Clinical Programs

CYH offers five core programs. Naltrexone, GLP-1, ketamine, and coaching are delivered via telemedicine nationwide. Clearing (IOP) is Texas-only.

Naltrexone (The Sinclair Method)

The flagship program. Naltrexone is an FDA-approved medication that reduces alcohol cravings by blocking opioid receptors. The Sinclair Method uses it pharmacologically timed — taken one hour before drinking — to gradually extinguish the reward cycle. Patients do not have to stop drinking to start.

Why it works for CYH's audience: Low-friction. No abstinence requirement upfront. Private. Medically credible. Fits the Miles Masker and Doug Doer personas especially well.

Funnel: startNaltrexone (primary revenue funnel).

GLP-1

GLP-1 agonists (e.g., semaglutide) are emerging as a complementary tool for patients with comorbid weight concerns or metabolic goals. CYH offers GLP-1 as a standalone or in combination with naltrexone.

Cross-sell: Active naltrexone patients are a primary target for GLP-1 cross-sell given the behavioral overlap (medication-comfortable, health-motivated).

Ketamine

Low-dose ketamine therapy for patients with treatment-resistant depression or AUD comorbid with significant mood disorders. Higher-touch clinical pathway.

Funnel: startRecovery (also serves as an entry point for other high-need patients).

Clearing (Intensive Outpatient)

Licensed intensive outpatient program for people who need more than weekly support and less than residential care. Public brand on the landing page: Clearing. Internals: startIop, cyhIopLp, /lp/iop.

Delivery: Telehealth across Texas. Evening group plus 1:1. Texas requires a physical location, so the program is licensed at the Austin office (106 E 6th St). Patients do not commute to a clinic.

Program facts (Aug 2026 collateral is source of truth, LP variant iop-tx-v3): 9+ structured hours per week, rolling weekly onboarding when live, clinician-managed naltrexone and GLP-1 when appropriate, typical ~14 day path to a first start, aftercare after the intensive phase, insurance review for Cigna / UHC / BCBS / Aetna (no Medicaid / Medicare). Potential scholarships may be available. Do not put a static first-cohort date on live LP or form copy until product locks a start.

Funnel: startIop (lead capture, not purchase). This is not the Iceberg naltrexone checkout.

Why it exists: The in-between. Weekly therapy is not always enough. Residential is more than many people can pause life for.

Mapping for the LP: planning/funnels/iop-landing-page.md. Source transcriptions: planning/materials/iop-flyer-option-c.md, planning/materials/iop-referral-onepager.md.

Integrated Coaching

Optional coaching layer available across all programs. Positioned as "someone in your corner if you want it" — never as required or implied. Surfaced based on BSS signals (isolation, emotional drivers) and support preference.

Upsell: Coaching is offered during onboarding and via in-app prompts post-purchase. Significant revenue lever.

Program combinations

Patients often start with naltrexone and layer in coaching or GLP-1 over time. The careIntake funnel (in development) is designed to route patients to the right first program based on their profile, with cross-sell built into the journey.