Private, Physician-Led, From Home
Online Treatment for Alcohol Use Disorder
Alcohol use disorder is a medical condition, not a character flaw — and it responds to medical treatment. At Bayani Health & Wellness, you can get board-certified physician-led care privately, through secure telehealth, without involving your insurance or your primary care provider.
What Is Alcohol Use Disorder?
Alcohol use disorder (AUD) exists on a spectrum — from mild to severe — and it does not require daily drinking, a DUI, or a rock-bottom moment to be real.
Many people with AUD never think of themselves as "someone with a drinking problem." They hold demanding jobs, raise families, and function well by every outside measure — while privately noticing that drinking has become harder to control. Maybe it's the nightly glass of wine that became two, then three. Maybe it's waking up and not remembering deciding to drink that much. Maybe it's simply knowing, quietly, that you'd rather not need it as much as you do.
If you've ever searched "am I drinking too much" or wondered whether you could cut back on your own but haven't been able to, that question is worth taking seriously — and it does not require a crisis to act on.
AUD is not a willpower problem. It's a brain chemistry problem, and it responds to evidence-based medical treatment.
How We Treat Alcohol Use Disorder
Step 1: Evaluation and Diagnosis
Your first visit is a thorough private consultation with our board-certified addiction medicine specialist physician. We review your history, current alcohol use patterns, health status, and goals — and work with you to develop a personalized treatment plan.
Step 2: Medication-Assisted Treatment
We prescribe FDA-approved medications that reduce alcohol cravings, diminish the reinforcing effects of alcohol, and support abstinence or reduction in drinking. These may include:
- Naltrexone — reduces cravings and the pleasurable effects of alcohol; available in oral or extended-release injectable form
- Acamprosate — helps reduce withdrawal-related discomfort and support abstinence
- Other medications — based on your individual clinical picture and physician recommendation
Medication-assisted treatment is the most evidence-supported approach to AUD — and at Bayani Health & Wellness, it's only the beginning.
Step 3: Ongoing Physician Follow-Up
You'll have regular follow-up visits with your physician to review your progress, adjust your treatment plan as needed, and address any concerns. Between visits, you can contact our medical team by phone or text.
Step 4: Whole-Person Recovery Support
Once you're stable on treatment, we introduce the next layer of care: physician-guided nutrition and movement support. We provide evidence-based guidance on plant-forward eating patterns and a personalized exercise prescription — tools that support brain recovery, mood, sleep, and long-term wellness. This is medicine, not wellness marketing.
Is This Program Right for You?
Our alcohol use disorder program may be a strong fit if you:
- Drink more than you intend to, or have tried to cut back without success
- Experience cravings for alcohol, or feel you need it to relax, sleep, or function
- Are concerned about how alcohol is affecting your health, relationships, or work — even if no one else has noticed
- Want help, but need treatment to stay completely private
- Prefer not to enter a residential program, attend in-person group sessions, or identify as being "in rehab"
- Want to work with a physician, not a counselor or a coaching app
- Have never been able to moderate on your own and want a medical option, not just willpower
You do not need to be in crisis to qualify for care. If alcohol is becoming a problem, that's enough reason to seek treatment.
Frequently Asked Questions
Please reach us at hello@bayanihealth.com if you cannot find an answer to your question.
Not necessarily. Your physician will discuss abstinence versus harm-reduction goals with you based on your clinical situation. For some patients, abstinence is the appropriate goal; for others, significant reduction in use is a meaningful first step. We'll work with you based on your individual circumstances.
Naltrexone has been FDA-approved for alcohol use disorder since 1994 and has a strong safety record. Your physician will review your health history before prescribing to ensure it's appropriate for you.
Relapse is a recognized part of the recovery process for many people, not a reason to end treatment. If you experience a relapse, we work with you — not against you — to understand what happened and adjust your treatment plan accordingly. Our program is designed for real life, not perfect performance.
We're a direct-pay practice, so no insurance claim is filed and no information goes to your employer. Substance use disorder records are also protected under 42 CFR Part 2, a federal confidentiality law that is stricter than standard HIPAA protections.
Yes. Most of our patients are not entering residential treatment or attending group meetings — they're working adults who want a medical approach to drinking less or stopping altogether, without disrupting their job, family life, or reputation. If alcohol has become harder to control than you'd like, you don't need a crisis or a diagnosis you already have in mind. That's what the first visit is for.
Yes — many patients come to us without having told a spouse, employer, or friend. Your first conversation is a private, judgment-free visit with a physician whose only job is to help you medically. What you choose to share with anyone else in your life is entirely up to you.
Begin Treatment This Week
Appointments are available within 48 hours. No referral required. No insurance needed.
Your privacy is protected by federal law. Substance use disorder treatment records are governed by 42 CFR Part 2, which prohibits disclosure without your explicit written consent.
Bayani Health & Wellness provides confidential, physician-led telehealth addiction treatment for adults in Washington State.
We treat alcohol use disorder and opioid use disorder using FDA-approved medications and a whole-person recovery approach that includes personalized nutrition and movement guidance.
Your treatment records are protected under HIPAA and Washington health privacy law, and we voluntarily follow the stricter 42 CFR Part 2 confidentiality standards used for substance use care.
We are a direct-pay practice. No insurance claims are filed.
Call or text: 253-389-4881
A division of David Medical Services, PLLC
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