is not a controlled substance and is not habit forming, so you are not trading one dependency for another. It blunts the reward drinking gives you, which turns the volume down on cravings and gives the behavioral work room to hold. Combining medication with behavioral treatment is associated with better outcomes than either one on its own.

Who we are

A clinical practice, not an app with a prescription.

Choose Your Horizon is a physician-led telehealth practice for alcohol use, caring for people in all 50 states. The IOP is our most structured level of care, built on the same clinical model and the same outcome data as everything else we do.

We publish what we measure. These are our own members, tracked with standardized assessments over the course of their care.

30,000+ patients treated across all 50 states
50–55% average reduction in drinking within the first 10 days for many patients starting care*
60–65% average reduction in drinking after 90 days of ongoing support*
82% of patients report drinking less or stopping completely during their program*
87% of patients with professional assisted support report stronger long-term outcomes*

*Self-reported member outcomes collected with standardized assessments during participation in care. Individual experiences and results vary.

Is it a fit?

Is this level of care right for you?

IOP may be appropriate if:

  • You know drinking has become a real problem
  • Alcohol is affecting your work, health, relationships or how you feel about yourself
  • You’ve tried cutting back or stopping but haven’t made it stick
  • You want meaningful treatment but need to keep working and living at home
  • Medication or occasional therapy hasn’t felt like enough support
  • You’re ready to commit meaningful time to making a change
Not sure whether you need IOP?

That’s okay. The assessment is designed to help determine the appropriate level of care. If IOP isn’t the right fit, we’ll talk through the other options.

Frequently asked questions

What exactly is an Intensive Outpatient Program?

An IOP is structured treatment that is more intensive than weekly therapy but does not require living at a facility. You attend scheduled group sessions several times a week and meet individually with a counselor, while continuing to live at home and keep up with work and family.

How much time do I need to commit each week?

Around nine hours a week of small-group treatment, plus a weekly 1:1 counseling session. Sessions run in the evening and at weekends, so treatment costs you neither your job nor your mornings.

Can I do the program while working full time?

Yes. That is the entire point of an intensive outpatient program. Sessions run in the evening and at weekends so you can get real treatment without stepping away from work, family or daily life.

Does the program include medication?

It can. Where clinically appropriate, your care may include clinician-managed medication support such as naltrexone alongside counseling and group treatment. Medication is never the whole plan, and it is always a decision your clinician makes with you.

Will I have an individual counselor?

Yes. You meet one-to-one every week to personalize what you are learning in group, work through anything that is not right for a group setting, and review your progress.

Is everything private and confidential?

Yes. The program runs online from wherever you are, groups are small and facilitated, and your care is handled under the privacy standards expected of any healthcare provider.

Where you use insurance, we share the minimum information your plan requires to verify benefits and process claims, such as dates of service and diagnosis and procedure codes. We do not share what you say in group or in your individual sessions.

What happens after the 10 weeks?

You finish with a personalized relapse-prevention plan and a continuing-care plan. Treatment doesn’t simply stop, it steps down, and your team helps you decide what the right ongoing support looks like.

A person walking outdoors at sunrise

Your next chapter can start here.

You don’t have to put your life on hold to change it. Take the private assessment and find out whether the Choose Your Horizon Intensive Outpatient Program is the right level of support for you.

PrivateTakes about 2 minutesNo commitment
You’re in good hands.
  • Physician-connected care
  • Evidence-based treatment
  • Designed for real life
  • Currently enrolling in Texas

Other states coming soon.