Choose Your Horizon

Choose Your Horizon: telemedicine to reduce or quit alcohol

Choose Your Horizon is an American online psychiatric care platform focused on the treatment of alcohol consumption and other mental health issues. Its approach combines prescription medication, clinical monitoring, and optional support, all managed remotely and privately. The company states that it has delivered more than 20,000 treatments across 49 states and that it has more than 4,000 active patients in its programs.

Access begins with a brief online assessment that helps guide the patient toward the appropriate program. After that, a consultation is scheduled with a licensed psychiatric clinician, who reviews the medical history and current medications to confirm the suitability of the treatment. Once approved, the medication is shipped to the home, usually within a few days, with continuous clinical supervision and the possibility of working with coaches or therapists.

Medication-based treatment programs

The offering is structured around several options based on medications and harm-reduction therapies:

• Naltrexone: treatment aimed at reducing the urge to drink and at cutting back or making it easier to quit. It is presented as an FDA-approved medication that is discreet and intended for home use.
• Iceberg Program (naltrexone-based): flagship alcohol reduction program that includes naltrexone, coaching, at-home liver testing, progress tracking tools, clinical oversight, and optional support resources.
• GLP-1 for alcohol cravings (semaglutide): off-label use of oral semaglutide, alone or combined with naltrexone, to act on the appetite and reward pathways that influence cravings and impulse control.
• Combination therapy (GLP-1 + naltrexone): an option for some patients who benefit from addressing cravings through different biological pathways.

The company also notes that it treats alcohol, depression, anxiety, and post-traumatic stress, and that its programs are designed for adults who want to reduce their consumption or regain control without having to commit to total abstinence.

Results and tracking data

According to the information published, 98% of patients reported improvements within four weeks, with a 70% reduction in alcohol consumption at 90 days and 58% in the first 10 days. The company states that fewer than 1% of patients have experienced adverse side effects. These data come from the company's own presentation and not from an independent evaluation.

Clinical team and leadership

The medical team includes Dr. Daniel Montville, psychiatrist and chief medical officer; Dr. Stephanie Lyn Coleman, lead medical advisor; Dr. Harbir Singh, medical advisor; Alison E. M. Kalb, physician assistant; and Nicole McCloskey, psychiatric nurse practitioner. Executive leadership consists of Mark Holland as CEO and Rob Lee as co-founder. The company emphasizes that treatment is led by a physician trained at Mayo Clinic.

Pharmacy providers and coverage

Choose Your Horizon obtains prescription medication from three licensed pharmacies: Millers Of Wykoff Pharmacy (Wyckoff, New Jersey), Healthwarehouse (Florence, Kentucky), and Honeybee (Culver City, California). Patients can also request that their prescription be sent to their usual pharmacy. Naltrexone coverage extends to all 50 states, while the company states that it has delivered treatments in 49 states.

Payment, financing, and nature of the service

Payment is made through Stripe, with financing options through Affirm or Klarna, and HSA/FSA cards are accepted. The company defines itself as a platform that provides services to affiliated psychiatric practices that are independently owned and managed, without direct control over the clinicians who provide care. The site warns that its content does not replace medical advice from a licensed professional and that, in a life-threatening situation, emergency services should be contacted.

Presence and editorial activity

The company maintains a blog with informative articles about naltrexone, types of alcohol addiction, dosing, and the "iceberg" approach to recovery. It has also been recognized on the Inc. 500 list of fastest-growing private companies, at No. 102 for 2026, according to information on its own site.

Location and contact

106 E 6th St, Unit 900, Austin, TX, 78701 · Email: hello@chooseyourhorizon.com · Hours: 9am - 5pm EST M-F