You want to start naltrexone and the Sinclair Method by telemedicine, without sitting in a clinic waiting room to do it. Maybe the nearest addiction clinic is an hour away. Maybe it is five minutes away, and that is exactly the problem, because everyone in town knows the parking lot.
Or maybe you have simply learned what walking into a treatment center means: group intake, a label at the door, and a program built for someone else.
None of that is required. The Sinclair Method (TSM) can be delivered entirely by telemedicine, from your first conversation to every prescription and every check-in.
How does the Sinclair Method work with naltrexone?
TSM pairs an old habit with a new chemistry. You take naltrexone about one hour before drinking, every time you drink. The medication blocks the endorphin reward that alcohol normally delivers, so the drink arrives but the payoff does not.
A drinking habit is like a path worn through grass. Every rewarded drink walks the path again and keeps it bare. When naltrexone removes the reward, the path stops being walked the same way, and week by week the grass grows back.
That slow overgrowing has a name: pharmacological extinction. Cravings and consumption fade gradually, not by force but by unlearning. For the full picture of the method and who it helps, see the Sinclair Method service page.
Can you start naltrexone and the Sinclair Method by telemedicine?
Yes, and for many people it works better this way. Dr. Leeds provides TSM through a concierge telemedicine practice, with private appointments by video or audio from wherever you are comfortable.
You meet with Mark Leeds, D.O. directly at every visit. Appointments are weekly and can last up to an hour, which is time to actually talk, not a rushed med check. Between appointments, you have 24/7 text access for urgent questions.
For patients in Florida, naltrexone prescriptions are sent to the pharmacy you already use. There is no clinic to visit, no waiting room, and no group meeting, ever. The same concierge model supports the practice’s other services, including medication-assisted treatment (MAT) for opioid dependence.
What do the first weeks look like if you are still drinking?
You do not stop drinking to start TSM. You start exactly where you are, and that is the design of the treatment, not a loophole in it.
The first step is a conversation, then a plan. From there, the early weeks are simple: take naltrexone one hour before every drinking session, keep a short log of what you drink, and meet with Dr. Leeds each week to review how it is going.
Change usually shows up quietly. A drink left unfinished. A night that ends earlier than it used to. A Tuesday when you notice you did not think about drinking at all. Progress on TSM hides in small numbers, which is why the log and the weekly conversation matter.
If you have tried quitting cold and blamed yourself when it did not hold, set that blame down. White knuckles were never a treatment plan. Harm reduction, guided by a physician, is.
What if your goal is to stop drinking entirely?
The Sinclair Method is built for people who are still drinking, but it is not the only way to use naltrexone. For people who prefer abstinence, naltrexone can be taken as a daily medication instead, supporting a plan built around not drinking at all.
Some patients choose that daily approach from the start. Others arrive there gradually, after extinction has loosened alcohol’s grip and abstinence begins to feel possible rather than punishing.
Dr. Leeds does not push either door. There is no one-size-fits-all approach here: your goal, whether fewer drinks, a safer pattern, or none at all, is the goal. That holds true for alcohol use disorder and for gray area drinking alike, where the aim is often simply to shrink a habit before it grows.
How to begin
Your first appointment can happen at the same kitchen table where you are reading this. No commute, no waiting room, no explaining yourself to a receptionist.
Start with the contact form at drleeds.com. An initial consultation is the usual first step. Consultations are paid video or audio sessions available anywhere; they are discussions, not medical visits, and they do not establish a physician-patient relationship. Naltrexone prescribing and ongoing medical management are available for patients located in Florida.
You do not have to put your life on hold to change it. Treatment can meet you at home, this week.
Frequently asked questions
Do I need an in-person visit to get naltrexone for the Sinclair Method?
No. Every step happens remotely, by video, audio, and secure text. Patients in Florida have their naltrexone prescriptions sent to a nearby pharmacy without ever visiting a clinic.
Can I start naltrexone and the Sinclair Method by telemedicine from another state?
Prescribing and medical management are limited to patients located in Florida. If you live elsewhere, you can still book a consultation, a paid video or audio session available anywhere, to discuss TSM and your options. Consultations are discussions, not medical visits, and do not establish a physician-patient relationship.
What happens during the weekly telemedicine appointments?
Each week, you and Dr. Leeds review your drinking log, look at how cravings are shifting, and adjust the plan together. Appointments run up to an hour, by video or audio, and 24/7 text access covers questions between visits.
Is daily naltrexone by telemedicine an option if I do not want to drink at all?
Yes. Naltrexone can be prescribed as a daily medication to support an abstinence-based plan, managed through the same telemedicine model. Dr. Leeds helps you choose the approach that fits your goal, and you can change course as your goal changes.
How soon after starting TSM by telemedicine will my drinking change?
Extinction is gradual by design. Many people see small shifts within the first weeks, such as fewer drinks per session or nights that end earlier, while the larger changes build over months. The weekly appointments exist to track that curve with you.
About the physician
Mark Leeds, D.O. is an osteopathic physician providing concierge telemedicine care focused on benzodiazepine and z-drug tapering, psychiatric medication deprescribing, opioid dependence treatment, and alcohol use disorder. Dr. Leeds works directly with each patient, with weekly appointments and 24/7 text access between visits. He serves on the medical advisory board of the Benzodiazepine Information Coalition and hosts The Rehab Podcast on the Mental Health News Radio Network. Medical management is available for patients in Florida; consultations are available more broadly.